Professional Documents
Culture Documents
Docket Page
JAMES E. MOORE
VS.
MONSANTO COMPANY; ACE AMERICAN I
Cause Number:
Date Entered
2014-13
Book/Page
11/14/2014
11/14/2014
11/14/2014
11/14/2014
11/17/2014
11/17/2014
11/17/2014
11/18/2014
FIRST AMENDED COMPLAINT FOR BAD FAITH AND DAMAGES (JURY TRIAL
DEMANDED) (FILED) ("FILED" STAMPED COPY RETURNED TO ATTY)
12/11/2014
Page 1 of 1
Form AOC/Ol
(Rev 2009)
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County # Judicial
Court ID
District
Local Docket ID
I| i|Date
H M Year
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^hisareaJo^e_comjet^_b^_clerj^
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ISi
'?^V\V^r
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Judicial District
| | Other
Plaintiff - Party(ies) Initially Bringing Suit Should Be Entered First - Enter Additional Plaintiffs on Separate Form
Individual
QK~&--
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OXbvie>
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_ Check (x) if Individ ual Plainitiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
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Enter legal name of business, corporation, partnership, agency - If Corporation, indicate the state where incorporated
Check (x) if Busi ness Planitiff is filing suit in the name of an entity other than the above, and enter below:
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Business
jfV\oV\5fctv\o
. ftCS fty/jg/T
1AI-3
Enter legal name of Business, corporation, partnership, agency - If Corp oration, indicite the'sfate where incorporated
Check (x) if Business Defendant is acting in the name of an entity other than the above, and enter below:
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*lf checked, please submit completed Child Support Information Sheet with this Cover Sheet
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1
IN THE CIRCUIT COURT OF THE FIRST JUDICIAL DISTRICT OF BOLIVAR COUNTY, MISSISSIPPI
JAMES E. MOORE
PLAINTIFF
VS.
2DI4- IS
DEFENDANTS
That Plaintiff, namely James E. Moore, at all times relevant to the instant Complaint For Bad
Faith And Damages, was an adult resident citizen of Greenville, Washington County, Mississippi.
2.That-Defendantrnamely-MonsantoGompany-was-a-eompany-existing-andoperating-in
accordance with the applicable laws of the State Of Mississippi. Monsanto Company may be served with
process of this Honorable Court by serving its registered agent for service of process, namely Corporation
Services Company, located at 506 South President Street, Jackson, Mississippi 39201.
3.
That Defendant, namely ACE American Insurance Company, License Number 7700552, NAIC
Number 22667, is a foreign corporation doing business in the State Of Mississippi and can be served with
process of this Honorable Court by serving its registered agent for service of process and / or the Insurance
Commissioner of the State Of Mississippi.
4-
That Defendant, namely Indemnity Insurance Company Of North American, License Number
8500045, NAIC Number 43575, is a foreign corporation doing business in the State Of Mississippi and can
be served with process of this Honorable Court by serving its registered agent for service of process and /
or the Insurance Commissioner of the State Of Mississippi.
5.
That Defendant, Sedgwick Claims Management Services, Inc., is a foreign corporation doing
business in the State Of Mississippi and can be served with process of this Honorable Court by serving its
registered agent for service of process, namely C.T. Corporation Systems, located at 645 Lakeland East
Drive, Suite # 101, Flowood, Mississippi and / or the Insurance Commissioner of the State Of Mississippi.
6.
That Defendant, David Horton is a resident of the State Of Mississippi, more specifically
Bolivar County, Mississippi and may be served with process of this Honorable Court by serving him at 1
Cotton Row, Scott, Mississippi 38772.
7.
currently unknown to Plaintiff at the time of filing the instant Complaint For Bad Faith And Damages, but
same will be amended and the name of any and all such John Doe Corporate Defendants 1 through 10
whose identities Plaintiff discovers will be added as party Defendants to the instant action.
8.
currently unknown to Plaintiff at the time of filing the instant Complaint For Bad Faith And Damages, but
same will be amended and the name of any and all such John Doe Individual Defendants 1 h
t rough 10
whose identities Plaintiff discovers will be added as party Defendants to the instant action.
JURISDICTION AND VENUE
9.
That the Circuit Court of the First Judicial District Of Hinds County, Mississippi has
jurisdiction over the parties and the subject matter herein since the instant action arises out of the
negligent acts and / or omissions committed in the First Judicial District Of Hinds County, Mississippi.
Page 2 of 8
io.
That venue is proper in the First Judicial District Of Bolivar County, Mississippi pursuant to
the applicable provisions of Section 11- n - 3of the Mississippi Code Annotated of 1972, as amended as
conduct that is the subject of the instant civil action substantially occurred in the First Judicial District Of
Bolivar County, Mississippi.
FACTS
n.
That Plaintiff adopts and herein incorporates by reference each and every allegation as set
That at all times relevant herein, Plaintiff was insured under a certain Workers'
Compensation and Employer Liability Insurance Policy issued by Defendants, ACE American Insurance
Company and Indemnity Insurance Company Of North America, Policy Number "TBD" and providing
benefits for medical expenses incurred by the insured (i.e. Plaintiff) as a result of injury and / or sickness
and benefits for loss wages incurred by the insured (i.e. Plaintiff) as a result of accident disease, injury or
sickness suffered by the insured (i.e. Plaintiff) during the course and scope of his employment with
Defendant, Monsanto Company. The Plaintiff, at the time of filing the instant Complaint For Bad Faith
And Damages does not have in his possession a true and correct copy of said insurance policy, but this
instant Complaint For Bad Faith And Damages will be amended and same will be attached hereto when a
copy of same has in fact been obtained.
13.
That on or about November 14, 2013, P laintiff, while in the course and scope of his
employment with Defendant, Monsanto Company, was injured when his glove was "caught in" a certain
cotton implement, resulting in his right thumb, right index finger and right middle finger, respectively,
became "mangled" and subsequently amputated.
14.
That Plaintiff continued to receive treatment through March 24, 2014. At that time, his
treating physician opined that as of March 24, 2014, Plaintiffs occupational therapy was complete. Said
physician further opined that Plaintiff could not return to his original laboring occupation and would be at
maximum medical improvement as of April 21, 2014, which was six (6 ) months post injury.
Page 3 of 8
15.
That on or about April 18, 2014, Plaintiff was contacted by Defendant, Monsanto Company,
specifically through its agent, namely, Rex Green, and was advised that he could only return to his
employment WITHOUT RESTRICTIONS.
16.
That on or about April 21, 20x4, Defendants ceased providing Plaintiff with benefits and
Plaintiff has not received any such benefits since "that time."
17.
That the applicable provisions of Section 71 - 3 -37 (1) of the Mississippi Code Annotated of
1972, as amended, places a mandatory duty on the employer (i.e. Monsanto Company and David Horton)
and on the insurer (i.e. ACE American Insurance Company, Indemnity Insurance Company Of North
America and Sedgwick Claims Management Services, Inc.) to pay the statutory benefits promptly as called
for by statute.
18.
That Plaintiff avers that Defendants have failed to comply with the strict standard of fidelity
and have unreasonably delayed benefits due to its continued lack of prompt attention, thus
demonstrating gross negligence or reckless disregard.
COUNT NUMBER 1 -CLAIM FOR POLICY BENEFITS
19.
That Plaintiff incorporates herein by reference the allegation ( s) set forth in paragraphs
That Plaintiff reached maximum medical improvement on or about April 21, 2014 . However,
when Plaintiff attempted to return to work, he was denied access and advised that he could only return to
said employment WITHOUT RESTRICTIONS. Plaintiff avers that Defendant Monsanto has refused to hire
and / or reinstate him.
21.
That Plaintiff avers that Defendants have consistently failed to promptly investigate and
adjust ths claim that serves as the basis for the instant civil action.
22.
That Plaintiff avers that as a result of the serious and debilitating injuries that he sustained,
he has not been able to earn any income since the date of the accident and has further suffered wage loss
since November 14, 2013.
Page 4 of 8
23.
That Plaintiff avers that he will likely continue to suffer wage loss in the future.
24.
That Plaintiff performed all of the conditions for coverage set forth in the afore refrenced
mentioned policy giving Defendants due notice and proof of disability and loss wages; and have also
demanded payments for hospital bills and loss wages. Despite these demands, Defendants have failed and
/ or refused to pay such benefits which are now due and remain unpaid, all to, the damage of the Plaintiff
in the amount of said benefits together with interest thereon.
COUNT NUMBER 2 - CLAIM FOR BAD FAITH FAILURE TO PAY BENEFITS
25.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs 1
through 24.
26.
That at all times relevant, Defendants have wrongfully and in bad faith withheld benefits
due to Plaintiff under the policy of insurance mentioned above. Such bad faith was and is manifested by
the following conduct:
a.
The Defendants have refused to pay the benefit (s ) knowing that the claim to be wholly
valid; that the benefit ( s ) were and are justly due under the term ( s ) of the policy; and
that the Plaintiff is financially
illness, wage loss and the Defendants' failure to promptly investigate / and or adjust the
claim and the Defendants' failure to pay benefits;
b.
The Defendants, with knowledge of medical reports, confirming the Plaintiffs illness
during the described period, nevertheless contends without probable cause, and with no
legitimate or arguable reason, that the Plaintiff is not entitled to said benefits;
c.
The Defendants have deprived the Plaintiff of benefits justly due him when the
Defendants knew that those benefits were needed by Plaintiff and his family;
d.
The Defendants have failed to provide promptly or at all a reasonable explanation of the
basis for failing to promptly adjust and / or investigate the claim and
Page 5 of 8
e.
The Defendants have failed to provide for adequate claim ( s) handling personnel and
procedures to effectively and appropriately respond to Plaintiff s claims.
COUNT NUMBER 3 - DECLARATORY ACTION
27.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs 1
through 26.
28.
That Plaintiff is entitled to a declaration from the Court that benefits are covered under the
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs 1
through 28.
30.
That Defendants have a contractual duty to pay, investigate and adjust the claims at issue
That by failing to pay the claims at issue in these premises, Defendants have breached the
contract.
COUNT NUMBER 5 - BREACH OF THE DUTY OF GOOD FAITH AND FAIR DEALING BY DEFENDANTS
32.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs 1
through 31.
33.
That all insurance contracts contain an implied duty of good faith and fair dealing.
34.
That Defendants owe Plaintiff a duty of good faith and fair dealing.
35.
That Defendants have breached their duty of good faith and fair dealing by unjustifiably
refusing to investigate, adjust and pay Plaintiffs claims pursuant to the afore referenced insurance policy.
36.
That Defendants' actions are tortuous and malicious in nature and is without a legitimate or
arguable basis.
Page 6 of 8
37-
That Defendants' tortuous breach of their duties of good faith and fair dealing is the
proximate cause of damages suffered by Plaintiff, which include but are not limited to contractual damages
and consequential damages.
38.
That Defendants' actions in these premises rises to the level of bad faith and / or tortuous
breach of contract, and as such, warrant the imposition of punitive damages, all costs of litigation and an
award of attorney's fees incurred in these premises.
COUNT NUMBER 6 - FAILURE TO PROMPTLY INVESTIGATE THE CLAIM BY DEFENDANTS
39.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs
41.
That Defendants had a duty to fully, fairly, adequately and correctly investigate and adjust
Plaintiff s claim.
42.
That Defendants breached this duty by failing to adequately investigate and adjust Plaintiffs
43.
That Defendants' tortuous breach of their duties to promptly investigate is the proximate
claim.
cause of damages suffered by Plaintiff, which include but are not limited to contractual damages and
consequential damages.
COUNT NUMBER 7 - NEGLIGENCE / GROSS NEGLIGENCE AGAINST DEFENDANTS
44.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs
46.
That Defendants' actions have been willful, wanton and with reckless disregard of Plaintiffs
That Plaintiff is entitled to the recovery of its attorney's fees and an award of punitive
damages.
Page 7 of 8
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs
number 1 rough
th
47.
49.
That the course of conduct perpetrated by Defendants described herein was deliberately
undertaken, was wanton, willful and in reckless disregard of the rights and well - being of Plaintiff, and was
attended by malice and vindictiveness on the part of Defendants, and by reason thereof, Plaintiff requests
that a jury be permitted to determine the appropriateness of punitive damages.
WHEREFORE, PREMISES CONSIDERED, Plaintiff demands judgment of, from and against
Defendants as follows:
a.
A judgment requiring Defendants to pay the sum of all benefits due in an amount to be
determined, together with interest from November 14, 2013;
b.
c.
OF COUNSEL:
BRANDON I. DORSEY, PLLC
POST OFFICE BOX 13427
JACKSON, MISSISSIPPI 39236 - 4
327
TELEPHONE: ( 601) 969 -6960
FACSIMILE: ( 601) 969 -6959
Page 8of 8
EXHIBIT A
IN THE CIRCUIT COURT OF THE FIRST JUDICIAL DISTRICT OF BOLIVAR COUNTY, MISSISSIPPI
JAMES E. MOORE
PLAINTIFF
VS.
DEFENDANTS
SUMMONS
STATE OF MISSISSIPPI
COUNTY OF BOLIVAR
TO:
Monsanto Company
c / o Corporation Services Company (It's Registered Agent For Service Of Process)
506 South President Street
Jackson, Mississippi 39201
NOTICE TO DEFENDANT
THE COMPLAINT WHICH IS ATTACHED TO THIS SUMMONS IS IMPORTANT AND YOU MUST TAKE
IMMEDIATE ACTION TO PROTECT YOUR RIGHTS.
You are required to mail or hand - deliver a copy of a written response to the Complaint For Bad Faith And
Damages With Discovery Attached to BRANDON I. DORSEY , BRANDON I. DORSEY, PLLC, POST OFFICE BOX
13427, JACKSON, MISSISSIPPI 39236 - 3427, attorney for the Plaintiffs. Your response must be mailed or delivered
within forty - five ( 45 ) days from the date of delivery of this Summons and Complaint For Bad Faith And damages or a
judgment by default will be entered against you for the money or other relief demanded in the Complaint For Bad Faith
And Damages.
You must also file the original of your response with the Clerk of Court within a reasonable time afterward.
ISSUES UNDER MY HAND AND SEAL of said Court, this the(
l^day o f j f l j
[kJ
of 2014.
BY:
$
si
D.C.
IN THE CIRCUIT COURT OF THE FIRST JUDICIAL DISTRICT OF BOLIVAR COUNTY, MISSISSIPPI
PLAINTIFF
JAMES E. MOORE
VS.
2DH-I3
DEFENDANTS
SUMMONS
STATE OF MISSISSIPPI
COUNTY OF BOLIVAR
TO:
THE COMPLAINT WHICH IS ATTACHED TO THIS SUMMONS IS IMPORTANT AND YOU MUST TAKE
IMMEDIATE ACTION TO PROTECT YOUR RIGHTS.
You are required to mail or hand - deliver a copy of a written response to the Complaint For Bad Faith And
Damages With Discovery Attached to BRANDON I. DORSEY, BRANDON I. DORSEY, PLLC, POST OFFICE BOX
13427, JACKSON, MISSISSIPPI 39236 - 3427, attorney for the Plaintiffs. Your response must be mailed or delivered
ges or adjudgment by default will be entered against you for the money or other relief demanded in the Complaint For Bad Fa ith
And Damages.
You must also file the original of your response with the Clerk ofCourt within a reasonable time afterward.
ISSUES UNDER MY HAND AND SEAL of said Court, this the _U
of 2014.
X&SD.C.
BY:
<&D
tt#
IN THE CIRCUIT COURT OF THE FIRST JUDICIAL DISTRICT OF BOLIVAR COUNTY, MISSISSIPPI
PLAINTIFF
JAMES E. MOORE
VS.
^0/
DEFENDANTS
SUMMONS
STATE OF MISSISSIPPI
COUNTY OF BOLIVAR
TO:
THE COMPLAINT WHICH IS ATTACHED TO THIS SUMMONS IS IMPORTANT AND YOU MUST TAKE
IMMEDIATE ACTION TO PROTECT YOUR RIGHTS.
You are required to mail or hand - deliver a copy of a written response to the Complaint For Bad Fait h And
Damages With Discovery Attached to BRANDON I. DORSEY, BRANDON I. DORSEY, PLLC, POST OFFICE BOX
13427, JACKSON, MISSISSIPPI 39236 - 3427, attorney for the Plaintiffs. Your response must be mailed or delivered
judgment by default will be entered against you for the money or other relief demanded in the Complaint For Bad Faith
And Damages.
You must also file the original of your response with the Clerk
day of
\}\J^>
of 2014.
IN THE CIRCUIT COURT OF THE FIRST JUDICIAL DISTRICT OF BOLIVAR COUNTY, MISSISSIPPI
PLAINTIFF
JAMES E. MOORE
VS.
DEFENDANTS
SUMMONS
STATE OF MISSISSIPPI
COUNTY OF BOLIVAR
TO:
THE COMPLAINT WHICH IS ATTACHED TO THIS SUMMONS IS IMPORTANT AND YOU MUST TAKE
IMMEDIATE ACTION TO PROTECT YOUR RIGHTS.
You are required to mail or hand - deliver a copy of a written response to the Complaint For Bad Faith And
Damages With Discovery Attached to BRANDON I. DORSEY, BRANDON I. DORSEY, PLLC, POST OFFICE BOX
13427, JACKSON, MISSISSIPPI 39236 - 3427, attorney for the Plaintiffs. Your response must be mailed or delivered
within forty - five ( 45 ) days from the date of delivery of this Summons and Complaint For Bad Faith And damages or a
judgment by default will be entered against you for the money or other relief demanded in the Complaint For Bad Faith
And Damages.
You must also file the original of your response with the Clerk of Court withina reasonable time afterward.
ISSUES UNDER MY HAND AND SEAL of said Court, this the) 4
day o f f
of 2014.
IN THE CIRCUIT COURT OF THE FIRST JUDICIAL DISTRICT OF BOLIVAR COUNTY, MISSISSIPPI
JAMES E. MOORE
PLAINTIFF
VS.
DEFENDANTS
SUMMONS
STATE OF MISSISSIPPI
COUNTY OF BOLIVAR
TO:
David Horton
1 Cotton Row oration Systems (It's Registered Agent for Service Of Process)
Scott, Mississippi 38772
NOTICE TO DEFENDANT
THE COMPLAINT WHICH IS ATTACHED TO THIS SUMMONS IS IMPORTANT AND YOU MUST TAKE
IMMEDIATE ACTION TO PROTECT YOUR RIGHTS.
You are required to mail or hand - deliver a copy of a written response to the Complaint For Bad Faith And
Damages With Discovery Attached to BRANDON I. DORSEY, BRANDON I. DORSEY, PLLC, POST OFFICE BOX
13427, JACKSON, MISSISSIPPI 39236 - 3427, attorney for the Plaintiffs. Your response must be mailed or delivered
within forty - five ( 45 ) days from the date of delivery of this Summons and Complaint For Bad Faith And damages or a
judgment by default will be entered against you for the money or other relief demanded in the Complaint For Bad Faith
And Damages.
You must also file the original of your response with the Clerk
of 2014.
CIRCUIT CLERK
BOLIVAR COUNTY
"
-Versus-
A
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\AJULt~(th^
od[
LETTER OF ASSIGNMENT
TAKE NOTICE that the above styled and numbered cause has been assigned to Circuit Court
Judge:
CEW
CHARLES E. WEBSTER
P.O. BOX 998
Clarksdale, MS 38614
JEW
ABS
TOHNNTF. WA TJS
P.O. Box 548
Cleveland, MS 38732
ALBERT B. SMITH
P.O. Box 478
Cleveland, MS 38732
, D.C.
ss&wew'S" " *'
^ISSJL
1.
(ZT^J<-CMj
7>IL<L
J?2? -2VZ1
good cause.
2) That all other motions which may be considered prior to trial shall be filed on.
or before fifteen (J 5) days subsequent to the date fixed in paragraph J (a) of this order and
any extensions thereof. Notice and copy thereof shall be served on counsel for all parties
and on the assigned fudge with informal memo briefs attached and with suggested orders
attached to the copies filed with the assigned judge. It i s contemplated that all motions
will be disposed of by the assigned judge based on informal memo briefs submitted. OraJ
arguments will be permitted only when requested by the judge.
3)(a) That formal pretrial conference before the judge is dispensed with and
matters which may aid in simplification of the issues, the obtaining of admissions of fact
and of documents which will avoid unnecessary proof, and other matters which may aid
in the disposition of the case will be contained in a Pretrial Statement.
(b) That counsel with full authority to act for the parties shall confer in person
and complete, sign.i and submit in duplicate a Pretrial Statement to the assigned judge in
the form prescribed by the court, a c opy of which is available in the office of the Circuit
Clerk.
(c) That the Pretrial Statement shall be submitted to the assigned judge within
thirty (30) days subsequent to the date fixed for completion of discovery in paragraph
1(a) of this order or within thirty (30) days after disposition of motions, if any, filed
pursuant to paragraph (2) of this order.
(d) That informal memo briefs relating to contested issues of law and any
anticipated questions relating to admissibility of evidence during the course of the trial
Statement.
(e) That the pretrial Statement upon receipt and approval will be signed and
filed by the assigned judge. The formal pleadings are considered as merged in the
pretrial statement which shall control the subsequent course of this action.
(f) That the preparation and timely submission of the Pretrial Statement to
the assigned judge is the joint responsibility of all counsel appearing in the case. In the
event counsel for any party fails to cooperate with counsel for the other party(s), the
assigned judge, may on motion of any party, direct and require the attorneys for the
parties to appear before him for pretrial conference.
(4) That the failure by any party and/or attorney to comply with any one or more
of the provisions contained hereinabove shall subject such party and/or attorney to the
imposition of appropriate sanctions including the assessment of costs, expenses and
attorney's fees.
ORDERED BY THE COURT, this the
20/^.
day of~i
All orders submitted to this Court in term time or to any of the undersigned Circuit Judges
in vacation shall be approved by the appropriate attorneys of record pending further order of this
Court.
1. Default Judgments shall be approved by the Plaintiffs attorney, which approval will be
considered by the Court as a certification by said attorney that:
(a) The Complaint states a cause of action both as to liability and amount;
(b) Valid process has been issued by the Circuit Cleric and served according to law;
(c) The Plaintiff has met all requirements of applicable law including the Mississippi Rules
of Civil Procedure; and
(d) The Plaintiff is entitled to a Default Judgment in the form and amount as submitted.
2. Dismissal of actions, with or without prejudice, shall be as provided in Rule 41, M.R.C.P.
and all orders ofdismissal shall be approved by all parties/attorneys who have appeared in the action.
3. All other orders and/or judgments shall be approved by a duly authorized attorney of
record for each party in the action.
4. The undersigned Judges may, in their discretion, waive the above requirements.
The Clerics of this Court are authorized and directed to return forthwith any order submitted
which does not comply with the requirements set forth hereinabove. This order shall be spread on
the minutes of this Court and a copy made available to each attorney and/or party of record.
/'
Rule 7(a) of the Mississippi Rules of Civil Procedure limits and defines the pleadings which
are allowed to be filed in any action. Due to the considerable cost to the parties furnishing discoverymaterials, and theproblems encountered with storage, this Court adopts the following procedure with
regard to the non-filing of discovery materials with the Court:
1. Interrogatories under Rule 33, M.R.C.P., and answers thereto, and depositions under Rule
30 and 31, M.R.C.P., shall beserved upon other counsel or parties as provided by the Rules, but shall
not be filed with the Circuit Court Clerks. The party responsible for service of the discovery material
shall retain the original and become the custodian.
2. If relief is sought under the Mississippi Rules of Civil Procedure concerning any
interrogatories, requests for production or inspection, request for admissions, answers to
interrogatories, responses to requests for admissions or depositions, copies of the portions of the
interrogatories, requests, answers, responses or depositions in dispute shall be filed with the
appropriate Circuit Court Clerk and with the assigned judge contemporaneously with any motion
filed under said rules.
3. If interrogatories, requests, answers, responses or depositions are to be used at trial or are
necessary to a pre-trial motion which might result in a final order on any issue, the portions to be
used shall be considered an exhibit and filed with the clerk at the outset of the trial or at the filing
of the motion insofar as their use can be reasonably anticipated.
4. When documentation of discovery not previously in the record is needed for appeal, the
necessary discovery papers shall be filed with the Clerk by stipulation of counsel or upon an
application and order of the Court.
The Clerks of this Court are authorized and directed to return forthwith discovery materials
submitted for filing which does not comply with the requirements set forth hereinabove. This order
shall be spread on the minutes of this Court and a copy thereof made available to each attorney
and/or party of record.
ORDERED this the_
CHARLES E. WEBSTER
CIRCUIT COURT JUDGE
Serial: 129567
IN THE SUPREME COURT OF MISSISSIPPI
No. 89-R-990I5-SCT
IN RE: LOCAL RULES
FEB o 2 200
ORDER
This matter is before die Court en banc on the Petition for Approval of Local Circuit Court
Rule filed by the Honorable Kenneth L. Thomas, the Honorable Albert B. Smith, HI, and the
Honorable Larry O. Lewis of the Eleventh Circuit Court District for approval of a local rule on
mediation. The proposed local rule is identified as Rule 1 - Required Mediation in Civil Cases and
is attached as Exhibit A.
Having considered the petition, the Court finds that the local rule will promote the fair and
efficient administration of justice and that the petition should be granted.
IT IS THEREFORE ORDERED that the Petition for Approval of Local Circuit Court Rule
filed by the Honorable Kenneth L. Thomas, the Honorable Albert B. Smith, III, and the Honorable
Larry 0. Lewis of the Eleventh Circuit Court District is hereby granted and the proposed Rule 1Required Mediation in Civil Cases as set forth in Exhibit A hereto is approved.
IT IS FURTHER ORDERED that the Clerk of this Court shall spread this order upon the
minutes of the Court and shall forthwith forward a tr ue certified copy hereof to West Publishing
Company for publication as soon as practical in the advance sheets of Southern Reporter, Second
Series (Mississippi Edition).
TO GRANT: SMITH, C. J., WALLER AND COBB, P.JJ., CARLSON AND DICKINSON, JJ.
TO DENY: EASLEY AND GRAVES, JJ.
NOT PARTICIPATING: DIAZ AND RANDOLPH, JJ.
IN THE CIRCUIT COURT OF THE FIRST JUDICIAL DISTRICT OF BOLIVAR COUNTY, MISSISSIPPI
JAMES E. MOORE
VS.
PLAINTIFF
CIVIL ACTION NUMBER:
2014 -13
DEFENDANTS
FIRST AMENDED COMPLAINT FOR BAD FAITH AND DAMAGES (JURY TRIAL DEMANDED )
COMES NOW, James Moore (i.e. hereinafter referred to in the instant First Amended Complaint
For Bad Faith And Damages as "Plaintiff ), by and through his attorney, Brandon I. Dorsey, BRANDON I.
DORSEY, PLLC, Post Office Box 13427, Jackson, Mississippi 39236 - 3427, and files this his First Amended
Complaint For Bad Faith And Damages, and in support thereof, would state unto this Honorable Court as
follows:
THE PARTIES
1.
That Plaintiff, namely James E. Moore, at all times relevant to the instant First Amended
Complaint For Bad Faith And Damages, was an adult resident citizen of Greenville, Washington County,
Mississippi.
2.
That Defendant, namely Monsanto Company was a company existing and operating in
accordance with the applicable laws of the State Of Mississippi. Monsanto Company may be served with
process of this Honorable Court by serving its registered agent for service of process, namely Corporation
Services Company, located at 506 South President Street, Jackson, Mississippi 39201.
3.
That Defendant, namely ACE American Insurance Company, License Number 7700552, NAIC
Number 22667, is a foreign corporation doing business in the State Of Mississippi and can be served with
process of this Honorable Court by serving its registered agent for service of process and / or the Insurance
Commissioner of the State Of Mississippi.
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SOT 1 8 2014
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4.
That Defendant, namely Indemnity Insurance Company Of North American, License Number
8500045, NAIC Number 43575, is a foreign corporation doing business in the State Of Mississippi and can
be served with process of this Honorable Court by serving its registered agent for service of process and /
or the Insurance Commissioner of the State Of Mississippi.
5.
That Defendant, Sedgwick Claims Management Services, Inc., is a foreign corporation doing
business in the State Of Mississippi and can be served with process of this Honorable Court by serving its
registered agent for service of process, namely C.T. Corporation Systems, located at 645 Lakeland East
Drive, Suite # 101, Fl owood, Mississippi and / or the Insurance Commissioner of the State Of Mississippi.
6.
That Defendant, David Horton is a resident of the State Of Mississippi, more specifically
Bolivar County, Mississippi and may be served with process of this Honorable Court by serving him at 1
Cotton Row, Scott, Mississippi 38772.
7.
currently unknown to Plaintiff at the time of filing the instant First Amended Complaint For Bad Faith
And Damages, but same will be amended and the name of any and all such John Doe Corporate
Defendants 1 through 10 whose identities Plaintiff discovers will be added as party Defendants to the
instant action.
8.
currently unknown to Plaintiff at the time of filing the instant First Amended Complaint For Bad Faith
And Damages, but same will be amended and the name of any and all such John Doe Individual
Defendants 1 through 10 whose identities Plaintiff discovers will be added as party Defendants to the
instant action.
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That the Circuit Court of the First Judicial District Of Hinds County, Mississippi has
jurisdiction over the parties and the subject matter herein since the instant action arises out of the
negligent acts and / or omissions committed in the First Judicial District Of Hinds County, Mississippi.
10.
That venue is proper in the First Judicial District Of Bolivar County, Mississippi pursuant to
the applicable provisions of Section 11 -11 - 3of the Mississippi Code Annotated of 1972, as amended as
conduct that is the subject of the instant civil action substantially occurred in the First Judicial District Of
Bolivar County, Mississippi.
FACTS
n.
That Plaintiff adopts and herein incorporates by reference each and every allegation as set
That at all times relevant herein, Plaintiff was insured under a certain Workers'
Compensation and Employer Liability Insurance Policy issued by Defendants, ACE American Insurance
Company and Indemnity Insurance Company Of North America, Policy Number "TBD" and providing
benefits for medical expenses incurred by the insured (i.e. Plaintiff) as a result of injury and / or sickness
and benefits for loss wages incurred by the insured (i.e. Plaintiff) as a result of accident disease, injury or
sickness suffered by the insured (i.e. Plaintiff) during the course and scope of his employment with
Defendant, Monsanto Company. The Plaintiff, at the time of filing the instant First Amended Complaint
For Bad Faith And Damages does not have in his possession a true and correct copy of said insurance
policy, but this instant First Amended Complaint For Bad Faith And Damages will be amended and same
will be attached hereto when a copy of same has in fact been obtained.
13.
That on or about November 14, 2013, Plaintiff, while in the course and scope of his
employment with Defendant, Monsanto Company, was injured when his glove was "caught in" a certain
cotton implement, resulting in his right thumb, right index finger and right middle finger, respectively,
became "mangled" and subsequently amputated.
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That Plaintiff continued to receive treatment through March 24, 2014- At that time, his
treating physician opined that as of March 24, 2014. Plaintiffs occupational therapy was complete. Said
physician further opined that Plaintiff could not return to his original laboring occupation and would be at
maximum medical improvement as of April 21, 2014, which was six (6 ) months post injury.
15.
That on or about April 18, 2014, Plaintiff was contacted by Defendant, Monsanto Company,
specifically through its agent, namely, Rex Green, and was advised that he could only return to his
employment WITHOUT RESTRICTIONS.
16.
That on or about April 21, 2014 , Defendants ceased providing Plaintiff with benefits and
Plaintiff has not received any such benefits since "that time."
17.
That the applicable provisions of Section 71-3 -37 (x) of the Mississippi Code Annotated of
1972, as amended, places a mandatory duty on the employer (i.e. Monsanto Company and David Horton )
and on the insurer (i.e. ACE American Insurance Company, Indemnity Insurance Company Of North
America and Sedgwick Claims Management Services, Inc.) to pay the statutory benefits promptly as called
for by statute.
18.
That Plaintiff avers that Defendants have failed to comply with the strict standard of fidelity
and have unreasonably delayed benefits due to its continued lack of prompt attention, thus
demonstrating gross negligence or reckless disregard. In this regard, Plaintiff respectfully avers the
following, to wit:
*
December 2, 2013:
December 9, 20x3:
April x, 20x4:
April x, 20x4:
Page 4 of X3
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July 4,3024:
July 8, 2014:
July 8, 2014;
August 7, 2014:
September 5, 2014:
Counsel for Plaintiff received letter from Mr. Embry that was
addressed to River City Rehabilitation regarding the scheduling
of the FCE.
September 5, 2014:
Counsel for Plaintiff called Phillip Embry but left voice message.
Counsel for Plaintiff called Phillip Embry to get the status of the
FCE, but Mr. Embry indicated that he had not received the FCE.
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October 2, 2014:
Counsel for Plaintiff called Phillip Embry but left voice message.
October 2, 2014:
October 7, 2014:
Counsel for Plaintiff called Phillip Embry but left voice message.
Counsel for Plaintiff called Phillip Embry but left voice message.
Counsel for Plaintiff called Phillip Embry but left voice mail.
Counsel for Plaintiff called Phillip Embry but left voice mail.
November u, 2014:
November u, 2014:
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November u, 2014:
That Plaintiff incorporates herein by reference the allegation ( s ) set forth in paragraphs
That Plaintiff reached maximum medical improvement on or about April 21, 2014. However,
when Plaintiff attempted to return to work, he was denied access and advised that he could only return to
said employment WITHOUT RESTRICTIONS. Plaintiff avers that Defendant Monsanto has refused to hire
and / or reinstate him.
21.
That Plaintiff avers that Defendants have consistently failed to promptly investigate and
adjust ths claim that serves as the basis for the instant civil action.
22.
That Plaintiff avers that as a result of the serious and debilitating injuries that he sustained,
he has not been able to earn any income since the date of the accident and has further suffered wage loss
since November 14, 2013.
23.
That Plaintiff avers that he will likely continue to suffer wage loss in the future.
24.
That Plaintiff performed all of the conditions for coverage set forth in the afore refrenced
mentioned policy giving Defendants due notice and proof of disability and loss wages; and have also
demanded payments for hospital bills and loss wages. Despite these demands, Defendants have failed and
/ or refused to pay such benefits which are now due and remain unpaid, all to, the damage of the Plaintiff
in the amount of said benefits together with interest thereon.
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That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs 1
through 24.
26.
That at all times relevant, Defendants have wrongfully and in bad faith withheld benefits
due to Plaintiff under the policy of insurance mentioned above. Such bad faith was and is manifested by
the following conduct:
a.
The Defendants have refused to pay the benefit ( s ) knowing that the claim to be wholly
valid; that the benefit ( s ) were and are justly due under the term ( s ) of the policy; and
that the Plaintiff is financially and emotionally distressed by reason of the disability,
illness, wage loss and the Defendants' failure to promptly investigate / and or adjust the
claim and the Defendants' failure to pay benefits;
b.
The Defendants, with knowledge of medical reports, confirming the Plaintiff sillness
during the described period, nevertheless contends without probable cause, and with no
legitimate or arguable reason, that the Plaintiff is not entitled to said benefits;
c.
The Defendants have deprived the Plaintiff of benefits justly due him when the
Defendants knew that those benefits were needed by Plaintiff and his family;
d.
The Defendants have failed to provide promptly or at all a reasonable explanation of the
basis for failing to promptly adjust and / or investigate the claim and
e.
The Defendants have failed to provide for adequate claim (s ) handling personnel and
procedures to effectively and appropriately respond to Plaintiff s claims.
COUNT NUMBER 3 - DECLARATORY ACTION
27.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs 1
through 26.
28.
That Plaintiff is entitled to a declaration from the Court that benefits are covered under the
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That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs x
through 28.
30.
That Defendants have a contractual duty to pay, investigate and adjust the claims at issue
That by failing to pay the claims at issue in these premises, Defendants have breached the
contract.
COUNT NUMBER 5 - BREACH OF THE DUTY OF GOOD FAITH AND FAIR DEALING BY DEFENDANTS
32.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs 1
through 31.
33.
That all insurance contracts contain an implied duty of good faith and fair dealing.
34.
That Defendants owe Plaintiff a duty of good faith and fair dealing.
35.
That Defendants have breached their duty of good faith and fair dealing by unjustifiably
refusing to investigate, adjust and pay Plaintiff s claims pursuant to the afore referenced insurance policy.
36.
That Defendants' actions are tortuous and malicious in nature and is without a legitimate or
arguable basis.
37.
That Defendants' tortuous breach of their duties of good faith and fair dealing is the
proximate cause of damages suffered by Plaintiff, which include but are not limited to contractual damages
and consequential damages.
38.
That Defendants' actions in these premises rises to the level of bad faith and / or tortuous
breach of contract, and as such, warrant the imposition of punitive damages, all costs of litigation and an
award of attorney's fees incurred in these premises.
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That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs
41.
That Defendants had a duty to fully, fairly, adequately and correctly investigate and adjust
Plaintiffs claim.
42.
That Defendants breached this duty by failing to adequately investigate and adjust Plaintiffs
43.
That Defendants' tortuous breach of their duties to promptly investigate is the proximate
claim.
cause of damages suffered by Plaintiff, which include but are not limited to contractual damages and
consequential damages.
COUNT NUMBER 7 - NEGLIGENCE / GROSS NEGLIGENCE AGAINST DEFENDANTS
44.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs
46.
That Defendants' actions have been willful, wanton and with reckless disregard of Plaintiff s
That Plaintiff is entitled to the recovery of its attorney's fees and an award of punitive
damages.
COUNT NUMBER 8 - CLAIM FOR PUNITIVE DAMAGES
48.
That Plaintiff incorporates by reference herein all of the allegations set forth in paragraphs
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49-
That the course of conduct perpetrated by Defendants described herein was deliberately
undertaken, was wanton, willful and in reckless disregard of the rights and well - being of Plaintiff, and was
attended by malice and vindictiveness on the part of Defendants, and by reason thereof, Plaintiff requests
that a jury be permitted to determine the appropriateness of punitive damages.
WHEREFORE, PREMISES CONSIDERED, Plaintiff demands judgment of, from and against
Defendants as follows:
a.
A judgment requiring Defendants to pay the sum of all benefits due in an amount to be
determined, together with interest from November 14, 2013;
b.
c.
BRANbotfl DOfeE,-MSB-rioo29i
ATTORNEY FOR PLAINTIFF
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OF COUNSEL:
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