Legal Question in Personal Injury in California

Murphy Bed accident.

I was on vacation in San Francisco staying at a friends house and his newly installed murphy bed collapsed and the metal hinge hit my back. It caused a gash and I had 8 stitches. It ruined my vacation needless to say. The insurance company of the contractor is taking care of the medical bills. I asked to be reimbursed for plane tickets for me and my family of four, plus final hotel bills for pain and suffering (I have a permanent scar plus it ruined my trip). This totals about $12,000. The insurance company says that they can pay something but not that much. My thought process is, what if I wanted to travel back to California, have plastic surgery to remove the scar, stay at a hotel while recovering...wouldn't they need to pay that....wouldn't it cost even more than $12,000? Do I have a case to go after this money (or even more) or is a scar on your back "worth less"?


Asked on 8/21/13, 12:33 pm

2 Answers from Attorneys

John Laurie Gertz and Laurie

As a general rule you are entitled as a result of someone else's negligence, medical bills, out of pocket expenses, loss of earnings and paid and suffering. This includes the humiliation of scaring and any permanent injury to you.

If you have more questions feel free to contact me at 818 345-0123

www.gertzandlaurie.com

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Answered on 8/21/13, 12:47 pm
Edward Hoffman Law Offices of Edward A. Hoffman

I agree with Mr. Laurie. But the out-of-pocket expenses you claim must be reasonable. You could have your plastic surgery at a hospital close to your home. There should be no need to pay for plane tickets, hotel accommodations, etc. in order to have it done in California -- and certainly not to bring your entire family along so they can have a vacation at the insurer's expense. None of the travel costs you list strike me as remotely reasonable.

Demanding payment for the plane tickets you used on the trip where you were injured would also be unreasonable, since you had already bought them before the accident. But if the injury forced you to change travel plans and you incurred additional costs as a result, you are entitled to recover those costs as long as they're reasonable. For example, the insurer should pay for a re-booking fee but not for an upgrade, unless the upgrade was medically necessary.

It's not even clear that having the plastic surgery would be reasonable. That will depend on how bad your scar is, how visible it is, and how it makes you feel. My sense is that you're more interested in a free trip than in removing the scar.

Finally, note that the insurer cannot be forced to pay more than the policy limits. Even if the amount of your claim reasonably exceeds what is available on the policy, the insurer cannot be forced to pay the entire amount.

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Answered on 8/21/13, 1:15 pm


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