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CYNDI WHITE AND BRYAN WHITE v. ALLSTATE INSURANCE COMPANY
State: Kentucky
Court: Court of Appeals
Docket No: 2006-CA-001573
Case Date: 12/21/2007
Plaintiff: CYNDI WHITE AND BRYAN WHITE
Defendant: ALLSTATE INSURANCE COMPANY
Preview:RENDERED:  DECEMBER 21, 2007; 2:00 P.M.
TO BE PUBLISHED

Commonwealth of Kentucky
Court of Appeals

NO.  2006-CA-001573-MR
CYNDI WHITE AND BRYAN WHITE APPELLANTS
APPEAL FROM BULLITT CIRCUIT COURT
v. HONORABLE THOMAS L. WALLER, JUDGE ACTION NO. 06-CI-00484
ALLSTATE INSURANCE COMPANY APPELLEE
OPINION AFFIRMING ** ** ** ** ** BEFORE: MOORE AND THOMPSON, JUDGES; GRAVES,1 SENIOR JUDGE. THOMPSON, JUDGE:  Cyndi White and her son, Bryan White, appeal from an order of the Bullitt Circuit Court requiring them to submit to independent medical examinations to be performed by a physician selected by their insurance company, Allstate Insurance Company (Allstate).  We agree with the trial court that Allstate demonstrated good cause
1  Senior Judge John W. Graves sitting as Special Judge by assignment of the Chief Justice pursuant to Section 110(5)(b) of the Kentucky Constitution and KRS 21.580.
to justify independent physical examinations as required by KRS 304.39-270 and,

therefore, affirm.
On April 12, 2004, Cyndi and Bryan were involved in an automobile accident.  The following day, both began treatment with Knopp Chiropractic (Knopp). They continued their treatment and the bills were submitted to Allstate for payment as basic reparation benefits. Allstate paid for all dates of service presented for payment through August 6, 2005.
On October 25, 2005, Allstate received additional bills for both Cyndi and Bryan for dates of service beginning September 10, 2005, for Cyndi, and August 26, 2005, for Byran. Allstate became concerned that the treatment for both Cyndi and Bryan had been unusually prolonged; therefore, beginning in September 2005, Allstate sent several requests to Knopp for an explanation as to the necessity of Bryan's treatment. Beginning in October, similar requests were made regarding Cyndi's treatment.  No responses satisfying these requests were received.
After Knopp failed to respond, Allstate mailed a letter to Cyndi on February 6, 2006, requesting that she and Bryan attend independent medical examinations.  No response was received until March 6, 2006, when Cyndi contacted Allstate and informed Allstate that she and Bryan would not attend the examinations and that they were represented by counsel.
Allstate then retained a chiropractor, Michael R. Hillyer, to perform a peer review and forwarded all records in its possession to Dr. Hillyer. Dr. Hillyer concluded
that Knopp's records failed to indicate a nexus between the treatments and the motor

vehicle accident; they failed to document the medical necessity of the treatments; and no treatment plan was provided.  He further opined that the fees for the range of motion measurements were excessive.
After receipt of Dr. Hillyer's conclusion, pursuant to KRS 304.39-270, on April 27, 2006, Allstate filed a petition  to compel Cyndi and Bryan to attend independent medical examinations.  After a hearing on June 26, 2006, the court granted Allstate's petition.  Cyndi's and Bryan's subsequent motion to reconsider was denied and this appeal followed.
KRS 304.39-270(1) provides that: If the mental or physical condition of a person is material to a claim for past or future basic or added reparation benefits, the reparation obligor may petition the circuit court for an order directing the person to submit to a mental or physical examination by a physician.  Upon notice to the person to be examined and all persons having an interest, the court may make the order for good cause shown.  The order shall specify the time, place, manner, conditions, scope of the examination,
and the physician by whom it is to be made. This statute expressly permits an independent medical examiner to evaluate basic reparation benefit claims.  However, equally clear is that the insurer cannot compel its insured to submit to an independent medical examination simply upon demand without
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