Pinney v. Carrera , 438 P.3d 902 ( 2019 )


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    2019 UT App 12
    THE UTAH COURT OF APPEALS
    KATHLEEN PINNEY,
    Appellee,
    v.
    RICARDO CARRERA,
    Appellant.
    Opinion
    No. 20170045-CA
    Filed January 10, 2019
    Third District Court, Salt Lake Department
    The Honorable Paige Petersen
    No. 150900750
    Barbara K. Berrett and Kyle C. Thompson, Attorneys
    for Appellant
    Blake Johnson and Ron J. Kramer, Attorneys
    for Appellee
    JUDGE DAVID N. MORTENSEN authored this Opinion, in which
    JUDGES KATE APPLEBY and JILL M. POHLMAN concurred.
    MORTENSEN, Judge:
    ¶1     This case stems from a car accident in which Defendant
    Ricardo Carrera ran a stop sign and struck Plaintiff Kathleen
    Pinney’s vehicle. Subsequently, Plaintiff filed suit, claiming
    personal injuries. At trial, Defendant made three separate oral
    motions for judgment as a matter of law—each on a discrete
    point of law. One of those motions was granted, and two were
    denied. At the close of his case-in-chief, Defendant again
    renewed the third motion for judgment as a matter of law
    related to Utah’s no-fault tort threshold, but the court again
    denied the motion. Prior to submission of the case to the jury,
    Defendant also objected to the trial court’s refusal to give a
    Pinney v. Carrera
    requested jury instruction. The jury returned a verdict in favor of
    Plaintiff, awarding $300,000 in general damages. Defendant then
    filed a motion for judgment notwithstanding the verdict, or
    alternatively, for a new trial, which the trial court denied.
    Defendant appeals and we affirm.
    BACKGROUND 1
    ¶2    Plaintiff’s vehicle was struck by Defendant’s vehicle after
    Defendant failed to stop at a stop sign. Plaintiff brought a civil
    action against Defendant for damages resulting from the
    accident. The parties engaged in discovery, and Plaintiff
    produced approximately $11,000 in chiropractic bills.
    ¶3     At trial, Plaintiff elected not to seek an award of economic
    damages but instead chose to focus on non-economic damages
    associated with her herniated disc. Plaintiff argued to the jury
    that, based on her permanent injury, she should be compensated
    $50 to $75 per day for pain and suffering until she reached the
    age of eighty.
    ¶4      In addition to her own testimony, Plaintiff called several
    witnesses to testify on her behalf. Her chiropractor
    (Chiropractor) testified to Plaintiff’s injuries, stating that she had
    a herniated disc; that the disc injury was “permanent”; and that
    it would “plague” her for the rest of her life. Chiropractor also
    testified that with physical therapy, Plaintiff was able to “get
    fairly close to normal range of motion. We couldn’t ever get 100
    1. “On appeal, we review the record facts in a light most
    favorable to the jury’s verdict and recite the facts accordingly.
    We present conflicting evidence only as necessary to understand
    issues raised on appeal.” USA Power, LLC v. PacifiCorp, 
    2016 UT 20
    , ¶ 8 n.3, 
    372 P.3d 629
     (cleaned up).
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    percent, and we made her very comfortable. We were able to get
    rid of a lot of the symptoms. . . . [but the scar tissue is] not going
    to go away.” He stated that during “five re-exams through the
    course of her treatment,” he was able to restore most of
    Plaintiff’s bodily function, but not all of it. Additionally, Plaintiff
    submitted, and the trial court admitted, MRI 2 results, which
    Chiropractor discussed and which showed disc bulges and a
    disc herniation.
    ¶5     Additionally, Plaintiff’s daughter testified to Plaintiff’s
    limitations and inability to perform the same tasks that she did
    prior to the accident. Her daughter stated that she witnessed
    Plaintiff having difficulty picking up small children and that
    Plaintiff had been unable to ride an amusement park ride.
    Furthermore, Plaintiff’s friend, with whom she had lived for
    sixteen months following the accident, testified concerning the
    negative effect Plaintiff’s injuries had on Plaintiff’s life.
    ¶6     At the close of Plaintiff’s case-in-chief, Defendant made
    three separate oral motions for judgment as a matter of law. The
    first motion argued that Plaintiff had not carried her burden of
    demonstrating sufficient evidence of Defendant causing the
    accident. The trial court denied that motion. The second motion
    argued that Plaintiff had not introduced any evidence of
    economic damages, including the chiropractic costs, future costs
    of surgery, or any other future economic damages, and when
    Plaintiff stipulated that she was not seeking such damages, the
    motion was granted by the trial court. The third motion argued
    that Plaintiff failed to introduce evidence sufficient to satisfy the
    2. An MRI is “[a] type of medical imaging that uses the
    characteristic behavior of protons when placed in powerful
    magnetic fields to make images of tissues and organs.” Magnetic
    Resonance Imaging, Taber’s Cyclopedic Medical Dictionary (21st
    ed. 2009).
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    threshold requirement set forth in Utah Code section
    31A-22-309(l)(a). Defendant’s bases for the third motion were
    that (1) because the second motion for judgment as a matter of
    law—alleging that no economic damages were introduced by
    Plaintiff—had been granted, so too should the third motion, and
    (2) Plaintiff had not presented expert testimony demonstrating
    that a permanent impairment rating had been given to Plaintiff
    based upon “objective findings.” The trial court denied
    Defendant’s third motion.
    ¶7     At the close of his case, Defendant renewed his third
    motion for judgment as a matter of law. The trial court again
    denied the motion, ruling that the issue of whether Plaintiff was
    entitled to an award of general damages should go to the jury.
    ¶8     The jury was instructed that it could consider certain
    factors in awarding non-economic damages. Those factors were
    “(1) the nature and extent of injuries; (2) the pain and suffering,
    both mental and physical; (3) the extent to which [Plaintiff] has
    been prevented from pursuing her ordinary affairs; (4) the extent
    to which [Plaintiff] has been limited in her enjoyment of life; and
    (5) whether the consequences of these injuries are likely to
    continue, and for how long.” The jury was also instructed that its
    verdict was not to be rendered upon the basis of any passion or
    prejudice toward anyone.
    ¶9     Finally, Defendant objected to the trial court instructing
    the jury on causation by utilizing the version published in the
    second edition of the Model Utah Jury Instructions (MUJI 2). 3
    Defendant asked the court to employ a different instruction
    which included the word “proximate.” The court declined and
    3. See Model Utah Jury Instructions 2d CV209 (Advisory
    Comm. On Civil Jury Instructions 2018), available at
    http://www.utcourts.gov/resources/muji.
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    Pinney v. Carrera
    instructed the jury using the MUJI 2 version. The case was
    submitted to the jury, which returned a verdict in favor of
    Plaintiff, awarding general damages in the amount of $300,000.
    ¶10 Defendant filed a motion for judgment notwithstanding
    the verdict, or, in the alternative, a motion for a new trial. The
    motion for judgment notwithstanding the verdict renewed
    Defendant’s third motion for judgment as a matter of law. The
    motion for a new trial was sought on two bases: (1) that the
    $300,000 verdict was not supported by the evidence, and (2) that
    the verdict was excessive and was a product of passion or
    prejudice against Defendant, who had not been present at trial. 4
    The trial court denied Defendant’s motions. Defendant appeals.
    ISSUES AND STANDARDS OF REVIEW
    ¶11 Defendant brings several issues on appeal. First, he
    argues that the trial court erred in denying his third motion for
    judgment as a matter of law based upon Plaintiff’s alleged
    failure to meet the threshold requirement set forth in Utah Code
    section 31A-22-309(1)(a). “Appellate courts review the grant or
    denial of a motion for [judgment as a matter of law] for
    correctness.” Proctor v. Costco Wholesale Corp., 
    2013 UT App 226
    ,
    ¶ 6, 
    311 P.3d 564
    .
    ¶12 Second, Defendant contends correspondingly that the
    trial court erred in denying his motion for judgment
    notwithstanding the verdict based upon Plaintiff’s alleged
    failure to introduce any evidence that could meet the threshold
    requirement set forth in Utah Code section 31A-22-309(1)(a). We
    review a trial court’s denial of a motion for judgment
    4. The reason for his absence was not disclosed to the jury during
    trial or otherwise in the record.
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    Pinney v. Carrera
    notwithstanding the verdict for correctness. Neff v. Neff, 
    2011 UT 6
    , ¶ 49, 
    247 P.3d 380
    .
    ¶13 Third, Defendant contends that the trial court abused its
    discretion in denying his motion for a new trial based on
    excessive damages. See Utah R. Civ. P. 59(a)(5)–(6). We review a
    trial court’s denial of a motion for a new trial for abuse of
    discretion. Crookston v. Fire Ins. Exch., 
    817 P.2d 789
    , 799 (Utah
    1991).
    ¶14 Lastly, Defendant claims that the trial court abused its
    discretion in refusing to allow Defendant’s jury instruction—
    which used the phrase “proximate cause”—to be given. “We
    review a trial court’s refusal to give a jury instruction for abuse
    of discretion.” USA Power, LLC v. PacifiCorp, 
    2016 UT 20
    , ¶ 75,
    
    372 P.3d 629
     (cleaned up).
    ANALYSIS
    I. Threshold Requirement of Section 31A-22-309(1)(a)
    ¶15 The parties dispute whether section 31A-22-309(1)(a)
    requires a plaintiff to demonstrate, at trial, that she has met the
    threshold requirement set forth in the statute. Utah Code section
    31A-22-309(1)(a) requires plaintiffs to whom the statute applies
    to demonstrate, at trial, that they have met the threshold
    requirement set forth in the statute. The relevant section states,
    A person who has or is required to have direct
    benefit coverage under a policy which includes
    personal injury protection may not maintain a
    cause of action for general damages arising out of
    personal injuries alleged to have been caused by an
    automobile accident, except where the person has
    sustained one or more of the following:
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    (i) death;
    (ii) dismemberment;
    (iii) permanent disability or permanent
    impairment based upon objective findings;
    (iv) permanent disfigurement; or
    (v) medical expenses to a person in excess of
    $3,000.
    Utah Code Ann. § 31A-22-309(1)(a) (LexisNexis 2017). A plain
    reading of the statute and reference to appellate precedent
    confirms that such a threshold must be met. 5
    ¶16 “When interpreting a statute, we look first to the plain
    and ordinary meaning of its terms.” Anadarko Petroleum Corp. v.
    Utah State Tax Comm'n, 
    2015 UT 25
    , ¶ 11, 
    345 P.3d 648
    ; see also
    Reynolds v. Bickel, 
    2013 UT 32
    , ¶ 10, 
    307 P.3d 570
     (stating that
    “[t]he best evidence of the legislature’s intent is the plain
    language of the statute itself” (cleaned up)). Therefore, despite
    Plaintiff’s assertion that the statute “does not require a plaintiff
    to prove any elements at trial,” the plain language of this section
    requires a plaintiff to demonstrate, most often at trial because
    causation and the amount of damages are frequently rife with
    issues of fact, 6 that he or she meets at least one of the five
    5. The parties have both briefed this case assuming that section
    31A-22-309(1)(a) applies. We follow this pattern but note that
    circumstances may exist in which a plaintiff is not required to
    have coverage under section 31A-22-309(1)(a), such as an
    out-of-state driver whose policy does not provide first party no-
    fault benefits.
    6. Clearly, the applicability of the threshold and the issue of
    whether a plaintiff meets that threshold can be decided on
    summary judgment in appropriate situations. See McNair v.
    (continued…)
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    threshold requirements. The phrase “may not maintain a cause
    of action” expressly provides that to ultimately prevail on a
    cause of action in which section 31A-22-309(1)(a) is operative, a
    party must show that he or she “has sustained” one of the five
    threshold injuries.
    ¶17 Furthermore, our supreme court concluded long ago that
    an injured party is precluded from maintaining an action for
    general damages except where the threshold requirement of
    section 31A-22-309(1)(a) is met. See Allstate Ins. Co. v. Ivie, 
    606 P.2d 1197
    , 1200 (Utah 1980). 7 More recently, in an unpublished
    opinion, this court affirmed a trial court’s use of a special verdict
    form that required the jury to establish, “as a threshold
    requirement,” that a plaintiff had incurred more than $3,000 in
    medical expenses in order to “maintain[]” a personal injury
    cause of action. Vaughn v. Anderson, 2005 UT App 423U, para. 1;
    see also Warren v. Melville, 
    937 P.2d 556
    , 560 (Utah Ct. App. 1997)
    (holding that “Utah’s no-fault statute does not abrogate all
    remedies for general damages . . . . Instead, the statute only bars
    a cause of action for general damages if the plaintiff fails to meet
    the threshold requirements”).
    (…continued)
    Farris, 
    944 P.2d 392
    , 395 (Utah Ct. App. 1997); Warren v. Melville,
    
    937 P.2d 556
    , 560 (Utah Ct. App. 1997).
    7. Allstate Insurance Co. v. Ivie, 
    606 P.2d 1197
     (Utah 1980), was
    decided under section 31A-22-309’s predecessor, which is not
    substantively different from the statute currently in effect. Id. at
    1200. Compare Utah Code Ann. § 31A-22-309 (LexisNexis 2017),
    with id. §§ 31-41-09, -11 (LexisNexis Supp. 1973). See also Bear
    River Mutual Ins. Co. v. Wall, 
    1999 UT 33
    , ¶ 10, 
    978 P.2d 460
    (discussing the existence of a tort threshold).
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    ¶18 Curiously, the parties fail to cite C.T. ex rel. Taylor v.
    Johnson, 
    1999 UT 35
    , 
    977 P.2d 479
    . In C.T., our supreme court
    reviewed facts in a case in which a jury found that the plaintiff’s
    medical expenses were only $339. Id. ¶ 3. Nevertheless, the trial
    court allowed the jury to assess general damages, surmising that
    because the legislature had provided in a different statute that
    punitive damages could be assessed when the defendant was
    found to have been intoxicated in the accident, the legislature
    must have meant to allow general damages as well. Id. ¶¶ 5, 8;
    see also Utah Code Ann. § 78B-8-201 (LexisNexis 2012)
    (establishing that an award of punitive damages may be
    awarded against an intoxicated driver even if compensatory or
    general damages are not proven). Our supreme court rejected
    this assertion under a plain language analysis and held that the
    punitive damages statute made no reference to section
    31A-22-309(1) and therefore did not create an exception “to the
    threshold requirements” of that statute. C.T., 
    1999 UT 35
    , ¶ 10.
    Thus, C.T. recognizes the existence of a threshold requirement
    imposed by section 31A-22-309(1) to maintain a personal injury
    action where the statute applies. 8 
    Id.
     Consequently, it appears to
    us that the question of whether the threshold must be met before
    general damages can be awarded has already been answered.
    Therefore, Plaintiff is required to show that she met the
    threshold requirements of the statute.
    8. We further note that in C.T., the plaintiff attempted to argue
    that since his first-party insurance carrier had paid $4,596 in
    medical expenses, he met the threshold requirement as a matter
    of law. See C.T. ex rel. Taylor v. Johnson, 
    1999 UT 35
    , ¶ 3 n.2, 
    977 P.2d 479
    . Our supreme court rejected this argument, sustaining
    the understanding that the question of what medical expenses
    are related to an accident is a factual determination, which,
    under most circumstances, must be submitted to a jury. 
    Id.
     ¶ 7
    n.3.
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    ¶19 Accordingly, we move to the crux of this case: whether
    Plaintiff met that threshold.
    II. Judgment as a Matter of Law
    ¶20 Defendant first argues that the trial court erred in denying
    Defendant’s third motion for judgment as a matter of law based
    upon Plaintiff’s failure to meet the threshold requirement set
    forth in Utah Code section 31A-22-309(1)(a). 9 “We will affirm the
    denial of a motion for [judgment as a matter of law] when a
    review of the evidence in a light most favorable to the non-
    moving party demonstrates that reasonable minds could
    disagree with the ground asserted for [the motion].” Proctor v.
    Costco Wholesale Corp., 
    2013 UT App 226
    , ¶ 6, 
    311 P.3d 564
    (cleaned up).
    9. More specifically, Defendant asserts that Plaintiff failed to
    meet both relevant threshold requirements contained in the
    statute: (1) medical expenses to a person in excess of $3,000; and
    (2) permanent disability or permanent impairment based upon
    objective findings. See Utah Code Ann. § 31A-22-309(1)(a).
    Because Plaintiff meets the permanent impairment threshold
    requirement, see infra ¶¶ 24–28, we need not analyze the medical
    expenses threshold requirement. See Utah Code Ann.
    § 31A-22-309(1)(a) (stating that a person may maintain a cause of
    action “for general damages arising out of personal injuries
    alleged to have been caused by an automobile accident,” where
    the person “has sustained one or more of the following: . . . (iii)
    permanent disability or permanent impairment based upon
    objective findings; . . . or (v) medical expenses to a person in
    excess of $3,000” (emphasis added)). The parties raise, but we
    need not decide, if expert testimony is required in determining
    whether medical expenses were caused by the accident or
    whether a plaintiff must prove that the amounts of medical
    expenses claimed are reasonable.
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    Pinney v. Carrera
    ¶21 Defendant contends that Plaintiff did not meet the
    threshold requirement because a finding of permanent
    impairment, for purposes of the statute, must be based on
    “objective findings.” That is, Defendant asserts, to be “objective,”
    the finding must be made by someone other than “a current
    treating physician” and must be supported by expert opinion,
    which Defendant asserts must be by way of an impairment
    rating. A plain language analysis does not support Defendant’s
    interpretation of the statutory language.
    ¶22 “It is well settled that when faced with a question of
    statutory interpretation, our primary goal is to evince the true
    intent and purpose of the Legislature.” Marion Energy, Inc. v. KFJ
    Ranch P'ship, 
    2011 UT 50
    , ¶ 14, 
    267 P.3d 863
     (cleaned up). But if
    the statutory language is ambiguous—meaning that “its terms
    remain susceptible to two or more reasonable interpretations
    after we have conducted a plain language analysis”—we
    “generally resort to other modes of statutory construction and
    seek guidance from legislative history and other accepted
    sources.” See id. ¶ 15 (cleaned up).
    A.     Definitions
    ¶23 In this case, the operative statutory terms are “permanent
    disability or permanent impairment,” and “objective findings.”
    See Utah Code Ann. § 31A-22-309(1)(a)(iii) (LexisNexis 2017). A
    plain language analysis of these terms reveals no ambiguity. We
    address each term individually.
    ¶24 First, we must define permanent. “Permanent,” as it
    applies to disability or impairment, has been defined by our
    supreme court. The court stated that “a disability is deemed to
    be permanent whenever it is founded upon conditions which
    render it reasonably certain that it will continue throughout the
    life of the person suffering from it.” Ralston v. Metropolitan. Life
    Ins. Co., 
    62 P.2d 1119
    , 1123 (Utah 1936) (cleaned up). Applying
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    this definition to the statute yields only one reasonable
    interpretation, and accordingly, the statute is unambiguous.
    Therefore, we need not seek additional sources to find its
    meaning. See Marion Energy, 
    2011 UT 50
    , ¶ 15.
    ¶25 Second, we must determine what constitutes permanent
    “disability” or permanent “impairment.” 10 Plaintiff submits—
    and Defendant’s counsel conceded at oral argument—that we
    10. Defendant argues that permanent impairment is
    synonymous with permanent impairment rating, stating,
    [A]lthough Plaintiff’s treating physician . . .
    testified to the existence of a permanent injury to
    Plaintiff in the form of a herniated disc, he never
    characterized that injury as a permanent disability
    or permanent impairment. . . . No other medical
    experts testified on behalf of Plaintiff, and the
    evidence demonstrated that she never received a
    permanent impairment rating from any physician.
    As a matter of law, Plaintiff thus failed to meet the
    prerequisite that she sustained a permanent
    disability or permanent impairment based upon
    objective findings in that the only medical
    professional who testified as to any permanent
    condition that she claimed to have suffered could
    not, as her treating physician, provide such
    findings as a matter of law as recognized by Utah
    case law and by his own testimony.
    But the statute does not support such a reading. Section
    31A-22-309(1)(a)(iii) does not refer to an impairment “rating.”
    We decline to rewrite the statute to include such a term. While
    impairment ratings may be ubiquitous in personal injury actions,
    their frequent use is irrelevant in construing this statute.
    Therefore, the fact that Chiropractor did not testify in terms of an
    impairment rating is irrelevant.
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    should apply a definition of impairment consistent with what is
    found in the dictionary; that is, “[t]o diminish in function,
    ability, or quality.” 11 However, a more definitive answer is found
    in Jones v. Transamerica Insurance Co., 
    592 P.2d 609
     (Utah 1979),
    overruled on other grounds by Bear River Mutual Ins. Co. v. Wall,
    
    1999 UT 33
    , 
    978 P.2d 460
    . 12 There, the court stated, “The benefits
    contemplated by the [No-Fault] Act are phrased in terms of
    ‘disability’ not in terms of ‘physical impairment.’ The former is
    generally understood to mean the inability to work, whereas the
    latter refers to the loss of bodily function.” Id. at 611. Therefore,
    based on either the dictionary definition submitted by Plaintiff
    or the definition supplied in Jones, we conclude that the correct
    definition of “disability” is the inability to work and the correct
    definition of “impairment” is the loss of function.
    ¶26 Third, we must define “objective finding.” “Objective” is
    defined as “[o]f, relating to, or based on externally verifiable
    phenomena, as opposed to an individual’s perceptions, feelings,
    or intentions.” Objective, Black’s Law Dictionary (10th ed. 2014).
    Defendant cites McNair v. Farris, 
    944 P.2d 392
     (Utah Ct. App.
    1997), to support his argument that a finding must be made by
    someone other than the treating physician to be considered
    11.   See   Impairment,   Merriam-Webster,        www.merriam-
    webster.com/dictionary/impairment       [https://perma.cc/7CUK-
    95G5] (“to diminish in function, ability, or quality : to weaken
    or make worse”).
    12. We note that Jones involved an earlier version of section
    31A-22-309(1), which did not include the term impairment, and
    only referred to disability. See Jones v. Transamerica Ins. Co., 
    592 P.2d 609
    , 611 (Utah 1979), overruled on other grounds by Bear River
    Mutual Ins. Co. v. Wall, 
    1999 UT 33
    , 
    978 P.2d 460
    ; see also 
    Utah Code Ann. §§ 31-41-09
    , -11 (LexisNexis Supp. 1973).
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    objective. 13 We are not persuaded by this reasoning. In that case,
    the plaintiff, McNair, allegedly suffered an injury and sued the
    defendant under Utah Code section 31A-22-309(1)(a). Id. at 393.
    McNair’s original complaint “mentioned no objective findings of
    permanent disability or impairment” and claimed “ongoing
    soreness in his foot,” but McNair was never examined by a
    physician to determine whether he was permanently impaired.
    Id. at 395–96. Consequently, the defendant moved for summary
    judgment, and the court granted the motion, stating, “The
    express language of [the statute] requires that any permanent
    disability or impairment be based on objective findings. McNair
    thus has the burden of demonstrating the permanency of his
    injury with something more than his say so.” Id. at 395 (emphasis
    added).
    13. The McNair court points to a worker’s compensation case,
    Rushton v. Gelco Express, 
    732 P.2d 109
     (Utah 1986), which held
    that when faced with conflicting testimony from a treating
    physician and a non-treating physician, the factfinder need not
    give preference to either physician, but as the factfinder, may
    weigh the credibility of the witnesses and reach its own
    conclusion. 
    Id. at 112
    . Defendant points to Rushton to argue that
    “objective findings” must be made by someone other than a
    plaintiff’s treating physician. But Rushton did not involve the
    threshold requirement set forth in Utah Code section 31A–22–
    309(1)(a).
    And at any rate, the McNair court also cited Cineas v.
    Mammone, 
    636 A.2d 1071
     (N.J. Super. Ct. App. Div. 1994), which
    states, “The medical reports from plaintiff’s treating doctors
    provided objective credible evidence sufficient to meet the
    requirements of the verbal threshold statute.” 
    Id. at 1077
    . Thus,
    Defendant’s argument is meritless. If anything, McNair can be
    read for the proposition that a plaintiff’s treating physicians’
    testimony may constitute “objective” evidence.
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    ¶27 So it is in this case. An “objective finding” of
    permanent disability or permanent impairment need not be
    established by a witness other than a current or past
    treating physician. To be considered objective, a finding
    need only be demonstrated through evidence other than the
    plaintiff’s own subjective testimony. See id.; see also Mays v.
    Alumnitec, Inc., 
    64 S.W.3d 772
    , 774 (Ark. Ct. App. 2001)
    (acknowledging that objective findings are “those findings
    which cannot come under the voluntary control of the
    patient” (cleaned up)). While Utah Code section 31A-22-309(1)(a)
    does not specify who needs to make the “objective findings”
    regarding permanency—whether that be a medical doctor, an
    expert witness, a layperson, or other—we need not reach
    that issue here because the evidence, which was presented by an
    expert witness, was clearly sufficient on these facts. We
    also acknowledge that “objective findings” relate to a
    permanent disability or a permanent impairment. We assume,
    without deciding, that such a finding will, in most
    circumstances, come by way of expert testimony. 14 Typically—
    except in obvious cases—where an alleged injury involves
    medical factors beyond the ken of an ordinary lay person, expert
    testimony is required. Beard v. K-Mart Corp., 
    2000 UT App 285
    ,
    ¶ 16, 
    12 P.3d 1015
    .
    ¶28     Such a reading is consistent with the term “objective
    finding” as applied in other cases. See Broadhead v. Federal Express
    Corp., No. 2:05-CV-806, 
    2007 WL 951544
    , at *1 (D. Utah Mar. 26,
    2007) (recognizing that long-term disability plans governed by
    14. We need not decide this issue because in this case
    the relevant testimony came by way of opinion testimony
    of Chiropractor, and Defendant has not challenged the
    admission of Chiropractor’s testimony.
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    ERISA 15 define “objective findings” as “signs which are noted on
    a test or medical exam and which are considered significant
    anatomical, physiological or psychological abnormalities which
    can be observed apart from the individual’s symptoms” and
    may include, “Medical examination findings; Test results; X-ray
    results; observation of anatomical physiological or psychological
    abnormalities”); see also SAIF Corp. v. Lewis, 
    58 P.3d 814
    , 815 (Or.
    2002) (noting that “[o]bjective findings in support of medical
    evidence are verifiable indications of injury or disease that may
    include, but are not limited to, range of motion, atrophy, muscle
    strength and palpable muscle spasm. Objective findings do[] not
    include physical findings or subjective responses to physical
    examinations that are not reproducible, measurable or
    observable” (cleaned up)).
    B.     Statutory Threshold
    ¶29 With the plain language definitions set out, we now
    analyze Defendant’s argument that Plaintiff did not demonstrate
    the threshold injury of permanent disability or permanent
    impairment through “objective findings,” as required by Utah
    Code section 31A-22-309(1)(a)(iii).
    ¶30 Based on the plain language definitions and relevant case
    law, Plaintiff has met the statutory threshold through testimony
    and other evidence at trial. Chiropractor testified that
    Defendant’s crash into Plaintiff’s vehicle caused her to suffer a
    permanent herniated disc in her back, that she would be
    “plagued” by the injury for the rest of her life, and that the
    herniated disc would not go away on its own and was a
    permanent injury. Chiropractor also testified that with physical
    therapy, Plaintiff was able to regain most bodily function, but
    15. Employment Retirement Income Security Act of 1974, 
    29 U.S.C. §§ 1001
    –1461 (2012).
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    Pinney v. Carrera
    not all of it. He stated that throughout “five re-exams through
    the course of her treatment,” they were able to “get fairly close to
    normal range of motion.” He further explained, “We couldn’t
    ever get 100 percent, and we made her very comfortable. We
    were able to get rid of a lot of the symptoms. . . . [but the scar
    tissue is] not going to go away.”
    ¶31 Furthermore, along with Chiropractor’s examinations and
    treatment of Plaintiff, an MRI film was admitted into evidence
    that showed the existence of the herniated disc injury to which
    Chiropractor testified. Chiropractor determined—based on the
    examinations, treatment, and MRI—that Plaintiff had suffered a
    permanent impairment, and he testified to that effect. 16 To
    further corroborate Chiropractor’s determination, both Plaintiff’s
    daughter and friend testified to “the changes and differences
    that [Plaintiff] suffers from now because of her injuries.” They
    described the “impact the crash has had on [Plaintiff’s] life. . . .
    the limitations, pain, and other ways that the injuries affect
    [Plaintiff] on a daily basis.”
    ¶32 This type of testimony (1) shows permanence based on
    Chiropractor’s statement that Plaintiff would be “plagued” for
    the rest of her life; (2) demonstrates impairment because Plaintiff
    suffered the loss of bodily function; and (3) is objective because
    the impairment was determined after a number of
    “reproducible, measurable or observable” exams, see SAIF Corp.
    v. Lewis, 
    58 P.3d 814
    , 815 (Or. 2002), and was perceptible to those
    other than the injured person—specifically, her treating
    Chiropractor, her daughter, and her friend. The findings of a
    permanent injury and its associated impairment have thus been
    shown by “objective findings.” Accordingly, Plaintiff met the
    threshold requirement of Utah Code section 31A-22-309(1)(a).
    16. Defendant does not argue that an MRI or Chiropractor’s
    interpretation of that MRI are not objective.
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    And because the evidence demonstrated that reasonable minds
    could disagree with the ground asserted for judgment as a
    matter of law, the trial court did not err in denying Defendant’s
    motion for judgment as a matter of law.
    III. Judgment Notwithstanding the Verdict
    ¶33 Next, Defendant contends that the trial court erred in
    denying his motion for judgment notwithstanding the verdict
    based upon Plaintiff’s failure to introduce any evidence that
    could meet the threshold requirement set forth in Utah Code
    section 31A-22-309(1)(a). “On . . . a motion for judgment
    notwithstanding the verdict, we will reverse the trial court’s
    ruling only if, viewing the evidence in the light most favorable to
    the prevailing party, we conclude that the evidence is
    insufficient to support the verdict.” Utah Dep't of Transp. v. Target
    Corp., 
    2018 UT App 24
    , ¶ 12, 
    414 P.3d 1080
     (cleaned up), cert.
    granted, 
    425 P.3d 800
     (Utah 2018). As discussed, Plaintiff
    demonstrated at trial that she met the threshold requirement set
    out in Utah Code section 31A-22-309(1)(a). See supra ¶¶ 29–32.
    Therefore, the trial court did not err in denying Defendant’s
    motion for judgment notwithstanding the verdict.
    IV. Motion for a New Trial
    ¶34 Third, Defendant claims that the trial court abused its
    discretion in denying his motion for a new trial based on
    excessive damages. See Utah R. Civ. P. 59(a)(5) (allowing for a
    new trial when the verdict includes “excessive or inadequate
    damages that appear to have been given under the influence of
    passion or prejudice”); id. R. 59(a)(6) (allowing for a new trial
    when there is “insufficiency of the evidence to justify the
    verdict”). Juries are “generally allowed wide discretion in the
    assessment of damages.” USA Power, LLC v. PacifiCorp, 
    2016 UT 20
    , ¶ 71, 
    372 P.3d 629
     (cleaned up). “There is no set formula to
    determine noneconomic damages such as pain and suffering, so
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    the permissible minimum and maximum limits within which a
    jury may operate for a given injury are presently far apart and
    must continue to be widespread so long as pain and suffering
    must be measured by money standards.” Judd v. Drezga, 
    2004 UT 91
    , ¶ 62, 
    103 P.3d 135
     (cleaned up).
    ¶35 “The trial court’s denial of a motion for a new trial will be
    reversed only if the evidence to support the verdict was
    completely lacking or was so slight and unconvincing as to make
    the verdict plainly unreasonable and unjust.” Schreib v. Whitmer,
    
    2016 UT App 61
    , ¶ 31, 
    370 P.3d 955
     (cleaned up). Here,
    Defendant’s argument fails because there was a reasonable basis
    for the jury’s award of damages. The trial court specifically
    identified the following facts in support of the jury’s award of
    $300,000 in general damages: (1) testimony regarding Plaintiff’s
    inability to do some of the things she used to be able to do;
    (2) testimony regarding the permanent nature of Plaintiff’s
    injury; and (3) Plaintiff counsel’s request for damages in an
    amount ranging from $419,000 to $630,000.
    ¶36 These facts gave the jury a reasonable basis upon which to
    rely when it awarded damages to Plaintiff. So long as there is a
    reasonable basis for the jury’s award of damages, a large award
    does not equate to an improper one, see Judd, 
    2004 UT 91
    , ¶ 62,
    nor one that is “given under the influence of passion or
    prejudice,” see Utah R. Civ. P. 59(a)(5). While juries should not be
    permitted to “arbitrarily ignore competent, credible and
    uncontradicted evidence,” courts have long held that juries are
    “not bound to slavishly follow the evidence and the figures
    given by any particular witness. Within the limits of reason it is
    [the jury’s] prerogative to place [its] own appraisal upon the
    evidence which impresses [it] as credible and to draw
    conclusions therefrom in accordance with [its] own best
    judgment.” Even Odds, Inc. v. Nielson, 
    448 P.2d 709
    , 712 (Utah
    1968); see also USA Power, 
    2016 UT 20
    , ¶ 71 (“We have
    emphasized that juries are generally allowed wide discretion in
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    Pinney v. Carrera
    the assessment of damages.” (cleaned up)). Where the jury heard
    evidence that Plaintiff would be plagued by this painful injury
    every day of her life, the verdict here is within the bounds of
    reasonableness. Given that there was a reasonable basis for the
    jury’s verdict awarding $300,000 in damages to Plaintiff, the trial
    court did not abuse its discretion by denying a new trial.
    V. Jury Instruction
    ¶37 Lastly, Defendant claims that the trial court abused its
    discretion in refusing to allow Defendant’s jury instruction—
    which used the phrase “proximate cause”—to be given. “Abuse
    of discretion may be present when a trial court relied on an
    erroneous conclusion of law or where there was no evidentiary
    basis for the trial court’s ruling.” USA Power, LLC v. PacifiCorp,
    
    2016 UT 20
    , ¶ 75, 
    372 P.3d 629
     (cleaned up).
    ¶38 Defendant submitted his own jury instruction, entitled
    “POST-EVIDENCE INSTRUCTIONS: PROXIMATE CAUSE.”
    That proposed instruction stated,
    A proximate cause of an injury is that cause which,
    in natural and continuous sequence, produces the
    injury and without which the injury would not
    have occurred. A proximate cause is one which sets
    in operation the factors that accomplish the injury.
    The court rejected Defendant’s proposed instruction, and instead
    gave an instruction in accordance with the MUJI 2, which stated,
    I’ve instructed you before that fault is a wrongful
    act or failure to act. You must also determine
    whether a person’s fault caused the harm. As used
    in the law, the word “cause” has a special meaning,
    and you must use this meaning whenever you
    apply the word. “Cause” means that:
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    Pinney v. Carrera
    (1) the person’s act or failure to act
    produced the harm directly or set in
    motion events that produced the harm in
    a natural and continuous sequence; and
    (2) the person’s act or failure to act could be
    foreseen by a reasonable person to
    produce a harm of the same general
    nature.
    There may be more than one cause of the same
    harm.
    ¶39 Defendant argues that the MUJI 2 jury instruction was
    legally insufficient in that it did not “expressly distinguish
    between proximate cause and cause in fact, and, moreover,
    simply use[d] the term ‘cause’ no matter what type of causation
    [wa]s meant.”
    ¶40 This argument fails because—other than the word
    “proximate”—there is no substantive difference between
    Defendant’s proposed instruction and the instruction given at
    trial. See Raab v. Utah Ry. Co., 
    2009 UT 61
    , ¶ 23, 
    221 P.3d 219
    (“[W]e use the term ‘proximate cause’ in its traditional sense,
    that is, interchangeably with ‘legal cause.’”). 17 If anything, the
    MUJI 2 instruction is narrower than the instruction offered by
    Defendant, since it includes the idea of foreseeability.
    Accordingly, the trial court did not abuse its discretion by
    17. Moreover, this argument is inadequately briefed. Defendant
    fails to show, explain, or provide any evidentiary basis as to how
    this allegedly insufficient instruction affected the outcome of the
    trial. There is no allegation that the jury was misled by the
    instruction in rendering its verdict.
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    Pinney v. Carrera
    rejecting Defendant’s proposed instruction because it did not
    erroneously advise the jury on the law. 18
    CONCLUSION
    ¶41 The trial court did not err in denying Defendant’s third
    motion for judgment as a matter of law because Plaintiff met the
    threshold requirement set forth in Utah Code section
    31A-22-309(1)(a). Likewise, the trial court did not err in denying
    Defendant’s motion for judgment notwithstanding the verdict
    based on the same reasoning. Further, it did not abuse its
    discretion by denying Defendant’s motion for a new trial based
    on excessive damages because there was a reasonable basis upon
    which the jury based its verdict. Finally, the court did not abuse
    its discretion by denying Defendant’s jury instructions because it
    did not erroneously advise the jury on the law.
    ¶42   Affirmed.
    18. Furthermore, although not binding, we note that the
    advisory committee notes to the MUJI 2 instruction state that
    “[t]he term ‘proximate’ cause should be avoided. While its
    meaning may be understood by lawyers, the lay juror may be
    unavoidably confused by the similarity of ‘proximate’ to
    ‘approximate.’” Model Utah Jury Instructions 2d CV209
    (Advisory Comm. On Civil Jury Instructions 2018), available at
    http://www.utcourts.gov/resources/muji.
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