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In 2007, Mr. Cox achieved one of the top settlements in the state for a teenage girl who fell off the open tailgate of a truck as the driver was turning out of a gas station. As a result of the fall, the girl suffered head injuries and was referred to a neuropsychologist. She suffered a diminished capacity for smell and taste as well as behavioral issues, including frustration, irritability and anger. The truck driver’s carrier, American Family Mutual Insurance Company, initially argued that he did not have permission to operate the truck at the time of the collision, which would have rendered him judgment proof, since he was a minor with no assets. However, the main challenge in the case involved convincing the driver’s carrier that her behavioral changes were related to the impact to the frontal and temporal lobes of her brain. The carrier argued that such behavior was simply typical teenager behavior. This case was also featured in Missouri Lawyer’s Weekly.