In her recent decision of
Sabella v. Nationwide Mut. Ins. Co., No. 1:12-CV-00582 (M.D. Pa.
Aug. 14, 2012 Rambo, J.), Judge Sylvia Rambo of the Pennsylvania Federal Middle District Court granted Defendant Nationwide’s F.R.C.P.
12(b)(6) Motion to Dismiss for failure to state a claim in a matter in which
the Plaintiff filed a Complaint setting forth claims for declaratory judgment,
bad faith, and breach of contract, arising out of Nationwide’s alleged failure
to pay UIM benefits to the Plaintiff in accordance with the terms of the
insurance policy.
In this matter, the UIM action between the parties had
previously proceeded through arbitration pursuant to the terms of the
policy.
At the arbitration, the panel of
arbitrators unanimously found the valuation of damages to be $100,000.00.
In its award, the arbitrators stated that
“[t]his amount has not been molded by the arbitrators and does not reflect what
may have happened in the third-party action.”
The Court in this matter noted that it was undisputed that
the policy limit for the tortfeasor’s liability coverage was $300,000.00.
Following the arbitrator’s decision, Nationwide did not move
to mold the award.
The parties in this
matter were in agreement that, if Nationwide had done so, by operation of law,
Nationwide would have been entitled to a credit in the amount of the
tortfeasor’s liability coverage, which, as noted, was $300,000.00.
This credit would have reduced the
$100,000.00 UIM award to $0.
In this matter, the Plaintiff was seeking a declaration that
“the arbitration award is deemed a final judgment in the amount of $100,000.00
in light of the award and in light of Defendant’s failure to mold that award." The Plaintiff requested damages in the amount of that award.
The Plaintiff’s bad faith and breach of
contract claim were derivative to Plaintiff's belief that he was entitled to the
arbitration award of $100,000.00.
Nationwide responded by filing the F.R.C.P. 12(b)(6) Motion to
Dismiss.
The District Court held that “A party’s failure to mold
under these circumstances does not render the arbitrators’ award final and
Nationwide is entitled to a credit of $300,000.00.
Accordingly, the amount of UIM coverage owed
by Nationwide is $0.00.”
In so ruling, Judge Rambo relied upon the case of
Bremer v. Prudential Prop. & Cas. Ins.
Co., 2004 U.S. Dist. LEXIS 16960 (M.D. Pa. 2004) (a case my partner
Tim Foley and I defended and prevailed
in).
Judge Rambo relied upon the
Bremer case to support her following of the
policy of enforcing exhaustion clauses.
Judge Rambo also noted that her holding in the
Sabella case is also consistent with
Pennsylvania’s public
policy against allowing parties to recover twice for the same injury.
In this regard, Judge Rambo cited, with
approval the case of
Pusl v. Means,
982 A.2d 550, 555 (Pa. Super. 2009).
Judge
Rambo noted that the Court found in
Pusl
that an “Appellant’s receipt of both the full jury award from [tortfeasors] and
the pre-trial UIM settlement from State Farm would constitute ‘double recovery’
that the [Pennsylvania Motor Vehicle Responsibility Law] was specifically
designed to prevent.”
Id.
at 556.
Judge Rambo also noted that there was no case, rule, or
statute on point which required the Defendant carrier to file a Motion to Mold
under these facts.
Accordingly, the
Sabella
court held that Nationwide was not required to file a Motion to Mold and was
not responsible for any UIM payment to the Claimant under these facts.
I send thanks to Attorney Paul Oven of the Moosic, Pennsylvania office of
Dougherty, Leventhal & Price as well as Attorney James
Kilpatrick of Scranton
law firm of Munley, Munley & Cartwright for forwarding this case to my
attention. I also send thanks to
Attorney Scott Cooper of the Harrisburg
law firm of Schmidt, Cramer for his explanatory synopsis of the case
presented.