Do you have a case or cases that scares you? Why not try settling it?
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In addition to my own personal experience of sitting through innumerable settlement conferences as a law clerk for Judge Harold A. Thomson, Jr. of Pike County at the beginning of my career, I have also participated in successful Mediations over the past 17 years as both a litigator and as a Mediator in the Federal Middle District Court Mediation Program. I have additionally attended many continuing legal education courses in an effort to further hone my skills and tools related to fostering ongoing negotiations at Mediations. I have continued to develop these skills at numerous successful Mediations scheduled through Cummins Mediation Services.
To schedule a Mediation, please contact me at dancummins@comcast.net or at 570-346-0745.
In the case of Jester
v. Hutt, No. 1:15-CV-00205 (M.D. Pa. Aug. 29, 2018 Kane, J.), the court granted a
Motion for Remittitur of Punitive Damages.
According to the Opinion, the court found that an award of $90,000.00
for punitive damages in a defamation case was constitutionally excessive where
the jury only awarded $1.00 in actual damages.
The court also noted that the level of reprehensibility with
regards to the Defendant was low under the facts presented.The
court also emphasized that there was no risk of physical
injury or danger to the safety of others relative to the underlying event.
The court cut the punitive damages down to $5,500.00.
Anyone wishing to review a copy of this decision may click
this LINK.
I send thanks to Attorney James M. Beck, of the Philadelphia
office of the Reed Smith law firm and the writer of the excellent Drug and
Device Law blog for bringing this case to my attention.
UPDATE: The trial court's decision in this case was overturned by the Third Circuit Court of Appeals in a decision handed down by that Court on August 28, 2019. Click HERE to view that decision.
A number of civil litigation trial issues were reviewed in
the case of Farese v. Robinson, No.
April Term 2015 1084 (C.P. Phila. Co. Sept. 6, 2018 Kennedy, J.), including the
issue of how to handle a claim for future medical expenses in a motor vehicle
accident matter.
The case arose out a rear-end motor vehicle accident.The case proceeded to trial and a jury
entered a verdict in excess of $2.5 million dollars in favor of the
Plaintiff.The Defendants filed
post-trial motions which brought about this Rule 1925 Opinion by the trial
court judge.
With respect to the Plaintiff’s claims for future medical
expenses, defense asserted that a new trial on damages was necessary given that
the Plaintiffs introduced evidence concerning future medical costs without
reducing those costs in accordance with the cost containment provisions of the Pennsylvania
Motor Vehicle Financial Responsibility Law (“MVFRL”), or Act 6.
The trial court rejected the Defendant’s position as well as
the defense’s reliance upon the case of Pittsburgh
Neurosurgery Assoc’s v. Danner, 733 A.2d 1279 (Pa. Super. 1999), as the
court found that that case was limited by the Superior Court to an application
to past medical bills that had already been incurred by an injured party for
treatment that had already been provided.
Instead, the trial court relied upon the case of Moorehead v. Crozer Chester Medical Center,
765 A.2d 786 (Pa. 2001). Also, the trial court also noted that the medical bills
in this case that were presented to the jury had apparently already been
subjected to the cost containment provisions of the MVFRL.
The trial court in this case of Farese noted that its Opinion was that future medical costs are not
considered “payable” within the meaning of §1722 or §1797 of the MVFRL.The court believed that to claim that bills
for medical services not yet performed should be considered “capable of being
paid” in this context, “creates an unpersuasive logical fallacy.”The court noted that, to rule otherwise,
would create confusion as any medical service not yet performed would be
considered “payable.”
This particular court believed that future medical costs can only
exists as being “not payable” under §1797.
Practically speaking, the trial court found that the
Plaintiff’s expert life care planner had properly opined as to the future cost
of medical care under the “usual and customary charge(s)” mandated by 75 Pa.
C.S.A. §1797(a).The expert offered his
opinion at trial that life care planners base protections on future medical
care upon the usual and customary costs going into future because it is too
speculative to know what reimbursements will be from month-to-month.
In entering its ruling, the Farese court pointed to the Federal Middle District Court decision
of Kansky v. Showman, No.
3:09-cv-1863, 2011 WL 1362245 (M.D. Pa. April 11, 2011 Munley), in which that Federal
District Court held that future medical bills are not “payable” as future
medical payments are not currently outstanding and able to be paid and given
that Defendants cannot guarantee that any future medical expenses will in fact
be paid.That court ruled that the
payment of future medical expenses is merely speculative as a carrier could
become bankrupt or could deny future medical bills for a variety of
reasons.[However, neither the Farese court nor the Kansky court pointed out that whether a
Plaintiff will actually undergo future medical treatment once they settle their
case or secure a verdict is speculative as well].
The Kansky
court held that, because the insurance benefits are not necessarily due and
owing at the time of a trial and given that nothing could compel a carrier to pay a lump sum for
future medical expenses, a Plaintiff’s future medical bills cannot be
considered to be “payable” under Act 6.
The Farese court
followed this reasoning in its own decision and denied the defense’s request
for a new trial based upon the handling of the future medical expenses claim at
trial. Here is a LINK to the "Future Medical Expenses" Label, which can always be freely access down the right hand column of the Tort Talk Blog at www.TortTalk.com to access blog posts on this particular troublesome and unsettled topic.
The Farese
decision is also notable in that the trial court held that the expert testimony
offered by the Plaintiff from a neuro-radiologist was not considered to be
cumulative when compared to the other expert medical evidence offered by the
Plaintiff.The court felt that the
expert’s expertise in the area of neuro-radiology allowed that doctor to
provide a nuanced opinion of the injuries sustained by the Plaintiff that
better explained the injuries to the jury in a manner different then that from
the Plaintiff’s other medical experts.
The Farese court
also addressed the issue of Defendant’s Motion for Remittitur against the
Plaintiff’s substantial verdict.In
this regard, the court provided a detailed analysis of the current state of
Pennsylvania law in addressing claims that a jury’s verdict is allegedly
excessive.
In the end, this court found that the jury’s award for
damages was not excessive and did not shock the judicial conscience.
Anyone wishing to review a copy of this decision may click
this LINK.
Source:“Digest of Recent Opinions” Pennsylvania Law Weekly (Oct. 16,
2018).
In the medical malpractice case of Mayer v. Delserra, No. 17–CV-03968 (C.P. Lacka. Co. Oct.
5, 2018 Nealon, J.), the trial court in Lackawanna County addressed
objections to a Defendant’s service of a third party Complaint upon an
Additional Defendant.
More
specifically, the Additional Defendant who was served with the Joinder Complaint
filed Preliminary Objections challenging the service of original process of the
Joinder Complaint as improper after the original Defendant-hospital attempted to serve that
Additional Defendant via certified mail at an incorrect office address.
The joined Additional Defendant also asserted that the
Joinder Complaint should be dismissed since the statute of limitations had
expired.
The non-moving original Defendant-hospital argued in response that the
service of process by certified mail was proper and that the Additional
Defendant had waived the right to object to the allegedly defective service by virtue of the Additional Defendant’s attorney’s attendance at the two
(2) depositions that have been conducted in the case to date.
After reviewing the Pennsylvania Rules of Civil Procedure
pertaining to the service of a Joinder Complaint upon a Pennsylvania Additional
Defendant, the court noted that these Rules required that such service be effectuated
by the Sheriff hand-delivering the original process to the Additional Defendant
or an appropriate person at that Defendant’s residence or business. An exception to those Rules was that service could be completed by the Defendant's attorney agreeing to accept service.
Here, the court set aside the improper service in this matter and directed the
Defendant-hospital to reinstate the Joinder Complaint and serve the same
properly.
In so ruling, Judge Nealon found that the attendance of the
Additional Defendant’s attorney at previously scheduled depositions, which
depositions occurred after the Preliminary Objections at issue had already been
filed, did not constitute such action on the merits of the case by that
Additional Defendant so as to waive the right to object to defective service. Rather, the court noted that such attendance at the deposition instead served to cure
any prejudice that may have resulted from the improper service and the
Additional Defendant’s belated entry into the case.
The court further ruled that, since the applicable statute
of limitations period relative to the Defendant-hospital’s contribution and
indemnification claims had not yet begun to run, the proper remedy for the
defective service was to simply set it aside and allow the joining party to attempt
to properly serve that Additional Defendant.
Anyone wishing to review this case may click HERE.
In the recent Superior Court decision in the case of State Farm Mut. Auto. Ins. Co. v. Cavoto,
2018 Pa. Super. 285 (Pa. Super. Oct. 17, 2018 Gantman, P.J., Shogan, J., and
Blatt, J.) (Op. by Shogan, J.), the court addressed an appeal from a
declaratory action filed by State Farm seeking a judicial declaration
that it was not obligated to pay the chiropractor for treatments and procedures
delegated to, and perform by, chiropractic support personnel without special
licenses or certifications.
The Superior Court held that the chiropractor cannot be
expected to be paid by a first party carrier for such services performed by unlicensed support
personnel.
Anyone wishing to review a copy of this decision may click
this LINK.
I send thanks to Attorney Scott B. Cooper of the Harrisburg,
Pennsylvania law firm of Schmidt Kramer for bringing this case to my attention.
In the case of Pace v.
Wal-Mart Stores, No. 17-1829 (E.D. Pa. Sept. 18, 2018 Baylson, J.), the court granted summary judgment to the Defendant was unable to
show that the Defendant had actual or constructive notice of a hazardous
condition in an alleged slip and fall on grapes or grape juice.
Notably, where the Defendant produced an affidavit
confirming that there was no video of the location where the Plaintiff fell and
that no videos had been destroyed, the Plaintiff’s request for an inference of
spoliation of evidence was denied.
A nice overview of the current status of Pennsylvania premises liability law can be seen in this Opinion.
Anyone wishing to review a copy of this decision may click
this LINK.
Source: “Digest of
Recent Opinions.”Pennsylvania Law Weekly (October 2, 2018).
In the case of Nicolaou v. Martin, No. 44 MAP 201 (Pa. Oct. 17, 2018)(Op. by Baer, J.), the Pennsylvania Supreme Court handed down its latest decision on the application of the Discovery Rule relative to the statute of limitations in a civil litigation matter.
According to the Opinion, sometime in 2001, the Plaintiff was bitten by a
tick on her left ankle, after which she developed symptoms. This case presented the issue of whether the Plaintiff satisfied the Discovery Rule so as to toll the running of the statute of
limitations on their medical malpractice action filed against the Defendant health
care providers for failing to diagnose and treat her Lyme's disease. The Pennsylvania Supreme Court noted that the Discovery Rule tolls the statute of limitations where a plaintiff is reasonably unaware that she or he has been injured and that her or his injury was caused by the negligence of another. In this regard, a reasonable diligence standard is applied against plaintiffs. The Court also noted that the question as to whether the Discovery Rule serves to save a plaintiff's case is generally one for a jury to decide. In this matter, the trial court and the Superior Court had both ruled that the Defendants were entitled to summary judgment, holding that the Discovery Rule did not toll the statute of limitations because, as a matter of
law, appellants failed to establish that they pursued their action with
reasonable diligence. The Pennsylvania Supreme Court reversed and held that the determination of whether appellants acted with
due diligence under the circumstances presented in this matter was one of fact for a jury to
decide. As such, the entry of summary judgment was overturned and the case was remanded for further proceedings. Anyone wishing to review this case may click this LINK.
In a recent detailed Order issued in the case of Byrne v. Quinn, No. S-1140-2015 (C.P.
Schuyl. Co. Oct. 10, 2018 Goodman, J), Judge James P. Goodman of the Schuylkill
County Court of Common Pleas, granted a Defendant’s Preliminary Objections to
the Plaintiff’s Complaint.
The court primarily based its decision to dismiss the Complaint on the fact that both parties
acknowledged that one of the Defendants had passed away previously and that the
Plaintiff was aware of this fact at the time she filed the Complaint but did
not seek to substitute a personal representative/estate in the place of the
deceased Defendant.As such, the court
held that it lacked subject matter jurisdiction over that particular
Defendant. The court went on to address the other Defendant’s
Preliminary Objections which were filed on the basis that the Complaint was not
served prior to the expiration of the statute of limitations.The court reviewed the law of Lamp v. Hayman, 366 A.2d 882 (Pa. 1976)
and its progeny to conclude that the Plaintiff failed to comply with the
requirements of Pennsylvania law to undertake a good faith effort to complete
service of original process. As such, the case was dismissed with prejudice. Anyone wishing to review a copy of this decision may click
this LINK.
I thank the prevailing defense counsel, Stephen T. Kopko of
my office for bringing this decision to my attention.
In the recent hills and ridges decision in the case of Evans v. Simrell, No. 14-CV-2483 (C.P.
Lacka.Co. Oct. 4, 2018 Nealon, J.), the
court denied the Defendant’s Motion for Summary Judgment after finding that
genuine issues of material fact existed to be determined by a jury.
According to the Opinion, the Plaintiff alleged that he fell
on ice that was in front of the Defendant’s home on the sidewalk.The Defendants filed a Motion for Summary
Judgment asserting that the Plaintiffs could not sustain his burden of proving
that he slipped and fell on hills and ridges of ice situated on the sidewalk.
According to the Opinion, the Plaintiff was walking down the
sidewalk which was shoveled and free of any ice near the Defendant’s
premises.However, as soon as the
Plaintiff’s stepped on the sidewalk in front of the Defendant’s property, he
slipped and fell on ice.The Plaintiff
telephoned his mother who came to the scene and likewise observed that the
nearby sidewalks were clear and free of snow or ice.The mother testified that, as soon as she
reached the Defendant’s sidewalk, she started to slide on the ice and had to
grab the hedges to prevent herself from falling to the ground.
The Plaintiff’s mother called 911 to request an
ambulance.According to the information
provided to the court, when the paramedics arrived, one of the paramedics also
slid and fell on the subject sidewalk as well as the paramedics were also
slipping on the ice.
In opposing the summary judgment motion, the Plaintiffs
asserted that there was a genuine issue of material fact as to whether the
Plaintiff was caused to fall on a localized patch of ice as opposed to as a
result of generally slippery conditions existing in the area.
In this regard, the court noted that there were triable
issues of fact as to whether general slippery conditions existed throughout the
community.
More specifically, both the Plaintiff and his mother
testified that other areas of sidewalk near the Defendant’s property were
shoveled and free of snow and ice.According to the record, one of the responding paramedics also noted
that there was no ice present on the abutting road and adjacent grass, and that
he only observed ice on the Defendant’s sidewalk.
Judge Nealon ruled that it was within the sole province of
the jury to resolve this conflicting testimony and to determine the weight, if
any, to be accorded to these varying accounts.
Given these issues of fact, the court denied the Defendant’s
Motion for Summary Judgment based upon the hills and ridges doctrine.
Anyone wishing to review a copy of this decision may click
this LINK.
Do you need help bringing your slip and fall case to a close? Please contact me to discuss Cummins Mediation Services and to schedule a private mediation. Low rates and proven success. Please call 570-346-0745 to schedule a Mediation.
In its recent decision in the case of Hackett v. Indian King Residents Ass’n., No. 3600 EDA 2017 (Pa. Super. Aug.
29, 2018 Shogan, J., Gantman, J., and Platt, J.), the court affirmed the denial
of a Plaintiff’s post-trial motions after a defense verdict in a slip or trip
and fall case.
In this matter, the
Plaintiff alleges she tripped and fell in a common area of a community.One of
the main issues in this case was whether the Plaintiff should be deemed to be a
licensee or an invitee.
The Plaintiff asserted that, since she had paid common area
maintenance fees to the residents’ association, she should be considered to be
a business invitee.
The Superior Court disagreed and found that the mere paying
of common area maintenance fees did not create invitee status under
Pennsylvania law.Rather, the Plaintiff
was deemed to be licensee since, as a resident of the community, she used the
common areas by permission, and not by the Defendant’s invitation.
The court also noted that an invitation must be more than
mere permission to access common areas in order to make one a business invitee in this context.
Also of note in this decision was the court’s ruling that
the Condominium Act does not apply to homeowners’ associations.
Anyone wishing to review a copy of this case may click this LINK.
What follows is an article of mine that recently appeared in the October 16, 2016 edition of the Pennsylvania Law Weekly and which is republished here with permission: The Pendulum Shifts With Recent Pa. Supreme Court Decisions
By Daniel E. Cummins|October 16, 2018
Recent Pennsylvania Supreme Court decisions provide evidence that the pendulum is shifting toward a more liberal, plaintiff-oriented view that was anticipated with the still-recent election of additional justices to the court to join those other justices on the court of the same bent.
This movement of the pendulum is perhaps most evident in two cases in which the court overturned years of jurisprudence and expanded the potential liability of governmental entities in personal injury matters.
A New Guide to Guide Rail Liability
In the case of Cagey v. PennDOT, No. 36 WAP 2016 (Pa. Feb. 21, 2018) (Maj. Op. by Donohue, J.)(Saylor, C.J., Concurring) (Wecht, J., Concurring), handed down by the Pennsylvania Supreme Court, the court expressly overruled the long-followed 12-year-old Commonwealth Court decision in Fagan v. PennDOT, 946 A.2d 1123 (Pa. Cmwlth. 2006), and its progeny, and held that PennDOT is only immune when it fails to install a guide rail.
The Pennsylvania Supreme Court otherwise held in the Cagey case that when PennDOT has previously installed a guide rail, sovereign immunity is waived if the agency’s negligent installation and design created a dangerous condition that causes or contributes to an accident.
Although there are two concurring opinions in the Cagey decision, it appears that all of the justices agreed on the ultimate holding of the case.
In the Cagey case, the plaintiffs alleged personal injuries against PennDOT after they lost control of their vehicle under wintry conditions and crashed into a PennDOT erected guide rail that penetrated the side of the vehicle during the course of the accident. The plaintiffs alleged liability on the part of PennDOT with respect to the placement of the guide rail and the fact that the guide rail was allegedly not crashworthy.
With this reversal of many years of legal authority that protected PennDOT from liability pertaining to guide rail claims, it is expected that there will be a dramatic increase in litigation for the government in defending accidents that involved contact by a vehicle with a guide rail.
In another decision from earlier this year, the Pennsylvania Supreme Court kept the pendulum shifting with another plaintiff-friendly decision.
30 Years of Precedent Obliterated
In a monumental reversal, the Pennsylvania Supreme Court overturned 30 years of precedent by holding that the involuntary movement of a vehicle can constitute the operation of a motor vehicle for purposes of the vehicle liability exception to governmental immunity under 42 Pa. C.S.A. Section 8542(b)(1). In the case of Balentine v. Chester Water Authority, No. 119 MAP 2016 (Pa. Aug. 21, 2018 Mundy, J.) (Justices Todd, Dougherty, and Wecht joined in the majority Opinion) (Baer, J., concurring) (Saylor, dissenting, J.), the Pennsylvania Supreme Court held that the Commonwealth Court, which had relied upon that 30 years of precedent, erred in its application of the vehicle liability exception to governmental immunity.
In Balentine, the plaintiff’s decedent was a contractor hired to rehabilitate a section of a water distribution system at a location. At the time of the accident, the decedent was working just off to the side of a two-lane road. The decedent was inside a ditch located on the grassy strip between the sidewalk and the curb when an inspector drove up to the work site and parked his vehicle, with the engine running, approximately 10 to 15 feet from the ditch.
A few moments later, a vehicle operated by a third person struck the inspector’s parked vehicle, causing it to be propelled forward. The parked vehicle struck the decedent as he stood in the ditch, drug him out and pinned him under the vehicle when it came to a stop. The decedent sustained fatal injuries.
The decedent’s estate filed a lawsuit against various defendants. Certain governmental defendants obtained summary judgment from the lower court under an argument that neither the motor vehicle exception nor the traffic control device exception to governmental immunity set forth in the Political Subdivision Tort Claims Act applied. On appeal, a divided panel of the Commonwealth Court affirmed the trial court’s decision.
Relying upon the fact that the vehicle at issue was parked at the time of the accident, the majority in the Commonwealth Court considered itself “constrained” by the then-existing precedent to conclude as a matter of law that that vehicle was no longer in “operation” when the accident occurred. As such, the Commonwealth Court concluded that the involuntary movement of that vehicle can constitute an operation of that vehicle for purposes of the motor vehicle exceptions to governmental immunity.
Further up on the appellate ladder, the majority of the Pennsylvania Supreme Court reviewed the law behind the Tort Claims Act and held that movement of a vehicle, whether voluntary or involuntary, is not required by the statutory language of the vehicle liability exception in order for that exception to apply.
As such, the Supreme Court reversed the decisions of the lower courts and remanded the case back to the trial court. As stated, in writing this opinion, the court blew up 30 years of precedent on the issue with keystrokes on a computer.
The Pennsylvania Supreme Court in Balentine confirmed that the word “operation” was not defined in the Tort Claims Act. As such, the Supreme Court turned to Black’s Law Dictionary and prior Pennsylvania case law addressing the proper definition of that term in this context. The majority emphasized that the vehicle liability exception to governmental immunity only referred to operation, and not to motion when describing the parameters of this exception.
With its ruling, the Pennsylvania Supreme Court overturned the long-standing precedent on this particular issue, including numerous prior decisions where the immunity was held to apply in accidents involving vehicles that are stopped or parked. That is no longer the law under this decision.
The Pennsylvania Supreme Court ruled instead that “[w]here a government vehicle obstructs a roadway, in whole or in part, we can assume, absent evidence to the contrary, that a government agent operated the vehicle to arrive at that position.”
More specifically with respect to the Balentine case, the court found that, if the plaintiff established that the decedent’s injury was caused by an illegally parked government vehicle, but the movement of the vehicle itself did not cause the injury, the government could not avoid liability simply because the government vehicle was not “in motion” at the time of the injury.
The Pennsylvania Supreme Court adopted the definition of an operation of a vehicle that was previously enunciated by Justice Sandra Newman in her Dissenting Opinion in the prior case of Warrick v. Pro Cor Ambulance, 739 A.2d 127, 129 (Pa. 1999) (Newman, J. dissenting).
Justice Newman recognized in that dissenting opinion that the operation of a vehicle “reflects a continuum of activity,” which entails “a series of decisions and actions, taken together, which transport the individual from one place to another. The decisions of where and whether to park, where and whether to turn, whether to engage brake lights, whether to use appropriate signals, whether to turn lights on or off, and the like, are all part of the ‘operation’ of a vehicle.”
The Pennsylvania Supreme Court in Balentine adopted Justice Newman’s definition, and found that definition to represent a reasonable standard that comports with the intent of the legislature behind the Tort Claims Act and avoids what the current majority of Pennsylvania Supreme Court Justices on this issue deemed to be illogical results over the past 30 years of precedent that flowed from the prior emphasis on the need for motion in the previous cases.
What Else May be Taken Out?
The current members of the Pennsylvania Supreme Court have made it clear in no uncertain terms that they are not afraid to reverse long-standing precedent where they deem that to be warranted under the current times.
It remains to be seen how this court may address other important areas of civil litigation law that work their way up the appellate ladder to its courtroom for review. With continually emerging issues in post-Koken auto accident litigation and the continuing debate over proper standards for Pennsylvania products liability litigation, the Pennsylvania Supreme Court’s review of its cases is sure to remain interesting to both the bench and the bar.
Daniel E. Cumminsis a partner with the Scranton law firm of Foley, Comerford & Cummins. He focuses his practice on the defense of auto accident, premises liability and products liability matters. His Tort Talk Blog can be viewed at www.TortTalk.com. [It is noted that a typo that appeared in the print publication has been corrected here].
In the case of Hawkins
v. Switchback Mx., No. 2:16-CV-1719 (W.D. Pa. Sept. 12, 2018 Connor, J.), the
court granted summary judgment in favor of a Defendant after ruling, by
statute, that an operator of an off-road vehicle riding area has no duty to
protect the riders from the well-known risks inherent to the activity, such as
collisions and falls. According to the Opinion, the Plaintiff injured himself when he made an unsuccessful jump on his dirt bike on an indoor track. The Plaintiff was noted to have a decade of experience.
This court also affirmed the continuing validity of the
assumption of risk doctrine by finding that the Plaintiff’s participation in
this sport constituted an assumption of the risks involved as a matter of
law.
The court noted that the Plaintiff in this matter was
experienced in the sport of dirt bike racing and was well aware that such
activity had a risk of serious injury or death.The court additionally reaffirmed the rule that a minor is capable of
assuming the risk of a dangerous activity in certain circumstances.
Anyone wishing to review a copy of this decision may click
this LINK. The Court's Order in the case can be viewed HERE.
I send thanks to Attorney James M. Beck, of the Philadelphia
office of the Reed Smith law firm and the writer of the excellent Drug and
Device Law blog for bringing this case to my attention.
In the case of Scott-Moncieff
v. Lost Trails, LLC, 3:16-CV-1105 (M.D. Pa. Aug. 29, 2018 Mehalchick, Mag.
J.), Federal Middle District Magistrate Judge Karoline Mehalchick granted
summary judgment in favor of the Defendant on the basis of a Release signed by
the Plaintiff prior to engaging in off-road riding activities.
The court found that the Plaintiff’s Release or Waiver,
which was signed before engaging in the off-road riding, was valid and served
to preclude the Plaintiff’s cause of action.
The court found that, since the activities involved were
purely private, the Release did not contravene any public policy interest.The court additionally noted that Releases
involved in voluntary sporting an recreational activities are not contracts of
adhesion.
The court
additionally noted that, even though the Plaintiff did not sign a waiver on the
date of the injury, the Plaintiff had previously signed a waiver while using
the same facility, and that waiver was clearly and unequivocally binding for
“all time thereafter.”
Judge Karoline Mehalchick
U.S. M.D.Pa. M.J.
Judge Mehalchick additionally reaffirmed the general rule of
law that a person signing a contract has a duty toread it and that, absent fraud, failure to
read a signed contract is no defense.
The court additionally found that conspicuousness was not a
requirement for the validity of the document that the Plaintiff was actually
required to sign.Judge Mehalchick
found that, in any event, the language at issue in the Release was indeed
conspicuous in the court’s determination.
Anyone wishing to review a copy of this decision may click
this LINK.
I send thanks to Attorney James M. Beck, of the Philadelphia
office of the Reed Smith law firm and the writer of the excellent Drug and
Device Law blog for bringing this case to my attention.
In the Western District Federal Court case of Chandeler v. L’Oreal USA, Inc., 2:17-CV-01141 (W.D. Pa. Sept. 14, 2018 Fisher, J.), the court reaffirmed several important
principles of products liability law.
In the end, the court granted summary judgment in favor of the Defendant
on the basic rationale that the Plaintiff had failed to prove that the product was defective, which is fatal to claims for strict liability, negligence,
breach of warranty, and violations of the Unfair Trade Practices & Consumer
Protection Law.
The court
additionally noted that the Defendant’s warnings on the product warned about
the type of injury the Plaintiff suffered. The court also stated that the record before it established that the
Plaintiff failed to read the warnings.Moreover, to the extent that the Plaintiff may have allegedly read the warnings,
the evidence was that she ignored the warnings.
According to the Opinion, this case involved
the Plaintiff's use of an at-home hair relaxer product manufactured by the defendant.
Among the notable rulings of the court were the following:
-It is the
judge who determines whether warnings are adequate and whether the product is
defective for an inadequate warning.
-Negligence
and strict liability claims overlap in warning claims.
-A
manufacturing defect can be established directly or by circumstantial evidence.
-Circumstantial
proof of a product malfunction must rule out any abnormal use of secondary causes of the injury.
-Implied
warranty claims and manufacturing defect claims are essentially the same.
-To establish
an implied warranty, the Plaintiff must prove a product defect.
-Where a
Plaintiff does not retain any of the product at issue, that Plaintiff cannot
provea
manufacturing defect directly and must, instead, attempt to rely upon
circumstantial evidence.
-A failure
of a Plaintiff to follow warnings is fatal to a malfunction theory case.
-Claims for
misrepresentation and the UPTCPL claims can fail for lack of justifiable reliance by
the Plaintiff, i.e., these claims may fail where a Plaintiff does not read or rely upon
any alleged misrepresentations with respect to the product.
Anyone wishing to review a copy of this decision may click
this LINK.
I send thanks to Attorney James M. Beck, of the Philadelphia
office of the Reed Smith law firm and the writer of the excellent Drug and
Device Law blog for bringing this case to my attention and providing his above
analysis of the same.
According to an October 18, 2018
article in the Pennsylvania Law Weekly
by Zack Needles entitled "Pa. Supreme Court Takes 3rd Circ.'s Question on
Auto Insurers' Medical Exam Policies," the Pennsylvania Supreme Court has
agreed to review the question certified over by the Third Circuit Court of
Appeals of whether an insurer can mandate that claimants undergo an
unlimited number of medical exams by a doctor of the carrier’s choosing before they
can receive benefits.
The article notes that the
Pennsylvania Supreme Court issued identical October 15, 2018 Orders in both Sayles
v. Allstate Insurance and Scott v. Travelers Commercial
Insurance, granting the Third Circuit’s petition for certification of a
question of law.
The certified question is, as follows: “Whether, under Pennsylvania law, a contractual provision
in a motor vehicle insurance policy that requires an insured to submit to an
independent medical examination by a physician selected by the insurer, when
and as often as the insurer may reasonably require, as a condition precedent to
the payment of first-party medical benefits under that policy, conflicts with
the Motor Vehicle Financial Responsibility Law, 75 Pa.C.S. Section 1796(a), and
is therefore void as against public policy.”
Commentary: It appears that at least one of the arguments by the Plaintiffs in these cases is that an automobile insurance carrier should not be able to send its insured to an IME or multiple IMEs as a matter of course as allowed by the policy language where the Pennsylvania Rules of Civil Procedure only allow for IMEs when good cause is shown. See Pa.R.C.P. 4010.
In reality and as a practical matter, it is a rare occurrence that an auto insurance carrier will subject its insureds to multiple IMEs. In some cases, where a Plaintiff has separate types of injuries for which he or she has treated with separate specialists, then a carrier may request separate IMEs with doctors in those same types of specialties. But carriers are not in the habit of sending its insureds to multiple IMEs as a matter of course.
Therefore, it is curious that the Pennsylvania Supreme Court would accept this issue for review where a decision on this question presented is not likely to have any great effect as a practical matter.
According to an October 16, 2018 Pennsylvania Law Weekly article by Max Mitchell entitled "Pa.
Supreme Court Rejects New Bid to Lift Statutory Damages Cap, the Pennsylvania
Supreme Court recently rejected efforts by the plaintiffs to overturn the $250,000
statutory damages cap that protects governmental state agencies.
On October 15, 2018, the Pennsylvania Supreme Court issued
one-paged per curiam Orders in Freilich v. SEPTA and Schaller v. New Flyer of America denying
requests by plaintiffs to have the Court review the issue under its King's
Bench jurisdiction.
The one line Freilich Order can be viewed HERE. The one line Schaller Order can be viewed HERE.
In the case of Neidich
v. Progressive Advanced Ins. Co., No. 17-5375 (E.D. Pa. Aug. 22, 2018
Padova, J.), the court granted, in part, a Plaintiff’s Motion to Compel
production of certain entries from the Defendant’s carrier’s claim file that
the Defendant had maintained were protected by the attorney work product
doctrine.This case arose out of an automobile accident claim pertaining to a first party wage loss dispute.
During the course of discovery, the Defendant carrier
refused to produce certain materials from its insurance claims file, asserting
that the materials were protected by the attorney work product doctrine.In particular, at issue in this case were
the mental impressions and opinions of the claims representative and the
carrier’s reserve information.The
court was provided redacted and unredacted copies of the claims file, along
with a privilege log, for an in-camera review of the file.
The court reviewed the parameters of the work product
doctrine as set forth under F. R.C.P. 26(b)(3).Noted that the “temporal trigger for work
product protection in this context is the ‘point in its investigation [when] an
insurance company’s activity shifts from mere claims evaluation to an
anticipation of litigation’.”See
Op. at 3 [citations omitted].
The court
more specifically stated that the party asserting work product protection must
demonstrate that it subjectively anticipated litigation, and that the
anticipation was objectively reasonable. Id.
[citations omitted].
One issue in this case was point at which it could be considered that
the carrier reasonably anticipated litigation.
In this matter, the carrier stated that it reasonably anticipated
litigation when Plaintiff’s counsel contacted the carrier seeking “to discuss
and avoid litigation.”The carrier
asserted that the disputed entries in the claims file made after that event
should be protected by the work product privilege.
However, the court in this matter stated
that, a lawyer’s mere suggestion of a lawsuit is not enough to make a carrier
reasonably anticipate litigation when the carrier’s evaluation of the claims is
ongoing.The court pointed to a case
indicating that an insured’s attorney’s threat to file suit did not serve as
the trigger for the work product doctrine.As such, this argument by the carrier was rejected by this court.
The carrier also argued, in the alternative, that the court
should, at a minimum, extend a work product protection to the carrier’s reserve
information.The court in this matter
rejected the carrier’s contention that reserves are to be treated as work
product on a per se basis.Accordingly,
the court rejected the carrier’s argument that insurance reserves are always
prepared in anticipation of litigation and are therefore alwaysprotected as work product.
In this matter, the court ultimately concluded that the carrier had
failed to provide relative factual support for its position that the disputed
materials concerning reserve information in this particular case were prepared
in anticipation of litigation.As such, the Plaintiff’s Motion to Compel was granted.
Anyone wishing to review a copy of this decision may click
this LINK. The Court's Order can be viewed HERE.
I send thanks to Attorney Lee Applebaum of the Philadelphia,
Pennsylvania law office of Fineman, Krekstein & Harris and writer of the
excellent Pennsylvania and New Jersey Insurance Bad Faith Case Law blog, for
bringing this case to my attention.
In the medical malpractice case of Leo v. Geisinger Community Medical Center, No. 17-CV-5805 (C.P.
Lacka. Co. Oct. Sept. 25, 2018 Nealon, J.), the court granted Plaintiff relief
from non pros judgments pursuant to
Pa.R.C.P. 3051, pertaining to Certificates of Merit.
According to the Opinion, this medical malpractice action
arose out of allegations pertaining to thyroid surgery and treatment.
The Plaintiff’s Complaint asserted various malpractice
claims and attached a report authored by the Defendant surgeon which arguably
contained admissions regarding the alleged surgical and pathological
errors.
The Plaintiff filed Certificates of Merit as to each
Defendant but inadvertently failed to check the appropriate boxes on the form
to indicate that the Plaintiff possessed expert support for the negligence and
vicarious liability claims or, in the alternative, was proceeding based upon
the theory of res ipsa loquitur.
The Defendants filed Judgments of Non Pros pursuant to Pa.R.C.P. 1042.7 based upon the Plaintiff’s
alleged failure to satisfy the Certificate of Merit requirement contained in
Pa.R.C.P. 1042.3.
When the Plaintiff filed a Petition for Relief from the Non
Pros Judgments, the Clerk of Judicial Records struck those judgments. The
Defendants responded with the motion at issue seeking to strike the Plaintiff’s
Petition and reinstate the non pros judgments.
After reviewing the law pertaining to relief from non pros judgments, the court noted that
the Plaintiff had timely filed the Petition for Relief within nine (9) days of
entries of the judgment and the parties’ submissions confirmed that the initial
failure to check the indicated boxes on the Certificates of Merit forms was
attributed to an oversight or mistake by the secretary for Plaintiff’s counsel
during Plaintiff’s counsel’s period of medical incapacity and convalescence.
The court also noted
that, in addition to furnishing a reasonable explanation for the original
default, which was subsequently cured by the filing of corrected Certificates
of Merit, the Plaintiff had also provided factual support for concluding that
her claims against the Defendants were supported by expert testimony and were
potentially meritorious in any event.
Judge Nealon further ruled that, since the defense counsel and
the carriers were apprised by the Plaintiff’s theories of liability and the
identity of her expert witness prior to the filing of the Plaintiff’s flawed
Certificates of Merit, there was no prejudice to the Defendants by virtue of
the Plaintiff’s belated filing of a fully compliant Certificate of Merit. Judge Nealon therefore reasoned that Rule 1042.3’s purpose
of eliminating meritless malpractice suits at their inception would not be
frustrated by allowing this litigation to proceed.
Accordingly, the court found the Plaintiff was indeed
entitled to relief from the nonpros judgments pursuant to Pa.R.C.P. 3051. Consequently, the Defendants’ Motion to
Strike the Plaintiff’s Petition for Relief and to Re-enter the Non Pros
Judgments was denied.
Anyone wishing to review this Opinion may click this LINK.
On November 8, 2018, Daniel E. Cummins of the Scranton law firm of Foley, Comerford & Cummins along with Attorney Paul Oven of the Moosic, PA law firm of Dougherty, Leventhal & Price, will be presenting a CLE seminar entitled "The Law is Like a Box of Chocolates: A Forrest Gump Themed Civil Litigation Update" at the Luzerne County Bench Bar Conference at the Mohegan Sun Casino in Wilkes-Barre, PA.
Video clips of famous quotes from the movie Forrest Gump will be used in an effort to make the civil litigation update an entertaining hour for the attendees.
Hope to see you there.
We thank Attorney Jamie Anzalone, the Chair of the Luzerne County Bench Bar Committee and partner of the Anzalone Law Firm for this opportunity to present.
We also thank Joe Cardoni of Exhibit A for assisting us in putting the Powerpoint Presentation together and for be willing to assist us with the playback at the seminar.
One of the best ways to keep your files moving is to answer the regular mail that comes in on the day that it comes in -- as you open your mail, dictate a letter or email in response to the mailing or to the client with a status update.
Give any mailings that provide notice of appointments for your calendar to your assistant with the rule being that the assistant must mark it down on the calendar the same day as opposed to being able to put it aside to do later.
When you run through your mail right away, it's done. And the case is one step, however small, moved forward and closer to its eventual conclusion, whatever that may be.
As Ben Franklin once said, "Don't put off until tomorrow what you can do today."
In the case of Ehler
v. Old Dominion Freight Line, No. 2018 -00307 (C.P. Lebanon Co. Aug. 30, 2018
Charles, J.), the court denied Preliminary Objections filed by a trucking
Defendant against claims of recklessness and punitive damages based upon
allegations that the commercial truck driver was allegedly using a cell phone
at the time of the accident.
This matter arose out of a multi-vehicle accident involving
64 vehicles under wintry conditions on a highway.
After reviewing the general law pertaining to punitive
damages, the court also pointed to Pennsylvania’s Distracted Driving Law, 75
Pa. C.S.A. §1622, which prohibited commercial drivers from utilizing hand held
mobile devices while driving, except in emergency situations.
The court otherwise noted that a review of case law from
Pennsylvania and other jurisdiction did not provide a clear consensus as to
whether the use of a cell phone while driving, in and of itself, constituted
recklessness.
However, the court noted that, under the facts before it,
driving a commercial truck while using a cell phone was a violation of state
law.
The court additionally noted that the weather involved white
out conditions at the time of the accident.The court included this factor in determining that the Preliminary
Objections should be denied on claims of recklessness in terms of using a cell phone while driving a commercial vehicle in white out conditions.
Although the court denied the Preliminary Objections, it
noted that the issue could be subject to further review once discovery was
completed on issues presented.
Anyone wishing to review a copy of this decision may click
this LINK.
Source: “Digest of
Recent Opinions.”Pennsylvania Law Weekly (October 2, 2018).
In his recent decision in the case of Smerdon v. GEICO, No. 4:16-cv-02122 (M.D. Pa. Sept. 21, 2018 Brann,
J.), the court granted in part and denied in part a Motion for Summary Judgment
filed by Defendant GEICO, and granted a Motion for Partial Summary Judgment by
the Plaintiffs in a Post-Koken uninsured motorist matter.
According to the Opinion, the Plaintiff was shopping at a
Wal-Mart in Mansfield, Tioga County, Pennsylvania when a robber demanded cash
from a customer service employee.The
Plaintiff and several others chased the robber out into the parking lot and
towards the robber’s car, which the robber had left running.
While these individuals scuffled with the robber, the
Plaintiff entered the passenger side of the vehicle and attempted to remove the
keys from the ignition.The robber put
the vehicle in drive, stepped on the gas, and the Plaintiff was injured by the
vehicle as a result.
As the robber had no car insurance, the Plaintiff pursued an
uninsured motorist claim against GEICO.
Under the GEICO uninsured motorist provisions of the policy, it was provided
that the Plaintiff must prove that she was “legally entitled to recover” from the operator of
an uninsured motor vehicle in order to recover UM benefits.
The
Plaintiff filed a Complaint against GEICO alleging breach of contract and bad
faith.Under the breach of contract
claim, the Plaintiff sought a declaratory judgment requiring GEICO to cover her
for uninsured motorist coverage.The
Plaintiff filed a bad faith count seeking damages, arguing that GEICO’s
handling of her claim amounted to bad faith under 42 Pa. C.S.A. §8371.
A main issue before the court was whether
the assumption of risk doctrine operated as a total bar to the Plaintiff’s
recovery such that she was not "legally entitled to recover" against the uninsured operator of the vehicle that injured her.
Judge Matthew W. Brann
M.D. Pa.
In his Opinion, Judge Brann reaffirmed the continuing
validity of the assumption of risk defense under Pennsylvania law.The court noted that, “[a]lthough disfavored
and narrowly applied, assumption of the risk remains a viable affirmative
defense under Pennsylvania law.”See Op. at p. 7 [citations omitted].
Notably, the court
additionally confirmed that summary judgment can be granted on the assumption
of risk doctrine as a matter of law.Id.
In this regard, Judge Brann stated that, “to grant summary judgment on
assumption of the risk as a matter of law, the court must – conclusively and
beyond question – find that the Plaintiff was subjectively aware of a specific
risk, voluntarily accepted it and acted in spite of that risk, and suffered
harm contemplated by that specific risk.”Id.citing
with “See, e.g.” signal, Zeidman v. Fisher, 980 A.2d 637, 641, Pa. Super. 2009).
Here, the court denied GEICO’s motion and granted the
Plaintiff’s motion on the assumption of risk issue.In this regard, Judge Brann found that there
were no facts that demonstrated that the Plaintiff was aware of the particular
danger from which she was ultimately injured.
More specifically, there were no facts to establish that the
Plaintiff was specifically aware of the risks that the robber would run her
over with his vehicle or otherwise cause her to fall down and strike her head
on the pavement.
The Court noted that
awareness of a general risk of harm does not amount to an awareness of a
specific risk as required by the assumption of risk doctrine.
The court also held that, under the
assumption of risk doctrine, a court should look at what a Plaintiff actually
knew, appreciated, and assumed in terms of the risks, rather than what a
Plaintiff should have known under the circumstances.Here, the court found that there were no
facts to demonstrate that the Plaintiff was subjectively aware of the danger
that would eventually befall her.
Judge Brann also found that there were no circumstances
where the risk of harm was so obvious with this case in that the Plaintiff
implied relieved the robber from exercising due care for the Plaintiff’s
safety.
Accordingly, based upon the
above factors, the court concluded that the assumption of risk doctrine did not
serve to bar the Plaintiff’s claims.
The court also added that, to the extent that GEICO
questions the reasonableness of the Plaintiff’s actions at trial, that is an
inquiry that should be resolved through comparative negligence principles and
not assumption of the risk principles.The court noted that whether the Plaintiff acted reasonably under the
circumstances remains an issue for the jury to decide.
On the separate bad faith claim, GEICO asserted that it did
not act in bad faith because it had a reasonable basis to assert the assumption
of the risk doctrine as an affirmative defense and given that GEICO did not
unreasonably delay the matter in evaluating the case presented.
After reviewing the law of bad faith under §8371, Judge
Brann held that the Plaintiff cannot sustain her burden of proof on the bad
faith claim.The court found that GEICO
had a reasonable basis to question coverage because the assumption of risk
doctrine remains a valid defense under Pennsylvania law.
The Court found that the fact that GEICO ultimately erroneously
relied upon that doctrine in this case, did not advance the Plaintiff’s bad
faith claim because the presence or absence of bad faith does not turn on the
legal correctness of the basis for a carrier’s denial of an insured’s
claim.
The court additionally noted
that, even if it was assumed that GEICO lacked a reasonable basis to rely upon
the assumption of risk doctrine as an affirmative defense, the Plaintiff still
failed to present clear and convincing evidence that GEICO knew or recklessly
disregarded that lack of a reasonable basis as required by bad faith
liability.
Judge Brann reiterated that,
under the bad faith statute, the Plaintiff’s burden of proof is “substantial:
‘Bad faith must be proven by clear and convincing evidence and not merely
insinuated.This heightened standard
requires evidence so clear, direct, weighty, and convincing as to enable a
clear conviction, without hesitation, about whether or not the Defendants acted
in bad faith.’”[citations omitted].
The
courtadditionally found that the
Plaintiff could not show that GEICO unreasonably delayed in the handling of her
claim as the parties communicated with each other over several months in an
effort to resolve the case.Judge Brann also noted that, by the time the Plaintiff filed her Complaint, she had still not
produced certain documentation, including the police report, requested by the
carrier.As such, the court found that
any delay incurred in GEICO’s resolution of Plaintiff’s claims cannot be
construed as unreasonable.
In the end, the court noted that, because no reasonable jury
could find in the Plaintiff’s favor, GEICO’s Motion for Summary Judgment on the
bad faith claim was granted.
Anyone wishing to review a copy of this decision may click
this LINK. Here is a LINK to the companion Order of Court.
In the legal malpractice case of Perez v. Mathis, et.al., No. 1769 - CV - 2018 (C.P. Monroe Co. Sept. 6, 2018 Williamson, J.), the court
addressed an issue of first impression in Pennsylvania with regards to whether
a claim for punitive damages should be allowed to proceed in these types of
actions.
The court noted that there was a considerable split of
authority on how punitive damages are treated for purposes of professional
negligence actions when reviewing cases from around the United States.
The court noted that several states hold that punitive
damages are meant to be a deterrent and a punishment for wrongdoing, which
cannot be accomplished when they are assessed against anyone other than the
original wrongdoer.
Other courts
emphasize the need to place the innocent client in the same position as he
would have been absent the attorney’s negligence.
In the end, the court allowed the Plaintiff
to proceed on the claim for the lost punitive damages in the underlying bad faith claim as compensable damages in this legal malpractice
suit. The court ruled in this fashion as the Plaintiff was successful in the underlying lawsuit with
substitute counsel and may have recovered punitive damages from the bad faith claim in that suit
but for the original attorney’s alleged negligence in withdrawing the bad faith
claim.
More specifically, the Plaintiff had retained his original
attorneys to pursue a lawsuit against Liberty Mutual Insurance Company.The Plaintiff alleged that, over his
objection, his original attorneys agreed to enter a stipulation to dismiss
portions of the Plaintiff’s federal Complaint, including the claim for bad
faith.The Plaintiff alleged that the
attorneys did so without his knowledge and indirect opposition to his expressed
wishes.
The Plaintiff eventually hired substitute counsel and
ultimately secured a judgment against the insurance carrier on the remaining
claims.
In this follow-up legal malpractice case, the Plaintiff was additionally allowed to proceed on a specific claim for punitive damages against the Defendant law
firm. The court denied the Preliminary Objections against the claim for punitive damages.
The court found that punitive damages in the legal malpractice action were potentially warranted where the Plaintiff asserted that the attorney recklessly went against his wishes in the underlying action. The court noted that a jury could potentially find that such acts or omissions by the Defendant law firm were outrageous. As such, that claim was allowed to proceed.
Anyone wishing to review a copy of this decision may click
this LINK.
Source: “Digest of
Recent Opinions.”Pennsylvania Law Weekly (October 2, 2018).
Should you need an attorney to serve as an expert witness in your legal malpractice case, either on the plaintiff's side or the defense side, please do not hesitate to contact me at dancummins@CumminsLaw.net or at 570-319-5899.
In the case of Pearce
v. Mizuho Bank Ltd., No. 18-306 (E.D. Pa. Aug. 27, 2018 Kelly, J.), the
court granted a Defendant’s Motion to Dismiss for lack of personal
jurisdiction.
In so ruling, the court stated that an overseas company
cannot be “at home” in Pennsylvania sufficient to support allegations of
general personal jurisdiction over that Defendant.
The court additionally held that the fact that a subsidiary
of the company had a branch office in Pennsylvania is not sufficient to impose
jurisdiction.The court noted that, in
this case, the subsidiaries activities were not in any way related to the
allegations raised in the lawsuit.
The court also stated that the record that did not show that
the overseas Defendant had engaged in any Pennsylvania-specific
activities.With this particular
Defendant, its treatment of its customers did not depend upon their
location.
The court also reaffirmed the rule that an alleged failure
to act does not constitute an activity in any jurisdiction.
The court also noted that the Plaintiff in this matter had
no direct transactions with the proposed Defendant.
Nor were there any Pennsylvania-centered activities by the
Defendant against which to apply the “arise from”/”relate to” test.
The court also stated that there was no evidence that the
Defendant had any knowledge of the Plaintiff being located in Pennsylvania.
As such, the Motion to Dismiss for lack of personal
jurisdiction was granted.
Anyone wishing to review a copy of this decision may click
this LINK. The Court's Order can be viewed HERE
I send thanks to Attorney James M. Beck, of the Philadelphia
office of the Reed Smith law firm and the writer of the excellent Drug and
Device Law blog for bringing this case to my attention.
The Opinion of Judge Thomas F. Burke, Jr. in the case of Feist v. Andes, No. 2013-2678 (C.P. Luz. Co. July 19, 2017 Burke,
J.), a decision from over a year ago, was recently published in the Luzerne
Legal Register.
In this decision, Judge Thomas F. Burke, Jr., of the Luzerne County Court of
Common Pleas granted a carrier’s Motion for Summary Judgment case where the
Plaintiffs asserted that their insurance carrier and agent refused to provide
them with the increase UIM coverage they had requested before one of the
Plaintiff was involved in a motor vehicle accident.
Judge Thomas F. Burke, Jr. Luzerne County
The Plaintiffs alleged that they had met with the insurance
agent on two (2) separate occasions and had requested increase UIM coverage at
each meeting but were not granted the same by the insurance agent. The Plaintiffs asserted that the insurance agent allegedly
attempted to talk them out of such increase coverage and/or did not provide
them with such coverage.
The court emphasized that the Plaintiff’s knew at the
end of their meetings with the agent that they did not secure that
increased coverage. The court also noted that the Plaintiffs admitted that they
were aware that they could have sought out another insurance agent or another
insurance company but did not do so.
The Plaintiffs sued the insurance agent and the carrier
under counts of negligence, breach of fiduciary duty and/or duty of loyalty,
and breach of a duty of good faith and fair dealing.
The court granted summary judgment on each of these theories
of liability. On the negligence theory,
the court found that, as a general rule of law in Pennsylvania, insurance
agents have no common-law duty to their customers unless the insurance agent
receives consideration for his services apart from the premium which is paid by
the customer for the insurance policy itself, or whether the agent acts as an
insurance counselor through an extensive and complex course of dealings with
regards to the client’s business matters.
The court reiterated that even accepting the facts noted above as
being true, the Plaintiffs knew when the left the meeting with the insurance
agent that they had not been granted increased coverages and that they likewise knew
that they could have switched to a different insurance agent and/or
carrier.
Applying the principles of
negligence law, the court was unwilling to find that an exception to the general
rule of law that insurance agents have no common law duty to their customers
existed in this case.
Given this ruling on the negligence claim against the
insurance agent, the court also entered judgment in favor of the carrier on the
claim that the carrier owed a duty to the Plaintiff under the doctrine of
respondeat superior. The court also
noted that there is no independent cause of action for respondeat superior
liability under Pennsylvania law.
The court additionally entered summary judgment in favor of
the agent and the carrier on the claim of a breach of fiduciary duty and/or
duty of loyalty.
Judge Burke noted that, under Pennsylvania law, the purchase
of an insurance policy is considered to be an “arm’s length” transaction, in
which the carrier owes no fiduciary duty apart from the terms defined in the
insurance contact.
The court also noted
that, generally, the relationship between an insurance agent and a customer
cannot be characterized as a fiduciary relationship, except in limited
circumstances in which the policyholder has authorized the insurance agent to
make decisions on behalf of the policyholder.
Such was not the case in this matter based upon the court’s
review of the facts. Judge Burke found
that the record was devoid of any evidence that would show that the Plaintiff
had relinquished their decision-making authority to the insurance agent or that
the insurance agent had an “over-mastering” influence over the Plaintiffs.
In this regard, the court noted that both Plaintiffs
indicated that they had business knowledge with regards to purchasing
automobile and homeowner’s insurance over the years. Both Plaintiffs also acknowledged that they
had consulted with and received legal advice from an attorney about increasing
their coverage limits. As such, the
court found that the Plaintiffs were not relying upon the insurance agent’s
advice, but rather, were relying upon their own knowledge as well as the advice
of their attorney.
The court ruled in this case that the Plaintiff did not rely
upon any purported statement by the insurance agent that they had sufficient
UM/UIM coverage limits. Rather, the
Plaintiffs testified that they did not agree with the insurance agent’s
assessment in this regard and had every intention of increasing their limits at
some future time.
The court emphasized the Plaintiffs nevertheless continued to renew
their insurance policies during the ten (10) month time period leading up to
the accident by paying the premiums by being completed away as to the current
status of their limits.
Lastly, the court also granted summary judgment in favor of
the carrier on the Plaintiffs’ claim of a breach of a duty of good faith in
fair dealing. In so ruling, the court
found that there was no evidence of any contract between the Plaintiffs and the
Defendant insurance agent. The court
noted that the breach of a duty of good faith and fair dealing are intertwined
and arise out of contract law.
Given that there is no contract with the insurance agent,
the court entered summary judgment in favor of the insurance agent on these claims. The court additionally entered summary
judgment in favor of the carrier as the Plaintiffs attempted to latch this
theory on the carrier by way of a theory of respondeat superior. The court noted that, since there is no
contract found between the Plaintiffs and the insurance agent, there could no
liability on the part of the carrier as well under a respondeat superior theory of liability.
Overall, the court entered summary judgment on all of the
claims presented.
At the end of this Opinion is an Editor’s note indicating that the Pennsylvania Superior
Court affirmed Judge Burke’s decision by way of an August 21, 2018
non-precedential decision under docket number 1326 MDA 2017 (Pa. Super. Aug.
21, 2018).
Anyone wishing to review a copy of this case may click this LINK.