In
the case of Amica Mut. Ins. Co. v. Das,
No. 18-CV-1613 (E.D. Pa. May 8, 2019 Jones, II, J.), the court granted a Motion
to Dismiss a UIM bad faith claim and punitive damages claim with prejudice
after a Plaintiff failed at a second attempt to properly pled such a claim
after having been given the right to amend.
The
court emphasized that “a bad faith claim is ‘fact specific’ and depends upon
the insure[r]’s conduct in connection with handling and evaluating a specific
claim.” The court noted that a party
bringing the bad faith claim under 42 Pa. C.S.A. §8371, has the burden to
“describe who, what, where, when, and how the alleged bad faith conduct
occurred.”
According
to the Opinion, the Plaintiff added additional allegations in the second
attempt to pursue a bad faith claim, including averments that the testimony and
information provided by the Plaintiff “clearly demonstrates…that her damages
are far in excess of the UIM coverage amount.”
The Plaintiff also added additional allegations that, despite knowledge that
the insured was covered under the policy and that her damages were far in
excess of the UIM coverage amount, the carrier refused to honor its obligations
under the insurance agreement for the bad faith purpose of seeking to evade
their obligations to the Plaintiff under the insurance contract.
The
court observed that these allegations lacked the dates of any of the alleged
actions and also noted that the Plaintiffs failed to explain, in detail, what
was unfair about the carrier’s interpretations of the policy provisions.
In
its Opinion, the court affirmed the principle that, absent specific details
that establish a dishonest purpose, it is not bad faith for a carrier to
investigate and protect its own interests during litigation.
The
court additionally noted that the failure of an insurance company to
immediately concede to a demand for the policy limits is not, without specific
facts, enough to establish a claim for bad faith.
Finding
that the Plaintiff’s additional allegations in the second amended pleading were
conclusory, the court granted the Motion to Dismiss.
Anyone
wishing to review a copy of this decision may click this LINK.
I send thanks to Attorney Lee Appelbaum of the Philadelphia law firm of Fineman, Krekstein & Harris for bringing this case to my attention. Check out his excellent Pennsylvania and New Jersey Insurance Bad Faith Case Law Blog.
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