In
the case of Bacon v. USAA Cas. Ins. Co.,
No. 1:18-CV-01686 (M.D. Pa. May 6, 2019 Kane, J.), the court addressed a motion
by a UIM carrier to dismiss certain portions of a bad faith Complaint as
immaterial and impertinent.
The
wrinkle in this case is that the carrier was making a more specific motion to
only strike portions of the UIM bad faith Complaint as being immaterial and
impertinent, as opposed to attempting to dismiss the entire Complaint.
In
this matter, the Plaintiff asserted that the carrier’s alleged refusal to pay
full medical benefits and asserted that this refusal lead to certain
consequences between the insured and third parties.
The
carrier focused its Motion to Dismiss on attempting to strike four (4) specific
paragraphs of the Complaint. The first
two (2) paragraphs at issue raised the carrier’s advertisement directed to
members of the military. The Plaintiff
alleged that, as a long-serving Army veteran, he relied upon these
representations and warranties in the ad.
The Plaintiff alleged that carrier breached these representations and
warranties.
The
court agreed to strike these two (2) paragraphs as being irrelevant on the
issue of whether the carrier breached its duties under the policy itself and/or
whether the carrier violated the bad faith statute.
The
court additionally found that the allegations pertaining to alleged warranties
were prejudicial in that such allegations could lead the jury to believe that
the carrier owed responsibilities to the Plaintiff outside of the scope of the
insurance policy at issue.
The
court refused to strike two (2) other paragraphs raised in the defense
motion. In one of these paragraphs, the
Plaintiff asserted allegations that the carrier had refused to pay a benefit
due. In that paragraph, there are also grievances that were directed by the
Plaintiff at third parties. The court found that the alleged refusal to pay the
Plaintiff benefits due was enough to preserve this paragraph even though the other
allegations pertaining the third parties may not have been actionable in this
particular matter.
With
regards to the final paragraph at issue, the Plaintiff had asserted that the
position taken by the carrier with respect to the payment of medical benefits
resulted in certain ramifications to the Plaintiff. The court noted that, while the paragraph had
some language that focused on possible future conduct, the allegations within
the paragraph alleged that the carrier had refused, in the past, to pay for
certain medical treatment. The court
felt that these allegations could bear some relationship to whether the Defendant breached
a duty under the policy or imposed by the bad faith statute.
Anyone
wishing to review a copy of this decision, may click this LINK
I
send thanks to Attorney Lee Applebaum of the Philadelphia law firm of Fineman,
Krekstein & Harris. Attorney
Applebaum is also the writer of the excellent Pennsylvania and New Jersey
Insurance Bad Faith Case Law blog.
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.