Friday, October 4, 2024

Excellent Overview on the Law on the Validity of Household Exclusion Provided by Third Circuit


In the case of Mid-Century Ins. Co. v. Werley, No. 23-1822 (3d. Cir. Sept. 5, 2024 Krause, J., Chung, J., and Randell J.) (Op. by Rendell, J.), the Third Circuit Court of Appeals upheld the application of a household exclusion in a UIM case.

In this Opinion, Judge Marjorie Rendell provides a thorough and excellent overview of the applicable law under Pennsylvania’s Motor Vehicle Financial Responsibility Law with regards to the availability of underinsured motor vehicle coverage and the process for rejecting the same and with regards to the stacking of such coverage.

In this case, a 15 year old Plaintiff, who did not have a driver’s license, was operating

 his family’s uninsured dirt bike offroad with several friends on private property. Another driver struck the Plaintiff while that other driver was driving a Jeep.

The driver of the Jeep paid out to the injured party the bodily injury limits available under that driver’s liability policy. The Plaintiff then sought UIM coverage under his parent’s own household automobile insurance policies. The family had two (2) such policies.

The court noted that intra-policy stacking had been validly rejected by the family. However, it was indicated that the family could not waive inter-policy stacking because one of the policies was a multi-vehicle policy that insured multiple vehicles.

The multi-vehicle policy contained a household vehicle exclusion. Under the family’s second household automobile insurance policy there was also a household exclusion but the carrier had determined that, under the separate and different language of that exclusion, that exclusion did not serve to exclude coverage.

As such, the carrier paid out UIM benefits under one of its policies but denied coverage under the second policy by virtue of the household exclusion.

In its Opinion, the Third Circuit provided a thorough overview of the recent Pennsylvania jurisprudence on the law of the validity of the household exclusion, including such cases as the Gallagher and Donovan cases in which there was a discussion regarding household exclusions, at times, acting as de facto stacking waivers and violations of 75 Pa. C.S.A. §1738.

The court noted that a crucial distinguishable fact involved in the case before it, as compared to the facts in the Gallagher and Donovan cases, was that, in the case before it, the injured party was driving an uninsured dirt bike whereas in the Gallagher and Donovan cases, the injured parties were operating insured motorcycles.

The Third Circuit additionally noted that the Pennsylvania Supreme Court has cautioned that the Gallagher case “should be construed narrowly.” [citations omitted] See Op. at 15. The Third Circuit predicted that the Pennsylvania Supreme Court would conclude that the collective logic of the previous cases of Gallagher, Donovan, Eichelman, and Mione is that a household vehicle exclusion is only valid if, (1) a policy insureds the vehicle involved in the accident, (2) that policy provides UIM coverage on that vehicle, and (3) the household vehicle exclusion of a second policy sought to stack on top of the first policy would exclude UIM coverage for that vehicle. See Op. at 20.

Since the first condition was not satisfied in this case, the court found that the household vehicle exclusion was valid and enforceable.

Anyone wishing to review a copy of this decision may click this LINK.


I send thanks to Attorney Candace Edgar of the Camphill, PA office of Marshall Dennehey for bringing this case to my attention.

Carrier Faulted For Improperly Denying Stacked UIM Coverage


In the case of McGuire v. Nationwide Affinity Ins. Co., No. 2:23-CV-1347-NR (W.D. Pa. Sept. 11, 2024 Ranjam, J.), the Western District Court addressed stacking issues relative to a UIM claim.

The parties agreed that the insured on the policy, who was the father of the injured party, had waived stacking coverage on that policy.

However, the injured party argued that the waiver at issue had applied to an earlier policy, and not the policy that he sought coverage under for the subject accident.

Nationwide disagreed and asserted that the operative policy was merely a “renewal” of the prior policy to which the stacking waiver already applied.

After comparing the two (2) policies, the court concluded that the operative policy of insurance was not a “renewal” policy.  Accordingly, the court granted Plaintiff’s Motion for Summary Judgment and held that Nationwide had breached its contract by denying stacking based on his father’s prior waiver.

Given that the Plaintiff had effectively withdrawn his bad faith claim, the court granted Nationwide’s Motion relative to that claim only.

Anyone wishing to review a copy of this decision may click this LINK.

I send thanks to Attorney Anthony Gianetti of the Pittsburgh office of Swartz Culleton, P.C., for bringing this case to my attention.

Thursday, October 3, 2024

Summary Judgment Granted Based on Open and Obvious Doctrine Regarding Accident Involving Pothole


In the case of Holmes v. 746 Union Development, LLC, No. 2021-C-1461 (C.P. Leh. Co. Sept. _ 2023 Cohen, J.), the various Defendants filed a Motion for Summary Judgment after the Plaintiff fell from her electronic personal mobility device/scooter when she hit a pothole while attempting to cross a street in Allentown.

The court granted the Defendant’s Motion filed by the Defendant City.  In his decision in this matter
Judge Zachary J. Cohen
Lehigh County



Judge Zachary J. Cohen of the Lehigh County Court of Common Pleas held that the Plaintiff could not recover as a matter of law where she admitted in her deposition testimony that she was not watching where she was going as she attempted to cross the street in her mobility scooter.

The court additionally noted that the record revealed that, if the Plaintiff had been watching where she was going, she would have seen and avoided the obvious pothole in the road.

Anyone wishing to review a copy of this decision may click this LINK.


Source: “The Legal Intelligencer Weekly Case Alert” www.Law.com (Aug. 29, 2024).

Summary Judgment Affirmed in Black Ice Case Where Plaintiff Could Not Confirm That She Was Caused To Fall By Ice



In a decision marked "Non-precedential" [Why mark any decision non-precedential?!] in the case of Bywater v. Conemugh Mem. Med. Ctr., No. 1072 WDA 2023 (Pa. Super. Aug. 5, 2024 Kunselman, J., Murray, J., and McLaughlin, J.) (Op. by Kunselman, J.), the Pennsylvania Superior Court addressed the liability of a Defendant landowner in a black ice case.

According to the Opinion, at the time of the incident, in a medical center’s parking lot, the Plaintiff slipped and fell against her car when she stepped out of her vehicle. The Plaintiff then perceived that her clothes were wet. However, at her deposition, she did not testify that she saw or felt any ice in the area where she allegedly slipped.

According to the Opinion, no precipitation had recently fallen. There was snow on the ground and the sidewalks were salted. Temperatures had remained below freezing during the week leading up to the incident.

The reproduced record before the Court revealed that, at her deposition, the Plaintiff stated that she looked around and “there was nothing there.” As to why she believed that ice was involved, the Plaintiff stated that, “...[b]ecause you can’t see black ice. Why else would I fall?”

The Superior Court affirmed the entry of summary judgment in favor of the Defendant landowner given that the case established that the Plaintiff only assumed that she slipped on ice, which she never actually saw or detected.

The appellate court also noted that there was no other witness to confirm whether or not any black ice was involved in the incident.

The Pennsylvania Superior Court in affirming summary judgment noted that, “[s]imply stated if [the Plaintiff] could not see the ice that she allegedly fell upon, neither could anyone working for the medical center. If the medical center’s staff could not see the ice, then the medical center neither knew nor should have known that a dangerous, icy condition existed in its parking lot on the morning [the Plaintiff’s] fall.”

Anyone wishing to review a copy of this decision may click this LINK.

I send thanks to Attorney Walt McClatchy of McClatchy Law in Philadelphia for bringing this case to my attention.

Source of image:  Photo by Egor Kamelev on www.pexels.com.

Wednesday, October 2, 2024

Medical Malpractice Plaintiff Must Show Systemic Negligence to Support a Corporate Negligence Claim in a Med Mal Case


In the non-precedential decision in the case of Wandell v. Robert Packer Hospital, No. 1532 MDA 2023 (Pa. Super. Aug. 7, 2024 Stevens, P.J.E., Olson, J., and Kunselman, J.)(Mem. Op. by Stevens, P.J.E.), the court affirmed the entry of summary judgment in favor of a Defendant hospital in a medical malpractice case.

The Superior Court noted that hospital corporate negligence is limited to instances in which a Plaintiff demonstrates systemic negligence.

The court additionally noted that, except in obvious cases that are within a layperson’s general understanding, a Plaintiff must present expert testimony establishing the generally accepted standard of care in a medical malpractice case along with the healthcare provider’s breach of duty.

More specifically with respect to this case, the court agreed with the trial court that the fact that a nurse left a room during the course of treatment did not automatically establish a hospital’s negligence. The court noted that medical issues regarding the standard of care and whether the nursing staff deviated from the standard of care required expert reports. 

In this case, the court noted that the Plaintiff had failed to offer any expert testimony relative to the applicable standard of care. As such, the entry of summary judgment by the trial court was affirmed.

Anyone wishing to review a copy of this decision may click this LINK.

I send thanks to Attorney James M. Beck of the Reed Smith law firm in Philadelphia for bringing this case to my attention.

Plaintiff's Med Mal Experts Permitted to Testify But Scope of Testimony Somewhat Curtailed


In the case of Rotella v. Community Medical Center, No. 2022-CV-3943 (C.P. Lacka. Co. Sept. 5, 2024 Nealon, J.), the court addressed motions seeking to preclude defense expert witnesses in a medical malpractice case.

According to the Opinion, the Plaintiffs filed a Motion In Limine seeking to preclude the testimony of various expert witnesses for the defense on several grounds.

First, the Plaintiff asserted that the experts do not satisfy the competency requirements as set forth in Section 512 of the Medical Care Availability and Reduction of Error (MCARE) Act, 40 Pa. C.S.A. §1303.512.

The Plaintiffs additionally asserted that the testimony of the multiple defense experts concerning causation was needlessly cumulative.

Third, the Plaintiff asserted that two (2) of the experts discussed irrelevant and unfairly prejudicial information in their Pre-Trial Reports regarding unrelated medical conditions.

After his review of the record before him, Judge Terrence R. Nealon of the Lackawanna County Court of Common Pleas ruled that, based upon the expert reports and the CVs submitted, the defense experts at issue were found to possess the necessary qualifications to address the medical causation issues.

Judge Nealon additionally found that the opinions of the various defense experts were from different medical specialties and distinct clinical perspectives and, as such, constituted corroborative, rather than needlessly cumulative evidence.

As to the third issue, Judge Nealon granted the Plaintiff’s Motion In Limine and found that, since the infectious disease care provided to the male Plaintiff was not a subject of the Plaintiffs’ negligence claims, the defense infectious disease expert would be precluded from offering opinions that the infectious disease treatment in the matter complied with the standard of care.

Judge Nealon additionally ruled that, given that the COVID-19 pandemic did not affect the care involved in this case or otherwise impact the applicable standard of care, the defense corporate liability expert would be barred from mentioning “hospitals across the country were be inundated with patients who were victims of the COVID pandemic” at the time of the male Plaintiff’s hospitalization.

Anyone wishing to review a copy of this decision may click this LINK.

Tuesday, October 1, 2024

IT'S THE HOME STRETCH -- BRING YOUR CASES TO A CLOSE WITH CUMMINS MEDIATION SERVICES

 Looking to Bring a Case to a Close?

IT'S THAT END-OF-THE-YEAR TIME 

TO GET CASES SETTLED


Open Dates Available - But Filling Quickly

Zoom or Live

Call or Email Today to Reserve Your Spot

570-319-5899

dancummins@cumminslaw.net

Over 90% Success Rate