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Home My WebLink About98-06235 r i i ! , I l' o 4- 0J ~ .aJ ... U1 '. -7 i o @ ~. J: LD (I) n:s ~: ARGlJMENT COlJRT- AUGlJST 30,2000 !lEFORE HOFFER. HESS, Hnd OLER #2 Motion: Defendant's Preliminary Objections ..P~ ~\ z)~:;' "'O? z\ . ~ CIVIL ACTION- LAW ..<' ;:, . r r-'" V::) V"'~<- '\' '\ ~('? """ f> ~)IL ~./z~.... S \ 0 "v.- -\? ,\,~"I"" . Co LD/"'f~ ~ ~l\l" 0 \\'t.;-,~\"'" \,.... _ e.-6. . ..,>?,,, Plaintiff alleges that he was in an automobile accident on November 9, I 994 in Derry Township, Dauphin County, Pennsylvania. At that time, Plaintiff was insured by Defendant, Erie Insurance Company. On February 12, 1999, Plaintiff filed a Complaint against Defendant alleging that Defendant has not paid certain chiropractic bills nor lost wages. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Michacl L. Blouch. Plaintiff v. NO. 98-6235 CIVIL TERM Erie Insurance Group, Defendant Briefs: Brief of Defendant in Support of Preliminary Objections No brief filed by Plaintiff Facts: Arguments: Defendant argues that Plaintiff's Complaint should be stricken for failure to attach the underlying insurance policy, necessary to establish that Plaintiff was in fact entitled to receive wage loss benefits and required under Pa.R.C.P. 1019(h) and 1029(a)(4). Plaintiff has also failed to produce any records relating to chiropractic treatment. In the alternative, Defendant asserts that Plaintiff's claims for lost wages should be dismissed because they were not covered by the policy and that if they had been covered, there is a mandatory five day waiting period before wage loss applies and Plaintiff only missed three days of work. Plaintiff's claim for lost wages should be dismissed pursuant to Pa.R.C.P. 1028(a)(4). Defendant also argues that Plaintiff's claims for interest, attorney fees and costs should be dismissed because despite repeated requests, Plaintiff has failed to provide Defendant with any medical records from which Defendant could make a determination as to whether treatment was reasonable and necessary and payable under Plaintiff's policy. ~ (:)..: JUL J ;) 2000) \ lulln M I'Hpll'I~~. L~llllr,"' IJl'lllllh,lllllll t\ul11t\cr. 1:fl71 ~1ldl~k J lllllrp.l \qulr": hkn1L1"h;;llllllI ~urnhl'r 71117 Thonll\, lhllma\ & lfafrr.I.I.I' .10~ N Irolll Slrl'c! PC) 1I11\I}IN Ibrrl\huq:. P,\ 17InX.lI'J1l'} (7171=17.71~1 1\111'1IAEI. I.. BI.OUCII. Plaintiff II'; TilE C(JIIRT OF C(J~1~10N PLEAS Cl J~lIll;I(I.AND COUI';TY. PENNSYI.VAl'o:lA v. ERIE INSURANCE GROUP, [)ofondanl 1';0,; 98-62J5 CIVIL TI:R~I l'IV11. ACTION -LAW BRIEF OF DEFENDANT, ERIE INSURANCE COMPANY, IN SUPPORT OF PRELIMINARY OBJECTIONS I. PROCEDURAL AND FACTUAL lIISTORY PlaintiffMichacl L. Blouch ("Plaintiff') allcgcs hc was involvcd in a motor vchic!o accidcnt which occurrcd on or aboul Novcmbcr 9, 1994, on SR 743 in Dcrry Township. Dauphin County, Ponnsylvania. At the timc of thc allogod accidcnt, Plaintiff was insurcd by an automobilo insurancc policy issucd by Dcfendant Eric Insurancc Company ("Eric"). On or about February 12. 1999. Plaintifffilcd a Complaint allcging thai as a result ofthc Novembcr 9, 1994 accidcnt, Plaintiff sustainod bodily injury and sought medical attcntion and carc. See Plaintiffs Complaint, Paragraphs 3,5. Plaintiff furthcr alleges in his Complaint that Erie has not paid certain chiropractic bills and has not paid Plaintiffs lost wages. See Plaintiffs Complaint, Paragraph 6. Plaintiff provided Erie with an unlimited cxtcnsion of timc in which to Plaintiffs Complaint fails to attach thc undcrlying policy upon which Plaintiffs causc of filc n responsivc plcading to thc Complaint. action is bascd. Morcover, it is believed and thcrefore averred that Plaintiff did not havc wage loss covcrage with Erie and is theroforo not cntitlod to reccivc wagc loss benefits. Additionally, dcspitc numcrous rcqucSIS. Plaintiff has failed to producc any rccords or rcporls rolatinl; thc chiropractic trcatmcnt to thc accidcnt in qucstion. Thcroforo, Ddi:ndanl wa' (('rccll to lile Prcliminary Objcctions in an cffortlo movo this casc I(lrward. This brioI' is lib\ in suprort thcrcof. II, STATEMENT OF OllESTIONS INVOLVED A. SHOULD PLAINTIFF'S COMPLAINT BE STRICKEN FOR FAILlIIU: TO ATTACH THE UNDERLYING INSUHANCE l'OLleY'! [Suggcstcd Auswcr in thc Affirmativc[. Jl, IN TilE ALTERNATIVE, SIIOVLf) PLAINTIFF'S CLAI:\.I FOH LOST W AGES BE DISMISSED'! [Suggcstcd Answcr in thc Affirmativcl. C. IN THE ALTERNATIVE, SHOULD PLAINTIFFS CLAIMS FOH INTEREST, ATTORNEYS FEES AND COSTS IlE J}iSMISSED'! [Suggcstcd Answcr in thc Affirmativcl. III. ARGUMENT A, Plaintifrs Complaint should bc strickcn for failure to attach thc uudcrlying insurancc policy. Pa.R.C.P. No. 1019 (h) providcs that whcn a claim in a plcading is bascd on a writing. .... .the pleadcr shall attach a copy ofthc writing... "(emphasis addcd). In this case, all of Plaintiffs claims are based on an undcrlying insurance policy. Despite this. Plaintiff failed to attach the underlying policy to his Complaint. 2 Inlighl of Plain Ii Irs 1:1iluro to allad, th~ insuran~o poli~y whi~h is ~ss~nlial to his claims. Eri~ r~quosts IhatPlaintin's Complaint 110 strick~n in ils ~ntiroly pursuanl to Pa.R.C'.P. Nos. IOI9(h) and I029(a)(4). n. Plaintiffs claim for lost wa~es should he dismissed. PlaintilTs~~ks rocovory I()r lost wag~s as a r~sult ofth~ 1994 accid~nt in Paragraph 6 and th~ ad dal/ll/al/1 c1auso of his Complaint. ^lthough th~ insuran~o policy is not allach~d 10 Plaintilrs Complaint. it is hcliowd thalPlaintilrs insuran~~ poli~y did not contain a provision for wagc loss covcragc. Ther~foro, Plainlilrs claim I(lr lost wag~s is wi thou I mcrit. Ewn if PlaintilTs insuranco policy did provid~ l'or wage loss honclits. which is sp~~ilically d~ni~d, Plaintiff alleges to hav~ only missod thr~e (3) days of work. Seo Paragraph 6 of Plaintiff s Complaint. There is a mandatory waiting pcriod of live (5) days heforo wago loss covcrage applies. Therefore, Plaintiff would nol bc eligible for wage loss coveragc becausc his abscnce from work was only thrce (3) days. ^s demonstrated by the forcgoing. Plaintiffs claim for lost wagos is legally insuflicient. Cons~quently. Erie rcquests that Plaintiffs claim for lost wages be dismissed pursuant to Pa.R.C.P. No. 1028 (a)(4). C. Plaintiffs claims for interest, attorney's fees and costs should be dismissed. Plaintiff and his healthcare providers failed to forward the bills at issue to Erie for consideration of payment. Erie had no notice ofthese bills until receipt of the Complaint in the above-referenced malter. It should bo noted thai Plaintiffs Complaint does not allege that the bills had ever been submitted and rejected by Erie. Moreover, despite repeated requests by counsel for Erie, Plaintiff has failed to provide any medical records or reports for Erie's consideration. Without the requested information, Erie 3 cannot makc a dccision as 10 wholhcr thc lrcatmcnt was roasonahlc and noccssary and payank undcr Plaintin-s policy. Sco ~enerallv Thc Pcnnsylvania Molor Vchido Financial R.csponsihililY Law, 75 l'a.l'.S. ~ 17()~ ct sel(, Any dc'lay in lhc paymcnt of tho chiropraclic' hills in this caSe has neen due to Plaintilrs own failuro 10 cooperale. Plaimiff has nOl allegcd a sufliciont legal hasis to suppl'rl an awar" or inloresl. attorncy's fccs and cosls againsl Eric. Thercli>ro, pursuant 10 Pa.R.C.P. No, IO~S (a)(4). Dolcndam rcquests that any claim for intcrest, allorncys Ices and costs hc dismissod Irom this case. IV, CONCLl1SION For the rcasons staled abo\'O. IOrio respectfully roquests that This Ilonorablc Court granl its Preliminary Objcctions and enlcr an Order striking Plainlilrs Complain!. Rospcellilily submillod. Thomas, Thomas & H:lfer, LLI' By: Jol . I'opiloc " Esquire iehclo .I. Thorp. Esquire 305 N. Front Street POB 999 Harrisburg, PAl 71 08-0999 Datc: July 11,2000 4 'j( "..)1 . ~) iI, ,~ ! I - ) , ') ) - , I' \...; '-, ~j i ,,-t-( 'r II - /I (I 1"'"1~I..' -, . [',I, l:' ,> ,;,...0;...:=. JL I ; ,) ( rl. 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I IN THE COURT OF COMMON PLEAS I OF CUMBERLAND COUNTY, PENNSYLVANIA I I CIVIL ACTION - LAW MICHAEL L. BLOUCH, Plaintiff I NO. 1998-6235 ERIE INSURANCE COMPANY, : Defondant . . NOTICE You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this complaint and notice are served, by entering a written appearance personally or by attorney and filing in writing with the court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. DAUPHIN COUNTY LAWYER REFERRAL SERVICE 213 NORTH FRONT STREET HAjLQISBURG, PA 17101 (717) 232-7536 ~ l: \ . i \ I YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. , . \ .~ , I ~ , ! .. \ MICHAEL L. BLOUCH, Plaintiff : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW VB. : : : NO. 1998-6235 ERIE INSURANCE COMPANY, : Defendant : : COMPLAINT AND NOW, comes the Plaintiff, Michael L. Blouch by his attorney, Dusan Bratic, Esquire and files this Complaint, averring the following: 1. Plaintiff, Michael L. Blouch, is an adult individual residing at 1902 Daybreak Circle, Harrisburg, Dauphin County, pennsylvania. 2. Defendant, Erie Insurance Company is a corporation registered to do business in the state of pennsylvania, with a branch office at 4901 Louise Drive, Mechanicsburg, Cumberland County, pennsylvania. 3, On or about November 9, 1994 at or about 5:20 p.m. on SR 743 (Hersheypark Drive) near its intersection with Laudermilch Road, Derry Township, Dauphin County, Pennsylvania, plaintiff, Michael L. Blouch was operating a 1988 Ford Escort automobile when he was involved in a motor vehicle accident which resulted in bodily injury and harm to the Plaintiff, 4. By the terms of an insurance policy issued to Michael L. Blouch, Defendant provided coverage for plaintiff in accordance with the provisions of the pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa.C.S.S 1702 et seq. and said policy of insuranco was in full forco and offoct on Novembor 9, 1994. 5. As a result of this accident, Plaintiff, Michael L. Blouch, has been and will be obligod to recoivo and undergo medical attention and caro and to oxpond varioull sums of monoy or to incur various expenses properly due and allowable under the terms of the policy of insurance and Plaintiff, Michael L, Blouch, may be obliged to continue to expend such surns or incur expenditures for an indefinite period of time, 6. As a result of this accident, Plaintiff, Michael L. BlOUCh, was off work 3 days and has incurred $900.00 in medical bills which have not been paid and/or reimbursed for chiropractic services to Renaissance Chiropractic Services, copies of said bills are attached and marked as "Exhibit A," which is incorporated by reference. WHEREFORE, the Plaintiff, Michael L. Blouch, requests that he be paid $900.00 by Erie Insurance and for his lost wages plus attorney fees and costs. BRATIC & PORTKO Date: .till- If; I Dusan Bratic Attorney 1. D. f 101 South U.S. Dillsburg, PA (717) 432-9706 Attorney for Plaintiff 19249 Route 15 17019 nENAISSANCE ctllnOPRACTIC CENTER 125' F.. eh",:nlnIO ^vmlllo Ilmghoy. PA 17033 ''''''phono (717) 5330071 Druce Gingrich Jr. D.C. inS H 109466695 , not:. ::RII.-~' tnSH'OI~OJl J - ~-~ \- /!tdIM/ Slc-v<-+' /90.:] RA4'.(JJtfi/,t~ I /,A' /7//.0 L --I _I - _.- --....----------- ---- --~-- --~ O"'E I'lll" rr.!;IOIlAl flr.nvlcF r:IIAunr rAI() "AI Aller -:z " J . .L, .II. 1 M "'" -;J"" '" .", /L!1J .JdUhlaun"L.-_'*"'i"trA1"..i:~---- .1'--- V-,-_ CF.__ __ .-A1>~.....,_c,;..(C!~A";:>t'~-- ,- -- -- ;;r.:].u ---Ad~d'M#__~~.2il~.,$-.- ---- --- 9./JIdL " h .;J~'" a"~ .:!.t1' .... I~ " 1.1_.:1. .f)'o d. n~Q..-::: /;(/m: \\ /1 _ 9'? 57'op..3t?.. .~ ~~ ,\ /1 oJ. ."'tJ__J!J'" ..5t!!..~".: Ji ~ ,\ '" .Jt'. "" .(2 "'::1/2 .... y.~, " ~ '>/J"" .... ~'"I!J"" oJY_ LL--- /~ ~ ~ " II H .LJ.,.. .:lt2 '~ II 'J.J. " /1 ~ ~ 3i!' ... f.~~ " A .:JtJ""'O.... ~... .fA :;' I' II .it!.'" -~.... -S,1.... " :;;:; ,\ 1/ ~ J)~ _~ ". ~.. /1 ~ ..0 .jQ 1<' 41.;v)'1 Il.. II ~ ~ .:if!. "' I'. c~ " I' ,," /,,.{I .~..' 1 " /J ~,.. ,t2". .3!!. "" "" ~/ ~ .." .:;r;"" ,'- /, ~,#. ~" ,.., ~ 3!J A 7V j"'of',I!.. .. "EXHIBIT A" VERIFICATION I, r~iclli"'] I.. 1110\1('11 , hereby Itcknowlcdge that I am a P/ainti{c in the foregoing action; that 1 havc read the foregoing OX:1pl:lint and the facts stated therein arc true and correet to the best of my knowledge, information and belief. I understand that any false statements herein are made subject to penalties of 18 Pa. C.S. 94904, relating to unsworn falsification to authorities, ~////~~ Dated: Fob. 8 , 1999 en >: ~ 0" i~- (~ ~~~-;~, ~: n::~-, _ u... (':)~ -. , , C,i.. ~' ..1'1" u.: ~J- ,-- tl. o j:: , - ,l._r i 1 '>: r-- i I' I I~ , cc u.. "_ eT' a, t ..... G I ~ (! I I' , i I ! " I', l,." MICHAEL L BLOUCH, Plalnllff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY. PENNSYLVANIA v ERIE INSURANCE GROUP, Defendant No 98.G235 CIVIL TFRM CIVIL ACTION - LAW OIWlm ANI> NOW, this day or . ~IJIJ{)_ upon ~onsid~ra!ion or !h~ I'rdiminary ()bjo~!ions or Ddcndant. Eri~ Insuran~~ Company. IllS III;REIlY ORDERED .I. AND DECREED that Ddcndan!'s I'rdiminary ()bio~tions aro sus!ain~d and I'lain!itrs Complain! is slri~k~n in its onlirolY. BY TilE ('011 In: 5. I'lailllills wunsol has IlOl rcspondcd 10 rcpcalcd rcqucsts for mcdical inlimualion 10 support I'lainlil'l"s suhmission oflh,' hills 10 hic and.lhcrolilrc. hic has hccnlilrccd I" Iilc Ihc II ilhin proliminary ohkclions 10 mow this mallcr Ii'rward, I, l'IUo:L1MINARY OII.JECTION IN TIlE NATlIIU: OF A MOTION TO STIW(E (,. Paragraphs I through 5 arc inwrporalcd hy rclercncc hcrcin as ifscll.)rlh in thcir cnlircly. 7. In paragraph 4 of his Complaint. I'laintifT allcgcs: By torms of an insurancc policy issucd 10 Michaol L. Blouch, Dclendant prm'idcd covcragc Ii)r PlainlilTin accordanco with thc provisions ofthc Pcnnsylvania Motor Vchiclc Financial Rosponsihility Law, 75 Pa.C.S.* 1702 cl scq. and said policy of insurancc was in fullli)fcC and cflect on Novcmhcr 9, 1994. S. I (owovcr. Plaintiff 1[lils 10 attach 10 his Complaint tho insurancc policy to which hc rclers. 9. Pa.R.C.P. No. 1019 rcquircs that: A plcading shall statc spccilkally whcthcr any claim or dcfcnsc sct forth thcrcin is hascd upon a writing. I I' so_ lhc plcadcr shall attach a cop v of the writing. or matcrial part thcrcof... (cmphasis addcd). 10. Pa.R.C.P. No. 1028 (a)(2) providcs that prcliminary ohjcctions may bc Iilcd whcrc a plcading 1[lils to comply with law or rulc of court. II. Thercfore, pursuant to Pa.R.C.P. No. 1028 (a)(2). Plaintilrs Complaint should hc strickcn for failure to attach thc insurancc policy upon which Plaintifrs claims arc based. WHEREFORE, Dcfcndant Eric Insurancc Company rcspcctfully rcquests that This I-Jonorahlo Court cntcr an Ordcr striking Plaintilrs Complaint. 2 \9. PlainlilT alld his h,'allhrarr pfll,idrrs did nlll Sllhlllillh\: hills in qU\:Slilln III hi\: prior 10 Ih\: liling or Ih" ('olllplain!. 20. PlainlilThas nol alkg\:d in his ('olllplainllhallh,' hills in qU\:Slion 'We\: suhlllilll'd 10 hk \",lill'\: Ih\: liling of Ih\: ('omplain!. 21. Mor\:owr. noith\:r Plaintiff nor his h\:allh raro prll\'id\:rs suhmill\:d llI\:di\:al r\:wrds or r\:porls to Eri\: prior 10 th\: Iiling oflh\: ('omplain!. 22. Ikspit\: r\:p"'il\:d r\:quosts Ihllll r"ull",IIi'r lork. Plainlin"s \:Oun",1 has Ilot provid"d any m"dkal r"ronls or r"ports whkh supporl his daim li)r roimhurS-'m"nl or Ih" chiropr~letie serl'ie"s in question. 23. I I' Erio had no notice or the bills and no opporlunity 10 llIake a dolonllinalion of whe(her the bills 5hould he submilled tolho peer ro\'iow process. Fri\: cannot he r\:Sponsihk ii,I' interest. allorney's fees and eosls inlhis mallor. 24. Plainliff has not alleged any legal basis lilr an award of inlerest. allorney's Ices and costs. WHEREFORE. Delcndant Eri" Insuraneo Company roquesls thaI This Ilonorabk ('ourl enter an Ordcr dismissing any claims by Plainliff I<)r interest. allorneys Ices and eosls. Resperll'ully submitted. Thomas. Thomas & Hafcr, LLI' Ily: .,.------, /J'/7 / / 1// .foh . . Popiloek. :quire ehcle .I. Thorp. Esquiro 05 N. Fronl Slreel POll 999 lIarrisburg. 1'/1 17108.0999 Oato: July 11. 2000 4 C'ERI.'IFIC'ATE OF SER~'Jj"E I do h~rehy e~rtilY Ihal onlhis 11th day or July_ ~1I1111. I sen'~d a IrUl' and wrre~1 copy or Ihl' lilr~going document hy lirsl class mail. poslag~ pre-paid. "ddrl'ssl'd 10 Ih~ li11lowing: f)usanllratic, ESlJuire IlRATlC' & PORTKO 10 I South U.S. Route 15 f)i IIshurg. I' A 170 I <) THOMAS, THOMAS & HAFER. LLI' :100704,1 ;-------> --, ~ ,.: r ' / / / '/7 ,:/1 ,)illln M. I'opil()~k. ;squirc / PRAECIPE FOR LISTING CASE FOR ARGJJMENT (Must be typewritten and submitted in duplicate) TO THE PROTHONOTARY OF CUMBERLAND COUNTY: Please list the within matter for the next Argument Court. MICHAEL L BLOUCH. Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No,; 98-6235 CIVIL TERM CIVIL ACTION - LAW v, ERIE INSURANCE GROUP, Defendant 1. State matter to be argued (i.e., plaintiffs motion for new trial, defendant's demurrer to complaint, etc.): Defendant's Preliminary Objections to Plaintiff's Complaint 2. Identify counsel who will argue case: (a) for plaintiff: Dusan Bratic. Esquire Address: BRA TIC & PORTKO 101 South U.S. Route 15 Dillsburg, PA 17019 I , I! r (b) for defendant: John M. Popilock, Esquire/Michele J. Thorp. Esquire Address: THOMAS, THOMAS & HAFER, LLP 305 N. Front Street, P.O. Box 999 Harrisburg, PA 17108-0999 3. I will notify all parties in writing within two days that this case has been listed for argument. 4. Argument Court Date: August 30, 2000 ,*' 'I , . Dated: July 11, 2000 // //?? /~ Attorney for Defe~nt /' , I I 1\ t.. . -' .,... ',": '. \",', . I. " '. . '" , AVISO Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en law paginas siguientes, usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda Y la notificacion. Hace falta asentar una comparencia escrita 0 en persona 0 con un abogado y entre gar a la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra de su persona. Sea avisado que si usted no se defiende, ia corte tomara medidas y puede continuer ia demanda en contra suya sin previo aviso 0 notificacion. Ademas, la corte puede decidir a favor del demandante Y requiere que usted cumpla con todas law provisiones de esta demanda. Usted puede perder dinero 0 BUS propiedades u otros derechoB importantes para uBted. LLEVE ESTA DEMANDA A UN ABOGAOO INMEDIATAMENTE. 51 NO TIENE ABOGADO 0 51 NO TIENE ELDINERO 5UFICIENTE DE PAGAR TAL SERVICO, VAYA EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA E5CRITA ABAJO PARA AVERIGUAR DONOE 5E PUEDE CON5EGUIR ASI5TENCIA LEGAL. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE CARLISLE, PA 17013 (717) 249-3166 1 . . \ ! " L ~i , 'OJ , , 1; d /' It! MICHAEL L. BLOUCH, plaintiff : IN THE COURT OF COKMON PLEAS : OF CUMBERLAND COUNTY, PENNSYLVANIA : : CIVIL ACTION - LAW VB. : : NO. 1998-6235 ERIE INSURANCE COMPANY, Defendant . . . . AKENDED COMPLAINT AND NOW, comes the plaintiff, Michael L, Blouch by his attorney, Dusan Bratic, Esquire and files this Complaint, averring the following: 1. plaintiff, Michael L, Blouch, is an adult individual residing at 1902 Daybreak Circle, Harrisburg, Dauphin County, pennsylvania. 2. Defendant, Erie Insurance Company is a corporation registered to do business in the state of pennsylvania, with a branch office at 4901 Louise Drive, Mechanicsburg, Cumberland County, Pennsylvania. 3. On or about November 9, 1994 at or about 5:20 p.m. on SR 743 (Hersheypark Drive) near its intersection with Laudermilch Road, Derry Township, Dauphin County, pennsylvania, plaintiff, Michael L. Blouch was operating a 1988 Ford Escort automobile when he was involved in a motor vehicle accident which resulted in bodily injury and harm to the plaintiff. 4. By the terms of an insurance policy issued to Michael L. Blouch, Defendant provided coverage for Plaintiff in accordance with the provisions of the pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa.C.S.S 1702 et seq. and said policy of insurance was in full force and effect on November 9, 1994; a copy of which is attached hereto marked "Exhibit B", which is incorporated herein by reference. 5. As a result of this accident, Plaintiff, Michael L. Blouch, has been and will be obliged to receive and undergo medical attention and care and to expend various sums of money or to incur various expenses properly due and allowable under the terms of the policy of insurance and Plaintiff, Michael L. Blouch, may be obliged to continue to expend such sums or incur expenditures for an indefinite period of time. 6. As a result of this accident, Plaintiff, Michael L. Blouch, has incurred $900.00 in medical bills which have not been paid and/or reimbursed for chiropractic services to Renaissance Chiropractic Services, copies of said bills are attached and marked as "Exhibit A," which is incorporated by reference. WHEREFORE, the Plaintiff, Michael L. Blouch, requests that he be paid $900.00 by Erie Insurance plus attorney fees and costs. Date: 1 Ousan Bratic Attorney LO.t 101 South U.S. Oillsburg, PA (717) 432-9706 Attorney for Plaintiff 19249 Route 15 17019 R.... .AISSANCE CHIROPRACTIC CEt 1251 E, Chucolale Avenue Italshey. PA 17033 Telephone: (717) 533.6071 Bruce Gingrich Jr. D.C. IRS N 169.46.6695 :R I ;1/,da<</ .tJlovGN' /(10.:1 )I..,..t!UOV~"1 I'd' /7//GJ L I ~ I / .l. Ji T. /. /I f'. .f t ? DArE pnOFEsSl0NAL senVlce ellA-nOE rAID DALMlCE ~Ai 4z:~:':. ~-'~ ~ ~ ]tJ.'OV 1 A',.?6't'~ 9/tJ/;i _~/1r..A'.;'J~I( /~/A' 7.:i'3.J> -, h 3& ~ ..a 3t::t..' t2..-.. ~ " /I .:1..0.0 tL- 30 ..co ~ \\ /1 ~ t:J'- L~'''' .~ ,\ II ,;;tJ .. ~ ..fltf!. ' A"ft:: ,\ '" -:Jt) ,r.o . /) ,.. .~..., Y.>>A ,- V '1/1'" .... ..~ ~~',., ~ ,- II -~... ~ "/L) - ,)jf/tt \\ /1 =V"" ~ 3&J ..." 'f! " d Jt) - GJ'" ~ 01' ~ :1 I' II ~ ~.... .3t11'-(' Z:;[ " " ,,' t':)oaO ,W'" ~ . " .J2:.: /)"" ..1:? -" i I\. IJ 32.- 4 ="'" ~ '. .- II ' ~... ..L..:.:- ~"'f' I, , 1 " /J -'bID 17 ,.' ~.r<> " II yO'" LJ"' ~- \' /1 3D ..' .JI ", "" .a - 5"'1-0 I,~. 7"'i!J/'~~ aD 0 ./'7 A' A ...- - -z,/./ '""J ~ ./'l_ VI(, ".... .Y Pa y Laft'Am;;;;;i'tin Oalance Column .... ... A h ... PLAINTIFF'S EXHIBIT A ( STATEMENT ) On'. -1'1..::.1-"1.. 03424 '92r. TO ROBERT INGALLS, D.C. RENAISSANCE CHIROPRACTIC CENTER 1251 E. CHOCOLATE AVE. IIERSIIEY, PA 17033 TEnMS I' IN ACCOUNT WITft ;11~d L. IUauc..b 11'. L) :1 /1{JJLf!.(liJ1 //A/1Jlj:.J/~J"-I..ZL1~'JS:U- "- ~' ".., //-J",,,J. I~,/, 0';'j14 1/'1 . /I J Ie {,- ,'~ I 3:lJ.5 //::.Ltf..::. '!L- .Chico rruo:lit-AdJUl.t..<.n/ (;WOfL - _J.O_ 09.. f/-=.:lJ-=. I" " 1/ I-U.JS _'1Q.. 9..9_ - \lL=12-=- IIJ -- 1/ 7'~~&, -:.0 00 \;9-19 - 1.><1 -, /I 7" < ~Q.. 00 I~ L,.'o ... 1/ 7'lf$ ,~o 120 ~ 11- ?- J " " 72.1\ .10 bO. 1/- 9 - ~ .- ,,- ~f ~)j.$ ~Q. (,'0 - bl.:l:: ~ ,\. 1/ ~~3.J' ,,0 OQ.. :1."(.- L... ,\. /f --1,H ~ 30 fJ..Q... ') ~ 1 tJ is. ,,,- II ~,~ Q ,10 110 1 -/'I.J L ,,- II ?11 ! ,Sa. IW- h.5l.1o 'L " II 7?1 , .lO 00 ~ -3~.tl_ QQ "- ~ . ~~, /J.L', / Stock r~'n 2!it\1:l ~ 08/"9/"000 1"' 50 7179758'3:1 ... ~H"l 1...:J '~j~ 1':.' ~~ ._,..t. .'j':;:I..:"'Hr.1wt. "'b'"", PAGE u: ,.....:. FIOHtER FAMILY AU10 POLICY A~ENDED DECLARATIONS ~I · · IFrrCtI1E 11/~~/9' ATTACE TaIS TO YOUR POLICY. REASON F;lR AML~DMJ:NT -AOTO 1 Ril'UCEr. LIINROLDiR ADUD AA7~~9 FLA~SHIP CIT! CVST SRVC OS/24/94 TO a5/2~/95 Q05 7433435 R MICHAEL L BLOUCH R D 3 liOX ,a~A ANHVILLB PA 17033-q50B AS LI SrED BELOw ........................................................... · lOR CUS:'OI"ER SERVICE. CALL Ba~-'2a-7554 . * FOR CLIdi"'S SERnCE. CALL a011-38Z-1304 II ......*.***................................................ IUM AUTO 1 4. AO!OS COVERED YR MAn 90 VOL[ JETTA ~L VIN ST TER sr~ 3VWRA21G9L~019~a8 FA ~6 H DDP RATING CLASS A3 ITEM 5. INSURANCE is PROViDED .HERE ~. PILEMIOM. OR INCL. IS SSOWN FOR THE COVERA~L, COVIRAjES. LIMITS AND ANHUAL PRLMIO~S ARE AS rOLLOWS- "I to A1 L PRIUTE PASSENGER VEHICLES~ --- 84 98 3' lliJ 73 265 564 $ 554- $ 73 SEE REVISED INVOICE!BELOW --- rHE LI~I!ED TORr OPTI)N APPLIES LIABILITY PR01ECfION- BODILY INJURY $15M/PiRSON $~aM/ACC PROPERtY DA~A]E $5M/ACC PIRST PARTY BENiFITS- MEDICAL E~PXNS! $51'1 ACCIDENTAL DEATH $25M P8YSICAL DAMAGE COVERAGES- COMPRIHfNSIYE - $503 OED COLLISION - $509 DED TOTAL ANNOAL FREMIO~ FOR EACH AOTO TOTAL ANNUAL POLICY PREMIUM ADDITIONAL CHARJi DUE TO THIS CHANGE ITEM 6. APPLICABLE POLICY, ENDORSEMENtS. tXCEPTIONS TO DECLARATIONS ITiMS LL AUTOS - FAP 05/91, ABPU02 09/93. A]PNBl 07/9B. AFPA03 03/9~. U1-6853!33/94. ITO 1 - or-8130 0S/94. lSSIVi RESTRAINT DISCOONT AFPLIES - BELTS AUTO 1 [SCOONTS A'AILABLE - SEE iNCLOSED FORM OF-6853 ~ISCELLAN~OOS INFORMATION rNLESS STAT.,ED I~ THE :>1ISCiLLAllrOUS INFORMATION TEE FOLLowING APH! - TEM 7. THE AUTO ~E INSORE WILL BF. PRINC!PALLY JARAGED AT T~! ADDRESS ,HOWN IN Inl'! 1. PlAINTIFF'S EXHIBIT B ea/:!9/:eoo I:: 50 71797583::1 w'" .... ~4 ...".- .".........~,..- PA(iE OJ DRIiER 1 MICP.AiL L !LOuca Sf LlCENSE NU~BIR PA 214078022 BIRTH DATi 113/06/0B LIINHOLDER FOR Auro I JONtS~OWN BANK ~ TRUST 2 W MAIIItiT S1 JONESTOVN PA 17333-9628 ~ ' TOUR COLLISION COiERAGE AND DEDUCTIBLE APPLY TO PRITATi P!SSENGER AUTOS yOU OR A RESID~NT RF.LATIVE RENT FOR 3~ DAYS OR LESS. raIS IS SUBJECT TO LIMITS. TiRMS AND CONOIT!ONS IN ~H! POLIC1. N BTG 12/el/9~ " \14 ,. 'JJ:~!U.!:J _ChTLCl!:J !, Michael L, Hlooch hereby acknowledge that Amended Complaint , that I have read I am Plaintiff in the foregoing the foregoing, and the facts stated therein are true and correct to the best of my knowledge, information and belief. I understand that any false statements herein are made subject to penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorilies. --;, ~ /', ~~-/~ ;Yd" ,/ Date: 8/29/00 ',- " I (.: ( .~ '. ,.... .. '? , , f ,j , II , ~.: '. :, t,', --. n l- v , l' , " .. !- I , , ,- l 0.;... " C} l.) -' '" 0< 0 ~ ~Il)~ E-l E-o"'< .... 5"'- rn ... rn 5 ~ ~ ~ erg ~ ~ E-o"(1) '" ..." z"?z o """ "'::>z '" (,)::'" :;; 0 "'!-'" .; E:; (,)::> . -0" ~ ~t/l~ o....~ _COrn HI 0-'" ""l - ,., Q .H" 0.. ~"' "'.. e.:.c:, .... ...... r::r: -- tt: . " .. 13 Defendant. Erie Insurance Group. believes that a court order compelling Plaintiffs attendance at a settlement conference would facilitate resolution of this matter, WHEREFORE. for the foregoing reasons. Defendant, Erie Insurance Group, respectfully requests this Honorable Court schedule a settlement conference and compel the presence of Plaintiff at the same for the purpose of attempting to amicably resolve this matter and clear this Court's docket of the same. Respectfully submitted, Thomas, Thomas & Hafer, LLP By; //~,#n ~n M. Popil6Ck, Esquire /~O~ N. Front Street P.O. Box 999 Harrisburg, PA 17108-0999 CJ;BIIFICA T~QL$J;RVICJ;; I do hereby certify that I served a true and correct copy of the foregoing document by first class mail, postage pre-paid, addressed to the following, Dusan Bratic, Esquire BRATIC & PORTKO 101 South U.S. Route 15 Dillsburg, PA 17019 THOMAS, THOMAS & HAFER, LLP Date: (/ ~ ( :100704,1 ,.., ....) !;; g; N ~~! c:; '1 i,~ tJ :.c tJ~.p ~_,L c... C)::..: :> ". ~ c:. ,.... :,."=! 6: i:t; I :5'-1) tl:l" >- ;r~ :11"1 ,.': "- \oo?]:. :II;; b 0 d I?~"J~ ~':;t. \",f, ,.~., .~~~';:'~ If" ~~~~t~"> ~ri' ~(;;' ~1\:: ~.fj)'~; L~~;' \S' ~il;~:';':~ . '~;i\f;r::" '\ ~(.lt'~.~.. .~~i.~s;,; ~ffg;', iiji,:' ,>'.~ ~r< _ ....:"..' ")< ?~L "..'T.; !("., :~ , '-.", ';, " ~. . ,- . " ; ~ ~ ~ i ~ .. ~ Q ~ , .' ;;..,'.;.. '.'.:if' . --~~~ 1J.i 111l ,',J ';:~::!~j . i;A~ ".... :j~ :,:,~1 ...... '.-..,..-....'.:.:1'.'..'..'.' , "".~ 0,.;',:'("5 '. ";:1'n .,;~p:O' " \;;:;;~~ ~")".::<}r: " ~ ti w co Iii .. z i .. ',.% Ii: o z on o .. !;; ~ ;: i ,It. => CD,,".: on .ii- ; ~. "':1:;,_;:, ; '~h" .;~ \~Y~'- ; ~\im ,'.li:1J~ '~,fi~iit: ',' ;Ii~ :':,.;; 0~J .. .. ,:~ ~~~~ "\'~'I:~ f" ,;,,',\.:..1'.tXl \ ;" ,"':;'~"!:.1 . ~ 'I,,). .;",,:):.j:</ ~'~;~.~!Jf .;:"",...-.,,~,-,...,-tf.;"'-'dI:"~ _ _ " ;>,,::{-:;;Ji~{1~~f! ", ,. , . ;", .:,~ .,;:, ',': ,'.OJ'';'':::', , '".",',,',<, co co co " 0' D' 6. '0:' ... " t.. ! -ll ~ .;"'" ',' ';;':;"~ '..~.',T~,~ ,,~;' f .:t" ',/.,' ,'. ',",' .;i'.... i;. '"~',' -":;";;"" < ... . :'~~~I ,,:.';i:~:;~;:!:,'l,:,~,~ ",+--,"-,'.-'''---~',., . :- ~ " , "'\;": ;,y:,,!' " MICIIAEI.I., 1l1.01'('II. I'laintiff : IN TilE ('OURT OH'O\1\10:'>: I'I.EAS : (,IIMIIERI.t\:'>:1J ('01 ':'>:T), .1'r.:'>::'>:SYI.V ANI,\ \' ERIE INSURANCE (IIWIII', Doll-ndant : No.: ')X,(,~Y; ('IVll.lI:R\l : CIVIL ACTION -LAW DEFENDANT'S ANSWER WITH NEW MATTER TO PLAINTIFF'S AMENDED COMPLAINT AND NOW, comes Defendant, Eric Insurancc Group. hy and through its allorneys. Thomas, Thomas & Ilaler. 1.1.1', to answor Plaintiff's Amended ('omplaint and assen Now Maller as follows: I. Denied. After a roasonahle invostigation, the Delendant cannot confirm or deny thc Plaintilrs rcsidence at this time and strict pmof thereof is demanded altime of trial. 2. Admilled. 3. Admilled in part. While it is admilled thai Plaintiff was involved in thc aforcmcntionod automobile accidont on the stalod date and al the slated time. it is spccifically dcnied thai Plaintiff suflered bodily injury and harm as a result and strict proof thcrcof is dcmandcd at limc of trial. 4. Dcnicd. Tho avormcnts contained in paragraph 4 arc conclusions of law to which no rcsponsivc plcading is rcquired and strict proof thereof is demandcd at trial. To the cxtcnt that an answcr is dcemed warranted, as thc 10rIns of the contract speak for thcmsclves, any atlcmpt to summarizc, charactcrizc or intcrprct same arc spccilieally dcnied and strict proof thcreof is dcmandcd at trial. 5. Dcnicd. Aftcr rcasonablc investigation, Dcfcndant cannol conlirm or dcny the naturc and cxtcnt of mcdical allcntion and cxpcnscs for same which thc Plaintiff will incur in the future and slrict proof thercof is demanded at trial. 6. Dcnicd. A vcrmcnts as to causation aro conclusions of law to which no rcsponsive plcading is rcquircd and strict proof thcreof is dcmandcd at trial. To the extent that an answcr is dccmed warrantcd, aftcr a rcasonable investigation. Defcndant cannot eonrirm or dcny that thc VERIFICATION I hereby verify that the statements contained in the foregoing Answer and New Matter to Plaintiff's Amended Complaint me true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. 94904 relating to unsworn falsification to authorities. By: / . II J ,! t " !', . '. I DEB HARBOLD Date: /I ^ I , '., :139031.2 .. "\",/ .. ~ ~ ti ~~ w ~ l ... !i II ~ ~ ~ E '" Ii: 02 0 ~ ~ z .. ~ 0 ... 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