HomeMy WebLinkAbout05-0449
0'
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
LEROY E.RICHCREEK, JR.
325 SHEEP BRIDGE ROAD
YORKHAVEN,PA 17370
AND
WELLSPAN MEDICAL GROUP
WELLSP AN YORK HOSPITAL
1001 S, GEORGE STREET
YORK, PA 17405
AND
PINNACLE HEALTH
111 SOUTH FRONT STREET
HARRISBURG, PA 17101
PLAINTIFFS
v,
FILE NO.:
CIVIL ACTION: Os'- 'f'tq ~~ ti..-
ERIE INSURANCE GROUPT/D/B/A
ERIE INSURANCE COMPANY
4901 LOUISE DRIVE
MECHANICS BURG, PA 17055
DEFENDANTS
JURY TRIAL DEMANDED
PRAECIPE FOR SUMMONS
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Issue summons in the above captioned action, which ses from an automobile accident that
occurred on November 5, 1997,
Writ of Summons shall be issued and forwarded to
/ rl/'
Date:~
Dusan Bratic, Esquire
ID #19249
101 South U.S. Route 15
Dillsburg, PA 17019
(717) 432-9706
SUMMONS IN CIVIL ACTION
TO: ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
4901 LOUISE DRIVE
MECHANICSBURG, P A 17055
DEFENDANTS
YOU ARE NOTIFIED THAT THE ABOVE-NAMED PLAINTIFF HAS COMMENCED AN
ACTION AGAINST YOU
Date:~AJ"'"J'; dkv:S
f '
~A:t,..;R ~~ j"..,..:
Prothouotr/Clerk, Civ bf',:isiou
by: ( 'I" (2 7z" Itl,pL-'
/ Deputy
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SHERIFF'S RETURN - REGULAR
CASE NO: 2005-00449 P
COMMONWEALTH OF PENNSYLVANIA:
COUNTY OF CUMBERLAND
RICHCREEK LEROY JR ET AL
VS
ERIE INSURANCE GROUP ET AL
KURT HAAG
, Sheriff or Deputy Sheriff of
cumberland County, Pennsylvania, who being duly sworn according to law,
says, the within WRIT OF SUMMONS
was served upon
ERIE INSURANCE GROUP T/D/B/A ERIE INSURANCE COMPANY
the
DEFENDANT
, at 1253:00 HOURS, on the 27th day of January
2005
at 4901 LOUISE DRIVE
MECHANICSBURG, PA 17055
by handing to
DEBRA KOS, LITIGATION
SPECIALIST, ADULT IN CHARGE
a true and attested copy of WRIT OF SUMMONS
together with
and at the same time directing Her attention to the contents thereof.
Sheriff's Costs:
Docketing
Service
Affidavit
Surcharge
So Answers:
18.00
9.62
.00
10,00
.00
37.62
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R. Thomas Kline
01/28/2005
DUSAN BRATIC
Sworn and Subscribed to before
By:
,~Zt:;Zriff
me this 3.u\
day of
j~,,; J.h75 A.D.
( \ <'L-a ~ #
h Prothonotary'
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY,PENNS L VANIA
CIVIL DIVISION
LEROY E.RICHCREEK, JR
AND
WELLSP AN MEDICAL GROUP
WELLSP AN YORK HOSPITAL
AND
PINNACLE HEALTH
PLAINTIFFS
v,
05-449 CIVIL TERM:
ERIE INSURANCE GROUP T/DIB/A
ERIE INSURANCE COMPANY
DEFENDANTS
JURY TRIAL DEMANDED
PRAECIPE TO AMEND CAPTION
TO THE PROTHONOTARY/CLERK OF SAID COURT:
Please amend the above caption to reflect THE ERIE INSURANCE E CHANGE
ACTIVITIES ASSOCIATION, INC. T/DIB/A ERIE INSURANCE GROUP T/D /A ERIE
INSURANCE COMPANY
II
i'
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Dated: .. . .. V
Dus Bratic, Esquire
Supreme Court LD, No, 19249
101 Office Center, Suite A
101 U,S. Route 15 South
Dillsburg, P A 17019
(717) 432-9706
Attorney for Plaintiff
,
,
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL~ ANIA
CIVIL DIVISION !
LEROY E.RICHCREEK, JR.
AND
WELLSP AN MEDICAL GROUP
WELLSPAN YORK HOSPITAL
AND
PINNACLE HEALTH
PLAINTIFFS
v.
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
T/D/B/A ERIE INSURANCE GROUP
T/DIB/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing Praecipe to Amen Caption regarding
income tax filings was furnished by U.S, Mail, first class, postage prepaid on thiS~ay of arch 2005, to:
Donald Bottini, Claims Representative
The Erie Insurance Exchange Activities Association, Inc.
T/D/B/A Erie Insurance Group
4901 Louise Drive
Mechanicsburg, P A 17055
For Defendants
Dated: ':;!Y:J I ()')/
Dusa Bratic, Esquire
Supreme Court ID 19249
!O1 South U,S, Route 15
Dillsburg, P A 17019
(717) 432-9706
Attorney for Plaintiff
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J. Michael Flanagan, Esquire
FLANAGAN AND ASSOCIATES
Identification No. 23149
150 East Chestnut Street
Lancaster, PA 17602-2741
717-397-9444
Attorney for Defendants
LEROY E. RICHCREEK, JR., WELLSPAN
MEDICAL GROUP, WELLSPAN YORK
HOSPITAL and PINNACLE HEALTH
Plaintiffs,
-vs-
ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
Defendants.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
PENNSYLVANIA
CIVIL ACTION - LAW
NO. 05-449 Civil Term
JURY TRIAL DEMANDED
CERTIFICATE PREREQUISITE TO SERVICE OF
A SUBPOENA PURSUANT TO Pa. R.Civ.P. 4009.22
As a prerequisite to service of subpoenas for docwnents and things pursuant to Pa.
R.Civ.P. 4009.22, Defendants certify that:
1. A Notice of Intent to serve subpoenas with a copy of the subpoenas attached
thereto was mailed or delivered to each party at least 20 days prior to the date on which the
subpoenas are sought to be served;
2. A copy of the Notice of Intent, including the proposed subpoenas, is attached to
the certificate;
3. No objection to the subpoenas has been received; and
4. The subpoenas which will be served are identical to the subpoenas which are
attached to the Notice of Intent to serve the subpoenas.
By:
Dated:
'7-'7-05
J. Michael Flanagan, Esquire
FLANAGAN AND ASSOCIATES
Identification No. 23149
150 East Chestnut Street
Lancaster, PA 17602-2741
717-397-9444
Attorney for Defendants
LEROY E. RICHCREEK, JR, WELLSPAN
MEDICAL GROUP, WELLS PAN YORK
HOSPIT AL and PINNACLE HEALTH
Plaintiffs,
-vs-
ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
Defendants.
COURT OF COMMON PLEAS
CUMBERLAND COUNTY
PENNSYLVANIA
CIVIL ACTION - LAW
NO. 05-449 Civil Term
JURY TRIAL DEMANDED
NOTICE OF INTENT TO SERVE SlJBPOENAS
TO PRODUCE DOCUMENTS AND TIllNGS FOR
DISCOVERY PURSUANT TO Pa. R.Civ.P. 4009.21
TO: Dusan Bratic, Esquire
Bratic & Portko
YOU ARE HEREBY notified that Defendants intend to serve subpoenas identical to the
ones attached to this Notice, You have twenty (20) days from the date listed below in which to
file of record and serve upon the undersigned counsel for serving party an objection to the
subpoenas, If no objection is made, the subpoenas may be served.
By:
Dated:
to-IO-OS
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
LEROY E. RICHCREEK, JR.
et. ai,
.vs-
ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
Avram A. Karas, MD, 5601 Lochraven Boulevard, Suite 404, Baltimore, MD 21239
File No.
05-449 Civ Term
TO:
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are Ord!lred by the court to produce the following
docurnents or things:
A CODY of the medical records file including but not limited to, results of diagnostic testing, nurses' notes, office
nnh'<;. mpmnrPlnrlPl, rnrrP~pnndpn('P. PIny Plnd all mOO!!:al rpports and billing information concerninq Leroy E,
Richcreek, Jr., D/Birth 06/30/69, for treatment rendered at any timE!.
at
Flanagan and Associates, 150 East Chestnut Street, Lancaster, PA 17602-2741
(Address)
You rnay deliver or mail legible copies of the documents or produce thin\Js requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek in advance the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAIiS ISSUED ATE THE REQUEST OF THE FOLLOWING PERSON:
J: Mic ae rfanagan, sqUIre
Name
Address:
150 E. Chestnut Street
Lancaster, PA 17602-2741
Telephone:
717-397-9444
Supreme CourtlD # 23149
Attorney For: f)pfpnrlPlntc:
Date:
'1/-'J-/o.s,-
Seal of the Court
BY THE ?':
/..A:iU. It. ~
. pro~onotarY/Clerk, ivil Division r
eputy
(Eft. 7/97)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERL.lI,ND
LEROY E. RICHCREEK, JR.
et. ai,
-vs-
ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
File No.
05-449 Civ Term
TO; PA Nf'uro Ac;<;ociates Ltd, 108 Louther Street. Lemoyne. PA 17043
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things:
A copy of the medical re(;Ord~ file II "Judll IY LJull.ulli.,.it"d lo, I esults of di8gl'\ostiE tEJtiflg, nurses' nates, offic@
notes, memoranda, correspondence, any and all m60lcal reports, and billing Inforrndtloll COIlL"I.,h.y L", uy L
Richcreek. Jr.. D/Birth 06/30/69, for treatment rendered at any time,
at Flan~g"l1 arc! ll."Snri"tpG, 1 'in F"c;t- r:hpc;t-nut Street. lancaster. PA 17602-2741
(Address)
You may deliver or mail legible copies of the docurnents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the, address listed above. You have the right
to seek in advance the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the docurnents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling YOll to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OFTHE FOLLOWING PERSON:
Name
Address;
J. Michael Flanagan, EsqUire
150 E. Chestnut Street
I "nr"c;t-pr PA 1760)-1741
.
Telephone:
717 397 9111
Supreme Court ID # 23149
Attorney For;
uefendams
BY THE COURT;
Date:
116 ~:: of the Court
1-
(Eft. 7/97)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
LEROY E. RICHCREEK, JR.
et. ai,
-vs-
ERIE INSURANCE GROUP TIDIBIA
ERIE INSURANCE COMPANY :
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
File No.
O'i-44Q ('Iv Tl'!rm
TO: Ortho~eaic: &. S~iAe S~ed3ligtg, 9Qll SgJJth Gegr.ge Street, York, pl1 17403
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things:
A copy of the medical records file including but not limited to, results or QlagnOStlc testing, nurses' nOLes, offilt:
notes, memoranda, correspondence, any and all medical reports, and billing Information concerning Leroy E.
Richcreek, Jr , D/13irth 06/30/GQ., for VE'"m">nt r..nrt..rPrl :ot :o"y timE!
at
r1enegen end Asseeiates, 150 [a:sl: CncstAut Street, Lancaster, PA 17@2 2741
(Address)
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above. You have the right
to seek in advance the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoefla within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOllOWING PERSON:
Name
Address:
J. Michael Flanagan, Esquire
1 50 F rh"',,",I.t C:tr",,,,t
Laflca~r, PA 176022711
Telephone:
nr-3!li.:Jlll
Supreme Court 10 #
2j14!1
Attorney For:
Defendants
Date:
7/S;/ Q ')-
Seal of the Court
BY THE COURT:
(/
-;rothonotarY/Clerk, I I Div' on ~
t...J..:.....- 7tj~I-,~
Deputy
(Eft. 7/97)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLJIND
LEROY E. RICHCREEK, JR.
et. ai,
-vs-
ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANTTO RULE 4009.22
File No,
05-449 Civ Term
TO:
Hanover Hospital, 300 Highland Avenue, Hanover, PA 17331
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things:
A CODY of the medical records file includinQ but not Iirnited to, results of diaqnostic testinQ, nurses' notes, office
not~~. 'l"ef\'1oranr!". cnrrE'$pt''1''"nr". "oy "or! "II mPrlir,,1 r"p"rT<:. "nr! hilling infnrmation mnrpming Lam,! E.
Richcreek, Jr., D/Birth 06/30/69, for treatment rendered at any time.
Flanagan and Associates, 150 East Chestnut Street, Lancaster, PA 17602-2741
at
(Address)
You may deliver or mail legible copies of the docurnents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at thl3 address listed above. You have the right
to seek in advance the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with It
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOLLOWING PERSON:
Name 1 Mirh"p! FlanagM. F~qllirp
150 E. Chestnut Street
Address:
Lancaster, PA 17602-2741
Telephone:
717-397-9444
Supreme Court 10 # 23149
Attorney For:
Defendants
BY THE COURT:
1(, ~
Date:
7/':>/0"-
/ Seal of the Court
Prothonotary/Clerk, Civil Divis on ~
).R.,. ., ~/f)'
. r. . .I' Deputy
(Eft. 7/97)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
LEROY E. RICHCREEK, JR,
et. al,
-vs- File No.
ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
05-449 Civ Term
TO: York Hospital, 1001 South George Street, York, PA 17405-7198
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena, you are ordered by the court to produce the following
documents or things:
A CO~y of Ule mediCllI record:! file including bl:ll: f'let limited te, f€:31:dts of EliagResec tcst:iFlg, ER censLJlts, history
&. phYSical exam repolLS, consultaClon repolLS, any and all medic," reports LUl](;erllilly Leroy E. Rid 1<.1 t:..k JI.
D/Birth 06/30/69, for treatment rendered at any time.
at Flanaaan and Associates, 150 East Chestnut Street. Lancaster, PA 17602-2741
(Address)
You may deliver or mail legible copies of the documents or produce things requested by this subpoena, together
with the certificate of compliance, to the party making this request at the address listed above, You have the right
to seek in advance the reasonable cost of preparing the copies or producing the things sought.
If you fall to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena rnay seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOllOWING PERSON:
Name
Address:
J. Michael Flanagan, esquire
150 E. Chestnut Street
Lancaster, PA 17602-2741
Telephone:
717-'lQ7-Q444
Supreme CourtlD #
Attorney For:
2J119
Deft:I,daf Its
Date:
If
/(,
~qo~
Seal of the Court
t
Deputy
(Elf. 7/97)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
LEROY E. RICHCREEK, JR,
et. ai,
-vs. File No.
ERIE INSURANCE GROUP T/D/B/A
ERIE INSURANCE COMPANY
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO FIULE 4009.22
05-449 Civ Term
TO: Wellspan Medical Group, 1001 South George Street, York, PA 17405
(Name of Person or Entity)
Within twenty (20) days after service of this subpoena. you are ordered by the court to produce the following
documents or things:
A copy of the A'le€lic-al r.ccer~s file inclllding !Jill: not limiteQ 00, r-e€b1lts gf diagnostic testing, n',rs",,,' nnh,<;, nffirp
llot~, 1Tl~1l10r dlldd, LUll ~:,~ulld~Ill.", dllY dllJ dll ",.,diu'll,.,pu, t:., ~lIld billing infermation concerning lcr'6'f E.
Richcreek, Jr., O/Birth 06/30/69, for treatment rendered at any time.
at Flanagan and Associates, 150 East Chestnut Street, Lancaster, PA 17602-2741
(Address)
You may deliver or rnaillegible copies of the documents or prOduce thlings requested by this subpoena. together
with the certificate of cornpliance, to the party making this request at the address listed above. You have the right
to seek in advance the reasonable cost of preparing the copies or producing the things sought.
If you fail to produce the documents or things required by this subpoena within twenty (20) days after its service,
the party serving this subpoena may seek a court order compelling you to comply with it.
THIS SUBPOENA WAS ISSUED AT THE REQUEST OF THE FOllOWING PERSON:
Name
J. Mid'dd Ftdlld!:ldll, GL(ui,.,
150 E. Chestnut Street
Address:
Telephone:
Lancaster, PA 17602-2741
717-397-9444
Supreme Court 10 # 23149
Attorney For: Oefendan\:s
Date:
~61o~
5eal of the Court
BY THE COURT:
<:;"~ICI'!.'-Ci~
1('~<: ~~ D'"""
(Eft. 7/97)
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document has been served
by First Class Mail, postage prepaid, upon the following:
Dusan Bratic, Esquire
Bratic & Portko
101 Office Center, Suite A
101 U.S. Route 15 South
DiIlsburg, PA 17019
Attorney for Plaintiff
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
By:
--eJk&r . /' .
Mildred Rodriguez, Assi ant to
,
J. Michael Flanagan, squire
Dated: c::, - /n -0!5
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document has been served
by First Class Mail, postage prepaid, upon the following:
Dusan Bratic, Esquire
Bratic & Portko
101 Office Center, Suite A
101 U.S. Route 15 South
Dillsburg, PA 17019
Attorney for Plaintiff
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
By:
Dated:
7-'7--os
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lo'LANAGAN AND ASSOCIATES
By: J, MICHAEL FLANAGAN, Esquire
Identification No. 23149
150 East Chestnut Street
Lancaster, PA 17602
(717) 397-9444
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insurance Company
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
LEROY E. RICHCREEK, JR.,
WELLSPAN MEDICAL GROUP,
WELLSPAN YORK HOSPITAL, and
PINNACLE HEALTH
Plaintiffs
No. 05-449 Civil Term
-v-
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
T/D/B/A ERIE INSURANCE GROUP
T/D/B/A ERIE INSURANCE COMPANY
Defendants
JURY TRIAL DEMANDED
PRAECIPE
TO THE PROTHONOTARY:
Please issue a Rule upon Plaintiffs in the above-captioned matter to file a Complaint
against Defendants within twenty (20) days of the Rille or suffer a judgment of non pros.
FLANAGAN AND ASSOCIATES
By:
, Esquire
RULE
AND NOW this /lo~ day of Up-
, 2005, a Rule is issued upon
Plaintiffs to File a Complaint against Defendants within twenty (20) days or suffer a judgment of
non pros.
PR
.
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document has been served by
First Class Mail, postage prepaid, upon the following:
Dusan Bratic, Esquire
Law Offices
101 Office Center
Suite A
101 South U.S. Route 15
Dillsburg, PA 17019
Attorneys for plaintiff
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insurance Company
DATE:
9-lrI- Of
By:
/ I!!./
J/Michae Flanagan, Esquire
I.D, No. 23149
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FLANAGAN AND ASSOCIATES
By: J. MICHAEL FLANAGAN, Esquire
Identification No, 23149
150 East Chestnut Street
Lancaster, PA 17602
(717) 397-9444
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insurance Company
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
LEROY E. RICHCREEK, JR.,
WELLSPAN MEDICAL GROUP,
WELLSPAN YORK HOSPITAL, and
PINNACLE HEALTH
Plaintiffs
No. 05-449 Civil Term
-v-
THE ERlli INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
T/D/B/A ERIE INSURANCE GROUP
T/D/B/A ERIE INSURANCE COMPANY
Defendants
JURY TRIAL DEMANDED
IMPORTANT NOTICE
TO: Leroy E. Richcreek
c/o Dusan Bratic, Esquire
Law Offices
101 Office Center
Suite A
101 South U,S, Route 15
Dillsburg, PA 17019
Date of Notice: October 24, 2005
YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO FILE A
COMPLAINT IN TIDS CASE. UNLESS YOU ACT WITHIN TEN DAYS FROM THE
DATE OF TIDS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU
WITHOUT A HEARING AND YOU MAY LOSE YOUR RIGHT TO SUE THE
DEFENDANT AND THEREBY LOSE, PROPERTY OR OTHER IMPORTANT RIGHTS.
YOU SHOULD TAKE TIDS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
YOU SHOULD TAKE TillS NOTICE TO A LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
FOLLOWING OFFICE TO FIND our WHERE YOU CAN GET LEGAL HELP.
IF YOU CANNOT AFFORD TO illRE A LAWYER, TillS OFFICE MAY BE
ABLE TO PROVIDE YOU WITH INFORMATION ABour AGENCIES THAT MAY
OFFER LEGAL SERVICES TO ELIGIBLE PERSON AT A REDUCED FEE OR NO
FEE.
Court Administrator's Office
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013-3387
Telephone: (717) 240-6100
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insura~70jV
By: /ffh
): Michael Fl gan, Esquire
'J.D. No, 231 9
CERTIFICATE OF SERVICE
r hereby certifY that a true and correct copy of the foregoing document has been served
by First Class Mail, postage prepaid, upon the following:
Dusan Bratie, Esquire
Law Offices
10 I Office Center
Suite A
101 South U.S. Route 15
Dillsburg, PA 17019
Attorneys for plaintiff
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insurance Company
DATE: JtJ -;;{~~ () <;-
//i11d
By: . //I:;f/ /{/ffl'v-,
J, Michael F~agan, Esquire
J.D. No. 23149
'c',
IN THE COURT OF COMMON PLEAS 01<'
CUMBERLAND COUNTY, PENNSYLVANIA
LEROY E.RICHCREEK, JR.
AND
WELLSPAN MEDICAL GROUP
WELLSPANYORKHOSPITAL
AND
PINNACLE HEALTH
PLAINTIFFS
v.
CIVIL ACTION - LAW
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
T/D/B/A ERIE INSURANCE GROUP
T/D/B/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
NOTWR
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.
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.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, P A 17013
(717) 249-3166
A VISO
USTED HA smo DEMAND ADO EN LA CORTE. Si usted desea defenderse de las
quejas expuestas en las paginas siguientes, debe tomar accion dentro de veinte (20) dias a partir de
la fecha en que recibio la demanda y el aviso. Usted debe presentar comparecencia escrita en
persona 0 por abogado y presentar en la Corte por escrito sus defensas 0 sus objeciones alas
demandas en su contra,
Se Ie avisa que si no se defiende, el caso puede proceder sin usted y la Corte puede decidir
en su contra sin mas aviso 0 notificacion por cualquier dinero reclamado en la demanda 0 por
cualquier otra queja 0 compensacion reclamados por el Demandante, USTED PUEDE PERDER
DINERO, 0 PROPIEDADES U OTROS DERECHOS IMPORTANTES PARA USTED.
LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO
TIENE 0 NO CONOCE UN ABOGADO, VAYA 0 LLAME A LA OFICINA EN LA
DIRECCION ESCRIT A ABAJO PARA A VERIGUAR DONDE PUEDE OBTENER
ASISTENCIA LEGAL.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, PA 17013
(717) 249-3166
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYL VANIA
LEROY E.RICHCREEK, JR.
AND
WELLSPAN MEDICAL GROUP
WELLSPAN YORK HOSPITAL
AND
PINNACLE HEALTH
PLAINTIFFS
v.
CIVIL DIVISION
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
Tffi/B/A ERIE INSURANCE GROUP
Tffi/B/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
COMPLAINT
AND NOW, comes the Plaintiff, LEROY E. RICHCREEK, JR. by his attorneys, Bratic
& Portko, and respectfully avers as follows:
1. The Plaintiff, Leroy E. Richcreek, Jr., is an adult individual who currently resides at 325 Sheep
Bridge Road, York Haven, York County, Pennsylvania,
2, Defendant, the Erie Insurance Exchange Activities Association, Inc. t/d/b/a Erie Insurance
Group t/d/b/a Erie Insurance Company, is a corporation duly licensed and registered to transact
automobile insurance in the Commonwealth of Pennsylvania, maintaining a regional office at
4901 Louise Drive, Mechanicsburg, Cumberland County, Pennsylvania, 17055 and regularly
conducts business in Cumberland County, Pennsylvania.
3, On or about November 5,1997, Plaintiff, Leroy E. Richcreek, Jr. was operating a motor vehicle
owned by the Defendant's insured, Leroy E. Richcreek, Jr., which was involved in a motor vehicle
accident arising out of the maintenance and/or use of the Plaintiffs motor vehicle, which accident
resulted in bodily injury and hann to the Plaintiff, Leroy E. Richcreek, Jr.
4, By the terms of an insurance policy issued to Leroy E. Richcreek, Jr., the Defendant provided
coverage for Plaintiff, Leroy E. Richcreek, Jr., in accordance with the provisions of the
Pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa.C.S, S I 702 et seq. And said
policy of insurance, No, Q03-0580119-H7, was in full force and effect on 03/05/97 through
03105198.
5, As a result of this accident, Plaintiff Leroy E. Richcreek, Jr., has been and will be obligated to
receive and undergo medical attention and care and to expend various sums of money and or will
incur various expenses properly due and allowable under the terms of the policy of insurance
including but not limited in future medical expenses, Plaintiffs will be obligated to continue to
expend sums or incur expenditures for an indefinite period of time for their medical conditions.
6. As a result of this accident, Plaintiff Leroy E, Richcreek, Jr., has suffered a loss of earnings and
impairment of earning capacity and power, which loss of income is recoverable under the policy of
insurance pursuant to 75 Pa.C.S. 91712,
7. Following this accident, Plaintiff Leroy E. Richcreek, Jr. gave timely and reasonable notice to
the Defendant of Application For Benefits, a copy of said notice is attached hereto and incorporated
by reference herein as Exhibit "A".
8, Defendant has not paid to Plaintiff the benefits to which Plaintiff is entitled under the policy
of insurance including unpaid and outstanding medical bills, nor has the Defendant committed
itself to pay such benefits monthly as they accrue or in any other way which is contrary to the
terms and conditions of said policy of insurance.
9, Said policy also contained benefits for underinsured motorist coverage, The Defendant has
failed to provide underinsurance coverage under the Pennsylvania Motor Vehicle Financial
Responsibility Law, 75 Pa. C.S, 91702 et. seq, and said policy of insurance was in full force and
effect on the date ofthe accident.
10, In prosecuting this action, Plaintiff has secured the services of Bratic & Portko, Attorneys At
Law, at a rate of One Hundred and Fifty Dollars ($150.00) per hour until this action is resolved.
WHEREFORE, Plaintiff, Leroy E. Richcreek, Jr., respectfully requests this Court to grant
the following relief:
a,) Award the past due payments of medical expenses, plus interest and penalties;
b) Award Plaintiff income loss benefits plus interest at the legal rate per annum from date
of accident to the present or until this matter is resolved, whichever is greater, plus interest
and penalties:
c) Award attorney's fees pursuant to Section 75 Pa, C.S, 91716 and gI798(a) of the
Pennsylvania Motor Vehicle Responsibility Act, 75 Pa, C.S,91701, et seq., based on actual
hours expended up to the date of final judgment in this matter.
d) Award Plaintiff costs incurred in filing this suit.
e) Direct the Defendant to pay for ongoing medical care and treatment and to retain
jurisdiction over the case for the foreseeable future.
Dated:
BRA TIC & PORTKO
<'---
\(/O?:,(~
I
U
Dusa Bratic, Esquire # 19249
Stephen Portko, Esquire #34538
101 Office Center, Suite A
101 US, Route 15 South
Dillsburg, PA 17019
(717) 432-9706
Attorneys for Plaintiff
(~
{\
CLAIM NO.
,
TO:
(Name of ,resting Phyalc\anIHospltal)
DISCLOSURE AUTHORIZATION
I authorize you to lurnish Erie Insurance Group or its representative, with all records pertaining to the
loss of: / J- (}S~ i"<1)
(Date of Lo.s)
1. Hospital or medical treatment, including diagnosis, prognosis, disability, and service charges.
2. Earning information, including rate of pay, jab classification, and loss of time from work,
3. Policy information, including, but not limited to, Tort Opllon Slllectlon, oeelll.ellon Pllge,
and L1mlta of Liability.
THIS SHALL BE A CONTINUING AUTHORIZATION FOR THE RELEASE OF INFORMATION UNLESS REYOKED IN
WRITING BY THE UNOERSIGNED. A COpy OF THIS AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL.
NAME, 4? ~~
DATE OF BIRTH: (J ~ 70 - ~ 9
SOCIAL SECURITY NUMBER: I if) ':, - S' 'I - .;)../ 7 1
SIGNATURE, -f1 Z );2.),. ,,~
0"
DATE:
!k3-Cfcr
(II a Minor, Includa slgnalUra of Plranl or GUlrdlan)
YOUR AUTO INSURANCe COMPANY:
C. R,'~
YOUR CLAIM NO.: 0 (01'70 '? 33? ") 3
ADJUSTER:
Do.. "A C>cc. Ie
PHONE NO.: '7,?s-, fdOd
. HEALTH INSURANCE CARRIER:
p{2() /)Q",J"'S4-
NAMED INSURED ON ABOVE HEALTH POLICY:
\I y ~CJ ~ / '/9 ~--r- 6r~ .p,q N T l
NOTICE: Any pereon who knowIngly snd with Intent to defrllud sny Inlu.llnce company or other peraon fllea an
application lor Ineurance or etatement 01 claim containing any materllllly lalee Inlormatlon or concellla lor the
purpoee 01 mllleedlng, Inlormlltlon concerning IIny fllct mllterllll thereto commlta a Irlludulent Ineurance Ict, which II
a crime and Iublecte the pereon to crlmlnelllnd civil penaltlee.
C-180 PA-TQR.T OPTION 2;95
;--.,
[I v
. ERIE INSURANCE GROUP
. JlJ~ 100 ErIe Insurance Place . Erie. PA 16530
'ERIE
, e
1""\
APPLICATION FOR'~)ENEFITS (PA)
PLEASE COMPLETE THIS FORM AND RETURN IT PROMPTLY
DATE of THla REQUEaT
DATE OF ACCIDENT
11'-0";-1'1
FILE I4IIMtlER
.(! j'c"k ',,;!Ie.:.
IM.O"TAIfT: I. To bo a"glblalo, bona,nl you mUlt complotl and Ilgn thll application.
2. You must 1110 algn thl a.thart..lon al tha bol\Qm altha ahall.
3. R'turn prvmpll, with copl.. of any bill. ,ou ha.. recei..d to da'.,
4. U_ .....,.. .Ide If neo....
1. APpLICANT'S NAME l
<</Lo
2. YOUR AODRESS NO. STREET 1
liJ) .1.......1(,...<"
3. OWNER OF VEHICLE YOU OCCUPIED OR OPERATED
'o~ <: i. '-. A \..
.. I'tACE OF ACCIDENT STREET. "
o c! ..".
H.
."
YOUR CLAIM CANNOT BE PROCESSED WITHOUT ALL THE INFORMA nON REQUESTED IN QUESTION 5
S. LIST ALL MOTOR VEHICLES OWNED BY YOU OR ANY MEMBER OF YOUR FAMILY RESIDING IN YOUR HOUSEHOLD ON DATE OF THE ACCIDENT
MAKE LICENSE NO. OWNER INSURER POUCY NO. VEHICLE IDENTIFICATION NO.
VEH \
VEH 2
ViH3
6. DESCRIBE YOUR INJURY
, .{.......
..
1. DOCTOR OR OTHER PERSON FURIjISHING,tlpolTH SERVICES
NAME 0, Vef u,' <.. 5.4.. u fl~< "l...
ADDRESS
e. HOSPITAL NAME AND ADDRESS
Pl()
c. "
d" L tt...:;(l. L I
9. WILL YOU HAVE MORE HEALTH ExPENSES1
YES NO 1'>1 1::"...,
10. DID YOU LOSE TIME FADM WORKT
OCCUPATION
FROM
TO
SelF
0.-",,"1..
It:i
T/ra a",.".antaut"""... th. lno
prort/IIarllor unllar Ihl. ..,.
SIGNATURE
NOTICE Any ptrton who Imowl Ind .nh Int.nt 10 d.rnu Iny Inlur.ncl carnplny ar tfhl' p.rlDn filII 1ft .p~ICltIDn fDr Inlun:ncl Ir It.t"".", at cl.lm CIf'IIIIIt.
b\Q "'V mlt"'''", 11111 In orm.t"" II cOK.II.flr ".. P.'P'" DI m,'..''''.. \nformIUI" CDftlll1'nlng 'n, taC1 mlt,rl.1 ltl'I'IID commnl . "'adultnt Irrlurenc:.
Icl, whfcll II . crlm. Ind .ulllle'l II.. p'flDn 'a crlmlnl' ,nd clYft ,.n.III'I.
DATE JJ - 3 . <jq
, '" a.I2m"any anrl.1I ol/h'" Ionna to a",,'1lar palfyor In......'' .ucIIll __'1 10 parfacllll rfghlO 01...._'1'
C.eQ.PA 2195
DO NOT DETACH
AUTHOR'ZATtON 'TO FURNISK "'EAltH SE"'1tc6S. TREAtMENt. waf\1t OR OTHI:" LOSS U.fORM",\ON
THIS AUTMORlZAnCJN 0.. PHOTOCOPY HER!Of 'HAU AUTHORIZE YOU TO RELEAIE TO TH! EftfllHllMANCE GROUP ALL IHFDfIIIATlDH YOU HAYE "fOARDINO lilY CONDmON WHILE UNDER YOUR
08llftVA110M (Nt l1\EAllI!Nl.IH.CUIDOIQ ""1<mY MtAPWJ. lOt Mall Ta, IMAQ,MQtII AND 'f'OGMOIII.' AltO A\STMMll' "., SllP\.DYD 10 "",",1M AMY ~OIO.lnOM WITM "EDtltD TO M't
CQWi.I",a1lON ANa \'O"l1M~ OR OntOlI.ONINFORlltnON. nUs A~O noN 'HAL\. MOT IE IHVAUDATtD I' net: 'ADAaE Of' '11M"
'.c.a...1 E f.:<.L~.o<-k H... '
NAME (P'b,' or TYJMl)
1~'J"''19
DATE
JqJ '~-"I'" ') I:
SOCIAL SECURITY NUMBER
VERIFICATION
I, lerr:y E. R.i.ch::::r'eEk, Jr. , hereby acknowledge that I am a
P1aintiff in the foregoing Cbrplaint
that I have read 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 authorities.
DATE: N:Jv. 3, 2005
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA
CIVIL DIVISION
LEROY E.RICHCREEK, JR.
AND
WELLSPAN MEDICAL GROUP
WELLSP AN YORK HOSPITAL
AND
PINNACLE HEALTH
PLAINTIFFS
v.
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
TID/B/A ERIE INSURANCE GROUP
TID/B/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing Complaint was furnished by U.S.
Mail, first class, postage prepaid on this 3rd day of November 2005, to:
J. Michael Flanagan
ISO East Chestnut Street
Lancaster, P A 17602
For Defendants
BRATIC & PORTKO
Dated: I f!c)2!C<('
c ~\R~r:
Dusan ratic, Esquire ~
Supreme Court ID 19249
Stephen K. Portko ID# 34538
101 South U.S. Route IS
Dillsburg,PA 17019
(717) 432-9706
Attorney for Plaintiff
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PRAECIPE FOR LISTING CASE FOR ARGUMENT
(Must be typewritten and submitted in duplicate)
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Please list the within matter for the next Argument Court.
----------------------------------------------------------------------------------------------------------------------
CAPTION OF CASE
(entire caption must be stated in full)
Leroy E. Richcreek, Jr.. Wellspan Medical Group, Wellspan York Hospital, and
Pinnacle Health
(Plaintiffs)
-vs-
The Erie Insurance Exchange Activities Association, Inc.. t/d/b/a Erie Insurance Group
t/d/b/a Erie Insurance Company
(Defendants)
No. 05-449 Civil Action - Law 2005
1. State matter to be argued (i.e., plaintiff's motion for new trial, defendant's demurrer to
complaint, etc.)
Preliminary Objections of Defendants to Plaintiffs' Complaint
2. Identify counsel who will argue case:
(a)
for plaintiff:
Address:
Dusan Bratic, Esquire. Michael Flanagan. Esquire
Bratic & Portko
101 South U.S. Route 15, Dillsburg, PA 17019
(b)
for defendant:
Address:
J. Michael Flanagan. Esquire
Flanagan and Associates,
150 East Chestnut Street, Lancaster, P A 17602
3. I will notify all parties in writing within two days that this case has been listed for
argument.
4.
Argument Court Date:
January 11, 2006
Dated:
/f - / 7 ,0 S
Att
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document has been served
by First Class Mail, postage prepaid, upon the following:
Dusan Bratic, Esquire
Law Offices
10 I Office Center
Suite A
101 South U.S. Route 15
Dillsburg, PA 17019
Attorneys for plaintiff
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
Erie Insnrance Group t/d/b/a
Erie Insurance Company
DATE:
//- /7-0S
,
By:
,fIll ;I
J. }ilichael Ffanagan, Esquire
I.D. No. 23149
( ~l
.: ~'-l
C')
C,)
t.....)
FLANAGAN AND ASSOCIATES
By: J. MICHAEL FLANAGAN, Esquire
Identification No. 23149
150 East Chestnut Street
Lancaster, PA 17602
(717) 397-9444
Attorneys for Defendants
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
LEROY E. RICHCREEK, JR.,
WELLSPAN MEDICAL GROUP,
WELLSPAN YORK HOSPITAL, and
PINNACLE HEALTH
Plaintiffs
No. 05-449 Civil Term
-v-
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC., t/d/b/a
ERIE INSURANCE GROUP t/d/ba/
ERIE INSURANCE COMPANY
Defendants
JURY TRIAL DEMANDED
PRELIMINARY OBJECTIONS OF DEFENDANTS
TO PLAINTIFFS' COMPLAINT
AND NOW, comes the Defendants, by their counsel, Flanagan and Associates and file
Preliminary Objections to the Complaint as follows:
I. MOTION TO DISMISS FOR FAILURE TO STATE A CLAIM UPON WIDCR
RELIEF MAY BE GRANTED (DEMURRER). Pa.R.C.P.I028(a)(4)
1. Plaintiff filed a Writ of Summons naming four (4) plaintiffs, Leroy E. Richcreek,
Jr., Wellspan Medical Group, Wellspan York Hospital and Pinnacle Health.
2. Plaintiffs Complaint filed on November 3, 2005 sets forth ostensible claims for
"Leroy E. Richcreek, Jr.," but makes no mention of any basis for Wellspan Medical Group,
Wellspan York Hospital or Pinnacle Health appearing as plaintiffs in this case.
3. Since the Complaint has absolutely no allegations to support any claim whatsoever
for Wellspan Medical Group, Wellspan York Hospital and Pinnacle Health, said Complaint fails
to state a cause of action upon which relief can be granted for those plaintiffs.
WHEREFORE, defendants ask that the Court strike Wellspan Medical Group,
Wellspan York Hospital and Pinnacle Health as Plaintiffs in this case.
II. MOTION TO STRIKE. Pa,R.c.p, 1028(a)(2)
4. The Pennsylvania Rules of Civil Procedure reqUire that items of special
damages shall be specifically stated. Pa.R.C.P. 1019(t).
5. Plaintiffs Complaint seems to make claim for "outstanding medical bills."
However, the Complaint does not list any bills outstanding, contains no detail of any services
provided, offers no identification of who provided services and no information on how any
such services are related to Mr. Richcreek's November 5, 1997 motor vehicle accident.
6. In light of the complete absence of any averments of special damages, the
Complaint fails to conform to laws and rules of pleadings in the Commonwealth of
Pennsy Ivania.
WHEREFORE, Defendants request that the Plaintiffs Complaint be dismissed for
failure to comply with law and Rules of Court.
III. MOTION TO STRIKE CLAIMS FOR ATTORNEYS FEES. Pa.R.C,P, 1028(a)(2)
7. In paragraph 10 of Plaintiffs' Complaint a request for attorneys fees is
advanced.
8. In the Commonwealth of Pennsylvania, attorneys fees may only be awarded
- 2 -
where there is specific authority or a clear agreement of the parties supporting a claim for
attorneys fees.
9. The allegations of this Complaint do not identify any basis for an award of
attorneys fees.
WHEREFORE, Defendants request that the Court strike Plaintiffs' claim for attorneys
fees appearing in paragraph 10 of the Complaint.
IV, MOTION TO STRIKE FOR FAILURE TO STATE A CLAIM UPON WHICH
RELIEF MAY BE GRANTED, Pa,R.C.P, 1028(a)(4)
10. Presuming, arguendo, that Wellspan Medical Group, Wellspan York Hospital
and Pinnacle Health provided medical service to Leroy Richcreek, Jr., and also presuming
there were such allegations in the Complaint, there is no private right of action by a medical
provider against an insurer under the Pennsylvania Motor Vehicle Financial Responsibility
Law, 75 Pa.C.S. VlO2 et seq. where payments have not been refused.
WHEREFORE, Defendants request that the Court strike Wellspan Medical Group,
Wellspan York Hospital, and Pinnacle Health as plaintiffs in this action.
V, MOTION TO STRIKE, Pa.R.C.P. 1028(a)(2)
11. The Pennsylvania Rules of Civil Procedure explicitly require that
When any claim or defense is based upon a writing, the pleader
shall attach a copy of the writing, or the material part thereof, . .
. Pa.R.C.P. 1019(h)(i)
12. Ostensibly this action is based on an insurance agreement. Accordingly, the
agreement must be attached to the pleading.
WHEREFORE, Defendants ask that the Complaint be dismissed for Plaintiffs' failure
- 3 -
to comply with the Rules of Court.
VI. MOTION FOR A MORE SPECIFIC PLEADING. Pa.R.C.P. l028(a)(3)
13. In the alternative, Defendants ask that the Court find that the Complaint has
insufficient specificity and order Plaintiff to file an Amended Complaint specifically setting
forth:
(a) The specific bills which allegedly remain unpaid (including provider, date of
service, description of service, amount of bill, whether such bill has been repriced as required
under 75 Pa.C.S. ~1797, a date when each such bill was presented for payment, along with
attaching a copy of each bill).
(b) A copy of the agreement upon which this action is based.
(c) A copy of the declarations page for the time in question so that a record can be
made to demonstrate that Plaintiff has sued the wrong Defendants.
WHEREFORE, Defendants ask that the Complaint in this action be stricken and
Plaintiffs Wellspan Medical Group, Wellspan York Hospital, and Pinnacle Health be dismissed
as Plaintiffs and/or in the alternative order that Plaintiff file a more specific pleading with the
details and documentation of what is being claimed in this action.
By:
- 4 -
CERTIFICATE OF SERVICE
I hereby certifY that a true and correct copy of the foregoing document has been served
by First Class Mail, postage prepaid, upon the following:
Dusan Bratic, Esquire
Law Offices
101 Office Center
Suite A
101 South U.S. Route 15
Dillsburg, PA 17019
Attorneys for plaintiff
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insurance Company
DATE:
//- /7- {'Is
By:
(>",'
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t
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
LEROY E.RICHCREEK, JR.
PLAINTIFFS
CIVIL ACTION - LAW
v.
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
T/D/B/A ERIE INSURANCE GROUP
T/D/B/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
NOTTeR
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.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE, IFYOUDO
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,
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, P A 17013
(717) 249-3166
A VISO
USTED HA smo DEMANDADO EN LA CORTE. Si usted desea defenderse de las
quejas expuestas en las paginas siguientes, debe tomar accion dentro de veinte (20) dias a partir de
la fecha en que recibio la demanda y el aviso. Usted debe presentar comparecencia escrita en
persona 0 por abogado y presentar en la Corte por escrito sus defensas 0 sus objeciones alas
demandas en su contra.
Se Ie avisa que si no se defiende, el caso puede proceder sin usted y la Corte puede decidir
en su contra sin mas aviso 0 notificacion por cualquier dinero reclamado en la demanda 0 por
cualquier otra queja 0 compensacion reclamados por el Demandante. USTED PUEDE PERDER
DlNERO, 0 PROPIEDADES U OTROS DERECHOS IMPORT ANTES PARA USTED,
LLEVE ESTA DEMANDA A UN ABOGADO INMEDlATAMENTE, SI USTED NO
TIENE 0 NO CONOCE UN ABOGADO, VAYA 0 LLAME A LA OFICINA EN LA
DlRECCION ESCRITA ABAJO PARA AVERIGUAR DONDE PUEDE OBTENER
ASISTENCIA LEGAL,
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, PA 17013
(717) 249-3166
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYL VANIA
LEROY E.RICHCREEK, JR.
PLAINTIFF
CIVIL DIVISION
v,
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
TlD/B/A ERIE INSURANCE GROUP
T/D/B/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
FIRST AMENOFO C:OMPJ.AINT
AND NOW, comes the Plaintiff, LEROY E. RICHCREEK, JR. by his attorneys, Bratic
& Portko, and respectfully avers as follows:
I. The Plaintiff, Leroy E. Richcreek, Jr., is an adult individual who currently resides at 325 Sheep
Bridge Road, York Haven, York County, Pennsylvania.
2. Defendant, the Erie Insurance Exchange Activities Association, Inc. tld/bla Erie Insurance
Group tld/bla Erie Insurance Company, is a corporation duly licensed and registered to transact
automobile insurance in the Commonwealth of Pennsylvania, maintaining a regional office at
4901 Louise Drive, Mechanicsburg, Cumberland County, Pennsylvania, 17055 and regularly
conducts business in Cumberland County, Pennsylvania.
3. On or about November 5, 1997, Plaintiff, Leroy E. Richcreek, Jr. was operating a motor vehicle
owned by the Defendant's insured, Leroy E. Richcreek, Jr., which was involved in a motor vehicle
accident arising out of the maintenance and/or use ofthe Plaintiffs motor vehicle, which accident
resulted in bodily injury and harm to the Plaintiff, Leroy E. Richcreek, Jr.
4. By the terms of an insurance policy issued to Leroy E. Richcreek, Jr., the Defendant provided
coverage for Plaintiff, Leroy E. Richcreek, Jr., in accordance with the provisions ofthe
Pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa.C.S. 91702 et seq. And said
policy of insurance, No. Q03-0580119-H7, was in full force and effect on 03/05/97 through
03/05/98. A true and correct copy of the Declaration Sheet, Policy No. Q03-05801l9-H7, is marked
Exhibit "A", attached hereto and incorporated herein by reference. Plaintiff no longer has a copy of
his insurance policy dating back to 1997 and, at this time, is unable to attach a copy ofthe written
l
policy. However, since Defendant issued the policy and retains a copy ofthe same, Plaintiff served
Defendant with a Request For Production of Documents, including a request to produce a copy of
the original policy, and Plaintiff will file and attach the written policy to Amended Complaint ifthe
same is deemed necessary.
5. As a result of this accident, Plaintiff Leroy E. Richcreek, Jr., has been and will be obligated to
receive and undergo medical attention and care and to expend various sums of money and or will
incur various expenses properly due and allowable under the terms of the policy of insurance
including but not limited in future medical expenses. Plaintiffwil\ be obligated to continue to
expend sums or incur expenditures for an indefinite period of time for his medical conditions.
6. As a result of this accident, Plaintiff Leroy E. Richcreek, Jr., has suffered a loss of earnings and
impairment of earning capacity and power, which loss of income is recoverable under the policy of
insurance pursuant to 75 Pa.C.S. 91712.
7. Following this accident, Plaintiff Leroy E. Richcreek, Jr. gave timely and reasonable notice to
the Defendant of Application For Benefits, a copy of said notice is attached hereto and incorporated
by reference herein as Exhibit "B".
8. Defendant has not paid to Plaintiff the benefits to which Plaintiff is entitled under the policy
of insurance nor has the Defendant committed itself to pay such benefits monthly as they accrue
or in any other way which is contrary to the terms and conditions of said policy of insurance.
9. Said policy also contained benefits for underinsured motorist coverage. The Defendant has
failed to provide underinsurance coverage under the Pennsylvania Motor Vehicle Financial
Responsibility Law, 75 Pa. C.S. 91702 et. seq. and said policy of insurance was in full force and
effect on the date of the accident.
10. In prosecuting this action, Plaintiff has secured the services of Bra tic & Portko, Attorneys At
Law, at a rate of One Hundred and Fifty Dollars ($150.00) per hour until this action is resolved.
WHEREFORE, Plaintiff, Leroy E. Richcreek, Jr., respectfully requests this Court to grant
the following relief:
a.) Award the past due payments of medical expenses, plus interest and penalties;
b) Award Plaintiff income loss benefits plus interest at th<: legal rate per annum from date
of accident to the present or until this matter is resolved, whichever is greater, plus interest
and penalties:
c) Award attorney's fees pursuant to Section 75 Pa. C.S. 91716 and 91798(a) of the
Pennsylvania Motor Vehicle Responsibility Act, 75 Pa. C.S.91701, et seq., based on actual
hours expended up to the date of final judgment in this matter.
d) Award Plaintiff costs incurred in filing this suit.
e) Direct the Defendant to pay for ongoing medical care and treatment and to retain
jurisdiction over the case for the foreseeable future.
BRATIC & PORTKO
Dated: 1;1, - 7 -() S-
/"',
C~J~;'- [( I c\.=iCe{_J
Dusan Bratic, Esquire #19249
Stephen Portko, Esquire #34538
101 Office Center, Suite A
101 U.S. Route 15 South
Dillsburg,PA 17019
(717) 432-9706
Attorneys for Plaintiff
VERIFICATION
I, Leroy E. Richcreek, Jr., hereby acknowledge that I am the Plaintiff in the
foregoing
First Amended Complaint
, that I have read 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 authorities.
DATE: 12/07/2005
/7
~~
. Richcreek, Jp
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
LEROY E.RICHCREEK, JR.
PLAINTIFFS
CIVIL ACTION - LAW
v.
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
T/D/B/A ERIE INSURANCE GROUP
T/D/B/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I HEREBY CERTIFY, that I served a true and correct copy of the foregoing
Plaintiffs FIRST AMENDED COMPLAINT in the above captioned matter upon the
individual(s) or person(s) listed below as follows:
J. Michael Flanagan, Esquire
FLANAGAN AND ASSOCIATES
150 East Chestnut Street
Lancaster, P A 17602
Date: /2- -7 -Q S-
c... (d
~)~,'- Ie) ~)
Stephen . Portko, Esquire
101 South U.S. Route 15
Dillsburg, P A 17019
EXHIBIT "A"
- - - - -......~ - ~ ~ ~,....,,-..
.-;';". ; .:..~'; ..'..... - ......
:~ ,~~::::.~=-.--
PIONEER GARAGE/AC'l'O PO:":CY
:::.:;::~,; JEC~A?,.A:::'~NS
~ ~ - - ....,....
- ~'::;'
F.?l..;':,J}:,_~'\! ::::S:JR..t.l'JCE AGY
03/05/97 TO 03/05/98
QOJ 0580119 :-:7
.:'=~,:< ?~:::"~]:2,~ .~.:-"'TO SA:"::::S
~~?C"'.:' R::::=r-:r=R~E.:: J? :)/B/.i\
-:2:::: '!O?:.: ?--A";jS~'~ ~T"
_ _ ~"T__'-:, :..:....::4~I:::S ?p.~ :. 73-::J - 97 G 3
20V~?J,G~S ~,JD~R ~~:s PO~ICY INCLUDE,
:c'._~~O,':;" ~:A';::':~'.' i?~_C:<AG:;:, WHICH INCLUDES: GARAGE PREMISES-
'C: =-~: ~-,~'"C / :>:>,,~"('"'S - ~OMDT ~'T'ED OPERATIONS!TEN'M'TS LEGAL
~,-_"____-,~\i""'i ~~\.'-'i....IU~_ '- l.~.....d::~,_ J-U'I
.. ,- - -, '~"T ,~~"_.. "'J - ~'-~-"G - .. ~ASING!ODOMETER!AUTO D~M~GE
_n'.c.:::'-._.__ _ _! _.:-r~v_:-. .;.. .....~~L..i..:...\l <<.LJ'::" r:l.J..J.n.
- ::: ::.:::S'.":;,2:; ::O'lP2~::'T::V::: AUTO PARTS LAWS & FEDERAL USED CAR
._-"".....,- ';:;~J==211 2EG~_'~;'_'I'ION
"0 ::rs:.;,,:::: A}JY AG:'O--OWNED, HIRED & NON-OWNED AUTOS
...__\.:-::s :OE'.'S:C.'O::.c DAHAG2 - LOCATTON(S) SHOWN BELOW
::.:S'7?X,;C::: :: S :??OVEED 'tlHERE A PREMIUM OR "INCL" (INCLUDED)
= S ;:-:8:',:1:7 ?C'; ':':--:2 -::D~\n~~~GE.
-~, ,--,~,,-
-(-'.-- -- ,'--"
.,..,---,-.
'TO"A~ W~~BER OF EMPLOYEES/PERSONS BY
CL 1 CL lA CL 2 CL J
C:"ASS
C=' 4
?':~:"-T::::M2
;
~
?u~ET - ~=ME
-,.r :::;2~~,=:~ --:AG5::
3
PREMICW
_~_ .~~ :.. _~.::2 = =-.':::: '"".:-:..-=="',,,i::::?_;:~G::::S -
--- - -. .~ ::;';':.,,, S5:C:'1/?ERso:,r $5GOM/ACC &:
-.~,,_.~::?---:'.;.' :'.Sf:..~~G::: SS:JJ:-t./AC,2
_ '.. _~ _'~~J=c.~~~ ?A,!:v:S~J':'S s 2!v!/ PERSON
1,090
IN C_
::>_?:=~: ~:2~J2?=:'5-
__~~ =~(:~:';s::: $:'0:.:
Je
_" -:"--,'::::: ~=2:; .s:>:/>1Q~J':~, $::"S~I: rJ..)l,...l'C:MTJM
.==:~.:?::':'32. 32,~
35
".:
2
- '_'___'~~,_ ~"",,""r"""._ ....~...
~_ _~~ .~~_ ~~~.~ ~=i'J
-::--_'::== :~c~:;;'_::.:::s '':J\7EF-AGE-
/ ?:::;:~3G~'T
$30Q~/ACC-STACKED
CGV2~~,:;2-
$,,0 O;'l/ACC- STACKED
31]
-: '~:'> ~:::?_;c:':
'.-=:,:~= 3-=::=
138
=-.':;C:.'_~:C:l, C 1 RATING TERRITORY::
- ~-jC~J - ;:~E:;:DR:'I!\l'G
:.7C~'~ - STAlJ:JARD :]PEN LOT
5,,:' OED!A~TO $2,,00 DED/LOSS
IV
32;
~ r-. ."
,I',
=--=>:.:::?
$40,000
245
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::;,,....,.~ -i-~,"
- "'..................
't!cl UU<1f V.I..J
?::E~'-:I""-,"M
$
1,912
$ 461. 00
$ 1,451.00
JASEJS6G3/17/97
___ r_~~_ .,. ........,,___
.-,. '. _'_~ _'"'l.__ _ '...-
,- ,~. - ~ .,., . -:...,
.", '.- _...~. ~- ,
_ ~~~~~:A2L3 ~:~=CY, ENGORGEMENTS, EXCEPTIONS TO DECLARATIONS ITEVS
.o.'c..::OS - ::A? :1/96', AHPAOl 11/99*, ABPU03 02/96*.
__, .:.:"-:'=:j\T
.~3:~,TC=-')7/96* .
~ ,'~?' =-::.~:':::='::3 =Y?ORj'":,,,~,:,: 'J:'J
.~:=~.:; ?:::_:"~~=:.::.sE= l::::2?LER.
.,'__~ .;.. ::::::..::.. _.:...::...:. _ /NSOL.
==~=-=.s=:::~: :C\lS;~.G:=: A.ND :JE:::::;CTIBLE APPLY TO P:;~IVATE PASSENGER
.:c. ~.:c.:C:1E::: JF. 3XECUTIVE OFFICER RENT FOR 30 DAYS OR LESS.
_._ -=._-=_-==-:: .....-' :'::'-1::S I TE:R:-.rS .~JD CONDITIONS IN THE POLICY.
___ .. ,. ..~" ....H..~..-...-.-"f...--....-. ..........~...........
~===~=O~A~ C~~RG~ 0U2 ~O TE:S CHANGE
~C~A~ ~2TI~]A~ PO~=Ci PREMI~~
$ 43
$ 1,968
SEE REVISED INVOICE BELOw
Tt>1A 06/06/97
.,. . ~- ^ - .
-'--':..:. - - "::
...:::':-:::::,:'~ ~-:..~:]2=,7 i'\:;:-C
='~ :::::'23A177
PIONEER GARAGE/AT:'J
:Jr.- - -',"
... '----- '--
;'1,'E:-;DE1) DECLARATIONS 01 * * EFFECTIVE OS/29/97
~TTAC~ THIS TO YOUR POLICY.
,,_:::Asm.; cOR Al'-1ENDMENT NUMBER OF PLATEs AMENDED
_:~~; SSo
?A~~Ep~-1 INSG?~~CE ACY
03/05/97 TO 03/05/98
C03 058)1.19 _.,
.~.::;.:': p.Av~r~ A:.:::O SALES
=-~:;~C;Y :Z:'::--:CREEX J^ D/B/A
-:;: .!:;E:<~ :--:"i;?:'::N ?.D
;:RK :~.VE:J FA l7370-9703
:"::::,1 _. :OVEFJ\.GES m\DER THIS POLICY INCLUDE:
;.'.R,O.G::O ~=AB=~=-:::Y PACKAGE, WHICH INCLUDES: GARAGE PREMISES-
J?E?~~=ONS/PRCDUCTS-COMPLETED OPERATIONS/TENANTS LEGAL
lI),:: =::X::'":, ':'R:JTE IN LENDING " LEASING/ODOMETER/AUTO DAMAGE
-=-=SCc:.::S;:?S/CO,<!PET::'TIVE AUTO PARTS LAWS" FEDERAL USED CAR
". . ~. . S:;'J=::;E" R;::G'JL>>.TION
,~.:':"":,.; >J~: ::::':S::.rt.E: ANY ~~L"'TO- -OWNED, HIRED &: NON-OWNED AUTOS
::C.''':::: XJ70S ?E'ISIeAL DAMAGE - LOCATION (S) SHOWN BELOW
=:~S;.:?cXCE IS P~CVIDE:) WHERE A PREMIUM OR "INCL" (INCLG::::O::
:::2 5~C~~ ?OR YHE COVERAGE.
?--'~':'=~~~ ~-'"::::~?
I'O'TAL NUMBER OF
cr. 1
?:JLL.--TIME 1
PART-TIME
~ZAL;~ ~AGS: 4
EMPLOYEES/PERSONS 3Y
cr. lA CL 2 CL ~
~=-~.S3
~..,,~--,
-.,., ._-.'. -'-
PREW'o~':
==.':'-,;:'7::: =-=;:.~==-=:~. cc\r3~~GES-
-':'''':'~''O- ""-"-'; ^"on'~/p"'R~ON $"OOM/ACC '
_..___.....-'_.,~__ __,U",,;\_ .)~ VI. ..... ~ __ co:
:~::~~~y =~~~GE $500M/ACC
';::::.:I~='= .':;::=:1:,'_1 ?AYMENTS $2M/PERSON
1 -, a-
, v.-- _'
-~.~r-
J.._'"'_~
-~~~~ ;~~:~ ~~~2==TS-
.:=::~~: ~X?~~S~ S~O~
. ~;'=~:~~:: ::"':J.sS S=-:t:./:'::CiJ':'::, $lSM MAXI1V1UM
. _===.=:::::~':'_:;.::.. =:,::,~':':.r 55:'1
_n-::==-_~_.::.. 3:::::':::::::-::- '52. 5:~
~_:-~._.:,== :':::2?'':S':'S COVERA.GE-
- -,-- ~-~.."'.
. .
'?E:?kS,::'J
3S00M/ACC-STACKED
:OV:O:RAGE-
$500M/ACC-STACKED
-:--~ =~:=- :5::',~~'>:/?::::Z:::C'N
._~~-:::::~ .:~-.:~::::= :'::~~?=S-:3
~XAI'IC:J; 01
RATING TERRITORY: lU
~---_._-----
----~---~_._. -
- ::CN - RS?OS.::ING
;';C:.j-STANDARD OPEN LOT
.500 :;:::/AUTO $2500 DED/LOSS
~'~~i:';:~~
=:~= i ,::':::'8 ~:t1I T
$40,000
- - -- - -~._- ...... ...-.........". ...........
- -
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.,......--- ."-'-" ........~
~. --,.:"'.:: -- .-..;-~. :.-..j .-....) ~--"
--~--_.~--'"'
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.-1.--
.";o:O~:C"~.5,,,2: ?C-:":C:Y, 2)CORSEMENTS, EXCEPTIONS TO DECLARATIONS ;"';:::<18
).:-:'C8 - GA? ~~jS5, AE?>..C: :1/96., ABPU03 02/9E'.
=--:')C.\~='~',- ::.. - l-':..3?~~O=-J7/95.
---..:.~'::-~: ?:'F.TES ?? 2 :'0 4 ?l...A':'E:S
~=-::~.=_::'~;'~::"~.s ::-~:C.\:;;.>:"2:.:: O:J
:_:~.:..;. ?::UJ..2\7C::: S;::::::/:::EA:'2R_
::C : S~E :~~:~ : ,'NSOL.
=:::':':5:c;~:CV:=:1'_:.GE 10C D2DUCTIBLE APPLY TO PRIVATE PASSENGBR
,; :',',:0_::1'0"_:" 2X2C':TIVS OFFICER RENT FOR 30 DAYS OR c,ESS.
'::.:~';EC~ -:: =-':=:.-::-:5, ::S?i'--~S AND CONDITIONS IN THE POLICY.
--,. . ....,~~ -:-, ~ -'-'r,
-:)-'.', ::::.,~\; !"\.l.,.; ~ '-'
.-~ -: ~_2:;.~=- "'-:
PIONEER GARAGE/AUTO PO~ICY
'c::E:::::E:::; ::E:C:.ARATIONS 02 * * EFFECTIVE 10/02/97
)...::--=-_-:":-=:~ ::-:: S TO YOUR POLICY.
?~)_S,-':~T :','.:? .\.'1E~,jDMEN':' NUMBER OF PLATES AMENDED
?2.?...NF.....:'\1,,: I:':S~JR...iUJCE AGY
03/05/97 TO 03/05/98
Q03 0530::9 ::;
~-:::;y :-=-:.~~r:::~: .~L~'?G SAL2S
~~~:~ ~::~:~E3~ ~~ ~/a/A
"= '_: '~-':::?...:: ~~:'::'~.~~:,T
.-
.'~
',-~" ..~ ..-,-
'~'.~,":. :-..:-. 'J ~~'-.;
=-"'7:::7(J~97D~
:~:::-I.::?-':~~~2S .......":0[;ER THIS POLICY INCLUDE:
:,:,o':,'~:=: =-:l'.E: :=-:T'.[ C?ACXAGE. WHICH INCLUDES: GARAGE PREMISES-
';::",0. ':':=,;,,;' ??CX;c::S - COMPLETED OPERATIONS/TENAN'TS LEGAL
- ',"-' '~'; ~~"C",.. -., . ~"D-"G & . ~ASING/ODOMETER./AUTO DAMAG"
...____....F~---'_~~ ___...J__~ _~~ .......,j.J:..~'" .L~J .........11::. . J:.
- :::"::;'_';:==C>':O:::-::-:::V::: AUTO P.r,RIS LAWS & FEDERAL USED CAR
.=, '.3'-' __'::'..
~2G:::""~..::=ON
..;':: ::';:",'?:::: Ai.J'! A::TO- -OWNED, HIRED & NON-OWNED AUTOS
,,',I',:.: =",'!S:-:::!'.L SA,"cAGE - LOCATION(S) SHOWN BELOW
::-S';".'--l:C::: :S "FDV:;::ElJ IVEF:RS A PREMIUM OR "INCL" (INCLIJ::2D)
:::::: ==-==:'r::\~ :'':j;: _~~_ CovERAGE.
-"~-',-"'" --~~~
- ~ . - ~ ~,- ~ ':::''':'\..;"'''
:CIAL KUMBER OF EMPLOYEES/PERSONS BY C~.SS
CL 1 CL lA CL 2 CL J CL 4
?:J:"':" - =:ME 1
-,.,,-.,...., ,......,.,.M~
=-P......_ -..:. _I. .c.
-.-~ ~ .~--
~._..__....
.~-:-.."'....
~_---:..'....JO :
PREM n;,,1
-=-=_-.;~ ~-_~~~~ -='='iE~..z'~GES-
;;:.S:::.".::' :::S--.-:;,Y .?5GGM/?ERSm) $500M/ACC &
1,09'2
- .-_?=?..~-:.:' =.':.~"L:-'.C;::: SSJOI.-r/ACC
'"== -= '_-=c:"=--'" ::.::;. "1:vr2~~:S $2:--r!?ERSON
~l\."!"C~
-~,--~-~....
-'--'''~ --
._- ---'---~ ._-~
::c_ =::~~~S~ ~:~:~
:- __<';:: ~~:':,""::::;:;--:, $:SV Y.LAXI>ltJi"l
33
3S
-- ~:=-='_:'-=- :'2:>~-=-=-: 33:'1
~=.::'::::?:-=." S~. S:J1
.-'~!"':'':'::::': ,S':' S:'JV2?.AG2-
. -'.'~::?SC:' $50C:"/AC':-SI'ACKED
5,,'-':
. '.- ,-~-.-.. - .....,......,.'~
" -. - -,
~~-~,---..--
:'::::VERAGE -
'.~~.S(::: S 5 G 0'''1/ ACC' ST.r,CKED
23,J
, "'''' ~- -c- .'....., '. T
-.-.. - -'~", .
0;
RATING TERRITORY:
lU
- :~c:'.> ?'S?QRTING
:~C~: - 3':';'.NDARD OPEN LOT
:E=!A~70 $2500 OED/LOSS
3~-'
=-::<:::
$40,000
L' 'i =
. ..." _.,...., ."..... .....-"".....'1.. ..........
+~:_=~=::I)'+~ ::-:..~?_G:::: ~"J:::: ':c :'EIS CP_:I\..."'JG2
-,.--" ~
".:..l[~~__~ _~:.
~........ ....-...
..... ,; ,
- --'~---
?R-=:::,,~:r_:M
$
23
$
2,024
SEE REVISED I~JG:CS BELOW
Ell, 10/%/37
~ ,... . ~ ~ ,
,- - - - .
.;;c:~:< ::~7:~~/::::~
;>. ~ ~"""r"
,~-i';' ~..
:3~:'23~;:.: 77
= ~::::>! ::. A??:'::AE::"2 ?C:':LCY I 3NDORSEMEN~S I EXCEPTIONS TO DECLAR~T:O':;;S :?2:~S
~~~ A~T~S . SA? i1/96, AE?AOl 11/96, ABPU03 02/96.
-=--CC::-".':'=O~J =- - ABPNC:;' 07/96.
:.::: 3 : S:":";0I::: 0 ':.JS :N?ORHATION
:. ::TCY ?F~;':'.2~CE~S:::D/DEAL2R.
~~ ~cc i S~E IT~M 1 /NSOL.
'",'_-" .~C'_~~S=CY C:::VERAGE .%,D DEDUCTIBLE APPLY TO PR.IVATE PASSECJGE"
'.:C~:C "C:.: A ?AR:::C'JER OR EX:::CUTIVE OFF:CER RENT FOR 30 DAYS OR ~:::SS.
_ : S 5';",::::::::: TO :,::~ITS, TERMS AND CONDITIONS IN THE POLICY
- ,. - ~ -
-' --
. - -~ - - -
~.:..,:~=.: =:..):/=~r
... y ~r""1"\
.0...\,..",' _'......
=2::-:":~A::;
PIONEER GARAGE/AU10 POLICY
NI.E~~2~ ~EC~ARATIONS 03 * * EFFECTIVE 01/09/98
A~TACE ~~=S ~O YOU? POLICY_
~EA~ON ?C? AMEND~ENT
MULTIPLE CHANGES
;~-:~'7-;:; 9
?A?rr3~ =~Su~~~CE AGY
03/05/97 TO 03/05/98
Q03 0580119 27
?-,:2._'/.2:~\: }\~_'-':'!J ,~:U'.~ES
:~?C~ ~=C~C~EEK ~R ~/3/A
"7: = '!:;?_K H.f.,.'-IE:'~ RD
Y:::;:;.Y ~~~'lE:J?A 17370-9703
., :CV:::?_~.G2S ',};;USR :'E:S POLICY INCLUDE:
::,:,?_'-,C::: ~I,:'9I~I:::Y ?AC:-cAGE., WHICH INCLUDES: GAR.tl.GE PREMISES-
:: ~'E:<"'''=:O:-':S / ?RODUCTS -COMPLETED OPERATIONS/TENANTS LEGAL
:.:X;:::'::Y /:RCIE IIi L2lJC:NG f. LEASING/ODOMETER/AUTO DAMAGE
.3 .3.3:I:)S:':;;.:::/COMPETI:::I'IS AliTO PARTS LAWS.. FEDERAL USED CAR
" ~ "-.,-:==:~' s G~JIDE II ~EG~J:'ATION
....;::; :.;::: ::')3'-';;.2: ."-'\1:{ AUTO--OWN2D, HIRED.. NON-OWNED AUTOS
I,:,::..:.':::: .0.,:;";":5 2,,'!SICA:" DM^.AGE .. LOCATION (5) SHOWN BELOW
IlJS';"..0.;C::: I5 :O?OVIDED WHERE A PREMIUM OR "INCL" (INC::'UDEJJ
= S Sr:C'v~N ?c;. ':'~"1':' :DVERAGE.
?,.~-=-:=~,~ ':'.=::~?-
:::CTAL "UMBER OF
CL 1
~'T~:..r:u- TI ME 1
:?AET-'I':ME
EMPLOYEES/PERSONS BY CLASS
CL lA CL 2 CL 3 C~ 4
1
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SEE REVISED INVOICE BELOW
DAN 01(15/98
'Coj "'....." v.......
05l11-S
00
YORi<: HAVEN AUTO
8J 8123Al77
:~s~ 6. APPLlCAELE PO~ICY, ENDORSEMENTS, EXCEPTIONS TO DECLARATIONS ITEMS
A:L AUTOS - GAP 11/96, ARPA01 11/96, ABPU03 02/96.
LOCATION 1 - ABPNOl 07/96.
-+-~A.ttJ]ENDED EMPLOYEES
XISCELh~~EOUS I~FORMATION
ITE~l a cJON PRA.'JCHISED/DEALER.
~__. Ie ~OC 1 SEE ITEM 1 INSOL.
YC:":R c;OLLISIOK COVERAGE AND DEDUCTIBLE APPLY TO PRIVATE PASSENGER
.'-,.'';-::OS ':01], A ?A;;.TNER OR EXECUTIVE OFFICER RENT FQJ;, 30 DAYS OR LESS.
2':-rIS :S 5U3CEC:- TO LIMITS, TERMS AND CONDITIONS IN THE POLICY.
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EXHIBIT "B"
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'CLAIM NO.
.,..._",,-/,.fi~!""!'_: ...,"~ ":r '"!II!' ~-,._,
,
TO:
(Name of treating Physician/Hospna~
,
;1
DISCLOSURE AUTHORIZ,A TION
.
I authorize you to furnish Erie Insurance Group or its representative, with all records pertaining to the
loss of: 11- CJs-~ i9'1 ')
(Oale 01 Loss)
1. Hospital or medical treatment, including diagnosis, prognosis, disability, and service charges.
2. Earning information, including rate of pay, job classification, and loss of time from work.
3. Policy information, including, but not limited to, Tort Option Selection, Oeclaratlon Page,
and Limits of Liability.
THIS SHALL BE A CONTINUING AUTHORIZATION FOR THE RELEASE OF INFORMATION UNLESS REVOKED IN
WRITING BY THE UNDERSIGNED. A COPY OF THIS AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL.
NAME ~;: ,(U:--<'---t:=
{;/ - (First. Mi~Last)
DATE OF BIRTH: 6- 70 - r.; 'l
SOCIAL SECURITY NUMBER: 1 #} ~. ..f"' 'I - .;J../ 7 1
SIGNATURE, ~ !' ~.L . .~
DATE:
/):- 3 - cr cr
(If a Minor. include signature of Parent or Guardian)
YOUR AUTO INSURANCE COMPANY:
eR......
YOUR CLAIM NO.: 0 10(70 "? 33/ ) 3
ADJUSTER:
'Do",., A C>C<:. Ie:..
PHONE NO.: '/'1<;-. FdOa
. HEALTH INSURANCE CARRIER:
Pl20 U a", -1"5 <-
NAMED INSURED ON ABOVE HEALTH POLICY:
\.Iv S-4'!:/99~~6o./:J 4N7:c
NOTICE: Any person who knowingly and with inlent to dsf,aud any In.u,anc:e company 0' othe, pe,.on lIIe. an
appllcallon for Insurance 0' slatement 01 claim contaIning any mate,lally f.l.e InformatIon 0' conceal. '0' the
purpose of misleading, Informallon concerning any 'act mate,'al ther.lo commlta . fraudulent Insu,ance act, which I.
a c,lme and subjects the pe,son to c,imlnal and civil penalties.
C-1RO PA-10RT OPTION 2/95
I
.,
~ ERIE INSURANCE GROUP
"~ 100 Errp Insurance Place' Ene PA 16530
ERlE~
v
APPLICATION FOR ..__ENEFITS (PA)
PLEASE COMPLETE THIS FORM AND RETURN IT PROMPTLY
. DATE OF THIS REQUEST
DATE OF ACCIDENT
rj- 0 -; - /'1'
FILE NUMBER
Ie .'<-t.."~.,c.1c )'Zoo
IMPORTANT: 1. To be eligible for benefits you must complete and sign thll application.
2. You must also sign the .utharlutlon 8t the bottom of the .......
3. Return promptly with copies of any bills you ha". recel...d to ciat..
4. UM reverse side If n.c.....r .
1. APPLlCAN"f'S NAME L
<d.o -1 r=: ~ .'0:."_ .<., I.... ");?,
2. YOUR ADDRESS NO. STREET I
8 '5 J P 1< G > t ~ 1 [, v.' , .
3. OWNER OF VEHICLE YOU OCCUPIED OR OPERATED
" ()II < HL <-" It;.. \0:::
4 PLACE OF ACCIDENT
1-1.. l,.""""
DATE OF BIRTH
6'3a-69
SATE
"
YOUR HOME PHONE NO.
:<66- ,5'j;-o
YOUR CLAIM CANNOT BE PROCESSED WITHOUT ALL THE INFORMATION REQUESTED IN QUESTION 5
5. LIST All MOTOR VEHICLES OWNED BY YOU OR ANY MEMBER OF YOUR FAMILY RESIDING IN Y()UR HOUSEHOLD ON DATE Of THE ACCIDENT
MAKE LICENSE NO. OWNER INSURER POLICY NO. VEHICLE IDENTIFICATION NO.
VEH 1
VEH 2
VEH 3
IS. OESCRmE YOUR INJURY
~
k"'....
7. DOCTOR OR OTHE.R PERSON FUA~ISHING ~fALTH SERVICES
NAME f)r V<lv,' '- .s-~ A~ 1'~uL
ADDRESS
8 HOSPITAL NAME AND ADDRESS
Pl()
.. <- .0,
.]" f-
11Q>:; IJ. L I
9. WILL YOU HAVE MORE HEALTH EXPENSES? AT THE TIME OF YOUR ACCIDENT. WERE YOU ON YOUR EMPLOYER'S BUSINESS?
YES NO - Du.'! k...~ YES NO 5....IF <1..... _I d
10 OlD YOU lOSE TIME FROM WORK? DATE DISABILITY BEGAN DATE YOU RETUR ED TO .,'i/ORK
YES NO 10005-'<(' II')q.,/)
11. GIVE EMPLOYMENT INFORMATION FOR ONE YEAR PRIOR TO OATE OF ACCIDENT
EMPLOYER ADDRESS OCCUPATION FROM TO
A..J ~ ro.
S.: II::
..
O....vd.."2..
Ie,
TI18 appflcant au'horlzes fhe Insure, to submit 6ny and all of thllse forms to another IMrfy or Insu,., " such I. necllsury to perfect lis rights of r"eot>flry
prot>idfld for unde, this set.
NOTICE
f R~~ DATE ;;; - 3 'Jq
/ /.
Any person who knowirl and wtth Intent to defrau any Insurancl company 01' 'ther penon lU.s 1m Ipplicatlon lor Insurance or statement 01 claim contain-
ing any materially lalse information or COllceals lor the purpose of misleading, IIdormlllon concerning Iny tact mllerl.1 thereto commits a lraudulenl Insur.nce
act which Is a crime .nd subjects the person 10 criminal and civil pen."'es.
SIGNATURE
~::;-60-P,,\ 2/95
DO NOT DETACH
AUTHORIZATION TO FURNISH HEALTH SERVICES, TREATMENT, WORK OR Ol.HER lOSS INFORMATION
~HIS ~UTHOmZA TION OR PHOTOCOPY HEREOF SHAll AUTltO~IZE YOU TO RelEASE TO THE ERIE INSURANCE QROUP ALL fNFORMAnON YOU HAVE. P.EO....ROIHG MY COHmnOH WH1LE UNDER YOUR
nSERVA.T10H O~ ri'lEANENT, lNClU01HG HISTORY 08TAINED. TEST RESULTS. DIAONOSIS AND PAOONOsrS.1 A&.SO AUTHORIZE MY EMPLOYER TO FURNISH ANY INFORMATlON WITH REGARD TO MY
:O~pI;1~s"nON AND LOST TlIrllE OR OTHER LOSS lNFOOMATION. THIS AIJlltOR TlON SHALL HOT IE: tNYAUOATID IY THf: PASSAQE OF TIME.
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SOCIA.l SECUR1TY ~IU:M'8ER .
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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
LEROY E.RICHCREEK, JR.
PLAINTIFF
v.
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
TIDIB/A ERIE INSURANCE GROUP
TIDIB/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing Plaintiffs Answers to Defendants
Interrogatories, Set I and Request for Production of Documents was furnished by u.s. Mail, first class, postage
prepaid on this 8th day of December 2005, to:
J. Michael Flanagan, Esquire
FLANAGAN AND ASSOCIATES
150 East Chestnut Street
Lancaster, P A 17602
For Defendants
BRATIC & PORTKO
Dated: 'Z../o C;/os-
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DUSan~SqUire ID#19249
Stephen K. Portko, Esquire 10# 34538
101 South U.S. Route 15
Dillsburg, P A 17019
(717) 432-9706
Attorney for Plaintiff
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PRAECIPE FOR LISTING CASE FOR ARGUMENT
(Must be typewritten and submitted in duplicate)
TO THE PROTHONOTARY OF CUMBERLAND COUNTY:
Please list the within matter for the next Argument Court.
CAPTION OF CASE
(entire caption must be stated in full)
Leroy E. Richcreek, Jr., Wellspan Medical Group, Wellspan York Hospital, and
Pinnacle Health
(Plaintiffs)
-vs-
The Erie Insurance Exchange Activities Association, Inc", t/d/b/a Erie Insurance Group
t/d/b/a Erie Insurance Company
(Defendants)
No. 05-449 Civil Action - Law 2005
1. State matter to be argued (i.e., plaintiff's motion for new trial, defendant's demurrer to
complaint, etc.)
Preliminary Objections of Defendants to
Plaintiffs First Amended Complaint
2. Identify counsel who will argue case:
(a)
for plaintiff:
Address:
Dusan Bratic, Esquire. Michael Flanagan, Esquire
Bratic & Portko
101 South U.S. Route IS, Dillsburg, PA 17019
(b)
for defendant:
Address:
J. Michael Flanagan, Esquire
Flanagan and Associates,
ISO East Chestnut Street, Lancaster, PA 17602
3. I will notify all parties in writing within two days that this case has been listed for
argument.
4.
Argument Court Date:
January 11, 2006
Ift,t/;/[
Attorney for Defendants
Dated:
? -. / ~'- <,
.
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document has been served
by First Class Mail, postage prepaid, upon the following:
Dusan Bratic, Esquire
Law Offices
10 1 Office Center
Suite A
101 South U.S. Route 15
Dillsburg, PA 17019
Attorneys for plaintiff
,'-)
~
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FLANAGAN AND ASSOCIATES
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insurance Company
)~///
By: / ,/~ T
/ [ , J. Michael Flanagan, Esquire
LD. No. 23149
DATE:
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FLANAGAN AND ASSOCIATES
By: J. MICHAEL FLANAGAN, Esquire
Identification No. 23149
150 East Chestnut Street
Lancaster, PA 17602
(717) 397-9444
Attorneys for Defendants
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
LEROY E. RICHCREEK, JR.,
WELLSPAN MEDICAL GROUP,
WELLSPAN YORK HOSPITAL, and
PINNACLE HEALTH
Plaintiffs
No. 05-449 Civil Term
-v-
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC., t/d/b/a
ERIE INSURANCE GROUP t/d/b/a
ERIE INSURANCE COMPANY
Defendants
JURY TRIAL DEMANDED
PRELIMINARY OBJECTIONS OF DEFENDANTS
TO PLAINTIFF'S FIRST AMENDED COMPLAINT
AND NOW, come the Defendants, by their counsel, Flanagan and Associates and file
Preliminary Objections to the First Amended Complaint as follows:
I. MOTION TO DISMISS FOR FAILURE TO STATE A CLAIM UPON WmCH
RELIEF MAY BE GRANTED (DEMURRER). Pa,R.C.P. I028(a)(4)
1. Plaintiff filed a Writ of Summons naming four (4) plaintiffs, Leroy E. Richcreek,
Jr., Wellspan Medical Group, Wellspan York Hospital and Pinnacle Health.
2. Plaintiff's original Complaint filed on November 3, 2005 sets forth ostensible
claims for Leroy E. Richcreek, Jr., but made no mention of any basis for Wellspan Medical
Group, Wellspan York Hospital or Pinnacle Health appearing as Plaintiffs in this case.
3. In response to the original Complaint, Defendants filed Preliminary Objections in
the nature of a demurrer since there were no allegations whatsoever to support a claim for
Wellspan Medical Group, Wellspan York Hospital and Pinnacle Health.
4. On December 7, 2005, Plaintiff filed a "First Amended Complaint" which,
without leave of Court or formal discontinuance, removed Wellspan Medical Group, Wellspan
York Hospital, and Pinnacle Health from the caption of the First Amended Complaint.
5. Since the First Amended Complaint continues to have no allegations whatsoever
to support any claim by Wellspan Medical Group, Wellspan York Hospital, or Pinnacle Health,
said Complaint fails to state a cause of action upon which relief may be granted for those
Plaintiffs.
WHEREFORE, Defendants ask that the Court enter an Order dismissing all claims by
Wellspan Medical Group, Wellspan York Hospital and Pinnacle Health.
II. MOTION TO STRIKE. Pa.R.c.P. l028(a)(2)
6. The Pennsylvania Rules of Civil Procedure reqUire that items of special
damages shall be specifically stated. Pa.R.C.P. 1019(f).
7. Plaintiffs Complaint seems to make claim for "outstanding medical bills"
However, the Complaint does not list any bills outstanding, contains no detail of any services
provided, offers no identification of who provided services and no information on how any
such services are related to Mr. Richcreek's November 5, 1997 motor vehicle accident.
8. In light of the complete absence of any averments of special damages, the
Complaint fails to conform to laws and rules of pleadings in the Commonwealth of
Pennsylvania.
- 2 -
WHEREFORE, Defendants request that the Plaintiffs Complaint be dismissed for
failure to comply with law and Rules of Court.
III. MOTION TO STRIKE CLAIMS FOR ATTORNEYS FEES, Pa.R.C.P. 1028(a)(2)
9. In paragraph 10 of Plaintiffs' Complaint a request for attorneys fees is
advanced.
10. In the Commonwealth of Pennsylvania attorneys fees may only be awarded
where there is specific authority or a clear agreement of the parties supporting a claim for
attorneys fees.
11. The allegations of this Complaint do not identifY any basis for an award of
attorneys fees.
WHEREFORE, Defendants request that the Court strike Plaintiffs' claim for attorneys
fees appearing in paragraph 10 of the Complaint.
IV. MOTION FOR A MORE SPECIFIC PLEADING. Pa,R.c.p. 1028(a)(3)
12. In the alternative, Defendants ask that the Comt find that the Complaint has
insufficient specificity and order Plaintiff to file an Amended Complaint specifically setting
forth:
(a) The specific bills which allegedly remain unpaid (including provider, date of
service, description of service, amount of bill, whether such bill has been repriced as required
under 75 Pa.C.S. 91797, a date when each such bill was presented for payment, along with
attaching a copy of each bill).
- 3 -
.-
WHEREFORE, Defendants ask that the Complaint in this action be stricken or in the
alternative Plaintiff be ordered to file a more specific pleading with the details and
documentation to explain and identifY what is being claimed in this action.
By:
- 4 -
CERTIFICATE OF SERVICE
I hereby certify that a true and correct copy of the foregoing document has been served
by First Class Mail, postage prepaid, upon the following:
Dusan Bratic, Esquire
Law Offices
101 Office Center
Suite A
101 South U.S. Route 15
Dillsburg, PA 17019
Attorneys for plaintiff
FLANAGAN AND ASSOCIATES
Attorneys for Defendants
Erie Insurance Group t/d/b/a
Erie Insurance Company
DATE: /tL - / ,-- tJ s
By:
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYL VANIA
LEROY E.RICHCREEK, JR.
PLAINTIFF
CIVIL DIVISION
v.
05-449 CIVIL TERM:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC,
T/D/B/A ERIE INSURANCE GROUP
T/D/B/A ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
PRAFnPF TO WlTHnRAWCOMPT.ATNT ANn mSMTSf' SlTTT
TOTHE PROTHONOTARY:
Kindly mark Plaintiffs Complaint and/or Amended Complaint against Defendants as
"Withdrawn" and mark the above-captioned suit dismissed without prejudice.
Bratic & Portko
Dated: C' I ( 0 c( I a((,
c--
BY~~ l(id~~
Stephen K. Portko, Esquire
Attorney for Plaintiffs
,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
LEROY E.RICHCREEK, JR.
PLAINTIFFS
v.
CIVIL ACTION - LAW
05-449 CIVIL TERM.:
THE ERIE INSURANCE EXCHANGE
ACTIVITIES ASSOCIATION, INC.
TID/B/A ERIE INSURANCE GROUP
TID/BIA ERIE INSURANCE COMPANY:
DEFENDANTS
JURY TRIAL DEMANDED
CERTIFICATE OF SERVICE
I HEREBY CERTIFY, that I served a true and correct copy of the fotegoing
Praecipe to Withdraw Complaint and Dismiss Suit in the above captioned matter upon
the individual(s) or person(s) listed below as follows:
J. Michael Flanagan, Esquire
FLANAGAN AND ASSOCIATES
150 East Chestnut Street
Lancaster, P A 17602
Date: :; (!C~/C6
2ierfli J( ~/()QL
Stephen K. Portko,i Esquire
101 South U.S. Route 15
Dillsburg, P A 1701i9
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