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lEXIS C. HYMON, a minor, by :
and through her natural parent:
and guardian, ERIN lA VIA,
Petitioners
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 2005 -t,:1.9D
Civil Term
v.
PROGRESSIVE CASUALTY
INSURANCE COMPANY,
Respondent
CIVIL ACTION - lAW
MINOR'S COMPROMISE
PETITION FOR lEAVE TO
COMPROMISE MINOR'S ACTION
Pursuant to Pennsylvania Rule of Civil Procedure No. 2039, Erin LaVia, the natural
parent and legal guardian of minor, Lexis C. Hymon, by her attorneys, HANDLER,
HENNING & ROSENBERG, llP, by Matthew S. Crosby, Esquire, petition this Honorable
Court to enter an Order permitting settlement and compromise of this action, and in
support thereof, avers:
1. Lexis C. Hymon was born on February 21, 1999, and is, therefore, 6 years
old and a minor. She currently resides at 7 North Fourth Street, Steelton, Dauphin County,
PA 17113.
2. Petitioner, Erin LaVia, is an adult individual and said minor's natural parent
and legal guardian and she currently resides with Lexis at 7 North Fourth Street, Steelton,
Dauphin County, PA 17113.
3. Respondent, Progressive Casualty Insurance Company, is a corporation
licensed to sell motor vehicle insurance in the Commonwealth of Pennsylvania and
--
Respondent regularly conducts its business in the Commonwealth of Pennsylvania, with
offices located inter alia, at 3347 West 12th Street, Suite 100, Erie, Erie County, PA
16505.
4. At all times material hereto, the minor, Lexis C. Hymon, was a passenger in
a 1997 Buick operated by the to rtfeasor, Melody Sheppard, bearing Pennsylvania
registration number FSG5704 (hereinafter "the tortfeasor's vehicle").
5. On or about July 8, 2004, at approximately 4:09 p.m., tortfeasor's vehicle was
lawfully traveling on Route 114 in Silver Spring Township, Cumberland County,
Pennsylvania.
6. At approximately the same time and place, the tOrtfeasor, Melody Sheppard,
failed to observe the vehicle in front of her, driven by Donna Livering, and violently struck
the rear of Livering's vehicle that had been slowing down to make a turn.
7. As a direct and proximate result of the negligence of the tortfeasor, Ms.
Sheppard, the minor, Lexis C. Hymon, suffered multiple injuries including, but not limited
to, an acute closed-head injury with a forehead contusion, blunt abdominal trauma, and
contusions to her right elbow and right ankle.
8. At all times material hereto the tortfeasor was uninsured.
,
9. At all times material hereto said minor was an insured under her mother's
automobile insurance policy with Progressive Casualty Insurance Company. Under said
policy, minor's mother, Erin LaVia, selected limited-tort coverage. However, the policy also
provided Uninsured Motorist coverage of $15,000 per person.
,
10. In light of the tortfeasor's uninsured status, Petitioner pursued an Uninsured
Motorist claim under her Progressive Casualty Insurance Policy.
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11. Minor, Lexis C. Hymon, had two followup visits with her pediatrician at
University Pediatric Associates and has made a full and complete recovery from her
collision-related injuries. She was discharged from medical care on or about July 9, 2004,
and has required no additional medical attention for her collision-related injuries.
12. After protracted negotiations, Respondent has offered to settle the minor's
Uninsured Motorist claim against them for a gross settlement of $1,000.00. Enclosed
herewith, made a part hereof, and marked "Exhibit "A," is a copy of Respondent's proposed
Uninsured Motorist Release and Indemnity Agreement.
13. Petitioner, Erin LaVia, believes said settlement is in the best interests of her
minor daughter and proposes to accept said settlement offer of $1 ,000.00.
14. Matthew S. Crosby, 'Esq., of HANDLER, HENNING & ROSENBERG, LLP,
has been the attorney for the minor in this action and he requests reasonable counsel fees
of $250.00 for services rendered, plus costs and expenses of $299.08, pursuant to a
Contingent Fee Agreement signed by Petitioners. The 25% represents a reduction from
the 33-1/3% fee agreement signed by the Petitioner for Lexis C. Hymon. Thus, the total
amount requested for attorney's fees and costs is $549.08. (See "Exhibit S," the fee
agreement and "Exhibit C," a true copy of the billing summary, attached hereto and made
a part hereof).
15. Petitioners request this Honorable Court order a payment of said balance of
$450.92 to be placed in an account investing only in securities guaranteed by the United
States government or a Federal governmental agency managed by responsible financial
institutions, bearing the name of the minor, Lexis C. Hymon, that is marked "Not to be
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withdrawn until minor reaches the age of 18 or without the Order of a Court of competent
jurisdiction."
WHEREFORE, Petitioners request this Honorable Court to:
a. Approve the Compromise above-stated;
b. Authorize the payment of above-stated fees from funds
due the minor; and
c. Direct payment of the net funds due, in accordance with
the Compromise above-stated.
Attorneys for Petitioners
Respectfully submitted,
Date:
PIle/zoos
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HANDLER, HE~& ROSENBERG, LLP
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I.D. No.69367
1300 Linglestown Road
Harrisburg, PA 17110
(717) 238-2000
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PARENTS' UNINSURED MOTORIST RELEASE & INDEMNITY AGREEMENT
Page I of 2
KNOW ALL BY THESE PRESENTS: That the undersigned, individually and as legal parent
and guardian of Lexis Hymon, a minor (hereinafter "Releasors"), for the sole consideration of
One Thousand and No/IOO Dollars ($1,000.00), receipt of which is hereby acknowledged, have
remised, released, and forever discharged and covenant to hold harmless Progressive Casualty
Insurance Company, its agents, employees, subsidiaries and affiliates (hereinafter "Releasee")
and Releasee's Successors and assigns, from any and all claims, actions, and causes of action,
demands, costs, and expenses arising under the above-numbered policy for bodily injury or
damages of any kind sustained or that may be hereafter sustained by the said minor, or on behalf
of said minor. or by the undersigned. on account of or in any way arising out of an accident
caused by an uninsured motorist at or near Hogestown Road, Silver Spring Township,
Pennsylvania, on or about July 8, 2004.
EXHIBIT
I A
To procure the payment of the stated consideration, the Releasors hereby declare: that no
representations about the nature and extent of the said injuries, disabilities or damages made by
any physician, attorney or agent of Releasee, nor any representations regarding the nature and
extent oflegalliability or financial responsibility, have induced the Releasors to make this
Release & Indemnity Agreement; that this Release is entered into in consideration of all known
and unknown injuries, disabilities and damages, and also the possibility that the injuries
sustained may be permanent and progressive and recovery therefrom uncertain and indefinite, so
that consequences not now anticipated may result from the said accident.
The payment made to the undersigned is upon Re1easors warrant that no consideration has been
received heretofore from any person, firm or corporation, nor has Releasors released heretofore
any person, firm or Corporation from any claim or liability for the said accident. Releasors agree
to indemnify and hold harmless said Releasee from any additional sum of money that Releasee
may hereafter be compelled to pay on account of the injuries to said minor because of said
accident.
To the extent of any payment made hereunder, the Releasors agree to hold in trust for the benefit
of Releasee all rights of recovery the Re1easors have against any person or corporation who may
be liable for damages arising out of the accident indicated above. The Releasee is hereby
authorized to take any action which may be desirable or necessary in law or in equity, either in
the name of the Releasee or in the name of the Releasors. against any person or organization who
may be liable for such injuries or damages. The Releasors covenant and agree to cooperate fully
with the Releasee in the presentation of such claims and to furnish all papers and documents
necessary in such proceedings, submit to such physical or testimonial examinations as may be
required in such proceedings, and to attend court and testify if the Releasee deems it to be
necessary
PARENTS' UNINSURED MOTORIST RELEASE & INDEMNITY AGREEMENT
Page 2 of 2
Witness
date
Erin LaVia, as mother and natural guardian of
Lexis Hymon, a minor.
I have read this release and understand it.
Signed:
date
State of:
County of:
On this _ day of ,2_, before me personally appeared
, to me known to be the person(s) who executed the foregoing
instrument, and acknowledged this as a free act and deed.
IN TESTIMONY WHEREOF, I have hereto subscribed my name and affixed my seal this
day of ,2_.
My commission expires
Notary Public
Claim No.: 01?J-/374~1
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PLAINTIFF'S
EXHIBIT
B
CONTINGENT FEE AGREEMENT
I, Erin Lavia, natural parent and guardian of Lexis Hymon, a minor, do hereby
retain HANDLER, HENNING & ROSENBERG, LLP., of Harrisburg, Pennsylvania, as
my attorneys in this matter to represent me and to process, negotiate, arbitrate a
settlement or to institute in my name, any legal proceedings or actions that, in their
judgment are necessary, against AN AS-YET UNIDENTIFIED PARTY OR PARTIES as
a result of injuries and damages my daughter sustained in an incident that occurred on
July 8, 2004.
I agree not to settle, negotiate or adjust the above claim or any proceedings based
thereon without the written consent of my said attorneys.
In consideration of the s.ervices so to be rendered by Handler, Henning &
Rosenberg, LLP, I hereby covenant, promise and agree to pay them for their
professional services rendered, THIRTY-THREE AND ONE-THIRD PERCENT (33
%%) of whatever sum is recovered as a result of settlement without lawsuit; or FORTY
PERCENT (40%) of whatever sum is recovered after lawsuit is filed or in the event of
arbitration or mediation. I will reimburse Handler, Henning & Rosenberg, LLP. for any
necessary expenses advanced on my behalf in pursuing my claim. Examples of typical
expenses include Court filing fees, investigation, auto mileage, photocopies, court
reporters, medical records, expert witness fees, etc. If no money is obtained, client
will not owe a legal fee or expenses. I also agree to take possession of my medical
files at the conclusion of this case. My failure to take possession of these files within 60
days after the conclusion of the case will authorize my lawyers to destroy said files.
I agree that HANDLER, HENNING & ROSENBERG, LLP. may associate
additional lawyers to assist with this case and I agree to the sharing of fees between
lawyers. I understand the terms herein apply to other lawyers associated on this case.
I understand that the association of other lawyers does not increase the amount of the
attorney fees at the conclusion of the case.
Counsel reserves the right to withdraw if they desire to do so, for any reason(s) they
deem proper.
I acknowledge that I have read, approved and understood the above Contingent
Fee Agreement and I acknowledge having received a copy of the same. The terms set
forth herein are accepted.
\ IN WITNESS WHEREOF, I have hereunto set my hand and seal this 15 day of _
J.l..<.\9 ' 2004. _' 'j .'
( ,,----- y~CJt!() tu~ \~ (SEAL)
/Er~avla,
natural parent and guardian of
Lexis Hymon, a minor
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ATTORNEYS AT LAW
1300 Linglestown Road, Harrisburg. PA 17110
Client No: 209604
Matter: 00000
Attorney: MSC
MV
Pre-Bill No: 16539
Bill Date: October 27. 2005
Lexis Hyman
7 North 4th Street
Steelton, PA 17113
EXPENSES
07/16/2004
CASE
08/26/2004
CASE
08/26/2004
CASE
08/31/2004
CASE
09/17/2004
AUTO
10/07/2004
CASE
10/27/2005
CASE
10/31/2005
COpy
10/31/2005
FAX
10/31/2005
ISI
10/31/2005
MILE
10/31/2005
POS
10/31/2005
POST
10/31/2005
TELE
INVOICE
PAYMENT DUE UPON RECEIPT
Vendor SILVER SPRINGS TWP POLICE; General Case
07/16/2004 $15.00
Vendor HERSHEY MEDICAL CENTER; General Case
15.00
Vendor
8.80
Fax
19.80
Costs
Costs
$11.84
11.84
9.93
TOTAL EXPENSES
$299.08
I
EXHIBIT
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$299.08
Total due this invoice
VERIFICATION
I, ERIN LaVIA, natural parent and guardian of LEXIS C. HYMON, minor,
hereby verify that the statements made in the foregoing pleading are 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.SA, Section 4904 relating to
unsworn falsification to authorities.
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ERIN LaVIA,
natural parent and guardian of
LEXIS C. HYMON, a minor
DATE: 1;:;>)'5ILOC'5'
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LEXIS C. HYMON, a minor, by
and through her natural parent
and guardian, ERIN LAVIA,
PETITIONERS
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
PROGRESSIVE CASUALTY
INSURANCE COMPANY,
RESPONDENT
05-6290 CIVIL TERM
ORDER OF COURT
AND NOW, this L"
day of December, 2005, IT IS ORDERED:
(1) Approval of the settlement of this minor's claim for $1,000 for Lexis C.
Hymon, a minor, born February 21, 1999, IS GRANTED.
(2) From the settlement, a counsel fee of $250, IS APPROVED.
(3) Costs of $209.36 are approved to be paid to petitioners' counsel.
(4) The net proceeds of $540.64 shall be placed in a federally insured interest
bearing investment in Fulton Bank, in the name of Lexis C. Hymon, born February
21, 1999.
(5) The account shall contain the following notation: "NO WITHDRAWAL CAN
BE MADE PRIOR TO LEXIS C. HYMON, BORN FEBRUARY 21,1999, OBTAINING
HER MAJORITY EXCEPT BY AN ORDER OF A COURT OF COMPETENT
JURISDICTION."
(6) Erin LaVia is authorized to sign any release necessary to effectuate this
settlement, and to then settle and satisfy the docket.
(7) Counsel for petitioners, Matthew S. Crosby, Esquire, shall file with the
Prothonotary, and forward a copy to this chambers, proof of compliance with this order.
By the Court,
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I/f~e\ t ~Dc.5 t\o..~ e
AA'atthew S. Crosby, Esquire
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, For Petitioners
Edgar B. Bayley, J. ('
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LEXIS C. HYMON, a minor, by :
and through her natural parent :
and guardian, ERIN LA VIA,
Petitioners
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 20056290 Civil Term
v.
PROGRESSIVE CASUALTY
INSURANCE COMPANY,
Respondent
CIVIL ACTION - LAW
MINOR'S COMPROMISE
PROOF OF DEPOSIT
AND NOW, comes the Petitioner,' by and through her attorneys, HANDLER,
HENNING and ROSENBERG, LLP by Matthew S. Crosby, Esq., and attaches the Proof of
Deposit for the minor's settlement proceeds that were deposited for the minor on April 25, 2006,
into a Fulton Bank 25-month-term Certificate of Deposit account, as evidenced by Fulton Bank's
Certificate of Deposit Terms and Conditions - Summary, and pursuant to the December 19,
2005, Court Order signed by The Honorable Edgar B. Bayley, Judge, both made a part hereof
and marked, "Exhibit A."
BY:
Matthew S. Crosby, Esq.
Atty. 10 No. 69367
Date: r;; J \ ~ \ Z.OO~
Attorneys for Petitioners
.--
Clndler.
. .
'Inning li
I osenberg
ATTORNEYS AT LAW
HARRISBURG OFFICE
1300 Unglestown Road
Harrisburg, PA 171 10
717 -238-2000
1-800-422-2224
717-233-3029 (fax)
Leslie B. Handler. Retired
W. Scott Henning
David H Rosenberg IPA. FL)
Carolyn M. Anner (PA. NY. RN)
Matthew S. Crosby fPA. NJ)
Gregory M. Feather (PA. NJ)
Stephen G. Held
Jason C. Imler
LANCASTER OFFICE
140A E King Street
Lancaster, PA 17602
717-431-4000
April 21, 2006
www.HHRLaw.com
LorieS@HHRLaw.com
Robin Strauser
Fulton Bank
Third and Locust Streets
Harrisburg P A 17101
Dear Robin:
Enclosed you will find a completed Retail Account Agreement to open a new account in the name
of:
Lexis Hymon
Tax Identification # 185-78-3129
This deposit in the amount of $540.64 shall be placed in a College Savings Plan Account marked
not to be withdrawn without a court order until Lexis reaches the age of 18. Her date of birth is
February 21, 1999 which means these funds may not be released until February 21, 2017. Thank
you for your immediate attention to this matter.
5k~11~ A S1~
Lorie A. Snyder
Assistant Administrator
BANK CERTIFICATION:: Term of CD: 'd S me>'\ +-v,
Type of Account Opened '1 50 (hon-+I-) CD Interest Rate L{ . fa l-(
Account # Olr;} - OJ Y 3) C4
Withdrawal Restrictions
:2 I d. "'Joe> >:7
Lf 1'2.5 , OC.
Amount of Deposit $ 5Jt G Lj _ ~. rt Order Received __
Account Opened J). ~ -p A , . .. Date 4/2 <; Lo c.
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EXHIBIT A
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Fulton Bank
Cl\P1'tAL OIVlSION . UNCASTER/CII&:S'I1lt OIVI5IO","
DkOVIRS BANK DIVISION . GREAT V"u.n DIVISION
Downtown Harrisburg
CERTIFICATE OF DEPOSIT TERMS AND CONDITIONS, SUMMARY
Certificate of Deposit Type:
Renewed CD #:
I r Account No.:
!
Issue Date:
Maturity Date:
Principal Amount:
Interest Rate:
Annual Percentage Yield:
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Registered Holder Name(s) and Address:
LEXIS HYM:JN, COURT ORDERED
ERIN LAVIA, GUARDIAN
NO WD TILL MAJ 2/21//1
CASE # 05-6290 CIVIL TER-l
19 N HARRISBURG STREET
STEELTON, PA 17113
Interest Distribution Method:
Deposit to Account
Savings Checking
Add to Principal
Issue Check
Frequency of Payment:
Tax ID Number(s):
LEXIS #185-78-3129
Individual(s)
Sole Proprietor
ERIN # l"Ilo - ~l..p -~OO'?
Partnership Corporation
Lodge/Similar Org.
Bus. Trust
Ltd. Liability Co.
TJ Combined Statement, Transaction Account Number
Fulton Bank acknowledges receipt of the above-described deposit, subject to collection of any portion thereof made in other than cash,
in accordance with the Rules and Regulations for Certificates of Deposit.
Fulton Bank
Py:
Authorized Signature
Christine Delgado
,iWe have received a copy of the Rules and Regulations For Certificates of Deposit and agree, on behalf of all Registered Holders, to the
terms and conditions of the certificate of deposit.
Non-Individuals:
Name
IRle
~Ignature
.~~hature {seconaary}
Name
Title
::Signature
~::~~nawre (seaJI1Csry)
Name
T~1e
~Ignalure
Un.der penalties of perjury, I certify that:
1. The number shown on this form Is my correct taxpayer identification number (or I am waiting for a number to be issued to me),
and
2. I am not SUbject to backup withholding because: (a) I am exempt from backup withholding. of (b) I have not been notified by
the Internal Revenue Service that I am subject to backup withholding as a result of a failure to report all interest or dividends, or
(c) the IRS has notified me that I am no longer subject to backup withholding.
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. '\"ou must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because of
'Jnderrepo::!ir:g jnt t or dMdoods or. your tax return.
aVl~
Title (~ Non,lndividual)
Date
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