HomeMy WebLinkAbout06-2342IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
METROPOLITAN INSURANCE
COMPANY
V.
Petitioner
MARISA ZANGARI
Respondent
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PENNSYLVANIA MOTOR VEHICLE FINANCIAL RESPONSIBILITY LAW 1 nE
AND NOW, comes Petitioner Metropolitan Casualty Insurance Company ("MetLife") by
and through its undersigned counsel and hereby files this Petition to Compel the medical
examination of respondent pursuant to §1796 of the Pennsylvania Motor Vehicle Financial
Responsibility Law ("MVFRL") and in support thereof avers as follows:
1. Petitioner, MetLife is a corporation licensed to issue insurance policies in the State of
Pennsylvania, with a principal place of business located in Bloomington, Minnesota.
2. Respondent is an adult individual residing at 1057 Countryclub Road, Camp Hill,
Pennsylvania 17011.
3. On or about April 12, 2004, respondent was involved in a motor vehicle accident,
where she allegedly suffered certain bodily injuries.
4. At the time of the accident, Respondent was married to Eugene Zangari, who
maintained an automobile policy of insurance with MetLife. (A copy of the declarations page
for that policy is attached hereto as Exhibit "A").
5. Respondent has applied for and has received first-party medical benefits pursuant to
the policy issued to her husband.
6. Dr. Richard Beal of the Orthopedic Institute of Pennsylvania diagnosed Ms. Zangari
with a contusion of the right knee two days after the accident, on April 14, 2004.
7. Less than a month before the accident, on March 22, 2004, Ms. Zangari had
undergone arthroscopic surgery to her right knee for a tear of the medial meniscus.
8. MetLife has since been presented with a bill for a subsequent arthroscopic surgery to
Ms. Zangari's right knee performed on November 9, 2005 - a sub-total medial menisectomy.
9. Based upon the prior surgical procedure to her right knee, and the medical reports
following the accident indicating only a contusion to the right knee, there is a question as to
whether the subsequent surgery of November 9, 2005 is related to the motor vehicle accident,
thereby obligating MetLife to reimburse the provider for the procedure.
10. MetLife has requested that Ms. Zangari submit to an independent medical
examination so that the issue of causation can be addressed by a medical professional.
11. Respondent has refused the request for an independent medical examination.
12. Pursuant to § 1796 of the MVFRL, this Honorable Court is authorized and empowered
to enter an order compelling Marisa Zangari to submit to an independent medical examination
for the purpose of addressing whether the arthroscopic surgery and any subsequent follow-up
treatment is related to Ms. Zangari's motor vehicle accident of April 12, 2004.
WHEREFORE, Petitioner, Metropolitan Casualty Insurance Company respectfully
requests that this Honorable Court grant its Petition to Compel Marisa Zangari's independent
medical examination and enter an Order in the form attached hereto.
Date
Respectfully submitted,
MARSHALL, DENNEHEY, WARNER,
COLEMAN GIN
? own, Esquire
0. 84530
Stephen Barcavage, Esquire
I.D. No. 78867
Attorneys for Petitioner
1845 Walnut Street, 18`h Floor
Philadelphia, PA 19106
(215)575-2620
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MetLife® Auto & Home Metropolitan Casualty Insurance Company
Automobile Insurance Declarations
4-18-06
ST 37
Policy Number: 5433200950
Policy Effective Date: 10-25-2003
Policy Expiration Date: 10-25-2004
At: 12:01 A.M.
Named Insured:
EUGENE N ZANGARI AND
MARISA ZANGARI
1057 COUNTRY CLUB RD
CAMP HILL PA 17011
Insured
Pagel of 2
Duplicate Effective Date: 01-05-2004
Bill to: Insured
1 1997 MERCEDES B
2 2004 MERCEDES B
Coverage Description
Full Tort Option
First Party Benefits:
Liability
Bodily Injury
Property Damage
Uninsured Motorists
Bodily Injury Nonstacked
Underinsured Motorists
Bodily Injury Nonstacked
Physical Damage
moues tsoay Type Vehicle ID Number Sym Territory
SL320 RDSTER WDBFA63F8VF144442 26 15
E320 4DR WDBUF65J04A451612 20 15
Applicable Limits Annual Premiums
1997 2004
MERCE MERCE
$10,000 Medical Ind Ind
$1,500 Funeral Benefit 64 32
$250,000 Per Person/
$500,000 Per Occurrence 218 118
$100,000 Per Occurrence 190 102
$250,000 Per Person/
$500,000 Per Accident 24 24
$250,000 Per Person/
$500,000 Per Accident 56 56
1997 2004
MERCE MERCE
ACV ACV
$500 $500 924 426
$100 $100 302 174
$50 $50 Incl Ind
$25 Day/$750 Occurrence 24 24
Ind Ind
Vehicle Totals: 1802 956
Actual Cash Value(ACV) or Limit
Collision less deductible
Comprehensive less deductible
Towing and Labor Limit
Optional Coverages
Substitute Transportation
Glass Deductible Buyback
Total Annual Premium: $2758.00
RP/MS/1
MetLife® Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its Affiliates, Warwick, RI
MPL 1380-000
Printed in US A, 0298
MetLife® Auto & Home Metropolitan Casualty Insurance Company 4-18-06
Automobile Insurance Declarations ST 37
F Number: 5433200950
Effective Date: 10-25-2003 Page 2 of 2
Expiration Date: 1004
At: 12:01 1 A .M. F Duplicate Effective Date: 01-05-2004
Deductible Savings Benefit (DSB) $0
Deductible Savings reduces Collision or Comprehensive deductibles, excluding towing and glass claims, effective
10-25-2003 for claims occurring after this date. Your next anniversary date is 10-25-2004. See Important Notice for
details.
Forms and Endorsements
Rating Information
Household Drivers:
MPL 6010-000 PA400 PA600 PA700 V550 V506
04/25/26 EUGENE N ZANGARI
08/26/45 MARISA ZANGARI
IF YOU HAVE A DRIVER IN YOUR HOUSEHOLD WHO IS NOT LISTED ABOVE, PLEASE NOTIFY US
IMMEDIATELY.
Messages
If your policy provides Collision coverage, then you are covered for collision damage to rented vehicles, subject to all of
the terms and conditions contained in your policy.
Any person who knowingly and with intent to defraud any insurance company or other person files an application for
insurance or statement of claim containing any materially false information or conceals for the purpose of misleading,
information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects the
person to criminal and civil penalties.
For claims, see Claim Directory.
V05_AALIAB\SJBARCAVAGEALLPGA218598\1 KCOPENHAVERVI3238V01138
7SF-121-1
MetLife® Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its Affiliates, Warwick, RI
MPL 1380-000
Printed in U.S.A. 0298
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
METROPOLITAN INSURANCE
COMPANY
V.
Petitioner
MARISA ZANGARI
Respondent
CERTIFICATE OF SERVICE
I, Tammy K. Copenhaver, an employee with the law firm of Marshall, Dennehey,
Warner, Coleman & Goggin, do hereby certify that on this
°-f--' day of April, 2006, a true
and correct copy of PETITION FOR MEDICAL EXAMINATION PURSUANT TO
SECTION 1796 OF THE PENNSYLVANIA MOTOR VEHICLE FINANCIAL
RESPONSIBILITY LAW, was served via U.S
Timothy A. Shollenberger, Esquire
2225 Millennium Way
Enola, PA 17025
(Counsel for Respondent)
first-class mail, postage pre-paid, as follows:
TAMMY K. OPENHA R
V05_AALIA13\SJBARCAVAGE\LLPGA218602\TKCOPENHAVERV13238V01138
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METROPOLITAN INSURANCE CO.: IN THE COURT OF COMMON PLEAS OF
Petitioner : CUMBERLAND COUNTY, PENNSYLVANIA
V.
06-2342 CIVIL
MARISA ZANGARI,
Respondent
ORDER OF COURT
AND NOW, this 5`' day of May, 2006, upon consideration of the foregoing
petition, IT IS HEREBY ORDERED AND DIRECTED that:
1. A rule is issued upon the Respondent to show cause why the she should not
attend an independent medical examination pursuant to Section 1796 of the
Pennsylvania Motor Vehicle Financial Responsibility Law;
2. The Respondent will file an answer to this petition on or before May 26, 2006;
3. A copy of said answer will be filed with this Court;
4. The petition shall be decided under Pa.R.C.P. No. 206.7;
5. If no answer to the Rule to Show cause is filed by the required date, the relief
request by Petitioner shall be granted.
imolJ\Y %Iollenbef!eR
Er' R. Brown, Esquire
Aephen Barcavage, Esquire
Attorney for Petitioner J
Marisa Zangari
Respondent
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By the Court,
M. L. Ebert, Jr.,
Ob
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AHVIONCkLO t M do
Curtis R. Long
Prothonotary
office of the Protbonotarp
Cumbertartb Countp
Renee K. Simpson
Deputy Prothonotary
John E. Slike
Solicitor
CVIL TERM
ORDER OF TERMINATION OF COURT CASES
AND NOW THIS 28TH DAY OF OCTOBER, 2009, AFTER MAILING NOTICE OF
INTENTION TO PROCEED AND RECEIVING NO RESPONSE - THE ABOVE
CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA
R C P 230.2.
BY THE COURT,
CURTIS R. LONG
PROTHONOTARY
One Courthouse Square • Carlisle, Pennsylvania 17013 • (717) 240-6195 • Fax (717) 240-6573