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HomeMy WebLinkAbout95-04175 . ~ u il --j . ~ ~ 1 j " , " I 'I ,/ I " ,€ I I fl- " j " I' co c- " ,i , " 2. Defendant State Farm Insurance Company (hereinafter "state Farm") is a mutual inourance company existing under the laws of the State of Illinois with its principal office in Bloomington, Illinois, and doing business in Pennsylvania with offices at 115 Limekiln Road, New Cumberland, Pennsy~vania 17070-0257. 3. On or about November 23, 1990, Barbara Vagnerini was involved in a motor vehicle accident. 4. Prior to November 23, 1990, Defendant issued a policy of automobile insurance to Barbara Vagnerini. Said policy was in effect on November 23, 1990, the date of the accident. 5. As a result of the accident, Plaintiff suffered various injuries, including neck ~nd back injuries and chronic pain syndrome. 6. As a further result of the aforementioned accident, Barbara Vagnerini has been obliged to receive and undergo medical attention and care and to expend various sums of money or to incur various expenses for which medical benefits are payable. 7. Following the accident Barbara Vagnerini incurred reasonable and necessary treatment from, among others, Plaintiff, for chronic pain syndrome, low back pains and accident related injuries. The fair and reasonable charges for this treatment are $37,558.25 for in-patient and out-patient services as set forth on a copy of the bill which is attached hereto, made a part hereof and marked as Exhibit "An. 8. The bills for Plaintiff's servicel!l were submitted to Defendant for payment. The balance remaining unpaid is $24,427.04. 2 9. Defendant, pursuant to Section 1797(b)(l) of the Pennsylvania Motor Vehicle Financial Responsibility Law, as amended, has contracted with a peer review organization, for the purpose of allegedly confirming that such treatment, products, services or accommodations conform to the professional standards of performance and are medically necessary. The name and address of the aforesaid peer review organization is Omni Medcorp. A copy of the peer review reports is attached hereto as Exhibit nBn and "C". 10. Defendant has, in violation of Section 1797(b)(1), attempted to use said peer review organization to determine the causal connection between the accident and the alleged injuries. 11. On or about September 28, 1992, the Defendant refused payment for certain medical treatment, including the treatment provided by the Plaintiff, based on the conclusions provided in said peer review report. 12. It is averred that all medical bills incurred both before and after the peer review and reconsideration are fair and reasonable and that said treatment was medically necessary and related to the accident. Moreover, pursuant to Section 1797 (a), all bills were to be paid unless submitted to peer review within 30 days. A copy of James W. Williams, M.D. letter is attached, Exhibit "D". 13. Dofendant has refused to pay the balance due under the terms and conditions of the policy of insurance and tho Pa.MVrRL. As a result of the aforesaid, Plaintiff was required to hire the .ervices of an attorney to collect the medical bills due. 3 14. It is averred that the Defendant has acted in an unreasonable manner by refusing payment of Plaintiff's invoices. Pursuant to Section 1716 of the Pa.MVFRL, Plaintiff i8 entitled to attorney's fees plus interest at the rate of twelve percent. 15. Barbara Vagnerini assigned to MRS the right to receive monies otherwise to be paid to the patient under any insurance plan and to pursue her claims for such monies. 16. It is further averred that the Defendant has acted with no reasonable foundation. Pursuant to Section 1798 of the Pa.MVFRL, Defendant is liable for attorney's fees for such actions. 17. Defendant has undertaken a course of action which has been designed to unilaterally, and without justification, refuse claims for medical benefits arising out of motor vehicle dccidents and for which the Defendant has contracted to provide insurance coverage. WHEREFORE, Plaintiff demands payment of the full medical bills due in the amount of $24,427.04 plus reasonable attorney's fees, costs and interest on said overdue benefits. COUNT II . BAD PAITH and INTERPERENCE WITH CONTRACTUAL RELATIONS 18. The foregoing paragraphs are incorporated herein by reference as though set forth in full. 19. All treatment was provided to Plaintiff after the effective date of Section 8371 of the Judicial Code, 42 P.S. Section 8371, effective July l, 1990. 20. It is believed and, therefore, averred that the Defendant 4 has employed said peer review organization in bad faith in that said peer review organization does a substantial amount of peer review work for Defendant and has a financial interest in provident to Defendant a biased peer review report. 21. Moreover, said peer review organization has, or may have, continuously been providing negative peer review reports to this Defendant and other insurance companies repeating the same language for the purpose of maintaining a steady source of business, thereby showing a pattern of abuse of the peer review process. 22. It is believed and therefore averred that the Defendant regularly refers claims to peer review organizations for review without a basis to do so. 23. In addition, said peer review organization gave its opinion that the injuries were not related to the accident, instead of determining nmedical necessityn or nconformance to standards", all in violation of Section 1797(b)(I). 24. In addition, it is believed that the Defendant had no reason to believe that Plainti f f' s treatment was not medically necessary, but instead was intentionally trying to simply ncut of" medical coverage for which Plaintiff paid a significant premium. 25. It is believed and, therefore, averred that based on the allegations set forth above, Defendant is guilty of bad faith. 26. Defendant's unlawful, malicious, unreasonable and unjustified conduct has interfered with Plaintiff's contractual relations with its patients by making it more expensive and burdensome for Plaintiff to perform its contractual obligations and , WRIPlCATION I 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. S. 4904 relating to unsworn falsifi~ation to authorities. Date: .,1, .../~:) 1~...R-1LtL Mark Smith Chief Financial Officer Healthsouth Rehab Hospital . . ------... l)uTI'HI~N' I'll 1.11 h~IAh :'YST! ... \J .)liA. ..:: ell. MI:CHANI. ."G . 1'\ 717/t,'111J7!J' 1 - ,~iT 110')', roc"'''''''''--~'" -- . .".:C- .,._,_li!::.?O,!" 17~ ,~I'., '\.;':)~"::"~~lOl Tc. WAY -.i.. ",ril" J,lin '" 'loti.....' lltfllLA 'n .41,~..r $, ;.~I """61_ ----------.;r..'fiT;,:.~r- - <"'" -, A,~, .. IJ A '" '" 1: \) .1 ~ i , " A ~ ~ A" ,L HO ~ltA~~.JTT~: ,jIlV 1-~llJL,. r\ 1711.' ',0 I)~ "'-HII"',j,," I .. '.oJIJI ~; ~ \J'''' ~ '1'.. ,_".M'I.~ " 1'1 -L " P~Yt:.IO~ '\il~AL. :) c ~ V 11: l '!'ViI" L <, L II " 200 :Ou PSYCl-tOL()GICAL S":I<VICl: 9u8'l9 no 6 21lB ~O TuTAI. Cli....G"S 001 41111 ~O ,:1\<"14' ~1 ..}.....;l,.....'-~ u ~~ II 11')"'1\1 IU . ".. I "...,.. ow . ~ l"";l..'o' r:~~ . )T..ro ,.~",1 ..UT,. .361 v Y Y Y DUE fPIOM PAflENr.. , , O\j......... . VIIGN~.:l,'l:.. . '1AGNL'llNI. :~1 )~)-)"~I-o)77 01 1 20236bb91l '11,1 : II'.' BARilAKII F , ~'l""I"lO'I'1"''''' ~" ",ANK dl'Lr."~..~. ,MI '. ....;;o;H III ., I ....., oJ. ~.. ,lJC "'" .. 2"" LlIIGL,..TUWN .. '''.,,.,:.)(11 HLI<",C;,.: ~C~ r(IJ ".IIfW;".,...n,)r"III..OCIO"M'~C'$CM,""O,' ., ., rOo. ~'Qr:' ~ >""""0.. . 'l~.' ...~..' .OJ I" ~. ."."01",.,,,;,,,,,,,,, PI\MU'I~ltl '''l ,1L..~b WILLIAI'l:' Jill'll,> rj'~ . T" n ,. \' ~ II.' :) T " T" "I,~, \ lJ I.. 11~ L'.....:':'_~ 1('" ... I,' _:. ..', " , '~""____~"\J'\~_ ....,,,..,,'.""!' i ,/ . '.' ',',,'H."""'''' .""",., . WDI(4IOftI PA 1 7tJ2~ .. ~I)'J'J j j-6b9a '" M 'Q ,It IIlAl'oCIQMOI.... 'WI 111231'10 661171000 HAll"l) IU~r. PA 1711, . ., III ~'lC " -IJ ,. 724. ~ r,.'w '~~"L. .,,' "I'~,,," M~l:tt .. lJ >~" "~I:t1..N\. ! .,U ~ ,~.t4,.1' '.- "l...d~ . '. .~ ~ '.1 .' , ;jlr"t, , I' '. l11 ~, ---';-:..",-.--;;TJ"--' ..~ V Alij\L; /'. 4i,L, ,.;4,' b llJ I.".,,\', I: b'.U\... . A:'(.\ ..II't r 11" , 'AJ!; ~ .!,,~l"ll't ..,Syl.tIU....u.l...\. ,hf,' H.L TuT..1. 1." .,,~C) ,.. -ST~J~ ~.,~~ H~T_J '361 ____-->Ll.l~UL..:.'-L ___ -1";"""""'- nO__'_ - ",:,c l " l " _Al.l'" ~ _.II'''t~b ~ ''''''h''''.l " '" I, .~, ~, " , ,; I: I '.'"> ,....,.; " 1,)'_, <."A"'i.~ '.' J~ l:i'J~ Ij ll. 4U 'it.. ,) UJ ~J 1 ~o I. :o~ " (.)...1"'......'.0._ , :;' '~'l.':'''~.IIII' y y y y . OUEfFlOMPATlENr~ . .. ;1 t. .'t1l"- .: J. ~ t .&. , 'VA(,;,t, 'l .:>II, , . ~:- ~ i\'~" t~A"(~)Ai'/.A 'I ", , . ".... ...~ .- ""..1\ dt..........:.,"""h J,-j.... "'."'~~~ L""I'" ,. .. ".. """;j'J "''''1:I~11 '''1), ."~,, ~"')U':~_'" ,:.,~~,"TI(l"'~ " "''''lm''"''o--~~ff'!!': ....--.J..~-----L- ~ ..."'~ f F 'j 1 Jl J~-u"41-"77 l l<.ll31;""'1I1 ". F"'I't<J<U '! fyPI Q'~~ ,'CA',,},! ~~:, 1.1NlJ~_)T~~M "1." ,,~~ .. ,., _:r~:~__ f~li"'L,"":"M" '''.I,ll.. r:r="""" =-1', , )T~ 1. , " 'U 5TH !:.: r I. li , I. . , ,- " ~ I ..~~:U,~.'4 L I ~ t.. H''''') "., .. ["'" """ . -1 T-'- 1'" , ,''''u ,.J 'J'i'," "',' ..'t__,__ U:;U pU')'l ,. ~" "~" ',I'" 11',.. 5 ,..". " ~ ol .",,;<i Ol""~" , ~." .'" 1.... ~I 'U "ijuA'Il~1 OoAOI..U",O ul.! UI ~ .lJ"~ bbU7100e HA"k~)"U~~ ..~ 1711. '0 .,.....""'''1\. "'WEDIG'" 1 April 3, 1992 HARRISaURG APR 6 1992 R E C E.L'lE..P MIiIbri . HI Mr. Matthew OWens State Farm Insurance Co. 115 Limekiln Road P.O. Box 257 New Cumberland, PA 17070 REI Barbara Vaqnerini ~ OM.: 01-07-127C CL.: 38 6421 077 D/A: 11/23/90 4- -\ ~ -Cfc7 Dear Mr. Owll!ns: This letter contains the initial detex and medical neceseity of care pursuan Company's challenge in the case cited al is certified as a comprehensive peer : . Pennsylvania Insurance Conunissioner, and this determination is rendered pursuant to the provisions of PA Act Six of 1990. State Farm Insurance Company challenged the reasonableness and medical necessity of care rendered to its insured by The Rehab Hospital in Mechanicsburg, based upon State Farm Insurance Company's receipt of one or more bill(s) for treatment rendered on or after April 15, 1990. We note that all documents provided by the respective health care provider(s) pursuant to our request by certified mail of 1/24/92, were forwarded to Craig A. Soskin, M.D., for review and made part of the permanent record of this determination. On the basis of Dr. Soskin's peer report and telephone conversation with Dr. Williams, and the medical documentation made available for review by the insurer and the heal th care provider ( s ) , respectively, we have determined the followinq; , 1) The psychological therapy and vocational therapy provided by The Rehab Hospital in Mechanicsburg was not reasonable and nece..ary as defined by PA Act Six of 1990 as related to the 11/23/90 HVA; 2) The Biofeedback treatment provided by The Rehab Hospital in Mechanicsburg ",as reasonable and neceseary as defined by PA Act Six of 1990 as related to the 11/23/90 MVA. 0lIIIi M'''"" lit Commonweallfl (~(IfIII', 100 Toumam.nr Drive. Sui" 212. Hanham, PA 19044 rel,2IS,67i.il00 Fax 1I5,675,5IS8 . " c '- , -, .,-.-: PHvSICIANS OF ~'~"~!':_:) RH1ABlLlTATION . ,1{.... . ~~I?~.c:,I~I~..~,~'.."",,,,,.~....., '. :('1', \\~ MICh.1111 F LUplntlr.CI, MD ." ~. \ - Jamp, W Wllllnrn" MO February 17, 1992 Omni Medicorp Attn: Odette Sanders Medical Investlgator Commonwealth Corporate Center 100 Tournament Drive Horshan, PA 19044 RE: BARBARA VAGNERINI Dear Ms. Sanders: I take strong exception to the statements that the referral of Ms. Barbara Vagner i ni for management of her chronic pain at Mechanicsburg Rehab Hospital is unnecessary medical care. It seems that most of this is b~sed on an oplnion by a Dr. E. James Kohl that she had reached maximum medical benefit on May 23, 1991 with regard to her neck injury she sustained In a motor vehicle accident on November 23, 1990. In my cilnical experience and my knowledge of the literature concerning Gervical trauma there is no basis for such an opinion. It is well documented in the medical literature that lO-15~ of all people with flexion-hyperextension injury to the cervical spine failed to achieve good recovery for as long as two to three years. We do know that 50\ of the people tend to recover somewhere within the first year and 25' more over the next six months. In one sense I have to agree with Or. Kohl In that she was not deriving any benefit from the medical treatment she was undergoing ie. chiropractic adjustment and modality therapy. Certainly the modalities are useful in the fIrst few weeks after significant musculoskeletai trauma but after that they are of little use and therefore it should come as no surprise that she continued to have pain and progressive decrease in her functional abilities on and after May 23, 1991. I find it very difficult to figure out how a physician can arbitrarily make this decision when a patient has had such a limited treatment ~pproach and continues to have progressive paln and disability. There seems to be some question about Dr. Ronald Lippe' 8 referral to Physicians of Rehabilitation Medicine. What actually occurred was Dr. Lippe as an experienced and competent orthopedic surgeon referred Ms. Vagnerini to the Mechanicsburg Rehab Hospital Musculoskeletal Injury Rehabilitation unit for evaluation to see if the chronic paln program would be useful. 1751 . "1('1 8"1/'" 'IFn Po,,' . A,l. '" -'I Mp.r.t, , ~IIU" (., "'(yh IPUil 'iOr,,~. Tp.tP.f" . , (it~, [III 17'i', FJ~ I . ,,, I 1" 1 : Page 2 Barbara Vagnerini I am Medical Director and attending physician of the patients in the chronic pain program so that is how I became the treating physician. I certainly think the referral was appropriate and from my vantage point now knowing that she completed the program successfuily and is back to work and managing her problem very well I can certainly say it was an appropriate referral. I take exception to the statement by Dr. Kohl that there is no cause of the relationship between the conditions that I treated Ms. Vagnerini for and the November 1990 motor vehlcle accident. It is well known from physicians with clinical experiltnce in neck trauma and in the medical literature that there is a very characteristic symptom complex that follows fleXion-hyperextension injuries of the cervical spine. One of the most extensive studies was done by Balla, who studied 300 people, who noted the common complex of headache, neck ache and stiff.ness, arm pain and tingling, dizziness, blurring of vision. There was a little diffp.rence in this symptom complex from six months to two years. If the pain persisted for greater then six months, psychological symptoms of anxiety, irritability and depression become part of the symptoms complex of cervical trauma. Likewise it is commonly known by physicians experienced in managing this disorder that there tends to be posity of physical and neurological flndings apart from pain and tenderness in the affected muscles and decreased range of motion in the cervical spine and upper body. Ms. Vagnerini certainly exhibits this classlcal pattern. At the time of the accident she had immediate pain radiating into the occipital area which 15 conslstent with a compression occlpital neuralgia of the greater occlpltal nerve. This can only occur when there is extreme hyperextens ion of the cervical spine. As is generally the case radiological studies were unremarkable for bony abnormality. As with any such injury it occurs with a speed and force that overwhelms the normal protective cervical neuromuscular reflexes and the damage occurs to the soft tissue and joint structures before the nervous system can react. Thi~ results in strain or tear to the anterior and posterior longitudinal in the ligaments, interspinal ligaments and annular fibers of the intervertebral discs. Such force can certainly Impact the facet joints which can result in capsular strain and even cartilaginouB damage. We generally sec stretching, tearing and/or hemorrhage of the longus colli, longus capitis, scalenes, upper trapezluB and sternocleidomastoids. One can note throughout her various examinations that she exhibited paln to palpatlon of all these structures and any dynamic movements particularly repetitive ones such as she performs in her job as a dental assistant continue to aggravate these muscles. She had accompanied numbness and tingling bilaterally In the fi~gers which likewise is part of the common symptom complex that we in spinal medicine see on a daily basis. Page 3 Barbara Vagnerini The treatment she received likewise is well documented in the medical literature partlcularly if one were knowledgeable in the work of Drs. Teasall and McCain who are national authorities In the management of cervical trauma. Thls involves an extensive education of the patient as to the nature of the injury and the factors that may continue to aggravate the problem. Therapeutlcally it includes the use of graded stretGhing exercises that must be performed by the patient on a regular basis. We titrate in strengthening of the related musculature with attention to very good posture. Since the majorlty of people with spinal pain tend to have a decrease in aerobic f i tnees it has been well documented that promotion of aerobic fitness not only decreases the disability but definitely increases the success of the spinal pain program. Pain is a great stressor and (I student in basic sciences learns this in the physiology labs. The more stress, the more pain therefore in order to learn good pain management skills one must use relaxation techniques and psychological stress management tools in order to keep this under control. It is Imperative that the patient and staff understand the patient's personality and emotional state in reaction to the injury in order to successfully bring this about. At the same time the patient has to learn how to deal with aggravating environmental factors which can increase stress and pain levels. There must be a consideration of work modification and retralnlng in order to return them to a fully functional lifestyle. Overall the emphasis is on improved function and pain control as opposed to pain relief. The role of movement, stretch and strengthening cannot be overemphasized. This Is one thlng that Ms. Vagnerini never received in her treatment protocol befol'e coming into this particular program. The aspects of this program which I will describe is based on the known pathophysiology of soft tissue injury and the natural course of its repair. Strong connectlve tissue has a very limited blood supply and few cells therefore the repair of these tissues is quite slow compared to other more vascular tissues in the body. Nutrition to many of these structures are obtained by means of extravascular diffusion which is enhanced by motion and is delayed by inactivity. Extensive research on animal models has shown that activity speeds a slow repalr process and organizes the soft tissue. Spontaneous repair with inactivity tends to allow for random collagen allgnment and the potential for segmental shortening as a result of collagenous cross linking. Guided acti v ity such as lie prnv ide in our stretching and strengthening programs has been demonstrated to align the collagen and enhance tissue compliance thus avoiding the contractures due to cross linking and random flber orientation. Page 4 Barbara Vagnerini We addr.ess all the above issues through the various aspects of our program. In physical therapy we work with stretching and strengthening exercises particularly with great attention to dynamic body posture. ^chieving proper bio-mechanical body posture is imperative in order to decrease abnormal stress forces on the involved tissues. In occupatlonal therapy again we work with endurance, s trengthenlng and range of motion exercises particularly geared toward repetitive use of the upper extremities using well designed upper extremity exer.cise activity and the BTE work simulator. At the same time we use the Valpar task tolerance program to begin job simulation activities. Therapeutic recreation is specifically directed toward improving general aerobic fitness which consists of twice daily walking program and an aquatics program. We make extensive use of dynamic EMG bio-feedback. We certainly work with stress management and relaxation techniques but we have found it very Ilse ful to be able to use the dynamic EMG feedback to quanti tate abnormal muscular contraction. In people with acute or chronic pain we find characteristic patterns of increased static and dynamic ':ension as well as abnormal co- contraction patterns. In Ms. Vagnerini's case there was a 20' and greater imbalance in the left sternocleidomastoid, left scalene, right pectoralis, left upper trapezius, left low back and the left lumbar musculature. This particular pattern was consistent with that reported in the literature indicating a soft tissue injury consistent with Ms. Vagnerini's particular injury in the automobile accident. With this information we are able to quantitatively define the abnormal cont.ractiol\ patterns and correct them. We find that if it is not corrected adequately even what we once thought to be good exercises are generally done with muscles that have adopted a poor contraction pattern and therefore do not seem to work. We have had good success through the EMG bio-feedback to correct these abnormal contraction patterns and bring about much more ordered movement that is therapeutically beneficial. We do psychological assessments and management as it is well documented that after six months of cervlcal spine injury that the symptom complex includes anxiety, irritability and depression which is directly related to that injury. These problems can be a stressor in and of themselves and tend to impair the development of good psychological and emotional pain coping skills and stress management. There is a wealth of clinical knowledge and literature that well documents that treatment of chronic pain without psychological intervention is generally doomed to failure. We also perform vocational counseling to the extent that our counselor did attend Ms. Vagnerini's job site for specific recommendations about how she can return to her previous employment as a dental technician who needs to do chair side assisting for the dentist. Page 5 Barbara Vagnerini This postur~lly ia a very difficult position and with that information gathered she was able to work in occupational and physical therapy with certain movements and postural techniques in order for her to be able to return to that position which in fact she has been able to through our treatment program. In summary I think the opinion that she had reached medical benefits by May 23, 1991 has absolutely no basis in fact. I do not believe anybody with strong cllnical experience in cervical soft tissue pain and with a basic knowledge of the literature regarding cervical trauma could make this assumption. I could word that a little bit more differently for the reviewer in that it appeared that she had derived no benefit to that point from the medical treatment that she was receiving. What this would mean to me is that we need to re-look at how she is being treated and come up with a more logical treatment protocol in order to develop a good result. If that date however is just based on an arbitrary six month cut off that certainly is not supported by any of the mo~ical literaturo nor cl1nical experience. Likewise to say that the treatment that was performed in the program had no connection to her motor vehlcle accident is without any medical basis and in my opinion solely reflects a lack of knowledge of chronic pain treatment and more disturbingly a desire to find any excuse, no matter how trivial and medically undefensible, to deny payment for appropriate and necessary medical care. I also think one may wish to look at the outcome of this medical care which has been successful. ,,--1 / ) / ) /1 t../__ /I'"I.//', " '\'(/' Ja~es W. Willl~ms, M.D. Physical Medicine & Rehabilitation JWW/jah - ~. @ ~IJG 'I I U1 PH '95 ~ 4-C'. ~\J .,,11, att.-J . 5. c. C,lU.ttiJ..,Vlw"J 'Ii 4 S~ s-c .A4fL pd < tttt:j-' . RICHARD OARE do!..:!t I 7 .?- 'f ~~ ,1\11,-/1:'[11.11\: 1/"/'1 YOI;!! PENNWI\f,LlNI^ I/N,I:] .. '-'~'-"'-" ! . T~ C . C 1 r- ,.., ,~ .-', ..~... d.' ."1'-......' P'" .,. I, . it ne OUNCT =mmo:1P's::so ,-;J..._,~,.._" ..............,' _nr:"Y/Qr:IO Healthsouth of Mechanicsburg 'is State Farm Insurance tompany :0;0. 95-4175 Civil Term .~ --., ......- ~ow, August 07. 1995 :9_ !. s:~~:: O=' C~r:3:.:?...!..A.'l:) COt.i'l':'Y. ?"-, co I:=::,y ci.-;:u= t!:.: Sb.c"S oi York C..;)u:ry :0 =:0:.::: :is ',V:!:, :.:it =::uc:ion =ei"~ _"'l..l. ~t ~ ~ :.:r:i :':..s,k oi ::: ?!~~. . ., . -/) ..' /:t4 r/~";"'>"~1~~ saL~ Qt C=:!lu'..v:Q C~WlIT. l'~ ASctavit or Se:-n= ~ow, Auaust 10. :~ 95 9:55 _ o':'!ca " A. ~[. s::-.-d ==';"it!::D Notice & Complaint ~ '.1poa State Farm Insurance Company It 115 Limeki.ln Road, New CUlTtlerland, PA :r =ci::s;:o Sushma Vora. Claim Supervisor and person in charge J. true and attested c:-:py oi =~ ~it..=.1 at same '-lid ::wie ic:owu :0 her ... :.:.: .:::::=::s ~":::::L So a::sw=. - /1 , -~~6J evrnArn~d ~'.rN~~~"'\'''-_ ~t~~_ SIu::::S ., York eo"""., h. Kenneth L. Markel NCsc:;-.:b:d beiote 11th c!:1,.QI !9.iL COSTS 5:o.v10: ~au.>.GZ S 18.00 14.50 2.00 .. S 34.50 , t<-- NOTA"'AL i ... vn' WI.... W "hln., No'.ry ""Ill" YOI'll, Yo," Courttv'. Pennsv1van.a Mv C('JmmlSSlon hr:ur... March 25. 1999 r_ --.. CERTIFICATE OF SERVICE I, Richard Oare, Esquire, hereby certify that I have this 11-th day of October, 1995, Bent a true and correct copy of the foregoing documents: PRAEC1.PE TO SETTLE, DISCONTINUE AND END to the following individual, via United States Mail, postage paid, addressed as follows: Rolf E. Kroll, Esq. Reynolds & Havas 101 Pine Street P.O. BOX 932 Harrisburg, PA. 17108-0932 Richard 0 re, Esquire Attorney ID: 18631 1776 South Queen Street York, PA 17403 (717) 846-3000 Attorney for Plaintiff