HomeMy WebLinkAbout92-195 civilJEAN TAUBE, in her own fight
and as Guardian of the
Estate and Person of Thomas
Taube, an Incompetent, and
all others similarly situated,'
Plaintiffs
VS.
ERIE INSURANCE EXCHANGE, d/b/a
ERIE INSURANCE GROUP and ERIE
INSURANCE COMPANY, d~/a
ERIE INSURANCE GROUP,
Defendants
· IN THE COURT OF COMMON PLEAS OF
· CUMBERLAND COUNTY, PENNSYLVANIA
·
·
· NO. 195 CIVIL 1992
· CLASS ACTION LAWSUIT
· JURY TRIAL DEMANDED
IN RE' DEFENDANTS' MOTION FOR PARTIAL SUMMARY JUDGMENT AND
MOTION TO STRIKE JURY TRIAL DEMAND
ORDER
AND NOW, this
day of February, 2001, the motion of the defendants for partial
summary judgment is DENIED. The motion of the defendants to strike a jury trial demand on
the count of bad faith is GRANTED.
David L. Lutz, Esquire
For the Plaintiff
BY THE COURT,
ess, J.
Craig Murphey, Esquire
For the Defendants
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JEAN TAUBE, in her own fight
and as Guardian of the
Estate and Person of Thomas
Taube, an Incompetent, and
all others similarly situated,:
Plaintiffs
VS.
ERIE INSURANCE EXCHANGE, d/b/a
ERIE INSURANCE GROUP and ERIE
INSURANCE COMPANY, Wb/a
ERIE INSURANCE GROUP,
Defendants
· 1N THE COURT OF COMMON PLEAS OF
· CUMBERLAND COUNTY, PENNSYLVANIA
·
·
· NO. 195 CIVIL 1992
· CLASS ACTION LAWSUIT
·JURY TRIAL DEMANDED
IN RE' DEFENDANTS' MOTION FOR PARTIAL SUMMARY JUDGMENT AND
MOTION TO STRIKE JURY TRIAL DEMAND
BEFORE BAYLEY AND HESS, J.J.
OPINION AND ORDER
On January 16, 1992, a class action complaint was filed by Jean Taube on behalf of her
son in his own right and all others similarly situated. The complaint averred that Erie made
inadequate medical payments to catastrophically injured accident victims, and that Erie acted in
bad faith in attempting to reduce or terminate first-party benefits. The facts as alleged in the
complaint are as follows.
On July 31, 1982, Thomas Taube was severely injured in an automobile accident. Since
that time Taube has been incompetent to handle his own affairs. At the time of the accident,
Taube was insured under a policy issued by Erie Insurance. The No-Fault-Motor Vehicle
Insurance Act, 40 P.S. § 1009.101 et. seq. was in effect at the time of Taube's accident and
governed the insurer's responsibilities. As a result of the injuries sustained in the accident Taube
NO. 195 CIVIL 1992
suffered severe brain damage and quadriplegia. These injuries rendered Taube totally
incompetent. After one year of hospitalizations, Taube was discharged home. Taube now
requires twenty-four-hour per day care primarily to guard against respiratory and urinary tract
infections. Erie Insurance initially offered to pay $4.50 per hour to provide in-home custodial
care for Taube. In 1987, Erie Insurance increased the amount paid for in-home care to $4.75 per
hour. Between 1989 and 1991, Erie Insurance denied two requests for Mrs. Taube to increase
medical payments to allow for more qualified personnel to care for her son.
The complaint alleges further that, despite numerous requests on behalf of Thomas
Taube, Erie refused to increase its per hour figure. The complaint alleges that Erie has requested
that plaintiff Jean Taube accept less than half of what she was previously receiving. The
complaint also alleges that Erie had threatened Mrs. Taube by stating that if they did not accept
Erie's reduced figure that she would not receive anything based on the Superior Court's holding
in Pennsylvania National Mutual Casualty Insurance Company v. Fertig, 383 Pa. Super. 335, 555
A.2d 208 (Pa. Super. Ct. 1989).
In June of 1990, Mrs.Taube received a letter from Erie Insurance informing her that Erie
believed that under the holding of Reilly v. Southeastern Pa. Transport Auth., 507 Pa. 204, 489
A.2d 1291 (1985) and Pennsylvania Nat'l ~Mut. Casualty Ins. Co. v. Fertig, 382 Pa. Super. 335,
555 A.2d 208 (1989) it was no longer required to pay the cost of custodial care for no-fault
insureds. Erie's letter threatened termination of medical payments thirty days from the date of
the letter if Mrs. Taube did not agree to the settlement. Since July of 1983, Defendant Erie has
been paying for Thomas Taube's medical care at the rate of approximately $41,900 per year.
Erie made a final settlement offer to Mrs. Taube of $18,000, with a deadline of December 15,
NO. 195 CIVIL 1992
1991. The principles announced in Fertig, supra, were reversed in Drake v. Pennsylvania Nat'l
Mut. Casualty Ins. Co., 529 Pa. 44, 601 A.2d 797 (1992).
Erie filed a motion for summary judgment with respect to the plaintiff's bad faith claim.
This is the same claim as to which Erie once again seeks summary judgment. In our opinion of
February 3, 1993, the court observed that Pennsylvania recognized no common law action for
bad faith against an insurer, see D'Ambrosio v. Pennsylvania Nat'l Mut. Casualty Ins. Co., 494
Pa. 501,508, 431 A.2d 966, 970 (1981) and, therefore, the bad faith claim must necessarily rely
on its statutory basis as out in 42 Pa.C.S.A. 8371. We concluded that, in order to make out a
claim, the plaintiff was required to allege and prove conduct with occurred after the effective
date of the statute, namely July 1, 1990. We granted leave to the plaintiff to amend their
complaint to make such an allegation. An amended complaint was subsequently filed.
The standard for summary judgment is well established. Summary judgment is properly
granted where "the pleadings, depositions, answers to interrogatories, and admissions on file,
together with the affidavits, if any, show that there is no genuine issue of material fact and that
the moving party is entitled to a judgment as a matter of law." Pennsylvania State University v.
County of Centre, 532 Pa. 142, 143-145,615 A.2d 303,304 (1992) "The record must be viewed
in the light most favorable to the nonmoving party, and all doubts as to the existence of a
genuine issue of material fact must be resolved against the moving party." Id__:.
Among other things, the plaintiff alleges that Erie threatened termination of certain
payments at a time when it knew or had reason to know that the law with respect to its
obligations was not yet settled. For reasons which follow, this matter will be heard by the court
sitting alone. We will, therefore, be particularly careful not to prejudge the facts of this case.
NO. 195 CIVIL 1992
This matter has been the subject of lengthy consideration by the court. In something of an
anticlimax, we will dispose of the motion now as succinctly as possible. Simply stated, we agree
with the plaintiff that there are questions of material fact which remain open in this matter and
the entitlement of Erie to summary judgment in its favor is not clear and free from doubt.
Another issue before us is the defendant's motion to strike the plaintiff's demand for a
jury trial. The defendants contend that parties proceeding under 42 Pa. C.S.A. section 8371 do
not have a right to a jury trial. In Mishoe v. Erie Insurance Company, 762 A.2d 369 (Pa. Super.
Ct. 2000), the Superior Court dealt with the issue of whether a party is entitled to demand a jury
trial in an action for bad faith against an insurer pursuant to section 8371. The Superior Court
found that, on its face, the section is silent with regard to the right to a jury trial. Id.__:. at 370. The
court, in interpreting the statute, found that legislative silence gives rise to a presumption that the
legislature did not intend to permit a jury determination of claims arising under section 8371.
This is for the reason that the Pennsylvania legislature has expressly included provisions granting
a right to jury trials in other statutory provisions. Id.__~. at 372. The Superior Court therefore
determined that no statutory right to a jury trial exists under section 8371. Id.___~. at 373.
Additionally, the court found that no right to a jury trial exists under the Pennsylvania
Constitution for claims arising under section 8371, because "these are not claims which existed
at the time of the adoption of the Pennsylvania Constitution." Id.._:. at 375. Finally, the court
determined that the Seventh Amendment to the United States Constitution was only applicable to
federal court proceedings and hence was not applicable in a state court proceeding under section
8371. Id. at 375. Accordingly, the defendants' motion to strike demand for jury trial will be
granted.
NO. 195 CIVIL 1992
ORDER
AND NOW, this ~'°
day of February, 2001, the motion of the defendants for partial
summary judgment is DENIED. The motion of the defendants to strike a jury trial demand on
the count of bad faith is GRANTED.
David L. Lutz, Esquire
For the Plaintiff
BY THE COURT,
ess, J.
Craig Murphey, Esquire
For the Defendants
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