Castillo v. Progressive Insurance
3:19-cv-01628
| M.D. Penn. | Nov 4, 2019Background
- In June 2015 Castillo, then ~31, was a passenger in a car involved in a collision with an uninsured driver and sustained alleged severe injuries that prevented her from returning to work.
- Three layers of UM coverage were implicated: GEICO (owner/driver’s policy), Castillo’s Allstate policy (stacked to $30,000), and Castillo’s Progressive policy (stacked to $60,000); Progressive provided $15,000 UM per policy but offered Castillo $1,000 to settle.
- Castillo filed suit in state court asserting breach of contract (Count I) and insurance bad faith under 42 Pa. Cons. Stat. § 8371 (Count II); Progressive removed the case to federal court and moved to dismiss Count II and to strike attorney’s fees in Count I.
- The court reviewed the motion under Rule 12(b)(6), applying Pennsylvania substantive law and the federal pleading standards of Twombly/Iqbal and related Third Circuit precedent.
- Castillo alleged Progressive failed to properly investigate, unreasonably delayed handling, underestimated the claim’s value, and denied benefits without a reasonable basis; Progressive contended the bad-faith allegations were legally insufficient and that attorney’s fees in the breach claim lacked a basis.
- The court denied the motion to dismiss the bad-faith claim (allowing discovery on insurer’s state of mind) but granted the motion to strike attorney’s fees from the breach-of-contract count.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Sufficiency of bad-faith claim under § 8371 | Castillo alleged inadequate investigation, unreasonable delays, underestimation of UM value, and knowledge that denial lacked a reasonable basis | Progressive: pleading lacks facts showing no reasonable basis or that insurer knew/recklessly disregarded lack of basis | Court: allegations suffice at pleading stage; denial of motion to dismiss Count II (discovery required to probe state of mind) |
| Recovery of attorney’s fees on breach-of-contract claim | Castillo sought attorney’s fees in the prayer for relief | Progressive: no statutory authorization, contractual clause, or recognized exception permits fees here | Court: struck request for attorney’s fees from Count I (grant as to fees) |
Key Cases Cited
- Terletsky v. Prudential Prop. & Cas. Ins. Co., 649 A.2d 680 (Pa. Super. Ct. 1994) (formulative definition and elements of insurer "bad faith")
- Klinger v. State Farm Mut. Auto. Ins. Co., 115 F.3d 230 (3d Cir. 1997) (adopting Terletsky two‑element test for § 8371 claims)
- Smith v. Allstate Ins. Co., 904 F. Supp. 2d 515 (W.D. Pa. 2012) (inadequate investigation can support bad‑faith claim)
- Bayne v. Smith, 965 A.2d 265 (Pa. Super. Ct. 2009) (attorney’s fees not recoverable in contract actions absent statutory or contractual authorization)
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (pleading must state a plausible claim)
- Ashcroft v. Iqbal, 556 U.S. 662 (further explaining plausibility standard)
- Phillips v. County of Allegheny, 515 F.3d 224 (3d Cir. 2008) (pleading standards and factual specificity requirements)
