Castillo v. Progressive Insurance
3:19-cv-01628
| M.D. Penn. | Mar 15, 2021Background
- Castillo was a passenger in a June 12, 2015 motor-vehicle crash; the striking driver was uninsured. Progressive was Castillo’s UM insurer; Castillo had elected limited-tort (recoverable non‑economic damages only upon proof of a “serious injury”).
- Castillo delayed substantial treatment: ER visit day of crash, family‑doctor visit ~4 months later, then little treatment until ~19 months after the accident; counsel explained delay by pregnancy.
- Castillo (through counsel) demanded Progressive’s UM limits in April 2019. GEICO (primary insurer) later tendered its $15,000 UM limit after counsel threatened suit.
- Progressive claim rep Michael McHale reviewed medical records, spoke with GEICO and Allstate reps, doubted causation/limited‑tort threshold given treatment delays, and made a $1,000 initial settlement offer while inviting further demand.
- Castillo’s counsel then disclosed a wage‑loss claim and filed suit; Castillo sued Progressive for breach of contract and statutory bad faith under 42 Pa. Cons. Stat. § 8371. Progressive moved for summary judgment on the bad‑faith count.
- The court granted summary judgment for Progressive, finding McHale conducted a reasonable investigation and Castillo failed to present clear and convincing evidence that Progressive lacked a reasonable basis for its offer or knowingly/recklessly disregarded such lack.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Progressive acted in bad faith by making a $1,000 pre‑litigation offer | Castillo: offer was an unreasonably low “insignificant” settlement reflecting an inadequate investigation and bad faith | Progressive: adjuster reviewed records, consulted other insurers, reasonably doubted causation/limited‑tort threshold, and left offer open to negotiation | Court: No bad faith — offer grounded in reasonable investigation; summary judgment for Progressive |
| Whether post‑offer evidence (deposition, IME) or redactions show knowledge or reckless disregard of no reasonable basis | Castillo: later discovery and redacted notes show insurer’s state of mind and irrefutable proof of bad faith | Progressive: the later materials post‑date the June 2019 valuation and could not have informed the adjuster’s good‑faith evaluation | Court: Post‑offer evidence cannot prove insurer knowingly/recklessly undervalued the claim at time of offer; plaintiff failed to meet clear‑and‑convincing standard |
Key Cases Cited
- Amica Mut. Ins. Co. v. Fogel, 656 F.3d 167 (3d Cir. 2011) (sets Terletsky‑based two‑part bad‑faith test and requires clear and convincing proof)
- Terletsky v. Prudential Prop. & Cas. Ins. Co., 649 A.2d 680 (Pa. Super. 1994) (articulates elements of insurance bad faith)
- Rancosky v. Wash. Nat’l Ins. Co., 170 A.3d 364 (Pa. 2017) (addressing bad‑faith standards under Pennsylvania law)
- Post v. St. Paul Travelers Ins. Co., 691 F.3d 500 (3d Cir. 2012) (bad faith requires more than negligence; insurer need reasonable basis)
- Frog, Switch & Mfg. Co. v. Travelers Ins. Co., 193 F.3d 742 (3d Cir. 1999) (bad faith requires proof beyond mere negligence or bad judgment)
- Nw. Mut. Life Ins. Co. v. Babayan, 430 F.3d 121 (3d Cir. 2005) (heightened summary‑judgment burden where trial standard is clear and convincing)
- Brown v. Progressive Ins. Co., 860 A.2d 493 (Pa. Super. 2004) (bad faith can include lack of good‑faith investigation)
- Hollock v. Erie Ins. Exchange, 842 A.2d 409 (Pa. Super. 2004) (example where low offer and other conduct supported a bad‑faith finding)
