Green v. Pennsylvania Property & Casualty Insurance Guaranty Ass'n
158 A.3d 653
| Pa. Super. Ct. | 2017Background
- James Green was shot at Kong’s Night Club (owned by Uropa, Inc.) in 1996; the club manager Dankovich possessed the firearm. Green sued Dankovich and Uropa and obtained a $1,000,000 default judgment against Dankovich in 1997.
- Uropa carried a commercial general liability policy issued by Security Indemnity, which issued coverage denial letters in Sept. 1996 and Jan. 1997 citing assault/battery and intentional-injury exclusions and notice defenses.
- Green pursued garnishment against Security Indemnity; proceedings were stayed when Security Indemnity entered rehabilitation and was declared insolvent in 2004. Green filed a proof of claim with the liquidator in 2004.
- PPCIGA (Pennsylvania guaranty association) corresponded in 2007 indicating it had not set up a claim to handle the matter; Green later received a final claim determination from the liquidator in 2011 and PPCIGA denied coverage in 2012.
- Green sued PPCIGA in 2013 seeking payment of his $1,000,000 judgment; the trial court granted PPCIGA summary judgment (statute of limitations and no covered claim under the Act). Green appealed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether declaratory action against PPCIGA is time‑barred | Green: limitations did not run until liquidator's final determination (2011) or PPCIGA denial (2012); suit filed within 4 years | PPCIGA: limitations began by Apr. 2007 when counsel said PPCIGA had not set up a claim | Trial court erred: 2007 letter did not create an actual controversy; limitations did not necessarily begin then (Green timely filed) |
| Whether Green possessed a “covered claim” under the PPCIGA Act despite insurer’s pre‑insolvency coverage denial | Green: third‑party claimant whose loss arose under the policy and whose garnishment proceedings were cut off by insolvency — so PPCIGA must cover | PPCIGA: insurer’s pre‑insolvency denials meant no covered claim existed at insolvency; coverage must exist pre‑insolvency or within 30 days after | Court held insurer’s pre‑insolvency denial, without judicial confirmation, does not as a matter of law defeat a covered claim; Green may proceed against PPCIGA (remanded) |
Key Cases Cited
- Selective Way Ins. Co. v. Hospitality Group Servs., Inc., 119 A.3d 1035 (Pa. 2015) (when a declaratory‑judgment limitations period begins; actual controversy rule)
- Bell v. Slezak, 812 A.2d 566 (Pa. 2002) (third‑party claimants may be covered under PPCIGA Act)
- Fine v. Checcio, 870 A.2d 850 (Pa. 2005) (summary judgment standard and accrual as when action could first be maintained)
- Wagner v. Apollo Gas Co., 582 A.2d 364 (Pa. Super. 1990) (declaratory judgment accrual and limitations discussion)
- Zourelias v. Erie Ins. Grp., 691 A.2d 963 (Pa. Super. 1997) (declaratory action accrues on insurer’s denial of coverage)
- Bianco v. Concepts 100, Inc., 436 A.2d 206 (Pa. Super. 1981) (garnishment interrogatories permit determination of insurer coverage defenses)
