Guessford v. Pennsylvania National Mutual Casualty Insurance
918 F. Supp. 2d 453
M.D.N.C.2013Background
- Insurance policy provided underinsured motorist (UIM) coverage to plaintiff via employer’s policy; collision occurred July 6, 2007, with Corriher’s vehicle; Nationwide tendered its policy limits ($100,000) in exchange for a covenant not to enforce judgment; defendant Penn National waived subrogation and sought medical information before evaluating the claim; plaintiff’s medical expenses totaled over $727,000 with Hartford paying nearly $591,000; arbitration was demanded by plaintiff, resulting in a $2.5 million award, after which defendant paid $900,000 and sought a release; plaintiff filed suit in North Carolina state court alleging breach of contract, UDTPA, and refusal to settle in good faith; defendant removed to federal court and moved for judgment on the pleadings (Rule 12(c)); plaintiff moved to strike various affirmative defenses.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Breach of contract viability | Plaintiff asserts breach of contract due to failure to investigate and insufficient settlement offers. | Defendant argues contract provisions allow arbitration and no specific breach is pled. | Breach claim barred; arbitration provisions bar-plaintiff failed to plead a contract breach. |
| UDTPA viability | Plaintiff contends defendant’s unfair/deceptive practices violated §75-1.1. | Argues claims lack plausible misconduct beyond typical coverage disputes. | UDTPA claim plausibly stated; not foreclosed by breach dismissal. |
| Refusal to settle in good faith claim | Defendant delayed and engaged in bad faith handling of claim after recognition of liability. | Dispute over settlement value permissible within policy framework; not per se bad faith. | Claim survives; denial of judgment on the pleadings as to this claim. |
| Strike of affirmative defenses | Argues some defenses are legally or factually insufficient. | Standard Rule 8(c) suffices for fair notice; some defenses may be moot or legally invalid. | Several defenses struck as moot or legally insufficient; others remain under consideration for two remaining claims. |
Key Cases Cited
- Fid. Bankers Life Ins. Co. v. Dortch, 318 N.C. 378 (N.C. 1986) (insurance policies construed as written; express language governs duties of parties)
- Gray v. North Carolina Ins. Underwriting Ass’n, 352 N.C. 61 (N.C. 2000) (unfair claim settlement practices under UDTPA are governed by insurance statutes)
- Lovell v. Nationwide Mut. Ins. Co., 108 N.C.App. 416 (N.C. Ct. App. 1993) (bad faith refusal to settle requires aggravating conduct; punitive considerations)
- Robinson v. North Carolina Farm Bureau Ins. Co., 86 N.C.App. 44 (N.C. Ct. App. 1987) (tortious conduct in bad faith may be actionable even when damages are paid later)
