Verdetto v. State Farm Fire & Casualty Co.
2011 U.S. Dist. LEXIS 135287
M.D. Penn.2011Background
- Plaintiffs Verdettoes sue State Farm for breach of contract and bad faith after a fire damaged their renters’ property.
- Verdettos had State Farm contents coverage of $50,000 and reported the fire in May 2009; arson was later determined by the Fire Marshal.
- State Farm initiated a formal investigation, highlighting red flags such as an arson ruling, a recently issued policy, and prior late premium payments.
- Insurer sought and obtained authorizations for financial and telephone records, but the Verdettos repeatedly refused to sign.
- State Farm conducted an EUO and ultimately denied coverage for the contents claim due to lack of cooperation; plaintiffs filed suit September 14, 2010.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether State Farm acted in bad faith in denying the claim | Verdettos contend insurer lacked reasonable basis and acted with improper motive. | State Farm had a reasonable basis based on red flags and lack of cooperation by Verdettos. | Summary judgment for State Farm on bad faith claim; reasonable basis shown. |
| Whether plaintiffs’ noncooperation was a material, prejudicial breach voiding the policy | Verdettos argue cooperation was fulfilled and noncooperation did not void coverage. | Refusal to provide requested documents and records was a material breach prejudicial to insurer. | Summary judgment for State Farm on breach of contract; cooperation breach voided policy. |
Key Cases Cited
- Northwestern Mut. Life Ins. Co. v. Babayan, 430 F.3d 121 (3d Cir. 2005) (bad faith requires lack of reasonable basis and knowledge or reckless disregard)
- Terletsky v. Prudential Prop. & Cas. Ins. Co., 649 A.2d 680 (Pa. Super. Ct. 1994) (bad faith requires a tort-like intent or ill will; not mere negligence)
- Polselli v. Nationwide Mut. Fire Ins. Co., 23 F.3d 747 (3d Cir. 1994) (clear and convincing standard for bad faith; emphasis on reasonable basis and prejudice)
