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Berg v. Nationwide Mut. Ins. Co., Inc.
44 A.3d 1164
Pa. Super. Ct.
2012
Check Treatment

*1 Sheryl Berg, BERG Daniel

H/W, Appellants INSURANCE

NATIONWIDE MUTUAL INC.,

COMPANY, Appellee. Pennsylvania.

Superior Court Oct. 2012.

Argued 17, 2012. April

Filed June

Reargument Denied *3 upset.”

“caused collision or Jeep elected to take the to Lindgren Chrysler-Plymouth, Inc. (“Lindgren”), a facility in participating repair Nationwide’s Repair Program” “Blue Ribbon Service (“BRRP”). The BRRP is Nationwide’s di- repair program, pursuant rect to which claimants take their vehicles to a des- ignated repair facility “Blue Ribbon” *4 appraisal repair. and The BRRP is an to the more option traditional method of processing, claims where the claimant ob- tains an appraisal third-party from a re- Pottstown, Benjamin Mayerson, J. for pair shop repair process. to institute the appellants. 30, 1996, On or about December after ap- Nelson, Bell, appel- Micheál R. Blue for proximately four repairs, months of lee. Bergs’ finally vehicle was returned to them. DONOHUE, BEFORE: OLSON and

STRASSBURGER*, JJ. According Bergs, to the in October 1997 they telephone received a call from David DONOHUE, OPINION BY J.: Wert, employee a former of Lindgren, who (col- Appellants, Sheryl Berg Daniel and possible advised them of repair structural lectively, “Bergs”), appeal from the failures to their Jeep. January On entry judgment of after the trial court the Bergs present commenced the action Appellee Nationwide In- granted Mutual through the of a writ filing of summons (“Nationwide”) Company, surance Inc.’s against Lindgren and Nationwide. After motion for directed verdict on the pre-trial discovery, May on 1998 the Pennsylvania’s claims under bad faith in- Bergs complaint, filed their initial and af- statute, § surance 8371. For Pa.C.S.A. ter a preliminary objections, series of herein, the reasons set forth we vacate the (the complaint final amended judgment and remand the for a new case eighth) was filed on October 1998. It trial. against asserted causes of action Lindgren contract, September On negligence, for breach of breach fraud, Jeep warranty, Grand Cherokee was involved in an of common law conspira- damage. cy, accident and sustained extensive and violation of the catchall provision of accident, On the date of the Uniform Trade Practices and Consum- 201-2(4)(xxi) Law, § were insured a Nationwide automobile er Protection 73 P.S. alia, (“UTPCPL”).1 covered, policy that inter losses against It asserted claims * Judge assigned Superior 201-2(4)(xxi). Retired Senior to the § 73 P.S. Court. competition' ‘Unfair and 'un- methods deceptive practices’ any fair or acts or mean following: one or more of the (xxi) Engaging any other fraudulent or deceptive conduct which a likeli- creates misunderstanding.

hood of confusion or of contract, law fraud claim ne- favor on the common negli- for breach Nationwide fraud, vio- a similar verdict on the conspiracy, cessitated common law gence, UTPCPL, opin- for insurance as well. In a written and lation of the UTPCPL ion, two rea- faith, disagreed § 8371. the trial court bad Pa.C.S.A. First, the trial court ruled sons. trial, court bifurcated The trial Nationwide had waived this Lindgren and trial consisting jury on phase the first argument when declined fraud, law for common claims jurors questioned to have the court’s offer liability under conspiracy, and inconsistency in regarding possible UTPCPL, a bench the second 4/7/05, their verdict. Trial Court of treble trial on the issues Second, Pennsylvania’s detailing at 10. claims and for UTPCPL consistency strong presumption faith statute. The first the insurance bad verdicts, trial court concluded that the 13, 2004, and December phase began on decided, have “that it would be jury could trial, jury returned a days after five to find that Nationwide appropriate more finding Lindgren that both verdict *5 in fraudulent or Lindgren engaged and provi- had violated the catchall Nationwide in a deceptive conduct consumer or busi- UTPCPL, in favor of Lind- of the and sion ness transaction which created a likelihood on the common law gren and Nationwide misunderstanding, confusion or rather jury The conspiracy claims. fraud and law at simply than common fraud.”3 Id. 9. $1,925 damages of compensatory awarded Nation- against and against Lindgren $295 trial phase began The two on June wide. days testimony, and after four for a Nationwide moved directed verdict. both filed mo-

Lindgren and Nationwide 10, 2007, July On after the submission of relief, arguing that the post-trial tions for argument, briefs and oral the trial court jury’s verdict was inconsistent. their motion directed granted Nationwide’s Lindgren and Nationwide re- arguments, Allstate, on the claims under the verdict 750 A.2d lied on Booze v. (42 insurance bad faith statute Pa.C.S.A. proposition for the (Pa.Super.2000), 8371).4 29, 2007, § On October liability provision under the catchall of the post- court denied the motion for required finding a of common UTPCPL relief, entry after on liability judgment law to un- trial and prerequisite fraud as 7, 2007, According Lindgren Bergs timely to December filed a der the statute.2 Nationwide, appeal.5 in their notice of jury’s and decision contrary. separate recently held to the 4. The trial court entered a order This Court granting against Bergs Masterpiece a verdict on their Bennett v. A.T. Homes LLC, 145, 155, damages Broadsprings, claim for treble under the UTPCPL. (“[C]atchall Bergs challenged ruling (Pa.Super.2012) provision liabili- The have not this and thus, ty can arise when the the treble issue is not before UTPCPL] [under alleges deceptive Similarly, party ap- neither plaintiff either fraudulent or this Court. has conduct.”) original). pealed any aspect jury in the (emphasis in of the verdicts phase portion of the trial. one decision, Lindgren 3. Prior to the trial court’s January paid compensatory damages 5. On the trial court issued assessed directing jury an order counsel to file a concise and was dismissed from the case. appeal Lindgren participant complained in the statement of errors of on thus was not 1925(b). party pursuant Pa.R.A.P. On March phase two trial and is not a to this to appeal. the trial court filed a "Statement Opinion,” in which it Lieu of Memorandum required our con- produce raise five issues for insurer to all and determination: protected sideration claim file materials by at- torney-client privilege, and where a grant 1. Was it reversible error to second Order was directed verdict on the issue of stat- entered after the faith, sanctions, jury after the found insured filed a utory bad motion for and, notwithstanding the insurer’s conduct violated the two Or- ders, provision catchall the insurer nevertheless con- in the first UTPCPL tinued to conceal the evidence via a trial. privilege. false assertion of 2. Was it reversible error to rule that 5.Was it error permit reversible lawsuit, stemming from a first attorney-client insurer to use the claim, party collision was not ‘an ac- privilege as a shield and sword. arising poli- tion under an insurance Specifically, was it reversible error cy,’ simply because the insured[s] to permit the insurer to conceal nu- agreed to have their collision dam- merous claim file entries age appraised repaired by an attorney-client privilege, asserted repair program insurer’s collision then permit to also the insurer identify which the insurer does not to offer the same claim file as evi- in the of insurance. prove dence to it had no knowledge it preclude 3. Was reversible error to repair issues inasmuch as there evidence, non-jury phase in a repair was no reference to issues *6 trial, bifurcated when that evidence the redacted claim file. prove was relevant to the insurer Bergs’ Brief at 5-6. secret, well implemented its but doc- For their two appeal, first issues on strategy

umented to deter contin- Bergs contend that the trial court’s two gency-fee lawyers representing from entering reasons for a directed verdict in by claimants with small value claims favor of Nationwide were in error. In its making litigation too expensive. 1925(a) opinion, Pa.R.A.P. Rule the trial Specifically, did the trial court abuse court indicated that it entered a directed precluded its discretion when it from (1) evidence, verdict because: the BRRP “is not a during non-jury trial $922,654.25 part in- of Nationwide’s automobile phase, the insurance paid attorneys surer its to policy” Pennsylvania’s defend and thus bad faith this lawsuit over a failed collision apply insurance statute does not in this (2) claim. case, and the case of Romano v. Na Co., tionwide Mut. Fire Ins. Pa.Super. 4. Was it 435 reversible error to find the 545, (1994), 646 A.2d apply 1228 does not right waived their to ob- insured[s] in this jury’s tain case and thus the verdict discoverable file entries improperly against redacted to a a Nationwide for violation of the attorney-client provision false assertion of catchall of the UTPCPL does not privilege, where an Order of require finding against record of bad faith Na- copy personal Litigation stated that it had not received a service on the trial court. 1925(b) ensued, Bergs' resulting Rule concise statement and over this issue in final reso- that, result, all as issues were waived and lution in the favor a decision via appeal quashed. Supreme Berg should be The our Court v. Nationwide record, Co., 341, Inc., petition modify then filed a Mut. Inc. 607 Pa. 6 A.3d 1002 claiming prothonotary had thwarted (2010). 1170 6/3/11, 5, the transactions be characterize should Trial Court

tionwide. in here, company and the we con- an insurance forth tween set For the reasons Nat. Pennsylvania in both of Dercoli v. court erred sured.” clude that 477, Co., 471, 554 A.2d 520 Pa. Mut. Ins. respects. these 906, (quoting Fedas v. Insur 909 standards of begin with our We Pennsylva Company State ance of of en reviewing the trial court’s review. 559, 285, 555, 286 nia, Pa. 151 A. 300 verdict, “our a directed try of a motion for (1930)). Moreover, company the insurance determining limited to review is scope of with its insured “on duty has a to deal its discre trial court abused whether the times, basis, act and at all fair and frank of law that an error tion or committed Id.; Hollock v. Erie Ins. good faith.” the case.” the outcome of controlled (Pa.Su A.2d 416 Exchange, 842 Torosian, A.2d 393 759 v. Fetherolf an insurer has a (holding that per.2004) verdict (Pa.Super.2000). “A directed good the utmost faith duty to act with facts are clear only where the granted be insured). duty good its towards for doubt.” Id. there is no room originates from the insurer’s status Lear, Eddy, (quoting Inc. fiduciary for its insured under as a wheth deciding “In (Pa.Super.2000)). contract, gives which the insurer insurance verdict, a motion for a directed grant er to alia, process right, to handle and inter facts in consider the the trial court must See, Ridgeway v. e.g., claims. U.S. Life nonmoving light most favorable to Co., A.2d Ins. Credit Life true all evidence accept and must as party this implies The law (Pa.Super.2002). party’s contention supports which con- faith into the insurance duty good testimony.” all reject adverse tract, the “breach of such an and thus in- obligation constitutes a breach of the hand, interpre On the other Gray contract....” v. Nationwide surance question is a tation an insurance Co., 422 Pa. Mut. Ins. law to resolve. Travelers *7 (1966); The St. Paul 11 The Birth Ctr. v. Castegna v. Casualty Surety Company & 400, 376, Cos., 386, 456, Pa. 787 A.2d 385 ro, 459 567 565 Pa. 772 A.2d (2001) the breach of the obli- (2001). review, therefore, (holding that Our standard of good to act in faith “constitutes gation Co. v. Pro plenary. is Continental Cas. contract”). (Pa.Su Machine, 1111, breach of the insurance 916 A.2d 1118 interpreting language In per.2007). 1990, legislature In our created statu- policy, goal is “to ascer an insurance remedy by bad faith conduct an tory parties intent as manifested tain the company: insurance language of the written instru poli- § Actions on insurance Kane v. State Farm Fire and ment.” cies (Pa.Su Co., 1038, Casualty 841 A.2d 1042 (citation omitted). Supreme Our per.2003) arising In action under an insurance an “polestar has instructed that the Court the insurer if the court finds that policy, language ... inquiry our is in- in bad faith toward the has acted v. policy.” Madison Const. Co. insurance sured, may take all of the the court Co., 595, 557 Pa.

Harleysville Mut. Ins. following actions: (1999). 606, 100, 106 735 A.2d (1) the amount of Award interest on the claim was the claim from the date long has rec Supreme Our in an amount by the insured dealing “the utmost fair made ognized that 6/3/11, prime (emphasis original). to the rate of interest at 9 equal This plus 3%. statement contains at least two basic mis- First, understandings. (2) section punitive damages against Award upon any guaran- 8371 claim is not based the insurer. program. tees associated with the BRRP attorney court costs and Assess note that 11 of We Count final against fees the insurer. complaint, amended “Insurer Bad entitled § 42 Pa.C.S.A. 8371. Faith, Nationwide,” v. does not Plaintiffs case, early In an this Court even mention the Eighth BRRP. Amended Dictionary looked to Black’s Law to define ¶¶ Moreover, 89-92. Complaint, as dis- “any faith” as frivolous or unfounded “bad cussed detail later Ter pay proceeds policy.” refusal to Bergs specific offered evidence of Nation- letsky Property v. Prudential and Cas. alleged wide’s bad faith comply failure to Co., 108, 680, 437 649 A.2d Pa.Super. Ins. obligations its contractual under the denied, (1994), appeal 688 540 Pa. 659 Bergs’ insurance upon contract. Based (1995); A.2d 560 see also Adamski v. All our review of the on appeal, record (Pa.Su Co., state Ins. 738 A.2d brief, Bergs’ phase two trial post-trial their cases, subsequent have per.1999). we brief, accompanying motion and and their held that to succeed on claim under brief, it appellate appear does not that the 8371, the insured must section show Bergs alleged attempted have ever or “the insurer did not have a reasonable prove that their section 8371 claim relies denying policy basis for benefits under the upon guarantee a failure to repairs under recklessly knew of and that the insurer or fact, Bergs the BRRP. In have consis- disregarded its lack of reasonable basis in tently alleged contrary. to the See, denying e.g., the claim.” v. O’Donnell (Pa.Su Co., Allstate Ins. 734 A.2d Second, bad claims are Bakos, per.1999) (citing MGA Ins. Co. premised on any contention that Na- (Pa.Super.1997)). 699 A.2d To “part tionwide’s BRRP is a their of’ auto- necessary constitute bad faith it is not that mobile insurance with Nationwide. pay the refusal to be fraudulent. Howev Nationwide, contrary, To the it was er, negligence judgment mere or bad is not through the testimony expert of its wit- Bonenberger bad faith. v. Nationwide nesses, that introduced the notion (Pa.Su Co., Mut. Ins. from, BRRP was “different” and thus *8 per.2002). Id. The insured must also show of,” “part Bergs’ policy. somehow not duty that the insurer breached a known trial, particular, In at two for- (i.e., duty good faith fair and deal Pennsylvania mer Insurance Commission- ing) through a motive of self-interest or ill er Foster at length Constance testified will. Id. that the BRRP was part neither a Bergs’ policy nor an endorsement to that In explication of its first reason policy, “separate” and was instead a ser- entering for a directed verdict in Nation vice that favor, provided Nationwide offered that wide’s the trial court stated as fol a repair guarantee to those who chose to lows: claim for faith’ “[T]he is ‘bad N.T., 6/5-11/07, use it. premised upon at 626-27. Ac- Nationwide’s failure to Foster, cording to when guarantee repairs that were made to a Nationwide cus- [BRRP], tomer their vehicle under the which utilized the services of a BRRP they allege part facility, is a of their provided directly automobile it was not service policy.” insurance Trial under the terms an policy— insurance alleged breach of its contrac- under an Nationwide’s “arising service was not and thus in in- of section as contained purposes for tual duties policy” insurance words, Foster the duties of policy, including In other Id. at 627. surance 8371. dealing. Eighth at a BRRP faith and fair processed good claims opined that ¶¶ 6, under an In their arising Complaint, claims 88-93. facility are not Amended can- Bergs allege and thus Nationwide complaint, final amended insurance accident, any they customer for con- subsequent such to an not be liable that in bad faith under sec- acting damages for to assert a claim for tacted Nationwide Another Nation- at 627-28. policy, 8371. Id. their and payment tion under prompt Bashore, likewise testi- Bruce expert, wide in faith in not that Nationwide acted bad program “separate BRRP is a that the equita- fied fair and effectuating prompt, “the “nothing to do” that it had completely” and Bergs’] claim where [the ble settlement with Nationwide. Bergs’ policy statutory and contractual [Nationwide’s] Id. at 524. reasonably clear.” Id. at duty to do so is ¶¶ 9, may form legal 93. Such theories error, its adopted trial court as

In “arising under an the basis for a claim theory novel of statu conclusion this legal policy” under section 8371. insurance has inter tory interpretation. This Court “arising under an insur preted phrase Bergs’ participated that the Evidence provide in section 8371 policy” ance way alters the conclusion the BRRP no application any case the statute’s case is one within that their claim this forth an writing setting originates “from meaning filing of section 8371. After and insur between the insured agreement Nationwide, the had their claim with pay would the insured er that the insurer ap- to have their vehicle the choice either circum happening of certain upon the representative a Nationwide praised 793 A.2d at 976. Ridgeway, stances.” third-party repair shop, repaired at recently, Supreme our Court has More facility. or to take it to a BRRP-certified any action applies held that section 8371 expert Nationwide Bruce Bashore As upon “to in which an insurer is called during testimony, made clear his this was of de perform obligations its contractual merely a choice between two alternative payment or fense and indemnification processing methods of satisfy duty good loss that failed to policy: insurance implied par in the dealing faith and fair repair program. And a di- The direct Toy ties’ insurance contract.” Metro repair program something rect is Co., Pa. politan Ins. Life have. companies numerous insurance (2007).6 186, 199 terms, you send the simplest In its [sic ] directly claimant to a policyholder or claim for bad the vehi- shop appraise upon repair under section 8371 is based Toy, 928 A.2d at Ridgeway, was asserted. 593 Pa. this Court held section *9 apply (holding after an insurance claim in con- 8371 does not that bad faith conduct judgment. Ridge litigated final has been with the solicitation of an insurance nection way, (holding policy that a 793 A.2d at 976 policy may for a section 8371 not be the basis claim under section holder not assert claim). do not limit the These decisions judgment in pay failure to a obtained 8371 for Bergs' ability their to assert section action). Conversely, Toy, in an insurance our case, however, alleged in this since the Supreme policyholder that a could Court held during here bad faith conduct occurred 8371 claim for conduct not assert a section processing an actual claim. taking policy place before a claim arose or repairs. ele and do the It eliminates the The trial court’s second basis for a in appraiser go entering for a Nationwide directed verdict need Nationwide’s favor was its contention actually at the vehicle. It that out and look wrong were in that process. arguing jury’s ver speeds up dict in the one trial finding for the N.T., 6/11/04,at 524. Bergs on their claim under the UTPCPL words, insurance other “was in support sufficient and of itself to a pay Nationwide to for re- policy obligated finding part.” of ‘bad faith’ on Nationwide’s upset,” collision or pairs “caused 6/3/11, Trial According at 5. the BRRP was one of two alternative court, to the trial Bergs’ argument for Nationwide to fulfill this obli- methods regarding “solely” the UTPCPL relies on gation. specifically That the BRRP is not case, the Romano which reliance is “either in policy, mentioned the insurance or is carelessly intentionally or misplaced, be “separate from” or “different than” the Superior cause the very Court made it (as policy insurance Foster and Bashore clear that it was not deciding the case testified), any are distinctions without rele- statute, § under the ‘bad faith’ 8371.” Id. vant difference this context. Because at 7. allegations lawsuit involves Unfortunately, argu- court’s during Nationwide acted bad faith its ments here reflect a clear misunderstand- of a claim processing under their insurance ing of the nature of the Bergs’ claims Nationwide, policy it is an action under section 8371. To unravel this confu- “arising under an insurance policy” sion, we must first review our decision in purposes of section 8371. No language Romano. Section 8371 does not contain a states, insurance or even faith,” definition of the term “bad and our suggests, that participation a direct re- in Terletsky decisions and Romano consti- pair program would constitute a waiver of early tute clarify types efforts to right their to assert a claim under the conduct actionable under the statute. As policy, would convert a claim hereinabove, indicated in Terletsky we policy to a claim under repair guarantees concluded bad faith exists when the made to the direct repair pro- presented facts demonstrate a “frivolous gram, or would eliminate Nationwide’s pay proceeds or unfounded refusal to statutory obligations and contractual to act policy.” Terletsky, 649 A.2d at 688. Con- in good throughout the claim process. versely, in Romano we ruled that an in- Finally, nothing statutory in the language surer’s bad faith predicated upon could be provides any section 8371 basis for con- statutes, violations of other insurance even cluding legislature intended for those for which private right no of action repair programs direct to be an exception exists. application. to its contrary, To the wheth- processing er claims for through Specifically, loss Romano addressed a situa- (Nationwide) party repair facility through third or tion in which the insurer direct repair program, insurers must at all disagreed the insured over the value of a times in good act faith vis-a-vis their in- building destroyed by fire. Pursuant to a Thus, sureds. we process conclude that the trial policy, parties set forth court deciding erred as matter of law in each appraiser, selected an who in turn that the claims together did “arise under selected an umpire. umpire *10 policy” purposes an insurance for appraisals of sec- reviewed the and determined tion 8371. the value of the structure to be substan-

1174 an insurance due under amounts with that recom- tially in accordance the substantially re- less than by offering insured. Nationwide by the mended umpire’s the in ultimately amount of recovered pay to the amounts due and fused to have to file a award, insured forcing the 40 by persons.’ such brought actions Pleas. of Common 1171.5(a)(10)(vii). in the Court petition § While the P.S. for counsel fees moved The insured then refer to an specifically does not UIPA 8371, contending that to section faith,’ Supreme the insurer’s ‘bad pay umpire’s to the refusal Nationwide’s term to Pennsylvania has utilized that the Unfair rights of tion to hear claims insured was tions of the UIPA. award enforce “may point to ‘bad (“UIPA”), 1230. conduct court denied This Court the issue the UIPA without the in bad faith action and thus 40 UIPA. P.S. disagreed, the motion on Insurance was whether an insured asking did not § need for based on Instead, we concluded per Romano, 1171.1 faith’ conduct as de- se indicating that the it since had et permit Practices Act litigation trial court to alleged seq. no it violated The trial jurisdic- grounds A.2d at private viola- was the trial court lacks Although sponte or mit a tions of the UIPA the rules of reach. and insurance site determining whether der describe Nationwide, the various jurisdiction alleged trial court to conduct within upon acted [*] conduct statutory regulations, we find to provisions in ‘bad faith.’ impose or the [*] consider, request constituting construction an [*] regulations sanctions un- insurer, of the either sua UIPA’s party, requi- UIPA viola- per- like in of the UIPA as provisions fined in various court, when evaluat- We find that a trial recovery under Pa.C.S.A. a basis for petition or motion for ing a Section 8371 § in question 8371.” Id. answered this We costs counsel fees for the ‘bad and/or affirmative. the Black’s noting After (1) insurer, may look to: faith’ of an faith” in Dictionary Law definition of “bad construing the statute and other cases (upon context which we the insurance (2) generally; the law of ‘bad faith’ Terletsky), we held amplify would later term(s) used plain meaning follows: as (3) statute; upon other statutes and/or may of Section 8371 parameters (like subjects the same or similar by reference to analo-

also be discerned case). UIPA this Spe- law. gous Pennsylvania insurance omitted). (citations cifically, ‘when the words of a statute Romano, Accordingly, under the Gen- explicit, are not the intention of damages for an insurer’s plaintiff seeking by be Assembly eral ascertained may, faith under section 8371 bad conduct ... considering, among other matters methods, at to other available addition or upon ... other statutes the same demonstrating tempt prove bad § subjects.’ similar Pa.C.S.A. violated one or more that the insurer has un- Section 1171.5 of the UIPA defines Pennsylvania insur provisions of related competition and unfair fair methods of even if those regulations, ance or statutes deceptive practices or acts or private rights provisions provide do not Particularly, of insurance. business case, 1171.5(a)(10)(vii) present of action. In the above, as noted Section Nationwide, alia, by, inter contend that ‘[cjompelling from prohibits insurers appraisal total loss on interfering recover with a persons litigation to institute *11 tently argued, in our view returning correctly, later it to them that their vehicle and despite known structural deficiencies jury’s finding the that Nationwide violated condition, dangerous it in a potentially left the UTPCPL constitutes some evidence of (1) statutory provisions: violated two such by bad faith conduct Nationwide. In other UTPCPL, catchall of the provision words, because Romano holds that bad 201-2(4)(xxi), Pennsylvania’s § P.S. may by faith conduct be defined reference Physical Appraiser Damage Motor Vehicle to violations of statutes related to insur- (the Act, §§ “Appraisers 63 P.S. 861-63 practices, jury’s finding ance that Na- Act”). tionwide violated the UTPCPL constitutes mind, points these in we conclude With some evidence of Nationwide’s bad faith. multiple that the trial court erred in re- jury Because the was not asked to specify in Romano clear- First, this spects. precisely what conduct Nationwide it ly deciding was a case under section deceptive found to be fraudulent or under as the entire thrust of our decision was to UTPCPL, probative the overall value jurisdictional scope determine the of sec- of evidence of bad faith be some- and, doing, tion 8371 in so to define the what limited. But since a directed verdict provision. faith” under that phrase “bad bemay granted “only where the facts are Romano, (“[A] court, 646 A.2d at 1233 trial doubt,” clear and there is no room for or evaluating petition when a Section 8371 Fetherolf, 759 A.2d at this evidence of motion for costs counsel fees for the and/or bad faith was sufficient to preclude the insurer, may “bad faith” of an look to entry of a directed verdict Nationwide’s ”). ... That the claim for dam- plaintiffs favor.7 ages under section 8371 Romano came in connection enforce an petition Third, Bergs’ claim for dam here the umpire’s award while set ages under section 8371 does not rely complaint, forth their claim in their is a case, “solely” on the Romano as the trial relevance, procedural distinction -without Romano, court contends. Pursuant to since both Romano and this case equally Bergs argue that violations of involve claims for bad faith under Appraisers UTPCPL and the Act consti section 8371. tute bad faith under the statute. But also offered evidence to multiple establish

Second, Bergs have not ar instances bad faith conduct on Nation gued phase jury’s finding one Toy, part. wide’s our Supreme Court against Nationwide on the UTPCPL recently reaffirmed that “was sufficient in and of itself to term “bad support faith” under finding part.” of ‘bad faith’ on Nationwide’s section 8371 concerns “the contrary, Bergs To the duty good dealing have consis- faith and fair in the Verdict, Bergs argument, 7. The made this some or tionwide’s Motion for Directed it, variation to the trial court on several must have determined that the evi- [c]ourt giving jury's finding occasions in connection with the two dence rise to the of fraud See, proceedings. e.g., Bergs' Plaintiff Posi- deceit was relevant to whether and/or Bergs good tion on Nationwide’s Motion for Directed Ver- dict, 6/13/07, Nationwide treated the ("The jury’s finding dealings.”); at 11 and with fair see also ("Inasmuch engaged Nationwide fraudulent de- Brief at 31 as the secured a and/or ceptive during appraisal jury finding engaged conduct and re- that Nationwide in fraud claim, Bergs'] pair handling deceit [the collision in the and/or [UTPCPL], loss, finding supports a of insurer bad verdict in insured directed favor of the faith.”); Plaintiff Motion for on the Post-Trial insurer issue of insurer bad faith is Relief, 7/20/07, ("Thus, erroneous.”). granting completely Na- *12 1176 knowledge actual had representatives manner in which its and the contract

parties’ had failed and that repairs obligation ... to discharged its an insurer structurally unsound. frame was vehicle’s party claim in the first for a loss pay ¶ 6; Bergs’ Amend- 41, Facts at at Uncontested at 928 A.2d Toy, 593 Pa. context.” 12/13-17/04, 6; N.T., at Trial Brief at ed and Casualty v. Aetna (citing 199 Cowden 387-88; knowledge, Despite 892-96. 468, 223, Co., 459, 134 A.2d 389 Pa. Surety failed to advise again Nationwide Pennsylva D Ambrosio 227 and vehicle, with their Bergs any problem Co., 494 Pa. Ins. nia Nat. Mut. Cas. Bergs continuing in its according to the (1981)). 968 a total loss having to avoid to incur effort by the introduced of the evidence Much policy. under the insurance payment regarding trial the bifurcated Bergs at 6-7; N.T., Trial Brief at Bergs’ Amended with in connection Nationwide’s conduct 12/13-17/04, Finally, as dis- at 387-88. repair of them claim satis- processing in connection with the cussed infra of bad under Toy fies the definition appeal, Bergs attempted on third issue of- example, Bergs For section 8371. suit, they to evidence that when filed offer that when to show fered evidence litigation strategy utilized a Nationwide repairs, Lindgren vehicle to took their pol- with emphasizing cooperation a lack of Joffred) (Mr. initially Doug appraiser ag- icyholders retaining legal counsel frame too that the vehicle’s was concluded gressive handling efforts in cases repaired. could not be twisted and thus $25,000 per- to create a “defense-minded” 2-3; N.T., Trial Brief at Bergs’ Amended community. legal in the ception 299, 629, 12/13-17/04, 209, 241, 729. Ac- at N.T., 6; Trial Brief at n. Amended 6-7 however, the evi- cording Bergs, to the 6/5-11/07, at 106-111. that Nationwide reversed this dence shows reasons, we conclude For all of these (without advising Bergs) appraisal and entering the trial court erred in that the vehicle be sent to instead ordered verdict in Nationwide’s favor directed repair facility attempt another to structur- section 8371 claims. respect to Amended Trial repairs. Bergs’ al frame result, we reverse the trial court’s As N.T., 12/13-17/04, 630, 641, 3; Brief at the case for entry judgment and remand log sug- The claims 685-86. Nationwide remand, Bergs a new trial. At trial on was ordered because gests that this move prove have the burden to their again will will never recover the differ- “Nationwide evi- allegations by convincing clear and salvage ence in value.” Amended Co., Adamski v. Allstate Ins. 738 dence. 12/13-17/04, 3; N.T., Trial Brief at at Ex- (Pa.Super.1999); Hall v. A.2d Bergs argue that Na- p. hibit 8 65. The Brown, Pa.Super. repair the vehicle to another tionwide sent (1987). Bergs If the meet this the cost of a facility having pay to avoid burden, court shall award high time, at that as would payment total loss in section 8371. specified as required under the insurance have been repaired. if the vehicle could be appeal, issue on For their third Trial Brief at 2-4. Bergs’ Amended contend that the trial court Bergs to admit evidence refusing evidence to erred presented also $922,654.25 attorneys paid its attempted that after four months of Nationwide show lawsuit, allegedly defend the Nationwide returned the vehicle repairs, strategy to de litigation to a documented represented repairs to them that had Our though of small value claims. successfully completed, filing been even ter the evidentiary rulings review for a certain philosophy handling, standard of claims *13 evaluating whether the trial be relevant and useful in requires us to determine a bad faith claim. court abused its discretion. Common Henkel, wealth v. denied, 598 Pa. (Pa.Super.2007), appeal Bergs sought The to introduce evidence (2008).

756, 955 A.2d 356 litigation of Nationwide’s strategy and practices substantially this case for This decision in Bo Court’s identical reasons as those outlined in Bo- Co., nenberger v. Nationwide Mut. Ins. nenberger. Bergs contend that Na- (Pa.Super.2002), governs 791 A.2d 378 this implemented litigation tionwide strategy Bonenberger, In we affirmed a trial issue. aggressive that called for designed tactics attorneys’ decision to award court’s fees filing to deter the of small claims. punitive damages for Nationwide’s bad Brief They at 50. further contend that conduct, faith which included the of an use Nationwide documented litigation practice detailing internal manual various strategy in a claims processing manual aggressive litigation tactics intended to (“Best Practices”), Claims and that as a create a perception Nationwide was a “ result, the trial court in refusing erred to carrier in ‘defense-minded’ the minds of permit testimony regarding the amounts community.” Id. at legal 381-82. In paid attorneys Nationwide to its in this particular, procedures we ruled that case. Brief at upon 49-55. Based manual constituted “relevant evidence and Bonenberger, we agree and conclude that support offers for the court’s ultimate find on retrial the Bergs permitted, should be ing of bad faith.” Id. at 382. subject the laying proper to founda- expect Individuals their insurers any tion and authentication of related doc- fairly will treat them and properly evalu- uments, to introduce regarding evidence any they may ate make. A claim alleged litigation strategy Nationwide’s alone, must be evaluated on its merits an effort to establish bad faith conduct by examining particular situation under section 8371. and the injury recovery for which is 1925(a) An sought. company may insurance opin its written Rule ion, considerations, look to its own economic the trial court does not cite to our seek to limit potential liability, its and decision in Bonenberger, posits and instead operate designed in a fashion to regarding ‘send the evidence Nationwide’s Rather, message.’ it a duty litigation strategy has to com- was not relevant be (1) pensate its insureds for the fair value of cause bad faith claim does their injuries. Individuals make pay- not arise under their automobile policy, ments to insurance in- Bergs carriers be were “unable estab coverage sured in the event is they any needed. lish that were denied benefits responsibility It is the policy.” insurers to under that Trial Court 6/3/11, fairly treat their insureds and provide already at 13. haveWe addressed (and just compensation for covered claims rejected) argument. the first With based on the actual suffered. regard argument, to the second we find Insurers do a terrible disservice to their the trial court’s focus on the lack alleged insureds when fail to evaluate each confusing light denial of benefits to be individual in terms of case the situation of the text of section which sets forth presented and the individual requirement affected. no such to be entitled to dam Thus, manual, company which ages dictates for the faith. insurer’s bad To the its initially produced claims Nationwide claims section 8371 contrary, the focus redactions, log, April 1999 in re- the insurer ulti- on whether cannot be sponse to of court dated March an order policy obligations, since mately fulfilled its 1999. On June filed then could if the case insurers that were sanctions, discovery including a motion for pen- throughout act the entire in bad allegedly improper for Nationwide’s redac- process, any but avoid of the claim dency trial tions. On court June by paying section 8871 liability under *14 of court responded with an order that re- Supreme As our claim at the end. “fully comply” quired Nationwide to with in the issue in connection Toy explained, orders, prior discovery but refused the claims is the manner with section 8371 Bergs’ sanctions or a requests privilege for discharge of which insurers their duties 3, 2004, log. February Bergs On the filed good dealing during pen- fair faith and another for motion for sanctions Nation- claim, an insurance not whether dency of produce wide’s to continued refusal an un- eventually paid. Toy, 593 Pa. claim is log, redacted this time demanding claims 41, at 199. For of purposes 928 A.2d an in camera review of the redactions. In claim, Na- Bergs’ section 8371 whether opinion September an dated ultimately paid the tionwide benefits due Bergs’ trial court denied the motion for not the inqui- under the is relevant as sanctions and in camera review untime- is ry; dispute whether Nation- instead ly, Bergs that the had pointing out failed faith in its dealings wide acted bad with argument to file a for praecipe after its the Bergs. filing February, already that it has de- summary judgment, cided motions for in- Bergs’ The fourth and fifth issues cluding Bergs, one filed and the disputes regarding on involve Na appeal parties ready had certified the case alleged tionwide’s concealment of relevant (with jury trial selection scheduled to be- through false attor evidence assertions of weeks). gin in less than three Trial Court ney-client Specifically, privilege.8 9/8/04, reasons, at 5-6. For these the trial Bergs contend that court erred in trial Bergs’ court concluded that the refusing to conduct an in review camera of attempt rule “to have the on this [c]ourt approximately 30 redactions to Nation juncture motion at late is inappropri- which log, pertinent wide’s claims detailed ate.” at 6. correspondence relating events and to the repairs Bergs to the vehicle. The morning day On the of the first of trial posit log these entries di bear 2004, the trial court December bifurcat- rectly on the issue of Nationwide’s “state trial, delaying ed consideration of the permitted of mind” when it their vehicle to Bergs’ damages claim for bad faith be returned to them failed structural phase section 8371 to second trial at a repairs, are thus relevant and to the deter later After the conclusion date. of the trial, appropriate mination of the amount of parties sought first both are to which entitled under new discovery connection with the Brief at section 8371. 68-69. section 8371 claim. Nationwide determining general provides of review when Pa.R.C.P. that "as a "Our standard 4003.1 rule, discovery propriety discovery liberally allowed order is whether is with re- matter, spect privileged, any court committed an which is trial abuse of discre- being Corp., v. Allied Glove 37 A.3d relevant 4003.1; the cause tried.” tion.” Sabol Pa.R.C.P. Schirra, see, 1198, (Pa.Super.2011) (citing Gormley e.g., George v. 1200 814 A.2d 202, Edgar, (Pa.Super.2010)). (Pa.Super.2002). A.2d 1202 204 The interrogatories, requests new der circumstances.” Birth Center propounded documents, Inc., and no- production Companies, for the v. The St. Paul Bergs’ 1144, for five of the deposition tices of (Pa.Super.1999), affirmed, attorneys. sought (2001); in turn an- Pa. 787 A.2d 376 see also cop- for admissions and requests Co., swers to Casualty Rhodes v. USAA Ins. attorneys. billings from Nationwide’s ies 1263-64 (Pa.Super.2011). August the trial court re- On review of disputed privi camera claims of all of the opened discovery granted necessary is often lege appropriate. discovery relating to the above-referenced (“[Djiscovery See Pa.R.C.P. 4003.3 and in Bergs’ section 8371 claim. spection permitted should be in camera required protected where to weed out ma 7, 2005, however,

On October terial.”); generally Holy see Barrick v. denying court issued an order Spirit Hospital the Sisters the Chris production renewed motion for of an unre- *15 (Pa.Su 800, Charity, tian 32 A.3d 812 or, alternative, log dacted claims the an (“in per.2011) camera review be nec- by review the trial court. The in camera issues); essary” to determine privilege explanation trial court’s order offered no Inc., 1050, Elwyn, T.M. v. 950 A.2d 1063 for its decision. (remand (Pa.Super.2008) required for trial 7, view, In our the trial court’s October court to conduct in camera examination of order constituted an abuse of discre- 2005 for privilege); documents In re Estate of prior tion. The trial court’s reasons for Wood, 568, (Pa.Super.2003) 818 A.2d 573 Bergs’ request production the denying (remand with instructions to conduct in in camera review of the redactions and/or issues), camera review for privilege appeal log longer to the claims no as the applied, denied, (2005). 584 Pa. 882 A.2d 479 phase portion two of the trial was not Accordingly, in light importance of the (or scheduled), imminent even and neither clear focus on the insurer’s conduct party had certified their readiness for the claim, section 8371 bad faith prior to retri- contrary, second of trial. To the claim, the Bergs’ al of section 8371 reopened discovery trial court had on the trial court should conduct an in camera claim, section 8371 and the disputed review of all documents to resolve discovery motion for renewed of the claims privilege. claims of addition, log untimely. was not facially renewed motion set forth Judgment vacated. remanded Case compel valid reasons to an in camera re- the trial court for a new trial on the Bergs’ (1) redactions, view of the including May § to 42 Pa.C.SA. 2003, Nationwide had unredacted a claims relinquished. Jurisdiction log entry response discovery to a re- entry was quest, privileged and not a STRASSBURGER, Concurring J. files a communication, many and of the re- Dissenting and Opinion. log pre-dated in the claims dacted entries Concurring Dissenting Opinion by and Nationwide’s retention of counsel in con- STRASSBURGER, J.: with the

nection insurance claim. join has made clear that in I majority opinion respects This Court bad in all litigation, except requirement imposed faith insurance the fact finder upon resolving needs to consider “all of the evidence avail- trial court in the outstanding dis- I covery dispute. respectfully able” to determine whether the insurer’s dissent to “objective intelligent conduct and un- portion opinion mandating was 1180 Wood, ments), A.2d In re Estate in cam- the documents review

trial court (Pa.Super.2003) (instructing era. review material in camera trial court to inspection of that in camera I believe is uncertain what is dis- only party if the be undertaken documents should disputed order). applicable under the coverable by As noted rare circumstances. only in Wettick, Jr., the R. Stanton the Honorable “Discovery rulings ‘uniquely are within discovery matters over judge presiding ” judge[.]’ Rohm the discretion of Allegheny County Division of Civil Lin, Haas 992 A.2d and Co. Pleas, “review of docu- Court of Common (quoting v. Schir (Pa.Super.2010) George likely to raise more ments in camera is ra, (Pa.Super.2002)). R. Stanton than it answers.” questions responsible trial court is for oversee “The Wettick, Jr., Operation The Our Discov- ‘discovery parties between the ing the Production ery Rules in the Context of it within that court’s discretion therefore is Documents, BarRister, Summer appropriate measures to determine input the benefit of at 86. Without necessary adequate prompt to insure counsel, judge “frequently a trial is from allowed the Rules discovery of matters an informed position in a to make ” (quoting Berkey Id. of Civil Procedure.’ discoverability judgment concerning Inc., 936 Investigations, heiser v. A-Plus Further, if in camera a document.” 1117, 1125(Pa.Super.2007)). *16 regularly is used inspection of documents discovery frequently to resolve dis- discovery of in the instant the course from whom documents putes, parties case, requested privilege first likely “are less to assume re- sought are disputed then in camera review of the log, with the discov- sponsibility compliance for at 27. Majority Memorandum documents. rules[,]” “may position take the ery noted, any it the trial court never made As compliance has become court’s the merits of the re- ruling on responsibility^]” 9/8/2004, at quests. Trial Court majority of the cases cited None majority I with the that the agree 6. While the trial court to supports requiring our denying trial court abused its discretion a review of the documents in conduct untimely, re- upon motion as See, Holy Spirit v. e.g., camera. Barrick full I would allow the trial court its mand Hospital the Sisters Christian determining how to range of discretion Charity, (Pa.Super.2011) Bergs get assure that the documents in camera review (acknowledging that are entitled.1 which remand), necessary upon T.M. v. be (Pa.Su Inc., Elwyn, any that the case lacked

per.2008) (noting if the

privilege log, responding and that identify mate

party privileged was able to remand, “may”

rial the trial court upon review of those doeu-

conduct in camera Wettick, supra, withholding the information. example, party 1. when a has withheld For thereof, Judge portions Wettick documents or me that counsel at 36. "This affidavit assures employs practice requiring counsel to (rather than the client or in-house of record that counsel has file an affidavit which states counsel) responsibility assumed has personally reviewed the withheld documents Also, will not I believe that counsel decision. legal the factual and basis for and details S.M.C., Appellee

W.P.C., Appellant.

Superior Pennsylvania. March 2012.

Argued April

Filed *17 carefully ing file such an affidavit without review- the documents.”

Case Details

Case Name: Berg v. Nationwide Mut. Ins. Co., Inc.
Court Name: Superior Court of Pennsylvania
Date Published: Apr 17, 2012
Citation: 44 A.3d 1164
Docket Number: 12 MDA 2008
Court Abbreviation: Pa. Super. Ct.
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