*1 The BIRTH CENTER v. INC., COMPANIES, The ST. PAUL Sharon Afonso, Al Dawson-Coates and Appeal Companies, of The Inc.
Supreme Pennsylvania. Court
Argued Oct. 2000. Decided Dec. *3 Buchholz, Wagner, Bachrach, Thomas P. D. Carl Joshua Philadelphia, Inc., Companies, The St. Paul Nos. 25-26 M.D. Appeal Docket 2000. Brooks, Media, Bradley,
John S.J. Michael for The Birth Center, Nos. 25-26 M.D. Appeal Docket 2000. *4 Buchholz,
Carl D. Philadelphia, for Companies, St. Paul Inc., No. 27 M.D. Appeal Docket 2000. Bachrach, Wagner,
Thomas P. Joshua Philadelphia, for The Companies, Inc., St. Appeal Paul No. 27 M.D. Docket 2000. Brooks, Media, John S.J. Bradley, Michael for The Birth Center, No. 27 M.D. Appeal Docket 2000. Bachrach,
Thomas P. Wagner, Joshua Philadelphia, for The Inc., Companies, St. Paul Appeal No. 28 M.D. Docket 2000. Buchholz, Companies, for Paul Philadelphia, D. St. Carl Inc., Appeal 28 M.D. Docket No. Media, Brooks, Bradley, S.J. Michael
John Center, Appeal M.D. Docket 2000. No. 28
OPINION NEWMAN, Justice. (“St.Paul”) from an Companies, appeals Inc.
The St. Superior Court that reversed the Order Order of (“trial court”), County of Delaware of Common Pleas Court judgment notwithstanding Paul’s motion for granted which St. evidence, found, convincing clear the verdict. a civil Paul acted in bad faith when refused settle St. (“Birth Center”), and that action1 The Birth Center causing faith conduct a substantial factor Paul’s bad to incur The Birth Center compensatpry $700,000.00. amount of Superior Court.
We affirm the decision a claim that could have an insurer refuses settle Where policy within limits without “a bona fide belief been resolved winning,” it breaches its good possibility ... that it has duty duty good fiduciary to act in faith and its contractual Casualty Surety Company, v. Aetna its insured. Cowden (1957). Therefore, A.2d the insurer known dam is liable for the foreseeable and/or faith reasonably insured that flow from the bad ages of its fact that the insurer’s intransi conduct of the insurer. The it to engage negotiations in settlement forced gent failure far in limits so as to avoid a pay damages excess award, from punitive damages does not insulate the insurer compensatory damages liability for its insured’s where insurer’s bad faith conduct caused prove insured can damages.2 Center, (Del. Co. Ct Common Pleas Docket No. 86- 1. Norris v. Birth ("Norris "). 16841) easily liability by engaging 2. St. Paul could have avoided Instead, patently disregarded negotiations. St. Paul settlement *5 FACTUAL AND PROCEDURAL HISTORY Underlying The Birth The Action —Norris v. Center engage to This claim arose out of St. Paul’s bad refusal action, Norris. negotiations underlying in settlement (“Parents”) case, filed suit In that Gerald and Denise Norris alleging Birth Center3 that its on November daughter Lindsey, caused negligence during the birth of their physical injury permanent and brain her to suffer severe complaint, The Birth Center damage. After service carrier, Paul, professional liability to its insurance turned St. to legal for its defense.4 St. Paul hired counsel defend The investigation Birth and of the Parents’ Center undertook claim. 2, 1991, August proposed,
On the Parents on behalf of limits of Birth Lindsey, to settle the case within the The professional liability policy Center’s insurance with St. Paul. Birth firm making Center notified St. Paul that was limits. policy August demand settle the case within its On 7, 1991, St. Paul refused to settle or to even make an offer of settlement. conference,
During August pre-trial the course of an recommended settlement Norris within presiding judge limits of policy. Again, Center’s insurance St. conference, Paul At pre-trial refused. a second a second judge assigned to the also case recommended settlement within Birth policy Center’s limits. The Birth Center de- judge’s manded settlement in with accordance recommen- dation; but Paul or negotiate money. St. refused offer by refusing negotiate. example, interests of its insured For after the $4,500,000.00 verdict, began
trial but before the announced its St. any money. Paul offer refused to any money For an insurer to refuse to offer and to state that it tries 16) (N.T. baby regardless “all of these bad cases" 5/6/96 impact might that decision have on its insured invites a bad iaith case. (who employed) 3. The Parents also sued two doctors Birth Center attending midwife. liability professional 4. St. Paul insured Birth Center under a $1,000,000.00 policy limit. attor- January requested the defense doctors involved
neys for The Birth Center one of the Lindsey’s delivery prepare pre-trial reports for St. Paul’s *6 Paul, counsel for report consideration. her to St. defense best, had, a that The Birth Center at The Birth Center stated successfully defending lawsuit at fifty-percent chance of the Furthermore, jury that could trial. she advised the verdict $1,250,000.00 $1,500,000.00. range from The doctor’s de- Birth counsel advised Paul that he believed fense St. thirty-five winning a of at trial and percent Center had chance $5,000,000.00 $6,000,000.00. predicted jury a verdict of 27, 1992, Birth January executive director of The On the put potential Paul on written notice of the Center St. compensatory damages expressed deep her concerns re- garding possibility the of a verdict excess of Birth Center’s policy explained that such a verdict would have limits. She devastating upon The Birth Center and could risk its effects concerns to expressing continued existence. When the same case, representative assigned the St. Paul claims to the the Paul “all representative claims informed her that St. tries of cases, (N.T. these bad and we’re to trial.” baby going 5/6/96 16) added). (emphasis at trial, judge, of the Norris a third
Before the commencement trial, ultimately presided who over held another confer- Birth ence and recommended settlement within The Center’s policy limits.5 Paul to make offer whatsoever. St. refused Then, 12,1993, February high/low on the Parents made a offer settlement, pay in which Paul a of St. would non-refundable If, $300,000.00 however, regardless amount the verdict. Birth jury policy returned a verdict in excess of Center’s limits, agreed accept limits as total the Parents Finally, pro- satisfaction of the verdict. the settlement offer jury that if a than The Birth vided returned verdict lower figure than of coverage, higher Center’s maximum but the low $300,000.00, as full accept then the Parents would such verdict Clouse, Judge 5. Kenneth A. the Court Common Pleas Delaware of of Co., action, presided underlying over the trial of the Norris v. The Birth Center. liability. Birth Paul refused satisfaction of The Center’s St. and made no counter-offer. this offer settlement 16, 1993, trial, day pre-trial a final February On judge. room of trial place robing conference took time, high/low At this the Parents reasserted their offer of its desire that expressed settlement. The Center St. but, agree representative proposal; the Parents’ Paul, room, present during robing the discussion rejected high/low on the record. Fol- offer settlement lowing rejection, judge St. Paul’s stated he believed putting that St. Paul’s actions were bad faith and that was (N.T., 2/16/93, its interests ahead of of its those insured. 15-19). trial, Norris trial ensued. After the start of the but verdict, judge
before the trial returned instructed *7 for defense counsel The Birth Center to contact St. Paul to see if it intended to make offer settlement. When counsel Paul, telephone returned from her conversation with St. she present robing “They stated to those in room: must be crazy. They’re not offering They give a dime. won’t me authority case, to any money you offer in this know I can’t 69). (N.T., 5/3/96, it.” believe 4, 1993, On March in jury returned a verdict favor of the $4,500,000.00, Parents for Birth The Center liable for sixty percent of that amount. final to The verdict molded $7,196,238. delay damages include and and interest totaled liability The Birth Center’s ultimate to amounted $4,317,743.00. agreed indemnify Paul Birth St. The Center for parties the entire verdict and the settled the for case $5,000,000. verdict, paid request- Before St. Paul it the excess sign exchange ed that The Birth for Center a release payment, sign but The Birth Center refused to the release. 20, Paul paid September St. on
The Birth Center v. St. Paul —The Bad Faith Action 3, 1994, Paul, On Birth alleging June The Center sued St. Center, that fiduciary duty St. Paul breached its to The Birth its implied covenant of and its contract. The Birth also claimed that Paul’s Center St. failure settle Norris within its limits negligence, constituted reckless disre- Center, Birth gard rights for the willful and wanton behav- Statute, pursuant ior and bad faith to the Bad Faith § 8371. Pa.C.S.A. 3,May began. the trial Birth
On The Center claimed engage that St. Paul’s refusal reasonable settlement business, negotiations damaged reputation “its and credit.” trial, found, Appellee’s Br. at. 11. jury After the clear evidence, and that Paul convincing St. acted bad that its in bringing actions were substantial factor about $700,000.00 totaling, compensato- harm to The Birth Center ry damages. punitive damages. The did not award judgment notwithstanding
St. moved the verdict. 7, 1997, trial February granted On court6 Paul’s St. motion. trial payment The court concluded that Paul’s St. claim, the excess verdict Birth bad faith nullified Center’s compensatory damages pursuant are available that, C.S.A. because believed that it had not claim, charged jury on breach of contract Birth Center could not compensatory damages recover based theory. on that The Birth v. Companies, See Center St Paul (C.P. Inc., 94-6492, slip op. County Aug No. at 9 Delaware 1997). The trial court denied Center’s motion for 10, 1997, reconsideration. On June the trial court entered judgment in favor of Paul. appeal, Superior payment
On Court determined did not preclude compensa- the excess verdict the award of *8 tory damages that charged jury the trial court had on Therefore, of contract. breach it reversed the decision of the court, award, trial reinstated remanded the case a for determination of The Birth Center’s entitlement interest, attorney’s pursuant fees and costs to 42 Pa.C.S.A. § 8371.7 Koudelis, Judge George Judge of the Court of Common Pleas Dela- Co., presided ware over the trial of the Birth Center's bad faith action against St. Paul. Inc., (1999). Companies
7. The v. St. Birth Center Paul A.2d 1144 to this decision Superior Paul Court’s appealed St. Court.
DISCUSSION Arguments Opposition to the Paul’s St. Damages Compensatory Award of for Birth why it is not liable Paul forth four reasons St. sets First, its damages. it asserts compensatory Center’s Birth Center’s bad excess verdict barred payment despite faith claims argues allowing bad claim. St. Paul discourage “voluntary” payment would an insurer’s excess future excess verdicts. satisfying from companies insurance Second, v. Pennsylvania contends that D’Ambrosio St. Paul (1981) Ins., bars The National Mut. Third, to 42 Pa.C.S.A. points claim. Birth Center’s St. damages, punitive § which authorizes the award is found to have attorneys costs an insurer fees and when statute does in bad and asserts that because the acted none are available. compensatory damages, not mention Fourth, charge did not argues that the trial court St. Paul that, of contract claim and jury on The Birth Center’s breach result, may compensatory Birth not recover as a The Center turn, reject address and on that claim. In we based Paul’s arguments. St. Charged Jury Trial on Breach Contract
The Court argument, is Paul’s final we address Although this St. charge jury on if trial court did first because contract, only could recover The Birth Center breach theory damages from Paul if some other opinion, in this recovery. As we discuss provided basis cause of 8371 nor other relevant neither Pa.C.S.A. Thus, Birth recovery. basis for Center’s provide action Birth on compensatory damage depends award whether action and whether the a contract cause of Center asserted claim. jury regarding charged trial court that The Superior properly Court determined of contract claim. Birth Center’s asserted a breach Center *9 Complaint requests compensatory damages upon based its ¶¶ Complaint insurance contract St. Paul. 76-77. The with Complaint provides: By failing
76. to settle the Norris claim within the limits Center, the insurance of The Birth the Defendants obligations herein breached their contractual to Birth The insurance, policy of by failing protect Center under said to The Birth Center and their [sic] assets. herein, performance The Defendants in the of the said
contract, Center, fiduciary owed to The Birth duty to act in good and to use due in representing care The Birth Center’s interests.
[*] X X WHEREFORE, Plaintiff The Birth judg- demands Center ment Defendants in an amount excess of ... $50,000, plus additional compensatory consequential and/or law, damages by together thereon, allowed with interest costs, attorney’s Court fees and such other relief as the just proper. Court deems Therefore, Id. it is Birth alleged clear Center a claim sounding in contract.
Additionally, trial court charged regard with The Birth Center’s contract cause of action. The court alia, charged jurors, they inter that if found that St. Paul Center, breached its contract with Birth they were award compensatory damages if the breach caused the dam- ages, and reasonably were foreseeable parties time the entered into contract and at the time of Specifically, judge the breach. the trial charged, among other things, that: contract, party
where one contract breaches that party may other injuries recover those which have been proved you certainty. with reasonable
X X [*] you If find defendant St. Paul breached its contract Center, you must then decide based on all of what presented money compen- evidence amount of will injuries, sate the Plaintiff for those which were a direct foreseeable result the breach St. Paul which the *10 parties reasonably they could foresee the time made that and at of contract the time the Defendant’s breach the contract.
(N.T., 5/10/96, added).8 emphasis jury at 246-247 The re- finding turned verdict that St. Paul in bad faith in acted its case, handling underlying the that Norris the bad faith conduct was a substantial factor in bringing about harm to $700,000. The Birth in the amount of jury Center The verdict sufficiently jury established that the considered the breach of jury contract claim. found that St. acted in bad faith; faith; duty St. Paul had a contractual to act in therefore, St. Paul breached its contract. reviewing propriety granting of an order or verdict,
denying judgment notwithstanding the
we must deter
mine whether
there was
competent
sufficient
evidence to
sustain the
v.
verdict. Wenrick
Ak
Schloemann-Siemag
1,
(1989).
1244,
564
tiengesellschaft,
A.2d
1246
523
We
light
view the
in the
evidence
most favorable to the verdict
give
winner
him or her
of every
the benefit
reasonable
arising
inference
from
rejecting
there
while
all unfavorable
Raeuchle,
testimony and
394,
inferences. Moure v.
529 Pa.
1003,
(1992).
604 A.2d
Moreover,
1007
judgment
“[a]
n.o.v.
only
should
be entered in a clear
case and
doubts must be
see,
Id.;
resolved
favor of the verdict winner.”
Atkins v.
Urban Redevelopment
Authority
Pittsburgh, 489 Pa.
(1980).
100
Finally,
judge’s
A.2d
“a
appraisement of
evidence is not to
on
be based
how he would have
he
voted had
Moure,
been a
...”
jury
member of the
A court that disagree minds could that no two reasonable was such in favor of the movant.” should have been rendered outcome Moure, Nazareth quoting Cummings at 1007 v. 604 A.2d (1967). respect While we Borough, engage that Paul’s refusal to Judge opinion Koudelis’ was the negotiations was not bad settlement all of the evidence upon fact. It found that based finder of “by convincing clear and evi- proved that Birth Center handling faith in acted in bad [St. Paul] dence We also note of Norris v. The Birth Center.” underlying case Clouse, case, stated, underlying Judge who tried the trial, posture day believed that St. Paul’s settlement he fiduciary duty with its to the in bad faith and inconsistent opin- Judge expressed Clouse his Specifically, Birth Center. n *11 ion that: I think the is a clear indication of bad here. [t]here responsible in a man- company proceeding insurance is not obligation its to its discharging fiduciary ner and is not company ... I think this insurance has insureds this case I want it clear highly irresponsible in a manner. operated $300,000.00 they highfiow have turned this offer fiduciary in which I think is a breach their down [sic] I want that on to their insureds. And clear responsibility this record. added).
(N.T., 2/16/93, 15-19, Judge emphasis While jury’s to the determina- opinion arguably is irrelevant Clouse’s compelling Paul in bad it is a tion that St. acted jury a reasonable could have come to a indication of how Paul in bad faith. similar conclusion that St. acted verdict, disagree with a he or she judge may aWhile simply a motion for because he or she may grant J.N.O.V. Indeed, would to a different conclusion. the ver have come for it. legal unless there is no basis Without dict must stand Clouse, Judge Judge Koudelis or agreeing disagreeing or light most favorable to Birth evidence we view the winner, Center, every give it the benefit the verdict all un- arising rejecting while reasonable inference therefrom testimony perspective, From that and inferences. favorable could have to conclude that no reasonable we are unable Therefore, although, Paul acted in bad faith. found that St. Koudelis, the same may we not have reached Judge like to sustain the was sufficient evidence jury, verdict as the there found, have jurors basis for the verdict and a reasonable in bad faith. Conse- from evidence—that St. acted motion for granted trial court should not have quently, the that it did not argument based on St. Paul’s directed verdict act in bad faith.
Payment of the Excess Verdict Next, arguments Paul’s that the trial we address St. judgment its motion for a notwith properly granted court (1) that: standing verdict because of its contentions all bad faith payment precludes insurer’s of an excess verdict claims, (2) additional allowing The Birth Center to recover compensatory damages discourage companies would insurance satisfying from excess verdicts. Paul states: Superior holding discourage The effect of the Court’s is to satisfying from companies insurance excess verdicts unless company do If can they required are so. an insurance exposed voluntarily still be to a bad faith suit even after verdict, no satisfying company an excess has incentive pay the excess. punitive
If it claim and exposed remains to the bad faith damages anyway, the obvious for the insurance course *12 claim, ground, is to stand its faith company defend the bad and leave its insured to its own devices.
Appellant’s Br. at 15. argument appeal, Paul’s has facial it does not
While St. pay to Paul did not up stand closer examination. St. the It had goodness excess out of the of its heart. reason verdict going to that Birth to sue for bad believe The Center was faith9 it that if it to acted in bad and knew were found have appear dispute The Birth Center 9. St. Paul does not the contention of stating private attorney threats that its sent St. Paul "dozens” of written faith, punitive damages it would be liable for as well as the It, amount of the excess verdict. Pa.C.S.A. 8371. there- fore, appears paid attempt10 that Paul the excess in an St. a punitive damages avoid award. of in actions is to purpose damages
The
contract
parties
position they
would
in but
return the
the
have been
Gedeon,
relationship
for
Furthermore, is no to limit there reason damages can amount the verdict where the insured show damages. insurer’s bad conduct caused additional , subject underlying insurer’s conduct is not the of the' court against and, except action the insured for the amount verdict, damages from bad faith stemming excess the insurer’s conduct are not resolved action the insured. Where, here, prove as can it sustained insured verdict, damages payment excess of the the insurer’s damages. According- has to do with excess little the insured’s ly, payment the insurer’s should not it from free excess other known or it has its insured foreseeable caused to incur.
D’Ambrosio Does Not Bar The Birth Center’s Claim
Next, D’Ambrosio, St. contends that 431 A.2d bars Birth claim for Center’s verdict, pay if Paul did would the excess Birth Center sue Appellee’s St. Paul for its bad faith conduct. Br. at 10. punitive damages. It was a successful one. The did not award *13 was a disagree. holding in D’Ambrosio damages. We Our by D a claim an insured that narrow one. Ambrosio involved by failing explain why his in bad faith to was insurer acted claim. declining pay property damages a The insured stating that the claim implicitly asserted the insurer bad faith claim as was fraudulent. We described the insured’s allegations in “dubious.” Id. at 971. We held that where the complaint to show insurer in bad failed how the acted punitive we would not allow the insured recover damages damages trespass or for emotional distress on his of action. contractual of action was cause cause never fact, that, In expressly before the Court.11 we stated case, appropriate an insured could recover dam- action, ages based on a contract because of an cause insurer’s bad faith conduct. explained: We possibility cannot be ruled out emotional distress where,
damages may be recoverable on a contract
example, the breach is of such a kind that serious emotional
a particularly likely
present
disturbance was
result.... The
record falls far short
establishing
such conduct.
(internal citations,
ance Practices was also contract, theory seek relief under of breach or pursuing accept the common law tort of I do not deceit.... implicit premise the dissent’s that these existent remedies inadequate appellant are to make whole. (internal added). emphasis
Id. at 973-974
citations omitted
nothing
party bringing
Because
DAmbrosio bars a
a bad
sounding
recovering
action
in contract from
actions,
that are otherwise
in contract
parties
available
we
respect
assumpsit
11. We observed with
to the
claim
”[t]his
that:
count
appellee
is not now before us. The trial court has directed
to file its
answer”.
42 Does Pa.C.S.A. 8371 Not Prohibit the Damages Compensatory Award incorrectly In Paul’s third argument, asserts may an compensatory damages not be awarded when faith conduct insured to incur actual insurer’s bad causes the 42 damages, damages are not mentioned in Pa. because the may § Birth not C.S.A. 8371.13 While The Center recover 8371, damages on Section based Section rights. not common law contract does alter The Center’s words of begin pro We with the the statute. Section 8371 vides: policies
§ on 8371. Actions insurance arising policy, In an action an if court under insurance finds that the insurer has acted in bad faith toward the insured, may all following the court take of the actions: (1) Award interest on the amount of the claim from the date equal claim was in an amount made the insured prime plus of interest 8%. rate (2) punitive damages against Award insurer. (3) attorney costs and Assess court fees the insurer. 42 Pa.C.S.A. prohibit not of compensatory
The statute does
the award
damages. merely provides
remedy
It
an additional
and autho
damages.14 Specifically,
rizes the award of additional
Beane,
12. Justice
Cappy,
concurring opinion
his
in Johnson v.
541
(1995), correctly
Pa.
Under interpreted as seq] implication § an cannot be 1921 et alone affirmatively must abrogating existing legislature law. The accepted common existing specifically preempt law or repeal prior disregarded. law for law to be (the provision at issue 40 Pa.C.S. 1171.5 [Because ]) to com- no reference the Metropolitan Property makes [sjmuch cannot right to rescission . .. an omission mon law long- such a interpreted as an intention to foreclose be standing right. 311, A.2d
Id. at
580
300.
Hess,
264,
(1954),
prior change intend Co., (3d wide Mutual Fire Insurance 747, 23 F.3d Cir. 1994). There, the court that: observed statute, enacting legislature presumed is to have law, familiar with as it judicial
been
then existed and the
Dist.,
Raymond
v. School
construing it.
decisions
See
(1958).
352,
Pa.Super.
Therefore,
contention,
contrary to St. Paul’s
Section 8371
prohibit
does not
courts from
dam-
awarding compensatory
8371,
ages that are otherwise available.15 . In Section
compen-
15. Before the enactment of Section
courts could award
satory damages
in contract cases when the
were known or
subject
Lampus
foreseeable and
to calculation. R.I.
Co. v. Neville
Cowden,
(1977);
Corp., 474 Pa.
Cement Products
Lampus,
quoted
Finally,
argument
by
not
damages
St. Paul’s
that
mentioned
8371 are not available is
with St. Paul’s
Section
inconsistent
8371,
damages,
that
not listed in
admission
other
Section
Appellant’s Reply
Notwithstanding
remain viable.
Br. at 3.
provide
may
that
an
require
Section 8371 does
that courts
refuses,
pay
insurer to
an
verdict
in bad
excess
when it
case,
must,16
admits,
a
Paul
to settle
St.
as it
that such an
permissible.
is
award
states:
it has
long been held
this Commonwealth that
an
when
company
insurance
fails to
claim
third-party
settle
insured,
its
the insurer can be
for the full
liable
amount
verdict, if
any excess
not to
decision
settle was made
bad faith.
right
Paul also admits
this
[St.
that]
has been
nature;
held to be contractual in
by
it can be enforced
Pennsylvania
profits
It is well settled law in
that
loss
are recovera-
upon proper proof
general
ble
in contract
. . . The
rule of law
applicable
profits
for loss of
in both contract and tort actions allows
(1)
damages
such
where
there is evidence to
them
establish
(2)
certainty,
they
reasonable
there is evidence to show that
were the
and,
actions,
proximate
consequence
wrong;
of the
in the contract
they
reasonably
were
foreseeable.
compensatory
Id. at 1258.
Because
were available at the time
legislature
provide
enacted Section
and that Section does not
longer
may
damages,
court
no
award
those
damages remain available.
insurer,
by unreasonably refusing
16. An
who acts
bad faith
1o settle a
case, may
notwithstanding
be liable for the full amount
aof verdict
Cowden,
the verdict exceeds the insured's
limits.
Cowden,
action party. Paul, thereby, that an Br. at 3. concedes
Appellant’s Reply damages other may subject in faith be to who acts bad insurer just as Accordingly, 8371. than forth Section those set an verdict even require pay an insurer to excess may courts liability, verdict 8371 does not mention excess though Section 8371 does damages from Section compensatory the absence award authority of courts to not alter the damages. faith, insurers, pay act in bad to excess who
Requiring that, insur- liability from absent the protects insured verdicts conduct, would not have incurred.17 the insured er’s bad pay verdict requiring an to an excess rationale for insurer right of an action. to control the defense derives from the insurer’s Cowden, company takes control A.2d at 228. Where the insurance 134 (cid:127) brought by parties, litigate third the to settle or actions of the decision fiduciary duty, among policyholder other company its a owes insurance things, negotiations. v. State engage good faith settlement Gadeon to Company, 320 410 Pa. 188 A.2d Mutual Automobile Insurance Farm Gedeon, (1963). In we stated that: against right by asserting insured, policy in the to handle all claims settlement, right binding including make a the insurer fiduciary position towards the insured and becomes obli- a assumes representing due care in gated act in faith and with interests of insured. litigation, controlling the insurer's role in Id. at 322. Because of fiduciary relationship accepts with its insured and enters a insurer Gray protect of its v. Nation responsibility to the interests insured. (1966) Company, A.2d wide Mutual Insurance right an award in of his (holding that an insured's to recover excess insurer, refuses settle a claim policy from his when the insurer limits assignable). against the inured bad insured, duty Notwithstanding to its the insurer's contractual always consistent and and their insureds are interests of insurers Indeed, an insured's frequently in conflict with one another. are willingness plaintiff expresses a particularly at risk when a interests are policy When it becomes clear that an insurer to settle for the limits. insured for the limits of the third-party claim its could settle any worry policy, thereby its insured from about excess release verdict, vigilant ensure that it has a reasonable the insurer must be breaching fiduciary duty to its tiy the case and that it is not its basis to Cowden, insured, upon chance of a defense verdict. based a small A.2d at 228. forgoing particularly jeopardy under the are An insured's interests for the limits or looses whether the insurer settles facts because liability type for an The insured’s excess verdict is *18 damage for which this court has compensatory allowed recov- Therefore, ery. when an insurer breaches its insurance con- case, by tract a bad faith to a it is appropriate refusal settle require pay it to that it or damages other knew should have known the insured would incur of the bad faith because conduct. an
The dissent would hold that insurer’s bad faith refusal to give settle a claim its insured does rise a contract cause action. For the reasons set forth in this opinion, However, respectfully disagree. respond we we point out by that the characterization of claim the the dissent bearing has no on particular the outcome this case. Wheth- Birth tort, er of action Center’s cause sounds in contract or in by the found convincing clear and evidence St. Paul in acted bad faith and that its a actions were substantial factor bringing about harm to totaling Center $700,000.00 compensatory damages. appropriate circum- stances, compensatory damages are available in both contract Indeed, and tort generally, causes of action.
damages are easier to recover in tort actions than contract case, Consequently, actions. in this which does not involve a issue, statute limitations the dissent’s assertion that claim should sound tort instead contract is irrelevant. only applicable by issue raised the dissent is whether Statute, the Bad Faith 42 Pa.C.S.A. bars recovery of compensatory damages. E’or the reasons we have dis- cussed, persuaded by we are not contrary, the dissent. To the provision prohibit does not the award of compensatory damages; it merely provides a basis to award additional damages. law, The statute does not reference the common explicitly it, does not reject application and the of the statute is not inconsistent with Accordingly, the common law. trial, same; instances, its risk is the in both and absent bad all situation, pay it would have to would be the limits. Id. In such a case; nothing a faithless insurer trying would have to loose it might hope well as take the risk and for a delense verdict. At the same time, Cowden, the insured have would no reason to risk a trial.
A.2d at 223. would remedy survives. To hold otherwise as the dissent does n pro- authorizes additional read statute —that —to already which compensatory damages, hibit award of were cannot counte- power within the of the courts to award. We directly such a because it conflicts the one nance result legislature intended.
CONCLUSION faith, by acts in bad Today, we hold that where insurer claim, its contrac- unreasonably refusing to settle breaches fiduciary duty duty tual to act in faith and its its Therefore, insurer is liable for the known insured. and/or compensatory damages of its insured that reason- foreseeable Accordingly, bad faith conduct. ably flow from the insurer’s *19 .Court, Superior affirm the decision of the reinstate the we for a jury’s verdict and remand this case to the trial court interest, determination of The Center’s entitlement attorneys’ pursuant and to 42 Pa.C.S.A. reasonable fees costs § 8371.
NIGRO, Justice, concurring opinion. a files ZAPPALA, Justice, dissenting opinion a in which files CASTILLE, joins. Justice
NIGRO, (concurring). Justice agree majority Superior properly I with the that the Court jury’s reversed the trial court’s order and reinstated the $700,000.00in granting consequential award The Birth Center addition, damages.1 agree majority I with the that The damages may referred 1. While the awarded also be to as damages, they [Specifically consequential. are more defined as Com damages damages injured party pensatory place are meant to in the (6th dictionary place prior injury, 390 he was to the law black’s ed.1990). "general” Compensatory damages "con consist of both and sequential” "special” damages. general damages compensate or While sustained, injured injury consequen party for the immediate or loss damages consequences the direct tial are that flow from injury. consequential damages, litigant prove Id. To recover must "reasonably they they parties to the at the time were foreseeable” Rich entered into the contract. Franchise Assoc. v. Atlantic AM/PM
409 consequential damages sounds Birth Center’s claim for Nat’l Mutual Pennsylvania D'Ambrosio v. contract law. See (1981); Co., 501, v. Nationwide Gray Ins. 494 (1966). Co., I neverthe Ins. 422 Pa. 223 A.2d Mutual that, unlike separately my to assert view Justice less write estab I that the law in this Commonwealth Zappalla, believe that an separate “bad faith” claims lishes that there are two contract claim for bring against can an insurer —a insured act in implied duty contractual breach sounding in tort statutory bad faith tort claim under claim, contract an insured § 8371. Pursuant to the Pa.C.S. damages, including compen traditional contract may recover claim, however, in statutory satories. Pursuant to the only damages specifically set forth may sured recover those i.e., fees, attorney court punitive damages, 42 Pa.C.S. costs interest. law in this Commonwealth
Although historically the case
of the common law
has been less than clear as to the nature
i.e.,
insurer,
it sounds in
“bad faith” claim
whether
contract,2
any ambiguity
regard
I
in that
tort or
believe
D'Ambrosio,
by
explicitly
which
stated
there
settled
law bad faith tort claim.
field,
526 Pa.
584 A.2d
920-21
general damage
by
liability
suffered
The Birth Center was its
However,
voluntarily,
paid
verdict.
the excess
excess
because St.
Rather,
part
damages
the excess was not
of The Birth Center's
claim.
of,
sought
damages, consisting
among
consequential
The Birth Center
things,
properly
lost business and lost clients. The trial court
other
damages
charged
consequential
if it
that it could award such
they
parties]
“reasonably
that
were
foreseeable at the time [the
found
5/10/96,
made the contract.” N.T.
at 247.
459,
Co.,
Surety
389 Pa.
134
Compare
Casualty
Cowden v. Aetna
&
2.
(1957)(considering
trespass),
claim
A.2d 223
a bad faith
asserted
500,
(characterizing
422 Pa.
By subsequently enacting § 42 Pa.C.S. the General Assembly that in D gap filled the we had identified Ambrosio a statutory By cause of action in tort for bad faith.3 8371, may § virtue of now supplement insureds the breach of they contract can through obtain their bad faith bringing § contract action also a claim under 8371 for the specific damages authorized in that statute.
ZAPPALA, Justice, (dissenting). respectfully grounds
I must
dissent on the
that a claim for
tort,
bad faith refusal
sounds in
settle
not
contract.
Therefore,
only
viable action
to Appellee regard-
available
ing Appellants’
bad
refusal to settle is an action in tort.
Appellee
The remedies available to
consist of
recovery
of:
(1)
law,
pursuant
the excess verdict
to common
see Cowden v.
Co.,
459,
Casualty
Aetna
Pa.
Surety
389
In Gray
v. Nationwide Mutual Insurance
(1966),
this
right
Court held that an insured’s
recover an award in
excess
his
limits from his
insurer, as a result of
bad faith
the insurer’s
refusal to settle
insured,
underlying
claim
assignable.
law,
Although
general proposition
this
that a claim for bad
seeking
faith refusal to settle
to recover an excess verdict is
assignable,
law,
is sound and
remains
I
that in
believe
reaching
the course of
in Gray,
the result
this Court errone-
ously characterized an
insured’s cause
action for bad faith
I conclude
Pa.C.S.
8371 sounds in tort both because it
appears
response
to have been enacted in
to D’Ambrosio and because it
permits
punitive damages,
typically
the insured to recover
which are
Contractors, Inc.,
remedy only in tort actions. See Kirkbride v. Lisbon
(1989);
Assoc.,
555 A.2d
see also
Franchise
AM/PM
(holding
punitive type
may
Under exchange in obligations by undertaken the insurer specific obligations: an insurer undertakes three policy premium, (1) liability indemnify against agrees to the insured the insurer (2) agrees to defend by policy; the insurer covered (3) against and arising policy; suits under the insured and fiduciary to the insured responsibility assumes a insurer in good to act in faith and with due care obligated becomes v. the interests of the insured. See Gedeon State representing Co., 55, 188 A.2d Mutual Automobile Insurance Farm (1963).2 is hornbook law that a breach of either the It of indemnify duty or to constitutes a breach duty to defend liability gives in contract and promise a set forth insurance contractu; duty of action ex rise to a cause breach fiduciary duty act in faith arises from a breach of the gives and growing liability out of the insurance contract rise (action in sounding a cause of action ex delicto. See Gedeon defend); claiming Cowden assumpsit breach covenant (action sounding trespass claiming bad faith refusal settle). However, of a Gray, this Court’s characterization assumpsit, as an action in claim for bad refusal to settle a claim for bad directly conflicts with the characterization of an action ex giving faith refusal to settle as a tort rise to delicto. County Gray originated Philadelphia case Com- brought by Gray as a trespass
mon Pleas Court action Robert personal injuries property MacLatchie for Robert resulting loss from an automobile accident. At the time 1. on contract; ed. action of Assumpsit 1991) (emphasis recovery 1ort, assumpsit or a contract is defined as: "A common law form of action which lies for upon differs from a contract....” original). for the is neither trespass non-performance Black's record trover, Law nor under seal... of a Dictionary which are parol or founded simple . The (6th Although concerned the insurer's duties in the context of an Gedeon liability policy, where the automobile these duties are not altered liability subject policy professional protection. is for accident, MacLatchie was insured Mutual In- Nationwide *22 Company liability an policy, surance under automobile $5,000. of which was coverage limited Nationwide defended in Gray subsequently MacLatchie the action. obtained a $15,000 against jury-verdict MacLatchie. After Nationwide policy Gray, Gray limits to tendered the demanded the balance MacLatchie, of from judgment assigned who then all of his rights Gray. against Nationwide MacLatchie, assignment by Gray
On the basis of the filed in assumpsit pleas against an action the common court Nation- judgment, claiming wide to recover the balance of the in by refusing Nationwide had acted bad faith to settle Gray for an within amount MacLatchie’s limits. Na- objections in preliminary tionwide’s the nature of a demurrer Gray’s complaint Gray were sustained was dismissed. banc, appealed Superior to the Court en which affirmed the trial by equally court’s order an court. Gray divided v. 1, Nationwide Mutual Insurance 207 Company, Pa.Super. (1965). 214 Judge Wright A.2d 634 in opinion concluded his supporting the affirmance of the order MacLatchie’s claim against assignable Gray Nationwide was not aas law: matter of obligation
Breach of
insurer’s
to act in
faith and
representing
with due care in
the interests of the insured
tort,
creates a cause of action in
not in
A
assumpsit.
claim
of
assignable
the instant nature is not
before verdict: Sen
Co.,
168,
(1910)
senig
];
v. Pa. Railroad
229 Pa.
On
this Court stated:
Although Judge Wright
characterizing
correct
in
was
the action as
tort,
sounding
Sensenig
this Court's decision in
did not control
assignability.
Sensenig,
issue of
tort,
In
this Court held that an action in
unliquidated damages,
capable
assignment.
to recover
was not
Nerone,
381,
(1939)
Pa.Super.
See also Sniderman v.
(holding
unliquidated
personal
injuries
claim for
for
is
curiam,
attachment),
assignable
subject
per
not
nor
'd
aff
(1939).
Nationwide, however,
Gray's
against
9 A.2d
claim
MaeLatchie,
Our task is to determine whether
the in-
sured,
a
assumpsit
against
has
cause of action
or
tort
wrongful
the insurer for its
refusal to settle.
Cowden v.
Aetna
389 Pa. at
Casualty
Surety Company,
A.2d
the late Mr.
Alvin
Chief Justice Charles
Jones
by
stated:
“It
is
greatly preponderant
established
weight
authority
country,
against
this
that an insurer
public liability
personal
injury may
for
be liable
judgment
entire amount of a
party
secured
a. third
insured,
regardless
limitation in the
claim,
if
policy,
handling
including
insurer’s
settlement,
accept proffered
failure to
was done in such a
manner as to
part
evidence bad faith on the
of the insurer
in the discharge
*23
its contractual duty.” (Emphasis add
of
ed).
rule,
Giving the reason for this
Mr. Chief Justice
“And,
Jones continued:
in Weiner v.
Targan,
Pa.Super.
278, 284, was recognized
that the contractual relationship
indemnity
under an
policy was
‘a
requiring
high degree
one
good
of
faith in the conduct of
indemnity company’s
the
”
* *
generally
469,
counsel
*.’
Because a claim for contract, only Appellee available to consist not in remedies (1) to common recovery pursuant the excess verdict of: (2) interest, law; damages, court costs and attor- punitive *24 consequen- to the bad faith statute. Since ney pursuant fees law under common or the damages tial are recoverable statute, D’Ambrosio v. Penn- they are barred. See bad faith Co., National Mutual Insurance sylvania (1981). A.2d 966 (1930), petition Targan, Pa.Super. 278 concerned a
4. Weiner v. judgment, averring judgment procured fraud. open that the petition to Superior reversed the trial court’s denial of the Court casualty company Superior when a open. The Court observed that policy, pursuant to the terms of its it is the defense of an action assumes defense, conducting rule of held to a strict therefore, casualty company in the course commits fraud where a defense, conducting held liable for the should be naturally resulting therefrom. Superior order Court should therefore be re- versed.
CAST1LLE, Justice, joins dissenting opinion. this Pennsylvania, Appellee,
COMMONWEALTH of v. DeJESUS, Appellant. Jose Supreme Pennsylvania. Court of
Submitted March 2001. Decided Dec.
