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Gemini Physical Therapy and Rehabilitation, Inc. v. State Farm Mutual Automobile Insurance Company
40 F.3d 63
3rd Cir.
1994
Check Treatment

*1 injunction matter to preliminary vails on every time he or she courthouse run to the legal support for the suspects by re- may undermined

junction have been Second, City, than rather cent caselaw. Commonwealth, ap- have been the would court entity petition

propriate attempts to police department’s

to review the discriminatory hiring practices. its

eliminate legally not the Commonwealth was Because preliminary in- allowing the accountable for place of fif-

junction to remain excess justification on years, there is no based

teen in the record for award- undisputed facts to dis-

ing attorney’s fees as an alternative court erred as a matter

missal. The district awarding attorney’s fees as an

of law 41(b). under Rule to dismissal alternative

III. Conclusion court’s award will reverse the district We intervening attorney’s fees in favor of the against plaintiff Com- defendants Pennsylvania. The district

monwealth awarding attorney’s fees court erred suit without against plaintiff a civil frivolous, finding that the suit was

unreasonable, or foundation. The without by realigning the court also erred district rights de- as a civil

plaintiff Commonwealth purpose awarding attor- for the

fendant addition, ney’s the facts of this ease fees. attorney’s fees do not warrant award an alternative to a against plaintiff 41(b) Rule dismissal. THERAPY

GEMINI PHYSICAL REHABILITATION, AND

INC., Appellant, FARM MUTUAL AUTOMOBILE

STATE

INSURANCE COMPANY.

No. 94-1395. Appeals, Court of

United States

Third Circuit.

Argued Sept. 1994.

Decided Nov. 1994. Rehearing Dec.

Sur Petition for *2 (argued), Dessen,

David S. Dessen Moses Sheinoff, PA, Philadelphia, appellant. & for (argued), Harbison, Earl T. Britt Mark P. Britt, Hankins, Moughan, Sehaible & Phila- PA, delphia, appellee. for SCIRICA, ROTH, ROSENN, Before: and Judges. Circuit OPINION OF THE COURT ROSENN, Judge. Circuit Physical Therapy and Rehabilita- (“Gemini”) tion, provider Inc. is a health care who treated various individuals who were injured in automobile accidents and insured Farm State Mutual Automobile Insurance (“State Farm”). Company Gemini and other providers health longer par- care who are no (“the plaintiffs”) ties to this action filed a complaint in the United States District Court Pennsylvania.1 for the District Eastern plaintiffs The assignees claimed to be the the insureds’ under their automobile policies, alleged insurance and that State unreasonably Farm pay refused to in- sureds’ bills full in violation of sureds’ contracts and the Mo- Law, Responsibility tor Vehicle Financial (“MVFRL”). §§ seq. Pa.C.S. et The complaint sought full, payment compensa- tory punitive damages for tortious inter- relations, puni- ference with contractual damages pursuant tive to 42 Pa.C.S. plain- State Farm filed a motion to dismiss punitive damages tiffs’ claims for under 42 Pa.C.S.A. 8371 and for intentional interfer- relations, ence with contractual which the granted. plaintiffs district court subse- quently complaint filed a first amended pursuant which included new claims Pennsylvania Unfair Trade Practices and Law, 201-1, Consumer Protection 73 P.S. (“CPL”). seq. granted et The district court tion, 1. The district court dismissed the claims of cer- and dismissed the other claims without subject jurisdic- prejudice misjoinder. tain for lack of matter II. plaintiffs’ to dismiss Farm’s motion standing. for lack of claims CPL challenges primarily legal involve com a second Plaintiffs filed amended court, determinations Farm filed a motion plaint. State plenary review. See therefore exercise *3 seeking of all summary judgment dismissal Epstein Family Partnership Louis W. v. claims under MVFRL breach of contract (3d Cir.1994). 762, Corp., 13 766 KMart F.3d of medical bills submitted for reimbursement argues that it has a claim Gemini first valid 15, 1990, April after because to State Farm Pennsylvania Prac- under the Unfair Trade alleged failure to exhaust their plaintiffs’ of Law, tices and Consumer Protection 73 P.S. the MVFRL. The district remedies under 201-1, seq. provides perti- et The CPL in motion. Farm re denied the State court part: nent summary partial judg its motion for newed Any person purchases goods who or leases Pennsylvania Supe light of a recent ment primarily personal, family or services Pennsyl v. decision Terminato rior Court purposes thereby or household suffers Co., 92, Pa.Super. 422 618 vania Nat’l Ins. any money proper- loss of or ascertainable — (1998), 1032 rev’d and remanded A.2d ty, personal, or as a result of the use real (1994). Pa. -, district 645 A.2d 1287 The by any employment person or of or [unfair all granted the motion and dismissed court may bring deceptive practices] acts or a for reimbursement of medical bills claims action, private [damages]. to recover 15,1990. April Farm to State after submitted 201-9.2(a). 73 P.S. trial, jury a In a returned bifurcated The district court dismissed Gemini’s Farm, finding that in favor of State verdict it lacked claims under CPL because by to none of the treatment rendered Gemini Gemini, standing. The court reasoned that a medically insureds was nec- the State Farm purchasers provider of health care to essary. court denied Gemini’s The district policies, class surance is not a member timely for a trial. Gemini filed motion new protected by rejected It the statute. Gemi- parts appeal from those of the district court’s argument standing by ni’s that it has virtue punitive dismissing Gemini’s claim for orders assignee of its status as under the insurance with damages and intentional interference policies. only The court held Gemini is claims, dismissing its claim under contract right assignee of the limited to receive CPL, summary granting partial payment policies. under the part affirm in judgment for Farm. We State part. and reverse pro contemplates as the CPL goods only purchase those who tected class

I. services, may not those who receive or matter, Corp. purchase. Zerpol See State Farm benefit from the preliminary As a (E.D.Pa. 404, Corp., F.Supp. 561 415 light Pennsylvania v. DMP concedes that 1983) (dismissing corporate plaintiffs claim in Termina Supreme Court’s recent decision —Co., private action under the Pennsylvania Pa. because cause of to v. Nat’l. Ins. —, (1994), purchasers or of the CPL is to lessors 645 A.2d 1287 the order limited personal, family, or goods primarily for granting Farm’s motion used district court State In summary judgement purposes). household Accord Klitzner must be va Co., Terminato, 535 Inc. v. H.K. James & In the court held that dustries cated. (E.D.Pa.1982); 1249, 1258 Perma Organization pro F.Supp. exhaustion of Peer Review Products, Rubber prerequi grain Inc. v. U.S. Mat & is not a cedures under MVFRL (E.D.Pa.1980). Co., Al F.Supp. 111 bringing suit in a court of law for 489 site of Therefore, may indirectly in though have been nonpayment of medical bills. Gemini jured, purchaser not a or consumer of a trial on it is will remand this case for goods or under the CPL and there of contract claims under the MVFRL services breach private right of action under the submitted fore has no for reimbursement of medical bills April Farm after statute. 66 party’s .performance relies on Hedlund Manu a third of his contract Weiser, Stapler Spi

facturing Company party expensive & with another more or bur (1988) vak, A.2d 357 Pa. densome. As this court stated in its careful argument that the insureds’ support analysis for its of the two sections in Windsor Se Hedlund, assignable. cur., Co., are CPL claims Inc. v. Insurance Hartford Life (3d Supreme acknowledged Cir.1993), F.2d 655 766 ad “[section policy per Pennsylvania’s well-established disruptions dresses caused an act directed assigned mitting of actions to be plaintiff, person: causes not at the but at a third damages upon that a claim for based promisor held defendant causes the to breach its assignable. legal malpractice is This case is plaintiff. contract with the Section 766A ad First, distinguishable for two reasons. Gem disruptions dresses caused an act directed *4 specific ini under a statute intended plaintiff: has sued prevents at the defendant the or against to fraud consumers. Howev impedes performance.” restrict the own er, purchaser of Gemini is a commercial only targets Id. at 660. Not are the of the claims; complaint different, does not al insureds’ its- two sections but section 766A is lege purchaser that it is a or consumer of apply much more difficult to and conducive to Second, goods disputes. or services irom State Farm. Hedlund, assignor expressly “assigned Sorrell, In (Wyo. Price v. 784 P.2d 614 rights pursuant all and causes of action” to a 1989), Windsor, quoted in 986 F.2d at n. patent application. Id. 539 A.2d at 358. 10, Supreme Wyoming directly Court of Here, complaint alleges patients that the application faced the of section 766A of the only rights assigned their under their insur Restatement: the defendant’s interference ance It does not follow conse contracts. plaintiffs performance made the of a con quentially patients assigned that also . costly Although tract more the court had bring their to suits under the CPL. previously adopted 766 and 766B the narrowly focuses on the Because the CPL Restatement, § adopt it refused to It 766A. purchase in the protection of consumers reasoned, agree, causing perfor and we services, predict goods or we that the Penn costly mance of a contract to be more “as an sylvania Supreme would not infer an proof speculative element of is too and sub assignment of claims under the CPL. Ac ject provide meaningful to to abuse basis cordingly, perceive no we error the district for a cause of action.” 784 P.2d at 616. standing holding court’s that Gemini lacks to Thus, persuaded not are that the Penn

bring against an action State Farm under the sylvania Supreme adopt Court would section CPL. 766A, and we see no error the district court’s dismissal of Gemini’s section 766A

III. claim. Next, challenges court’s dismissal of its claim intentional IV.

interference with relations contractual Gemini also contends that it has a brought pursuant to section 766A of the Re punitive damages valid claim for 42 under (Second) statement of Torts.2 contrast to provides: Pa.C.S. 8371. Section 8371 Restatement,3 section which 766 has adopted Pennsylvania, party been is In an arising action under an insurance merely making policy, liable under section 766A if the court finds that the insurer 2. Section 766A One who inter- provides: intentionally improperly feres with the of a contract ... One who inter- performance intentionally improperly of a feres with the contract ... between and a third another performance person by inducT between and a third another ing causing person, by pre- or otherwise third not person venting performing the other from the contract subject to contract, is to to perform liability causing or his to be more expen- performance resulting the other for the loss to the pecuniary subject sive or is to burdensome, liability other from the failure of the third to person resulting other for the loss to him. pecuniary the contract. perform 3. Section 766 provides: insured, Y. faith toward acted bad

has following all of the may take the court grant sum- The district court’s actions: mary judgement in favor of State Farm must (1) amount of the on the Award interest light Accord- reversed of Terminato. be claim was the date the claim from ingly, this matter for a new we will remand made.... trial to Gemini’s claims for reimbursement to State Farm (2) of medical bills submitted damages against the punitive Award respects, In all other April after insurer. of the district court will be af- the orders (3) attorney fees court costs Assess of the costs to be firmed. Three-fourths against the insurer. against taxed Gemini. court dis- § 8371. The district 42 Pa.C.S. claim, reason- section missed Gemini’s FOR REHEARING SUR PETITION legislature intend- ing that the 14, Dec. MVFRL, pro- 75 Pa.C.S. ed the SLOVITER, Judge, Present: Chief remedy for bad party first the exclusive vide MANSMANN, BECKER, STAPLETON, companies with insurance faith denials COWEN, HUTCHINSON, SCIRICA automobile arising out of respect to claims NYGAARD, ALITO, ROTH, LEWIS, injuries. accident *5 *, McKEE, and Circuit SAROKIN ROSENN Auto v. Farm Mutual In Barnum Judges. 488, Co., Pa.Super. 635 A.2d mobile Ins. petition rehearing by appel- filed (1993), provisions held that the the court having lant in the above-entitled case been 8371, 1797, are to and not section of section judges participated in who submitted party benefits claims for first applied to be and to all the other the decision this Court Pennsyl Relying on the under MVFRL. regu- judges of the circuit in available circuit controlling statutory construc vania statute service, judge no who con- lar active tion, the court noted 1 Pa.C.S. having for re- in the decision asked curred recon statutory provisions cannot be the two majority judges hearing, of the circuit and a damages in the event because the ciled having regular circuit in service not rates of faith conduct wanton or bad petition rehearing, the voted for rehear- specified by each are different. interest banc, is ing by panel Moreover, Barnum, A.2d at 158. denied. under section 1797 and remedies procedures The court specificity. Id. are set forth with provisions that because the two

concluded time and cannot be at the same

were enacted

reconciled, Pa. specific provisions of 75 exception § 1797 must be deemed C.S. America, UNITED STATES faith contained in general remedy for bad Plaintiff-Appellee, (citing sup Id. at 159 42 Pa.C.S. 8371. cases). find this porting district court We WILEY-DUNAWAY, Judy A. convincing and statutory to be construction Defendant-Appellant. Pennsylvania Supreme Court predict Thus, on matter. similarly rule this No. 94-5077.

would dismissing court did not err Appeals, States Court United brought 42 Pa.C.S. claim under Fourth Circuit. § 8371. July 1994. Argued per- issues Finally, raises several Nov. Decided expert evidentiary admission of taining to the discussions, testimony, and rebut- settlement summarily reject these

tal witnesses. We

arguments lacking merit. panel rehearing only.

* Asto

Case Details

Case Name: Gemini Physical Therapy and Rehabilitation, Inc. v. State Farm Mutual Automobile Insurance Company
Court Name: Court of Appeals for the Third Circuit
Date Published: Dec 14, 1994
Citation: 40 F.3d 63
Docket Number: 94-1395
Court Abbreviation: 3rd Cir.
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