Krisa v. Equitable Life Assurance SocietyKrisa v. Equitable Life Assurance Society
MEMORANDUM
This action pending in this Court on the basis of diversity jurisdiction under
Krisa’s complaint asserts five causes of action: (1) breach of contract; (2) violation of Pennsylvania’s Bad Faith Statute,
In light of precedent holding that Pennsylvania’s statutory cause of action covering bad faith conduct by insurers should be broadly construed so as to effectuate the purpose of that statute, Equitable’s conduct occurring after
Krisa I
was filed could be the basis for liability under the statute. Accordingly, Equitable’s motion to strike and dismiss Count II will be denied. Equitable’s motion to strike and dismiss Krisa’s wrongful use of civil proceedings claim will also be denied because Equitable’s filing of a motion to amend its counterclaim in
Krisa I
accusing Krisa of fraud in the application constituted the “initiation” of a civil proceeding for purposes of Pennsylvania’s wrongful use of civil proceedings statute, and Equitable’s withdrawal of the motion to amend constituted a “favorable termination” of the proceedings, thereby entitling Krisa to litigate whether the claim was asserted in violation of
1. BACKGROUND
Plaintiff, John Krisa, commenced an action in the Lackawanna Court of Common Pleas on October 23, 1997, alleging breach of contract, bad faith, fraud and/or negligent representation and violation of the UTPCPL in connection with Equitable’s denial of insurance benefits based upon its determination that Krisa was not totally disabled under the terms of insurance policies it issued. (Krisa I, Dkt. Entry 1.) Equitable removed that case to federal court on December 1, 1997. (Id.)
In Krisa I, Equitable asserted that Kri-sa, if successful, could only recover disability benefits from the date of his disability, December 6, 1996, to the date Krisa I was filed, and that Krisa’s only remedy for Equitable’s continuing refusal to pay benefits accruing thereafter was to file additional lawsuits. (Complaint, Dkt. Entry 1 at 2-3.) 2 In the event that this Court agreed with Equitable’s contention that Krisa I applied only to damages between his injury and the filing of that action, Krisa, on October 4, 1999, filed Krisa II to secure disability .benefits and other damages for which he contends Equitable is responsible from November 24, 1997 until the present. (Id. at 3-4.)
On October 28, 1999, Equitable filed a motion to strike and dismiss Krisa’s pleadings and a memorandum of law in support of that motion. (Dkt. Entries 4 & 5.) On November 10, 1999, Krisa filed a memorandum of law in opposition to defendant’s motion to strike and dismiss. (Dkt. Entry 7.) On November 26, 1999, Equitable filed a reply brief. (Dkt. Entry 9.)
II. DISCUSSION
A. Standard
In deciding a motion to dismiss filed pursuant to
Equitable also seeks to strike Krisa’s pleadings pursuant to
“A court possesses considerable discretion in disposing of a motion to strike underRule 12(f) .” River Road Devel. Corp. v. Carlson Corp.-Northeast, No. 89-7037,1990 WL 69085 at *2 (E.D.Pa., May 23, 1990). Motions to strike, however, are “not favored and usually will be denied unless the allegations have no possible relation to the controversy and may cause prejudice to one of the parties, or if the allegations confuse the issues.” Id., citing 5 Charles A. Wright & Arthur R. Miller, Federal Practice and Procedure at 1382 (1969); see also Cipollone v. Liggett Group, Inc.,789 F.2d 181 , 188 (3d Cir.1986); Glenside West Corp. v. Exxon Co., U.S.A., Div. of Exxon Corp.,761 F.Supp. 1100 , 1115 (D.N.J.1991).
“Partly because of the practical difficulty of deciding cases without a factual record it is well established that striking a pleading should .be sparingly used by courts. It is a drastic remedy to be resorted to only when required for the purposes of justice.” United States v. Consolidation Coal Co., No. 89-2124,1991 WL 333694 at *1 (W.D.Pa., July 5, 1991). “[A] court should not grant a motion to strike a defense unless the insufficiency of the defense is ‘clearly apparent’.” FDIC v. White,828 F.Supp. 304 , 307 (D.N.J.1993), quoting Cipollone,789 F.2d at 188 .
North Penn Transfer, Inc. v. Victaulic Company of America,
B. Count II-Bad Faith in Handling Insurance Claims
Pennsylvania has established a statutory remedy for bad faith on the part of insurance companies.
In an action arising under an insurance policy, if the court finds that the insurer has acted in bad faith toward the insured, the court may take all of the following actions:
(1) Award interest on the amount of the claim from the date the claim was made by the insured in an amount equal to the prime rate of interest plus 3%.
(2) Award punitive damages against the insurer.
(3) Assess court costs and attorneys fees against the insurer.
The standard for determining insurer bad faith under
[T]he term bad faith includes ‘any frivolous or unfounded refusal to pay proceeds of a policy.’ ‘For purposes of an action against an insurer for failure topay a claim, such conduct imparts a dishonest purpose and means a breach of a known duty (i.e., good faith and fair dealing), through some motive of self interest or ill will; mere negligence or bad judgment is not bad faith.’ Therefore, in order to recover under a bad faith claim, a plaintiff must show (1) that the defendant did not have a reasonable basis for denying benefits under the policy; and (2) that the defendant knew or recklessly disregarded its lack of reasonable basis in denying the claim.
In
O’Donnell v. Allstate Insur. Co.,
the broad language ofsection 8371 was designed to remedy all instances of bad faith conduct by an insurer, whether occurring before, during or after litigation. In so finding, we refuse to hold that an insurer’s duty to act in good faith ends upon the initiation of suit by the insured.
Id.
at 906. Thus,
O’Donnell
supports the proposition that “the conduct of an insurer during the pendency of litigation may be construed as evidence of bad faith under
In
O’Donnell,
the Superior Court found persuasive the reasoning of
Rottmund v. Continental Assurance Co.,
O’Donnell,
The Pennsylvania rules of statutory construction state that, in general, the “provisions of a statute should be liberally construed to effect their objects and purposes and to promote justice.” 1 Pa. Cons. Stat. Ann. § 1928© (Supp.1992). The purpose ofsection 8371 is to provide persons with a remedy against the bad faith conduct of insurers. Remedial statutes likesection 8371 should be broadly construed. The narrow construction ofsection 8371 proposed by Defendant runs counter to [the] rule of liberal statutory construction and would defeat, rather than effectuate the purpose of the statute, and would hinder, rather than promote, justice.
Id. at 1110.
Equitable relies on
Slater v. Liberty Mutual Ins. Co.,
No. 98-CV-1711,
In the instant case, Krisa is advancing bad faith claims based on more than discovery abuses. Specifically, Krisa “alleges that Equitable wrongly responded to plaintiffs Complaint in
Krisa I
with a counterclaim asserting, among other things, that plaintiff had committed fraud in his applications to Equitable for disability insurance.” (Krisa’s Response to Equitable’s Motion to Strike and Dismiss, Dkt. Entry 7, at 5.) Krisa “further alleges that Equitable’s allegations were false, baseless and fraudulent....”
(Id.
at 6.) Krisa has asserted more than just discovery abuses on the part of Equitable. Moreover, in light of the policy of liberal construction of statutes so as to effectuate the statute’s purpose and the Pennsylvania Superior Court’s determination “that the conduct of an insurer during the pendency of litigation may be construed as evidence of bad faith under
C. Wrongful Use of Civil Proceedings.
Equitable seeks to dismiss Count V of Krisa’s Complaint, which charges Equitable with wrongful use of civil proceedings pursuant to
(a) Elements of action. — A person who takes part in the procurement, initiation or continuation of civil proceedings against another is subject to liability to the other for wrongful use of civil proceedings:
(1) He acts in a grossly negligent manner or without probable cause and primarily for a purpose other than that of securing the proper discovery, joinder of parties or adjudication of the claim in which the proceedings are based; and
(2) The proceedings have terminated in favor of the person against whom they are brought.
(b) Arrest or seizure of person or property not required.-The arrest or seizure of the person or property of the plaintiff shall not be a necessary element for an action brought pursuant to this subchap-ter.
Equitable contends that it did not procure, initiate or continue civil proceedings against Krisa with respect to fraud in his application for disability insurance. (Dkt. Entry 4 at 3.) Equitable further contends that no such proceedings were ever terminated in Krisa’s favor. (Id. at 4.)
While Equitable never filed its counterclaim for fraud in the application, Equitable did file a motion to amend its pleadings which contained a copy of its proposed counterclaim of fraud in the application.
(Krisa I,
Dkt. Entry 35.) The proper procedure for Equitable to advance a claim of fraud in the application was to do so by way of counterclaim.
3
Having not asserted
Moreover, Equitable’s withdrawal of the proposed counterclaim for fraud in the application is a favorable termination of the proceedings it had instituted. “Whether withdrawal or abandonment constitutes a final termination of the ease in favor of the person against whom the proceedings are brought ... depends on the circumstances under which the proceedings are withdrawn.”
Bannar v. Miller,
lead to a determination that the voluntary dismissal constitutes a final determination in favor of the persons against whom the proceedings were brought; they tend to establish neither appellant nor his attorney were attempting to properly adjudicate the claim. A last-second dismissal in the face of imminent defeat is not favorable to appellant. The Millers did not answer the bell in the fight they started, which is a victory for the other side.
Bannar,
At this stage of the proceedings in this case, there is no suggestion that Equitable abandoned its proposed fraud in the application claim for a reason unrelated to the relative merits of that claim. For example, there is no allegation that it was with
In summary, at this stage of the litigation, Krisa has presented a viable claim of wrongful use of civil proceedings. Accordingly, Equitable’s motion to dismiss Count V of Krisa’s Complaint will be denied.
D. Extra-Contractual Damages.
Equitable seeks to dismiss “allegations of ‘great hardship,’ ‘anxiety, emotional distress, depression, and aggravation of ... physical illness,’ and ‘compensatory and punitive damages’ contained Count I (Breach of Contract), Count II (Bad Faith), and Count IV (violation of the Unfair Trade Practices and Consumer Protection Law).” (Equitable’s Reply Memorandum, Dkt. Entry 9, at 4.) “[A] plaintiff may not ordinarily recover emotional distress damages arising from a breach of contract.”
Craig v. Salamone,
No.98-CV-3685,
F. Fraud and/or Negligent Misrepresentation (Count III).
Equitable contends that “[t]his Court should dismiss Count III of the Complaint because it is simply a reiteration of the allegations contained in Count III of the Complaint in the first action.” (Equitable’ Memorandum of Law at 9.) Equitable concludes that “[f]or all of the reasons stated in the Motion, Memorandum of Law, and Reply Memorandum of Law in Support of the Motion for Summary Judgment of [Equitable] on Count III of the Complaint in the First Action, this Court should dismiss Count III of the Complaint in the Second Action.”
(Id.)
In
Krisa I,
Equitable’s motion for summary judgment on
III. CONCLUSION
The purpose of section 8371 of 42 Pa. C.S.A. is to provide a remedy for the bad faith conduct of insurers. Section 8371 should be construed broadly so as to effectuate its purpose. Consistent with this principle, the Pennsylvania Superior Court has recognized that the conduct of an insurer during the pendency of litigation may be construed as evidence of bad faith under Section 8371. I find this reasoning persuasive. Accordingly, Equitable’s motion to strike and dismiss Krisa’s bad faith claim based on its contention that Krisa can not maintain a bad faith claim against Equitable for its conduct as a legal adversary will be denied.
Because Equitable initiated a civil proceeding against Krisa when it filed a motion to amend its answer to include a counterclaim for fraud in the application and those proceedings were terminated in Kri-sa’s favor when Equitable abandoned efforts to add this counterclaim, Equitable’s motion to strike and dismiss Krisa’s wrongful use of civil proceedings claim will be denied.
Consistent with this Court’s decision in Krisa I, Equitable’s motion to strike and dismiss Krisa’s fraud and/or negligent misrepresentation claim will be denied.
Krisa seeks to recover emotional distress damages and other non-contractual damages such as damages for “great hardship,” “anxiety,” “depression,” and “aggravation of his physical illness” in Counts I, II and IV. Typically, emotional distress damages are not recoverable in a contract action. Courts have held that emotional distress damages are not recoverable under
ORDER
NOW, THIS 23rd Day of May, 2000, for the reasons set forth in the attached Memorandum, IT IS HEREBY ORDERED THAT:
1. Equitable’s Motion to Strike and Dismiss Pleadings of the Plaintiff (Dkt. Entry 4) is GRANTED IN PART AND DENIED IN PART.
2. Equitable’s motion is GRANTED as it seeks to dismiss Krisa’s emotional distress claims and other non-contractual damages claims contained in Counts I, II and IV. Equitable’s motion is DENIED as it seeks to strike and dismiss Krisa’s Bad Faith claims (Count II), Fraud and/or Negligent Misrepresentation claims (Count III) and Wrongful Use of Civil Proceedings claims (Count V).
Notes
. Krisa’s suit docketed to No. 3:97-CV-1825 will be referred to as Krisa I for the purposes of this opinion. Krisa’s action docketed to No. 3:99-CV-1729 will be referred to as Krisa II.
. A summary of the factual background of Krisa I is set forth in this Court's April 6, 2000 Order which granted in part and denied in part Equitable’s motion for summary judgment. (Krisa I, Dkt. Entry 138.)
.
A pleading shall state as a counterclaim any claim which at the time of serving the pleading the pleader has against any opposing party, if it arises out of the transaction or occurrence that is the subject matter of the opposing party's claim and does not require for its adjudication the presence of third parties of whom the court cannot acquire jurisdiction.
"Failure to assert a compulsory counterclaim before the related claim proceeds to judgment results in the barring of the counterclaim.”
James E. McFadden, Inc. v. Bechtel Power Corp.,
No. 85-6945,
. Equitable correctly observes at page 8 of its supporting brief (Dkt. Entry 5) that there is no common law cause of action for bad faith under the circumstances presented here.
See D’Ambrosio,
. In Krisa I, this Court held that “[b]ecause the statute requires an ascertainable loss of money or property and limits recovery to ‘actual damages,’ Krisa will not be entitled to recover emotional distress type damages” under the UTPCPL (Krisa I, Dkt. Entry 138 at 23.) Consistent with the holding in Krisa I, Krisa is may not recover emotional distress damages under the UTPCPL.