Alston v. St. Paul Insurance

48 Pa. D. & C.3d 237, 1988 Pa. Dist. & Cnty. Dec. LEXIS 247
CourtPennsylvania Court of Common Pleas, Delaware County
DecidedMay 26, 1988
Docketno. 84-7974
StatusPublished

This text of 48 Pa. D. & C.3d 237 (Alston v. St. Paul Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Delaware County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alston v. St. Paul Insurance, 48 Pa. D. & C.3d 237, 1988 Pa. Dist. & Cnty. Dec. LEXIS 247 (Pa. Super. Ct. 1988).

Opinion

HAZEL, J.,

The above-captioned matter was commenced with the filing of plaintiffs complaint in trespass, wherein it was alleged, inter alia, that defendants, St. Paul Insurance Companies, John T. Williams, M.D., and Vocational Rehabilitation Services Inc., engaged in a course of tortious conduct through which they conspired to fraudulently deny plaintiff Calvin Alston benefits due under the Pennsylvania Workman’s Compensation Act, see 77 Pa.C.S. §1, et. seq., by negligently and intentionally misrepresenting facts to the plaintiff. Plaintiff Calvin Alston seeks compensatory and punitive damages, and his wife Dorothy Alston seeks compensatory and punitive damages for the loss of her husband’s consortium. Additional defendant, Janet Rohrer, was joined by the third party complaint of defendant, VRS.

On March 3, 1988, an order was entered wherein we granted the motions for summary judgment of defendants St. Paul, Williams, and VRS. Plaintiffs’ notice of appeal from this order was filed in a timely manner, thus necessitating this opinion.

A motion for summary judgment may properly be granted only “if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and'that the moving party is entitled to judgment as a matter of law.” Pa.R.C.P. 1035(b). See generally, Thorsen v. Iron and Glass Bank, 328 Pa. Super. 135, 476 A.2d 928 (1984); Toth v. City of Philadelphia, 213 Pa. Super. 282, 247 A.2d 629 (1968). On a motion for summary judgment, the court must examine the record in the light most favorable to the non-moving [239]*239party, giving this party the benefit of all reasonable inferences, and determine whether no genuine issue of material fact exists, thus entitling the moving party to judgment as a matter of law. See e.g., Mattia v. Employers Mutual Companies, 294 Pa. Super. 577, 440 A.2d 616 (1982). The moving party bears the burden of proof in demonstrating that there exists no genuine issue of material fact. See, generally, Le Grand v. Lincoln Lines Inc., 253 Pa. Super. 19, 384 A.2d 955 (1978). In light of the foregoing, the relevant facts follow.

On April 24, 1981, plaintiff, Calvin Alston, was injured in a job-related accident, sustaining fractures of his vertebrae, fractures of both wrists, and aggravation of degenerative changes throughout his neck and upper and lower back. Plaintiffs workmen’s compensation carrier, defendant St. Paul, began paying benefits and shortly thereafter entered a contract with defendant VRS whereby VRS would obtain medical records, monitor plaintiffs recovery, and report to St. Paul. In February 1982, VRS assigned plaintiffs file to additional defendant Janet Rohrer, a “rehabilitation nurse” and employee of VRS.

Plaintiff continued to collect benefits and was treated for his injuries. In April 1982, Rohrer met with Dr. Brendan Wynne. Dr. Wynne was at this time treating plaintiff for aggravation of his pre-existing degenerative condition and possible traumatic pericarditis. A firm work date was not forthcoming from Dr. Wynne following this interview. Rohrer reported the plaintiffs medical status to a representative of St. Paul’s and it is alleged that discussions concerning the management of his case followed, as it was a concern of defendants St. Paul, VRS, and Rohrer that plaintiff might be totally disabled and therefore, unable to resume work as a carpenter.

[240]*240Rohrer met with plaintiffs Calvin and Dorothy Alston in May 1982. She informed plaintiffs that an appointment with defendant Williams would be scheduled and described Williams as a “miracle worker” who would treat and cure Calvin Alston. In fact, an appointment with Williams for an independent medical examination was scheduled despite contrary reports from plaintiffs treating physicians that he remained disabled and unable to return to work. Nevertheless, plaintiff was sent to Williams so that defendants could secure a physician’s affidavit of recovery, although plaintiffs’ actual physical condition made the issuance of an affidavit of recovery inappropriate.

On August 31, 1982, plaintiff appeared for Williams’ examination. At no time was plaintiff advised that an independent medical exam would take place or that plaintiff could bring his physician with him to such exam. Rather, plaintiff was affirmatively misled and believed that Williams would treat and cure his ailments. After a cursory twenty minute examination, and without contacting any one of plaintiffs treating physicians or obtaining plaintiffs medical records, Williams told plaintiff that he was ready to return to work. Immediately after plaintiff’s departure, Williams notified Rohrer that he would sign an affidavit of recovery and the affidavit was executed on the same day.

Having secured the affidavit of recovery, a representative of St. Paul approached plaintiff to discuss a lump sum settlement of plaintiff’s claim. The offer to settle was rejected and shortly thereafter St. Paul filed a petition to terminate. Plaintiff’s benefits ceased and proceedings before a referee resulted in a denial of the petition to terminate and reinstatement of benefits, and a finding that St. [241]*241Paul’s contest was unreasonable, entitling plaintiff to attorney’s fees. St. Paul appealed and the Workmen’s Compensation Appeal Board affirmed, reversing, however, the award of attorney’s fees, based on its own finding of “reasonable contest” as a matter of law. Plaintiff took no appeal from this decision.

The court’s order granting the second motion for summary judgment of defendant, St. Paul Insurance Company, in which defendants VRS and Williams have joined, gave rise to this appeal. In this motion, defendants argue as grounds for summary judgment the recent decision of the Pennsylvania Superior Court in the case of Rosipal v. Montgomery Ward, 360 Pa. Super. 560, 521 A.2d 49 (1987), allocatur granted 522 A.2d 93 (1987), appeal dismissed 517 Pa. 460, 538 A.2d 495 (1988), wherein the Superior Court, reversing the trial court, sustained defendant’s demurrer to the complaint based on the exclusivity clause of the Workmen’s Compensation Act, 77 Pa.C.S. §481. In Rosipal, the plaintiffs complaint alleged that the defendant attempted to wrongfully terminate workmen’s compensation benefits by procuring a fraudulent, perjured affidavit of recovery, causing her to suffer economic duress, extreme and severe emotional distress and damages for breach of a compensation agreement. Plaintiffs here, in their response, attempt to distinguish the facts in Rosipal from those in the case sub judice. However, having carefully reviewed the matter, we concluded that in light of the dictates of Rosipal, the entry of summary judgment in favor of defendants was required.

In Rosipal v. Montgomery Ward, plaintiff-employee, after sustaining a work-related injury, filed a notice of compensation payable and initiated wage indemnity payments. Thereafter, defendant-em-[242]

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Related

Reed v. Hartford Accident & Indemnity Company
367 F. Supp. 134 (E.D. Pennsylvania, 1973)
LeGrand v. Lincoln Lines, Inc.
384 A.2d 955 (Superior Court of Pennsylvania, 1978)
Thorsen v. Iron and Glass Bank
476 A.2d 928 (Supreme Court of Pennsylvania, 1984)
Christman v. Dravo Corp.
466 A.2d 209 (Supreme Court of Pennsylvania, 1983)
Kline v. Arden H. Verner Co.
469 A.2d 158 (Supreme Court of Pennsylvania, 1983)
Rosipal v. Montgomery Ward
521 A.2d 49 (Supreme Court of Pennsylvania, 1987)
Commonwealth v. Weik
521 A.2d 44 (Supreme Court of Pennsylvania, 1987)
Mattia v. Employers Mutual Companies
440 A.2d 616 (Superior Court of Pennsylvania, 1982)
Jones v. P.M.A. Insurance
495 A.2d 203 (Supreme Court of Pennsylvania, 1985)
Rosipal v. Ward
538 A.2d 495 (Supreme Court of Pennsylvania, 1988)
Readinger v. Gottschall
191 A.2d 694 (Superior Court of Pennsylvania, 1963)
Toth v. Philadelphia
247 A.2d 629 (Superior Court of Pennsylvania, 1968)

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Bluebook (online)
48 Pa. D. & C.3d 237, 1988 Pa. Dist. & Cnty. Dec. LEXIS 247, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alston-v-st-paul-insurance-pactcompldelawa-1988.