Baker v. Myers

39 Pa. D. & C.4th 303, 1999 Pa. Dist. & Cnty. Dec. LEXIS 208
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedFebruary 9, 1999
Docketno. 4915
StatusPublished

This text of 39 Pa. D. & C.4th 303 (Baker v. Myers) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baker v. Myers, 39 Pa. D. & C.4th 303, 1999 Pa. Dist. & Cnty. Dec. LEXIS 208 (Pa. Super. Ct. 1999).

Opinion

DiNUBILE, J.,

The issue presented in post-trial motions in this case is whether or not the plaintiff can obtain recovery from the defendant himself, who was insured and defended by the Pennsylvania Property and Casualty Insurance Guaranty Association (PIGA), where the sums paid to the plaintiff by other insurance companies arising from the claim in question exceeded the amount of the verdict and [305]*305delay damages. Although plaintiff seems to concede that PIGA would not be liable under these circumstances, his counsel asserts, however, that satisfaction can be obtained directly from the insured defendant. After a review of the Pennsylvania Property and Casualty Insurance Guaranty Act and the relevant case law, this court reaches the conclusion that since PIGA is not obligated to pay, due to certain setoffs as provided for under the statute, then the plaintiff also is precluded from obtaining recovery directly from the insured defendant himself. As a result of this ruling, the verdict and judgment were molded to reflect a zero award.

The facts can be stated briefly as follows. The plaintiff, Robert Baker, sued the defendants, Donald L. Myers M.D. (neurosurgeon), and Sanford Davne M.D. (orthopedic surgeon), under the theories of negligence and lack of informed consent arising from a spinal fusion surgery in which pedicle screws and plates were used in the performance of the operation. This matter was one of a number of mass tort bone screw cases administered and tried at the Complex Litigation Center in Philadelphia by the court. The jury absolved both physicians of malpractice but found liability on the part of defendant, Dr. Myers, as to lack of informed consent. A verdict was returned in plaintiff’s favor against Dr. Myers in the amount of $47,500.1

Defendant, Dr. Myers, was insured originally by the Physicians’ Insurance Company (PIC). This company went insolvent and was placed in liquidation by court order on January 21, 1998. As a result of this event, PIGA assumed the defense of Dr. Myers. Trial com[306]*306menced on November 13, 1998. The jury rendered its verdict on November 18, 1998. A petition for delay damages subsequently was filed and this court awarded an additional $18,162.91, resulting in the total judgment entered against the defendant to be raised to $65,662.91. It is without question that the insurance recoveries by the plaintiff in this case, which involved workers’ compensation benefits as well as medical costs for several subsequent surgeries, far exceeded the amount of the judgment which was entered by this court.2 PIGA exists under the Pennsylvania Property and Casualty Insurance Guaranty Act (the PIGA statute), 40 P.S. §991.1801 ,et seq. The statute clearly provides under 40 P.S. §991.1817(a) that PIGA is entitled to a reduction on any amount it is obligated to pay the plaintiff (in this case from the judgment in question) by the amount of “any kind of insurance” which the plaintiff recovered under the claim. Since it is without dispute that plaintiff received insurance benefits both under workers’ compensation and for certain surgeries which far exceeded the amount of the judgment entered in this case, PIGA is absolved from any obligation to pay the judgment sum of $65,662.91.

Plaintiff seems not to dispute this fact but asserts that the Act does not bar his right to recover directly from the defendant. Such a broad interpretation of the Act would operate to defeat the purpose of the PIGA statute. It was enacted to protect good faith policyholders of insolvent companies who, without PIGA, could suffer financial loss defending and paying claims against them which otherwise would have been covered had their insurer not become bankrupt. While it is true that the [307]*307legislature also created PIGA to protect claimants of insolvent insurers who would have had no other source of insurance from which to recover their losses, this aspect of the purpose of the Act does not form the basis to support plaintiff’s assertion for recovery directly against the defendant insured. The statute strikes a reasonable balance of affording insurance protection for policyholders of insolvent insurers while allowing an opportunity for claimants of these insureds to obtain some recovery. The Act clearly limits recovery in instances where the plaintiff claimant had been compensated by “any kind of insurance.” It would defeat the purpose of the Act to permit PIGA a setoff, but at the same time open up its insured to liability for this amount. Therefore, if PIGA is absolved from payment, clearly the insurer is as well. Consequently, the judgment of verdict was molded to reflect a zero award. In arriving at this decision, the court has followed the well-reasoned opinion of its colleague, the Honorable Mark I. Bernstein, who, in Panea v. Isdaner, Court of Common Pleas Civil Trial Division, November term 1995, no. 1564 (1/9/99), held, after an in-depth analysis of the Act, that PIGA was entitled to offsets for sums of money from insurance paid to the plaintiff arising from the claim. Thus, a $75,000 settlement was reduced by $25,000 which represented the amount of the setoff. This court also adopts the opinion of the Honorable Thomas A. Swope Jr. of the Court of Common Pleas of Cambria County, in Gallaher v. Wetzel, civil action — law, no. 1996-2143 (12/4/98), who also held that any offsets entitled to PIGA could not be recovered directly from the defendant insured. Copies of these opinions are attached and made a part hereof.

Plaintiff finally asserts that the defendant has waived its right to any setoffs since this issue was not raised until a motion to mold the verdict was presented to the court at post-trial. The order of October 29, 1998, [308]*308issued by the Honorable Albert W. Sheppard Jr. of this court, pertaining to all orthopedic bone screw litigation cases (there are similar orders involving all other civil cases involving the PIC insolvency as well), specifically provides that this issue is to be raised in post-trial after verdict. Consequently, the defendant did not waive the right to any setoffs.

January 6, 1999

EXHIBIT

PANEA v. ISDANER

BERNSTEIN, J.,

Plaintiffs Doina and John Panea filed this medical malpractice action against defendants Neil Isdaner M.D. and Neil Isdaner M.D. PC. in November 1995. On December 11, 1997, the parties agreed to settle this case for $75,000. Plaintiffs’ counsel sent an executed release and an order to settle, discontinue and end to defense counsel on December 31, 1997. At the time of settlement, both defendants were insured by Physicians Insurance Company (PIC). On January 21, 1998, the Commonwealth Court ordered PIC into liquidation.

Plaintiffs’ counsel sent a letter to the Pennsylvania Insurance Guaranty Association (PIGA) requesting payment of $75,000. PIGA tendered the sum of $50,000 to plaintiffs, claiming that it is entitled to a $25,000 credit pursuant to the Pennsylvania Property and Casualty Insurance Guaranty Act.1 Plaintiffs assert that they are entitled to recover an additional $25,000 from either PIGA or defendants personally. Defendants assert that neither PIGA nor the named defendants are liable for the full $75,000.

[309]*309On September 24, 1998, plaintiffs filed a petition to enforce settlement against defendants, seeking an order of judgment against defendants in the amount of $25,000 plus accrued interest.

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Cite This Page — Counsel Stack

Bluebook (online)
39 Pa. D. & C.4th 303, 1999 Pa. Dist. & Cnty. Dec. LEXIS 208, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baker-v-myers-pactcomplphilad-1999.