Cardoni v. Nationwide Mutual Ins.

2 Pa. D. & C.4th 500, 1989 Pa. Dist. & Cnty. Dec. LEXIS 309
CourtPennsylvania Court of Common Pleas, Lackawanna County
DecidedJanuary 13, 1989
Docketno. 88 Civ. 3462
StatusPublished

This text of 2 Pa. D. & C.4th 500 (Cardoni v. Nationwide Mutual Ins.) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Lackawanna County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cardoni v. Nationwide Mutual Ins., 2 Pa. D. & C.4th 500, 1989 Pa. Dist. & Cnty. Dec. LEXIS 309 (Pa. Super. Ct. 1989).

Opinion

COTTONE,

This matter comes by way of defendant’s preliminary objections to plaintiffs’ complaint.

Defendant is the insurer under a standard fire insurance policy issued to plaintiff-insureds. Plaintiffs filed the complaint against defendant, alleging that defendant has repeatedly failed to honor claims submitted by plaintiffs for several acts of vandalism to their property, in violation of the terms of the policy.

According to counts I and II of the complaint, certain of the alleged incidents of vandalism occurred at the insured premises beginning July 13, 1986. Plaintiffs’ claim for damages includes the cost of repairing the premises as well as the cost of hiring a general contractor on December 15, 1986, April 10, 1987, and October 20, 1988, to board the windows and doors of the premises, to prevent further acts of vandalism.

Defendant’s first preliminary objection to counts I and II of the complaint is in the nature of a demurrer. Defendant argues that, since this action was not commenced until July 11, 1988, the above-mentioned claims in counts I and II of the complaint are time-barred by the one-year limitations period set forth in the insurance policy. Specifically, the policy provides:

“No suit or action on this policy for the recovery of any claim shall be sustainable in any court of law or equity unless all the requirements of this policy have been complied with, and unless commenced within 12 months next after inception of the loss.”

[502]*502Defendant argues that the cases of Schreiber v. Pennsylvania Lumberman’s Mutual Insurance Company, 498 Pa. 21, 444 A.2d 647 (1982), and Satchell v. Insurance Placement Facility of Pennsylvania, 241 Pa. Super. 287, 361 A.2d 375 (1976), militate in favor of enforcing the one-year contractual limitations period.1

In Schreiber, supra, the Supreme Court upheld the one-year limitation provision contained in the fire insurance policy to bar an action instituted more than two years after the alleged loss. In that case, the insured argued to the lower court on a motion for reconsideration of a judgment on the pleadings entered in favor of the company that the one-year limitation provision cannot bar suit on the policy absent a showing of prejudice to the insurance company. The lower court rejected this argument and again entered judgment on the pleadings in favor of the insurance company. In upholding the judgment, the Supreme Court determined that a finding of prejudice to the insurer is the improper standard when determining whether to enforce a limitation of suit provision. Instead, the court explained that such a provision may be extended or waived where “the actions of the insurer led the insured to believe the contractual limitation period will not be enforced.” Id. at 25, 444 A.2d at 649, citing General State Authority v. Planet Insurance Co., 464 Pa. 162, 165, 346 A.2d 265, 267, (1975). The insureds there failed to meet that standard:

“Here, however, despite ample opportunity to do so, appellants have at no time alleged that any [503]*503conduct of appellee, either active or passive, was in any way responsible for appellants’ delay of over two years in commencing their action on the policy.” Id. at 25, 444 A.2d at 649.

Likewise, in Satchell, supra, the appellant-insured did not plead any facts to support a finding that the appellee-insurer waived or extended the 12-month contractual limitations period contained in the policy. Additionally, appellants failed to amend the complaint, allowable, as a matter of course, within 10 days after service of the preliminary objections, in order to add averments justifying appellants’ insureds’ breach of the 12-month provision.2 Therefore, the court granted the preliminary objection to the complaint, reasoning as follows:

“Because appellants failed to amend their complaint to deny either the existence or the applicability of the contractual limitations period, in effect they admitted both.” Id. at 296, 361 A.2d at 379.

We find the above decisions distinguishable from the present case. Here, plaintiffs aver in count I of the complaint that acts of vandalism have been occurring beginning July 13, 1986, through October 10, 1986. In addition, plaintiffs aver that they were required to employ a general contractor on December 15, 1986, April 10,1987, and October 20, 1988, to board the windows and doors of the premises to prevent further acts of vandalism. In paragraph 13, plaintiffs aver as follows:

“(13) Immediately after the vandalism and continuing thereafter the plaintiffs have given notice to the defendant by and through their respective agents of the aforementioned vandalism and have continued to notify the defendant of the damages which [504]*504resulted from the initial date aforesaid up to and including the present time.” (emphasis supplied)

Plaintiffs further aver that defendant has not reimbursed plaintiffs for the losses sustained.

By these averments, we find that plaintiffs have pled sufficient facts to indicate a continuing communication between plaintiffs and defendant which, from plaintiffs’ perspective, has never reached a final resolution. The pleadings in count I at least suggest that the defendant-insurance company has not definitely approved or denied the claims of plaintiffs, but, rather, kept plaintiffs, who are not lawyers, in the dark with regard to their claims. In this instance, we cannot impose the 12-month provision especially in light of the adhesionary nature of this type of transaction. It is obvious to us that plaintiffs had no idea that their rights under the policy would expire in 12 months. Indeed, plaintiffs were doing everything they felt necessary under the policy to seek reimbursement for the loss. This is not the case where a claimant has simply notified the insurer of the loss and has done nothing for two years.

Further, in count II of the complaint, plaintiffs allege that they have incurred additional losses as a result of vandalism since October 10, 1986. In paragraph 17, plaintiffs allege as follows:

“( j ^ Thereafter, from the period from October 10, 1986,. up to the present, the premises, although secured by the plaintiffs on a number of occasions to protect it from further vandalism, has been vandalized and has resulted in additional damages since October 10,1986, up to the present in the approximate amount of $21,500.” (emphasis supplied)

Plaintiffs go on to state in paragraph 20 that “ [defendant has continued to refuse payment and has violated the provisions of the policy of insurance....”

First, the above language does not exclude the [505]*505possibility that certain losses may have been incurred within the 12 months preceding the initiation of this lawsuit on July 11, 1988.

Second, it is unclear in the above language whether defendant formally denied payment by written notice or whether defendant orally refused payment and when such refusal was made.

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Related

Commonwealth v. Transamerica Insurance
341 A.2d 74 (Supreme Court of Pennsylvania, 1975)
Satchell v. Insurance Placement Facility
361 A.2d 375 (Superior Court of Pennsylvania, 1976)
General State Authority v. Planet Insurance
346 A.2d 265 (Supreme Court of Pennsylvania, 1975)
Bertha v. Pennsylvania Lumberman's Mutual Insurance
444 A.2d 647 (Supreme Court of Pennsylvania, 1982)
McMeekin v. Prudential Insurance
36 A.2d 430 (Supreme Court of Pennsylvania, 1944)
Pennsylvania Fire Insurance v. Dougherty
102 Pa. 568 (Supreme Court of Pennsylvania, 1883)
Bonnert v. Pennsylvania Ins.
18 A. 552 (Supreme Court of Pennsylvania, 1889)
Baker v. Pennsylvania National Mutual Casualty Insurance
536 A.2d 1357 (Superior Court of Pennsylvania, 1987)

Cite This Page — Counsel Stack

Bluebook (online)
2 Pa. D. & C.4th 500, 1989 Pa. Dist. & Cnty. Dec. LEXIS 309, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cardoni-v-nationwide-mutual-ins-pactcompllackaw-1989.