Collins v. Northwestern National Insurance Group

2 Pa. D. & C.3d 568, 1977 Pa. Dist. & Cnty. Dec. LEXIS 387
CourtPennsylvania Court of Common Pleas, Alleghany County
DecidedMarch 16, 1977
Docketno. G.D. 76-7610
StatusPublished

This text of 2 Pa. D. & C.3d 568 (Collins v. Northwestern National Insurance Group) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Alleghany County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Collins v. Northwestern National Insurance Group, 2 Pa. D. & C.3d 568, 1977 Pa. Dist. & Cnty. Dec. LEXIS 387 (Pa. Super. Ct. 1977).

Opinion

FINKELHOR, J.,

The above matter came before the court en banc on the preliminary objections of defendant, Northwestern National Insurance Group, to plaintiff’s amended complaint. This case was previously heard by Ralph H. Smith, Jr. and Rolf Larsen, JJ., and plaintiff was permitted to file an amended complaint. 1 It is defendant’s contention that plaintiff has still failed to state a valid cause of action.

The issue before the court is whether the Unfair Insurance Practices Act of July 22, 1974, P.L. 589, 40 P.S. §1171.1, created aprivate right of action by individuals, including third parties, against an insurance carrier engaging in a prohibited practice.

Plaintiff alleges that, on or about October 23, 1973, the agents, servants or employes of the Borough of Mars committed a tortious trespass on plaintiff’s property and caused property damages and consequential loss of earnings to plaintiff. At the time of this occurrence, defendant, Northwestern, the public liability insurance carrier for the Borough, investigated plaintiff’s claim, engaged in settlement negotiations, and offered plaintiff $500 in settlement of the claim. Plaintiff alleges that the total claim was in the amount of $3,710 and the $500 offer was refused.2

[570]*570While the alleged tortious act by the Borough occurred in October, 1973, prior to the enactment of the Unfair Insurance Practices Act of 1974, the negotiations between plaintiff and defendant for settlement took place in May, 1975 after the passage of the legislation.

The Unfair Insurance Practices Act, enacted July, 1974, and repealing the Act of 1947, is a comprehensive statute similar to legislation adopted in other jurisdictions in accordance with the intent of Congress to foster state regulation of the insurance business. See 15 U.S.C.A. §1011, et seq., March 9, 1945, 59 Stat. §33, and 40 P.S. §1171.2.

Section 5 of the Pennsylvania Act, 40 P.S. §1171.5, provides a list of “unfair,” or prohibited, activities by those engaging in the business of insurance and includes the following:

“(10)(iv)Refusing to pay claims without conducting a reasonable investigation based upon all available information.
“(10)(vi) Not attempting in good faith to effectuate prompt, fair and equitable settlements of claims in which the company’s liability under the policy has become reasonably clear.
“(10)(vii) Compelling persons to institute litigation to recover amounts due under an insurance policy by offering substantially less than the amounts due and ultimately recovered in actions brought by such persons.”

The Act further provides in section 13, 40 P.S. §1171.13, as follows:

“The powers vested in the Commissioner by this act are additional to any other powers to enforce any penalties, fines or forfeitures authorized by [571]*571law with respect to the methods, acts and practices declared to be unfair and deceptive.”

It is plaintiff’s position that the 1974 Act provides the basis for a private trespass action against insurance carriers who have engaged in acts prohibited by the legislation, and that the settlement negotiations of defendant on plaintiff’s claim were not in good faith, and, therefore, in violation of section 5 of the Act.

The Insurance Practices Act, similar to other “consumer protection” legislation3 vests in an administrative agency and officer both regulatory and enforcement powers. The act prohibits carriers from engaging in unfair methods of competition or unfair and deceptive trade practices, and includes approximately four pages of specifically prohibited activities.4 Because of the Federal legislation, many other states have adopted statutes similar to the Pennsylvania Act.

The Insurance Commissioner is authorized to investigate insurance carriers and to conduct an administrative hearing if he has good cause to believe that the carrier is engaging in improper conduct. After hearing, the commissioner may impose an administrative penalty and if the alleged violator fails to comply with the order, the commissioner may file for an injunction in either the Commonwealth Court or the Common Pleas Court [572]*572in the appropriate judicial district. The act further provides for civil penalties for violation and judicial review of the administrative order. The act does not include a provision for a private party, allegedly wronged, to bring an action in the state courts for damages.

Despite the omission of specific statutory authorization for a private suit, it is plaintiff’s further contention that section 13 of the act recognizes the cause of action of the private litigant.

Suits against insurance carriers are not a new phenomenon in Pennsylvania law. Where the carrier has acted in bad faith and has refused to adjust the loss of the insured, recovery, including damages flowing from the refusal to settle or negotiate, has been permitted: Gedeon v. State Farm Mutual Automobile Insurance Co., 410 Pa. 55, 188 A.2d 320 (1963); Ashbrook v. Kowalick, 332 F. Supp. 78 (E.D. Pa. 1971), aff’d 474 F.2d 1338 (3d Cir. 1973). In addition, the language of section 13 of the Act preserves prior causes of action: Dozor Agency v. Rosenberg, 403 Pa. 237, 169 A.2d 771 (1961).

In Dozor, supra, the defense of the exclusive jurisdiction of the Insurance Commissioner under the 1947 Act was dismissed, and the court stated as follows:

“We are of the opinion that the [Insurance] Act was never intended to and does not vest exclusive jurisdiction in the Insurance Commissioner in cases such as the present and thus oust the jurisdiction of a Court of Equity which for many years has possessed and exercised jurisdiction in cases arising out of facts on all fours with the instant case. . . .
[573]*573“Section 10 [13] preserves all the procedures authorized by law and for this additional reason the Act did not destroy equitable jurisdiction in a case such as this.” 403 Pa. at 242-243. (Emphasis in original.)

However, there is a substantial difference between the preservation of previously existing causes of action and the creation of new rights and liabilities. A review of case law developed under similar legislation in other states indicates a rejection of plaintiff’s argument: Retail Clerks Welfare Fund v. Continental Casualty Co., 71 N.J. Super. 221, 176 A.2d 524 (1961); Seasongood v. K & K Insurance Agency, 414 F. Supp. 698 (E.D. Missouri 1976). See also Larwood v. National Casualty Co., No. 76-926 of 1977 (W.D. Pa. Civil Action). Federal consumer legislation has also limited the right of the private litigant to bring an independent action: Rauch v. United Instruments Inc., 45 L.W. 2333 (3d Cir. 1976); Rogers v. Exxon Research & Engineering Co., 45 L.W. 2366 (3d Cir. 1977).

The only exception to the exclusive jurisdiction of the administrative agency we have been able to find is Shernoff v.

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Related

Seasongood v. K & K INS. AGCY.
414 F. Supp. 698 (E.D. Missouri, 1976)
Dozor Agency v. Rosenberg
169 A.2d 771 (Supreme Court of Pennsylvania, 1961)
Ashbrook v. Kowalick
332 F. Supp. 78 (E.D. Pennsylvania, 1971)
Retail Clerks Welfare Fund, Local No. 1049 v. Cont'l Cas.
176 A.2d 524 (New Jersey Superior Court App Division, 1961)
Gedeon v. State Farm Mutual Automobile Insurance
188 A.2d 320 (Supreme Court of Pennsylvania, 1963)
Greenberg v. Equitable Life Assurance Society of United States
34 Cal. App. 3d 994 (California Court of Appeal, 1973)
Shernoff v. Superior Court
44 Cal. App. 3d 406 (California Court of Appeal, 1975)
Americans Be Independent v. Commonwealth
321 A.2d 721 (Commonwealth Court of Pennsylvania, 1974)

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2 Pa. D. & C.3d 568, 1977 Pa. Dist. & Cnty. Dec. LEXIS 387, Counsel Stack Legal Research, https://law.counselstack.com/opinion/collins-v-northwestern-national-insurance-group-pactcomplallegh-1977.