DeWalt v. Ohio Casualty Insurance

513 F. Supp. 2d 287, 2007 U.S. Dist. LEXIS 26901
CourtDistrict Court, E.D. Pennsylvania
DecidedApril 10, 2007
DocketCivil Action 05-740
StatusPublished
Cited by12 cases

This text of 513 F. Supp. 2d 287 (DeWalt v. Ohio Casualty Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DeWalt v. Ohio Casualty Insurance, 513 F. Supp. 2d 287, 2007 U.S. Dist. LEXIS 26901 (E.D. Pa. 2007).

Opinion

MEMORANDUM AND ORDER

MARY A. McLAUGHLIN, District Judge.

This is a diversity case alleging breach of contract and bad faith against an insurer, The Ohio Casualty Insurance Company, for failing to tender promptly its policy limits.

Ohio Casualty’s insured, Betty Jo Guf-fey, was the driver of a car involved in a one-car accident that seriously injured three passengers, including the plaintiff, John DeWalt. The accident occurred on July 28, 1998, but Ohio Casualty did not tender its $25,000 policy limits to Mr. De-Walt until September 23, 1999. At that time, Mr. DeWalt rejected the policy limits and proceeded to trial against Ms. Guffey, eventually winning a verdict against her on August 12, 2003, in excess of $4,000,000, not including delay damages. After the verdict, Ms. Guffey settled with Mr. De-Walt and assigned him any claims she had against Ohio Casualty. Mr. DeWalt has brought this action asserting Ms. Guffey’s bad faith claims against Ohio Casualty and seeking to recover the unpaid amount of his verdict, $4,247,362.

Ohio Casualty has now moved for summary judgment, contending that its actions in handling Ms. Guffey’s claims do not rise to the level of bad faith.

I. BACKGROUND

The facts here are undisputed.

In the early morning of July 28, 1998, Ms. Guffey was driving a car owned and insured by her father when she ran off the road and hit a tree on S.R. 901 in Mt. Carmel Township, Northumberland County. Ms. Guffey and the three passengers riding with her, Mr. DeWalt, Megan Swinehart, and Adam Fantini, were seriously injured. Def. Mot. and PI. Reply at ¶¶ 6-9. 1

*289 Ohio Casualty was notified of the accident on July 28, 1998. Ohio Casualty’s claim file indicates that, at that time, Ohio Casualty had been told that Mr. DeWalt had been paralyzed from the neck down and was on a respirator; that Ms. Swine-hart had suffered a broken neck and was hospitalized but was “coming along OK”; and that Mr. Fantini had suffered facial injuries, but had been treated and released. Ex. A to PI. Br. at 41.

Ohio Casualty’s insurance policy on the Guffey vehicle provided for liability coverage for personal injuries sustained by an occupant of the vehicle in the amount of $25,000 per person and $50,000 per accident. Def. Mot. and PI. Reply at ¶ 10.

On September 15, 1998, counsel for Mr. DeWalt wrote Ohio Casualty informing the insurer that Mr. DeWalt had been diagnosed with permanent paralysis from the chest down. Mr. DeWalt’s counsel asked Ohio Casualty to advise him of its policy limits and inform him of “your company’s position regarding payment of same in order to avoid a bad faith claim.” Ex. A to PL Br. at 42. Ohio Casualty responded in a letter dated September 24, 1998, informing Mr. DeWalt’s counsel of the $25,000/ $50,000 policy limits on the Guffey vehicle, but stating that it had a “policy limits problem on this matter,” explaining that there were at least three claimants from the accident. The letter stated that Ohio Casualty was still gathering information on the claimants and that as soon as it was in a position to discuss settlement, it would “be in touch.” Id. at 43.

By September 15, 1998, Ohio Casualty had already received correspondence from an attorney on behalf of Ms. Swinehart, enclosing medical bills totaling $45,502.81. As of that time, however, Ohio Casualty had not been contacted by Mr. Fantini. Def. Mot. and Pl. Reply at ¶¶ 11,15.

'Ohio Casualty’s file log shows eight attempts to telephone Mr. Fantini between July 28, 1998 and August 10, 1998. A report in Ohio Casualty’s claim file dated August 25, 1998, indicates an agent had spoken to Mr. Fantini’s father, who was unable to give any detail about his son’s injury. The agent asked Mr. Fantini’s father to have his son contact the company, and a follow-up letter was sent, but no response had been received by the date of the report. The report also contains a note saying that the accident “appears to be a limits case.” Ex. A to Pl. Br. at 821-22; Ex. B to Pl. Br. at 30-35, 712-14.

During the remainder of 1998, Mr. De-Walt’s counsel provided Ohio Casualty with medical bills relating to Mr. DeWalt’s treatment. There is no indication in the record that Mr. DeWalt’s counsel made any further inquiries regarding settlement. In March of 1999, Ohio Casualty received medical bills from Ms. Swinehart’s attorney showing that she had residual numbness in her right hand and left foot, but “all in all was doing quite well.” Def. Mot. and Pl. Reply at ¶¶ 13-14, 18; Compl. at ¶ 20.

Ohio Casualty made no further attempt to contact Mr. Fantini between September 24, 1998, when it sent a letter asking him to contact the company, and March 17, 1999. On March 17, 1999, Ohio Casualty sent Mr. Fantini a letter informing him that it would handle the claims arising from the accident without his involvement if Mr. Fantini did not respond in thirty days. On that same day, in a letter that crossed Ohio Casualty’s letter in the mail, counsel for Mr. Fantini wrote Ohio Casual *290 ty detailing Mr. Fantini’s injuries, including facial disfigurement, and demanding $100,000 dollars in settlement. Ohio Casualty responded by letter on April 26, 1999, rejecting his demand and informing Mr. Fantini’s counsel of the $50,000/$25,000 policy limits and explaining that there were three claimants to the policy. The letter also asked Mr. Fantini for additional documentation for his injuries. The letter said that the company was waiting for additional medical records from one other claimant and that the company was not yet in a position to make a settlement offer. Mot. and PI. Reply at ¶ 23; Ex. D to Def. Mot. at 10; Ex. A to PI. Br. at 38, 746.

On March 25, 1999, Ohio Casualty adjuster Gerald Todi put a note in the claims file stating that “this was probably a policy limits case.” On April 12, 1999, Ohio Casualty employee William Bottger sent an email to Ohio Casualty employee Glenn Cameron, saying he had reviewed the Guf-fey file and that it was an obvious “policy limits” case. Mr. Cameron replied to the email, agreeing that this was a “policy limits” case, and saying that the limits had been reserved for some time. Cameron further noted that releases could not be tendered until the company had received documentation from all claimants on the nature and extent of their injuries, that the adjuster would attempt to work out an equitable division of the policy limits with the parties, and that if this failed, the company would consider filing an inter-pleader and depositing the policy limits with the court. Def. Mot. and PI. Reply at ¶¶ 19-20; Ex. A to PI. Br. at 39.

On April 26, 1999, Ohio Casualty wrote Ms. Guffey’s father, its named insured, and informed him that the claims arising from the accident could exceed his policy limits. On May 4, 1999, Mr. Cameron entered a note to Ohio Casualty’s file, again stating that the claim was a “policy limits” case. Def. Mot. and PL Reply at ¶¶ 20-21.

On June 17, 1999, Ohio Casualty sent a letter to counsel for all three claimants, advising them again of the policy limits and telling them that Ohio Casualty was willing to settle for those limits, if the three claimants could agree on a distribution. Counsel for Mr. Dewalt did not respond to this offer.

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Cite This Page — Counsel Stack

Bluebook (online)
513 F. Supp. 2d 287, 2007 U.S. Dist. LEXIS 26901, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dewalt-v-ohio-casualty-insurance-paed-2007.