Gavasto, J. v. 21st Century Indemnity

CourtSuperior Court of Pennsylvania
DecidedFebruary 26, 2021
Docket1625 WDA 2019
StatusUnpublished

This text of Gavasto, J. v. 21st Century Indemnity (Gavasto, J. v. 21st Century Indemnity) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gavasto, J. v. 21st Century Indemnity, (Pa. Ct. App. 2021).

Opinion

J-A28016-20

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37

JUSTIN GAVASTO AND CHERI : IN THE SUPERIOR COURT OF GAVASTO, INDIVIDUALLY AND AS : PENNSYLVANIA HUSBAND AND WIFE : : Appellants : : : v. : : No. 1625 WDA 2019 : 21ST CENTURY INDEMNITY : INSURANCE COMPANY :

Appeal from the Judgment Entered November 21, 2019 In the Court of Common Pleas of Allegheny County Civil Division at No(s): GD 15-013100

JUSTIN GAVASTO AND CHERI : IN THE SUPERIOR COURT OF GAVASTO, INDIVIDUALLY AND AS : PENNSYLVANIA HUSBAND AND WIFE : : : v. : : : 21ST CENTURY INDEMNITY : No. 1695 WDA 2019 INSURANCE COMPANY : : Appellant :

Appeal from the Judgment Entered November 21, 2019 In the Court of Common Pleas of Allegheny County Civil Division at No(s): GD-15-013100

BEFORE: OLSON, J., MURRAY, J., and McCAFFERY, J.

MEMORANDUM BY MURRAY, J.: FILED FEBRUARY 26, 2021

Justin and Cheri Gavasto, husband and wife (the Gavastos) appeal, and

21st Century Indemnity Insurance Company (21st Century) cross-appeals, J-A28016-20

from the judgment1 entered against the Gavastos and in favor of 21st Century

in this bad faith action. After thorough review, we affirm the judgment, quash

the cross-appeal, and deny 21st Century’s motion to quash.

Facts and Procedural History

The trial court recounted the factual and procedural background as

follows:

On September 9, 2013, [Appellant], Justin Gavasto, was a passenger in a Port Authority bus when another driver collided with it causing [him] to bump his head, as he was bending over to tie a shoelace. Symptoms related to the collision were resolved by March 14, 2014, and all treatment related thereto ended by March 19, 2014.[2] ____________________________________________

1 The Gavastos purport to appeal from the non-jury verdict entered on October 3, 2019 and docketed on October 10, 2019; however, an appeal lies from the entry of judgment, not the entry of a non-jury verdict. See Johnston the Florist, Inc. v. TEDCO Constr. Corp., 657 A.2d 511, 514 (Pa. Super. 1995) (en banc) (stating entry of judgment is prerequisite to exercise of this Court’s jurisdiction). On November 15, 2019, we directed the Gavastos to praecipe to enter judgment to avoid quashal. The Gavastos complied, and judgment was entered on November 21, 2019. See Pa.R.A.P. 905(a) (appeal treated as filed after entry of judgment); see also Pa.R.A.P. 903(a) (“notice of appeal . . . shall be filed within 30 days after entry of the order from which the appeal is taken.”). We have amended the caption accordingly. Moreover, because this resolves the issue raised by 21st Century in their motion to quash, we deny that motion.

2 The Gavastos take issue with several of the factual findings, most importantly, the resolution of Justin Gavasto’s symptoms and treatment. However, the facts, including that all necessary treatment ended in March 2014, were determined by the arbitrator in this case. The arbitration was common law arbitration, and the award is binding. Snyder v. Cross, 791 A.2d 1198, 1201 (Pa. Super. 2002). Arbitration proceedings and their findings are deemed final for the purposes of collateral estoppel. Dyer v. Travelers, 572 A.2d 762, 764 (Pa. Super. 1990). “It bars relitigation of issues raised, as well as issues that could have been but were not raised.” Id. Thus, the

-2- J-A28016-20

[Justin Gavasto] did collect the driver’s Geico insurance limits of $15,000.00, and did not make his underinsurance claim until April 9, 2015, when, through counsel, he notified [21st Century] by phone. [Justin Gavasto] was making his claim under a 21st Century policy issued to his brother Phil Gavasto as named insured. 21st Century informed [Phil Gavasto] of the underinsured claim and was advised that [Justin Gavasto] was not a resident relative entitled to coverage under the policy.[3] During the month of April, an investigation was conducted and [21st Century] sent out a Reservation of Rights Letter informing [Justin Gavasto’s] attorney of same. The brothers Gavasto were both interviewed and provided evidence in support of denying [Justin Gavasto’s] claim and evidence from [Justin Gavasto] in support of coverage.

By June 25, 2015, the coverage investigation concluded with 21st Century’s determination that [Justin Gavasto’s] claim would be covered under his brother’s policy. By July 8, 2015, 21st Century received a packet of documents from [Justin Gavasto’s] counsel. [21st Century] evaluated the claim based upon the information obtained from [Justin Gavasto’s] attorney and on July 14, 2015, made an offer to [him] of $5,000.00. However, [counsel] was also advised that [21st Century] needed proof that the claimed lost work was in fact due to the injury and not due to other causes. Rather than reply to [21st Century’s request for] materials, [the Gavastos] filed this Insurance Bad Faith Claim on July 31, 2015.

The Complaint was never amended. It cited only low ball offers and the investigation as being excessively long to support the Bad

____________________________________________

Gavastos may not relitigate the issue of when necessary treatment ended, and the arbitrator’s finding that Justin Gavasto’s symptoms resolved by March 2014, and the treatment he undertook several years later was not related to the 2013 accident, was binding on the trial court.

3 At approximately the same time the Gavastos were claiming they resided in Phil Gavasto’s home for purposes of obtaining underinsured motorist benefits, they asserted to the Pennsylvania Department of Welfare that they were tenants, not residents, in Phil Gavasto’s home, in order to receive public assistance. N.T., 9/19/19, at 141 (referencing Defense Exhibits K and L).

-3- J-A28016-20

Faith Claim.[4] At that point, counsel entered appearances for [21st Century] and pleadings and discovery was conducted. In the summer of 2016, one correspondence from [the Gavastos’] counsel mentioned for the first time a claim [for] loss of consortium by [Cheri Gavasto]. However, the claim was never included in the Bad Faith complaint.

While this claim was in litigation, the underlying claim was agreed to be decided by Arbitration binding before Harry Paras on March 31, 2018. Prior to the hearing, [21st Century] made additional offers of $12,500.00 and $30,000.00, to which [the Gavastos] did not respond. [The Gavastos] remained at their demand of the policy limits of $100,000.00 until the time of the hearing.

The claim ended in an award in their favor, but it was not far above the final offer of $30,000.00.

Trial Court Opinion, 1/17/20, at 1-2 (record citations omitted).

The arbitration took place on March 1, 2018. While it ended with an

award in favor of the Gavastos, the arbitrator expressed doubts about the

validity of their claim. Arbitrator’s Decision and Award, 3/01/18, at 1-8.

Specifically, the arbitrator noted the contradiction between Justin Gavasto’s

contemporaneous statements to medical personnel that his symptoms had

resolved by October 4, 2013, and his later claims that the symptoms never

resolved and got worse, causing him to seek additional medical treatment in

4 While the complaint names both Gavastos as plaintiffs, except to note that the two are married, none of the factual allegations mention Cheri Gavasto. Complaint, 7/31/15, at unnumbered pages 1-3. There are two counts, breach of contract and bad faith. Id. at unnumbered pages 3-5. The breach of contract claim only references Justin Gavasto. Id. at unnumbered pages 3- 4.

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Gavasto, J. v. 21st Century Indemnity, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gavasto-j-v-21st-century-indemnity-pasuperct-2021.