HANNA v. PALISADES PROPERTY & CASUALTY INSURANCE COMPANY

CourtDistrict Court, E.D. Pennsylvania
DecidedMarch 31, 2025
Docket5:23-cv-01051
StatusUnknown

This text of HANNA v. PALISADES PROPERTY & CASUALTY INSURANCE COMPANY (HANNA v. PALISADES PROPERTY & CASUALTY INSURANCE COMPANY) 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
HANNA v. PALISADES PROPERTY & CASUALTY INSURANCE COMPANY, (E.D. Pa. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA __________________________________________

MARIO HANNA, et al., : Plaintiffs, : : v. : : PALISADES PROPERTY & CASUALTY : INSURANCE COMPANY : Civil No. 5:23-cv-01051-JMG trading as : PLYMOUTH ROCK ASSURANCE CORP. : doing business as : PLYMOUTH ROCK ASSURANCE CORP., : Defendant. : __________________________________________

MEMORANDUM OPINION GALLAGHER, J. March 31, 2025 An insurance company may refuse payment to an insured who violates the “Concealment or Fraud” provision of their policy where the insured has (1) made a false representation, (2) the insured knew the representation was false when they made it, and (3) the misrepresentation was material to the risk being assured. Nw. Mut. Life Ins. Co. v. Babayan, 430 F.3d 121, 129 (3d Cir. 2005). The question here is whether misrepresentations made by homeowner-Plaintiffs regarding their living arrangements following a fire in their home were material to Defendant-insurer’s investigation of Plaintiffs’ claim. Plaintiffs sued for breach of their insurance contract after Defendant refused to pay them. Defendant has brought a Motion for Summary Judgment before this Court, arguing Plaintiffs made material misrepresentations in violation of the “Concealment or Fraud” provision of their policy, which voided the contract. Since there exists a genuine dispute whether these represented facts were material to the claim being insured, Defendant’s Motion for Summary Judgment is denied. I. BACKGROUND Prior to the events prompting litigation, Plaintiffs Mario Hanna and Josephine Evola lived together in a home in Nazareth, Pennsylvania with their three children. Pls.’ Statement of Undisputed Facts in Supp. of Their Resp. to Def.’s Mot. For Summ. J. (“Pls.’ SUMF”), at ¶¶ 1-2,

ECF No. 38-14 at 1. Plaintiffs entered into a homeowners insurance policy (“Policy”) effective from August 2021 until August 2022 with Defendant Palisades Property and Casualty Insurance Company. Certified Copy of the Policy, ECF No. 35-5 at 2. This Policy provided coverage for Plaintiffs’ dwelling (Coverage A), other structures (Coverage B), personal property (Coverage C), and loss of use (Coverage D). Id. On June 5, 2022, while the Policy was in effect, a fire on Plaintiffs’ property rendered their home uninhabitable and destroyed all their possessions. Pls.’ SUMF at ¶ ¶ 5-11; Id. at ¶ 19 (Defendant “was aware in June of 2022 that the Personal Property in the Subject Property at the time of the Fire Event was a total loss.”). That same night, Plaintiffs reported the fire to Defendant's representative, Donna Moruzzi, and they discussed alternative living arrangements for Plaintiffs’

family. Id. at ¶¶ 13-14. Plaintiffs informed Ms. Moruzzi that they would be temporarily moving into a property owned by Ms. Evola’s mother and stepfather. Id. at ¶ 16. Plaintiffs then consulted a public adjusting firm to assist them in securing payment for losses stemming from the fire event and facilitate their discussions with Defendant. Id. at ¶¶ 38- 39. On June 24, 2022, Plaintiffs’ public adjuster forwarded a lease to Ms. Moruzzi “for [Plaintiffs’] temporary housing, in the monthly amount of $4,950.00” and sought payment to cover Alternative Living Expenses (“ALE”) which they were entitled to under the Policy. Id. at ¶¶ 40, 42; IAB Correspondence, ECF No. 35-6 at 1. The lease between Plaintiffs and Ms. Evola’s stepfather, Joseph Perrine, allegedly began on June 5th, the date of the fire. Lease, ECF No. 35-7 at 1-2. Approximately one month later, on July 20, 2022, Plaintiffs were asked to participate in recorded interviews conducted by Ms. Moruzzi which covered Plaintiffs’ financial status at the time of the fire and their living arrangements after the fire. Pls.’ SUMF at ¶¶ 43, 45. Mr. Hanna informed Ms. Moruzzi that since the night of the fire, himself, his wife, and their three children

were the sole occupants of a house owned by his father-in-law, Mr. Perrine. Hanna Recorded Interview, ECF No. 35-8 at 7-9; see id. at 10 (when asked if Mr. Perrine currently lived in the house with Mr. Hanna and his family, he responded “[n]o.”). Also during this interview, Mr. Hanna confirmed that the lease for this house was drawn up by Mr. Perrine who determined the rental price, and it was signed by both parties on the night of the fire. Id. at 7-8. Last, Mr. Hanna claimed he paid Mr. Perrine $14,850 for a security deposit and additional amounts for two months of rent. Id. at 9. Ms. Evola’s statements in her recorded interview were nearly identical to Mr. Hanna’s. Def.’s Statement of Material Undisputed Facts for the Mot. for Summ. J. (“Def.’s SUMF”) at ¶ 21, ECF No. 34-1 at 6. On August 18, 2022, twenty-nine days after their recorded interviews, Plaintiffs submitted

written corrections to their recorded interview transcripts. Pls.’ SUMF at ¶ 60; see Brief in Supp. of Pls.’ Resp. to Def.’s Mot. for Summ. J. (“Pls.’ Brief”), Exhibit I, ECF No. 38-9; Praecipe to Attach, Ex. A, ECF No. 35-4, at 22-23. These corrections included were: (1) that Ms. Evola’s mother and stepfather who owned the home that Plaintiffs lived in were also living there with them, (2) that Mr. Perrine had never cashed the check for the first month’s rent, last month’s rent, and security deposit, and (3) that Mr. Hanna and Mr. Perrine drew up the lease agreement together and jointly determined the rental price. Pls.’ SUMF at ¶¶ 62-64; Def.’s SUMF at ¶ 23. These corrections prompted Defendant’s Special Investigations Unit to request an interview with Mr. Perrine, who “confirmed the statements made by Plaintiffs in the Recorded Interview as modified by their Statement of Corrections concerning the residence drafting/signing of the Lease and the payment made by Hanna.” Pls.’ SUMF, at ¶ 68. Then, on August 24, 2022, Defendant requested Plaintiffs to submit to Examinations Under Oath which took place on September 28, 2022. Id. at ¶¶ 69, 74. During said examinations, Plaintiffs

confirmed the statements made in their corrections and Mr. Hanna additionally informed Defendant that the lease and check were drafted at some point in mid-June, but he backdated them to the night of the fire because that is when his family started staying at Mr. Perrine’s house. Hanna Examination under Oath Tr., 13:1-13, ECF No. 35-10; id. at 14:17-23; id. at 15:21-16:4; id. at 23:19-25; id. at 24:1-6, 15-18; id. at 31:16-24. Plaintiffs allege that “[t]he facts provided in these sworn statements are unrefuted, and consistent with all other available evidence” and “Defendant does not claim . . . that anything testified to in these sworn statements were fraudulent or material misrepresentations.” Pls.’ SUMF at ¶ 76. Nonetheless, on October 12, 2022, Plaintiffs withdrew their “Loss of Use” claim for ALE. Id. at ¶ 77. Despite this, on December 29, 2022, four months after Plaintiffs’ Examinations Under

Oath, Defendant informed them that “there was no coverage available to [Plaintiffs] for this loss” because Plaintiffs “concealed and misrepresented material facts in the presentation of the claim” and “violations of the ‘Concealment or Fraud’ provision of a policy act as total bar to an insured’s recovery under the policy.” ECF No. 35-4, at 32, 35; Pls.’ SUMF at ¶ 81. Section Q of the Policy (“Concealment or Fraud Provision” or “Fraud and Concealment Provision”) states that the provider does not provide coverage if the insured has (1) concealed or misrepresented any material fact or circumstance, (2) engaged in fraudulent conduct, or (3) made false statements, relating to this insurance. Def’s. Brief in Supp. of Mot. for Summ. J. (“Def.’s Brief.”) ECF No. 34-2 at 6. Plaintiffs filed a two-count Complaint on March 17, 2023, for breach of contract and bad faith. See Compl, ECF No.

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HANNA v. PALISADES PROPERTY & CASUALTY INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hanna-v-palisades-property-casualty-insurance-company-paed-2025.