HOLOHAN v. MID-CENTURY INSURANCE COMPANY

CourtDistrict Court, E.D. Pennsylvania
DecidedSeptember 27, 2021
Docket2:20-cv-05903
StatusUnknown

This text of HOLOHAN v. MID-CENTURY INSURANCE COMPANY (HOLOHAN v. MID-CENTURY 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
HOLOHAN v. MID-CENTURY INSURANCE COMPANY, (E.D. Pa. 2021).

Opinion

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

: KEVIN HOLOHAN, et al., : : Plaintiffs, : CIVIL ACTION : v. : NO. 20-5903 : MID-CENTURY INSURANCE : COMPANY, et al., : : Defendants. MEMORANDUM TUCKER, J. September 27th, 2021 Presently before the Court are Defendants’ Motion to Dismiss Counts II, III, VII, VIII, Dismiss All Claims against Defendants Harman and Eckles, and Motion to Strike (ECF No. 5), Plaintiffs’ Response in Opposition (ECF No. 12), Defendants’ Reply in Support (ECF No. 14-1), Plaintiffs’ Motion to Remand (ECF No. 10), Plaintiffs’ Amended Memorandum in Support of Motion to Remand (ECF No. 11), and Defendants’ Response in Opposition (ECF No. 15). Upon careful consideration of the Parties’ submissions, and for the reasons set forth below, Plaintiff’s Motion to Remand (ECF No. 10) is DENIED. Defendants’ Motion is GRANTED IN PART. Plaintiff’s claims against Defendants Timothy Harman and Patrick Eckles under Counts I, II, III, and VIII are DISMISSED WITH PREJUDICE. Counts III and VIII related to violations of the UTPCPL are DISMISSED WITHOUT PREJUDICE. Defendants’ Motion to Strike is DENIED. Plaintiffs’ Counts II and VII for statutory bad faith remain as to Defendant Mid-Century Insurance Company. Because Defendants did not move to dismiss Counts I, IV, V, and VI, they remain to be litigated. I. FACTUAL AND PROCEDURAL BACKGROUND On September 9, 2015 and August 18, 2016, Plaintiff Kevin Holohan, was involved in two (2) separate motor vehicle collisions. He and his wife, Plaintiff Kathya Holohan, were covered by a personal auto policy issued by Defendant Mid-Century Insurance Company (“Mid- Century”) at all material times. The policy provided coverage in accordance with the requirements of the Pennsylvania Motor Vehicle Responsibility Law, 75 Pa.C.S.A. §1701 et seq.

As a result of the September 9, 2015 collision, Mr. Holohan sustained numerous injuries including: cervical disc abnormality at C4-C5, C5-C6 and C6- C7 with neural foraminal involvement and disc osteophyte; occipital neuralgia; cervicalgia; cervical facet syndrome; cervical radiculitis; cervicothoracic sprain and strain with segmental dysfunction; headaches; pain and numbness in the right upper extremity. Plaintiff also suffered injury and/or aggravation of injury to his neck, back, shoulders and upper extremities. Pl. Compl. 4. Following a spinal specialist visit and diagnosis, he submitted a claim to Mid-Century for first party medical benefits. Mid-Century began making payments for his treatment, including: physical therapy; diagnostic testing consisting of numerous MRIs, CT scans and EMGs; pain management; medication therapy; acupuncture; injection therapy, including suboccipital nerve

blocks, sphenopalantine blocks, cervical trigger point injections, epidural steroid injections and facet injections; and attempted surgical intervention in the form of a cervical radiofrequency ablation which was aborted mid-procedure due to the inability to isolate the nerves. Pl. Compl. 4-6, Pl. Am. Mem. in Support 1. Following the second collision on August 18, 2016 in which Plaintiff’s injuries were exacerbated, the Mid-Century administratively closed Mr. Holohan’s first party medical benefits claim relating to the first accident. Pl. Am. Mem. in Support 2. Defendants used the Peer Review process1 to obtain a determination that Kevin Holohan’s treatment was not related to the August 18, 2016 collision but, rather the September 9, 2015 collision which the Defendants had administratively closed. Pl. Am. Mem. in Support 2. Defendants refused to pay for the treatment under the first claim despite more than $80,000.00 of first party medical benefits available. Pl.

Am. Mem. in Support 2. After the second collision, Plaintiff filed an underinsured motorist (“UIM”) claim arising from the initial September 9, 2015 collision. Despite having determined that Mr. Holohan’s injuries and treatment were related to the September 9, 2015 collision and that the August 18, 2016 collision aggravated his symptoms, Defendants still refused to pay Plaintiffs UIM benefits. Mot. to Remand 3. On October 20, 2020, Plaintiffs initiated a lawsuit against Defendants Mid-Century Insurance Company, Patrick Eckles, and Timothy Harman in the Pennsylvania Court of Common Pleas for Philadelphia County, No. 201001445 (“the State Court Action”). They raised eight causes of action arising from Defendants handling of Plaintiffs’ first party medical benefits and UIM benefits stemming from the two motor vehicle collisions:

(1) Breach of Contract relative to the September 9, 2015 Underinsured Motorist Benefits pled against Defendants Mid-Century Insurance Company and Timothy Harman; (2) Common Law and Statutory Bad Faith relative to the September 9, 2015 Underinsured Motorist Claim pled against all Defendants; (3) Timothy Harman’s Violation of Consumer Protection Law pled against all Defendants; (4) Breach of Contract relative to First Party Medical Benefits pled against Mid-Century Insurance Company; (5) Violation of 75 Pa.C.S.A § 1716/1798 relative to the September 9, 2015 Collision pled against Mid-Century Insurance Company; (6) Violation of 75 Pa.C.S.A. § 1797 relative to the September 9, 2015 Collision pled against Mid-Century Insurance Company; (7) Common Law and Statutory Bad Faith relative to the First Party Medical Benefits Claims pled against Mid-Century Insurance Company; and

1 In Pennsylvania, a Peer Review is utilized to challenge the reasonableness and necessity of treatment, but not to determine causation. See 75 Pa.C.S.A. § 1797. The MVFRL provides that the exclusive mechanism for an insurer to challenge the causal connection between a collision and resulting medical treatment is an independent medical examination (“IME”). See 75 Pa.C.S.A. § 1796. (8) Patrick Eckles’ Violation of Consumer Protection Law pled against all Defendants. On November 24, 2020, Defendants removed the action to federal court on the basis of diversity jurisdiction, claiming that Defendant Timothy Harman, a citizen and resident of the Commonwealth of Pennsylvania, was fraudulently joined solely for the purpose of destroying diversity jurisdiction. Plaintiffs are citizens and residents of Pennsylvania. Mid-Century Insurance Company’s corporate headquarters is located at 6301 Owensmouth Ave., Woodland

Hills, California 91367. Defendant Patrick Eckles is a citizen and resident of New Jersey, and Defendant Timothy Harman is a citizen and resident of Pennsylvania. Pl. Compl. 2-3. Plaintiffs seek: (1) Contractual underinsured motorist benefits; (2) Bad faith damages for bad faith handling, adjusting and evaluating Plaintiffs’ underinsured motorist claims; (3) Damages for the violations of the terms and provisions of the Unfair Trade Practices and Consumer Protection Law, 73 P.S. § 201-1 et seq., by Defendant Timothy Harman; (4) Contractual first party medical benefits; (5) Damages pursuant to 75 Pa.C.S.A. §§ 1716 & 1789; (6) Damages pursuant to 75 Pa.C.S.A. § 1797; (7) Bad faith damages for the bad faith handling, adjusting and evaluating of Mr. Holohan’s first party medical benefits claims; and (8) Damages for the violations of the terms and provisions of the Unfair Trade Practices and Consumer

Protection Law, 73 P.S. § 201-1 et seq., by Defendant Patrick Eckles. II. LEGAL STANDARD A. Diversity Jurisdiction & Joinder Pursuant to 28 U.S.C. § 1332(a)(1), “[t]he district court shall have original jurisdiction of all civil actions where the matter in controversy exceeds the sum or value of $75,000, exclusive of interest and costs, and is between (1) citizens of different states.” As defined in 28 U.S.C. §

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HOLOHAN v. MID-CENTURY INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/holohan-v-mid-century-insurance-company-paed-2021.