Ihnat v. Pover

35 Pa. D. & C.4th 120, 1997 Pa. Dist. & Cnty. Dec. LEXIS 111
Pennsylvania Court of Common Pleas, Alleghany County·Decided December 16, 1997·No. no. GD94-17465·Published·Cited by 1 cases

Opinion

WETTICK, J.,

There are between 200 and 500 lawsuits pending in this court involving alleged improper sales practices of insurance companies. Through prior court orders, these cases have been assigned to me. The litigants are represented by more than 20 law firms. Through a series of status conferences, counsel identified 19 common issues of law to be resolved at this time.

[122] In this opinion, I consider only the four common issues of law that address plaintiffs’ statutory bad faith claims based on 42 Pa.C.S. §8371:1

“BAD FAITH STATUTE CLAIMS

“Issue 1. Whether 42 Pa.C.S. §8371, governing bad faith conduct by an insurance company, by its terms, is limited to actions for an insurer’s failure to pay a claim under a policy?

“Issue 2. Whether a cause of action exists against an insurance agent under Title 42 Pa.C.S. §8371?

“Issue 3. Whether alleged misrepresentations occurring during the sale and solicitation of an insurance policy are sufficient to state a claim under Title 42 Pa.C.S. §8371 against either an insurance company or an insurance agent?

“This issue may arise in many factual contexts, including, but not limited to:

“(a) when it is alleged that agents of an insurer approached individuals with existing policies and induced them to use the accumulated value in those policies to fund new policies either by surrendering them, taking loans from them or by withdrawing their accumulated dividends and/or cash value;

“(b) when it is alleged that agents of an insurer induced individuals to purchase insurance policies based on representations that they were retirement or savings plans; or

“(c) when it is alleged that agents of an insurer induced individuals to purchase insurance policies based [123] on misrepresentations concerning the length of time the purchaser would be required to pay premiums on those policies.

“Issue 4. Whether 42 Pa.C.S. §8371 is to be applied retroactively to transactions that occurred prior to its effective date? This issue may arise in many factual contexts, including, but not limited to, allegations that conduct took place prior to the enactment of the statute but that the harm is ongoing or that some of the alleged conduct occurred subsequent to the enactment of the statute.”

This litigation involves three general categories of claims: vanishing premiums, replacement transactions, and retirement or savings plans.

Plaintiffs in the vanishing premiums category were not necessarily holders of existing life insurance policies. Insurance agents allegedly induced these persons to purchase life insurance policies by fraudulently representing that these policies would be fully funded through a premium payment of a specified amount paid for a fixed period of time. The insurance agents made these representations with misleading policy illustrations which used unrealistically high interest rates to support their position that at the end of the specified time period, the income which the policy reserve generated would be sufficient to pay the remaining premiums. The insureds did not understand that the representations were based on unrealistic examples and that the insurance company was, in fact, guaranteeing rates of return that were so much lower than the agents’ illustrations as to require payments almost indefinitely.

Plaintiffs in the replacement transactions category were holders of existing life insurance policies with substantial policy reserves. It is alleged that agents of the insurance companies falsely represented that these [124] policyholders could obtain additional coverage at virtually no additional cost by canceling their existing policies and using their policy reserves to finance new policies or by borrowing against the existing policies to pay for the new policies. The policyholders were not told that the cash from the existing policies together with the payment of the additional premiums provided for in the new policies would in all likelihood be insufficient to maintain the new policies for the remainder of the insureds’ lives.

Plaintiffs in the retirement or savings plans category did not necessarily hold existing policies with the insurance companies. These persons sought to establish retirement or savings plans. It is alleged that agents for the insurance companies, identifying themselves as investment, retirement, or financial advisors rather than as insurance agents, sold them life insurance while leading them to believe that they were investing their funds in retirement or savings plans having an added feature of life insurance. The brochures and advertising materials furnished to these plaintiffs did not identify the product being sold as life insurance. These plaintiffs claim they did not know that they were paying for life insurance, including administrative expenses, commissions, and other fees applicable to persons who are purchasing life insurance, and that the only funds that would be available to plaintiffs would be the cash surrender value of a whole life insurance policy.

Through issues 1-4, defendants seek dismissal of plaintiffs’ bad faith claims, based on the Judicial Code, 42 Pa.C.S. §8371, which provides remedies for bad faith conduct toward an insured. Section 8371 reads as follows:

“In an action arising under an insurance policy, if the court finds that the insurer has acted in bad faith [125] toward the insured, the court may take all of the following actions:

“(1) Award interest on the amount of the claim from the date the claim was made by the insured in an amount equal to the prime rate of interest plus 3 percent.

“(2) Award punitive damages against the insurer.

“(3) Assess court costs and attorney fees against the insurer.”

A.

I initially address Issue 2. Defendant insurance agents contend that a cause of action does not exist against an insurance agent under section 8371. I agree. This section applies only where the court finds that “the insurer” has acted in bad faith toward the insured. If an insurance agent and an insurer are one and the same, the actions of the insurance agent toward the insured will subject the insurance company to liability under section 8371. Thus, there would be no reason to extend section 8371 to an insurance agent. If, on the other hand, the insurance agent and the insurance company are not one and the same, I have no reason to believe that the legislature intended to provide a remedy against insurance agents under a statutory provision that is limited to the situation in which a court finds that the “insurer” has acted in bad faith toward the insured.

B.

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Ihnat v. Pover, 35 Pa. D. & C.4th 120, 1997 Pa. Dist. & Cnty. Dec. LEXIS 111 (Pa. Super. Ct. 1997).

35 Pa. D. & C.4th 120 (Ihnat v. Pover) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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