JC Penney Life Ins v. Pilosi

Court of Appeals for the Third Circuit·Decided December 28, 2004·No. 02-4204·Published

Opinion

Opinions of the United

2004 Decisions States Court of Appeals for the Third Circuit

12-28-2004

JC Penney Life Ins v. Pilosi Precedential or Non-Precedential: Precedential

Docket No. 02-4204

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PRECEDENTIAL

IN THE UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT

Nos. 02-4204 & 02-4298

J.C. PENNEY LIFE INSURANCE COMPANY Appellant in No. 02-4298

v.

CHRISTIAN J. PILOSI; JAM ES C. PILOSI,

Appellants in No. 02-4204

Appeal from the United States District Court For the Middle District of Pennsylvania D.C. No.: 00-cv-01752

District Judge: Honorable Christopher C. Conner

Argued: September 22, 2004 Before: McKEE, ROSENN, and WEIS, Circuit Judges

(Filed: December 28, 2004)

James D. Crawford (Argued) Schnader, Harrison, Segal & Lewis 1600 Market Street Suite 3600 Philadelphia, PA 19103

Brian J. Cali 103 East Drinker Street Dunmore, PA 18512

Daniel T. Brier Donna A. Walsh Myers, Brier & Kelly 425 Spruce Street Suite 200 Scranton, PA 18503

Counsel for Christian J. Pilosi, James C. Pilosi

Arthur F. Fergenson (Argued) Piper Rudnick 6225 Smith Avenue Baltimore, MD 21209

Ronald P. Schiller Piper Rudnick 1650 Market Street 4900 One Liberty Place Philadelphia, PA 19103

Counsel for J.C. Penney Life Ins. Co.

OPINION OF THE COURT

ROSENN, Circuit Judge.

This litigation has its genesis in an optimistic gambling junket to Atlantic City and a return flight that ended tragically in death. The ill-fated flight was part of a bi-weekly shuttle operated by Executive Airlines (“EA”) on behalf of Caesars Casino (“Caesars”). Elaine Pilosi, a passenger on the junket, lost her life when the EA airplane in which she was traveling crashed. Mrs. Pilosi left two sons who were the beneficiaries of an

accidental death insurance policy that she had purchased from the defendant, J.C. Penney Life Insurance Company (“J.C. Penney Life” or “the Insurer”). The policy had three categories of losses, two of which are pertinent in this litigation. Part I provided benefits of $1 million for accidental death in “a public conveyance . . . operated by a duly licensed common carrier for regular passenger service.” Part II provided for payment of $100,000 for accidental death in a private passenger automobile. And Part III provided for the payment of $50,000 for all other injuries.

J.C. Penney Life paid $50,000 under Part III of the policy and rejected the claim of the Pilosi brothers (“Pilosis” or “Insured”) for $1 million under Part I. The Insurer sued for a declaratory judgment pursuant to 28 U.S.C. § 2201 in the United States District Court for the Middle District of Pennsylvania seeking a determination that the Pilosis were not entitled to the $1 million benefit. The Pilosis responded and also raised affirmative defenses asserting, inter alia, that J.C. Penney Life’s claim is barred by the doctrine of waiver and/or estoppel, by its own bad faith, and by the doctrine of frustration of the purpose of the contract. In addition, the Pilosis counterclaimed for breach of contract and bad faith denial of their claim under 42 Pa. C.S.A. § 8371.1 The District

1 42 Pa. C.S.A. § 8371 provides:

In an action arising under an insurance policy, if the court finds that the insurer has acted in bad faith 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%.

(2) Award punitive damages against the insurer.

Court, in a carefully considered opinion of a difficult case, entered summary judgment for the Pilosis in the sum of $1 million but rejected their claim under Pennsylvania law for bad faith damages. The Pilosis timely appealed the entry of summary judgment in favor of J.C. Penney Life on the bad faith claim, and J.C. Penney Life cross-appealed the entry of summary judgment awarding $1 million coverage. We affirm in part and reverse the summary judgment against J.C. Penney Life.

I.

The District Court had subject matter jurisdiction under 28 U.S.C. § 1332(a), as the diversity and amount-in-controversy requirements were met.2 This Court has jurisdiction under 28 U.S.C. § 1291, as an appeal from a final judgment that disposed of all parties’ claims.

“Disposition of an insurance action on summary judgment is appropriate, when, as here, there are no material underlying facts in dispute.” McMillan v. State Mut. Life Assurance Co. of Am., 922 F.2d 1073, 1074 (3d Cir. 1990). The only contested issue in the instant case involves the interpretation of the scope of coverage of the insurance contract. “The interpretation of the scope of coverage of an insurance contract is a

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

2 The matter in controversy exceeds the sum of $75,000, exclusive of interest and costs, and arises between citizens of different states. J.C. Penney Life, a corporation duly organized and existing under the laws of Vermont, and having its principal place of business in Texas, is a citizen of both Vermont and Texas. Both Pilosis are citizens of Pennsylvania.

question of law properly decided by the court, a question over which [this court] exercise[s] plenary review.” Med. Protective Co. v. Watkins, 198 F.3d 100, 103 (3d Cir. 1999); McMillan, 922 F.2d at 1074.

Summary judgment is appropriate only where there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(c). In reviewing the record, this Court must view the inferences to be drawn from the underlying facts in the light most favorable to the party opposing the motion. Haugh v. Allstate Ins. Co., 322 F.3d 227, 230 (3d Cir. 2003).

Where federal jurisdiction is based on diversity of citizenship, as it is here, we apply the choice of law rules of the state in which the District Court sat. St. Paul Fire & Marine Ins. Co. v. Lewis, 935 F.2d 1428, 1431 n.3 (3d Cir. 1991) (citing Klaxon Co. v. Stentor Elec. Mfg. Co., 313 U.S. 487, 496 (1941)). This action was instituted in the Middle District of Pennsylvania. Under Pennsylvania choice of law rules, an insurance contract is governed by the law of the state in which the contract was made. Crawford v. Manhattan Life Ins. Co., 221 A.2d 877, 880 (Pa. Super. Ct. 1966); McMillan, 922 F.2d at 1074. “An insurance contract is ‘made’ in the state in which the last act legally necessary to bring the contract into force takes place.” Crawford, 221 A.2d at 880. “In most cases, this last act is delivery of the policy to the insured and the payment of the first premium by him.” Ruhlin v. N.Y. Life Ins. Co., 106 F.2d 921, 923 (3d Cir. 1939).

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