Koken v. Reliance Insurance

841 A.2d 588
CourtCommonwealth Court of Pennsylvania
DecidedJanuary 26, 2004
StatusPublished
Cited by4 cases

This text of 841 A.2d 588 (Koken v. Reliance Insurance) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koken v. Reliance Insurance, 841 A.2d 588 (Pa. Ct. App. 2004).

Opinion

OPINION BY

COLINS, President Judge.

This matter captioned Mawson and Mawson v. Richard Ruhl, presents in the liquidation of Reliance Insurance Company as an action seeking clarification of the proof of claim process. The focus is on the filing of a proof of claim, and as so frequently occurs, that single act, has given rise to a plethora of issues. What constitutes the filing of a proof of claim must be determined, followed by, whether there are circumstances under which a proof of claim can be withdrawn; concomitantly, regardless of whether the question is answered in the negative or the positive, whether upon receipt by the Liquidator of a proof of claim, the third party release provisions encompassed in the proof of claim are forever vested in the insured. Thus, the dispositive issue, a question of law, is whether a proof of claim once received by the Liquidator, can be withdrawn.

A primer on the immediate proceedings is necessary. On June 30, 1997, a truck owned by Mawson and Mawson (Mawson) collided with an automobile driven by Richard Ruhl (Ruhl). It is undisputed that at the time of the accident, Mawson had $1 million in primary insurance coverage through Reliance Insurance Company. Further, Mawson maintained $10 million in excess insurance coverage. As a result of injuries sustained in the 1997 accident, on August 24, 1998 Ruhl commenced a civil action against Mawson in the Court of Common Pleas of Lackawanna County. Upon receipt of Ruhl’s complaint, it was determined that coverage existed under a Reliance Insurance policy, and counsel was retained to defend the action.

Nearly three years later, by order 1 of this Court dated May 29, 2001, the Insurance Commissioner of the Commonwealth of Pennsylvania was appointed Rehabili-tator of Reliance Insurance Company (Reliance) pursuant to Article V of the Pennsylvania Insurance Department Act, 40 P.S. § 221.1-231 (Article V). Effectively, the order placed all assets of Reliance under the control of the Commissioner and the Commonwealth Court. On October 3, 2001, the rehabilitation was ended, and Reliance was placed into liquidation and pursuant to Article V, the Commissioner was appointed Liquidator (Liquidator).

While the tort action was pending in common pleas court, Ruhl received a proof of claim packet from the offices of the Liquidator. That packet contains information relating to the liquidation proceedings and directs that “If you believe you have a *590 claim against Reliance you must file a proof of' claim with the Statutory Liquidator using the enclosed proof of claim form. Even if you have a claim already pending with Reliance you must file a proof of claim .” (See Exhibit A appended to the Petition of Mawson and Mawson.) The proof of claim (POC) also states that

You are a third party claimant if you have a claim against a Reliance insured, which may be covered by the insured’s insurance policy. You may either file a claim with the Statutory Liquidator or pursue legal action against the insured to attempt to recover your claim. If you choose to file a claim with the LiquL dator, filing of this claim shall operate as a release of the insured’s liability to you on that cause of action in the amount of applicable policy limits. If coverage is avoided by the Liquidator, this release becomes null and void.

(See Exhibit B appended to the Petition of Mawson and Mawson). Ruhl filed an incomplete POC on January 25, 2002. 2 The Liquidator stamped the POC received January 29, 2002. No stay of the common pleas court action was sought by Mawson, and there is evidence of record- indicating that discovery continued on the action pending in common pleas court. (See letter of December 10, 2002 from counsel for Richard Ruhl to counsel for Mawson.) During this time, the Pennsylvania Property and Casualty Insurance Guaranty Association (Guaranty Association) was notified that a POC had been filed, and the claim was transferred to the Guaranty Association. On November 14, 2002, the Guaranty Association 3 notified Mawson that it had received the claim and advised Maw-son to obtain counsel to protect Mawson’s personal assets, as the difference between the statutory policy limits ($300,000) and the monies sought was $700,000. Mawson did so and current counsel of record contacted Reliance.

On December 6, 2002, Reliance advised Mawson that Ruhl had filed a proof of claim. Additionally, Reliance brought to Mawson’s attention Section 221.40 of the Insurance Act (third party claims provision), which states:

(a) Whenever any third party asserts a cause of action against an insured of an insurer in liquidation the third party may file a claim with the liquidator. The filing of the claim shall operate as a release of the insured’s liability to the third party on that cause of action in the amount of the applicable policy limit, but the liquidator shall also insert in any form used for the filing of third party claims appropriate language to constitute such a release. The release shall be null and void if the insurance coverage is avoided by the liquidator.

(See Exhibit E appended to the Petition of Mawson and Mawson).

Subsequently, Ruhl became aware that Mawson was seeking to invoke the third party claims provision and on December 9, 2002 sought'to withdraw the POC previously filed. On December 10, 2002, Ruhl notified Mawson of a deposition to be taken in the common pleas court action. On December 13, 2002 the Liquidator informed Ruhl that the POC was designated as “inactive,” and he was further advised on the third party claims provision set forth in 40 P.S. § 221.40(a).

*591 On February 19, 2002, Mawson filed in Commonwealth Court a document captioned “Petition to Enforce Proof of Claim, or in the alternative a Petition to Intervene for the Purposes of Seeking a Declaration of its Statutory and Contractual Rights as a Released Party Under a Third-Party Proof of Claim” (petition to enforce proof of claim) in response, Ruhl filed preliminary objections. 4 By separate orders dated February 14, 2008, this Court dismissed both the petition to enforce proof of claim and the preliminary objections filed in response thereto. On February 24, 2003, Mawson filed a petition for reconsideration of that dismissal or, in the alternative, a petition to intervene for the purpose of seeking a declaration of its statutory and contractual rights under a third party proof of claim. By order dated April 17, 2003, reconsideration was granted, the previous order was withdrawn, intervention was granted, and the Court directed Ruhl, Mawson, and the Liquidator to file briefs addressing the issue of

Whether a third party claimant may withdraw a proof of claim submitted to the Liquidator, where no action upon the proof of claim has taken place, and, if so, what constitutes a withdrawal of a proof of claim, and what effect, if any, does the withdrawal of a proof of claim have on the release of an insured’s liability to the third party on the cause of action forming the basis of the proof of claim in the amount of the applicable policy limit, as provided for in 40 P.S. Section 221.4(a).

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Cite This Page — Counsel Stack

Bluebook (online)
841 A.2d 588, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koken-v-reliance-insurance-pacommwct-2004.