Krisa v. Equitable Life Assurance Society

109 F. Supp. 2d 316, 2000 U.S. Dist. LEXIS 19201, 2000 WL 1146146
District Court, M.D. Pennsylvania·Decided May 23, 2000·No. 3:97-cv-01729·Published·Cited by 35 cases

Opinion

MEMORANDUM

VANASKIE, Chief Judge.

This action pending in this Court on the basis of diversity jurisdiction under 28 U.S.C. § 1332 concerns two disability insurance policies purchased by plaintiff John Krisa (“Krisa”) from defendant Equitable Life Assurance Society (“Equitable”). Krisa claims entitlement to total disability benefits under the policies on the ground that labile hypertension renders him unable to pursue his chosen profession as a trial lawyer. Contending that the applicable test under the policies is whether Krisa was unable to engage in all the substantial and material duties of his regular occupation at the time he became disabled, and asserting that labile hypertension did not preclude Krisa from engaging in certain of the activities that he described as part of the substantial and material duties of his legal practice at the time he applied for disability benefits, Equitable has denied Krisa’s claim. This action, which seeks to recover damages from November 24, 1997 until the present, is a sequel to an earlier action filed by Krisa, docketed to No. 3:97-CV-1825. 1

Krisa’s complaint asserts five causes of action: (1) breach of contract; (2) violation of Pennsylvania’s Bad Faith Statute, 42 Pa.C.S.A. § 8371, in the denial of his total disability claim; (3) fraud and/or negligent misrepresentation in connection with the sale of the policies to him; (4) violations of the Pennsylvania Unfair Trade Practices and Consumer Protection Law *318 (“UTPCPL”), 73 P.S. §§ 201-1, et seq.; and (5) wrongful use of civil proceedings under 42 Pa.C.S.A. § 8351 et seq. Equitable has moved to strike and dismiss Krisa’s bad faith, wrongful use of civil proceedings, and fraud and/or negligent misrepresentation claims. Equitable also seeks to strike and dismiss Krisa’s emotional distress and other non-contractual damages claims contained in Counts I, II and IV.

In light of precedent holding that Pennsylvania’s statutory cause of action covering bad faith conduct by insurers should be broadly construed so as to effectuate the purpose of that statute, Equitable’s conduct occurring after Krisa I was filed could be the basis for liability under the statute. Accordingly, Equitable’s motion to strike and dismiss Count II will be denied. Equitable’s motion to strike and dismiss Krisa’s wrongful use of civil proceedings claim will also be denied because Equitable’s filing of a motion to amend its counterclaim in Krisa I accusing Krisa of fraud in the application constituted the “initiation” of a civil proceeding for purposes of Pennsylvania’s wrongful use of civil proceedings statute, and Equitable’s withdrawal of the motion to amend constituted a “favorable termination” of the proceedings, thereby entitling Krisa to litigate whether the claim was asserted in violation of 42 Pa.C.S.A. § 8351, et seq. Consistent with this Court’s holding in Krisa I, Equitable’s motion to strike and dismiss Krisa’s fraud and negligent misrepresentation claims will be denied. Because emotional distress damages are not recoverable in a contract action or under Pennsylvania’s Bad Faith Statute and the UTPCPL, Equitable’s motion to strike those claims from Counts I, II and IV will be granted.

1. BACKGROUND

Plaintiff, John Krisa, commenced an action in the Lackawanna Court of Common Pleas on October 23, 1997, alleging breach of contract, bad faith, fraud and/or negligent representation and violation of the UTPCPL in connection with Equitable’s denial of insurance benefits based upon its determination that Krisa was not totally disabled under the terms of insurance policies it issued. (Krisa I, Dkt. Entry 1.) Equitable removed that case to federal court on December 1, 1997. (Id.)

In Krisa I, Equitable asserted that Kri-sa, if successful, could only recover disability benefits from the date of his disability, December 6, 1996, to the date Krisa I was filed, and that Krisa’s only remedy for Equitable’s continuing refusal to pay benefits accruing thereafter was to file additional lawsuits. (Complaint, Dkt. Entry 1 at 2-3.) 2 In the event that this Court agreed with Equitable’s contention that Krisa I applied only to damages between his injury and the filing of that action, Krisa, on October 4, 1999, filed Krisa II to secure disability .benefits and other damages for which he contends Equitable is responsible from November 24, 1997 until the present. (Id. at 3-4.)

On October 28, 1999, Equitable filed a motion to strike and dismiss Krisa’s pleadings and a memorandum of law in support of that motion. (Dkt. Entries 4 & 5.) On November 10, 1999, Krisa filed a memorandum of law in opposition to defendant’s motion to strike and dismiss. (Dkt. Entry 7.) On November 26, 1999, Equitable filed a reply brief. (Dkt. Entry 9.)

II. DISCUSSION

A. Standard

In deciding a motion to dismiss filed pursuant to Federal Rule of Civil Procedure 12(b)(6), the Court must draw all reasonable inferences from the facts pled in the complaint and construe them in the light most favorable to the claimant. Unger v. National Residents Matching Program, 928 F.2d 1392, 1400 (3d Cir.1991); Truhe v. *319 Rupell, 641 F.Supp. 57 (M.D.Pa.1985). The Court, however, need not accept as true “conclusory allegations of law, unsupported conclusions and unwarranted inferences.” Pennsylvania House, Inc. v. Barrett, 760 F.Supp. 439, 449-50 (M.D.Pa.1991). Thus, a Rule 12(b)(6) motion does not serve to question a plaintiffs well-pled facts, but rather tests the legal foundation of the plaintiffs claims. United States v. Marisol, Inc., 725 F.Supp. 833, 836 (M.D.Pa.1989). The Rule 12(b)(6) movant carries the burden of showing the legal insufficiency of the claims asserted. Johnsrud v. Carter, 620 F.2d 29, 33 (3d Cir.1980). A Rule 12(b)(6) motion will be granted only if “it appears beyond doubt that the plaintiff can prove no set of facts in support of his claim which would entitle him to relief.” Pennsylvania House, 760 F.Supp. at 449-50.

Equitable also seeks to strike Krisa’s pleadings pursuant to Federal Rule of Civil Procedure 12(f). Rule 12(f) provides that “the court may order stricken from any pleading any insufficient defense or any redundant, immaterial, impertinent, or scandalous matter.” F.R.Civ.P. 12(f). One district court summarized he standard of review when deciding a motion to strike as follows:

Free access — add to your briefcase to read the full text and ask questions with AI

Krisa v. Equitable Life Assurance Society, 109 F. Supp. 2d 316, 2000 U.S. Dist. LEXIS 19201, 2000 WL 1146146 (M.D. Pa. 2000).

109 F. Supp. 2d 316 (Krisa v. Equitable Life Assurance Society) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related