Leo v. State Farm Mutual Automobile Insurance

939 F. Supp. 1186, 1996 U.S. Dist. LEXIS 17746, 1996 WL 523773
CourtDistrict Court, E.D. Pennsylvania
DecidedSeptember 9, 1996
DocketCivil Action 95-2953
StatusPublished
Cited by15 cases

This text of 939 F. Supp. 1186 (Leo v. State Farm Mutual Automobile Insurance) 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
Leo v. State Farm Mutual Automobile Insurance, 939 F. Supp. 1186, 1996 U.S. Dist. LEXIS 17746, 1996 WL 523773 (E.D. Pa. 1996).

Opinion

ORDER

LOUIS H. POLLAK, District Judge.

AND NOW, this 9th day of September, 1996, after consideration of the defendant State Farm’s motion for summary judgment, the response thereto and after review of the Report and Recommendation of Diane M. Welsh, United States Magistrate Judge, it is hereby ORDERED that:

1. The Report and Recommendation is APPROVED and ADOPTED;

2. Defendant State Farm’s motion for summary judgment (Document No. 22) is GRANTED with respect to all counts of the complaint.

REPORT AND RECOMMENDATION

WELSH, United States Magistrate Judge.

This is a five count diversity action the plaintiff has filed against her insurer, State Farm Mutual Automobile Insurance Company (“State Farm”). All of the plaintiffs claims arise out of the manner in which State Farm processed her claim for underinsured motorist benefits. Count I is a claim for bad faith. Count II is a claim under Pennsylvania’s Consumer Protection Law. Counts III-V are for common law fraud and breach of contract. State Farm has filed a motion for summary judgment with respect to all counts'of the complaint.

I. Summary Judgment Standard

Summary judgment is appropriate if “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” Federal Rule of Civil Procedure 56(c). An issue of fact is genuine only if there is sufficient evidence to permit a reasonable fact finder to return a verdict for the non-moving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249, 106 S.Ct. 2505, 2510-11, 91 L.Ed.2d 202 (1986). An issue of fact is material only if it might affect the outcome of the suit under the governing law. Id. at 248, 106 S.Ct. at 2510. Credibility determinations are not appropriately made by a judge in summary judgment but must be left for the fact finder. Id. at 255, 106 S.Ct. at 2513-14.

The moving party bears the initial burden of identifying for the court the basis for its motion and identifying the portions of the record it believes demonstrate the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 2552-53, 91 L.Ed.2d 265 (1986). Once the moving party has done this, the non-moving party must produce evidence such that a reasonable fact finder could find for that party, in order to avoid the entry of *1188 summary judgment against it. Anderson, 477 U.S. at 248-49, 106 S.Ct. at 2510-11. Where the moving party has met its initial burden, the non-moving party must respond with specific factual allegations or with other specific evidence demonstrating that there is a genuine issue for trial. See Lujan v. National Wildlife Federation, 497 U.S. 871, 888-89, 110 S.Ct. 3177, 3188-89, 111 L.Ed.2d 695 (1990). Conclusory factual allegations will not suffice. Id. Finally, when considering how a reasonable fact finder would rule, the court should apply the evidentiary standard that the fact finder would use at trial. Anderson, 477 U.S. at 252, 106 S.Ct. at 2512.

II. Facts

The following constitute the facts about which there is no dispute. On July 15,1992, the plaintiff was involved in an auto accident with Vasco Da Conceicao. Mr. Da Conceicao was insured under an automobile insurance policy issued by State Farm. The accident left the plaintiff with tarsal tunnel syndrome in her left anide, as a result of which she required surgery. Despite the surgery, the plaintiffs ankle was permanently injured, causing pain and limiting her mobility. She incurred $17,147.99 in medical expenses and lost $11,233.75 in wages. She had $14,000 in medical and wage loss benefits, leaving her with $14,381.74 in uncompensated losses.

Attorney Paul Mark Perlstein represented the plaintiff with respect to this accident. Arlene McGonagle was the State Farm adjuster assigned to the plaintiffs claim against Mr. Da Conceicao. She determined that Mr. Da Conceicao was completely at fault for the accident and she valued the plaintiffs claim at $50,000 to $85,000. Deposition of Arlene McGonagle at 8, 19. 1 On October 28, 1993, State Farm tendered the plaintiff $50,000, which was Mr. Da Conceicao’s policy limit.

The plaintiff and her husband also had three insurance policies from State Farm which provided a total of $75,000 in available underinsured motorist (“UIM”) coverage. The plaintiff, through her attorney, sought to recover from State Farm in its capacity as her insurer, on the ground that Mr. Da Conceicao had been underinsured.

On December 8, 1993, State Farm asked attorney Perlstein to provide medical and other information regarding the accident and the extent of the plaintiffs injuries. Attorney Perlstein did so and demanded $75,000 on December 13, 1993. State Farm did not make an offer. Instead, it requested an independent medical examination (“IME”), which was scheduled for May 18, 1994. By letter dated April 26, 1994, the plaintiff was advised that it was her responsibility to obtain and bring to the appointment any “X-rays films, CT scans, MRI’s etc.” She was cautioned that “failure to bring these films could result in the cancellation of th[e] appointment.” The plaintiff appeared for the examination but the doctor did not perform the IME on that date because the plaintiff did not bring all of her X-rays to the examination.

In a letter dated May 18, 1994, attorney Perlstein wrote to L. Scott Whiteside, the State Farm adjuster assigned to the plaintiffs UIM claim, to complain about the doctor’s refusal to perform the IME. Attorney Perlstein wrote “it is obvious that State Farm is acting in bad faith by stonewalling” and he demanded arbitration. Pursuant to the plaintiffs policy, attorney Perlstein named an arbitrator for the panel.

On May 26, 1994, John A. Luehsinger, an attorney for State Farm, requested that the plaintiff submit to a statement under oath. On June 20, 1994, the plaintiff again submitted herself for a medical examination. Dr. Charles S. Stone did examine her on that date. State Farm received Dr. Stone’s report on or about July 12, 1994. Attorney Perlstein requested a copy of the report on August 17, 1994 and received a copy on August 19, 1994. The report stated that the plaintiffs “subjective symptoms were consistent with the objective findings.” The report also stated that the plaintiffs symptoms were related to her accident on July 15,1992, were *1189 related to tarsal tunnel syndrome and that her care to date was appropriate;

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Bluebook (online)
939 F. Supp. 1186, 1996 U.S. Dist. LEXIS 17746, 1996 WL 523773, Counsel Stack Legal Research, https://law.counselstack.com/opinion/leo-v-state-farm-mutual-automobile-insurance-paed-1996.