Martin v. Reliance Insurance

954 F. Supp. 476, 1997 U.S. Dist. LEXIS 1165, 1997 WL 50001
CourtDistrict Court, D. Connecticut
DecidedJanuary 27, 1997
DocketCivil 3:95CV1993 (PCD)
StatusPublished
Cited by3 cases

This text of 954 F. Supp. 476 (Martin v. Reliance Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martin v. Reliance Insurance, 954 F. Supp. 476, 1997 U.S. Dist. LEXIS 1165, 1997 WL 50001 (D. Conn. 1997).

Opinion

RULING ON MOTION TO DISMISS

DORSEY, Chief Judge.

Plaintiffs filed an eight-count complaint in the Superior Court asserting that defendant insurance company tortiously mishandled plaintiff Carol Martin’s workers’ compensation claim. The cause was removed to this court on defendant’s motion pursuant to 28 U.S.C. §§ 1332 and 1441(b). Defendant moves to dismiss all of plaintiffs’ claims pursuant to Fed.R.Civ.P. 12(b)(6) for failure to state a claim upon which relief can be granted.

I. Background

The following facts are presumed, as alleged by plaintiffs. Plaintiff Carol Martin was an employee of People’s Bank when she injured her shoulder in a work related accident in July 1993. Mrs. Martin filed a timely claim for workers’ compensation benefits which was accepted by defendant Reliance Insurance Company (“Relance”), the workers’ compensation insurer for People’s Bank. Mrs. Martin .claims, however, that Relance mishandled her claim and denied her the benefits to which she was entitled.

Plaintiffs assert causes of action for breach of impled covenant of good faith and fair dealing, neglgence, infliction of emotional distress, reckless conduct, and violations of the Connecticut Unfair Insurance Practices Act, Conn.Gen.Stat. § 38a-815 et seq. (1996) (“CUIPA”), and the Connecticut Unfair Trade Practices Act, Conn.Gen.Stat. § 42-110a et seq. (1996) (“CUTPA”). Mrs. Martin *478 asserts that these violations resulted in aggravation to her medical condition, emotional distress, and economic harm. To her own claims for damages she adds those of plaintiffs Robert Martin and Christopher Martin, her spouse and child, respectively, for their own suffering and for the loss of her consortium resulting from Reliance’s conduct.

Reliance moves to dismiss the Martins’ complaint in its entirety. For the reasons set forth below, the motion is denied as to counts three, five, six, seven and eight, and granted as to the remaining counts of the complaint.

II. Discussion

In deciding a motion to dismiss, the allegations of the complaint are construed in the light most favorable to the plaintiff. See Harsco Corp. v. Segui, 91 F.3d 337, 341 (2d Cir.1996). The motion is granted only if it appears beyond doubt that the plaintiffs can prove no set of facts in support of their claims which would entitle them to relief. See Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 101-02, 2 L.Ed.2d 80 (1957).

A. Workers’ Compensation Exclusivity

Defendant seeks dismissal of all counts of the complaint on the ground that they fall within the exclusive jurisdiction of the Workers’ Compensation Commissioner (“Commissioner”) under the comprehensive statutory scheme to handle such claims. In particular, they point to the exclusive remedy provision of the Connecticut Workers’ Compensation statute, Conn.Gen.Stat. § 31-284(a) (1996), 1 in asserting that this court lacks jurisdiction to hear plaintiffs’ claims.

The holding in Carpentino v. Transport Ins. Co., 609 F.Supp. 556 (D.Conn.1985) requires dismissal of some, but not all, of plaintiffs’ claims on exclusivity grounds. That case, like this one, involved allegations of tortious mishandling of a workers’ compensation claim by an insurer. Noting an almost equal split among other jurisdictions which had addressed the issue, Carpentino predicted that the Connecticut Supreme Court would side with those which allow civil suits against insurers where plaintiffs do not seek to recover the workers’ compensation benefits for a workplace injury, but rather state independent claims for injuries arising from the subsequent intentional mishandling of their workers’ compensation claims by insurers. Id. at 561-62.

While tort actions involving workers’ compensation claims are without doubt intertwined with the underlying claims for benefits, there are sound reasons for treating them as independent of the claims for benefits, which are exclusively within the jurisdiction of the Commissioner. Carpentino identifies four such reasons: (1) The Workers’ Compensation Act “speaks only to compensation for personal injury or death ‘arising out’ of ‘employment,’ ” not to “a wrong committed by the insurer long after [the employee’s] original work-related injury;” (2) The public interest requires that “the Act should not be an impervious barrier, insulating a wrongdoer from the payment of just and fair damages for intentional tortious acts only very tenuously related to workplace accidents;” (3) The limited remedies for such conduct in the Workers’ Compensation Act suggest that the legislature contemplated resort to courts for certain independent insurer torts; and (4) An exclusivity provision which “results in an aggrieved person being deprived of his due process rights to full redress for another’s willful misconduct” would probably not withstand constitutional scrutiny. 609 F.Supp. at 562. This rationale is persuasive.

However, the rule of Carpentino is carefully limited to “rather unusual allegations of intentional tortious acts.” Id. at 561 (em *479 phasis added). Lower Connecticut state courts following Carpentino have applied its predictive rule narrowly, examining complaints eount-by-count and allowing to stand only those claims explicitly alleging intentional or willful conduct on the part of an insurer. See, e.g., Bariko v. Travelers Ins. Co., No. CV 29 16 52, 1993 WL 28758, at *4 (Conn.Super.Ct. Jan. 29, 1993); see also Quimby v. Kimberly Clark Corp., 28 Conn.App. 660, 613 A.2d 838, 843-45 (1992) (applying similar analysis to claims of employer misconduct). Thus, even with proper regard for a plaintiffs right to plead in the alternative, , negligence counts, which are of necessity inconsistent with a finding of intentional misconduct, are properly dismissed, as are those counts which do not specifically allege intentional insurer misconduct. See Bariko v. Travelers Ins. Co., 1993 WL 28758, at *4.

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Bluebook (online)
954 F. Supp. 476, 1997 U.S. Dist. LEXIS 1165, 1997 WL 50001, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martin-v-reliance-insurance-ctd-1997.