Perkins v. State Farm Insurance

589 F. Supp. 2d 559, 2008 U.S. Dist. LEXIS 101931, 2008 WL 5220257
CourtDistrict Court, M.D. Pennsylvania
DecidedDecember 16, 2008
Docket3:08-cv-01084
StatusPublished
Cited by15 cases

This text of 589 F. Supp. 2d 559 (Perkins v. State Farm Insurance) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Perkins v. State Farm Insurance, 589 F. Supp. 2d 559, 2008 U.S. Dist. LEXIS 101931, 2008 WL 5220257 (M.D. Pa. 2008).

Opinion

MEMORANDUM AND ORDER

JOHN E. JONES III, District Judge.

This matter is before the Court on the Motion to Dismiss (Doc. 46) of defendant State Farm Insurance Company (“State Farm”). For the reasons set forth below, the motion will be granted in part and denied in part.

I. STANDARD OF REVIEW

State Farms moves to dismiss Counts II, III, and IV of the complaint under Fed.R.Civ.P. 12(b)(6) for failure to state a claim upon which relief can be granted. In considering a motion to dismiss pursuant to Rule 12(b)(6), courts “accept all factual allegations as true, construe the complaint in the light most favorable to the plaintiff, and determine whether, under any reasonable reading of the complaint, the plaintiff may be entitled to relief.” Phillips v. County of Allegheny, 515 F.3d 224, 231 (3d Cir.2008) (quoting Pinker v. Roche Holdings Ltd., 292 F.3d 361, 374 n. 7 (3d Cir.2002)).

A Rule 12(b)(6) motion tests the sufficiency of the complaint against the pleading requirements of Rule 8(a). Rule 8(a)(2) requires that a complaint contain a short and plain statement of the claim showing that the pleader is entitled to relief, “in order to give the defendant fair notice of what the claim is and the grounds upon which it rests.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 127 S.Ct. 1955, 1964, 167 L.Ed.2d 929 (2007) (quoting Conley v. Gibson, 355 U.S. 41, 47, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957)). “While a complaint attacked by a Rule 12(b)(6) motion to dismiss does not need detailed factual allegations, a plaintiffs obligation to provide the grounds of his entitlement to relief requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do.” Id. at 1965. A plaintiff must make “a ‘showing’ rather than a blanket assertion of an entitlement to relief’, and “without some factual allegation in the complaint, a claimant cannot satisfy the requirement that he or she provide not only ‘fair notice,’ but also the ‘grounds’ on which the claim rests.” *561 Phillips, 515 F.3d at 232 (citing Twombly, 127 S.Ct. at 1965 n. 3). “[A] complaint must allege facts suggestive of [the proscribed] conduct”, and the “[flactual allegations must be enough to raise a right to relief above the speculative level.” Twombly, 127 S.Ct. at 1965, 1969 n. 8. Therefore, “stating a claim requires a complaint with enough factual matter (taken as true) to suggest the required element.” Phillips, 515 F.3d at 234 (quoting Twombly, 127 S.Ct. at 1965 n. 3).

On the other hand, “a complaint may not be dismissed merely because it appears unlikely that the plaintiff can prove those facts or will ultimately prevail on the merits.” Id. at 231 (citing Twombly, 127 S.Ct. at 1964-65, 1969 n. 8). Rule 8 “does not impose a probability requirement at the pleading stage, but instead simply calls for enough facts to raise a reasonable expectation that discovery will reveal evidence of the necessary element.” Id. at 234.

II. BACKGROUND

With this standard of review in mind, the following facts are derived from the complaint, accepted as true, and construed in the light most favorable to the plaintiff.

On January 21, 2005, Robin Perkins was struck by a motor vehicle while she was walking in a grocery store parking lot, resulting in injuries to her person. (Compl. ¶¶ 4-5.) At the time, Perkins was insured under an automobile policy issued by State Farm, which provided first-party medical coverage in the amount of $50,000. {Id. at ¶ 3, Ex. A.) Perkins received medical treatment for her injuries, including from Dr. Marsha Kestin, a chiropractor with whom Perkins continues to treat. {Id. at ¶¶ 6, 11.) Perkins made a claim to State Farm for the cost of this treatment, and initially, State Farm paid for treatment with Dr. Kestin. {Id. at ¶¶ 8-10.)

On September 6, 2007, State Farm sent a letter to Dr. Kestin indicating that it would not pay for any further treatment of Perkins after September 27, 2005 and requesting that Dr. Kestin reimburse, with 12% interest, $3,590.86 that it had paid for treatment of Perkins from January 26, 2006 to May 8, 2007. {Id. at ¶ 12, Ex. B.) State Farm’s action was based on the peer review of Dr. Brian Tarola, another chiropractor who opined that Dr. Kestin’s treatment of Perkins was not reasonable or necessary. {Id. at ¶¶ 13-14, Ex. C.)

Perkins’s complaint in this action, originally filed in the Bradford County Court of Common Pleas, asserts causes of action for breach of contract (Count I), statutory bad faith (Count II), violation of the Pennsylvania Unfair Trade Practices and Consumer Protection Law (Count III), and fraud (Count IV).

State Farm timely removed the complaint to this Court and now moves to dismiss Counts II, III, and IV, and to strike certain prayers for relief under Count I and ¶ 17 of the complaint. Each argument is addressed in turn below.

III. DISCUSSION

A. Bad Faith Claim

Count II of the complaint asserts a claim for violation of Pennsylvania’s insurance bad faith statute, 42 Pa.C.S.A. § 8371. State Farm argues that Perkins’s bad faith claim must be dismissed because Pennsylvania’s Motor Vehicle Financial Responsibility Law (“MVFRL”) provides the exclusive remedy for Perkins’s claim and preempts her claim under the bad faith statute.

The Pennsylvania bad faith statute established a private cause of action against an insurer that has acted in bad faith toward its insured, and 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:
*562 (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.
(3) Assess court costs and attorney fees against the insurer.

42 Pa.C.S.A. § 8371. The statute does not define “bad faith”; however, Pennsylvania courts have defined “bad faith” on the part of an insurer as:

any frivolous or unfounded refusal to pay proceeds of a policy; it is not necessary that such refusal be fraudulent.

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Bluebook (online)
589 F. Supp. 2d 559, 2008 U.S. Dist. LEXIS 101931, 2008 WL 5220257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/perkins-v-state-farm-insurance-pamd-2008.