Rhodes v. USAA Casualty Insurance

31 Pa. D. & C.5th 496
CourtPennsylvania Court of Common Pleas, Blair County
DecidedJuly 18, 2013
DocketNo 2004 GN 2279
StatusPublished

This text of 31 Pa. D. & C.5th 496 (Rhodes v. USAA Casualty Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Blair County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rhodes v. USAA Casualty Insurance, 31 Pa. D. & C.5th 496 (Pa. Super. Ct. 2013).

Opinion

BROWN, S.J.,

BACKGROUND

In two Pennsylvania Superior Court decisions the relevant facts and procedural history of this case has been set out: First, in an unpublished memorandum decision, William J. Rhodes, Jr. and Carrie E. Rhodes, his wife, v. USAA Casualty Insurance Company, filed on January 31, [498]*4982008 (951 A.2d 1225 (Table)(Pa. Super. 2008)(hereafter “Rhodes I”) (pp. 2-4); and later in Rhodes v. USAA, 21 A.3d 1253 (Pa. Super. 2011)(hereafter Rhodes II”)(pp. 1253-1255). This court is satisfied those recitations of the background of this case is sufficient for its purposes at this point. References will be made to the factual and procedural history as necessaiy throughout the discussion portion of this opinion.

DISCUSSION

This case is in an unusual, although not unprecedented, position. As set forth above, it has twice been before the Pennsylvania Superior Court on specific pre-trial issues. In the unpublished memorandum decision, William J. Rhodes, Jr., and Carrie E. Rhodes, his wife v. USAA Casualty Insurance Company, supra, the court reversed the trial court’s grant of summary judgment in favor of defendant USAA and affirmed the denial of plaintiff Rhodeses’s motion for partial summary judgment.

In Rhodes v. USAA, supra, the court reversed the trial court’s order compelling disclosure of Rhodeses’s attorney’s files to their insurer, USAA.

These appellate decisions and the orders and opinions of the trial court, not reversed by appellate decisions, represent the law of the case. See Commonwealth v. Starr, 664 A.2d 1326 (Pa. 1995). In this regard, the Superior Court’s statement at page 1262 of the opinion in Rhodes II is very instructive: “The only issue here is the reasonableness of USAA’s settlement offers and whether it acted in bad faith in refusing to meet the Rhodeses’s $175,000.00 settlement demand sooner.....”

[499]*499The burden is on Rhodeses to prove their claim that USAA acted in bad faith by clear and convincing evidence. Adamski v. Allstate Ins. Co., 738 A.2d 1033 (Pa. Super. 1999). The burden of proof standard — clear and convincing evidence — applies whether the claim is under 42 Pa. C.S. §8371, “Actions on Insurance Policies,” or a contractual common law bad faith claim. Id.

Pennsylvania courts use a two-part test in considering bad faith claims under section 8371. Both elements of the test must be proved by clear and convincing evidence. An insured must show (1) the insurer lacked a reasonable bases for denying benefits under the policy; and, (2) the insurer knew or recklessly disregarded its lack of a reasonable basis. Terletsky v. Prudential Property & Casualty Ins., Co., 649 A.2d 680, 688 (Pa. Super. 1994). See also Condio v. Erie Insurance Exchange, 899 A.2d 1136, 1145 (Pa. Super 2006).

The statue does not include a definition of “bad faith”. As pointed out in Rhodes I, at p. 10, decisional law has established that the term as used in the context of insurance coverage can cover a wide range of objectionable conduct. Black’s Law Dictionary 139 (6th ed. 1990) has been quoted in several appellate court decisions. It has been defined as “any frivolous or unfounded refusal to pay proceeds of a policy...it is not necessary that such refusal be fraudulent.” See Bonenberger v. Nationwide Mutual Insurance Company, 791 A.2d 378, 380 (Pa. Super. 2002). Such conduct imports a dishonest purpose and means breach of a known duty, namely good faith and fair dealing, through some motive of self-interest or ill will. Rhodes I, at p. 10. Mere negligence or bad judgment is not bad faith. Id.

[500]*500The bad faith statute applies to the handling of underinsured motorist claims. Brown v. Progressive Insurance Company, 860 A.2d 493 (Pa. Super. 2004).

A reasonable basis is all that is required to defeat a claim of bad faith. Horowitz v. Fed. Kemper Life Assurance Co., 57 F.3d 300 (3d Cir-1995). It is not bad faith for an insurance company to contest a UM/UIM claim. Condio v. Erie Ins. Exch., 899 A.2d 1136 (Pa. Super. 2006). A long period of delay, in and of itself, does not constitute bad faith. Thomer v. Allstate Insurance Company, 2011 U.S. Dist. LEXIS 49511 (E.D. Pa, 5/9/11). A delay of 42 months was insufficient to show bad faith in the case of Mitch’s Auto Serv. Ctr. v. State Auto Mut. Ins. Co., 2011 U.S. Dist. LEXIS 123119 (E.D. Pa. 10/24/11). Even if an insurer’s delay was unreasonable, where there is no evidence to indicate the delay was knowing or reckless, bad faith is not proven. Id.

A low, but reasonable offer, is not bad faith where the insurer makes a reasonable estimate of the insured’s losses. Brown v. Progressive Insurance Company supra.

Focusing on the Superior Court’s directive from Rhodes II, at 1262; and the first prong of the two-part test used by Pennsylvania courts, i.e, an insured must show the insurer lacked a reasonable basis for denying benefits (in this case, by not paying plaintiffs’ settlement demand sooner), this court will examine the timeline established by the facts.

The initial important date is May 17, 2002, when Rhodeses’ attorney, Richard Serbin, Esquire, submitted to USAA their statement of demand (dated May 10, 2002), [501]*501wherein they informed the insurance company they placed a value of their claim at $235,000.00, which is in excess of USAA’s UIM stacked coverage of $200,000.00, and offered to settle their claim for $175,000.00. By this time, the Rhodeses had received $50,000.00 from State Farm and $15,000.00 from Progressive Insurance Company. On July 10, 2002, USAA offered to settle the claim for $5,000.00. At that time, USAA maintained there was a question of causation for one of Mr. Rhodes’s injuries, specifically a neck injury. The Rhodeses rejected this offer and attorney Serbin named an arbitrator. USAA increased its settlement offer several times thereafter, beginning July 1, 2003, when it offered to pay $50,000.00. Subsequently, offers of $65,000.00, of $80,000.00 and of $100, 000.00 were made and rejected by the Rhodeses. On December 4, 2003, the Rhodeses again demanded $175,000.00 to settle their claim. On December 22, 2003, USAA informed the Rhodeses’ attorney it agreed to pay $175,000.00. They signed a settlement release agreement and accepted the $175,000.00 in final settlement on January 12, 2004.

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Related

Rhoades v. USAA CASUALTY
951 A.2d 1225 (Superior Court of Pennsylvania, 2008)
Zappile v. AMEX Assurance Co.
928 A.2d 251 (Superior Court of Pennsylvania, 2007)
Bonenberger v. Nationwide Mutual Insurance
791 A.2d 378 (Superior Court of Pennsylvania, 2002)
Commonwealth v. Starr
664 A.2d 1326 (Supreme Court of Pennsylvania, 1995)
Terletsky v. Prudential Property & Casualty Insurance
649 A.2d 680 (Superior Court of Pennsylvania, 1994)
Thomer v. Allstate Insurance
790 F. Supp. 2d 360 (E.D. Pennsylvania, 2011)
Adamski v. Allstate Insurance Co.
738 A.2d 1033 (Superior Court of Pennsylvania, 1999)
Brown v. Progressive Insurance
860 A.2d 493 (Superior Court of Pennsylvania, 2004)
Rhodes v. USAA Casualty Insurance
21 A.3d 1253 (Superior Court of Pennsylvania, 2011)
Williams v. Hartford Casualty Insurance
83 F. Supp. 2d 567 (E.D. Pennsylvania, 2000)
Condio v. Erie Insurance Exchange
899 A.2d 1136 (Superior Court of Pennsylvania, 2006)

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Bluebook (online)
31 Pa. D. & C.5th 496, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rhodes-v-usaa-casualty-insurance-pactcomplblair-2013.