ROSE v. THE TRAVELERS HOME AND MARINE INSURANCE COMPANY

CourtDistrict Court, E.D. Pennsylvania
DecidedJuly 20, 2020
Docket2:19-cv-00977
StatusUnknown

This text of ROSE v. THE TRAVELERS HOME AND MARINE INSURANCE COMPANY (ROSE v. THE TRAVELERS HOME AND MARINE INSURANCE COMPANY) 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
ROSE v. THE TRAVELERS HOME AND MARINE INSURANCE COMPANY, (E.D. Pa. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA SEAN ROSE and JAIME ROSE, Plaintiffs, CIVIL ACTION v. NO. 19-977 THE TRAVELERS HOME AND MARINE INSURANCE COMPANY and the TRAVELERS INDEMNITY COMPANY Defendants. PAPPERT, J. July 20, 2020 MEMORANDUM Sean and Jaime Rose, on behalf of themselves and a putative class, sued the Travelers Home and Marine Insurance Company and the Travelers Indemnity Company, alleging they improperly applied a long-term seepage/leakage exclusion in certain of their insurance policies to claims for rot damage. The parties settled their claims and the Court granted Plaintiffs’ unopposed preliminary approval motion. (ECF No. 48.) After a telephonic final approval hearing1 (ECF No. 62) and consideration of objections to the settlement (ECF Nos. 54, 55 and 60), the Court grants Plaintiffs’ final approval motion (ECF No. 61) and their motion seeking attorneys’ fees and an incentive award for the named Plaintiffs. (ECF No. 53.) 1 On March 18, 2020, the Chief Judge entered a Standing Order recognizing the recommendation that people not gather in groups of more than 10 people due to the COVID-19 pandemic. On March 25, the Court rescheduled the final approval hearing for June 23, and explained that “[i]f the emergency associated with COVID-19 continues into June of 2020, the Court may decide to hold the final approval hearing by telephone . . . .” (ECF No. 50.) On June 8, the Court determined that the final approval hearing would take place only via a telephone conference and docketed an Order providing call-in information and directing the Settlement Administrator to make the information available to members of the settlement class by posting it on the settlement website. (ECF No. 57; see also June 23, 2020 Final Approval Hearing Trans. at 11:4-17 (explaining that the call-in information was added to the front page of the settlement website in bold text).) Sean Rose and three members of the class participated in the final approval hearing. I The Roses allege Travelers Home provided insurance coverage including coverage for rot damage for their Pennsylvania home. (Am. Compl., ECF No. 44, ¶¶ 8- 10.) In August 2018, they discovered water damage on their kitchen ceiling and

submitted an insurance claim. (Id. ¶ 12; see also, id., Ex. B.) After Travelers Home denied their claim based on the existence of a long term leak, (id., ¶ 15), they contacted an attorney who sought to reopen their claim, arguing that it was rot damage covered under a policy provision governing “Limited ‘Fungi,’ Other Microbes Or Rot Remediation.” (Id. ¶¶ 9-10, 18-19.) During a subsequent visit to the Roses’ home, a Travelers representative indicated that “there was no situation for which Travelers would pay for rot,” even though the Roses had paid additional rot remediation coverage premiums. (Id. ¶¶ 11, 22.) The Roses subsequently filed this lawsuit, asserting claims on behalf of a putative class for breach of contract, bad faith and violation of the Pennsylvania Consumer Protection Act and other similar statutes nationwide. They

claim Defendants wrongfully refused payment to all class members based on their “interpretation of the policy provision advertised as ‘Rot Remediation Coverage’ as not actually covering Rot Damage.” (Id. ¶ 30(c).) The parties began settlement discussions in May 2019 and shortly thereafter exchanged relevant data prior to a June in-person settlement conference with Magistrate Judge Elizabeth Hey. (Final Approval Mem., ECF No. 61-1 at 3.) At the conference they defined the scope of a potential settlement class and established a preliminary framework for class-wide relief. (Id.) After exchanging additional information at a July in-person meeting, Plaintiffs submitted a second settlement proposal which Travelers countered. (Id.) Plaintiffs then made a third proposal. (Id.) Travelers responded with another proposal and the parties consulted with Judge Hey again in October. (Id. at 3-4.) Plaintiffs provided Travelers a revised settlement offer on October 23, and on October 30, at an in-person meeting with Judge Hey, the parties

resolved most substantive issues regarding class-wide relief and a claims filing process. (Id. at 4.) The parties asked to stay approaching class certification deadlines, but the Court denied their request and established a new schedule for the case. (Id.) The parties continued their settlement negotiations, exchanging offers and demands and resolving outstanding issues and negotiated an award of attorneys’ fees and costs after the parties agreed on all essential terms regarding relief to class members. (Id.) At a November 20 in-person meeting, the parties resolved all remaining issues, made final revisions to a written Settlement Agreement and compiled notice materials. The parties filed a joint settlement notice with the Court on November 26. (ECF No. 42.) They executed the Settlement Agreement on January 10, 2020. (See Agreement, ECF

No. 46-1.) The Settlement Class includes all homeowners, condominium and business insurance policy holders of Travelers and affiliates who satisfy the following requirements: (a) the policyholder made a claim for Structural Damage to an Insured Structure located in the United States of America under a Policy; (b) the claim falls within the Settlement Class Period; (c) the Policy included Rot Remediation Coverage; (d) the claim included Rot Damage; and (e) the Rot Damage portion of the claim was denied by Travelers.2

(Agreement ¶ 3.) The Settlement Class does not include policyholders whose insurance claims, as of the date of the Preliminary Approval Order: (f) remained open according to Travelers’ records; (g) were the subject of an assignment of right to payment by the

2 Capitalized terms are defined in the Settlement Agreement at ¶¶ 1-37. policyholder to any third party; (h) were the subject of a pending lawsuit, other than the Civil Action; (i) were the subject of an ongoing or completed appraisal proceeding under the terms of an appraisal provision in a Policy.

(Id.) The negotiated agreement is a claims-made settlement, with relief dependent on: (1) submission of a valid Claim Form, (2) when Class Members suffered injury; and (3) the jurisdiction in which they reside. Claims are divided into two categories. First, Policy Period claims are for insurance claims with Rot Damage “where the insurance claim falls within the identified applicable suit limitation period for a breach of contract claim.” (Agreement ¶ 15.). Policy Period claimants can receive payments ranging from $200 to as much as $3,750, depending on how much rot damage is claimed, how much coverage the claimant had for rot damage, and whether the claimant submits loss documentation. (Id.) Specifically, recovery amounts for valid Policy Claims are as follows: Claimed Rot Damage Settlement Payment Less than $1,000.00 $200 $1,000 to $2,499.99 $700 $2,500.00 to $4,999.99 $1,350 (without documentation) $1,750 (with documentation) $5,000.00 or more without $1,750 documentation $5,000.00 or more with $2,375 documentation (for Settlement Class Members who have Rot Remediation Coverage subject to a limit of $5,000) $5,000.00 to $9,999.99 with $3,000 documentation (for Settlement Class Members who have Rot Remediation Coverage subject to a limit of $10,000 or more) $10,000 or more with $3,750 documentation (for Settlement Class Members who have Rot Remediation Coverage subject to a limit of $10,000 or more)

Approximately 21,932 insurance claims fit into this category, of which 1,580 are business claims. (Fee Mot., Ex. A., Class Counsel Decl., ECF No. 53-2 at ¶ 11.) Policy Period Claims were made using Claim Form A. (Agreement Ex. B, ECF No. 46-3.) Second, Statutory Period claims, made on Claim Form B (Agreement Ex. C, ECF No.

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Bluebook (online)
ROSE v. THE TRAVELERS HOME AND MARINE INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rose-v-the-travelers-home-and-marine-insurance-company-paed-2020.