Santiago v. Pennsylvania National Mutual Casualty Insurance

613 A.2d 1235, 418 Pa. Super. 178, 1992 Pa. Super. LEXIS 2667
CourtSuperior Court of Pennsylvania
DecidedAugust 20, 1992
Docket2491
StatusPublished
Cited by60 cases

This text of 613 A.2d 1235 (Santiago v. Pennsylvania National Mutual Casualty Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Santiago v. Pennsylvania National Mutual Casualty Insurance, 613 A.2d 1235, 418 Pa. Super. 178, 1992 Pa. Super. LEXIS 2667 (Pa. Ct. App. 1992).

Opinions

CIRILLO, Judge:

This is an appeal from an order of the Court of Common Pleas of Montgomery County granting the defendant/Pennsylvania National Mutual Casualty Insurance Company’s preliminary objections and dismissing the complaint filed by plaintiffs Luis and Laura Santiago, husband and wife. We affirm.

Luis Santiago was employed as a Quality Control Technician at United Contamination Control. On October 13, 1986, [181]*181Santiago suffered a work-related injury to his left wrist. He was diagnosed as having a ganglion cyst on his wrist. After surgery was performed upon his wrist, Santiago began a physical therapy program. Santiago received weekly disability benefits pursuant to the Workmen’s Compensation Act [the Act],1 and continues to receive these benefits.

As a result of his injury, Luis Santiago developed a psychiatric condition known as Reflex Sympathetic Dystrophy (RSD). In his complaint, Luis Santiago alleges that RSD is usually caused by a direct injury to a nerve and is accompanied by varying “psychological and psychiatric conditions” including emotional instability, anxiety, and social withdrawal. Santiago sought psychiatric care in 1987. In September of 1989, Santiago left his wife in order to deal with his condition outside the pressures of marriage.

Since 1987, Santiago’s psychiatric reports have indicated depression and chronic suicidal thoughts, apparently aggravated by Santiago’s physical pain, his inability to work, and his sense of frustration and helplessness. On several occasions, beginning in July of 1989, Santiago was hospitalized for psychiatric care.

Santiago’s employer maintained workmen’s compensation insurance coverage through Pennsylvania National Mutual Casualty Insurance Company [Pennsylvania National]. Pennsylvania National paid for Santiago’s psychiatric treatment until August of 1989, at which time Pennsylvania National terminated payment. As a result of termination of payment for psychiatric care, Santiago filed a claim petition with the Workmen’s Compensation Bureau on February 26,1990. This petition is currently pending before Workmen’s Compensation Referee Carol A. Mickey.

In their complaint, Mr. and Mrs. Santiago allege that Thomas Murray [Murray] of Ringler Associates, Inc., informed their counsel, Robert H. Black, Esq., [Black] that he had been “commissioned by the Defendant [Pennsylvania National] to work out a structured settlement for wages for Plaintiff, Luis [182]*182Santiago.” (Complaint, ¶ 46). Black and Murray entered into settlement negotiations in February of 1990. Negotiations continued for approximately three weeks.

During all times relevant hereto, Murray was acting as an authorized agent ... of Defendant and had informed Black that he had authority to settle the wage claim. During the negotiating period ... Murray presented several offers made by Defendant for proposed settlements concerning Plaintiff, Luis Santiago’s wages, but at no time discussed the issue of psychiatric bills____ At the end of the negotiating period ... Plaintiff, Luis Santiago, accepted an offer made by Defendant. Black informed Murray that the proposed settlement was acceptable to Plaintiff. Murray reconfirmed to Black that he had authority to settle, that he had full approval from Defendant and that he would begin final paperwork on the settlement. Black informed Plaintiff that the settlement ... had been reached and would be final, subject to the approval of the Court. Soon thereafter, [Michelle] Baker represented to Black that Murray did not have authority to settle, and therefore, the settlement agreement ... would not be acceptable to Defendant unless plaintiff would voluntarily agree to waive any claim for present and future psychiatric treatment.

(Complaint, ¶¶ 47-51).

Black advised Santiago of the terms of the agreement and Santiago accepted the settlement offer. Thereafter, Black was advised by Pennsylvania National’s representative, Michelle Baker, Esq., that Murray did not have authority to settle the claim and that Pennsylvania National would honor the agreement only if Santiago agreed to the waiver. Santiago believed this condition rendered the agreement impracticable, and Black informed Pennsylvania National that Santiago was unable to accept the offer with this condition.

In March of 1990, Santiago sought emergency medical care at Lower Bucks Hospital for the pain in his arm. While there, Santiago attempted to hang himself behind a door to an empty room. As a result of attempting to take his own life, Santiago was immediately admitted to Montgomery County Emergency [183]*183Services for psychiatric care. He was discharged approximately one month later. In his discharge summary, Dr. Oscar D. Saldana noted that Santiago

claim[ed] that all his emotional problems would not exist if it weren’t for the excruciating pain he felt continuously on his left shoulder.... His depression seems to have lasted for at least four years following the accident that gave way to his present medical condition.

Luis and Laura Santiago filed this action against Pennsylvania National. Santiago alleges that the suicide attempt was the result of exacerbated depression caused by the collapse of the anticipated settlement agreement with Pennsylvania National. Luis Santiago alleged fraud, misrepresentation, negligent infliction of emotional distress and intentional infliction of emotional distress. He also alleges that Baker’s representations that Murray lacked authority to settle the claim were made with the intent to deceive Santiago, and that the insurance carrier exhibited bad faith in the handling of this claim. Santiago requested punitive damages for Pennsylvania National’s bad faith conduct. Laura Santiago claimed loss of consortium.

Pennsylvania National filed preliminary objections to the complaint. The Honorable Joseph A. Smyth sustained the objections and dismissed the complaint. On appeal, the issue presented is whether the trial court erred in finding the causes of action alleged were barred by the exclusive remedy provisions of the Pennsylvania Workmen’s Compensation Act. We are presented with the question of whether a plaintiff may assert causes of action sounding in intentional tort against a worker’s compensation insurance carrier based upon the improper handling of a worker’s compensation claim. The parties do not dispute the principle that worker’s compensation is the employee’s sole remedy and that under section 303(a) of the Act, 77 P.S. § 481(a), the employer is statutorily protected from common law tort claims. Further, the parties do not dispute that the employers’ immunities and protections under the exclusivity provision of the Act extend to the compensation [184]*184insurance carrier.2 The confusion arises in the wake of the Pennsylvania Supreme Court’s decision in Martin v. Lancaster Battery Co. Inc., et al., 530 Pa. 11, 606 A.2d 444 (1992), and its effect, if any, on the application of the exclusivity provision in an action against the compensation insurance carrier when the carrier is acting, as Santiago alleges in his complaint, in bad faith and with the intent to deceive.

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Bluebook (online)
613 A.2d 1235, 418 Pa. Super. 178, 1992 Pa. Super. LEXIS 2667, Counsel Stack Legal Research, https://law.counselstack.com/opinion/santiago-v-pennsylvania-national-mutual-casualty-insurance-pasuperct-1992.