Serino v. Prudential Insurance Co. of America

706 F. Supp. 2d 584, 2009 WL 6355779
CourtDistrict Court, M.D. Pennsylvania
DecidedSeptember 18, 2009
Docket3:09-cv-00466
StatusPublished
Cited by7 cases

This text of 706 F. Supp. 2d 584 (Serino v. Prudential Insurance Co. of America) 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
Serino v. Prudential Insurance Co. of America, 706 F. Supp. 2d 584, 2009 WL 6355779 (M.D. Pa. 2009).

Opinion

MEMORANDUM

EDWIN M. KOSIK, District Judge.

Presently before us is Defendant Prudential Insurance Company of America’s (“Prudential”) Motion for Summary Judgment, filed September 17, 2009. (Doc. 8.) Plaintiff Albert J. Serino (“Serino”) alleges that Prudential breached its contract with him by not paying him disability insurance benefits to which he was entitled and that this breach was in bad faith. (Doc. 2 at 9-10.) We have subject matter jurisdiction over this case pursuant to 28 U.S.C. § 1332(a), as the parties are diverse and the amount-in-controversy is met. 1

Procedural History

On January 30, 2009, Serino filed the Complaint in the Court of Common Pleas for Luzerne County, alleging that Prudential breached its contract by refusing to pay Serino certain disability insurance benefits and acted in bad faith. (Doc. 2, Ex. A at 9-10.) On March 21, 2009, Prudential removed this case to federal court pursuant to 28 U.S.C. § 1332 (Doc. 1) and filed a memorandum in support of the removal (Doc. 2). Prudential filed its Answer to Serino’s Complaint on March 23, 2009, raising a number of counterclaims and requesting a declaratory judgment against Serino disaffirming his right to benefits under the insurance contract. (Doc. 3 at 2-8.) Serino filed his Answer to Prudential’s counterclaims on April 3, 2009. (Doc.6.)

Pursuant to an April 2009 case management conference, the parties agreed that discovery would run until August 29, 2009. (Doc. 7.) Prudential filed its Motion for Summary Judgment (“Motion”) (Doc. 8), a Brief in Support of its Motion (Doc. 9), and a Statement of Materials Facts pursuant to Middle District of Pennsylvania Local Rule 56.1 (Doc. 10) on September 17, 2009.

On September 25, 2009, Serino filed a Cross Motion for Summary Judgment (the “Cross Motion”) (Doc. 11), as well as a brief (Doc. 12) and exhibits (Doc. 15) in support of the Cross Motion, and a Statement of Facts (Doc. 14). These filings were untimely. (See Standing Order, Doc. 4.)

On October 9, 2009, Prudential filed (1) an Answer to Statement of Facts of Plaintiff and Counter-Statement of Material Facts Opposing Plaintiffs Motion and in Further Support of Defendant’s Motion for Summary Judgment (the “Answer to Statement of Facts”) (Doc. 16) 2 and (2) a Brief in Response to Plaintiffs Motion for *587 Summary Judgment (the “Response Brief’) (Doc. 17). In its Response Brief, Prudential notes that Serino’s Cross Motion is untimely and requests that it be denied. (Doc. 17 at 18.)

As a preliminary matter, we concur with Prudential’s assessment that Serino’s Cross Motion is untimely. Based on the timeline outlined in the Standing Order (Doc. 4) and the April agreement between the parties (Doc. 7), discovery ended August 29, 2009. At that point, the twenty-day time limit we set for the filing of dispositive motions began to run. September 18, 2009 marked the deadline for filing; Serino filed his Cross Motion on September 25, 2009. We will therefore strike Serino’s Cross Motion (Doc. 11) and its accompanying documentation (Docs. 12-15). 3 Additionally, insofar as they are in response to Serino’s Cross Motion, improper under our local rules, and/or duplicative, we will strike Prudential’s Answer to Statement of Facts (Doc. 16) and Response Brief (Doc. 17).

Factual Background

The present dispute involves the language of a disability insurance contract, specifically, whether Serino, the insured, is entitled to disability benefits from Prudential for his entire life or only until age sixty-five.

The parties agree that Serino purchased a disability insurance policy (the “Policy”) from Prudential in 1980. (Doc. 2 at 8, ¶ 3; Doc. 3 at 1, ¶ 3.) Prudential issued the Policy in the Commonwealth of Pennsylvania 4 (Doc. 1 at 4), and both parties have appended copies of the Policy to their filings (see Docs. 2 at 13-17 & 10 at 9-16).

On May 1, 1997, Serino alleges that he “became totally disabled and began collecting benefits pursuant to the [P]olicy at [sic] the amount of $2,000.00 per month.” (Doc. 2 at 9, ¶ 4.) Serino was fifty-four years old when he began to receive benefits (Doc. 10 at 5, ¶¶ 14-16) and had been paying premiums on the Policy for nearly seventeen years (Doc. 2 at 9, ¶ 4). Serino alleges that Prudential wrongfully terminated his disability benefits on September 18, 2007, by claiming that the Policy’s benefits terminated when Serino reached age sixty-five. (Doc. 2 at 9, ¶ 5.) Prudential alleges it terminated Serino’s benefits be *588 cause Serino had failed to satisfy the conditions of coverage. (Doc. 3 at 3-4.) Specifically, Prudential alleges that Serino’s age at the time he became totally disabled precluded him from receiving continuing benefits under the Policy. 5 (Doc. 10 at 5-6, ¶¶ 14-20.)

The pertinent language in the Policy provides:

Part 1. Monthly Income Benefit for Total Disability: If a period of total disability due to sickness or injury commences while this policy is in force and such sickness or injury requires the regular care of a licensed physician, Prudential will periodically pay the applicable Monthly Benefit Amount specified for this Part 1 in the Schedule of Benefits for each month ... In no event, however, shall payment be made for any day of the period of total disability if the day occurs on or after the Insured’s 65th birthday and benefits have become payable for 12 or more months with respect to such period prior to such day of total disability.
Part 6. Lifetime Extension of Monthly Income Benefit for Total Disability: (Applicable unless the words “Not Included” appear in the Schedule of Benefits.) If benefits under Part 1 with respect to a period of total disability which commenced before the Insured’s 50th birthday cease to be payable because the maximum limit for the payment of such benefits had been reached, Prudential will commencing on the day immediately following the last day for which benefits are payable under Part 1, periodically pay the applicable Monthly Benefits Amount specified for this Part 6 in the Schedule of Benefits for each month[.]

(Doc. 10 at 12-13, Ex. A (emphasis added).)

Prudential claims that the language of the Policy provides for the termination of Serino’s benefits upon his sixty-fifth birthday. (Doc. 10 at 6, ¶ 20.) Prudential rejects Serino’s argument that Part 6 of the Policy applies to his claims because Serino was fifty-four years old when his disability commenced, while Part 6 applies only to individuals who became disabled prior to attaining the age of fifty. (Doc. 10 at 31, Ex. D, Letter from Prudential Attorney Thomas Pinho to Michael Butera, Attorney for Serino, dated 2/23/2007.)

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