Taylor v. Nationwide Insurance

35 Pa. D. & C.4th 101, 1997 Pa. Dist. & Cnty. Dec. LEXIS 110
CourtPennsylvania Court of Common Pleas, Alleghany County
DecidedOctober 6, 1997
Docketno. AR97-503
StatusPublished
Cited by1 cases

This text of 35 Pa. D. & C.4th 101 (Taylor v. Nationwide Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Alleghany County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Taylor v. Nationwide Insurance, 35 Pa. D. & C.4th 101, 1997 Pa. Dist. & Cnty. Dec. LEXIS 110 (Pa. Super. Ct. 1997).

Opinion

WETTICK, J.,

Eric J. Larmi, an insured under a Nationwide automobile policy, was injured in a motor vehicle accident. He obtained treatment for his injuries from Jack Taylor, a recognized chiropractic rehabilitation doctor. Nationwide has refused to pay for a portion of the treatment that Dr. Taylor provided, apparently on the ground that it was medically unnecessary. In this lawsuit, Dr. Taylor has sued Nationwide because of its refusal to pay for the entire medical treatment that he furnished. In Count I of his complaint, Dr. Taylor seeks to recover the remaining amount of his bill plus interest at 12 percent and attorney’s fees under provisions of the Pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa.C.S. §1701 et seq. Counts II and III of Dr. Taylor’s complaint raise bad faith claims based on the Judicial Code, 42 Pa.C.S. §8371, which provides for interest on the award of the claim in an amount equal to the prime rate plus three percent, an award of punitive damages, and the assessment of attorney’s fees.

Nationwide has filed preliminary objections in the nature of a demurrer to the bad faith claims. Nationwide contends that 42 Pa.C.S. §8371 is not applicable because Dr. Taylor is not its insured and section 8371 covers only claims brought by an insured.

I.

The issue of whether section 8371 covers claims raised by a medical provider for treatment provided to a person injured in a motor vehicle accident does not arise unless section 8371 applies to lawsuits to [104]*104recover first-party benefits under the Motor Vehicle Financial Responsibility Law, 75 Pa.C.S. §1701 et seq.

The Financial Responsibility Law includes remedies that apply when an insurance company unreasonably denies first-party benefits, including the award of counsel fees, interest, costs, and triple damages. 75 Pa.C.S. §§1716,1797(b), and 1798. These remedies differ from the remedies provided for in section 8371 of the Judicial Code.

Insurance companies argue that there is a conflict between the Financial Responsibility Law and section 8371. Consequently, section 8371 should not apply to any claims governed by the Financial Responsibility Law under the rule of statutory construction which provides that the special provision shall prevail and be construed as an exception to the general provision when a special provision in a statute conflicts with a general provision in another statute. 1 Pa.C.S. §1933. Insureds, on the other hand, cite the portion of the same rule of statutory construction which states that, whenever possible, a court shall give effect to the general provisions which appear to govern the matter along with the more specific provisions which clearly govern the matter. In 1992, in Knox v. Worldwide Insurance Group, 140 P.L.J. 185 (1992), I ruled that an insured could seek remedies based on both the Financial Responsibility Law and section 8371 because the goals of the Financial Responsibility Law are furthered by allowing the insured to obtain the additional remedies provided under section 8371 upon a showing of bad faith.

As I will discuss, no Pennsylvania appellate court rulings have resolved this issue. There are several federal court cases decided after Knox which support the position of the insurance companies that section 8371 [105]*105does not apply to first-party benefit claims. See Bennett v. State Farm Fire & Casualty Insurance Co., 890 F. Supp. 440 (E.D. Pa. 1995), and cases cited therein. But see, Schwartz v. State Farm Insurance Co., 1996 W.L. 189839 (E.D. Pa. 1996), which relied upon my Knox (sub nom. Pipchok v. State Farm Ins. Co.) ruling in reaching the opposite result. Nothing in the federal court opinions that have reached the opposite position has caused me to change my position on this issue. I continue to believe that the Knox ruling carries out the goals of the legislature expressed in the Financial Responsibility Law and section 8371.

Following my decision in Knox, two panels of the Pennsylvania Superior Court have considered the issue of whether section 8371 claims may be based on an alleged bad faith failure to pay first-party benefits. In an opinion authored by Judge Hester in Okkerse v. Prudential Property and Casualty Insurance Company, 425 Pa. Super. 396, 625 A.2d 663 (1993), issued on May 4, 1993, the Superior Court considered the propriety of a dismissal of a section 8371 count on the grounds that (1) section 8371 claims may not be raised where the insurance contract was issued prior to the effective date of section 8371 and (2) section 8371 claims may not be raised for failure to pay benefits allegedly due under the former Pennsylvania No-Fault Motor Vehicle Insurance Act, Act of July 19, 1974, PL. 489, 40 PS. §§1009.101 et seq., because of a potential conflict with the remedies provided by the two Acts. As to the first issue, the court held that section 8371 applies where the alleged bad faith refusal to pay benefits occurred after the effective date of section 8371. As to the second issue, the court ruled that the statutes are not in conflict so the insured may raise [106]*106claims under both the No-Fault Act and section 8371. In its opinion, the court cited with approval a federal court case (Seeger v. Allstate Insurance Co., 776 F. Supp. 986 (M.D. Pa. 1991)) which held that section 8371 did not conflict with the provisions of the Pennsylvania Motor Vehicle Financial Responsibility Law. Judge Hester concluded that the federal court’s rationale applied to the Okkerse case because section 1716 of the Pennsylvania Motor Vehicle Financial Responsibility Law “is a reenactment of the provisions of the No-Fault Act at issue herein.” Okkerse, supra at 403, 625 A.2d at 667. In his opinion, Judge Hester stated that:

“We concur [in] this analysis. The allowance of punitive damages does not irreconcilably conflict with the allowance of attorney’s fees and interest under the relevant provisions of the No-Fault Act. Furthermore, appellee may be determined to be entitled to interest and attorney’s fees under sections 1009.106 and 1009.107 of the No-Fault Act since he supplied “reasonable proof” of damages while not being entitled to damages under section 8371 if no bad faith conduct is present. The fact that appellee has the potential for recovering under both sections is not a reason for dismissing the count under section 8371.

“However, to the extent that both provisions are determined to apply in this action and result in a different calculation of interest and attorney’s fees, the two statutes will be in conflict. In that case, however, the provisions of section 8371 must prevail. Section 8371 was enacted as part of Act 1990-6, PL. 11 on February 7, 1990. Section 31(c) of Act 1990-6 provides, “All other acts and parts of acts are repealed insofar as they are inconsistent with the act.” Under 1 Pa.C.S. §1933, [107]*107the provision enacted later prevails if it is the manifest intent of the general assembly that it should. Section 8371 was enacted later than the No-fault Act and this repealer section indicates that the general assembly intended it to prevail over any inconsistent statutes.” Id. at 403-04, 625 A.2d at 667.

In an opinion of the Superior Court authored by Judge Wieand in Barnum v. State Farm Mutual Automobile Insurance Co., 430 Pa. Super.

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Bluebook (online)
35 Pa. D. & C.4th 101, 1997 Pa. Dist. & Cnty. Dec. LEXIS 110, Counsel Stack Legal Research, https://law.counselstack.com/opinion/taylor-v-nationwide-insurance-pactcomplallegh-1997.