Terletsky v. Prudential Property & Casualty Insurance

649 A.2d 680, 437 Pa. Super. 108
CourtSuperior Court of Pennsylvania
DecidedOctober 25, 1994
StatusPublished
Cited by485 cases

This text of 649 A.2d 680 (Terletsky v. Prudential Property & 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
Terletsky v. Prudential Property & Casualty Insurance, 649 A.2d 680, 437 Pa. Super. 108 (Pa. Ct. App. 1994).

Opinion

KELLY, Judge:

In this appeal and cross-appeal, we must determine whether the trial court’s findings of fact are adequately supported by evidence. In addition, we are asked to determine whether the trial court properly concluded that appellee, Prudential Property and Casualty Insurance Company, acted in bad faith in partially disputing payment of appellant’s, Alexander Terletsky’s, uninsured motorist claim. We hold that the trial court’s factual findings have adequate support in the evidence. We further hold that appellee had a rational basis for disputing appellant’s claim; thus, the trial court’s determination of bad faith was improper. Accordingly, we reverse.

The relevant facts and procedural history are as follows. On March 5, 1989, appellants, Alexander and Marina Terletsky (the Terletskys) were involved in a motor vehicle accident with uninsured motorist, Michael Brown. The police report of the accident indicated that no injuries were sustained. Following the accident, the Terletskys filed uninsured motorist claims against their carrier, appellee, Prudential Property and Casualty Insurance Company (Prudential). In addition, Michael Brown filed a liability claim against Prudential which was assigned to the same claims adjuster as the Terletskys’ uninsured motorist claims. On September 5, 1989, Prudential settled Michael Brown’s liability claim for $2,000.00 and a waiver of subrogation rights. On September 27, 1989, in connection with the investigation of the accident and in an *112 attempt to resolve medical questions relating to the Terletskys, Prudential requested independent medical examinations at Penn Diagnostic Center of both Marina and Alexander Terletsky. Counsel for the Terletskys refused the request. However, the Terletskys’ counsel proposed an alternative plan for the examinations which was subsequently rejected by Prudential. 1

As of December, 1989, the Terletskys had submitted to Prudential $5,600.00 in medical bills for the treatment of Marina Terletsky’s alleged injuries and $9,100.00 in medical bills for the treatment of Alexander Terletsky. Alexander Terletsky did not sustain a wage loss in his employment as an engineer. Marina Terletsky sustained, but did not claim, a few days wage loss as a paralegal.

The Terletskys demanded settlement of their uninsured motorist claims on December 14, 1989, in the amount of their policy limits. The Terletskys’ policy provided $100,000.00/ $300,000.00 coverage which allowed $100,000.00 of uninsured motorist coverage for each of the two cars they owned and $300,000.00 per accident. Also, on December 14, 1989, the Terletskys demanded arbitration of their claim disputes pursuant to the arbitration clause in their policy. The clause provided that arbitration could be invoked when the insurer and insured could not reach an agreement. 2

The neutral arbitrator for the arbitration panel was selected in June, 1990. Prudential then petitioned the arbitrators to *113 compel the independent medical examinations of the Terletskys. On July 6, 1990, the arbitrators ordered the independent medical examinations; however, on July 19, 1990, the Terletskys sought reconsideration. After hearing arguments on September 19, 1990, the arbitrators again ordered that the Terletskys submit to the independent medical examinations as well as provide Prudential with statements under oath. Consequently, the independent medical examinations took place on October 3, 1990.

On October 17, 1990, Prudential offered $40,000.00 for the bodily injury claim of Alexander Terletsky and $17,500.00 for the bodily injury claim of Marina Terletsky. In response, counsel for the Terletskys indicated that he would “not blink” at any offer below $100,000.00 for each claimant.

An arbitration hearing was held on December 27, 1990, at which Alexander Terletsky testified. The hearing on Marina Terletsky’s claim, however, was continued for the purpose of receiving the videotaped testimony of the Terletskys’ orthopedist. In connection with the December 27, 1990 hearing, Prudential’s house counsel, Anna Pace, interviewed Michael Brown by telephone. Michael Brown agreed to accept a subpoena and testify before the arbitrators on behalf of Prudential; however, he never received the subpoena and he never testified. Following the hearings, Anna Pace spoke with Prudential’s arbitrator regarding the status of the arbitration awards.

On January 22, 1991, the arbitrators awarded Alexander Terletsky the amount of $125,000.00 for his uninsured motorist claim with the following caveat: 3

The Award is governed by the coverage available, that is to say, if the coverage is less than the amount of the Award, the claimant may only receive the amount of the coverage.

Arbitration Award of Alexander Terletsky, January 22, 1991.

Subsequently, Prudential decided to appeal the award of the arbitrators. On February 7, 1991, Prudential’s claims repre *114 sentative for the case, Laurie Trythall, instructed Prudential’s house counsel to appeal the award on the grounds that the Terletskys policy provided for only $100,000.00 liability and “stacking” 4 was not permitted. The appeal was based on Chartan v. Chubb Corp., 725 F.Supp. 849 (E.D.Pa.1989) (Chartan I ). 5 However, Prudential’s corporate counsel, Clayton W. Boulware, had advised management that “stacking” was now permitted in Pennsylvania. The “Boulware memo” stated in part:

Act 6 and recent Court decisions have effectively attenuated the Chartan holding; so much so that UM and UIM coverages are not capped at the maximum single policy liability limit.
❖ * * * * *
It can be reasonably concluded that an insured retains his or her right to stack uninsured and underinsured coverages, even if that stack amount exceeds the maximum single policy liability limit[ 6 ]

Memorandum of Clayton W. Boulware, January 8, 1991.

On February 20, 1991, Prudential, represented by outside counsel, filed a petition to modify the award of the arbitrators. The petition did not refer to the stacking issue, but stated that the award of the arbitrators was deficient in form. Prudential requested that the award to Alexander Terletsky be reduced *115 to $100,000.00. A hearing on the request for modification was scheduled for July 12, 1991.

Between February and June of 1991, Prudential paid Marina Terletsky $125,000.00 in satisfaction of the arbitration award in her favor and paid Alexander Terletsky $100,000.00 of the $125,000.00 award in his favor. Subsequently, in June of 1991, Prudential paid Alexander Terletsky the $25,000.00 outstanding on his arbitration award. Thereafter, the hearing on the request for modification of the arbitration award was cancelled.

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Bluebook (online)
649 A.2d 680, 437 Pa. Super. 108, Counsel Stack Legal Research, https://law.counselstack.com/opinion/terletsky-v-prudential-property-casualty-insurance-pasuperct-1994.