Tertyshnaya, P. v. Standard Security Life Ins.

Superior Court of Pennsylvania·Decided November 19, 2014·No. 449 EDA 2014·Unpublished

Opinion

NON-PRECEDENTIAL DECISION – SEE SUPERIOR COURT I.O.P 65.37

POLINA TERTYSHNAYA, INDIVIDUALLY : IN THE SUPERIOR COURT OF AND ON BEHALF OF ALEXANDER : PENNSYLVANIA TERTYSHNAYA, HER MINOR SON, :

:

Appellant :

:

v. :

:

STANDARD SECURITY LIFE INSURANCE : COMPANY OF NEW YORK, HCC : SPECIALTY UNDERWRITERS, INC. A/K/A : AMERICAN SPECIALTY UNDERWRITERS, : INC., HCC INSURANCE HOLDINGS, : INC., A/K/A AMERICAN SPECIALTY : UNDERWRITERS, INC., AMERICAN : SPECIALTY UNDERWRITERS, INC., : MICHAEL S. CHAUT, MICHAEL CHAUT & : ASSOCIATES, JAY M. GROSSMAN AND : PUCKAGENCY, LLC, :

:

Appellees : No. 449 EDA 2014

Appeal from the Order entered December 16, 2013, Court of Common Pleas, Philadelphia County, Civil Division at No. 3803 May Term 2010

BEFORE: DONOHUE, WECHT and PLATT*, JJ. MEMORANDUM BY DONOHUE, J.: FILED NOVEMBER 19, 2014 Appellant, Polina Tertyshnaya (“Tertyshnaya”), appeals from the order entered on December 16, 2013 by the Court of Common Pleas of Philadelphia County, Civil Division, granting the motion for summary judgment of Appellees, Standard Security Life Insurance Company of New York (“SSLIC”), HCC Specialty Underwriters, Inc. (“HCC”), and American

*Retired Senior Judge assigned to the Superior Court.

Specialty Underwriters, Inc. (“ASU”) (collectively, the “Insurance Defendants”). After careful review, we affirm.

The relevant facts and procedural history of this case are as follows.

SSLIC is a licensed insurance company. Insurance Defendants’ Motion for Summary Judgment on All Claims Because All Claims are Barred by the Statute of Limitations, 8/19/13, ¶ 14. ASU, now known as HCC, was the managing and supervising underwriter for SSLIC’s insurance policies at all times applicable to this case. See id. ¶ 15. In 1999, Dmitri Tertyshny (“Tertyshny”) was a professional hockey player in the National Hockey League and a member of the Philadelphia Flyers (“Flyers”). Id. ¶ 13. Tertyshny retained Jay Grossman (“Grossman”) of The Marquee Group1 (“TMG”) to represent him as his sports agent. Id. ¶ 2. Michael Chaut (“Chaut”) was the designated broker for Tertyshny for an insurance policy he allegedly purchased in 1999. Id. ¶ 4.

On July 23, 1999, Tertyshny was participating in a Flyers summer training camp in British Columbia, Canada. Second Amended Complaint, 11/6/12, ¶ 19. That evening, Tertyshny died in a tragic boating accident, leaving behind his wife, Tertyshnaya, who was four-months pregnant at the time of his death. This litigation stems from the insurance policy allegedly

1 Grossman is no longer part of TMG. He is now the sole member of the Puck Agency, LLC. See Insurance Defendants’ Motion for Summary Judgment on All Claims Because All Claims are Barred by the Statute of Limitations, 8/19/13, ¶ 2.

purchased by Tertyshny from the Insurance Defendants in 1999. Tertyshnaya believes that Tertyshny purchased a policy with permanent total disability (“PTD”) and accidental death and dismemberment (“AD&D”) coverage. See Tertyshnaya’s Brief at 4. Conversely, the Insurance Defendants maintain that Tertyshny purchased a policy with only PTD coverage. See Insurance Defendants’ Brief at 5. Tertyshnaya contends that fraud perpetrated by the Insurance Defendants prevented her from receiving death benefits and filing suit within the statute of limitations. See Tertyshnaya’s Brief at 19.

On May 27, 2010, nearly 11 years after Tertyshny’s death, Tertyshnaya filed a complaint against the Insurance Defendants raising claims of breach of contract, quantum meruit/unjust enrichment, and bad faith. On December 20, 2010, Tertyshnaya filed an amended complaint, which added claims for violating the Pennsylvania Unfair Trade Practices and Consumer Protection Law, fraudulent misrepresentation, and negligent misrepresentation. On November 6, 2012, the trial court granted Tertyshnaya’s motion for leave to amend the complaint again and to join additional defendants. That same day, Tertyshnaya filed a second amended complaint in which she joined Chaut, Michael Chaut & Associates (“MCA”), Grossman, and the Puck Agency, LLC as defendants.

In the Second Amended Complaint, Tertyshnaya alleged the following.

In March 1999, Tertyshnaya and Tertyshny sought and purchased a policy of

PTD and AD&D insurance from the Insurance Defendants for $1,000,000 in coverage, for which she signed as the beneficiary. Second Amended Complaint, 11/6/12, ¶¶ 15, 17.

In April 1999, Tertyshnaya and Tertyshny provided Grossman with $3,700, representing their payment for the premium of the alleged PTD and AD&D policy. Id. ¶ 18. Tertyshnaya claimed that neither she nor Tertyshny received a copy of the alleged PTD and AD&D policy prior to Tertyshny’s death on July 23, 1999. Id. ¶ 20. She asserted that on July 28, 1999, shortly following Tertyshny’s death, the Insurance Defendants cancelled the alleged PTD and AD&D policy. Id. ¶ 22. Tertyshnaya complained that she has not yet received any of the death benefits to which she believed she was entitled. Id. ¶ 23.

Tertyshnaya averred that Attorney Jerrold Colton (“Colton”)

represented her from late 1999 through 2004. Id. ¶ 24. Colton investigated whether she was entitled to AD&D benefits resulting from Tertyshny’s death. Id. Tertyshnaya contends that Grossman told Colton that she and Tertyshny never purchased any insurance policy. Id. Tertyshnaya claimed that in 2005, she retained Attorney James McNally (“McNally”) and he likewise looked into whether she had any right to AD&D benefits stemming from Tertyshny’s death. See id.; see also Deposition of McNally, 10/17/12, at 20. Tertyshnaya asserted that McNally and his law firm confirmed Grossman’s, and subsequently Colton’s, belief that she and

Tertyshny never purchased any insurance policy. See Second Amended Complaint, 11/6/12, ¶ 24; see also Deposition of McNally, 10/17/12, at 38. Nonetheless, Tertyshnaya stated that she persisted in her investigation. Second Amended Complaint, 11/6/12, ¶ 24.

Tertyshnaya claimed that in December 2008, her second husband, Michael Moy (“Moy”), attempted to contact the Insurance Defendants seeking information about Tertyshny’s alleged PTD and AD&D insurance policy. See id.; see also Deposition of Moy, 7/13/12, at 82. Tertyshnaya asserted that SSLIC explained that if Tertyshny had purchased an insurance policy, that TMG would have held it, that TMG would have issued the certificate of insurance for the policy, and that TMG is an insurance agent for ASU. Second Amended Complaint, 11/6/12, ¶ 24. Tertyshnaya also contended that SSLIC confirmed that AD&D coverage would be part of a PTD insurance policy. Id. ¶ 24. Tertyshnaya alleged that Grossman, TMG, Chaut, and MCA are agents for the Insurance Defendants. Id. ¶ 26. Tertyshnaya bases this contention on her assertion that Grossman, TMG, Chaut, and MCA solicit and process insurance applications for the Insurance Defendants. Id. ¶¶ 25-26.

Tertyshnaya averred that the Insurance Defendants, along with Grossman, TMG, Chaut, and MCA, intentionally concealed Tertyshny’s alleged PTD and AD&D insurance policy from her by representing that she and Tertyshny never purchased any insurance policy in an attempt to avoid

paying her death benefits. Id. ¶ 32. Tertyshnaya complained that the Insurance Defendants, after the initiation of this litigation, provided her with a copy of Tertyshny’s insurance policy, which revealed that on August 30, 1999, after his death, the Insurance Defendants issued the policy, backdated to March 1, 1999, for PTD coverage only. Id. ¶¶ 28-29, 33-35, Exhibit A. Tertyshnaya claimed that this fraud, perpetrated by the Insurance Defendants and their agents, prevented her from filing suit until 2010. See id. ¶ 32.

On December 7, 2012, the Insurance Defendants filed an answer with new matter in which they denied all material allegations in the second amended complaint. On August 19, 2013, following the completion of discovery, the Insurance Defendants filed a motion for summary judgment, in which they averred the following.

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