Jim and Carrie Carroll at Carroll and Carroll, P.C. represent the injured people of Pennsylvania and New York in Bradford, Sullivan, Tioga, Susquehanna, and Chemung counties in personal injury, premises liability, slip and fall, automobile accident and workers’ compensation cases Jim and Carrie Carroll at Carroll and Carroll, P.C. represent the injured people of Pennsylvania and New York in Bradford, Sullivan, Tioga, Susquehanna, and Chemung counties in personal injury, premises liability, slip and fall, automobile accident and workers’ compensation cases

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Personal Injury

    1/16/2009
    James R. Carroll, Jr., Esquire
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    Court Allows Claims For Emotional Distress After Alleged Breach Of Contract To Continue

    In Amitia v. Nationwide Mut. Ins. Co., No. 3:08cv335 (M.D. Pa. Jan. 15, 2009), Judge Munley from the Middle District of Pennsylvania Denied Nationwide's Motions to Dismiss Claims that allege violations of the Unfair Trade Practices and Consumer Protection Law (UTPCPL) and Breach of Contract in a case arising out of an underinsured motorist claim after a July 3, 2002 car accident. 
     
    First, the Nationwide Motion for Dismiss the UTPCPL count is denied because Amitia alleged more than a mere breach of a contractual duty by alleging Nationwide failed to evaluate the claim promptly, objectively and fairly.  Also, Amitia alleges Nationwide conducted an unfair, unreasonable and dilatory investigation.  Therefore, he finds that their have been allegations more than the simple alleged refusal to pay which could warrant recovery under the UTPCPL.
     
    Second, he denies a Motion to Dismiss a claim for breach of contract.  Nationwide argued that since the underinsured motorist claim was paid that it could not be responsible for breach of contract.  The opinion notes that the damages sought in the case because of the breach are different than damages for the underinsured motorist benefits.  The claims allege emotional distress because of Nationwide's breach.  Thus, this is not the same as damages for the breach of not paying UIM benefits and the Court finds that "it would be inappropriate at this time to dismiss the breach of contract cause of action as it seeks recovery for emotional distress, which may be recoverable."
     
    Thanks to Scott B. Cooper, Esquire for this information.

Vehicle and Automobile Accidents

4/7/2009
James R. Carroll, Jr., Esquire
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Pa. Superior Court Allows UIM And Bad Faith To Proceed At Same Time

On April 6, 2009, in the case of Gunn v. The Automobile Insurance Company of Hartford, a 3 judge panel of the Pennsylvania Superior Court, in a 2-1 decision, affirms the trial court decision by Judge Wettick in Allegheny County to allow an underinsured motorist claim (UIM) and bad faith claim under Section 8371 to proceed simulatenously. 

The decision of the majority (Judges Ford-Elliott and Allen) determines that under the facts and circumstances of the case the trial court decision was not an appealable order under Pennsylvania Rule of Appellate Procedure 313.  Judge Lally-Green dissents and would find that the decision of the trial court was appealable and would reverse the trial court decision as abusing its discrtetion.  Frank Murphy wrote the Amicus for PaAJ and Gunn is represented by PaAJ members Cindy Danel and Ken Nolan.

Thanks to Attorney Scott Cooper for this information. 

3/9/2009
James R. Carroll, Jr., Esquire
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District Court Holds That Estate Underinsured Motorist Claim Barred Due To State Of Maine Law

On March 4, 2009 Judge O'Neill in the Eastern District of Pennsylvania granted Allstate Insurance Company's Motion for Summary Judgment in Willett v. Allstate Insurance Company where the Estate of an insured was arguing that a claim for underinsured motorist (UIM) benefits was allowed even though the law in the state of Maine, where the decedent's accident occurred, has a statutory cap on the amount of monies that can be recovered for non-economic damages in a wrongful death action. 
 
David Willett (Willett) was killed in a car accident which occurred in Maine.  At the time of the accident he resided in Pennsylvania with his mother and was insured under her Allstate policy which provided for $100,000 in UIM benefits unstacked.  The third party had a total amount of coverage (liability and umbrella) of $1,250,000.  Pursuant to the laws in Maine the Estate received only the statutory cap of $400,000 for non-economic damages and the total award, with the additional expenses, was $454,249. 

The Estate pursued the UIM claim in Pennsylvania against Allstate and was providing a full credit for the full $1,250,000.  The District Court decision by Judge O'Neill holds that Allstate is not required to make any UIM payment because the application of the statutory cap in Maine precluded the UIM claim.  He finds that the Pennsylvania Supreme Court decision in Cipolla v. Shaposka, 267 A.2d 854 (Pa. 1970) is controlling and on point.  He distinguishes the Willett situation from the Pennsylvania Supreme Court decision in Kmonk-Sullivan v. State Farm Mutual Auto. Ins. Co., 788 A.2d 955 (Pa. 2001) because he writes that the Kmonk case (1) involved Pennsylvania accidents and not one from another state, (2) no party argued another state law was applicable, (3) there was no choice of law issue in Kmonk and (4) the Court in Kmonk did not cite, discuss or overrule Cipolla
 
He holds that the statutory cap under the laws in Maine make the estate NOT "legally entitled" to recover UIM benefits and thus, no UIM monies are to be paid. 

Thanks again to Attorney Scott Cooper for providing this information.

1/16/2009
James R. Carroll, Jr., Esquire
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Pa. Super. Rules Insured Bears Burden To Show Rejection Form Is Forgery

Attached is a copy of the Pennsylvania Superior Court decision today in Toth v. Donegal Companies. This case deals with a rejection of underinsured motorist coverage where the rejection form was signed by the spouse of the first named insured. The trial court held that the form must be signed by the first named insured and, since it was not, the form was void. The Superior Court relies upon Jackson v. Allstate Insurance Co., 441 F.Supp.2d 728 (E.D. Pa. 2006) where the District Court found that the insured failed to prove her signature on a rejection form was a forgery.

The trial court is reversed and the Superior Court holds "where a signature appears on the UIM rejection form purporting to be that of the first named insured, the insurer has complied with the statute resulting in a facially valid rejection form.

The burden would then shift to the insured to prove that his or her signature was affixed to the rejection form without knowledge or authorization." Toth now needs to show that her signature was a forgery, placed there without her knowledge or consent, and that she did not willingly waive UIM coverage or the rejection form remains valid.


12/17/2008
James R. Carroll, Jr., Esquire
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Road Risks Rise as More Drivers Drop Insurance

From The Wall Street Journal:

Higher Premiums, Joblessness Contribute to Alarming Trend; What to Do When You're Hit

"More drivers are letting their car insurance lapse because of the sour economy, putting themselves and others at risk.  Several hundred thousand drivers dropped their insurance in the past year as the jobless rate climbed, estimates a study to be released next month by the Insurance Research Council, an industry-funded group. Online agency Insurance.com says it also is seeing evidence recently of more uninsured motorists. It says that as many as 40% of callers following up on online applications had let their previous policies lapse, up from less than 10% a couple years ago."

"The trend is bad news for everybody on the road. If you're hit by an uninsured motorist, you may have to sue to recover costs, and many uninsured motorists have few assets. You can protect yourself by carrying uninsured-motorist coverage -- almost half of states require the added coverage -- but this may boost your premium."

This article points out the importance of buying the best coverage for your vehicle that's possible.  This means that you should purchase underinsurance and uninsurance.  Because so many drivers have no or limited insurance, buying extra coverage only protects you and your family.

To learn more about Underinsurance and Uninsurance, click here and here and here.


10/13/2008
James R. Carroll, Jr., Esquire
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Superior Court Holds Cab Driver Not Entitled To Underinsured Motorist Coverage

Attached is the link to the Pennsylvania Superior Court decision on October 10, 2008 in Nationwide Assurance Company v. Easley where the Superior Court affirms the trial court decision in Allegheny County which upheld 2 exclusions as they applied to preclude a cab driver from obtaining underinsured motorist coverage (UIM) on his personal policy for an accident which occured while he was driving a cab.

Calvin Easley
(Easley) was injured while operating a Yellow Cab Taxi in Pittsubrgh.  He paid a lease fee for use of the taxi during a 24 hour period and had no choice over the taxi he received. He did not have a paying customer in the cab when he was injured by a third party in a car accident. He was driving home and was intending to return the cab the next day.

After settling the third party claim and then, since the taxi company did not provide UIM coverage, he made a claim on his personal policy for UIM coverage but was denied based upon 2 exclusions which denied him coverage for accidents occuring in a vehicle avaliable for his "regular use" and also for vehicles "used to carry persons or property for a charge".

The Superior Court decision by Judge Popovich finds that the fact Easley did not have a passenger with him at the time the accident occured does not render the "use for hire" exclusion invalid nor did the fact that he operated different taxis render the "regular used" vehicle exclusion invalid. The Superior Court affirms the trial court decision and upholds both exclusions.

Thanks to Scott Cooper, Esquire for providing this information.


9/12/2008
James R. Carroll, Jr., Esquire
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Defendants agree to pay $2.9M for driver struck in intersection


Pennsylvania - Motor Vehicle Collision

A van driver who sustained multiple fractures in an intersection crash with a Mack truck received $2.9 million in court-appointed mediation. Joel Aponte, then 22, was struck by Francis Hacker who ran a red light. Aponte fractured his pelvis, femurs and C6 vertebra. He also suffered significant internal injuries that required stomach and bowel reconstruction. The settlement consisted of $1.9 million of Hacker's $2 million insurance policy and the $1 million limits of an underinsured motorist policy applicable to the van Aponte was driving.
 
To purchase the full report on this case, go to
VerdictSearch.com.


7/14/2008
James R. Carroll, Jr., Esquire
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New Pennsylvania Federal Court Section 1734 Sign Down Case Nullifies Alleged Sign down Of UIM Coverage

On July 10, 2008, the District Court for the Middle District of Pennsylvania (Judge Vanaskie) granted the insureds motion for summary judgment and set aside an alleged sign down of underinsured motorist coverage in The Brethren Mutual Ins. Co. v. Triboski-Gray.  The insurance company argued that a sign down from $250,000 in bodily injury (BI) coverage to $35,000 in underinsured motorist (UIM) coverage was valid because the insured signed the bottom of a 2 page application for coverage.  Relying upon the Pennsylvania Supreme Court decision in Lewis v. Erie, 793 A.2d 143 (Pa. 2002) and Pennsylvania Superior Court decision in Motorists v. Emig, 664 A.2d 559 (Pa. Super. 1995), the Court holds that the insureds "signature on an application completed by the insurance company's agent does not constitute a written request for UM/UIM coverage limits below the coverage requested for bodily injury."    

In this case, there was none of the insureds initials next to the UM/UIM coverage designations on the application as in some other cases.  Thus, there was no "written request" according to the court.  The Court enforced the insurance policy and nullifies the lower UM/UIM coverage limits, thus deeming the UM/UIM coverage equal to the bodily injury limits.  The coverage for UM/UIM is now $250,000.


6/17/2008
James R. Carroll, Jr., Esquire
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New Case Law on stacking of underinsurance by employees in company owned vehicles

In State Auto Property & Casualty insurance Co. v. Pro Design, P.C. today the District Court for the Middle District of Pennsylvania (Munley, J.) held that a corporation can avail itself of stacked underinsured motorist benefits even if it waived stacking on a single vehicle policy where it subsequently added two vehicles to the policy and never signed a new waiver of stacking for those additional vehicles. 

The court finds that Sackett II does not apply to a single car policy which is what the Supreme Court says in footnote 5 of Sackett II.  The Court also notes that under Sackett II "the degree that coverage under an after-acquired vehicle provision continues in effect throughout the existing period.  Once that policy period comes to an end, the insurer must obtain a new waiver if an additional vehicle was added during that period."  The fact is that when the single vehicle policy became a multiple vehicle policy the insured was not supposed to be given a chance to "purchase" intra-policy stacking and it did not get a chance to do so.  Thus, the 3 car policy provides stacking.


6/9/2008
James R. Carroll, Jr., Esquire
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New Federal case law on what is required in rejecting UIM insurance coverage

On Friday June 6, 2008 the District Court for the Middle District of Pennsylvania found in favor of the insurance company in a sign down case in The Standard Fire Insurance Company v. Poslusney.  In this case the insureds executed a sign down in 1990 from 100K in BI splits limits to 50K in UM and UIM split coverage nonstacked.  The forms were with AEtna.  Then, in 1994 they increased their liability to $305K with The Standard Fire Insurance Company and no new sign downs were executed.  They were injured in a car accident in 2004 and made bodily injury claims.

First, the District Court holds that their was no need for a new sign down in 1994 because the Pennsylvania Supreme Court opinion on Blood v. Old Guard Ins. Co., 934 A.2d 1218 (Pa. 2007) applies to an increase of liability as opposed to a decrease of liability as in Blood, as long as their is a sign down executed.  Second, the court holds that the difference in the 2 companies AEtna v. Standard does not require a new sign down because they are under the same set of inter-related companies of AEtna, Travelers and Standard.  The court also finds that some other changes do not make a new policy in 1994 but importantly does not discuss the effect of the legislature enactment of 40 P.S. Section 991.2001.  In Frankiewicz v. Motorists in 2006 the trial court in Erie County held that similar changes to a policy created a new policy and required a new rejection of stacking form.


6/6/2008
James R. Carroll, Jr., Esquire
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New case law on obtaining UIM from your employer for a work related auto accident.

On June 4, in Heller v. Pennsylvania League of Cities, the Commonwealth Court reversed the trial court's decision that it is a violation of public policy to exclude anyone eligible for workers' compensation benefits from also recovering underinsured motorist benefits. In Heller, the injured victim was in the course and scope of his employment in his employer’s vehicle when a car accident occurred. The injured worker recovered the third party coverage and then sought UIM coverage on his employer’s policy. There was an exclusion in the UIM provision of the employer's policy and instead of just ruling that the exclusion was not valid under the MVFRL, the trial court found that the exclusion violated public policy. The Commonwealth Court in this 2-1 decision holds that the exclusion does not violate public policy and reverses
5/23/2008
James R. Carroll, Jr., Esquire
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New Case Law on stacking of uninsurance and underinsurance by Pennsylvania employees

On May 14, 2008 the trial court in Lackawanna County granted the Motion for Summary Judgment of Donegal Mutual Insurance Company in Reeser v. Donegal.  In Reeser the insureds injured were employees of the employer who insured the vehicle.  There was a 4 car policy that had only 35K UM and UIM coverage and no stacking.  However, the company could not produce the forms requesting lower limits or rejecting stacking so the court held as a matter of law that there was 500K in UM and UIM coverage with stacking. 

However, the trial court also held that since there was no policy language entitling a class two insured to stack underinsured motorist coverage, that only a class one insured could stack.  In this case, only the individual employer and those family members who resided with the employer could stack as class one insureds but the employees who were injured as occupants of the insured vehicles could not.  The insureds attempted to argue that since Section 1738 does not distinguish between classes that there was no longer a distinction between class one and class two insureds.  The trial court relies upon Section 1702 of the MVFRL and the line of cases from the 1980s starting with Utica Mutual to hold that there is still a class one and class two distinction, absent a policy provision.

This is a very technical case invovling very specific facts and insurance policy language, or lack thereof.  However, it is ultimate proof that an attorney must look at every angle in determining the amounts of insurance coverage, etc.  Leave no stone unturned.