Placing Rancosky in Context: Taking the “Bad” Out of Bad Faith Dan Krane Brigid Alford D. Alicia Hickok 42 Pa.C.S. § 8371 Effective date July 1, 1990. In an action arising under an insurance policy, if the court finds that the insurer has acted in bad faith toward the insured, the court may take all of the following actions: (1) Award interest on the amount of the claim from the date the claim was made by the insured in an amount equal to the prime rate of interest plus 3%. (2) Award punitive damages against the insurer. (3) Assess court costs and attorney fees against the insurer. 2 Pennsylvania Courts Have Held: An insured cannot bring a claim under § 8371 against an insurance adjuster, because by its text, the statute applies only to insurers. Brown v. Everett Cash Mut. Ins. Co., 2017 PA Super 62 (Pa. Super. Mar. 10, 2017). An insured can assign a bad faith claim to an injured plaintiff. Allstate Prop. & Cas. Ins. Co. v. Wolfe, 105 A.3d 1181 (Pa. 2014). 3 Interest is optional – including whether interest is on the entire verdict. Expert witness fees are not costs recoverable under the statute The facts and circumstances analysis allows a court to look beyond, for example, the amount of time, to see if there were “inexcusable periods of inactivity, unreasonable assumptions, and inadequate communication.” Grossi v. Travelers Personal Ins. Co., 79 A.3d 1141 (Pa. Super. 2013). 4 Terletsky v. Prudential Property & Casualty Ins. Co., 649 A. 2d 680 (Pa. Super. 1984) Quoted Black’s Law Dictionary definition: Any frivolous or unfounded refusal to pay proceeds of policy - Not necessary that refusal be fraudulent - Conduct that “imports a dishonest purpose” - Breach of known duty of good faith & fair dealing through some motive of self-interest or ill will - Mere negligence or bad judgment is not bad faith 5 Terletsky, continued Bad faith must be proven by clear and convincing evidence and not merely insinuated Plaintiff has the burden to show insurer did not have a reasonable basis and knew or recklessly disregarded that it had no reasonable basis. 6 Rancosky: The Facts … and Nothing but the Facts Supplemental health insurance policy (cancer) Premiums automatically deducted from paycheck Waiver of Premium if: - disabled due to cancer for > 90 days; and - physician certification of diagnosis, disability dates - ongoing updates from insured • No physician statement or proof of ongoing disability submitted • Premiums not paid (Rancosky thought they'd been waived) • Policy cancelled for non-payment of premiums • Suit filed: Breach of contract; bad faith 7 Rancosky Procedural History: A Long and Winding Road Jury verdict for Rancosky on contract claim Non-jury verdict for insurer on bad faith claim - Burden of proof not met - Post trial motions by Rancosky denied - Trial judge: Insurer's conduct must import dishonest purpose. Must show insurer breached duty of good faith through some motive of self-interest or ill will. 8 Superior Court Rancosky appeals Superior Court vacates bad faith verdict - Motive of self-interest or ill will "merely a factor" that trial court may consider (but is not required to consider) in determining if insurer breached duty of good faith & fair dealing - Rejected trial court's credibility assessments & finding that there was no evidence of subjective bad motive - Remanded for a new trial on bad faith 9 Supreme Court Insurer files a petition for allowance of appeal The Supreme Court grants allowance of appeal as to two questions: 1. Should the Court ratify the requirements of Terletsky for establishing statutory insurance bad faith? 2. If so, is the “motive of self-interest or ill will” a. Merely a discretionary consideration; or b. A mandatory prerequisite to proving bad faith 10 Support on Both Sides Amici Supporting Washington National o Pennsylvania Defense Institute & PAMIC o IFP, AIA, & Property Casualty Insurers Amici Supporting Rancosky o PAJ o United Policyholders Assn. of America 11 Key Arguments History – legislative intent 8371 = a penal statute Can't punish for negligence alone Subjective intent (bad motive; ill will) part & parcel of common law/pre-1990 "bad faith" Constitutional considerations 12 In the meantime… Allstate Ins. Co. v. Lagreca, 2017 U.S. Dist. LEXIS 35197 (E.D. Pa. Mar. 13, 2017) (“The most common formulation of the test for bad faith under Pennsylvania law remains that from Terletsky, which requires proof that (1) the insurer did not have a reasonable basis for denying benefits under the policy, and (2) the insurer knew of or recklessly disregarded its lack of reasonable basis in denying the claim. The discovery sought by Lagreca would at most shed light on the second prong of the test—the specifics of what Allstate considered in ultimately denying coverage. Because I have determined as a matter of law that a reasonable basis for that denial existed, Lagreca's claim would fail regardless of what the requested discovery might reveal.”) 13 Paul v. State Farm Mut. Auto. Ins. Co., 2016 U.S. Dist. LEXIS 133699 (W.D. Pa. 2016) (“This court considered this exact issue previously in Emplrs Mut. Cas. Co. v. Loos, 476 F. Supp. 2d 478, 490-91 (W.D.Pa. 2007). In Loos, this court predicted that the Pennsylvania Supreme Court would rule consistently with then-existing superior court holdings that "the 'motive of self-interest or ill will' level of culpability is not a third element required for a finding of bad faith, but is probative of the second element identified in Terletsky, i.e., "the insurer knew or recklessly disregarded its lack of reasonable basis in denying the claim." Id. at 491. Pennsylvania case law since this court decided Loos has been consistent with the holding in Rancosky and therefore the court maintains its prediction of how the Pennsylvania Supreme Court will rule on this issue. While it is possible that the Pennsylvania Supreme Court will set forth new or altered requirements for establishing insurer bad faith, this court again predicts that the Pennsylvania Supreme Court will rule that the "motive of selfinterest or ill will" level of culpability is not a third element required for a finding of bad faith, but is probative of the second element identified in Terletsky.) 14 Contact Information D. Alicia Hickok Partner Drinker Biddle Philadelphia (215) 988-3364 [email protected] Daniel W. Krane Partner Drinker Biddle Philadelphia (215) 988-2488 [email protected] Brigid Q. Alford Shareholder Marshall Dennehey Camp Hill, PA (717) 651-3710 [email protected] 15
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