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Volume 12, Edition 5

Rehman v. Basic Moving

United States District Court,

W.D. Pennsylvania.

Carol REHMAN, Plaintiff,

v.

BASIC MOVING d/b/a State to State Van Lines, Inc., Defendant.

Civil Action No. 09-248.

May 15, 2009.

OPINION

LENIHAN, United States Magistrate Judge.

Currently before the Court for disposition is Plaintiff’s Motion for Remand (Doc. No. 5). For the reasons set forth below, the Court will grant Plaintiff’s motion.

Background

Plaintiff, Carol Rehman, proceeding pro se, filed her complaint in the Allegheny County Court of Common Pleas (“State Court”) on May 27, 2008, asserting state common law claims against Defendant, Basic Moving d/b/a State to State Van Lines, Inc. (“Basic”), arising out of a contract for the interstate transport of certain household goods belonging to Plaintiff. Specifically, in her complaint, Plaintiff asserted claims for failure to pick up and deliver three bookcases and for breach of contract, and sought damages on each claim in the amount of $2,000.00 and $5,000.00, respectively, plus costs. Given the amount of damages set forth in Plaintiff’s complaint, this case was assigned to the State Court arbitration docket and scheduled for a hearing on October 1, 2008.

Plaintiff originally commenced this action in Magisterial District Court No. 05-2-27 of Allegheny County under Docket No. 0066-08 on February 7, 2008, and judgment was entered in favor of Plaintiff in the amount of $7,000.00, plus $126.50 in costs, on May 5, 2008. Defendant appealed the judgment of the Magisterial District Court and a praecipe was issued directing Plaintiff to file a complaint in State Court.

In the meantime, on September 11, 2008, counsel for Basic took Plaintiff’s deposition, during which Rehman was questioned about the claim she attempted to file with Basic and the amount of her alleged unreimbursed losses. During that deposition, Rehman informed counsel that the amount she was not reimbursed by her insurance carriers was approximately $14,000.00, plus $3,000.00 in deductibles. (Rehman Dep. at 36-37 (Doc. 8-8).)

Subsequently, an arbitration panel awarded judgment in favor of Basic on October 1, 2008, after which Plaintiff appealed and the case was placed on the May 2009 trial list. In January of 2009, the parties engaged in some preliminary settlement discussions and counsel for Basic asked Plaintiff to put her demand in writing and to provide a summary of all damages, which she did on January 29, 2009. In that letter, Plaintiff set forth unreimbursed losses totaling $24,812.33, but stated that her demand to settle was $10,000 plus agreement to certain terms and conditions. (Ex. H to Notice of Removal, Doc. No. 1-9.)

The $24,812.33 is comprised of $17,812.33 (net loss between the amount claimed to insurance companies and amount paid out); $2,000.00 (three bookcases-total loss); and $5,000.00 (amount paid to Basic for the move). (Doc. 1-9, Ex. H.)

Thereafter, on February 26, 2009, Basic filed a Notice of Removal and the case was removed to this federal district court. Basic predicated federal removal jurisdiction on 28 U.S.C. § 1331, in that the claims asserted by Plaintiff originated from the transportation of goods in interstate commerce. (Notice of Removal, ¶ 11.) In particular, Basic asserted that the action was removable under Section 1331 because, in actuality, Plaintiff seeks to recover damages for delay, loss or injury of a shipment in interstate transport, and the amount in controversy arising from the bill of lading for the shipment exceeds $10,000.00 exclusive of interest and costs. Therefore, it is removable pursuant to Section 1441(b).(Id. at ¶ 12.)Basic further asserted in its notice of removal that the removal was timely under Section 1446(b) because Basic first became aware that the litigation value of this action exceeded $10,000.00 when it received Plaintiff’s January 29, 2009 letter on February 2, 2009.(Id. at ¶¶ 13-15.)On March 5, 2009, Plaintiff filed a timely Motion to Remand this action to State Court and Defendant filed a brief in opposition, to which Plaintiff filed a reply.

As correctly noted by Defendant, for purposes of determining whether the matter in controversy requirement is met, courts look to the litigation value of the claims, as opposed to the settlement value. See, e.g., Jackson v. Am. Bankers Ins. Co., 976 F.Supp. 1450, 1454 (S.D.Ala.1997); Fusco v. Nationwide Ins. Co., No. Civ.A. 95-5760, 1995 WL 709921,(E.D.Pa. Nov. 22, 1995) (amount in controversy refers to value of claim being litigated and not to amount of settlement offer) (citing Angus v. Shiley, Inc., 989 F .2d 142, 146 (3d Cir.1993)).

Legal Standards-Removal & Motion to Remand

Section 1441 of Title 28, United States Code, governs the removal of a case to federal court. Generally, “any civil action brought in a State court of which the district courts of the United States have original jurisdiction, may be removed by the defendant …, to the district court of the United States for the district and division embracing the place where such action is pending.”28 U.S .C. § 1441(a).“The removal statutes ‘are to be strictly construed against removal and all doubts should be resolved in favor of remand .’ “ Boyer v. Snap-On Tools Corp., 913 F.2d 108, 111 (3d Cir.1990) (quoting Steel Valley Auth. v. Union Switch & Signal Div., 809 F.2d 1006, 1010 (3d Cir.1987) (other citations omitted)); Sikirica v. Nationwide Ins. Co., 416 F.3d 214, 219 (3d Cir.2005). Where a motion for remand is filed, the defendant has the burden of proving that removal was proper. Sikirica, 416 F.3d at 219 (citing Samuel-Bassett v. KIA Motors Am., Inc., 357 F.3d 392, 396 (3d Cir.2004)).

Of particular relevance here is 28 U.S.C. § 1445(b), which provides:

A civil action in any State court against a carrier … to recover damages for delay, loss, or injury of shipments, arising under section 11706 or 14706 of title 49, may not be removed to any district court of the United States unless the matter in controversy exceeds $10,000, exclusive of interest and costs.

Section 14706, which is commonly referred to as the Carmack Amendment, provides for a private cause of action against motor carriers for actual injury or loss occurring to household goods transported by that carrier in interstate commerce. 49 U.S.C. § 14706(a)(1) & (d) (2005).

The time for removal is governed by Section 1446(b), which provides, in essence, that the notice of removal shall be filed within thirty days after receipt by the defendant of a copy of the initial pleading, unless the case stated by the initial pleading is not removable. 28 U.S.C. § 1446(b). In the latter situation, “a notice of removal may be filed within thirty days after receipt by the defendant, through service or otherwise, of a copy of an amended pleading, motion, order or other paper from which it may first be ascertained that the case is one which is or has become removable[.]”Id.

Relying on the Supreme Court’s decision in Murphy Bros., Inc. v. Michetti Pipe Stringing, Inc., 526 U.S. 344 (1999), the Court of Appeals for the Third Circuit has held that the term “initial pleading” as contained in both the first and second paragraphs of Section 1446(b), refers to the complaint. Sikirica v. Nationwide Ins. Co., 416 F.3d 214, 223 (3d Cir.2005).

Analysis

Basic Moving advances two arguments in support of its position that this Court has removal jurisdiction over this case. Initially, Basic submits that federal court jurisdiction is based upon the complete preemption doctrine and 49 U.S.C. § 14706, and the fact that the amount in controversy exceeds $10,000 under a single bill of lading in accordance with 28 U.S.C. §§ 1331, 1337(a), and 1445(b). Second, Basic contends that jurisdiction and removal under 28 U. S .C. § 1337(a) are proper because Plaintiff seeks a refund of interstate tariff charges.

In support of her motion to remand, Rehman advances two arguments. First, Rehman contends that this action is not removable because the amount of damages claimed in this case is $7,000.00, and has not changed, and therefore, does not exceed the $10,000.00 matter in controversy requirement, exclusive of interest and costs. In support, Rehman submits that the January 29, 2009 letter was merely a good faith offer to settle, and the full amount of her loss was included at the request of counsel for Basic for their information only. Consequently, Rehman maintains that the letter does not constitute official notice that the amount of damages has changed. Moreover, Rehman contends that the $10,000.00 demand was predicated upon the $7,000.00 claimed in her original complaint, plus an additional $3,000.00 for her time, effort, expense, and inconvenience endured in the pursuit of this action. (Doc. No. 5, ¶¶ 10-12.) According to Rehman, this was the first and only offer made by either party to settle the case, and does not constitute a re-evaluation of the case as suggested by Basic. In addition, because Basic never notified her that it was rejecting her demand, it technically expired and thus was not in existence or valid when Basic filed its Notice of Removal on February 26, 2009. Therefore, Rehman maintains that removal was improper. (Doc. No. 8, ¶ 8-9.)

Second, and more importantly, Rehman argues that the amount of loss that she was not reimbursed by her insurance companies, i.e., $17,812.33, has been known by Basic’s attorneys since her deposition on September 11, 2008. (Doc. No. 8, ¶ 7.) Accordingly, the Notice of Removal was untimely.In the event that the Court grants her motion, Rehman requests that the Court consider imposing sanctions on defense counsel for Basic. (Doc. No. 8, ¶ 15.)

Although Rehman does not expressly argue that the Notice of Removal was untimely, it can certainly be inferred from her written reply and documents submitted in support thereof. It is well settled that the pleadings and legal arguments of parties proceeding pro se are to be liberally construed, and courts will apply the applicable law, regardless of whether the pro se litigant has mentioned it by name. Dluhos v. Strasberg, 321 F.3d 365, 369 (3d Cir.2003) (citing Higgins v. Beyer, 293 F.3d 683, 688 (3d Cir.2002)).

Although Rehman’s argument regarding her January 29, 2009 letter lacks legal merit, her untimeliness argument vis a vis her deposition testimony is persuasive and supports remand of this case to State Court.

The majority of courts that have considered this issue “have given the reference to ‘other paper’ an embracive construction and have included a wide array of documents within its scope.”See Charles Alan Wright, Arthur R. Miller, & Edward H. Cooper, 14 C Fed. Prac. & Proc.: Jurisdiction 3d § 3732 at 300 (1998) (“Fed. Prac. & Proc.” ). In particular, a number of courts have held that correspondence between parties and/or their counsel discussing settlement usually are accepted as an “other paper” which initiates a new thirty-day period of removability under Section 1446(b).Id. at 309-10; Charles Alan Wright, Arthur R. Miller, Edward H. Cooper, & Joan E. Steinman, 14 C Fed. Prac. & Proc.: Jurisdiction 3d § 3732 at 392-93 n. 31 (2009 Supp.) (citing Babasa v. LensCrafters, Inc., 498 F.3d 972, 975 (9th Cir.2007) (holding 30-day removal period began when employer received letter from plaintiffs regarding parties’ mediation efforts asserting damages in excess of jurisdictional amount requirement for class actions); Addo v. Globe Life & Acc. Ins. Co., 230 F.3d 759, 761-62 (5th Cir.2000) (holding a post-complaint letter from plaintiff’s counsel to defendant offering to settle the action for an amount in excess of the matter in controversy requirement constituted an “other paper” which triggered the running of the 30-day time period for removal); Efford v. Milam, 368 F.Supp.2d 380 (E.D.Pa.2005) (holding correspondence between parties’ counsel was an “other paper” under § 1446(b))) (other citations omitted).

In removal cases, the existence of federal court jurisdiction is usually determined under the well-pleaded complaint rule, which provides that federal question jurisdiction is established when the face of a properly pleaded complaint asserts a federal question. Caterpillar, Inc. v. Williams, 482 U.S. 386, 392 (1987). The well-pleaded complaint rule “makes the plaintiff the ‘master of the claim,’ meaning that he or she may avoid federal jurisdiction by forgoing federal causes of action and basing the claim on only state law.” Scott v. Sysco Food Serv. of Metro N.Y., L.L. C., Civ. A. No. 07-3656(SRC), 2007 WL 3170121,(D.N.J. Oct. 26, 2007 (citing Caterpillar, 482 U.S. at 392 (other citation omitted)).“Under the well-pleaded complaint rule, there can be no removal on the basis of a federal question unless the federal law under which the claim arises is a direct and essential element of the plaintiff’s case.” In re Community Bank of N. Va., 418 F.3d 277, 293 (3d Cir.2005) (citing Franchise Tax Bd. of Cal. v. Constr. Laborers Vacation Trust for S. Cal., 463 U.S. 1, 10-12 (1983); Louisville & Nashville R.R. Co. v. Mottley, 211 U.S. 149 (1908)). However, an independent corollary to the well-pleaded complaint rule is the complete preemption doctrine. Id. at 293-94 (citing Caterpillar, 482 U.S. at 393). As the Supreme Court explained in Caterpillar:

On occasion, the Court has concluded that the pre-emptive force of a statute is so extraordinary that it converts an ordinary state common-law complaint into one stating a federal claim for purposes of the well-pleaded complaint rule…. Once an area of state law has been completely pre-empted, any claim purportedly based on that pre-empted state law is considered, from its inception, a federal claim, and therefore arises under federal law.

Caterpillar, 482 U.S. at 393 (internal quotations and citations omitted); In re Community Bank of N. Va., 418 F.3d at 294 (quoting Caterpillar, supra ) (other citations omitted).

Here Basic maintains that it removed this action on the basis that Plaintiff’s state law claims are completely preempted by the Carmack Amendment. Recently, the Court of Appeals for the Third Circuit upheld the district court’s order denying remand on the basis that the Carmack Amendment preempted the plaintiffs-shippers’ state law claims for breach of contract and negligence.See Lewis v. Atlas Van Lines, Inc., 542 F.3d 403, 407-08 (3d Cir.2008) (citing Ga., Fla., & Atlantic Ry. Co. v. Blish Milling Co., 241 U.S. 190, 196 (1916) (“explaining that the Carmack Amendment covers ‘all losses resulting from any failure to discharge a carrier’s duty as to any part of the agreed transportation’ ”)) (other citation omitted). In Lewis, the plaintiffs claimed damages of $72,000.00 incurred as a result of the defendant moving company’s failure to live up to its promise to move the shipper’s household belongings by a date certain. In addition, several other courts of appeals and district courts within this circuit have concluded that the Carmack Amendment completely preempts state common law claims for breach of contract and negligence, involving loss or damage to household goods caused during interstate transport by a common carrier. See, e.g., Hoskins v. Bekins Van Lines, 343 F.3d 769, 778 (5th Cir.2003) (state law claims for negligence, breach of contract, and violation of Texas Deceptive Trade Practices Act were completely preempted by the Carmack Amendment); Hall v. N. Am. Van Lines, Inc., 476 F.3d 683, 687-88 (9th Cir.2007) (holding that Carmack Amendment falls within the “handful of extraordinary situations where even a well-pleaded state law complaint will be deemed to arise under federal law for jurisdictional purposes”); Orlick v. J.D. Carton & Son, Inc., 144 F.Supp.2d 337, 344-45 (D.N.J.2001) (state law claims for breach of contract, common law fraud, violation of New Jersey Consumer Fraud Act, slander of credit and punitive damages were completely preempted by Carmack Amendment) (citing Adams Express Co. v. Croninger, 226 U.S. 491, 505-06 (1913)); Hoover v. Allied Van Lines, Inc., 205 F.Supp.2d 1232, 1240-41 (D.Kan.2002) (state law negligence and breach of contract claims were completely preempted by Carmack Amendment).

The timeliness of the notice of removal was not at issue in Lewis.

In the case at bar, it is clear that the state law claims asserted by Plaintiff in her complaint involve loss or damage to goods arising from the interstate transportation of those goods by common carrier.Accordingly, based on the above-cited authority, the Court concludes that the Carmack Amendment completely preempts Plaintiff’s state common law claims. Because the Carmack Amendment provides the exclusive cause of action for such claims, the Court finds that Rehman’s claims “only arise[ ] under federal law and could, therefore, be removed under § 1441.” Beneficial Nat’l Bank v. Anderson, 539 U.S. 1, 11, 123 S.Ct. 2058, 2064 (2003).

The Court notes that in her brief, Plaintiff argues that the Carmack Amendment does not preempt her claim of carrier malfeasance. (Doc. No. 8 at pg. 17.)Plaintiff’s complaint does not contain any allegations to support such a claim. Therefore, this argument is unavailing. Even if the complaint did set forth such a claim, that would not defeat federal jurisdiction over Plaintiff’s asserted claims under the complete preemption doctrine based on the Carmack Amendment. So long as one of Plaintiff’s claims presents a federal question, i.e., is completely preempted by the Carmack Amendment, federal question jurisdiction will lie. Hall v. N. Am. Van Lines, 476 F.3d at 689; Steiner v. Horizon Moving Sys., 568 F.Supp.2d 1084, 1087-88 (C.D.Cal.2008).

Although Rehman’s claims are “removable,” that does not end the inquiry, because Section 1445(b) imposes a matter in controversy requirement for Carmack Amendment claims, i.e., in excess of $10,000.00 exclusive of interest and costs. 28 U.S.C. § 1445(b). Rehman’s initial pleading filed in State Court clearly indicates that the damages she seeks are $ 7,000.00, exclusive of interests and costs, and thus, based on the allegations in her complaint, the Carmack Amendment claims could not be removed within thirty days of the initial pleading-May 27, 2008.

At some time after the filing of the complaint, Basic became aware that the litigation value of this case exceeded $10,000.00 exclusive of interest and costs, and subsequently filed its Notice of Removal. The question for this Court is whether the Notice of Removal was filed within thirty days after receipt by Basic of some “other paper” from which it first ascertained that the matter in controversy requirement had been satisfied. Basic contends that the “other paper” from which it first learned that the litigation value exceeded $10,000.00 is the January 29, 2009 letter from Plaintiff, which it received on February 2, 2009. Since the notice of removal was filed on February 26, 2009, Basic contends the removal was timely and therefore this Court has removal jurisdiction over this case. Rehman maintains, on the other hand, that Basic first learned of the litigation value of this case at her deposition on September 11, 2008. The Court agrees with Rehman, that based on her deposition testimony, Basic should have been aware of the litigation value of this case prior to February 2, 2009.

The majority of courts that have considered whether deposition testimony can be deemed an “other paper” under Section 1446(b) have held that an answer given at a deposition which is transcribed constitutes an “other paper,” thereby triggering the running of the thirty-day time period for removal. Seigfried v. Allegheny Ludlum Corp., Civ.A. No. 09-125, 2009 WL 1035001,(W.D.Pa. Apr. 17, 2009) (citing Peters v. Lincoln Elec. Co., 285 F.3d 456, 465-66 (6th Cir.2002); Huffman v. Saul Holdings Ltd. P’ship, 194 F.3d 1072, 1078 (10th Cir.1999); S. W.S. Erectors, Inc. v. Infax, Inc., 72 F.3d 489, 494 (5th Cir.1996); Connolly v. Aetna U.S. Healthcare, Inc., 286 F.Supp.2d 391, 398 (D.N.J.2003)); see also Fed. Prac. & Proc., § 3732 at 306-310 (“Various discovery documents such as depositions … usually are accepted as ‘other paper’ sources that initiate a new thirty-day period of removability.”) At her deposition, Rehman was being asked about the efforts she took to file a claim with Basic for furniture and other goods she alleged were lost or damaged during the interstate transport. (Rehman Dep. at 32-36.) The following colloquy then took place between Basic’s counsel and Rehman:

Q. How much did you receive from your homeowner’s carrier? Let’s start with the Pennsylvania one.

A. Let me see what I can find. As you know, if you have any experience with insurance, what you claim and what you get are two different things so I took quite a hit here. I did not get the full amount of the claim. The full amount of the claim was in excess of $70,000.

Q. That would be the claim made to each?

A. No, to both, the aggregate total amount. Chubb paid out $26,396.50. Encompass paid $29,797.65.

Q. Were there any deductibles?

A. Absolutely.

Q. Could you please describe those?

A. I lost a $2,500 deductible with Chubb. I lost a $500 deductible with Encompass, and clearly if you add up the two figures they paid out which comes to $56,194.15, that represents almost a $14,000 loss on the original amount of the claim. I got killed here. I really did. I took a tremendous loss.

Rehman Dep. at 36-37 (Doc. 8-9). From this testimony, counsel for Basic should have been aware that the litigation value of this case exceeded the $10,000.00 matter in controversy requirement, as Plaintiff stated she was out of pocket almost $14,000.00 on her unreimbursed insurance claims, plus $3,000.00 in deductibles.

From Plaintiff’s submissions with her reply brief, it appears that the deposition transcript was provided to the parties on or about September 17, 2008, as that is the date that the court reporter provided a copy of the transcript to Plaintiff for her review. Included at pages 55-56 of the transcript was a Notice of Non-Waiver of Signature to Plaintiff dated September 17, 2008. It is reasonable to assume that Basic’s counsel was also provided with a written transcript at or around September 17, 2008. In any event, Basic has not come forward with any evidence to show that it did not receive a copy of the deposition transcript, or to establish a receipt date within thirty days of February 26, 2009, despite the fact that Basic has the burden of proving removal was proper. Accordingly, the Court finds that Basic received an “other paper” giving it actual notice of the litigation value of this case on or about September 17, 2008, and therefore, the Notice of Removal was untimely.

In the alternative, Basic asserts in its brief in opposition to remand that removal was proper under 28 U.S.C. § 1337(a), as Plaintiff seeks a refund of interstate tariff charges. However, Basic’s alternative argument misses the mark for two reasons. First, Plaintiff’s complaint is completely devoid of any references to tariffs or freight charges, not did she attach to her complaint a copy of a bill of lading. In addition, Plaintiff has not alleged any additional facts relating to her breach of contract claim in any subsequent papers. Thus, assuming for argument’s sake that some statutory basis other than the Carmack Amendment provides a basis for federal question jurisdiction, such that the matter in controversy requirement under Section 1337(a) does not apply, such grounds for removal, if it existed at all, would have existed at the time Plaintiff filed her initial pleading. Therefore, the notice of removal, based on what Basic now characterizes as a claim for a refund of interstate tariff charges, would have to have been filed within thirty days of May 27, 2008, and since it was not, is untimely.

Section 1337(a) provides:

The district courts shall have original jurisdiction of any civil action or proceeding arising under any Act of Congress regulating commerce or protecting trade and commerce against restraints and monopolies: Provided, however, That the district courts shall have original jurisdiction of an action brought under section 11706 or 14706 of title 49, only if the matter in controversy for each receipt or bill of lading exceeds $10,000, exclusive of interest and costs.

28 U.S.C. § 1337(a).

The other reason Basic’s alternative argument fails is because it did not raise the refund of interstate tariff charges as a basis for federal question jurisdiction under Section 1337(a) in its notice of removal, but rather, raises this argument for the first time in its brief in opposition to Plaintiff’s motion to remand. Because this argument raises a new and independent ground for removal and is made beyond thirty days after the notice of removal was filed, it is waived. USX Corp. v. Adriatic Ins. Co., 345 F.3d 190, 204-06 & n. 11 (3d Cir.2003) (citing Newman-Green, Inc. v. AlfonzoLarrain, 490 U.S. 826, 831-32 (1989) (holding district and appellate courts have the power to remedy inadequate jurisdictional allegations but not defective jurisdictional facts under 28 U.S.C. § 1653); 14C Fed. Prac. & Proc.3d § 3733, at 358-61 (“[A]mendment of the removal notice … may correct an imperfect statement of citizenship, or state the previously articulated grounds more fully, or correct the jurisdictional amount. Completely new grounds for removal jurisdiction may not be added and missing allegations may not be furnished however.”) (footnote omitted)); see also Akins v. Radiator Specialty Co., No. Civ. A. 3:05-451, 2006 WL 2850444, * 2 (W.D.Pa. Sept. 29, 2006) (precluding defendants from adding a new and independent basis for federal question jurisdiction raised for first time in response to remand motion) (citing USX Corp., supra ). Accordingly, the Court finds no merit to Basic’s alternative argument in support of removal.

One final matter warrants brief discussion. Plaintiff has asked the Court to consider imposing sanctions on counsel for Basic in the event the Court orders remand to State Court. In support of her request, Rehman asserts that Defendant’s improper removal of this case “wasted the Court’s valuable time” and was done “with the explicit intent to delay even further the progress of this case, to attempt to exploit [her] pro se status, and to obfuscate this case.”(Doc. No. 8, ¶ 15.) Section 1447(c) vests the courts with broad discretion to award “just costs and any actual expenses, including attorney fees, incurred as a result of the removal” where remand is ordered. 28 U.S.C. § 1447(c); Mint v. Educ. Testing Serv., 99 F.3d 1253, 1260 (3d Cir.1996) (citations omitted). The standard for awarding costs and fees when remand is ordered is the existence of an objectively reasonable basis for seeking removal. Martin v. Franklin Capital Corp., 546 U.S. 132, 141 (2005). As the Supreme Court explained in Martin:

The process of removing a case to federal court and then having it remanded back to state court delays resolution of the case, imposes additional costs on both parties, and wastes judicial resources. Assessing costs and fees on remand reduces the attractiveness of removal as a method for delaying litigation and imposing costs on the plaintiff. The appropriate test for awarding fees under § 1447(c) should recognize the desire to deter removals sought for the purpose of prolonging litigation and imposing costs on the opposing party, while not undermining Congress’ basic decision to afford defendants a right to remove as a general matter, when the statutory criteria are satisfied. In light of these “ ‘large objectives,’ “ the standard for awarding fees should turn on the reasonableness of the removal. Absent unusual circumstances, courts may award attorney’s fees under § 1447(c) only where the removing party lacked an objectively reasonable basis for seeking removal. Conversely, when an objectively reasonable basis exists, fees should be denied. In applying this rule, district courts retain discretion to consider whether unusual circumstances warrant a departure from the rule in a given case. For instance, a plaintiff’s delay in seeking remand or failure to disclose facts necessary to determine jurisdiction may affect the decision to award attorney’s fees. When a court exercises its discretion in this manner, however, its reasons for departing from the general rule should be “faithful to the purposes” of awarding fees under § 1447(c).

Id. at 140-41 (internal citations omitted).

In the case at bar, attorney fees are not at issue since Plaintiff is proceeding pro se.In addition, Rehman has not specified what form of sanction she would like the Court to impose, nor does she attempt to describe or quantify any actual fees or costs that she has been required to incur as a result of the removal proceedings. Without such evidence, the Court is unable to consider her request. In any event, the Court does not believe a sanction would be warranted in this case, as it appears that Basic had an objectively reasonable basis pursuant to Section 1441(b) for removing the case to federal court, but was unsuccessful based on a procedural defect. Saterstad v. Stover, No. 07-2384, 249 Fed. Appx. 955, 956 (3d Cir. Oct. 5, 2007) (holding district court did not abuse its discretion in declining to award costs where defendants had objectively reasonable basis pursuant to § 1441(b) for removing case to federal court and remand was ordered based on procedural defect). Accordingly, the Court declines to order that Basic be sanctioned for removing this case to federal court.0

0. That being said, the Court is mindful of the fact that it has now been over a year since Plaintiff obtained a judgment against Defendant in Magisterial District Court, which was subsequently overturned on appeal, and the removal to this Court has further delayed trial of the matter by possibly six months. Consequently, the Court recommends that upon remand to State Court, the clerk of court place this case on the next available trial list, if possible.

Conclusion

For the foregoing reasons, the Court finds Defendant’s Notice of Removal was untimely and therefore, remand is appropriate. Inasmuch as an objectively reasonable basis existed for Basic’s removal of this case to federal court, the Court declines to award costs and/or fees under Section 1447(c). An appropriate order will follow.

Progressive Northern Ins. Co. v. Beltempo

United States District Court,

S.D. New York.

PROGRESSIVE NORTHERN INSURANCE COMPANY, Plaintiff,

v.

Daniel BELTEMPO, Francine Beltempo, Pamjam, Inc., Jilco Equipment Leasing Company, Inc., Dana’s Pro Trucking, Inc., Trailmobile Corp., Trailmobile Parts and Service Corp., Thermo King Corp., Ingersoll-Rand Co., Ltd., and Thermo King Corp., a Unit of Ingersoll-Rand Company, Ltd., Defendants.

No. 07-CV-4033 (CS).

May 14, 2009.

Philip A. Bramson, Esq., Laurence J. Rabinovich, Esq., Schindel, Farman, Lipsius, Gardner & Rabinovich, L.L.P., New York, NY, for Plaintiff.

Judith Treger Shelton, Esq., Timothy E. Delahunt, Esq., Kenney Shelton Liptak & Nowak, L.L.P., Buffalo, NY, for Defendant Dana’s Pro Trucking Inc.

MEMORANDUM DECISION AND ORDER

SEIBEL, District Judge.

On April 23, 2007, Plaintiff Progressive Northern Insurance Company (“Progressive” or “Plaintiff”) filed a declaratory judgment action in New York State Supreme Court, Orange County, against Defendants Daniel and Francine Beltempo; PamJam, Inc.; Jilco Equipment Leasing Company, Inc.; Dana’s Pro Trucking, Inc. (“DPT”); Trailmobile Corp.; Trailmobile Parts and Service Corp.; Thermo King Corp.; Ingersoll-Rand Co., Ltd.; and Thermo King Corp, a unit of Ingersoll-Rand Company, Ltd. (collectively, “Defendants”). Defendant DPT removed the case to this Court on May 22, 2007. Before the Court is Plaintiff’s Motion for Summary Judgment filed August 18, 2008. (Doc. 21.) For reasons discussed below, Plaintiff’s Motion is denied.

I. Background

A. Facts

The following facts are undisputed unless otherwise noted. Progressive issued to Defendant PamJam a motor vehicle liability insurance policy (effective May 4, 2004, through May 5, 2005) (the “policy”), which included, among other things, coverage for “claims by third parties for ‘accidents’ occasioned by the ownership, maintenance and use of said insured vehicles.”(Compl.¶¶ 20-21.)

Defendant PamJam was in the business of hauling produce in tractor-trailers. On or about January 21, 2005, Defendant DPT lent to PamJam a trailer with a refrigerator unit, which was attached to a PamJam tractor. Defendant Daniel Beltempo operated the tractor-trailer, and on the same date, was injured when he fell from the trailer (the “incident”).

According to the Complaint, Defendant Daniel Beltempo was employed by PamJam at the time he was injured. (Compl.¶ 29.) As discussed further below, this is disputed by DPT.

In connection with the January 21, 2005 incident, Defendants Daniel and Francine Beltempo commenced a personal injury action on October 4, 2005, in Supreme Court, Orange County, against several of the defendants sued herein, including DPT (the “underlying action”).(Id. ¶¶ 25-26;see Beltempo v. Dana’s Pro Trucking, Inc. et al., No. 7209-2005.)PamJam was not sued by the Beltempos in the underlying action.

On March 7, 2006, Progressive received a letter from DPT’s insurer, Northland Insurance, which stated: “It is our belief that your policy would have coverage for our insured. Accordingly, we are tendering the defense and indemnity of our insured to your company.”(Certification of Steve L. Momon (“Momon Certif.”) Ex. 1.) On March 9, 2006, Progressive sent a letter to PamJam, which stated that Progressive was investigating the January 21, 2005 incident under a “Reservation of Rights,” explaining that PamJam’s “failure/delay in notifying us of this loss, appears to be a violation of the notice provision of your policy.”(Id. Ex. 2 (emphasis in original).)

On March 19, 2006, Progressive sent identical disclaimer letters to PamJam and Northland Insurance, in which Progressive wrote: “I regret to inform you that your claim cannot be covered by Progressive…. The reason coverage cannot be provided is this claim was not reported to Progressive in a reasonable manner as outlined by the policy requirements.”(Id. Ex. 3.) The March 19 letters referred to the March 9 letter, which had been sent only to PamJam.

DPT commenced a third-party action against PamJam in the underlying action on April 14, 2006, seeking contribution and indemnification. (Compl.¶¶ 27-28.) Progressive was served with the third-party complaint in the underlying action on August 28, 2006, and on October 26, 2006, Progressive wrote a letter to PamJam, detailing the various bases upon which Progressive was disclaiming coverage for the January 21, 2005 incident. (Momon Certif. Ex. 4.)

B. Procedural History

Progressive filed the present action seeking a declaration that it is not required to provide PamJam with a defense or with indemnification for the January 21, 2005 incident. (Compl.¶¶ 41-47.) On August 18, 2008, Progressive filed a Motion for Summary Judgment, “seeking this Court’s declaration that a motor vehicle liability policy issued to defendant PamJam … provides no liability coverage for the third-party claims asserted against PamJam by defendant Dana’s Pro Trucking Inc …. in an action which is pending in the Supreme Court of the State of New York, Orange County.”(Mem. of Law in Supp. of Pl.’s Mot. for Summ. J. (“Pl.’s Mem.”) 1.)

According to Progressive, there is no coverage under the policy for the January 21, 2005 incident, and, therefore it is entitled to summary judgment in its favor, for two reasons: (1) PamJam failed to give Progressive timely notice of the incident, and (2) coverage is barred by the employee exclusion to the policy. (Id.) PamJam has never made an appearance in this case (and is now apparently a defunct company), so it is DPT that opposes Plaintiff’s Motion.

II. Discussion

A. Standard of Review

Summary judgment is appropriate when “the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law.”Fed.R.Civ.P. 56(c). An issue of fact is genuine “if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A fact is material if it “might affect the outcome of the suit under the governing law.”Id. On a motion for summary judgment, courts must “resolve all ambiguities, and credit all factual inferences that could rationally be drawn, in favor of the party opposing summary judgment.” Brown v. Henderson, 257 F.3d 246, 251 (2d Cir.2001) (internal quotation marks omitted). The party moving for summary judgment bears the burden of demonstrating the absence of a genuine issue of material fact. The burden then shifts to the non-moving party “to present evidence sufficient to satisfy every element of the claim.” Holcomb v. Iona Coll., 521 F.3d 130, 137 (2d Cir.2008).

When a motion for summary judgment is properly made and supported, an opposing party may not rely merely on allegations or denials in its own pleading; rather, its response must-by affidavits or as otherwise provided in this rule-set out specific facts showing a genuine issue for trial. If the opposing party does not so respond, summary judgment should, if appropriate, be entered against that party.

Fed.R.Civ.P. 56(e)(2); accord Patterson v. County of Oneida, 375 F.3d 206, 219 (2d Cir.2004).“Where a summary judgment motion is supported or opposed by affidavits, those ‘affidavits shall be made on personal knowledge, shall set forth such facts as would be admissible in evidence, and shall show affirmatively that the affiant is competent to testify to the matters stated therein.’ “ Major League Baseball Props., Inc. v. Salvino, Inc., 542 F.3d 290, 310 (2d Cir.2008) (quoting Fed.R.Civ.P. 56(e)).

B. Analysis

1. Failure to Give Timely Notice of Loss

Pursuant to the policy issued by Progressive to PamJam, the following is among the insured’s (PamJam’s) duties: (1) “In the event of an accident or loss, report it to us as soon as practicable by calling our toll-free claims reporting number …. All accidents or losses should be reported even if an insured person is not at fault;” and (2) “Any person claiming coverage under this Policy must: … promptly send us any and all legal papers received relating to any claim or lawsuit; [and] … provide us with written notice of any legal action which such person has undertaken in regard to the accident for which coverage is sought.”(Aff. of Timothy E. Delahunt in Opp’n to Progressive N. Ins. Co.’s Mot. for Summ. J. (“Delahunt Aff.”) Ex. D at 1.)

Under New York law, where an insurance policy requires the insured to notify the insurer of an occurrence “as soon as practicable,” “the absence of timely notice of an occurrence is a failure to comply with a condition precedent which, as a matter of law, vitiates the contract.” Argo Corp. v. Greater N.Y. Mut. Ins. Co., 4 N.Y.3d 332, 339 (2005); accord Unigard Sec. Ins. Co. v. N. River Ins. Co., 79 N.Y.2d 576, 578 (1992). The purpose of such notice provisions is to “afford the insurer an adequate opportunity to investigate, to prevent fraud and imposition upon it, and to form an intelligent estimate of its rights and liabilities before it is obliged to pay.”E. Baby Stores, Inc. v. Cent. Mut. Ins. Co., No. 07-CV-3890, 2008 U.S. Dist. LEXIS 43457, at(S.D.N.Y. June 2, 2008) (internal quotation marks omitted); accord Argo Corp., 4 N .Y.3d at 339. An insured must notify its insurance carrier of a “potential claim.” Prof’l Prod. Research Inc. v. Gen. Star Indem. Co., No. 06-CV-52703, 2008 U.S. Dist. LEXIS 52703, at (S.D.N.Y. July 7, 2008) (internal quotation marks omitted). This obligation is “triggered by the insured’s knowledge of events and circumstances which would suggest the possibility of a claim, not the actuality of a claim.”Id.“[T]here may be circumstances that excuse a failure to give timely notice, such as where the insured has a good-faith belief of nonliability, provided that belief is reasonable.”N. Country Ins. Co. v. Jandreau, 856 N.Y.S.2d 294, 295 (App.Div.2008) (internal quotation marks omitted). The insured’s belief in nonliability “must be reasonable under all the circumstances, and it may be relevant on the issue of reasonableness, whether and to what extent, the insured has inquired into the circumstances of the accident or occurrence.” Sec. Mut. Ins. Co. v. Acker-Fitzsimons Corp., 31 N.Y.2d 436, 441 (1972). Notice must be given promptly “[o]nce knowledge suggests the possibility of a covered claim.”Prof’l Prod. Research Inc., 2008 U.S. Dist. LEXIS 52703, at *15.

It is not necessary for the insurer to demonstrate that it was prejudiced by untimely notice. Argo Corp., 4 N.Y.3d at 339. Instead, the burden is on the insured to show that the delay was not unreasonable-i.e., that there was a reasonable excuse for the delay. Id. at 340;see Sec. Mut. Ins. Co., 31 N.Y.2d at 441. “[T]he question of such reasonableness is generally a factual question for a jury.” Jandreau, 856 N.Y.S.2d at 296. A court may, however, determine as a matter of law whether notice was given within a reasonable time when: “(1) the facts bearing on the delay in providing notice are not in dispute and (2) the insured has not offered a valid excuse for the delay.” State of New York v. Blank, 27 F.3d 783, 795 (2d Cir.1994).

Thus, DPT’s argument that “Progressive’s motion for summary judgment … fails to articulate a single reason why PamJam’s allegedly late notice was unreasonable,” (Dana’s Pro Trucking, Inc.’s Mem. of Law in Opp’n to Progressive N. Ins. Co.’s Mot. for Summ. J. (“DPT Mem.”) 7.), incorrectly assumes that the burden to do so is on Progressive, which is not the case under New York law. See Argo Corp., 4 N.Y.3d at 340.

New York State Insurance Law § 3420(a)(3) provides that “notice given by or on behalf of the insured, or written notice by or on behalf of the injured person or any other claimant, to any licensed agent of the insurer in this state, with particulars sufficient to identify the insured, shall be deemed notice to the insurer.”The fact that injured parties and claimants have an independent right under New York State law to place an insurer on notice means that “the injured party or other claimant is not to be charged vicariously with the insured’s delay.” Aetna Cas. & Sur. Co. v. Nat’l Union Fire Ins. Co., 674 N.Y.S.2d 685, 688 (App.Div.1998). Thus “an injured third party may seek recovery from an insured’s carrier despite the failure of the insured to provide timely notice of the accident.” Gen. Accident Ins. Group v. Cirucci, 46 N.Y.2d 862, 863-64 (1979).

Here, it does not appear from the record that PamJam ever notified Progressive of the January 21, 2005 incident. Progressive did not learn of the incident (or the underlying lawsuit) until March 7, 2006, when it received a letter from DPT’s insurance carrier, Northland Insurance. On August 28, 2006, Progressive was served with the third-party complaint that DPT filed against PamJam on April 14, 2006. DPT assumes for the sake of argument, as does the Court, that the notice provided to Progressive-over a year after the incident-was untimely under the terms of the policy.(DPT Mem. 6.) DPT argues, however, that Progressive’s disclaimer of coverage was invalid for three reasons, each of which will be discussed below.

New York courts have held far shorter delays to be unreasonable as matter of law. See, e.g., Blank, 27 F.3d at 796 (New York courts have routinely found delays of less than ten months-and even as short as twenty-nine days-to be unreasonable as a matter of law); Am. Home Assurance Co. v. Republic Ins. Co., 984 F.2d 76, 78 (2d Cir.1993) (collecting New York cases holding that delays ranging from ten to fifty-three days were unreasonable); Prof’l Prod. Research Inc., 2008 U.S. Dist. LEXIS 52703, at (“even periods of delay as short as two months have been found to be unreasonable as a matter of law”); Crucible Materials Corp. v. Aetna Cas. & Sur. Co., 228 F.Supp.2d 182, 195 (N.D.N.Y 2001) (same); Myers v. Cigna Prop. and Cas. Ins. Co., 953 F.Supp. 551, 556-57 (S.D.N.Y.1997) (sixty days not “as soon as practicable”); Deso v. London & Lancashire Indem. Co. of Am., 143 N.E.2d 889, 891 (N.Y.1957) (fifty-one days unreasonably late as a matter of law); Heydt Contracting Corp. v. Am. Home Assurance Co ., 536 N.Y.S.2d 770, 772-73 (App.Div.1989) (four month delay unreasonable as a matter of law).

a. Reasonable Excuse

First, DPT argues that PamJam had a valid excuse for not providing Progressive with timely notice of the incident-specifically, that it was reasonable for PamJam to assume that the accident implicated its Workers’ Compensation insurance rather than its third-party liability coverage with Progressive. (DPT Mem. 2, 6-8.)

New York courts have recognized that a good faith, reasonable belief that an incident would be covered by workers’ compensation insurance may in some circumstances excuse late notice to an employer’s liability insurance carrier. See, e.g., Klersy Bldg. Corp. v. Harleyville Worchester Ins. Co., 828 N.Y.S.2d 661, 663 (App.Div.2007) (denying summary judgment where employer explained his belief that accident would be covered by workers’ compensation insurance; issue of reasonableness was for jury); G.L.G. Contracting Corp. v. Aetna Cas. & Sur. Co., 626 N.Y.S.2d 307, 309 (App.Div.1995) (denying summary judgment to liability carrier where employer claimed to believe accident would be covered by workers’ compensation insurance; employer’s credibility and reasonableness were issues for jury); Cohoes Rod & Gun Club, Inc. v. Firemen’s Ins. Co. of Newark, N.J., 521 N.Y.S.2d 836, 837 (App.Div.1987) (issues of fact created by insured’s deposition testimony that he and others believed no lawsuit was possible against his company based on existence of workers’ compensation and other liability insurance carried by other company with which his company contracted); Sabre v. Rutland Plywood Corp., 461 N.Y.S.2d 596, 598 (App.Div.1983) (employer-insured’s notice to liability carrier, which was three years after accident but only eight days after third-party suit was filed, was timely because insured was “entitled to rely on the exclusivity of the workers’ compensation remedy provided to its employee and on the coverage of its workers’ compensation policy, and was not required to anticipate that a third-party suit … would be brought against it”). While “[u]ntimely notice may be excused in certain circumstances, … such as where the insured … reasonably believed that it did not face liability,”J.J.J. Props. v. Travelers Indem. Co., No. 07-CV-135, 2008 U.S. Dist. LEXIS 51992, at(S.D.N.Y. July 7, 2008), courts are generally less forgiving of untimely notice where the policy at issue requires notice to the insurance carrier even where the occurrence “may” result in liability to the insured, see, e.g., E. Baby Stores, Inc., 2008 U.S. Dist. LEXIS 43457, at(delay based on insured’s belief that accident would be covered by worker’s compensation insurance unreasonable as a matter of law because policy required notice of “any ‘occurrence which may result in a claim’“ (emphasis in original)); Heydt Contracting Corp., 536 N.Y.S.2d at 772-73 (“[insured]’s assumption that other parties would bear ultimate responsibility for [the incident] is insufficient as a matter of law to excuse the more than four-month delay in giving notice” where insured was aware of occurrence and policy “dictates that timely written notice be provided whenever a claim ‘may’ arise”). Here, the policy at issue goes even further, and requires that the insured provide notice to Progressive of “[a ]ll accidents or losses … even if an insured person is not at fault.”(Delahunt Aff. Ex. D at 1 (emphasis added).)

DPT cites to the depositions of Daniel Beltempo, James Slaughter (PamJam’s general manager), and Joseph DiMartino (PamJam’s president), taken in the underlying action, during which each of them stated that Daniel Beltempo was a PamJam employee at the time he was injured. (Beltempo Dep. 15; Slaughter Dep. 16; DiMartino Dep. 15-16.) Though this testimony certainly establishes their collective belief that Beltempo was a PamJam employee at the time of the incident, it does not address the issue of Workers’ Compensation, let alone establish PamJam’s good-faith belief in non-liability, or create any issues of fact regarding same.

On August 28, 2008, DPT’s counsel wrote a letter to the Court (Doc. 27), asking permission to submit an affidavit from James Slaughter to supplement DPT’s opposition. According to counsel, this affidavit would establish “as a matter of fact that Mr. Slaughter believed at the time of the underlying accident that it was a workers’ compensation matter only that did not implicate his third-party liability insurance with Progressive.”(Letter from Timothy E. Delahunt, Esq., to the Court, dated Aug. 28, 2008.) The Court gave counsel until September 19, 2008, to supplement the opposition with Mr. Slaughter’s affidavit. On that date, counsel wrote another letter to the Court (Doc. 29), indicating that Mr. Slaughter refused to provide an affidavit on DPT’s behalf in opposition to Progressive’s Motion. (Letter from Timothy E. Delahunt, Esq., to the Court, dated Sept. 19, 2008.)

There is no evidence in the record from which a reasonable jury could find that the reason PamJam failed to notify Progressive of the incident was its belief that workers’ compensation insurance would cover the loss, that PamJam did not believe a third-party suit would be filed against it, or that those beliefs, if they existed, were reasonable and held in good-faith. Further, the facts that PamJam never notified Progressive of the incident or of the Third Party Complaint (with which PamJam was served in May 2006), and that Progressive did not learn that a third-party complaint had been filed against its insured until months later, in August 2006, strongly suggests that PamJam was acting in a dilatory manner, and not in accordance with any good-faith or reasonable belief in non-liability.

Further, DPT does not even argue (or put forth evidence suggesting) that DPT itself had a reasonable excuse for its own delay in notifying Progressive of the incident. DPT did not notify Progressive of the incident until over a year after the accident occurred and five months after DPT was sued by Beltempo, and Progressive was not provided with DPT’s Third-Party Complaint against PamJam until over four months after it was filed. Without any evidence whatsoever to explain DPT’s delay in notifying Progressive or to determine whether there was a reasonable excuse for the delay, the Court finds that DPT’s notice was untimely as a matter of law.

In sum, the Court finds that the notice provided to Progressive was untimely as a matter of law and that DPT has failed to proffer any evidence that there was a reasonable excuse for the delay.

b. Legally Insufficient Disclaimer to PamJam

Next, DPT claims that Progressive’s disclaimer of coverage to PamJam was legally insufficient and ineffective because it was not sufficiently specific. (DPT Mem. 2, 8-9.) The Court need not spend much time on this argument. Because PamJam never provided any notice to Progressive of the January 21, 2005 incident or the April 14, 2006 Third-Party Complaint, Progressive was not obligated to provide PamJam with a disclaimer at all. See Webster v. Mt. Vernon Fire Ins. Co., 368 F.3d 209, 214 (2d Cir.2004) (“Because an insured has a contractual obligation under the policy to provide timely notice of a claim, the insurer does not become obligated to disclaim coverage until the insured provides notice.”).

c. Failure to Provide DPT with Notice of Disclaimer

Finally, DPT argues that Progressive failed to notify DPT of its disclaimer based on DPT’s alleged late notice, and, therefore, “Progressive is precluded as a matter of law from asserting any coverage defense against [DPT] if and when [DPT] obtains a judgment against PamJam.”(DPT Mem. 2, 9-11.)

New York Insurance Law § 3420(d)(2) provides:

If under a liability policy issued or delivered in this state, an insurer shall disclaim liability or deny coverage for death or bodily injury arising out of a motor vehicle accident or any other type of accident occurring within this state, it shall give written notice as soon as is reasonably possible of such disclaimer of liability or denial of coverage to the insured and the injured person or any other claimant.

In its March 9, 2006 letter to PamJam, which was not sent to DPT, Progressive indicated that it had just been notified of the January 21, 2005 incident, and that the claim would be handled under a reservation of rights until Progressive could resolve certain coverage issues. (Momon Certif. Ex. 2.) The letter quoted from the notice provision of the policy and then stated that “[y]our failure/delay in notifying of us of this loss, appears to be a violation of the notice provision of your policy.”(Id. Ex. 2 (first emphasis added).) On March 16, 2006, Progressive sent to PamJam and DPT identical disclaimer letters, which first referred to the “potential coverage problem” identified in the March 9, 2006 letter (which, again, was not sent to DPT), and then stated, “I regret to inform you that your claim cannot be covered by Progressive Northern Insurance. The reason coverage cannot be provided is this claim was not reported to Progressive in a reasonable manner as outlined by the policy requirements.”(Id. Ex. 3.) Neither DPT, nor the timeliness (or not) of the notice it provided to Progressive, is mentioned in these letters.

Under New York law, to be effective, a

notice of disclaimer must promptly apprise the claimant with a high degree of specificity of the ground or grounds on which the disclaimer is predicated. Absent such specific notice, a claimant might have difficulty assessing whether the insurer will be able to disclaim successfully. This uncertainty could prejudice the claimant’s ability to ultimately obtain recovery. In addition, the insurer’s responsibility to furnish notice of the specific ground on which the disclaimer is based is not unduly burdensome, the insurer being highly experienced and sophisticated in such matters.

Cirucci, 46 N.Y.2d at 864.

Whether an insurer has waived the late notice defense is typically a question of fact, but “New York courts have found waiver as a matter of law where the insurer has disclaimed on other grounds without mentioning late notice until a later date.”MCI LLC v. Rutgers Cas. Ins. Co., No. 06-CV-4412, 2007 U.S. Dist. LEXIS 59241, at (S.D.N.Y. Aug. 13, 2007) (internal quotation marks omitted). If an insurer “possesses actual or constructive knowledge of the circumstances regarding a potential defense, yet asserts only other defenses, New York law deems the insurer, as a matter of law, to have intended to waive the unasserted defense.”Id. at *24.

The Court finds Progressive’s March 19, 2006 letter to DPT to be ineffective as a matter of law to disclaim coverage for the January 21, 2005 incident as to DPT on the basis of DPT’s late notice. There is no mention of DPT in the purported disclaimer, and it is entirely lacking in the specifics clearly required under New York law. See Cirucci, 46 N.Y.2d at 864 (“high degree of specificity” required). Because Progressive uniquely possessed knowledge of the grounds for and facts supporting disclaimer, and because Progressive is “highly experienced and sophisticated in such matters,” id. at 864, its attempted disclaimer was wholly insufficient as to DPT. Therefore, regardless of the extent to which Progressive could have validly disclaimed because of DPT’s late notice, that defense has been waived by Progressive’s failure to properly disclaim on that basis. See MCI LLC, 2007 U.S. Dist. LEXIS 59241, at *36-37 (insurer found to have waived late notice defense as to claimant where disclaimer only mentioned untimeliness of insured’s notice and did not mention timing of claimant’s notice); Cirucci, 46 N.Y.2d at 863-64 (where disclaimer only referred to insured’s late notice, disclaimer was ineffective as against third parties not mentioned); Vacca v. State Farm Ins. Co., 790 N.Y. S.2d 177, 178 (App.Div.2005) (disclaimer ineffective against injured party where insurer failed to cite injured party’s late notice as ground for disclaimer); Aetna Cas. & Surety Co. v. Rodriguez, 496 N.Y.S.3d 956, 957 (App.Div.1985) (“a notice of disclaimer … which only specifies the grounds of disclaimer against the insured … but does not specifically address the basis for disclaimer against the third-party claimant must be held to be inadequate for such purpose as to the latter”).

Further, the March 19 letter’s reference to the March 9 letter to PamJam-which focused on PamJam’s failure to notify Progressive-also strongly suggests that the author of the March 19 letter intended to disclaim on the basis of PamJam’s (not DPT’s) failure to notify. Regardless of the author’s intent, however, the letter did not, in any event, meet New York law’s requirements for specifying the grounds for a disclaimer.

2. Applicability of Employee Exclusion

The liability policy contains the following exclusion (the “employee exclusion”):

Coverage under [“Liability to Others” provision of the policy] and our duty to defend does not apply to: … Bodily injury to an employee of an insured, or a spouse, child, parent, brother or sister of that employee, arising out of or within the course of employment, except with respect to a domestic employee if benefits are neither paid nor required to be provided under any Workers’ Compensation, disability benefits or other similar law. This exclusion applies whether the insured may be liable as an employer or in any other capacity, and to any obligation to share damages with or repay someone else who must pay damages because of the injury.

(Delahunt Aff. Ex. D at 8.) Progressive argues that, because Daniel Beltempo was injured in the course and scope of his employment with PamJam, the January 21, 2005 incident falls under the employee exclusion of the policy and is therefore not covered. (Pl.’s Mem. 5-6.)

The burden falls on the insurer to prove that an otherwise covered loss falls under the ambit of a policy exclusion. See Morgan Stanley Group, Inc. v. New Eng. Ins. Co., 225 F.3d 270, 276 n. 1 (2d Cir.2000). This burden is a significant one; that is, to “negate coverage by virtue of an exclusion, an insurer must establish that the exclusion is stated in clear and unmistakable language, is subject to no other reasonable interpretation, and applies in the particular case.” Pepsico, Inc. v. Winterthur Int’l Am. Ins. Co., 788 N.Y.S.2d 142, 144 (App.Div.2004) (internal quotation marks omitted).

According to DPT, Progressive has failed to meet its burden of establishing that the exclusion applies here-in other words, that Beltempo was an employee of PamJam at the time he was injured.DPT points to the work-related accident report filed with the Workers’ Compensation Board in connection with the January 21, 2005 incident, which identifies Beltempo’s employer as DiMartino Farms. (Delahunt Aff. Ex. K.) The cover letter of the accident report was sent to DiMartino Farms, which has the same mailing address as PamJam and which is also the home address for Joseph DiMartino, president and owner of both PamJam and DiMartino Farms Snow Plowing. (Id. Ex. K; DiMartino Dep. 10-15.) The cover letter indicates that the form was prepared by someone in the customer service department of the New York State Insurance Fund, using information provided to it over the phone by James Slaughter, the general manager and secretary of PamJam. (Delahunt Aff. Ex. K.)

DPT further claims that Progressive is precluded from raising the employee exclusion because it failed to raise it in its March 19, 2006 disclaimer letter. (DPT Mem. 12.) This argument is without merit. “[A] defense based on lack of coverage is not subject to waiver under New York law.” Palmieri v. Allstate Ins. Co., 445 F.3d 179, 188 (2d Cir.2006). Thus, the waiver doctrine cannot be used to create coverage where none existed before. Coregis Ins. Co. v. Lewis, Johs, Avallone, Aviles & Kaufman, LLP, No. 01-CV-3844, 2006 U.S. Dist. LEXIS 55326, at *40-41 (E.D.N .Y. July 28, 2006) (“where the issue is the existence or nonexistence of coverage (that is, the insuring clause and exclusions), the doctrine of waiver is simply inapplicable under New York law”); Albert J. Schiff Assocs., Inc. v. Flack, 417 N.E.2d 84, 87 (N.Y.1980) (“Waiver evolved because of courts’ disfavor of forfeitures of the insured’s coverage which would otherwise result where an insured breached a policy condition, as, for instance, failure to give timely notice of a loss …. This, however, does not create coverage, for the underlying coverage must be subsisting if the forfeiture is to serve any purpose.”).

When questioned about the form during his deposition in the underlying action, DiMartino testified, it was “explain[ed] to them that it was PamJam, not DiMartino Farms, … they just keep writing it as DiMartino Farms all the time,” (DiMartino Dep. 16-17), and that Beltempo was a PamJam employee (id. 15-16). When DiMartino was asked whether Beltempo was an employee of DiMartino Farms Snow Plowing, he responded, “[a]bsolutely not.” (Id. 16.)James Slaughter likewise testified that Beltempo was a PamJam employee. (Slaughter Dep. 16.) Beltempo also identified himself as a PamJam employee, both during his deposition testimony (Beltempo Dep. 15), and in his complaint in the underlying action. (Certification of Philip A. Bramson (“Bramson Certif.”) Ex. A ¶ 37 (“That at all times hereinafter mentioned plaintiff DANIEL BELTEMPO was in course of his employment with PamJam, Inc.”).) DPT adopted the same position in the third-party complaint it filed against PamJam in the underlying action: “That at all times mentioned and at all times referred to in the plaintiffs’ complaint, the plaintiff, DANIEL BELTEMPO, was acting within the scope of his employment for the third-party defendant ‘PAMJAM.’ “ (Id. Ex. B ¶ 15.)

Thus, while the weight of the evidence seems to suggest that Beltempo was a PamJam employee, there is evidence-the Workers’ Compensation form containing information supplied by PamJam’s general manager-to the contrary. On a motion for summary judgment, the Court is not to weigh the evidence, but rather simply to determine whether evidentiary conflicts exist. Kessler v. Westchester County Dep’t of Soc. Servs., 461 F.3d 199, 206 (2d Cir.2006). While Progressive may well be able to carry its burden of establishing that Beltempo was an employee, I cannot say as a matter of law that it has done so, especially in light of the puzzling failure of either side to produce documents-such as Beltempo’s paychecks, W-2 forms, or tax returns-that might easily settle the matter.

III. Conclusion

For the reasons stated herein, Progressive’s Motion for Summary Judgment is DENIED. The Clerk of Court is respectfully directed to terminate the pending Motion. (Doc. 21.) The Parties are directed to appear for a status conference on June 26, 2009, at 9:15 A.M., at which time the Court will set a date for trial on the issue of whether or not Beltempo was a PamJam employee.

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