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Volume 19, Edition 9, Cases

Steve Black, Plaintiff–Appellee, v. Dixie Consumer Products LLC; Georgia–Pacific Consumer Products Holdings LLC

United States Court of Appeals,

Sixth Circuit.

Steve Black, Plaintiff–Appellee,

v.

Dixie Consumer Products LLC; Georgia–Pacific Consumer Products Holdings LLC, Defendants–Appellants.

No. 15-5889

|

Argued: August 5, 2016

|

Decided and Filed: August 29, 2016

 

Appeal from the United States District Court for the Western District of Kentucky at Bowling Green. No. 1:08–cv–00142—Joseph H. McKinley, Jr., Chief District Judge.

Attorneys and Law Firms

ARGUED: Matthew P. Cook, Cole & Moore, P.S.C., Bowling Green, Kentucky, for Appellants. Mike Breen, Mike Breen Attorney at Law, P.S.C., Bowling Green, Kentucky, for Appellee. ON BRIEF: Matthew P. Cook, John David Cole, Sr., Cole & Moore, P.S.C., Bowling Green, Kentucky, for Appellants. Mike Breen, Mike Breen Attorney at Law, P.S.C., Bowling Green, Kentucky, for Appellee.

Before: BOGGS, CLAY, and SUTTON, Circuit Judges.

 

SUTTON, J., delivered the opinion of the court in which BOGGS, J., joined. CLAY, J. (pp. –––– – ––––), delivered a separate dissenting opinion.

 

OPINION

SUTTON, Circuit Judge.

*1 Steve Black, a truck driver for Western Express, drove a load of raw paper materials to a factory operated by Dixie Consumer Products in Bowling Green, Kentucky. During the unloading process, a careless Dixie employee ran over Black’s foot with a forklift. Black received workers’ compensation from Western due to the injury. He then filed a tort claim against Dixie and its parent company, Georgia–Pacific. The district court denied Dixie and Georgia–Pacific’s motion for summary judgment. Because Kentucky’s workers’ compensation statutes provide an exclusive remedy for injuries of this sort, we reverse the decision of the district court.

 

 

I.

Dixie makes paper cups and plates out of raw paper material. Forty-eight different truck and freight service providers carry the raw paper to the Bowling Green factory. One of them is Western, which agreed to “transport and deliver shipments of contract freight from facilities or other designated locations to the various destination points.” R. 14–2 at 2.

 

On the day of the accident, Black drove a Western truck, loaded with 41,214 pounds of pulpboard, to the factory. Ten-pound rubber mats separated the heavy paper rolls and secured the load on its journey to Bowling Green. After parking his truck, Black received permission from Larry Chinn, the Dixie forklift operator, to enter the loading dock through a locked cage designed to keep pedestrians off the loading dock. It was “[c]ommon practice,” as Black understood, for the truck driver to unload the rubber mats so that the Dixie forklift operator did not “have to get off each time and get” them himself. R. 84–12 at 7, 12.

 

Chinn and Black soon got “into a rhythm” in unloading the materials. R. 84–9 at 22. Chinn would remove a layer of paper rolls with his forklift. And Black would remove the rubber mats and walk them to the trash compactor. At some unfortunate point, they fell out of rhythm, and Chinn ran over Black’s foot with the forklift, leading to a below-the-knee amputation of Black’s leg.

 

Black received workers’ compensation from Western due to the injury.

 

He then filed this tort action against Dixie and Georgia–Pacific, seeking $1,850,000 in damages.

 

Dixie and Georgia–Pacific answered that the exclusive nature of the Kentucky Workers’ Compensation Act barred Black’s claims. See Ky. Rev. Stat. §§ 342.610(2), .690. “After minimal discovery,” the district court agreed. Black v. Dixie Consumer Prods. LLC, 516 Fed.Appx. 412, 413 (6th Cir. 2013). The district court rejected Black’s claim as a matter of law due to the exclusive nature of the Kentucky law, granting summary judgment to Dixie and Georgia–Pacific.

 

Our court reversed because the record was insufficiently developed. In particular, the evidence did not show whether “the work Black performed at the time of his injury was a regular or recurrent part of [Dixie’s] work.” Black, 516 Fed.Appx. at 417. “[I]n order to find that the transportation of raw paper materials between a supplier and Dixie is a ‘part of’ Dixie’s work,” a precondition for contractor immunity under Kentucky law, “Dixie must demonstrate both that this type of transportation is a ‘customary, usual, or normal’ part of Dixie’s business or ‘work that [Dixie] repeats with some degree of regularity’ and that it is work that Dixie or similar businesses would normally perform or be expected to perform with employees.” Id. (quoting Gen. Elec. Co. v. Cain, 236 S.W.3d 579, 588 (Ky. 2007)).

 

*2 On remand, the parties introduced additional evidence about the nature of this transport service. As the district court saw this evidence, it did not show that Dixie and Georgia–Pacific were entitled to immunity from this lawsuit and thus it denied their motion for summary judgment.

 

 

II.

[1] [2] [3]Denials of summary judgment are not final orders. And we have jurisdiction only over “final decisions of the district courts.” 28 U.S.C. § 1291. But there are a few exceptions, a few times when the courts of appeals will review non-final orders on an interlocutory basis. The key exception is the collateral-order doctrine. Under it, a party may appeal a non-final order only “if it (1) conclusively determines the disputed question; (2) resolves an important issue separate from the merits of the action; and (3) is effectively unreviewable on appeal from a final judgment.” Mohawk Indus., Inc. v. Carpenter, 558 U.S. 100, 105, 130 S.Ct. 599, 175 L.Ed.2d 458 (2009) (quotation omitted); see Cohen v. Beneficial Indus. Loan Corp., 337 U.S. 541, 546–47, 69 S.Ct. 1221, 93 L.Ed. 1528 (1949).

 

[4]The Supreme Court has frequently applied the collateral-order doctrine in the context of decisions rejecting immunity-from-suit defenses. The best known, and most frequently invoked, immunity-from-suit cases involve claims of sovereign immunity, absolute immunity, and qualified immunity raised by governmental entities and individuals. In all three settings, the losing party may appeal the rejection of an immunity defense immediately because the core point of “immunity is its possessor’s entitlement not to have to answer for his conduct in a civil damages action.” Mitchell v. Forsyth, 472 U.S. 511, 525, 105 S.Ct. 2806, 86 L.Ed.2d 411 (1985) (qualified immunity); see P.R. Aqueduct & Sewer Auth. v. Metcalf & Eddy, Inc., 506 U.S. 139, 147, 113 S.Ct. 684, 121 L.Ed.2d 605 (1993) (state sovereign immunity); Nixon v. Fitzgerald, 457 U.S. 731, 742, 102 S.Ct. 2690, 73 L.Ed.2d 349 (1982) (absolute immunity).

 

[5]Not all invocations of the word “immunity,” however, satisfy this exception. What matters is the “nature of the protection,” as opposed to “the loose ability of an attorney to use the term ‘immunity.’ ” Kelly v. Great Seneca Fin. Corp., 447 F.3d 944, 950 (6th Cir. 2006). And what counts in terms of protection is whether the relevant state or federal law “provides immunity from suit rather than immunity from liability.” Sabo v. City of Mentor, 657 F.3d 332, 336 (6th Cir. 2011); see Range v. Douglas, 763 F.3d 573, 581 (6th Cir. 2014); Chesher v. Neyer, 477 F.3d 784, 793 (6th Cir. 2007).

 

[6] [7]Under Kentucky law, a contractor has immunity from negligence actions (in return for providing backup workers’ compensation coverage) when “the worker was injured while performing work that was of a kind which is a regular or recurrent part of the work of the trade, business, occupation, or profession of the owner,” no matter whether “the immediate employer actually provided workers’ compensation coverage.” Cain, 236 S.W.3d at 585. Often called “up-the-ladder” contractor immunity, it establishes an immunity from suit, not just from liability. Black concedes as much. See Appellee’s Br. 5, 20. Dixie and Georgia–Pacific agree. See Appellant’s Br. 36, 44–45. Kentucky courts agree, too. The Supreme Court of Kentucky describes up-the-ladder immunity as “a contractor’s immunity from tort lawsuits.” Beaver v. Oakley, 279 S.W.3d 527, 528 n.1 (Ky. 2009); see Dilts v. United Grp. Servs., LLC, 500 Fed.Appx. 440, 449–50 (6th Cir. 2012) (Clay, J.) (quoting the Beaver footnote). The immunity plays a pivotal role in maintaining the tradeoffs contained in Kentucky’s workers’ compensation scheme. See Cain, 236 S.W.3d at 587. Consistent with the reality that up-the-ladder immunity insulates contractors from lawsuits, not just liability, and consistent with the give-and-take nature of all workers’ compensation systems, Kentucky courts themselves allow immediate appeals from an interlocutory order denying a private contractor’s immunity. Ervin Cable Constr., LLC v. Lay, 461 S.W.3d 422, 423 (Ky. Ct. App. 2015).

 

*3 [8]Kentucky courts, it is true, at times refer to contractor immunity as “immunity from liability,” Beaver, 279 S.W.3d at 528, as our colleague points out in dissent. But this is unsurprising given that an immunity from suit includes an immunity from liability. What matters is that Kentucky treats the immunity as an “absolute immunity, the denial of which is subject to immediate appeal since immunity is designed to free the possessor not only from liability, but also from the costs of defending an action.” Ervin Cable Constr., 461 S.W.3d at 423. We ourselves use both “immunity from suit[ ]” and “immun[ity] from liability” to describe immunities of such magnitude, sometimes in back-to-back sentences. Brookings v. Clunk, 389 F.3d 614, 617 (6th Cir. 2004). That is because absolute immunity “refers to protection from suit and not simply the assessment of liability.” Bush v. Rauch, 38 F.3d 842, 849 (6th Cir. 1994). Even aside from what Kentucky calls the immunity, it treats the immunity as one from suit by permitting interlocutory appeals from the denial of contractor immunity. An employer’s immunity from suit is the flip side of the employee’s freedom—immunity if you will—from having to file a suit to obtain coverage in the first place. A major concern of workers’ compensation systems is “that benefits be paid to deserving claimants as soon as possible” and without having to file a lawsuit. Edwards v. Dir., Office of Workers’ Comp. Programs, 932 F.2d 1325, 1327–28 (9th Cir. 1991) (per curiam) (granting collateral appeal of order staying award of benefits). A workers’ compensation system works best when there is no litigation on the front end or the back end. Because the Kentucky Supreme Court aptly treats this regime as “a contractor’s immunity from tort lawsuits,” Beaver, 279 S.W.3d at 528 n.1, Dixie and Georgia–Pacific may appeal.

 

True, Dixie and Georgia–Pacific are private companies. True also, the collateral-order exception “typically involves claims of immunity from suit by government officials,” as Black points out. Appellee’s Br. 3. But that does not make public-official claims of immunity the only ones available under the exception. We have frequently allowed such appeals by private parties for the same reason we permit interlocutory appeals by governmental actors: They are entitled to immunity from suit, whether under state or federal law. See, e.g., United Pet Supply, Inc. v. City of Chattanooga, 768 F.3d 464, 472 (6th Cir. 2014) (denial of qualified immunity for “private non-profit corporation”); Brotherton v. Cleveland, 173 F.3d 552, 559–60 (6th Cir. 1999) (same). In point of fact, the decision that gave birth to the collateral-order exception arose from a private corporation’s interlocutory appeal. Cohen, 337 U.S. at 546–47, 69 S.Ct. 1221 (permitting an appeal from an order denying a motion for security). The shortage of cases allowing interlocutory appeals from denials of contractor immunity stems not from the inapplicability of the collateral-order doctrine, but from the fact that the Kentucky workers’ compensation system is the exclusive remedy for workplace injuries when the worker, as here with Black, receives compensation. See Ky. Rev. Stat. § 342.690.

 

Other courts of appeals have applied the exception to private defendants as well. The Ninth Circuit, for example, exercised jurisdiction over an appeal by companies and individuals claiming intellectual property rights to Superman when the district court denied “a motion to strike pursuant to California’s anti-SLAPP statute”—a law that “stop[s] [ ] lawsuits early in the litigation process” when they are “brought primarily to chill the valid exercise of the constitutional rights of freedom of speech and petition for the redress of grievances.” DC Comics v. Pac. Pictures Corp., 706 F.3d 1009, 1013, 1015 (9th Cir. 2013) (quotation omitted). “California’s anti-SLAPP statute,” the court reasoned, “functions as an immunity from suit, and not merely as a defense against liability.” Id. Because “an immunity from suit is ‘imbued with a significant public interest’ that is not always present with regard to a defense against liability,” the Ninth Circuit ruled that “the denial of an immunity from suit—whether created by state or federal law—is an immediately appealable collateral order.” Id. (quotation omitted). Other courts of appeals have followed a similar path. See, e.g., Godin v. Schencks, 629 F.3d 79, 84–85 (1st Cir. 2010) (allowing interlocutory appeal for denial of anti-SLAPP motion under Maine law); Liberty Synergistics Inc. v. Microflo Ltd., 718 F.3d 138, 143 (2d Cir. 2013) (same under California’s anti-SLAPP statute); NCDR, L.L.C. v. Mause & Bagby, P.L.L.C., 745 F.3d 742, 752 (5th Cir. 2014) (same for Texas’s anti-SLAPP statute); see also McMahon v. Presidential Airways, Inc., 502 F.3d 1331, 1339–40 (11th Cir. 2007) (permitting appeal by military contractor due to “substantial claim to a true immunity from suit”).

 

*4 We have jurisdiction to review this interlocutory order.

 

 

III.

The parties share common ground about most of the legal parameters concerning this appeal. They agree we give fresh review of the district court’s order denying statutory immunity, as with its order denying summary judgment. Cain, 236 S.W.3d at 589. They agree that, if Dixie is immune from suit, so is Dixie’s owner, Georgia–Pacific. And they do not challenge the basic contours of contractor immunity under Kentucky law.

 

[9]“If Georgia–Pacific and Dixie are ‘contractors’ under § 342.610(2),” as we previously explained, “they are immune from tort liability because Black was able to secure workers’ compensation benefits from Western.” Black, 516 Fed.Appx. at 414. “The purpose of KRS 342.610(2)(b),” the Supreme Court of Kentucky has added, “is not to shield owners or contractors from potential tort liability but to assure that contractors and subcontractors provide workers’ compensation coverage.” Cain, 236 S.W.3d at 587. An injured employee’s “immediate employer[ ]” ordinarily provides workers’ compensation benefits in exchange for which it gets immunity from tort lawsuits. Id. at 585. When the immediate employer fails to provide workers’ compensation, the contractor, “like any other employer[ ],” is on the hook for workers’ compensation but gains statutory immunity if “the worker was injured while performing work that was ‘of a kind which is a regular or recurrent part of the work of the trade, business, occupation, or profession.’ ” Id. (quotation omitted).

 

All of this leaves us with a three-part inquiry to determine immunity from suit under the Kentucky Workers’ Compensation Act. First, was Western “hired to perform” this work for Dixie? Cain, 236 S.W.3d at 588. Second, was Black’s work for Dixie “a ‘customary, usual, or normal’ part of Dixie’s business or ‘work that [Dixie] repeats with some degree of regularity’ ”? Black, 516 Fed.Appx. at 417 (quotation omitted). Third, was the work by Black “work that Dixie or similar businesses would normally perform or be expected to perform with employees”? Id.

 

[10]Dixie meets each requirement. First, Dixie and Georgia–Pacific hired Western to transport and deliver paper rolls to Dixie’s Bowling Green factory. The carriage agreement required Western to “transport and deliver shipments of contract freight from facilities or other designated locations to the various destination points.” R. 14–2 at 2. And it specified that Western had a duty “to provide transportation services” to “GP and any GP subsidiary,” such as Dixie. Id.

 

It matters not that the carriage agreement does not spell out every step of the “transport and deliver[y]” process. Id. What matters is what Black acknowledges: He was “[w]orking and helping in the transportation of freight” while unloading the rubber mats. R. 84–9 at 21. Western was hired “to transport safely and deliver undamaged all freight.” R. 14–2 at 3. The rubber mats “insur [ed] that each load [was] properly loaded and secured,” a requirement of the carriage agreement. Id. If Black had not assisted in the unloading process by removing the rubber mats, Chinn would have had to do it himself. Even if “unloading the materials off the trucks was not one of [Black’s] job duties,” Black, 516 Fed.Appx. at 413, Black did not complete his run the instant the truck reached the loading dock. As the Supreme Court of Kentucky explained in a similar setting, a tractor-trailer driver is “a participant in the unloading process” when he releases and rolls straps. Interlock Indus., Inc. v. Rawlings, 358 S.W.3d 925, 928 (Ky. 2011). Black’s unloading of the rubber mats was part of the transportation and delivery for Dixie, “the task” Western was “hired to perform.” Cain, 236 S.W.3d at 588.

 

*5 [11]Second, unloading materials at the Bowling Green factory “is a ‘customary, usual, or normal’ part of Dixie’s business or ‘work that [Dixie] repeats with some degree of regularity.’ ” Black, 516 Fed.Appx. at 417 (quotation omitted). The relevant work is the “work being performed at the time of the injury.” Estate of Dohoney ex rel. Dohoney v. Int’l Paper Co., 560 Fed.Appx. 564, 569 (6th Cir. 2014). The question is whether “deliveries of raw paper materials to Dixie occurred on a regular or recurrent basis.” Black, 516 Fed.Appx. at 415. The answer is straightforward, as Dixie “received as many as fifty truck shipments of rolled paper raw materials during a typical week.” Id. Unless Dixie entered the business of producing raw paper in Bowling Green, it necessarily needed to receive and unload regular deliveries of raw paper.

 

[12]Third, the answer to the key question, the one that needed more evidence on remand, turns on whether the transportation and delivery of raw paper materials amount to “work that Dixie or similar businesses would normally perform or be expected to perform with employees.” Black, 516 Fed.Appx. at 417. The evidence on remand shows this as well. Jeff Gottke, in charge of the Bowling Green facility, testified that Dixie is “responsible for unloading the product out of the truck.” R. 84–5 at 22. Charles W. Clowdis, Jr., an expert witness and logistics specialist, testified that “the work at issue here—the transport of raw paper materials from a supplier to a Dixie Consumer Products plant—is work that a company similar to Dixie might very well handle or be expected to handle with its own private fleet.” R. 84–20 at 15–16. And he based this opinion on the knowledge that at least one hundred companies, including paper companies such as Union Camp Fine Papers, have utilized private fleets of trucks for their transportation needs. Id. at 15.

 

“Even though” Dixie “may never perform that particular job with [its] own employees, [it] is still a contractor if the job is one that is usually a regular or recurrent part of [its] trade or occupation.” Fireman’s Fund Ins. Co. v. Sherman & Fletcher, 705 S.W.2d 459, 462 (Ky. 1986). As Black knows all too painfully, Dixie has equipment (forklifts and compactors) and employees for unloading trucks and receiving deliveries. Kentucky courts have granted statutory immunity to contractors when truck drivers, operating under “a motor-carrier agreement,” are injured loading their trucks at a contractor’s facility. Thornton v. Carmeuse Lime Sales Corp., 346 S.W.3d 297, 297–98 (Ky. Ct. App. 2010). And we see no reason to treat unloading differently. Dixie is entitled to statutory immunity from suit and, accordingly, so is Georgia–Pacific.

 

While this application of Kentucky law helps Dixie and Georgia–Pacific in the near term, it should help other workers in the long term. The premise of our decision is that someone injured in this setting will receive workers’ compensation no matter what—no matter whether the contractor (here the trucking company) contributes to the system or not. Because we treat the kind of work Black was doing as part and parcel of what Dixie does, that means a worker injured in this setting will receive compensation regardless of fault by a company in Dixie’s shoes or one in Western’s shoes. And that means Black (or someone like him) will always receive workers’ compensation. All of this also means that the immunity from a further lawsuit applies as well. This burden and this benefit lie at the heart of the trade-off built into any workers’ compensation system, as Black’s counsel acknowledged at oral argument. For one cannot “assure that contractors and subcontractors provide workers’ compensation coverage” for all workers without also assuring that they receive immunity from suit in return. Cain, 236 S.W.3d at 587.

 

*6 For these reasons, we reverse.

 

 

 

DISSENT

CLAY, Circuit Judge, dissenting.

The majority would bestow upon this Circuit the dubious distinction of becoming the first circuit in the nation to hold that a denial of an affirmative defense of state workers’ compensation immunity is immediately appealable. In its apparent eagerness to reach the merits, the majority ignores the plain language of the Kentucky Workers’ Compensation Act, overlooks a substantial body of case law construing the statute, and fails to heed the stern and frequent cautions of the United States Supreme Court that the “narrow” rule allowing appeals from a small class of non-final orders “should stay that way and never be allowed to swallow the general rule that a party is entitled to a single appeal, to be deferred until final judgment has been entered.” Digital Equip. Corp. v. Desktop Direct, Inc., 511 U.S. 863, 868, 114 S.Ct. 1992, 128 L.Ed.2d 842 (1994) (citation omitted). Because Kentucky law does not establish that denials of workers’ compensation immunity belong in that limited class, I would dismiss this appeal for lack of jurisdiction.

 

The circumstances giving rise to this appeal from a denial of immunity at the summary judgment stage are somewhat atypical: Defendants Dixie and Georgia–Pacific are private parties in a diversity action asserting immunity only under state law. Specifically, Dixie and Georgia–Pacific seek a finding that they are entitled to so-called “exclusive remedy immunity” and “up-the-ladder immunity” under provisions of a Kentucky statute requiring a covered employer to pay workers’ compensation benefits to its own employees or the employees of subcontractors for on-the-job injuries without regard to fault; “[i]f an employer secures payment of compensation as required by this chapter, the liability of such employer under this chapter shall be exclusive and in place of all other liability.” Ky. Rev. Stat. § 342.690(1). The district court ruled that Dixie and Georgia–Pacific had not made out their affirmative defense of immunity under the Kentucky Workers’ Compensation Act (the “Act”), and denied summary judgment. Dixie and Georgia–Pacific took an immediate appeal seeking reversal of that finding.

 

Before we address whether Dixie and Georgia–Pacific are entitled to up-the-ladder immunity, we must first address our jurisdiction. Federal law, including decisions of the Supreme Court regarding appeals from non-final orders, governs our jurisdiction to hear this appeal in a federal forum, and state law supplies the substance of the immunity we are called upon to analyze. Range v. Douglas, 763 F.3d 573, 581 (6th Cir. 2014) (citing Chesher v. Neyer, 477 F.3d 784, 793 (6th Cir. 2007)). As the Second Circuit put it, “[s]tate substantive law governs the scope of immunity for state law claims, and federal law determines the appealability of the district court’s order.” In re World Trade Ctr. Disaster Site Litig., 521 F.3d 169, 181 (2d Cir. 2008) (quotations and citations omitted). Accord Budinich v. Becton Dickinson & Co., 486 U.S. 196, 198–99, 108 S.Ct. 1717, 100 L.Ed.2d 178 (1988). This Circuit distinguishes between state statutes conferring immunity from liability and those conferring immunity from suit; “[a]n order denying statutory immunity is immediately appealable only if the state law provides immunity from suit, as opposed to immunity simply from liability.” Chesher, 477 F.3d at 793 (emphasis added); see also Range, 763 F.3d at 581; Town of Smyrna, Tenn. v. Mun. Gas Auth. of Georgia, 723 F.3d 640, 645 (6th Cir. 2013).

 

*7 Determining whether a state statute provides immunity from liability or immunity from suit for purposes of interlocutory appellate jurisdiction naturally entails a review of the relevant statutory provisions and case law. Where we are “required to determine issues that rest upon Kentucky law, we must apply Kentucky law in accordance with the controlling decisions of the Kentucky Supreme Court.” Snow Pallet, Inc. v. Clinton Cty. Indus. Dev. Auth., 46 Fed.Appx. 787, 789 (6th Cir. 2002). Unlike the majority, I do not believe the Act or the cases construing it establish that exclusive remedy and up-the-ladder immunity constitute immunity from suit, rather than mere immunity from liability, under Kentucky law.

 

Insofar as neither party seems to fully grasp the analysis by which we assess interlocutory appellate jurisdiction in the federal courts, some initial review may be in order. “By statute, Courts of Appeals ‘have jurisdiction of appeals from all final decisions of the district courts of the United States … except where a direct review may be had in the Supreme Court.’ ” Mohawk Indus., Inc. v. Carpenter, 558 U.S. 100, 106, 130 S.Ct. 599, 175 L.Ed.2d 458 (2009) (quoting 28 U.S.C. § 1291). Ordinarily, a denial of summary judgment is not final for purposes of appellate jurisdiction. McDonald v. Flake, 814 F.3d 804, 815 (6th Cir. 2016).

 

The collateral order doctrine is a limited practical application of this rule allowing appeals from non-final orders that “finally determine claims of right separable from, and collateral to, rights asserted in the action, too important to be denied review and too independent of the cause itself to require that appellate consideration be deferred until the whole case is adjudicated.” Johnson v. Jones, 515 U.S. 304, 310, 115 S.Ct. 2151, 132 L.Ed.2d 238 (1995) (quoting Cohen v. Beneficial Indus. Loan Corp., 337 U.S. 541, 546, 69 S.Ct. 1221, 93 L.Ed. 1528 (1949)).1 This statement has been distilled into three requirements: an immediately appealable order must “(1) ‘conclusively determine [a] disputed question,’ (2) ‘resolve an important issue completely separate from the merits of the action,’ and (3) ‘be effectively unreviewable on appeal from a final judgment.’ ” Behrens v. Pelletier, 516 U.S. 299, 315, 116 S.Ct. 834, 133 L.Ed.2d 773 (1996) (quoting Coopers & Lybrand v. Livesay, 437 U.S. 463, 468, 98 S.Ct. 2454, 57 L.Ed.2d 351 (1978)) (alteration original). Denials of absolute immunity, qualified immunity, and Eleventh Amendment immunity, as well as rulings adverse to a criminal defendant on a double jeopardy defense, among a very few others, belong in this select class. Will v. Hallock, 546 U.S. 345, 350, 126 S.Ct. 952, 163 L.Ed.2d 836 (2006).

 

Recently, the Supreme Court described the conditions for a collateral appeal as follows:

The justification for immediate appeal must therefore be sufficiently strong to overcome the usual benefits of deferring appeal until litigation concludes…. That a ruling may burden litigants in ways that are only imperfectly reparable by appellate reversal of a final district court judgment … has never sufficed. Instead, the decisive consideration is whether delaying review until the entry of final judgment would imperil a substantial public interest or some particular value of a high order.

Mohawk Industries, 558 U.S. at 106, 130 S.Ct. 599 (quotations and citations omitted). As a court of appeals, we have been admonished to be wary of the arguments in favor of an immediate appeal: “§ 1291 requires courts of appeals to view claims of a ‘right not to be tried’ with skepticism, if not a jaundiced eye.” Digital Equip., 511 U.S. at 873, 114 S.Ct. 1992.

 

*8 In order to determine whether this this type of immunity constitutes an immunity from liability or an immunity from suit altogether, federal courts must look to the language of the state statute and the cases construing it. World Trade Ctr., 521 F.3d at 182. Dixie and Georgia–Pacific seek to avoid an adverse judgment in Black’s negligence action by invoking the exclusive remedy provision of the Kentucky Workers’ Compensation Act, which states that “[i]f an employer secures payment of compensation as required by this chapter, the liability of such employer under this chapter shall be exclusive and in place of all other liability of such employer to the employee.” Ky. Rev. Stat. § 342.690(1). That same statutory provision extends the definition of an employer to a “contractor,” which is defined as follows in a separate section of the Act:

(2) A contractor who subcontracts all or any part of a contract … shall be liable for the payment of compensation to the employees of the subcontractor unless the subcontractor primarily liable for the payment of such compensation has secured the payment of compensation … Any contractor … who shall become liable for such compensation may recover the amount of such compensation paid and necessary expenses from the subcontractor primarily liable therefor. A person who contracts with another:

(b) To have work performed of a kind which is a regular or recurrent part of the work of the trade, business, occupation, or profession of such person

shall for the purposes of this section be deemed a contractor, and such other person a subcontractor.

Ky. Rev. Stat. § 342.610.

 

The Kentucky Supreme Court has described the Act as “a product of compromises by workers and employers” whereby “[w]orkers agree to forego common law remedies in exchange for statutory benefits awarded without regard to fault” and “[e]mployers agree to pay such benefits and to forego common law defenses in exchange for immunity from tort liability.” Labor Ready, Inc. v. Johnston, 289 S.W.3d 200, 204 (Ky. 2009). Likewise, the purpose of so-called “up-the-ladder-immunity” for subcontractors is to

discourage a contractor from subcontracting work that is a regular or recurrent part of its business to an irresponsible subcontractor in an attempt to avoid the expense of workers’ compensation benefits. KRS 342.610(2)(b) accomplishes its purpose by viewing an up-the-ladder contractor as being the employer of an uninsured subcontractor’s employees … KRS 342.690(1) provides both direct and statutory employers with immunity from tort liability for work-related injuries.

Doctors’ Associates, Inc. v. Uninsured Employers’ Fund, 364 S.W.3d 88, 91 (Ky. 2011) (footnote omitted). In another case, the Kentucky Supreme Court equated “exclusive remedy immunity” with “immun[ity] from tort liability” in stating the substantive test for up-the-ladder immunity:

[W]hether an owner is entitled to “exclusive remedy” immunity depends upon whether the worker was injured while performing work that was “of a kind which is a regular or recurrent part of the work of the trade, business, occupation, or profession” of the owner. If so, the owner is immune; if not, the owner is subject to tort liability.

Gen. Elec. Co. v. Cain, 236 S.W.3d 579, 585 (Ky. 2007) (quoting Ky. Rev. Stat. § 342.610(2)(b)).

 

Notably, the relevant statutory provisions speak exclusively in terms of the “liability of [an] employer” as being “exclusive” under the Act, or, alternately, in terms of whether the employer is “liable for the payment of compensation.” In various semantic formulations, the cases cited above echo the statutory language by referring to this type of state law immunity as being immunity from liability. The most recent case to have considered Ky. Rev. Stat. § 342.690—which postdates the Ervin Cable case discussed below—termed “one of the purposes of the Act” as “extend[ing] benefits to employees without the need to prove fault, while protecting employers from tort liability.” Falk v. All. Coal, LLC, 461 S.W.3d 760, 765 (Ky. 2015). Indeed, describing exclusive remedy immunity and up-the-ladder-immunity as immunity from liability appears to be the dominant trend in Kentucky case law. See, e.g., State Farm Mut. Auto. Ins. Co. v. Slusher, 325 S.W.3d 318, 322 (Ky. 2010); Davis v. Hensley, 256 S.W.3d 16, 17 (Ky. 2008); Fireman’s Fund Ins. Co. v. Sherman & Fletcher, 705 S.W.2d 459, 464 (Ky. 1986) (describing Ky. Rev. Stat. § 342.690(1) as providing an “exemption from liability”). By contrast, when Kentucky courts speak of the immunity enjoyed by government entities, they uniformly describe that immunity as “immunity from suit.” See, e.g., Comair, Inc. v. Lexington–Fayette Urban Cty. Airport Corp., 295 S.W.3d 91, 94 (Ky. 2009); Caneyville Volunteer Fire Dep’t v. Green’s Motorcycle Salvage, Inc., 286 S.W.3d 790, 805 (Ky. 2009).

 

*9 Ignoring these precedents, the majority nonetheless selectively characterizes exclusive remedy immunity and up-the-ladder-immunity under Kentucky workers’ compensation law as providing immunity from suit, as opposed to immunity from liability. The majority rests its finding of jurisdiction on the “reality that up-the-ladder immunity insulates contractors from lawsuits, not just liability”—a skewed contention it constructs on the basis of a footnote to a single decision of the Kentucky Supreme Court and a decision of the Kentucky Court of Appeals granting an interlocutory appeal from a denial of up-the-ladder immunity. See Beaver v. Oakley, 279 S.W.3d 527, 528 n.1 (Ky. 2009); Ervin Cable Constr., LLC v. Lay, 461 S.W.3d 422, 424 (Ky. Ct. App. 2015). It purports to find further support for its holding in a policy argument about the efficiency of foregoing litigation altogether in exchange for workers’ compensation benefits, which appears rooted more in its own ideas about how a workers’ compensation program should work than in the language of the Kentucky statute or what Kentucky cases actually say the legislation is designed to achieve.

 

Although the classification of up-the-ladder immunity as “immunity from suit” seems mostly not to have taken hold, the majority is thus quick to seize on a few instances in which Kentucky courts have referred to exclusive remedy liability as “immunity from suit”—a term that occasionally appears to have been used interchangeably with “immunity from liability”—and cites a single mention of “absolute immunity” in a lone case of the Kentucky Court of Appeals, Ervin Cable. Beaver, for instance, discussed whether a construction manager could be “considered a contractor and qualify for up-the-ladder immunity from tort liability,” and added an explanatory footnote stating that “[i]n Kentucky, ‘up-the-ladder immunity’ refers to a contractor’s immunity from tort lawsuits where the plaintiff was injured at work and workers’ compensation benefits are the plaintiff’s exclusive remedy under Kentucky Revised Statutes (KRS) 342.690.” Beaver, 279 S.W.3d at 528, 528 n.1 (emphasis added).2

 

The majority treats the case of Ervin Cable as dispositive authority for the fact that Kentucky “treats” the liability in question as immunity from suit, thus trumping the statute and all other cases discussing up-the-ladder immunity. In Ervin Cable, the only Kentucky case to have described this type of immunity as “absolute immunity,” the Kentucky Court of Appeals found a denial of up-the-ladder immunity subject to direct appeal in the state courts. See 461 S.W.3d at 423. That decision cited the footnote in Beaver referring to “immunity from tort lawsuits”—although it later described Beaver as concerning immunity from liability—to support a description of exclusive remedy liability as “absolute immunity” entitling the defendant corporation to an interlocutory appeal from a denial of summary judgment. Ervin Cable, 461 S.W.3d at 424. Its discussion of appellate jurisdiction was extremely brief, and did not cite any Kentucky case law on workers’ compensation immunity, instead relying exclusively on a case involving a defendant performing governmental functions:

Ordinarily, a trial court’s order denying summary judgment is not immediately reviewable on appeal since such an order is considered interlocutory. However, in this case Ervin Cable moved for summary judgment on grounds of absolute immunity, the denial of which is subject to immediate appeal since immunity is designed to free the possessor not only from liability, but also from the costs of defending an action. Breathitt County Bd. of Educ. v. Prater, 292 S.W.3d 883 (Ky. 2009). In other words, the denial of a substantial claim of immunity is an exception to the finality rule that interlocutory orders are not immediately appealable. Id. As a result, this court has jurisdiction to address Ervin Cable’s claim that the trial court improperly denied its motion for summary judgment.

*10 Id. at 423.

 

Ervin Cable was decided six years after Beaver, and the Kentucky Supreme Court has yet to weigh in on whether Kentucky courts allow interlocutory appeals of denial of up-the-ladder immunity. A sole decision from a state intermediate appellate court allowing an interlocutory appeal under state procedures should not obviate the necessary analysis of the statutory language and case law, which should guide this Court’s inquiry. See World Trade Ctr., 521 F.3d at 182 (“[w]e therefore caution against placing too much emphasis on state appellate procedures … we need only consider the statutory language, if any, of each defense, and the cases construing the defense”). Because even a cursory review of Kentucky law fails to establish that Kentucky confers upon statutory employers immunity from suit, as opposed to merely immunity from liability, up-the-ladder immunity does not satisfy the requirement of effective unreviewability that is a precondition to our hearing any interlocutory appeal. See Estate of Owensby v. City of Cincinnati, 414 F.3d 596, 605 (6th Cir. 2005) (“[w]here statutory immunity protects defendants from liability, as opposed to suit, denial of such immunity is not ‘effectively unreviewable on appeal from a final judgment’ ”).

 

Relying heavily on Ervin Cable, Dixie and Georgia–Pacific argue that “[b]ecause this is a diversity jurisdiction lawsuit, the law of the forum state, Kentucky, controls. Significantly, Kentucky law recognizes and permits an immediate appeal of a denial of the same immunities raised by Dixie in this case—an appeal prior to the entry of final judgment.” (Defs.’ Br. at 46.) This argument obscures the fact that our analysis of our own jurisdiction is concerned solely with principles of federal law—an issue on which a sole decision of the Kentucky Court of Appeals, assessing its jurisdiction under state law, is anything but dispositive. See Budinich, 486 U.S. at 198–99, 108 S.Ct. 1717.

 

The majority attempts to bolster its jurisdictional finding by citing a number of cases in which various courts of appeals granted interlocutory appeals to private defendants. However, all such cases entailed much stronger claims to genuine immunity from suit, and much more persuasive justifications for relieving an appellant from the burdens of litigation. Several other circuits have found denials of motions brought pursuant to state anti-SLAPP statutes to be immediately appealable. See, e.g., DC Comics v. Pac. Pictures Corp., 706 F.3d 1009 (9th Cir. 2013). “SLAPP” stands for “strategic lawsuit against public participation” or “strategic litigation against public participation”; state anti-SLAPP statutes provide defendants named “as a result of the exercise of their constitutional rights to petition the government” with “procedural and substantive defenses meant to prevent meritless suits from imposing significant litigation costs and chilling protected speech.” Godin v. Schencks, 629 F.3d 79, 81 (1st Cir. 2010). The essential purpose of these statutes is, as the California Supreme Court put it, to vindicate the “right not to be dragged through the courts because you exercised your constitutional rights.” Liberty Synergistics Inc. v. Microflo Ltd., 718 F.3d 138, 147 (2d Cir. 2013) (quoting Varian Med. Sys., Inc. v. Delfino, 35 Cal.4th 180, 193, 25 Cal.Rptr.3d 298, 106 P.3d 958 (2005)). Because stopping retaliatory or chilling litigation in its tracks is clearly both the purpose of and the remedy provided by these statutes, it is only natural that they be regarded as conferring immunity from suit—and accordingly subject to collateral appeal.

 

*11 McMahon v. Presidential Airways, Inc., 502 F.3d 1331 (11th Cir. 2007), also relied upon by the majority, is of no greater help. McMahon granted an interlocutory appeal to a defendant private military contractor; extending the reasoning of cases establishing governmental immunity from tort suits by soldiers for service related-injuries, the court held that the contractor had “stated a substantial claim to a true immunity from suit” because “the litigation process itself”—including depositions and trial testimony—“could conceivably cause intolerable interference with … sensitive military judgments.” Id. at 1340. This is nothing new, and no more than the precedents of this Court and the Supreme Court require; in an unpublished opinion, we summarized the collateral order doctrine as “permit[ting] interlocutory appeals from denials of substantial claim[s] of absolute immunity in circumstances where the party claiming immunity seeks avoidance of a trial that would imperil a substantial public interest.” Delawder v. Platinum Fin. Servs. Corp., 189 Fed.Appx. 369, 370 (6th Cir. 2006) (quotations and citations omitted).

 

No such strong claim to immunity from suit, nor so compelling a justification from relieving the defendants from the burdens of litigation—in which they have participated for the past eight years—exists in this case. Citing only highly inapposite Supreme Court cases and no Kentucky cases whatsoever, Dixie and Georgia–Pacific assert in their reply brief that “the immunity legal ruling would be effectively unreviewable on appeal from a final judgment … and the public interest affected is the defendants’ right to be free from trial in exchange for the exclusive remedy of workers’ compensation—a government-controlled insurance system to protect injured workers.” (Def.’s Reply Br. at 7.) This is just the sort of avoidance-of-trial argument of which we are supposed to be wary, and which has so often been rebuffed over the years. Will instructs that “[t]hose seeking immediate appeal … naturally argue that any order denying a claim of right to prevail without trial” is effectively unreviewable if not immediately appealed, which is a “generalization … too easy to be sound and, if accepted, would leave the final order requirement of § 1291 in tatters.” 546 U.S. at 351, 126 S.Ct. 952.

 

The extreme wariness with which we are to “apply[ ] ‘the blunt, categorical instrument of [a] § 1291 collateral order appeal’ ” likewise counsels against expanding the class of collaterally appealable orders to include denials of up-the-ladder immunity under Kentucky law. Mohawk Indus., 558 U.S. at 112, 130 S.Ct. 599 (quoting Digital Equip., 511 U.S. at 883, 114 S.Ct. 1992). Thus, the majority opinion suffers as much from errors of methodology as of legal analysis. In rendering an entirely new category of state court orders subject to interlocutory appeal, the majority fails to be governed by the restraint that our jurisprudence requires. The Supreme Court said it best in Will: “we have meant what we have said; although the Court has been asked many times to expand the ‘small class’ of collaterally appealable orders, we have instead kept it narrow and selective in its membership.” 546 U.S. at 350, 126 S.Ct. 952. I would take the Supreme Court at its word.

 

All Citations

— F.3d —-, 2016 WL 4501680

 

 

Footnotes

1

Black appears to believe, incorrectly, that only governmental defendants are entitled to collateral appeals. Cohen, which concerned the district court’s refusal to post security as required for a shareholder derivative action under New Jersey law, involved private parties. See 337 U.S. 541, 69 S.Ct. 1221.

2

Footnote 1 of Beaver was cited by this Court in Dilts v. United Grp. Servs., LLC, 500 Fed.Appx. 440, 449–50 (6th Cir. 2012) and by the Kentucky Court of Appeals in Ervin Cable, 461 S.W.3d at 424.

Westfield Insurance Company, Plaintiff, v. Icon Legacy Custom Modular Homes and Icon Legacy

United States District Court,

M.D. Pennsylvania.

Westfield Insurance Company, Plaintiff,

v.

Icon Legacy Custom Modular Homes and Icon Legacy, Defendants.

No. 4:15-cv-00539

|

Signed 08/29/2016

Attorneys and Law Firms

John J. Haggerty, Zachary C. Martin, James C. Clark, Fox Rothschild LLP, Warrington, PA, for Plaintiff.

Ashley B. Nichols, Saxton & Stump LLC, Leola, PA, Jonathan H. Rudd, McNees Wallace & Nurick, Harrisburg, PA, for Defendants.

 

 

MEMORANDUM

Matthew W. Brann, United States District Judge

 

  1. BACKGROUND1

*1 For all of its procedural machinations, the facts of this case are rather straightforward. Defendant was sued in two separate state court proceedings in New York and Massachusetts, and Plaintiff, its insurer, agreed to defend it as to those actions subject to a reservation of rights. Plaintiff then initiated this action in federal court, seeking a declaration that it owes Defendant no defense or indemnity under the subject policy as to those actions.

 

When Defendant was sued for a third time, now in Vermont state court, Plaintiff in turn amended its federal court complaint and sought a similar declaration as to the newly filed Vermont action. In response, Defendant filed a counterclaim alleging that Plaintiff’s decision to deny coverage as to the Vermont action was made in bad faith, a claim that has essentially forestalled determination of the underlying breach of contract claims. Plaintiff thereafter filed a motion to dismiss, arguing that Defendant has failed to plausibly plead sufficient facts supporting its bad faith claim.

 

The central issue on that motion is therefore not the viability of Plaintiff’s explanation for its refusal to cover—that is a matter for a different day and perhaps, for extrajudicial determination. Instead, I must only determine whether the Defendant has alleged facts plausibly suggesting bad faith on Plaintiff’s part. It has not. In fact, considering the sparse allegations in combination with Plaintiff’s thorough letter explaining its refusal to cover, I am convinced that the insurance bad faith claim should be dismissed with prejudice.

 

 

  1. LAW

Under Federal Rule of Civil Procedure 12(b)(6), a defendant may file a motion to dismiss for “failure to state a claim upon which relief can be granted.” Such a motion “tests the legal sufficiency of a pleading” and “streamlines litigation by dispensing with needless discovery and factfinding.”2 “Rule 12(b)(6) authorizes a court to dismiss a claim on the basis of a dispositive issue of law.”3 This is true of any claim, “without regard to whether it is based on an outlandish legal theory or on a close but ultimately unavailing one.”4

 

Beginning in 2007, the Supreme Court of the United States initiated what some scholars have termed the Roberts Court’s “civil procedure revival” by significantly tightening the standard that district courts must apply to 12(b)(6) motions.5 In two landmark decisions, Bell Atlantic Corporation v. Twombly and Ashcroft v. Iqbal, the Roberts Court “changed… the pleading landscape” by “signal[ing] to lower-court judges that the stricter approach some had been taking was appropriate under the Federal Rules.”6 More specifically, the Court in these two decisions “retired” the lenient “no-set-of-facts test” set forth in Conley v. Gibson and replaced it with a more exacting “plausibility” standard.7

 

*2 Accordingly, after Twombly and Iqbal, “[t]o survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’ ”8 “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.”9 “Although the plausibility standard does not impose a probability requirement, it does require a pleading to show more than a sheer possibility that a defendant has acted unlawfully.”10 Moreover, “[a]sking for plausible grounds…calls for enough facts to raise a reasonable expectation that discovery will reveal evidence of [wrongdoing].”11

 

The plausibility determination is “a context-specific task that requires the reviewing court to draw on its judicial experience and common sense.”12 No matter the context, however, “[w]here a complaint pleads facts that are ‘merely consistent with’ a defendant’s liability, it ‘stops short of the line between possibility and plausibility of entitlement to relief.’ ”13

 

When disposing of a motion to dismiss, a court must “accept as true all factual allegations in the complaint and draw all inferences from the facts alleged in the light most favorable to [the plaintiff].”14 However, “the tenet that a court must accept as true all of the allegations contained in the complaint is inapplicable to legal conclusions.”15 “After Iqbal, it is clear that conclusory or ‘bare-bones’ allegations will no longer survive a motion to dismiss.”16 “Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.”17

 

As a matter of procedure, the United States Court of Appeals for the Third Circuit has instructed that:

Under the pleading regime established by Twombly and Iqbal, a court reviewing the sufficiency of a complaint must take three steps. First, it must tak[e] note of the elements [the] plaintiff must plead to state a claim. Second, it should identify allegations that, because they are no more than conclusions, are not entitled to the assumption of truth. Finally, [w]hen there are well-pleaded factual allegations, [the] court should assume their veracity and then determine whether they plausibly give rise to an entitlement to relief.18

 

 

III. ANALYSIS

  1. Pennsylvania Law Applies To The Resolution Of Defendant’s Insurance Bad Faith Counterclaim, Because Pennsylvania Has A Strong Interest In Protecting Its Insured Residents And Because The Eventual Economic Impact Of The Uninsured Claims Would Be Felt By The Defendant In Pennsylvania.

“In the absence of a specific federal policy or interest dictating the use of federal choice of law rules, it is well settled in this Circuit that a [ ] court faced with the issue of which substantive state law to apply to a claim for relief in an adversary proceeding applies the choice of law rules of the forum state.”19 I therefore turn to the choice of law rules of the Commonwealth of Pennsylvania to determine which state law should be applied.

 

*3 Pennsylvania’s choice-of-law analysis follows a “flexible rule which permits analysis of the policies and interests underlying the particular issue before the court.”20 Under this approach, Pennsylvania courts are to apply the law of the forum with the ‘most interest in the problem,’ rather than the law of the place of injury.”21 “We must first determine whether there is a true conflict between the relevant laws.”22 “If a true conflict exists, the Court must then determine which state has the greater interest in the application of its law.”23

 

However, as the Third Circuit has explained, “[i]f two jurisdictions’ laws are the same, then there is no conflict at all, and a choice of law analysis is unnecessary.”24 Thus, “if there are no relevant differences between the laws of the two states, or the laws would produce the same result…the court does not have to engage in a choice of law analysis, and may refer to the states’ laws interchangeably.”25

 

Although the Defendant has devoted several pages to an enumeration of insurance bad faith claims in every state whose rules could conceivably apply to the instant dispute, it is not evident to the Court that the laws of those states materially differ. This is particularly true as to the ultimate determination regarding the type of culpability that constitutes bad faith. Tellingly, Defendant believes it has stated a plausible claim under every state’s law to which it cites. If true, that proposition means that one (or perhaps both) of two consequents must also be true: either (1) the laws of the cited jurisdictions do not materially differ; or (2) Defendant has pled an exceptionally strong insurance bad faith claim sufficient to satisfy even the most demanding common law rubrics. Based upon my review of the matter, the former option is likely the more genuine characterization of the situation.

 

Nevertheless, the parties have requested—and the shared interest in a “just, speedy, and inexpensive” disposition of this matter requires—that this Court provide some semblance of clarity as to the issue of applicable law before this matter proceeds much further. Alternating among the elements and procedural requirements for a common law tort as expressed in five distinct states is, in my view, ill-advised. Moreover, it would not be unimaginable for detailed briefing on this issue to later reveal certain procedural or substantive nuances between certain of these states’ laws capable of altering the parties’ rights. Considering the facts available to the Court, I now hold that the law of the Commonwealth of Pennsylvania applies to this dispute.

 

The Third Circuit has characterized Pennsylvania’s choice of law analysis “as a combination of the approaches of both the Restatement II (contacts establishing significant relationships) and interests analysis (qualitative appraisal of the relevant States’ policies with respect to the controversy).”26 Specifically, “[t]he law applicable to the interpretation of insurance policies is the same as that which applies to contracts. Contracts mean what the parties intend.”27 In Hammersmith v. TIG Insurance Co., for example, the Third Circuit applied § 188 of the Restatement (Second) of Conflict of Laws to resolve a conflict arising under Pennsylvania state choice of law analysis. That section, entitled “Law Governing in Absence of Effective Choice by the Parties,” provides the following factors for a court’s consideration in cases involving disputes arising from commercial contracts:

*4 (a) the place of contracting,

(b) the place of negotiation of the contract,

(c) the place of performance,

(d) the location of the subject matter of the contract, and

(e) the domicile, residence, nationality, place of incorporation and place of business of the parties.

 

The first wrinkle in this analysis, however, is the apparent distinction between breach of contract claims, which follow the above choice-of-law analysis, and insurance bad faith claims, which although owing their genesis to some underlying insurance agreement, typically employ a choice-of-law analysis centered more closely on the residence of the insured. United States Magistrate Judge Martin C. Carlson of this Court examined this distinction in Davis v. Geico General Insurance Co., a 2013 report and recommendation adopted by the Honorable Christopher C. Conner. In Davis, Judge Carlson explained:

In addition, although the parties do not address this issue, we note that in some cases it is entirely appropriate for a federal court sitting in diversity to conduct separate analyses to determine which state’s law should apply to a bad-faith claim, where another state’s law may arguably apply to a separate issue of contract interpretation. See Robeson Indus. Corp. v. Hartford Accident & Indem. Co., 178 F.3d 160, 168 (3d Cir. 1999) (“[C]onflict of laws principles do not require that all legal issues presented by a single case be decided under the law of a single state. Instead the choice of law decisions can and should be made on an issue-by-issue basis, and thus the law of different states can apply to different issues in the same case.”). We believe this observation in Robeson has force in this case, where the defendants have moved only to dismiss the plaintiff’s bad-faith claim in Count II of the complaint, where this particular claim did not accrue until the plaintiff became a Pennsylvania resident, and where the bad-faith claim arose out of a dispute with the plaintiff’s insurance company that began in Pennsylvania.28

 

Previously, in Kilmer v. Connecticut Indemnity Co., then Chief Judge Thomas I. Vanaskie, writing for this Court, held that Pennsylvania law applied as to an insurance bad faith claim brought by a Pennsylvania couple against a Connecticut insurer, after a fire destroyed the couple’s New York ski lodge.29 In Kilmer, Judge Vanaskie cited to § 193 of the Restatement (Second) of Conflicts of Law. That section, entitled “Contracts of Fire, Surety or Casualty Insurance,” provides as follows:

The validity of a contract of fire, surety or casualty insurance and the rights created thereby are determined by the local law of the state which the parties understood was to be the principal location of the insured risk during the term of the policy, unless with respect to the particular issue, some other state has a more significant relationship …to the transaction and the parties, in which event the local law of the other state will be applied.

 

*5 Judge Vanaskie noted that although the location of the insured risk (the New York ski lodge) was undisputed, several factors existed that counseled for application of the law of Pennsylvania, the home state of the insureds. Judge Vanaskie listed those factors:

(1) the [plaintiffs] are both domiciled and reside in Pennsylvania;

(2) the insurance policy in question was negotiated in Pennsylvania;

(3) the agent through whom the policy was issued is located in Pennsylvania;

(4) the premium was paid in Pennsylvania;

(5) the insurance company who issued the policy is licensed in Pennsylvania;

(6) the insurance company who issued the policy is competing with other insurance companies domiciled and doing business in Pennsylvania; and

(7) the [plaintiffs] naturally expected the laws of Pennsylvania to protect them.30

 

According to Judge Vanaskie, “[b]ecause the protection of insured parties is the primary public policy behind laws governing duties owed by an insurer to an insured,” Pennsylvania law applied regardless of the out-of-state location of the subject property.31 As the court continued, “[t]he Third Circuit has made clear that the protection of insured parties is the primary public policy underlying laws governing duties owed by an insurer to an insured.”32 In particular, Judge Vanaskie explained that “with regard to Pennsylvania’s bad faith statute, courts have held that the policy behind [it]…is that the Pennsylvania legislature was concerned about protecting its own residents/insured from overreaching insurance companies.”33 As such, he concluded that “under its conflict of laws principles, in order to ensure that the insured parties are protected from the bad faith of an insurer, Pennsylvania would apply its own local law on the issue of whether [the insurer] acted in bad faith in its handling of [plaintiffs’] insurance claim.”34

 

I find Judge Vanaskie’s decision in Kilmer persuasive for two reasons. First, it clearly prioritizes the factors for district courts to balance when confronted with a choice of law analysis in the insurance bad faith context. It leaves little doubt that primary factor to be considered is the state of residence of the insured, guided by the policy motive that the insured’s home state enjoys a significant interest in ensuring its citizens’ rights vis-à – vis those of insurers. In this case, those factors point toward the applying Pennsylvania law, the state of Defendant’s incorporation as well as its principal place of business.

 

Moreover, Kilmer speaks to a second wrinkle in the choice-of-law analysis. Specifically, how is a court’s analysis affected where the state residency of the insured ultimately differs from that of the location of the real property forming the basis for the underlying insurance contract? Judge Vanaskie’s analysis makes clear that such disparity has little effect upon the choice-of-law analysis, leaving the residency of the insured as the dominating factor in the insurance bad faith context.

 

*6 I consider that analysis to set forth a clear rule, which happens to be supported by the practical aspects of an insurance contract. Most apparently, the rule set forth in Kilmer and applied again here promotes business certainty, a concept that Judge Vanaskie recognized stems from a legal rule’s “predictability.”35 When an insurer contracts out its services and agrees to reimburse the other party in the event of an accident or similar disaster, it must have some sense as to which state’s laws will govern future coverage decisions. Otherwise, an insurer who contracts with a manufacture whose ultimate products make it to every state in the country would have little more guidance as to the rules of good faith denials than could be gleaned from a random dart throw. If one of its purposes is to grease the wheels of commerce, our law must chart a clearer path.

 

In the analogous context of bad faith failure to settle claims, the United States Court of Appeals for the Eighth Circuit authored a decision in 2012 that contributed to clarity in the choice-of-law analysis for bad faith claims alleged against insurers. In that case, an excess insurer sued a primary insurer for bad faith failure to settle.36 Both businesses insured a trucking company that was involved in a fatal highway accident.37 After the primary carrier neglected to settle the underlying personal injury matter, a jury returned a verdict that exposed the excess carrier to a $17 million liability.38

 

The Eighth Circuit clarified that regardless of the site of the traffic incident or the ultimate verdict, the location of the injury in a bad faith insurance claim was the insured’s place of business—“the place where an economic injury occurs because it is where the economic impact is felt.”39 “We agree,” the Eighth Circuit wrote, that “the place where an insured feels the economic impact of an excess verdict is the place where an injury occurs for purposes of a…choice-of-law inquiry in a bad faith failure-to-settle case.”40

 

Other federal courts in Pennsylvania have taken similarly bright-line approaches to the choice-of-law determination in insurance bad faith cases. For instance, in Asplundh Tree Expert Co. v. Pac. Employers Ins. Co., the United States District Court for the Eastern District of Pennsylvania clarified that the factor that mattered the most was not the state in which denial occurred, but the state “where the failure to receive the allegedly expected benefits was felt.”41 Again, in Celebre v. Windsor–Mount Joy Mutual Insurance Company, the same court applied the law of the state where the insured was doing business and therefore where “the loss occurred.”42

 

Lastly, in Continental Casualty Co. v. Diversified Industries., Inc., the same district court held that the proper law to apply was that of the state “where the failure to receive the expected insurance proceeds was felt.”43 It went on to explain that:

This contact is significant. This is because “persons who cause injury in a state should not ordinarily escape liabilities imposed by the local law of that state.” Restatement (Second) of Conflicts § 145, comment e. Although AT & T claims that the place where the tortious conduct occurred is paramount, Comment e to Section 145 explains that the place of the tortious conduct is usually significant only if the state where the injury occurred either cannot be determined or bears little relation to the parties. In the present case, the injury occurred in Pennsylvania, a state having a significant connection to the parties. As noted above, all parties to the CGL Policies were doing business in Pennsylvania at the relevant time periods.44

 

*7 In light of these precedents, I hold that Pennsylvania law should apply to Defendant’s bad faith counterclaim. The parties do not dispute that Defendant Icon Legacy Custom Modular Homes to whom the subject policy was issued is a Pennsylvania limited lability company with its principal place of business in Selinsgrove, Snyder County, Pennsylvania. Thus, the policy was issued to a Pennsylvania resident, who would feel the ultimate economic impact of a coverage decision in Pennsylvania.

 

Further, as the declination of coverage letter suggests, “the Policy was likely delivered to the Pennsylvania address listed on the Declarations Page, and the Policy was issued from the Pennsylvania agency that is also listed on the Declarations Page. Moreover, like the policy in Village, the Policy itself stipulates that it is subject to Pennsylvania law.”45 Thus, given Pennsylvania’s strong interests in protecting its own businesses against insurance bad practices as well as the numerous factual considerations suggesting that issuance of the instant policy was primarily a Pennsylvania matter, I now hold that the law of Pennsylvania should apply to Defendant’s bad faith claim.

 

Moreover, although several of the insurance cases cited above discuss the potential for applying distinct state law to bad faith and breach of contract claims arising out of the same policy, absent significant evidence to the contrary, I find it likely that based upon these considerations, Pennsylvania law should apply to the breach of contract and any related claims advanced in this litigation.

 

 

  1. Defendant Has Failed To Plausibly State A Claim For Insurance Bad Faith Under Pennsylvania Law.

In the Commonwealth of Pennsylvania, insurance bad faith claims are governed by Title 42 of the Pennsylvania Consolidated Statutes, Section 8371, which states as follows:

  • 8371. Actions on Insurance Policies.

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.

 

“Although the bad faith statute does not include a definition of ‘bad faith,’ the term encompasses a wide variety of objectionable conduct.”46 As the Superior Court of Pennsylvania explained in Brown v. Progressive Insurance Co., “bad faith exists where the insurer did not have a reasonable basis for denying benefits under the policy and that the insurer knew of or recklessly disregarded its lack of reasonable basis in denying the claim.”47 “Bad faith conduct also includes lack of good faith investigation into facts, and failure to communicate with the claimant.”48

 

However, “mere negligence or bad judgment is not bad faith.”49 “To support a finding of bad faith, the insurer’s conduct must be such as to import a dishonest purpose.”50 “In other words, the plaintiff must show that the insurer breached its duty of good faith through some motive of self-interest or ill will.”51

 

*8 To establish a claim under the Commonwealth’s bad faith statute, a plaintiff “must demonstrate by clear and convincing evidence that: 1) the insurer lacked a reasonable basis for its handling of a claim; and, 2) the insurer knew of or recklessly disregarded the lack of a reasonable basis.”52 “[T]his heightened standard requires the insured to provide evidence ‘so clear, direct, weighty and convincing as to enable a clear conviction, without hesitation, about whether or not the defendants acted in bad faith.’ ”53

 

Accordingly, because “the essence of a bad faith claim must be the unreasonable and intentional (or reckless) denial of benefits,”54 an insurer can “defeat a claim of bad faith by showing that it had a reasonable basis for its actions.”55

 

The averments in Defendant’s insurance bad faith counterclaim read in their entirety as follows. The Court has substituted the names of the state court plaintiffs with those of their respective states:

  1. Westfield does not have a good faith basis for its denial of a defense to Icon in the [Vermont] Action.
  2. Westfield agreed to defend the [New York] and [Massachusetts] Actions based on similar allegations as those contained in the [Vermont] Action and has at all times continued to defend the [New York] and [Massachusetts] Actions.
  3. Westfield’s decision to deny a defense to Icon in the [Vermont] Action while agreeing to defend the [New York] and [Massachusetts] Actions is arbitrary, capricious and/or frivolous.
  4. [The Vermont Plaintiff’s] claim for property damage and/or bodily injury falls within the Policy’s coverage and the products completed operations coverage and Icon is entitled to a defense for the claims asserted by [the Vermont Plaintiff].
  5. Westfield’s denial of coverage for [the Vermont Plaintiff’s] claim was made in bad faith.
  6. Icon is entitled to recover damages for Westfield’s bad faith handling of the [Vermont] claim regardless of the law that applies.56

 

In essence, because Plaintiff has agreed to defend in certain purportedly similar matters, denial here, Defendants argue, constitutes bad faith. That is a strained argument, supported by very sparsely pled facts, even when viewed in the light most favorable to the insured.

 

Most apparently, even taking for granted the similarity between any set of claims, coverage of some claims and denial of others is not per se evidence of bad faith insurance practices. For example, consider a hypothetical set of five claims, all of which are “similar” but none of which the insurer believes in good faith it is legally bound to offer coverage. The insurer could, if it wanted, offer coverage in none or all or two or three of those cases. Denial would not be made in bad faith under the law. Rather, it would be made based upon a calculated business judgment, risk avoidance, litigation forecasts, etc. The point is that “similarity” among claims is a poor predictor of bad faith denials in cases where either the claims’ alleged similarity or the claims’ coverage under the policy is not clearly established. I perceive both of those elements to be lacking here.

 

*9 Moreover, Plaintiff points out that coverage of the prior two claims to which Defendant compares the instant action was actually made under a reservation of rights. I consider it a poor use of judicial resources to create judicial rules that make it costlier for insurers to offer initial coverage under a reservation of rights letter. Were Defendant’s argument accepted, insurers would be less willing to offer coverage while a claim was initially being investigated for fear that one coverage decision might be viewed as an admission as to that claim or a comparable one in related litigation. Similar policy justifications underlie determinations by the Federal Rules of Evidence mandating that subsequent remedial measures and offers to pay initial medical or hospitalization costs be deemed irrelevant in associated legal proceedings.57

 

Finally, I note that, most damning for Defendant’s bad faith counterclaim, Plaintiff has provided the Court a copy of its coverage denial letter.58 Plaintiff has accurately characterized its declination letter as “detailed.”59 The ten-page, single-spaced letter sets forth, from Plaintiff’s perspective, the applicable choice-of-law analysis, the pertinent policy definitions, the facts surrounding the claim, the justifications that it provides for why those facts do not trigger coverage, and various legal decisions that it suggests support its denial of the claim.60

 

“[T]hose jurisdictions which have recognized a cause of action for bad faith conduct have cautioned that if the claim is ‘fairly debatable,’ no liability in tort will arise.”61 While I need not decide the merit of Plaintiff’s justifications for its refusal to insure Defendant as to the Vermont action, I have seen enough to conclude that Defendant fails to plausibly state a claim that Plaintiff’s denial lacked a reasonable basis.

 

In Smith v. American Equity Insurance Co., for example, the United States District Court for the Eastern District of Pennsylvania granted a defendant insurance company’s motion for summary judgment as to an unfair business practices claim on the basis of that defendant having provided an adequate denial letter.62 The court in Smith explained that the letter was written by a claims adjuster who inspected the property and determined that the water damage for which coverage was denied was the result of decay and long-term deferred maintenance, which was not properly classified as interior water damage caused by the force of the wind.63 The court held that the letter in that case “disclose[d] a facially reasonable basis for rejecting [the] claim.”64

 

*10 Again, in Smith v. State Farm Fire and Casualty Co., the same district court granted a defendant insurance company’s motion for summary judgment as to a bad faith claim brought pursuant to Pennsylvania law.65 The denial letter in that case read, in part, as follows:

Water had been penetrating the stucco finish of the home and resulted in rot and deterioration to the sheathing. This condition was caused by a latent defect or workmanship issue in the application of the stucco….State Farm is not able to extend coverage or any payments for the replacement of the stucco for any rotted sheathing found below the stucco or for any insulation which is replaced as a result of mold.66

The court characterized the insurance company’s argument as “at least arguable” and concluded that “[the insurance company’s] denial letter establishes a reasonable basis for its decision by detailing the damage to the property, the relevant portions of the policy provisions, a summary of communication with [the insureds], and the ultimate reason for the denial.”67

 

 

  1. The Instant Motion Is Granted With Prejudice, Because Undue Delay Would Substantially Prejudice Plaintiff And Because Subsequent Amendment Would Be Futile.

Federal Rule of Civil Procedure 15 sets forth the mechanisms for amending a pleading prior to trial. Section 15(a)(1) applies to amendments as a matter of course. Amendment as a matter of course is inapplicable here, because Defendant elected not to make such an amendment within the two time periods provided for in that section. Section 15(a)(2), entitled “Other Amendments,” explains that “[i]n all other cases, a party may amend its pleading only with the opposing party’s written consent or the court’s leave. The court should freely give leave when justice so requires.”

 

The Third Circuit has “previously discussed when a court may deny leave to amend under Rule 15(a)(2).”68 In Shane v. Faver, for example, then Circuit Judge Samuel A. Alito, Jr. stated that “[a]mong the grounds that could justify a denial of leave to amend are undue delay, bad faith, dilatory motive, prejudice, and futility.”69 “ ‘Futility’ means that the complaint, as amended, would fail to state a claim upon which relief could be granted.”70 “In assessing futility, the District Court applies the same standard of legal sufficiency as applies under Rule 12(b)(6).”71

 

“Moreover, substantial or undue prejudice to the non-moving party is a sufficient ground for denial of leave to amend.”72 “The issue of prejudice requires that we focus on the hardship to the [opposing party] if the amendment were permitted.”73 “Specifically, we have considered whether allowing an amendment would result in additional discovery, cost, and preparation to defend against new facts or new theories.”74

 

*11 “The decision to grant or deny leave to amend a complaint is committed to the sound discretion of the district court.”75 “Factors the trial court may appropriately consider in denying a motion to amend include undue delay, undue prejudice to the opposing party, and futility of amendment.”76 For instance, “if the proposed change clearly is frivolous or advances a claim or defense that is legally insufficient on its face, the court may deny leave to amend.”77

 

Dismissal of Defendant’s bad faith claim with prejudice is warranted on two separate grounds. First, the delay associated with future amendment would severely prejudice Plaintiff by extending the period of unwarranted coverage. Second, subsequent amendment would be futile.

 

The longer the Court delays disposition of the bad faith claim at the motion to dismiss stage, the longer it takes the Court to reach the merits of Plaintiff’s coverage decisions as to all three state litigation claims. Thus, the quite striking risk to Plaintiff is that it continues to offer coverage under a reservation of rights agreement as to claims that it is not legally bound to cover. On the other hand, delay does not prejudice the Defendant in a reciprocal fashion. Either it is or is not receiving the coverage it is properly owed under the policy. In fact, it can be argued that an expedited determination as to the instant denial would conceivably benefit Defendant if such denial is in fact a breach on Plaintiff’s part. Otherwise, denial with prejudice simply avoids the scenario of improper insurance proceeds.

 

In addition, subsequent amendment would be futile. Plaintiff has proffered its denial letter, a letter integral to the bad faith claim, setting forth a good faith, reasonable basis for the ultimate decision as to the Vermont denial. Absent thoroughly pled factual evidence that the statements in the declination letter were nothing more than a ruse to wrongfully deny coverage, I would still dismiss the pending bad faith. Further, the allegations here are so sparse that they confirm the necessity of dismissal with prejudice.

 

 

  1. CONCLUSION

Consistent with the foregoing analysis, Plaintiff’s Motion to Dismiss is granted with prejudice.

 

An appropriate Order follows.

 

All Citations

Slip Copy, 2016 WL 4502456

 

 

Footnotes

1

The following facts are gleaned from, and viewed in the light most favorable to, the non-moving party’s brief in opposition to the motion to dismiss. ECF No. 34.

2

In re Hydrogen Peroxide Litigation, 552 F.3d 305, 316 n.15 (3d Cir. 2008) (Scirica, C.J.) (quoting Szabo v. Bridgeport Machines, Inc., 249 F.3d 672, 675 (7th Cir. 2001) (Easterbrook, J.)). Neitzke v. Williams, 490 U.S. 319, 326–27 (1989).

3

Neitzke, 490 U.S. at 326 (citing Hishon v. King & Spalding, 467 U. S. 69, 73 (1984)).

4

Neitzke, 490 U.S. at 327.

5

Howard M. Wasserman, The Roberts Court and the Civil Procedure Revival, 31 Rev. Litig. 313 (2012).

6

550 U.S. 544 (2007); 556 U.S. 662, 678 (2009). Wasserman, supra at 319–20.

7

Iqbal, 556 U.S. at 670 (citing Conley v. Gibson, 355 U.S. 41 (1957)) (“[a]cknowledging that Twombly retired the Conley no-set-of-facts test”).

8

Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 570).

9

Iqbal, 556 U.S. at 678.

10

Connelly v. Lane Const. Corp., 809 F.3d 780, 786 (3d Cir. 2016) (Jordan, J.) (internal quotations and citations omitted).

11

Twombly, 550 U.S. at 556.

12

Iqbal, 556 U.S. at 679.

13

Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 557 (internal quotations omitted)).

14

Phillips v. Cnty. of Allegheny, 515 F.3d 224, 228 (3d Cir. 2008) (Nygaard, J.).

15

Iqbal, 556 U.S. at 678 (internal citations omitted).

16

Fowler v. UPMC Shadyside, 578 F.3d 203, 210 (3d Cir. 2009) (Nygaard, J.).

17

Iqbal, 556 U.S. at 678.

18

Connelly, 809 F.3d at 787 (internal quotations and citations omitted).

19

Id.

20

Specialty Surfaces Int’l, Inc. v. Cont’lCas. Co., 609 F.3d 223, 229 (3d Cir. 2010) (quoting Griffith v. United Air Lines, Inc., 416 Pa. 1, 21, 203 A.2d 796, 805 (1964)).

21

Hammersmith v. TIG Ins. Co., 480 F.3d 220, 227 (3d Cir. 2007) (quoting Griffith, 203 A.2d at 806).

22

Specialty Surfaces, 609 F.3d at 230.

23

Hammersmith, 480 F.3d at 231 (internal citation and quotation marks omitted).

24

Id. at 230.

25

Id. at 229.

26

Hammersmith, 480 F.3d at 231.

27

Quinney v. Am. Modern Home Ins. Co., 145 F. Supp. 2d 603, 607 (M.D. Pa. 2001) (Caputo, J.).

28

957 F. Supp. 2d 544, 551 (M.D. Pa. 2013).

29

189 F. Supp. 2d 237, 239–40.

30

Kilmer v. Connecticut Indem. Co., 189 F. Supp. 2d 237, 245 (M.D. Pa. 2002).

31

Id. at 245 (quoting Gen. Star Nat. Ins. Co. v. Liberty Mut. Ins. Co., 960 F.2d 377, 379 (3d Cir. 1992)).

32

Id. at 246.

33

Id. at 246–47 (citing Celebre v. Windsor–Mount Joy Mut. Ins. Co., No. CIV. A. 93–5212, 1994 WL 13840, *2 (E.D. Pa. Jan. 14, 1994)) (citing Thomson v. Prudential Prop. & Cas. Ins. Co., Civ. A. No. 91–4073, 1992 WL 38132, *4 (E.D. Pa. Feb. 20, 1992)) (“Pennsylvania has a great interest in protecting its residents from possible misconduct of insurance carriers operating within its borders.”).

34

Id. at 247.

35

Id. at 246.

36

Am. Guarantee & Liab. Ins. Co. v. U.S. Fid. & Guar. Co., 668 F.3d 991, 993 (8th Cir. 2012).

37

Id.

38

Id.

39

Id. at 997 (internal quotation marks and citations omitted).

40

Id.

41

No. CIV. A. 90-6976, 1991 WL 147461, at *7 (E.D. Pa. July 25, 1991)

42

Id.

43

884 F. Supp. 937, 952 (E.D. Pa. 1995).

44

Id.

45

ECF No. 28 Ex. 7 at 4.

46

Condio v. Erie Ins. Exch., 2006 PA Super 92, ¶ 14, 899 A.2d 1136, 1142 (2006).

47

Brown v. Progressive Ins. Co., 2004 PA Super 346, ¶ 31, 860 A.2d 493, 501 (2004) (internal citations and quotation marks omitted).

48

Id.

49

Id. at ¶ 34.

50

Id. (internal quotation marks omitted).

51

Id.

52

Moran Indus., Inc. v. Netherlands Ins., Co., 2014 WL 643723, at *9 (M.D. Pa. Feb. 19, 2014) (Brann, J.).

53

Amica Mut. Ins. Co. v. Fogel, 656 F.3d 167, 179 (3d Cir. 2011) (Ambro, J.) (quoting Bostick v. ITT Hartford Grp., 56 F.Supp.2d 580, 587 (E.D. Pa. 1999)).

54

Id. (quoting UPMC Health Sys. v. Metro. Life Ins. Co., 391 F.3d 497, 506 (3d Cir. 2004) (Barry, J.)).

55

Amica, 656 F.3d at 179.

56

ECF No. 29 at 35–36.

57

See Fed. R. Evid. 407, 409.

58

ECF No. 28 Ex. 7. In Pension Benefit Guar. Corp. v. White Consol. Indus., Inc., the leading decision on the issue of consideration of external documents at the motion to dismiss stage, the Third Circuit instructed as follows:

We now hold that a court may consider an undisputedly authentic document that a defendant attaches as an exhibit to a motion to dismiss if the plaintiff’s claims are based on the document. Otherwise, a plaintiff with a legally deficient claim could survive a motion to dismiss simply by failing to attach a dispositive document on which it relied.

998 F.2d 1192, 1196 (3d Cir. 1993) (Cowen, J.) (internal citations omitted).

Further, according to the Third Circuit, “a document integral to or explicitly relied upon in the complaint may be considered without converting the motion to dismiss into one for summary judgment.” Schmidt v. Skolas, 770 F.3d 241, 249 (3d Cir. 2014) (internal citations and quotations omitted) (emphasis in original). This is because “the primary problem raised by looking to documents outside the complaint—lack of notice to the plaintiff—is dissipated [w]here the plaintiff has actual notice…and has relied upon these documents in framing the complaint.” Id. “[W]hat is critical is whether the claims in the complaint are based on an extrinsic document and not merely whether the extrinsic document was explicitly cited.” Id.

59

See, e.g., ECF No. 32 at 2.

60

See ECF No. 28 Ex. 7.

61

O’Donnell ex rel. Mitro v. Allstate Ins. Co., 1999 PA Super 161, ¶ 32, 734 A.2d 901, 910 (1999).

62

Smith v. Am. Equity Ins. Co., 235 F. Supp. 2d 410 (E.D. Pa. 2002).

63

Id. at 413.

64

Id.

65

Smith v. State Farm Fire & Cas. Co., No. CV 15-670, 2015 WL 7568326 (E.D. Pa. Nov. 25, 2015).

66

Id. at *5.

67

Id. at *5–6 (“Pennsylvania courts have declined to recognized bad faith where the insurer made a reasonable legal conclusion based on an area of the law that is uncertain or in flux.”) (internal quotation marks and citations omitted).

68

Holst v. Oxman, 290 Fed.Appx. 508, 510 (3d Cir. 2008).

69

213 F.3d 113, 115 (3d Cir. 2000) (quoting In re Burlington Coat Factory Sec. Litig., 114 F.3d 1410, 1434 (3d Cir. 1997) (Alito, J.)).

70

Shane, 213 F.3d at 115.

71

Id.

72

Cureton v. Nat’l Collegiate Athletic Ass’n, 252 F.3d 267, 273 (3d Cir. 2001).

73

Id.

74

Id.

75

Coventry v. U.S. Steel Corp., 856 F.2d 514, 518 (3d Cir. 1988).

76

Averbach v. Rival Mfg. Co., 879 F.2d 1196, 1203 (3d Cir. 1989) (quoting Foman, 371 U.S. at 182).

77

Ross v. Jolly, 151 F.R.D. 562, 565 (E.D. Pa. 1993) (citing 6 Wright, Miller, & Kane, Federal Practice & Procedure: Civil 2d § 1487). See also Vosgerichian v. Commodore Int’l Ltd., No. Civ. A. 92-CV-4867, 1998 WL 966026, at * 3 (E.D. Pa. Nov 6, 1998) aff’d sub nom Vosgerichian v. Commodore Int’l, 191 F.3d 446 (3d Cir. 1999).

 

 

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