.

Defense Digest

UIM Stacking Even When Not a Named Insured

Defense Digest, Vol. 30, No. 4, December 2024

December 1, 2024

Key Points:

  • Pennsylvania Superior Court addresses issue of first impression involving UIM stacking and coverage. 
  • The company president, insured under policy covering one vehicle, was entitled to inter-policy stacking of UIM benefits.    

The Pennsylvania Superior Court recently addressed an issue of first impression involving UIM stacking and coverage in Baclit v. Sloan, 323 A.3d 1 (Pa. Super. 2024).  The plaintiff, Timothy S. Baclit, died acting as a good samaritan to aid the defendant, Steven Sloan, who was involved in a single motor vehicle accident after crashing into a bridge retaining wall. Mr. Baclit was operating a motor vehicle owned by his mother and stopped at the accident scene to render aid to Mr. Sloan. In the process of providing assistance to Mr. Sloan, Mr. Baclit fell from the bridge retaining wall and later succumbed to his injuries.  

Mr. Sloan’s automobile liability coverage through Farmers Insurance tendered the limits to the administrator of the estate of Mr. Baclit. The vehicle Mr. Baclit operated was insured under a multivehicle policy through State Farm Mutual Insurance Company with stacked UIM limits of $300,000. State Farm paid the stacked UIM policy limits under that claim. At the time of his death, Mr. Baclit owned a motorcycle that had UIM coverage through Progressive, which also tendered its UIM policy limits. What remained at issue was a commercial automobile policy through United Financial Casualty Company (United).      

Mr. Baclit was the president and sole officer of a trucking business, TKC Trucking, which was covered by a commercial automobile insurance policy through United.  Under that commercial policy, TKC Trucking was a “named insured” and Mr. Baclit and another individual were designated as rated drivers. The subject policy covered a truck and load trail trailer and provided stacked UIM coverage. 

The administrator of the estate for Mr. Baclit filed a complaint against United, asserting claims of breach of contract, bad faith, wrongful death, and survival. Notably, there was no waiver of stacking signed by Mr. Baclit under that policy and the premiums reflected higher payments for stacking coverage. 

Upon inception of the policy, United charged a premium for stacking under the single car commercial policy. The trial court felt that, since the carrier chose to provide stacked insurance coverage on a one-vehicle commercial policy, where the injured party was both the sole officer of TKC Trucking and named as a rated driver in the policy, the attempt to deny stacked coverage served as a de facto waiver, in violation of the language of the Pennsylvania Motor Vehicle Financial Responsibility Law (MVFRL). Thus, the trial court found that the estate was entitled to collect UIM benefits and granted its motion for summary judgment. 

United appealed to the Superior Court, which noted that the only question before it was purely one of law requiring of a determination whether Mr. Baclit was entitled to UIM benefits under the United policy. The court examined the interplay between the provisions of the MVFRL and the plain language of the policy. It reviewed the various provisions of the MVFRL pertaining to UIM coverages, focusing on section 1738(a), which provided, when multiple vehicles are insured on one or more policies providing UIM coverage, any UIM coverages “stacked” by default and the amount of coverage shall be the sum of the limits for each motor vehicle as to which the injured person is an insured. See also Gallagher v. Geico Indemnity Co., 201 A.3d 131, 137 (Pa. 2019). Section 1738 (a) unambiguously provides for inter-policy as well as intra-policy stacking. 

Although UM/UIM coverage is stacked by default, a named insured may waive stacking of UM or UIM coverages, in which case, the limits of coverage available under the policy for an insured shall be the stated limits for the motor vehicle as to which the injured person is an insured. 75 Pa.C.S. § 1738(b). Each named insured purchasing UM/UIM coverage must be “provided the opportunity to waive stacked limits of coverage and instead purchase coverage as described under Subsection (b). The premiums for an insured who exercises such waiver shall be reduced to reflect the different cost of such coverage.” Id. § 1738(c). Similarly, with regard to the waiver of UIM coverage, stacking may also be waived through the statutorily prescribed form contained in § 1738(b)(2). Failure to comply with the appropriate language in the rejection form will void any purported waiver.  

Citing Gallagher, 201 A.3d at 137, the Superior Court stated that “[w]e must apply general principles of contract interpretation, as, at base, an insurance policy is nothing more than a contract between an insurer and the insured.” It also referred to Gallagher, 201 A.3d at 137 (citation omitted), in noting that, “[i]mportantly, however, provisions of insurance contracts are invalid and unenforceable if they conflict with statutory mandates because contracts cannot alter existing laws.” Based on Erie Ins. Exch. v. Eachus, 306 A.3d 930, 933 (Pa. Super. 2023), it indicated that “[t]he provisions of the MVFRL are mandatory, and where the insurance policy provisions fail … to comply with the provisions of the MVFRL, the policy provisions will be found unenforceable.”

Utilizing these principles, the Superior Court interpreted the policy to determine whether Mr. Baclit, as a sole officer of the company, should be regarded as an insured under the subject policy and, therefore, entitled to stacked UIM benefits. The court first recognized that “[t]he owner and/or officers of a corporation are ‘Class I’ insureds under a policy issued in the name of a corporation.” Miller v. Royal Ins. Co., 510 A.2d 1257, 1258 (Pa. Super. 1986). The Superior Court in Miller had found that Mr. Miller was a de facto named insured under the business automobile policy and that the spouse of a corporate officer was also a “Class I insured.” Taking the analysis in Miller, the court here felt that because Mr. Baclit was the sole officer and president of TKC Trucking and was the sole corporate officer and person responsible for paying premiums for the subject policy, he would be the one who would have had the power to decline waiver of UIM and stacking of coverage for TKC Trucking. 

United contended the subject policy should have been considered a first priority UIM policy. Thus, the concept of “stacking” would not have come into play unless the insured had more than one vehicle insured under one or more policies providing UM or UIM coverage. United presented a hypothetical that Mr. Baclit would be seeking primary UIM coverage under the policy as a single policy of insurance that insures a single vehicle. Following the hypothetical through to its logical conclusion, Mr. Baclit would thereafter seek stacked UIM coverage from his mother’s policy and his own motorcycle policy. As the driver or operator of the vehicle insured under the policy involved in an accident, wherein Mr. Baclit was not at fault, he would recover first priority UIM coverage from the policy under §§ 1731 and 1733 and not stacked coverage under § 1738. Yet, there would be no mechanism for any individual to stack benefits paid for by TKC Trucking under the policy. As per the Supreme Court in Gallagher, this constituted de facto waiver of stacking benefits in violation of the MVFRL. Gallagher, 201 A.3d at 132. 

In the absence of finding Mr. Baclit was an insured under the policy pursuant to Miller, the language of the policy (defining an “insured” in a corporate policy for purposes of stacking UIM benefits) operated as a de facto waiver of stacking coverage because, as in Gallagher, there was no ability for anyone to recover stacked UIM benefits, despite the fact that the carrier did not obtain the requisite waiver in violation of § 1738 of the MVFRL. 

To the contrary, as in Gallagher, Mr. Baclit paid increased premiums to obtain stacked UIM benefits under the commercial policy and, as the sole officer of the company and one who made the payments, reasonably expected to receive such stacked UIM benefits. Unless Mr. Baclit was a named insured under the policy, United’s constricted view of who could constitute as “an insured” for purposes of collecting stacked UIM benefits under a single-vehicle, business automobile policy violated the MVFRL. As such, the Superior Court found no error or abuse of discretion in the trial court’s decision and affirmed the trial court’s order granting the estate’s motion for summary judgment seeking stacked UIM benefits under United’s commercial automobile policy.  


 

Defense Digest, Vol. 30, No. 4, December 2024, is prepared by Marshall Dennehey to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2024 Marshall Dennehey. All Rights Reserved. This article may not be reprinted without the express written permission of our firm. For reprints, contact tamontemuro@mdwcg.com.

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Thought Leadership

On the Pulse…Defense Verdicts and Successful Litigation Results*

CASUALTY DEPARTMENT Kevin Hexstall (Philadelphia), Alicia Calaf (Roseland), and Patricia McDonagh (Roseland) secured a no-cause verdict on behalf of a national home improvement retailer in a personal injury action. The plaintiff alleged that on May 20, 2019, she was injured at one of the retailer's stores when an associate moved a lumber cart, causing a PVC pipe to fall and strike her head and right shoulder. She claimed permanent traumatic brain injury, concussion, and spinal injuries, supported by her orthopedic and neurologic experts. Our defense orthopedic and neurologic experts testified that the plaintiff's reported symptoms were more consistent with malingering or a somatoform disorder. After a one-week trial and approximately 45 minutes of deliberation, the jury unanimously found the defendant was not negligent.  Neda Salamzadeh (New York) successfully obtained spoliation sanctions in a motor vehicle accident case involving disputed liability. Despite multiple preservation requests and a court order, the plaintiffs failed to preserve the vehicle and its electronic data, which defendants argued was critical to determining how the collision occurred. The court granted the motion in part, ordering a negative inference charge against the passenger-plaintiff at trial and precluding all plaintiffs from offering liability expert testimony. Kimberly A. House and Olivia R. O'Reilly (both of Philadelphia), successfully obtained an arbitration verdict in a premises liability matter. The plaintiff alleged that the hatch door that led downstairs to the basement of our client's bodega was left open by the staff. The plaintiff claimed that he stepped in the hole and fell, causing his injuries. The plaintiff tried to move this case to the Major Jury Program because he had a frozen shoulder. Kim and Olivia opposed the motion to transfer venue, and his motion was denied. At arbitration, they argued their client was an out-of-possession landlord with no liability, and the arbitration panel found in their favor. ​Mark Wellman and Elizabeth Guariglia (both of New York) successfully secured a venue change in a motor vehicle accident case. The plaintiff filed suit in Queens County, arguing venue was proper based on the defendant company's purported Queens location. The defense demonstrated that Queens was not a proper venue, as the accident occurred in Westchester County and the relevant parties were located elsewhere. The court granted the motion and transferred the case to Westchester County. Jack Farrell, Dan Dolente, and Travis Talbot (all of Philadelphia) successfully obtained dismissal of a lawsuit in Philadelphia County on forum non conveniens grounds, allowing the plaintiffs to refile in Delaware. The case arose from a robbery and assault that occurred in Wilmington, Delaware, with the plaintiffs alleging negligent security against a bank. 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She further argued that, even if the assignments were deemed valid, the plaintiff failed to comply with the policies' terms, conditions, and claim submission requirements, including conditions precedent to coverage. The court agreed and dismissed all claims against our client. Adam Fogarty and Ashley Davis (both of Mount Laurel) obtained summary judgment in a construction site accident matter in which the plaintiff alleged he was injured after lifting a cover and falling into a hole at an active worksite. Our client was the owner of the building under construction at the time of the accident. Based on the contractual agreements and testimony of the parties involved, we successfully argued that the subcontractors and the plaintiff's employer were solely responsible for worker safety, supervision, and site conditions. We further argued that our client could not be held liable for the alleged negligence of independent contractors. The court agreed, finding that our client owed no duty to the plaintiff, and dismissed all claims against our client. Pete Read and Elizabeth Guariglia (both of New York) obtained summary judgment dismissing all third-party claims against a local specialty contractor in a Brooklyn construction accident matter. The court rejected claims for contractual indemnification and failure to procure insurance, finding that an unsigned work proposal and estimate did not constitute an enforceable contract and contained no indemnification or insurance procurement obligations. The court also dismissed contribution claims after finding that the contractor neither owned the property nor supervised, controlled, or performed any work at the project site, having fully subcontracted the scope of work to another entity. Kevin Hexstall (Philadelphia), Alicia Calaf (Roseland), Patricia McDonagh (Roseland), Dillon Payne (Philadelphia), and Kelly Dermody (Roseland) secured a unanimous defense verdict in a premises liability matter involving a national home improvement retailer. The plaintiff alleged that she developed Complex Regional Pain Syndrome (CRPS) following a fall in the retailer's parking lot in October 2022. She claimed that the incident necessitated significant ongoing medical treatment, including the implantation of a permanent spinal cord stimulator. The plaintiff sought substantial damages, including claims for extensive future medical care. The defense team successfully challenged the credibility of the plaintiff's allegations and expert testimony through rigorous cross-examination and the presentation of defense experts in forensic engineering, human factors, and pain management. 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Mike argued that the plaintiff's claims were barred by a liability waiver she had signed when applying for membership. The plaintiff denied that she signed the waiver. The court ordered targeted discovery and each side retained a handwriting expert. The Judge ultimately found that the defense had persuasively established that the signature was genuine, and the plaintiff's unsupported denials did not create a “genuine dispute" to defeat summary judgment. Kevin Hexstall (Philadelphia) and Sara Mazzolla (Roseland) with assistance from Patricia McDonagh (Roseland), Tim Jaeger (Roseland), and Dillon Payne (Philadelphia), obtained a unanimous defense verdict in a New Jersey premises liability case involving claims of traumatic brain injury and significant cognitive impairment. The case arose after a six-foot drill bit weighing less than two pounds fell from a display and struck the plaintiff after an unidentified customer inadvertently bumped the shelving with a shopping cart. 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Megan Nelson (Orlando) achieved an order granting a Florida Probate Rule 5.900 petition for expedited judicial intervention concerning medical treatment procedures in a guardianship case.  Despite being medically cleared for transfer to a skilled nursing facility, the patient's co-guardians refused to cooperate with the Medicaid application process, provide required financial documentation, or participate in discharge planning. Following an evidentiary hearing, the court granted Megan's petition and ordered the co-guardians to take the necessary steps to facilitate the patient's discharge. When they continued to ignore the court's directives, the court appointed an emergency temporary co-guardian, who promptly completed the required application process, allowing the patient to move toward placement in an appropriate care facility. 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The plaintiff provided only an AOM from a geriatric physician and failed to serve any from experts in the field of nursing standard of care or nursing home administration, even after the Ferreira Conference. We moved to dismiss due to failure to serve the appropriate or required AOMs. Adam Fulginiti and Ryan Harvie (both of Philadelphia) obtained a dismissal for all claims asserted against a nonprofit mental health services provider in Bucks County, Pennsylvania. The claims by a former resident and treatment recipient spanned multiple years and were asserted across separate actions. The claimant alleged various tort-based causes of action arising from their residency and interactions with staff. We obtained an initial dismissal in one of the two matters through a motion for judgment on the pleadings and subsequently leveraged that ruling to file a vexatious litigant motion in the second action, which the court granted. The latter order effectively bars the plaintiff from initiating any future litigation against our insured or its employees involving the same or related claims. This outcome brings finality to protracted litigation and protects the client from continued repetitive and meritless claims, which had caused them significant reputational and financial losses. ​Gary Samms (King of Prussia) secured a non-suit in a hotly contested matter with a pre-trial demand of $7 million dollars regarding the death of a neurologist after complications from a green light procedure for prostate issues. Plaintiffs contended thermal injury occurred, as well as a bladder perforation, infection, bladder removal and ultimately death and argued the hospital did not act appropriately and failed to have appropriate policies and procedures regarding the use of warm saline during the procedure. The corporate and direct negligence theories failed after Gary's cross-examination of their expert on voir dire determined that the plaintiff's expert was not qualified to offer opinions on hospital policies and procedures. Successful cross-examination had already occurred regarding the pathologist involved in the autopsy and the urologist who performed the procedure. The granting of a non-suit is a rarity at trial. Maura Brady, Julia A. Klubenspies, Karen L. Kankula, and Jennifer Polowchena (all of Roseland) obtained a defense verdict in a medical malpractice action involving allegations of anesthesia negligence during emergency surgery. The plaintiff, a 43-year-old woman, presented to the hospital in septic shock seven days after undergoing a robotic hysterectomy and required emergency surgery. She alleged that she aspirated during intubation, causing complications that ultimately resulted in lower extremity gangrene and the loss of all 10 toes. The defense disputed that aspiration occurred, pointing to the patient's stable vital signs and end-tidal CO₂ readings during the procedure, and argued that the toe amputations were caused by the severe sepsis she had upon arrival at the hospital rather than the anesthesia care provided. Despite a $12 million demand, no settlement offers were made. Following a six-week trial in Hudson County, New Jersey, the jury unanimously returned a defense verdict in favor of the defense. Jack Farrell (Philadelphia), Holli Archer (Philadelphia), Charmaine Pinckney, Jennifer Cicchetti, and Maureen Wagner (Philadelphia) obtained a defense verdict in a medical malpractice action arising from the death of a 63-year-old patient following a cardiac ablation procedure. The plaintiff, acting as administrator of the patient's estate, alleged that the defendants were negligent after the patient suffered a coronary artery dissection during the procedure, which ultimately led to her death. The defense established that coronary artery dissection is a well-known and accepted risk of cardiac ablation procedures and that the complication occurred through no fault of the electrophysiologist who performed the procedure. Following a four-day trial in the Montgomery County Court of Common Pleas, the jury returned a unanimous defense verdict in just 20 minutes, finding in favor of the defense. PROFESSIONAL LIABILITY DEPARTMENT  Danielle Robinson (Fort Lauderdale) and Brendan Smith (Orlando) successfully obtained a complete defense verdict in a breach of warranty case and appeal of a Florida Lemon Law arbitration decision. The plaintiffs alleged that a leased vehicle was a "lemon" and sought more than $500,000 in damages and attorney's fees under the federal Magnuson-Moss Warranty Act. The defense successfully upheld a prior Florida New Motor Vehicle Arbitration Board ruling that the plaintiffs were not eligible for relief under the Florida Lemon Law because they did not qualify as consumers. After less than 90 minutes of deliberation, the jury returned a defense verdict on all claims. The plaintiffs recovered no damages, final judgment was entered in favor of the client, and the plaintiffs waived their right to appeal. Len Leicht (Roseland), Kara Pullman (Philadelphia), and Mary Yurick (Philadelphia) achieved summary judgment on behalf of a New Jersey university and its former Provost in a claim brought under the Conscientious Employee Protection Act (CEPA). The plaintiff claimed that her position was eliminated in retaliation for “blowing the whistle" on the university's issues with international student visa compliance, and also on an alleged prostitution ring involving international students. We argued that the plaintiff's position was in fact eliminated as a result of the university's well-documented financial crisis. The court agreed and dismissed the plaintiff's complaint in its entirety, finding that while the plaintiff engaged in protected activity and experienced an adverse employment action, she could not establish pretext or cause. Kimberlin Ruiz (Roseland) Kimberlin Ruiz (Roseland) successfully obtained a dismissal with prejudice in a legal malpractice action arising from the purchase of a used car dealership. The plaintiffs alleged that the attorneys who represented them in the stock purchase failed to uncover a previously undisclosed loan, which later resulted in litigation against the new owners. After the plaintiffs settled the underlying lawsuits, they brought malpractice claims against the estate of one attorney and a co-defendant.  Following the court's dismissal of the claims against the co-defendant under New Jersey's Entire Controversy Doctrine, Kimberlin successfully argued that the same reasoning barred the claims against her client. The court agreed, applying both the Entire Controversy Doctrine and the Law of the Case Doctrine, and dismissed all claims against the client with prejudice. Christopher Conrad and Daniel McGannon (both of Harrisburg) successfully had a discrimination claim dismissed by the Equal Employment Opportunity Commission in Baltimore, Maryland. The claimant was a regional controller for our client, a large full-service electrical construction company with over 19 offices. The claimant struggled with interoffice relations with an array of employees across departments. Eventually, she was terminated after multiple incidents and reports by coworkers. After termination, the claimant alleged that she was fired based on her race, sex, and retaliation. We successfully argued that our client had significant documentation attributing the claimants termination to her inability to maintain professional decorum with colleagues despite multiple coaching and training opportunities pursued by management. The EEOC agreed, dismissing the discrimination complaint. Ray Freudiger and Michael A. Roberts (both of Cincinnati) successfully obtained summary judgment on behalf of their client in a coverage dispute arising from a May 19, 2022 motor vehicle accident. A permissive driver, Driver M, operated a box truck for an interstate trucking company and caused severe injuries to two tort victims. Prior to the accident, the insured had procured a commercial auto policy for the trucking company with stated limits of $1,000,000. Following the accident, the insurer initiated a declaratory judgment action asserting that only reduced bodily injury limits of $25,000/$50,000 applied and later counterclaimed, alleging it would not have insured Driver M had he been properly submitted for approval under the policy. After extensive discovery, briefing, and oral argument, the court rejected the insurer's attempt to shift responsibility for the $750,000 in coverage it was legally required to provide for permissive drivers under Ohio law, granting summary judgment in favor of the insured and preserving $750,000 in liability exposure. Aaron Moore (Wilmington and Philadelphia) won a motion to dismiss on behalf of our client, a provider of heavy lift helicopter construction services, from a plaintiffs' sole claim of aiding and abetting breach of fiduciary duty. The plaintiffs, shareholders of a large Delaware aeronautical company, claimed that the company's board of directors breached fiduciary duties owed to them by selling the company to our client for what was alleged to be less than value. Our client, the purchaser of the company, was alleged to have aided and abetted those breaches by offering employment opportunities in the company post-acquisition. The Delaware Court of Chancery held that the plaintiffs had not sufficiently alleged facts that, if proven, would give rise to liability as to our client. The court recognized the heightened pleading standard for an aiding and abetting claim brough against a third-party buyer. Andrew Norfleet (Harrisburg) successfully obtained summary judgment in a federal civil rights lawsuit alleging false arrest and false imprisonment under the Fourth Amendment. The plaintiff claimed he was wrongfully arrested, but the defense demonstrated that the arresting officer had probable cause based on an on-scene identification made by another responding officer, who was also the victim of the underlying crimes. Both the trial court and the Commonwealth Court concluded that the arrest was based on a reasonable and reliable identification and that the officers acted appropriately under the circumstances. The courts further held that the officers were entitled to both federal and state law immunity, finding no evidence of malice, willful misconduct, or intentional wrongdoing. As a result, all claims against the client were dismissed. Carol VanderWoude (Philadelphia) successfully obtained reversal of a trial court's order overruling preliminary objections as to venue. The plaintiff filed suit in the Philadelphia County Court of Common Pleas alleging negligence for injuries sustained in a car accident. The accident occurred in Lebanon County between the plaintiff's vehicle and a school bus driven by an employee of defendant transportation company. The corporate defendant provided transportation services to school districts in Lebanon and Lancaster Counties, and had no clients in Philadelphia County. The trial court overruled the preliminary objections to venue, reasoning the act of transporting students into Philadelphia for approximately two-dozen field trips during the pertinent school year satisfied the quality-quantity venue analysis. The Superior Court disagreed. It was persuaded by the arguments raised on appeal and reversed. The court held that the field trips simply aided in the corporate defendant's main purpose of providing transportation services as directed by its clients located outside Philadelphia County, and that those field trips were not conducted regularly enough to satisfy the quantity portion of the venue analysis. The venue ruling was interlocutory and not appealable, but the Superior Court granted permission to immediately appeal the ruling so the venue issue could be resolved at the outset of the case. Jack Slimm and Jeremy Zacharias (both of Mount Laurel) successfully defended one of New Jersey's largest and most well-respected law firms in an appeal filed by plaintiffs to the New Jersey Supreme Court. Plaintiffs were seeking to overturn the appellate division's decision which affirmed the orders and opinions of the trial court which dismissed the complex multi-party legal malpractice action against a large national developer, and our clients, a firm that represented various developers. John Gonzales, Kimberly House, and Oswald Clark (all of Philadelphia) successfully achieved summary judgment in a case involving intentional infliction of emotional distress, abuse of process, and tortious interference. This case was brought by the plaintiff against his children's maternal grandparents. The plaintiff alleged that the defendants schemed and planned to use the judicial system to harm the plaintiff. All of the plaintiff's allegations arose out of a lengthy custody battle. After discovery closed in this matter, we moved for summary judgment on the grounds that the plaintiff failed to file any of his claims within the applicable statute of limitations. The court granted our motion and found that the plaintiff knew of the facts underlying his claims no later than November 2, 2020, which was more than two years before the action was filed. As such, the plaintiff's claims were barred by the statute of limitations and the trial court entered judgment in favor of the defendants. Keith Andresen and Allison Snyder (both of New York) obtained a favorable decision from the Appellate Division, Second Department, compelling additional discovery in a premises liability action involving alleged knee injuries from two apartment trip-and-fall incidents. The plaintiff claimed the falls aggravated preexisting injuries, but the defense uncovered three additional motor vehicle accidents that had not been disclosed during discovery, including two that occurred before the alleged falls and one afterward. After the trial court denied the defendants' motion to compel records related to those accidents, Keith and Allison successfully appealed. The Appellate Division, Second Department reversed the lower court's decision and directed the plaintiff to provide authorizations for records related to the undisclosed accidents for in-camera review. The court agreed that the records could be relevant to the plaintiff's claims that the falls exacerbated preexisting injuries, reinforcing a defendant's right to obtain discovery concerning prior and subsequent accidents when the nature and extent of a plaintiff's injuries are at issue. Jillian Dinehart (Cleveland) successfully obtained a unanimous defense verdict in an age discrimination/wrongful termination matter in Ohio. The plaintiff was the former clerk of courts, serving for 12 years under the same mayor. However, when the mayor won a re-election campaign in 2024, he ended her at-will employment. She alleged wrongful termination and age discrimination. To support her claim, she cited several text messages from 2021, a Facebook post, and a birthday card all containing age jokes referring to the plaintiff as older than her actual age. Additionally, she alleged that the mayor called her “a grandma" throughout her tenure. The plaintiff was replaced by an inexperienced clerk who was 20 years younger. The defense included the mutual nature of some of the jokes, the lack of supporting evidence of the alleged verbal remarks made over the years, and the political nature of the position that allowed for annual turnover. The jury of eight issued a defense verdict on all charges – wrongful termination, hostile work environment, and aiding & abetting. John Osorio and Zipporah Ridley (both of Mount Laurel) obtained a directed verdict, dismissing all claims against a condominium association. The plaintiff, a condominium resident, sued the association alleging breach of contract; breach of implied covenant of good faith and fair dealing; breach of fiduciary duty; fraud; negligent misrepresentation; and slander. After several years of litigation proceedings, this matter went to trial in May 2026. Upon completion of plaintiff's case in chief, pursuant to R. 437-2(b), we filed a motion to dismiss based on plaintiff's own initial breach of the existing contract, failure to establish the condominium's breach, failure to substantiate her claims, failure to furnish expert testimony, and her own admittance that her only basis for her complaint was her own personal belief. The court granted our motion with prejudice. Matthew Behr and Walt Kawalac (both of Mount Laurel) obtained an affirmation in a disability discrimination case in the New Jersey Appellate Division. The plaintiff was a custodian working for the county library. He was observed using a cane for knee issues. He was sent for a fitness-for-duty examination and the doctor determined that he was not fit for duty, and he was terminated as a result. The plaintiff alleged disability discrimination and failure to accommodate the claim under the NJLAD. We filed for summary judgment, which was granted by the trial court and affirmed by the Appellate Division. Chris Woodward (Harrisburg) obtained dismissal with prejudice for all claims against an auto insurer. The insured had sued the insurer for an alleged non-renewal of her policy and asserted claims for breach of contract, insurance bad faith, and violation of the Unfair Trade Practices and Consumer Protection Law. The Western District agreed with all of Chris's arguments that the insured had failed to state any claim under any of her theories. ​Sam Cohen (Philadelphia) and Jeremy Zacharias (Mount Laurel) obtained summary judgment on behalf of their client, a life insurance agent, who sold a disability policy to the plaintiff. The plaintiff claimed that the policy was misrepresented to him, and that he was led to believe that if he was ever disabled, he could collect full benefits on the sold policy, as well as another supplemental disability policy he owned through another insurance carrier. When the plaintiff became disabled (nearly two decades after purchasing the initial policy), he discovered that the policies would offset each other to avoid over-recovery. He then filed a lawsuit against the insurance agent, as well as the insurance company, and the referral insurance agent was joined as a third-party defendant in the case. The plaintiff's demand was in excess of policy limits, and Sam and Jeremy successfully argued a lack of causation and damages to substantiate his claims that an offset would not apply in this case. Josh Byrne and Megan Bershefsky (both Philadelphia) received summary judgment in Philadelphia on a matter where the plaintiff, a company and its owner, had accused an attorney of conspiring with their clients who were co-owners of the business to defraud the business. The court determined the plaintiffs were unable to support their bald allegations against the attorney and that any action taken by the attorney was protected by the judicial privilege doctrine. Josh Byrne and Megan Bershefsky (both of Philadelphia) received dismissal of a disciplinary matter against an attorney who was accused by another attorney of improperly trying to solicit a client. They crafted a response to the Office of Disciplinary Counsel's Request For Statement of Position which established the attorney had previously been engaged by the victim's family, and that the complaining attorney had only reported half the story. Josh Byrne (Philadelphia) received summary judgment in a Dragonetti action in Chester County where the court reconsidered a prior opinion denying summary judgment. The court determined that based upon the facts of the underlying matter and the fact that it survived dispositive motions and ended with a split jury verdict meant that probable cause existed as a matter of law. ​Josh Byrne (Philadelphia) received a dismissal with a letter of concern of a 100+ paragraph Request for Respondent's Statement of Position (DB-7) issued by the Office of Disciplinary Counsel. The DB-7 listed six alleged violations of the Rules of Professional Conduct and generally asserted that the attorney failed to respond to the client causing a major commercial transaction to be delayed. Josh and his client established that the delay was caused by the complaining client and his siblings' own disputes and normal transactional delays, and established that the attorney was very responsive in the face of a demanding client. A “letter of concern" does not constitute formal discipline. ​Seth Altman (Fort Lauderdale), secured a voluntary dismissal with prejudice in a first-party property insurance coverage dispute arising from alleged Hurricane Ian damage. The plaintiff sought $195,000, claiming the hurricane caused extensive damage to the insured property. The defense demonstrated that the claimed losses stemmed from pre-existing conditions, including unrepaired damage from prior claims, roof deterioration, rot, and structural issues that existed before the storm. After aggressively defending the case, deposing the plaintiff, and presenting extensive documentary and photographic evidence, the plaintiff agreed to dismiss the case with prejudice prior to mediation. The matter was resolved with no payment made on behalf of the client. Aaron Moore, Jeffrey Chomko , Kimberly Boyer Cohen , and Kerry Rodgers (all of Philadelphia) secured a mutual walk-away discontinuance after two years of contentious litigation on behalf of a homeowners association and members of its board of directors. The plaintiffs, who owned a unit within the development, asserted multiple claims and pursued an aggressive litigation strategy throughout the case. A pivotal victory came when Kimberly successfully obtained summary judgment dismissing all claims against the individual board members, significantly narrowing the case and eliminating the plaintiffs' leverage. Following that ruling, the parties agreed to a mutual walk-away discontinuance, bringing the litigation to a complete resolution without further proceedings. WORKERS' COMPENSATION DEPARTMENT Michele Punturi (Philadelphia) and Alana Staniszewski (Pittsburgh) successfully obtained the grant of a termination petition in a Pennsylvania workers' compensation case involving a hospital employee who claimed ongoing disability following a shoulder injury and multiple surgeries. The defense presented expert medical testimony establishing that the claimant had fully recovered from the work-related sprain/strain and that many of her ongoing complaints were unrelated to the work injury. Surveillance footage further contradicted the claimant's allegations of disability by showing her performing everyday activities without difficulty. The Workers' Compensation Judge found the defense evidence credible, granted the termination petition, and ended the claimant's entitlement to benefits. A. Judd Woytek (King of Prussia) and John Abda (Scranton) successfully had a workers' compensation claim petition granted for medical benefits only for a close period with no wage loss awarded. The claimant alleged multiple injuries as the result of a very minor motor vehicle incident where a co-worker's delivery van rolled down an incline of approximately six feet, and bumped into the rear of the claimant's delivery van. He claimed he was thrown forward and suffered head and neck injuries, along with aggravating a pre-existing ankle injury. The claimant was also terminated following the accident for having a large hunting knife in his van, which was against the employer's workplace violence policy. The judge granted the claim for a mild concussion and an ankle contusion, but terminated medical benefits as of the date of our IME's. The judge found that no wage loss benefits were payable as the claimant was terminated for cause and work remained available to him. The judge found our medical experts to be more credible than the claimant's, along with finding our four employer witnesses to all be credible. Ben Durstein (Wilmington) obtained a favorable decision in a workers' compensation matter in which the claimant fractured his patella in a work accident and required two surgeries. The IAB rejected the claimant's medical expert's opinion that he sustained a 25% permanent impairment to the right lower extremity. Instead, the board accepted the opinion of the employer's medical expert that the appropriate permanency was 13% utilizing the 6th Edition of the AMA Guides to the Evaluation of Permanent Impairment. Eric Scott Thompson (Wilmington) successfully defended a Delaware workers' compensation claim involving allegations that a claimant's left knee condition and subsequent total knee replacement resulted from overuse caused by a compensable right knee injury. The Industrial Accident Board accepted the employer's medical evidence, finding the claimant failed to establish a causal connection between the left knee condition and the work injury. The Board also agreed that the claimant was capable of returning to sedentary work and that suitable employment opportunities were available. As a result, the claimant's entitlement to total disability benefits ended, and benefits were limited to partial disability. Tony Natale III (King of Prussia) had a termination petition granted in a workers' compensation matter. The claimant sustained a lower back injury during his employment. He was treated by a physician who immediately referred him for a $6,500 per month steady diet of TENS unit and supplies. The employer filed a termination petition based on a full recovery opinion from an orthopedic surgeon. The claimant continued to treat during the litigation with the electronic supplies. Expert testimony demonstrated that the claimant had no reproducible lower back problems and had fully recovered from the work injury. We filed a termination petition, which the court granted for a complete defense verdict. Tony Natale III (King of Prussia) successfully had a termination petition granted by the Berks County Workers' Compensation Court. The claimant suffered multiple upper extremity injuries which relegated him to light duty paper work. Several years later, the employer was able to retrieve a full recovery opinion on the hand/wrist and shoulder injuries. A termination petition ensued. The claimant presented testimony that he could not even raise a glass of water without pain. Medical expert testimony was presented by the employer, which shrouded the claimant's allegations of disability in serious doubt. The claimant's hands and arm had no muscular atrophy and were covered in dirt and callouses, demonstrating that he was working and using his hands. The court granted termination for a full defense verdict. Tony Natale III (King of Prussia) successfully had a workers' compensation termination petition granted in a matter in which the claimant had an adjudicated right elbow injury. A termination petition was prosecuted, alleging full recovery. The claimant’s expert attempted to allege a different elbow injury than what had previously been adjudicated in order to defeat the termination petition. Res Judicata objections were sustained since the same expert tried to amend the nature of injury in previous litigation and was unsuccessful. The court then granted the employer's termination petition for a complete defense verdict. Alana Staniszewski (Pittsburgh) successfully defended a claimant's appeal before the Workers' Compensation Appeal Board (WCAB) following the denial of the claimant's petition for benefits. The Workers' Compensation Judge found the employer's surveillance footage and witness testimony more credible than the claimant's account and concluded that the claimant failed to establish a work-related injury. On appeal, the claimant challenged the sufficiency of the evidence and the WCJ's credibility determinations. Through briefing and oral argument, Alana successfully argued that the appeal improperly sought to overturn the WCJ's role as the sole arbiter of credibility. The WCAB agreed and affirmed the decision in its entirety, preserving the employer's complete defense victory. Tony Natale (King of Prussia) successfully had a termination petition granted in a workers' compensation matter. The claimant sustained a work injury in the form of a “fractured back" when he slipped and fell on concrete during the course and scope of employment. Based on the opinions of a board-certified orthopedic surgeon, the claimant's condition improved to the point where it was clear that no objective findings on exam or diagnostic testing corroborated ongoing subjective complaints. The claimant pursued actions in both Pennsylvania and New Jersey. The claimant thumbed his nose at the court in Pennsylvania at two hearings and ultimately, expert testimony was presented on behalf of the carrier. The court found that the preponderance of the evidence supported full and complete recovery and the termination was granted in its entirety for a full defense verdict. Tony Natale (King of Prussia) obtained a defense verdict in a workers' compensation case in Pennsylvania. The claimant sustained a work-related injury in the form of a bilateral knee strain during the course and scope of employment. She continued to treat for these injuries without cessation. She originally refused a job offer to return to work and continued treatment. A board-certified orthopedic surgeon who specializes in knee injuries examined her and found that despite the varied and somewhat bizarre subjective pain complaints, there were no objective corroborative findings to support ongoing injury or disability. Medical expert testimony was proffered and accepted by the court as credible, resulting in a full defense verdict.

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Commonwealth Court Deemed Worker an Employee Despite Independent Contractor Agreement; Insurer Estopped from Denying Coverage

In this case, the claimant filed a Claim Petition for injuries sustained on October 28, 2019, naming J&S as his Employer, and alleging that the injuries occurred when he fell from a ladder while installing a satellite dish for Dish Network. Dish Network contracted with J&S to install satellite dishes. Subsequently J&S filed a Petition to Join Brickstreet Insurance Company and the claimant filed a Claim Petition against the Uninsured Employer Guaranty Fund. The Fund then joined Dish Network as another employer.  Before the Workers’ Compensation Judge (WCJ), the claimant testified that he was hired in 2015 by J&S and at the time signed an Independent Contractor Agreement (IC Agreement). J&S defended the case on the basis that the claimant was not an employee, but was an independent contractor, even after the IC Agreement expired. Additional evidence showed that, at the time of the October 28, 2019, work injury, J&S’ workers’ compensation insurance with Brickstreet had lapsed, even though a Brickstreet agent had been working to renew J&S’ policy and had a Certificate for coverage from September 25, 2019 to September 25, 2020 issued, with Dish Network listed as the Certificate Holder. A renewal policy was not in effect at the time the Certificate was issued and the agent learned on October 25, 2019 that Brickstreet was not going to renew their policy with J&S, due to an unpaid premium.    Ultimately, the WCJ found that the claimant was an employee of J&S at the time of the work injury and that J&S did not have a workers’ compensation policy in place at the time, due to their failure to pay the renewal premium to Brickstreet. The WCJ also found Dish Network was a Statutory Employer under Section 302(a) of the Act. The Claim Petition and the Guaranty Fund Claim Petition were both granted, as was the Guaranty Fund’s Petition to Join Dish Network. The WCJ also denied J&S’ Petition to Join Brickstreet, finding that neither J&S or Dish Network showed that Brickstreet was estopped from denying coverage. J&S and Dish Network appealed to the Workers’ Compensation Appeal Board (Board) and the Board affirmed. J&S and Dish Network appealed to the Commonwealth Court. The Commonwealth Court rejected J&S' argument that the claimant was an independent contractor. In doing so, the court noted that the claimant credibly testified that he worked for J&S full time, could not work for another company, and that J&S, scheduled his jobs, tracked him, and scheduled additional installations, if he finished early. Additionally, the court noted the claimant lacked discretion in the manner he performed his job, because all questions had to be referred to J&S.  As for Dish Network’s appeal, the court held that the WCJ erred in holding that Brickstreet was not estopped from denying coverage as to Dish Network. According to the court, the insurance agent was an authorized representative of Brickstreet and, at the direction of J&S, issued the Certificate of Insurance that he knew was not accurate at the time, and was aware would be presented as proof of coverage for J&S. Dish Network relied upon that information and continued to use J&S, ultimately leading to Dish Network being named as the Statutory Employer liable for payment of benefits because of J&S’ uninsured status. The court held that the Board erred in affirming the WCJ ’s conclusion that Dish Network did not establish that Brickstreet was equitably estopped from denying coverage, reversed the decision below, and remanded the case to the WCJ. 

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Appellate Division Affirmed Trial Judge’s Orders Granting Summary Judgement for Defendants on COVID-19 Case

In Dunne v. Advanced Subacute Rehab Servs. at Sewell, LLC, et al., the plaintiffs appealed from two Law Division orders. By way of background, Louis Doto, Sr. (Doto) worked for BP & SC Services, Inc. (BP). BP leased Doto to Advanced Subacute Rehabilitation Center at Sewell, LLC (Advanced Subacute) and it had control of his work, paid wages, and had the power to hire or fire him. A BP employee was assigned to the facility to train and supervise him and BP was responsible for securing workers’ compensation coverage. Doto worked as an aide in the laundry department. Linen from COVID-19 residents were delivered in clearly marked bags and he had no direct contact with residents. A co-worker, Sheila Smith, was also an aide and she never contracted COVID-19 at the facility. Advanced Subacute did not require Doto to wear an N-95 mask, but instead a surgical mask, though N-95 masks were available to all employees. He was also required to attend period mandatory meetings with other high-risk employees, the last of which he attended was in November 2020. All employees were required to test for COVID-19 and there were no reported cases from June to October 2020. On December 23, 2020, Doto tested positive for COVID-19 and passed away on January 18, 2021. The last member of housekeeping that Doto may have encountered tested positive 22 days earlier. After his death, OSHA found two “serious” violations concerning the N-95 masks worn by housekeepers. In response, Advanced Subacute fit tested all non-clinical staff. Doto’s estate filed a workers’ compensation claim and named both BP and Advanced Subacute as his employer. The estate received an award. In July 2022, the plaintiffs filed a complaint in the Law Division, alleging wrongful death and survivor causes of action. In October 2024, the defendants moved for summary judgment, arguing: 1) immunity pursuant to the Emergency Health Powers Act: 2) the exclusive remedy provision of the Workers’ Compensation Act; 3) Doto’s inability to establish infection at the facility; 4) net expert opinions by the plaintiffs’ expert; and 5) inadmissibility of the OSHA report. The plaintiffs opposed and filed a cross-motion for summary judgment, arguing: 1) no immunity as Advanced Subacute engaged in gross negligent or willful misconduct; 2) no preclusion by the Workers’ Compensation Act as Doto was not Advanced Subacute’s employee; and 3) no net expert opinions. In February 2025, the judge issued a written decision granting the defendants’ motion. Specifically, he found Advanced Subacute’s COVID-19 immunity precluded the plaintiffs’ claim as no reasonable jury could find any gross negligence or utter disregard for Doto’s safety. He also addressed the other defenses for completeness. The plaintiffs moved for reconsideration and the judge issued another written decision denying the plaintiffs’ motion in April 2025. The plaintiffs then appealed both decision. The Appellate Division affirmed the orders for reasons stated by the judge in his written decisions. The Appellate Division only added: 1) Advanced Subacute acted consistently with the legislative grant of immunity; 2) there was no doubt Doto was an employee of both BP and Advanced Subacute and the latter may have inadvertently failed to follow some precautions; and 3) confirmed the plaintiffs’ experts did not identify a basis for their opinions. Ultimately, the Appellate Division found no reason to disturb the judge’s well-reasoned decisions and affirmed the judge’s orders.