ROBERT D. MARIANI, District Judge.
Presently before the Court are two Motions for Summary Judgment (Docs. 114; 160) filed by the Defendant in the above-captioned action. For the reasons that follow, the Court will grant the Motions.
During oral argument, counsel for moving Defendant Nationwide Insurance Company
(Oral Argument Tr., Feb. 18, 2015, Doc. 182, at 65:8-14.) The Court agrees with this assessment. The statements of fact accompanying the two motions for summary judgment are voluminous and contain extensive denials. However, a review of the bases for each denial indicates that Plaintiffs object primarily to the interpretation that Defendant places on certain facts, or that Plaintiffs believe that other facts of record are more important or otherwise undercut reliance on the facts that Defendant highlights. Both sides appear to agree on what actually happened during the period of time that gave rise to this cause of action, as memorialized most clearly in Nationwide's claims file. Thus, all of the facts recounted below are undisputed. There are no disputed facts aside from these, but only disputed interpretations of these facts.
The instant action arose from an accident that occurred on April 29, 2010. At that time, Stephen Bodnar was the owner of a masonry business developing land in Luzerne County, Pennsylvania for the purposes of opening a campground there, to be called Bodnarosa Campground. (Am. Compl., Doc. 17, at ¶ 8.)
At the time of the accident, Bodnar "was insured pursuant to the terms and conditions of a Commercial General Liability insurance policy issued by AMCO INSURANCE COMPANY" with a limit of $1,000,000.00 for each occurrence. (Def.'s Concise Statement of Mat. Facts, Doc. 161, at ¶¶ 2, 4.) Following the accident, the decedent's widow, "Danielle Berry, individually and as Administratrix of the Estate of James Berry, brought suit against Plaintiff and Bondnarosa [sic] Campground, LLC in the Court of Common Pleas of Luzerne County. . . ." (Id. at ¶ 5.) Bodnar filed a claim with the Defendant Nationwide/AMCO insurance company for indemnification in this tort action. (See generally Doc. 173-4 at 61-65.) Nationwide hired and appointed a lawyer to defend Bodnar in the underlying lawsuit, and thereafter continuously provided him with a defense in that lawsuit, even while it challenged its obligation to do so in the declaratory judgment action discussed below. (See Doc. 161 at ¶¶ 9-10.)
During the pendency of the tort claim, Nationwide investigated Bodnar's claim to determine whether it owed him coverage. To aid in this effort, Nationwide filed a declaratory judgment action, first in this District (which was dismissed under the Declaratory Judgment Act for only presenting questions of state law), (see AMCO Ins. Co. v. Berry, 3:11-CV-989, Doc. 7), and then in the Luzerne County Court of Common Pleas. The declaratory judgment action sought a declaration that Danielle Berry's tort claims are not covered by the Nationwide/AMCO policy and that Nationwide had no duty to indemnify Bodnar or provide him with a legal defense in that underlying lawsuit. (See Luzerne Cnty. Compl. for Decl. Relief, Doc. 161-7, at 6).) The need for a declaratory judgment purportedly arose due to a dispute under the terms of the policy as to whether James Berry actually qualified as an "employee" or a "temporary worker" of Bodnar and Bodnarosa. If he were found to be an employee, then the policy excluded coverage, whereas if he were found to be a temporary worker, then coverage would attach. (See p. 6, infra.)
On August 2, 2012, Bodnar and Danielle Berry entered into an agreement to settle the underlying tort claim, wherein Bodnar agreed to pay Berry the $1,000,000.00 limit of his AMCO policy, together with accrued interest, and to transfer his interests in the policy to her. (See Settlement Agreement, Doc. 161-5, at 1.) In return, Berry agreed
(Id. at 2.)
Slightly before they Signed the setllement agreement, Bodnar and Berry, jointly filed the instant action against AMCO/Nationwide before the undersigned. This action alleges that AMCO/Nationwide handled Bodnar's claim for indemnification in bad faith and in breach of its contractual duty of good faith and fair dealing, which caused Bodnar various damages.
During the early stages of our federal bad-faith action, Le., on February 13, 2013, the Luzerne County declaratory judgment action was "discontinued." (See Statement of Proposed Undisputed Material Facts for Second Mot. for Summ. J., Doc. 115, at ¶ 7.) "Defendant AMCO/Nationwide paid Danielle Berry, individually and as Administratrix of the Estate of James Berry, the Policy's limits of $1,000,000.00, plus interest, in accordance with the terms and conditions set forth in the [Bodnar-Berry] Agreement." (Id. at ¶ 9.)
In determining whether evidence of record exists to create a dispute of fact about Nationwide's bad faith, the Court looks to the information contained in Nationwide's Bodnar claim file. The following information about the claim file—most of which was submitted by the nonmoving Plaintiff—is undisputed.
Bodnar's insurance policy stated in pertinent part:
"Bodily injury" to:
(Id. at § 1(2)(e).) In the section entitled "Definitions," the policy further states that "`[e]mployee' includes `leased worker.' `Employee' does not include a `temporary worker.'" (Id. at § V(5).) It then defines "leased worker" as "a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. `Leased worker' does not include `temporary worker.'" (Id. at § V(10).) Finally, "`[t]emporary worker' means a person who is furnished to you to substitute for a permanent `employee' on leave or to meet seasonal or short-term workload conditions." (Id. at § V(19).)
Nationwide appears to have received an insurance claim from Bodnar on August 19, 2010. (See Doc. 173-4, Aug. 19, 2010, at 65.)
On August 24, 2010 Nationwide representative Joseph Bottger added a note to the claim file citing the above employee exclusion and referring to Berry as an "employee." (See id., Aug. 24, 2010, at 61.) Bottger then provided several notes for Nationwide to further investigate, as follows: Notes:
(Id. at 62.)
On August 25, 2010, another note was added, in which Lambrecht stated that he spoke with Bodnar's wife and obtained, inter alia, the following information:
(Id., Aug. 25, 2010, at 60.)
The next day's entry called Mrs. Bodnar's Workers' Compensation statements into question:
(Id., Aug. 26, 2010, at 58.)
A note entered on September 1 indicated that the Workers' Compensation representative "has requested employment documentation on several occasions from the Bodnar's [sic] and their attorney, with no cooperation" and that the Berry Estate's attorney "has specifically requested that WC benefits not be paid until such time as the widow looks at the payroll documentation provided and agrees her late husband was an `employee.'" (Id., Sep. 1, 2010, at 57.)
On September 17, Lambrecht noted receipt of "additional mortgage loan applications" filed by the Berrys approximately three weeks before the accident, which list James Berry's last two employers as "Northeast Aquastore since 2009, and Cheetah Chasis from 12/01/2003 to 12/17/2008." (Id., Sep. 17, 2010, at 54.) Lambrecht further notes that there "is no mention of Bodnar Masonry on this document, which appears to contradict the information given to me by Mrs. Bodnar shortly after this loss was reported by the agent," Le., in which Mrs. Bodnar stated that Berry was made a Bodnar Masonry payroll employee to help him secure a home mortgage. (Id.)
On October 11, Lambrecht noted that Frank Kepner, the attorney representing Bodnar in the underlying tort suit, "confirms there was an extensive OSHA investigation resulting in a $8,000.00 (approximate) fine, which they are appealing." (Id., Oct. 11, 2010, at 52.)
On October 21, Kepner further agreed to send Lambrecht "additional documents today regarding the decedent's recent tax returns and `payroll checks' that were issued by our NI. According to PC, the decedent never executed aW-4 and his widow refused to cash the three (3) checks issued to her late husband by Mrs. Bodnar." (Id., Oct. 21, 2010, at 52.) Nationwide received this information on October 25. Upon receipt, Lambrecht noted, inter alia:
Note that all of the checks are dated after the 4/29/10 accident date.
(Id., Oct. 25, 2010, at 51.)
In an entry on the same date, Lambrecht represents that he recently spoke with Bodnar and Kepner and that "[i]n brief, Bodnar did not consider the decedent James Berry an employee of Bodnar Masonry at the time of the accident." (Id., Oct. 25, 2010, at 50.) As evidence of this Lambrecht states that Bodnar never hired Berry for any type of work before April 2010; that Bodnar never issued Berry aW-2 or 1099 form, even though he did so for his other employee-laborers; that "[b]oth men agreed that Berry's work at Bodnarosa would be limited to 2-3 weeks" while Berry was "temporarily out of work, and needed some income to `hold him over' before starting a job with a local gas company;" and that "Berry agreed to be paid cash under-the-table for his work at Bodnarosa, and understood that Bodnar would send him a 1099 form at the end of the year to document his income." (Id.) Further,
(Id.)
An important moment for Plaintiffs' bad-faith claim occurred in November 2010. (See, e.g., Pls.' Br. in Opp. to Def.'s Third Mot. for Summ. J., Doc. 172, at 24.) That is, on November 4, Lambrecht added a note that "claims leadership" had reached a consensus "that the deceased would meet the definition of a `temporary worker:" (Doc. 173-4, Nov. 4, 2010, at 49.) If the consensus were true, then, all else being equal, Bodnar would be entitled to coverage under the policy. Lambrecht further noted that claims legal counsel Kovaly "will do some legal research and get back to us with her findings &opinion" as to how "temporary worker" is defined under Pennsylvania law. (Id.) He added that, "[i]f the `temporary worker definition is found to be ambiguous, we probably cannot rely on the employer's liability exclusion to bar coverage." (Id.)
Then, on November 8, 2010, with no explanation contained in the file log, Nationwide did what Plaintiffs call an "about-face." (See Doc. 172 at 24.) The claim log on that day begins with a statement that has been redacted for reasons of legal privilege. (See Doc. 173-4, Nov. 8, 2010, at 49; Def.'s Privilege Log, Doc. 173-4, at 2.) Immediately following the redaction, it reads: "Accordingly, there is a good faith argument to be made that this loss falls within the Employer Liability Exclusion to coverage. Thyerefore [sic], a declaratory judgment complaint is recommended in this matter." (Doc. 173-4, Nov. 8, 2010, at 49.) At oral argument, Defendant's counsel stated that the apparent "about-face" occurred because of Kovalts legal advice, but further stated that Defendant would not waive its privilege and disclose the contents of that advice. (Oral Argument Tr. at 56:13-57:13.)
On March 23, 2011 claims handler Lance Jamison noted that Bodnar's Workers' Compensation carrier "paid for aclaim under Bodnar, but had not obtained necessary information from Bodnar to show that the claimant Barry [sic] was an employee or IC" and so it "denied the WC claim." (Doc. 173-4, Mar. 23, 2011, at 40.) A later entry confirms that Workers' Compensation insurance was in fact denied. (Id., Oct. 25, 2011, at 9.)
On April 6, 2011, Jamison added to the claims file a note from a person identified as "DC."
DC further discussed the "Answer/New Matter recently filed by Bondorasa Masonry [sic]" in the tort suit. (Id.) He wrote that "[i]n the Answer, it is specifically admitted that Mr. Berry was an independent contractor at the time of this incident. Mr. Bodnar signed the verification." (Id.) He then opined:
(Id.)
On July 6, 2011, Jamison reported another conversation with DC, in which DC stated that certain admissions in discovery in the tort suit that denied that Berry was an employee create "a tough situation" for Nationwide. (Id., Jul. 6, 2011, at 23-24.)
On September 7, 2011, Jamison again noted contradictory information, in that the "OSHA report shows that Berry is described as an `employee,' would have been `laid off after the job was over. However, Bodnarosa answer, where Stephen Bodnar signed [sic], he notes Berry as an Ind Contractor." (Id., Sep. 7, 2011, at 13.)
On October 4, 2011, Jamison wrote:
(Id., Oct. 4, 2011, at 12.)
Though it had met with him before, Nationwide formally deposed Bodnar as part of the Luzerne County declaratory judgment action on March 1, 2012. (See generally Stephen Bodnar Dep., Mar. 1, 2012, Doc. 178-1.) Bodnar represented many times throughout the deposition that Berry was a temporary worker and not an employee and that, among other things, Berry brought his own tools to work, (id. at 78:9-24), that his agreement with Berry was for Berry to only work for a few weeks, (id. at 88: 17-22), and that he did not pay Berry like a regular employee, (id. at 87:6-90:21).
As discussed above, Nationwide's next action was to discontinue its declaratory judgment action in February 2013 and pay Danielle Berry and the Estate the full proceeds of Bodnar's insurance policy, plus interest. (See, e.g., Oral Argument Tr. at 72:20-73:13.)
Defendant Nationwide Insurance Company filed its first Motion for Summary Judgment in the early stages of this case, on March 13, 2013. (See Def.'s First Mot. for Summ. J., Doc. 22.) The Court denied that Motion on May 16, 2013, on the grounds that Plaintiffs' claims of breach of contract and bad faith against the insurance carrier were not precluded as a matter of law and that a determination of the merits of such claims must be deferred at least until the conclusion of discovery. (See Mem. Op., May 16, 2013, Doc. 33, at 29.)
Defendant then filed an Amended ("Second") Motion for Summary Judgment on June 30, 2014. (See Def.'s Am. Mot. for Summ. J., Doc. 114.) This Motion was filed before the completion of discovery, but argued that the facts that had already been discovered conclusively established that Plaintiffs' bad faith claims could not succeed as a matter of law, such that "[w]ere discovery to proceed for a millennium, the Plaintiff could never unring the bell which has tolled in the form of documentary proof that Nationwide was subjectively and objectively aware of a host of conflicting facts concerning the decedent's employment which created a bona fide, coverage question." (Def.'s Br. in Supp. of Am. Mot. for Summ. J., Doc. 121, at 22.)
Discovery proceeded for several additional months. The Court had not addressed the merits of Defendant's Second Motion for Summary Judgment by the time discovery apparently closed.
The Court heard oral argument on the two pending Motions for Summary Judgment on February 18, 2015. At the beginning of oral argument, the Court informed counsel that it did not view the two motions as separate, but rather that it understood the third motion to expand on the second one based on additional discovery. (See Oral Argument Tr. at 2:4-15.) Counsel generally agreed. (See id. at 2:17-4:25.) Indeed, counsel for the moving party stated that "the second [motion] was filed to try to get judgment to avoid the discovery that has already taken place, so the second one was really looking at a period of time to avoid that additional discovery." (Id. at 4:2-6.)
Because the additional discovery which Defendant sought to avoid occurred, the Court will treat the Second Motion for Summary Judgment as superseded by and subsumed within the Third Motion for Summary Judgment. Therefore, the Court will treat the Third Motion as the operative Motion, unless the Second one raises issues not addressed in the Third which have not been rendered moot by the close of discovery.
Through summary adjudication, the court may dispose of those claims that do not present a "genuine dispute as to any material fact." Fed. R. Civ. P. 56(a). "As to materiality, . . . [o]nly disputes over facts that might affect the outcome of the suit under the governing law will properly preclude the entry of summary judgment." Anderson v. Uberty Lobby, Inc., 477 U.S. 242, 248 (1986).
The party moving for summary judgment bears the burden of showing the absence of a genuine issue as to any material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). Once such a showing has been made, the non-moving party must offer specific facts contradicting those averred by the movant to establish a genuine issue of material fact. Lujan v. Nat'l Wildlife Fed'n, 497 U.S. 871,888 (1990). Therefore, the non-moving party may not oppose summary judgment simply on the basis of the pleadings, or on conclusory statements that a factual issue exists. Anderson, 477 U.S. at 248.
Fed. R. Civ. P. 56(c)(1)(A)-(8). In evaluating whether summary judgment should be granted, "[t]he court need consider only the cited materials, but it may consider other materials in the record." Fed. R. Civ. P. 56(c)(3). "Inferences should be drawn in the light most favorable to the non-moving party, and where the non-moving party's evidence contradicts the movant's, then the non-movant's must be taken as true." Big Apple BMW, Inc. v. BMW of N. Am., Inc., 974 F.2d 1358, 1363 (3d Cir. 1992), cert. denied 507 U.S. 912 (1993).
However, "facts must be viewed in the light most favorable to the nonmoving party only if there is a `genuine' dispute as to those facts." Scott v. Harris, 550 U.S. 372, 380, 127 S.Ct. 1769, 1776, 167 L. Ed. 2d 686 (2007). If a party has carried its burden under the summary judgment rule,
Id. (internal quotations, citations, and alterations omitted).
"To successfully maintain a cause of action for breach of contract the plaintiff must establish: (1) the existence of a contract, including its essential terms, (2) a breach of a duty imposed by the contract, and (3) resultant damages." Hart v. Arnold, 884 A.2d 316, 332 (Pa. Super. Ct. 2005). In the insurance context, the Pennsylvania Supreme Court has "long recognized that: `the utmost fair dealing should characterize the transactions between an insurance company and the insured.'" Dercoli v. Pennsylvania Nat'l Mut. Ins. Co., 554 A.2d 906, 909 (Pa. 1989) (quoting Fedas v. Ins. Co. of Pa., 151 A.2d 285, 286 (1930)).
Berg v. Nationwide Mut. Ins. Co., 44 A.3d 1164, 1170 (Pa. Super. Ct. 2012).
Here, the same facts that give rise to the breach of contract apply equally to the bad faith claim. Thus, the Court will treat the two claims simultaneously in section V(c), infra.
Aside from the above contractual duties, the Pennsylvania legislature has created a statutory remedy for an insurer's bad faith conduct, which reads as follows:
42 Pa. Cons. Stat. Ann. § 8371.
"The standard for bad faith claims under § 8371 is set forth in Terletsky v. Prudential Property &Cas. Ins. Co., 437 Pa.Super. 108, 649 A.2d 680, 688 (1994), appeal denied, 540 Pa. 641, 659 A.2d 560 (1995)." Klinger v. State Farm Mut. Auto. Ins. Co., 115 F.3d 230, 233 (3d Cir. 1997). Terletsky defined the term "bad faith" as follows:
Terletsky, 649 A.2d at 688 (quoting Black's Law Dictionary 139 (6th ed. 1990)). "[T]o recover under aclaim of bad faith, the plaintiff must show that the defendant did not have a reasonable basis for denying benefits under the policy and that defendant knew or recklessly disregarded its lack of reasonable basis in denying the claim." Id. "In a bad faith case, summary judgment is appropriate when there is no clear and convincing evidence that the insurer's conduct was unreasonable and that it knew or recklessly disregarded its lack of a reasonable basis in denying the claim." Bostick v. ITT Hartford Group, Inc., 56 F.Supp.2d 580, 587 (E.D. Pa. 1999).
Bad faith refusal to settle a case is the type of conduct covered by section 8371. Birth Center v. St. Paul Cos., Inc., 787 A.2d 376, 389 (Pa. 2001). "[W]hen an insurer breaches its insurance contract by a bad faith refusal to settle acase, it is appropriate to require it to pay other damages that it knew or should have known the insured would incur because of the bad faith conduct." Id. Moreover, "using litigation in a bad faith effort to evade aduty owed under a policy would be actionable under Section 8371." W. V. Realty, Inc. v. N. Ins. Co., 334 F.3d 306, 313 (3d Cir. 2003)
In this Court's Opinion on the instant Defendant's First Motion for Summary Judgment, it found the law unsettled on whether Plaintiffs are legally permitted to assert a claim for bad faith when the Defendant paid the full proceeds of Bodnar's insurance policy in the absence of any court order to do so. (See Doc. 33 at 21-29.) But, given the state of Pennsylvania law and the decisions of other district courts in this Circuit, the Court nonetheless held that "Nationwide may not avoid further inquiry into its conduct in connection with its handling of the claims [at issue] by asserting its ultimate payment of the policy limits to Danielle Berry as a complete defense entitling it to summary judgment as a matter of law." (Id. at 27.) It held that, while "an insurer's delay in the settlement of aclaim, standing alone" need not present a cause of action for breach of contract or bad faith, a "delay in payment of a third party claim, if of inordinate and unreasonable length, effectively becomes a denial of the claim as assuredly as if the denial was swiftly and unequivocally communicated to the insured." (Id. at 27-28.) Thus, if Nationwide did engage in bad faith conduct under the circumstances, even if it ultimately paid the full policy limits, then it could still be held liable in this case. (See id. at 28.)
However, before the Court turns to the question of whether a material dispute of fact exists regarding Defendant's bad faith, there remains a threshold issue of just what information is relevant to Defendant's alleged bad faith. Throughout this litigation, Nationwide has taken the position that the Court may consider information that was "objectively available" to justify Nationwide's claims handling and defeat a bad faith claim, even if no evidence exists that Nationwide in fact relied on that information. (See, e.g., Def.'s Br. in Supp. of Am. Mot. for Summ. J., Doc. 121, at 16; Def.'s Mot. for Recons., Doc. 62, at ¶ 6.) According to the Defendant, federal district courts in Pennsylvania have repeatedly held that if any reasonable basis exists for delaying resolution of aclaim, "even if it is clear that the insurer did not rely on that reason, there cannot, as a matter of law, be bad faith." (See Def.'s Br. in Supp. of Mot. for Recons., Doc. 70, at 7-8 (quoting Williams v. Hartford Cas. Ins. Co., 83 F.Supp.2d 567, 574 (E.D. Pa. 2000)).)
The Court previously responded to this argument as follows:
(Mem. Op. Partially Granting Recons., July 11, 2014, Doc. 123, at 5-7.) However, the Court also noted the case Shannon v. New York Central Mutua/Insurance Co., 2013 WL 6119204, at *3 (M.D. Pa. 2013), which held that U[g]iven the remedial purpose underpinning the Bad Faith Statute, we are not persuaded that permitting an insurer to evade its statutory obligation due to some fortuitous fact to which it was oblivious is consistent with the legislature's intent." (See id. at 7.)
For purposes of resolving the instant Motions, however, the Court need not take a position in this intra-Circuit split. As discussed below, the Court finds that, even when we consider only the information as to which the record shows that Defendant was subjectively aware during its claims-handling process, no evidence exists to indicate that Defendant acted in bad faith.
Plaintiffs premise much of their arguments on the belief that Nationwide began and conducted its investigation "with a predisposition toward denial" (See Doc. 172 at 22.) Thus, Plaintiffs argue:
(Id.)
The Court cannot agree with this interpretation of the claim file. While initial entries do refer to Berry as an "employee," there is no suggestion in the record that this was meant to be a binding characterization, instead of a mere term of convenience. The claims file is replete with misspellings, grammatical errors, and loose language. It is not written in the careful manner in which a lawyer preparing for litigation might write. But loose language is not itself a sign of bad faith, unless it is coupled with some other kind of dishonesty motivated by ill motives. This could be the case if Nationwide arbitrarily decided to call Berry an "employee" and refused to accept contrary evidence. However, the claim file does not indicate that any such course of conduct occurred. It demonstrates that Nationwide continued to investigate the claim, to consult with attorneys, and to attempt determine whether Berry was in fact an employee or a temporary worker, as evidenced in the entries of November 2010 in which, notwithstanding its initial characterizations, Berry's status is still a subject of uncertainty.
Moreover, Plaintiffs' insinuation that Nationwide merely attempted to fit Berry into the "employee" category without adequate investigation bespeaks a distortion of the insurer-insured relationship. As in all insurance cases, Nationwide issued Bodnar a policy at a certain price which covered certain occurrences and excluded others. If Berry's death was in fact an excluded occurrence, then for Nationwide to pay it would give Bodnar a benefit for which he never contracted. It is therefore Nationwide's duty to discover whether Berry's death was in fact an excluded occurrence. The fact that Berry on his face appeared to be an employee—as evidenced by such facts as that it appeared to Nationwide that a Workers' Compensation claim was filed—meant that Nationwide was perfectly within its rights to investigate his status, and that a fortiori, such investigation was not in bad faith without some extra reason to deem it so.
Nor can the Court see any reason to conclude that Nationwide's decisions to not interview other witnesses or gather other documents creates a triable issue of fact as to bad faith or breach of contract. For one thing, the information available to Nationwide through the claims record indicates that Berry's relationship with Bodnar was "off the books," which makes it likely that no other documents would exist to shed light on his employment status. It is further unclear what value additional witnesses would add to settling the employment question.
Plaintiffs nonetheless argue that "truly unreasonable" activity took place on November 8, 2010, when Nationwide decided that it had a reasonable basis to argue that Berry was an employee. (Doc. 172 at 24.) Plaintiffs write:
(Id. (internal citations omitted).) Nationwide argues that it only made this decision on advice of its counsel, Cheryl Kovaly. Indeed, the claims file reflects certain discussions with counsel at this time. (See p. 12, supra.) However, those discussions are redacted, which means that the Court cannot judge whether they by themselves provided a reasonable basis for Nationwide to conclude that Berry was in fact an employee.
While being able to read Kovaly's advice would certainly clarify this malter, the Court cannot find that the redaction affects its summary judgment decision. For one reason, whatever Kovaly's advice was, it only led to a determination to file a declaratory judgment action, not to deny coverage. As discussed above, (see pp. 27-28, supra), a decision to seek a judicial determination on whether coverage existed is not indicative of bad faith or breach of contract, especially when, as here, the implications of the background facts at issue are legally ambiguous.
Moreover, it is significant that the Plaintiff never moved to compel disclosure of Kovaly's advice and never argued that summary judgment should be denied because the advice was not disclosed. Plaintiff only argued that Nationwide's "about-face" was unexplained by the claim file. But such an argument fails on its merits, because, as discussed passim, there was contradictory information in the claim file, of which Nationwide was subjectively aware, to suggest in the alternative that Berry was Bodnar's employee and that he was a temporary worker. As to the former, there was evidence that an OSHA action and a Workers' Compensation claim had been filed and that Berry had been placed on Bodnar's payroll, while, as to the latter, there were Bodnar's strong statements to Nationwide representatives about his professional relationship with Berry. Given the ample amount of conflicting information existing in this case, it cannot be bad faith or a breach of contract for Nationwide to equivocate between two defensible positions. Thus, even an unexplained change of mind cannot advance Plaintiffs' claims in this case. Even if we were to assume that the "about-face" was entirely unexplained and ignore the fact that Nationwide actually did seek legal advice, no bad faith or breach of contract would follow.
The Court is aware that disclosure of Kovaly's advice could theoretically alter its analysis if, for instance, the advice itself contained evidence of bad faith or if Kovaly advised Nationwide to act in a more generous way toward Bodnar than it actually did. This possibility, however, only rises to the level of a "metaphysical doubt" about the background facts that is insufficient to defeat summary judgment under Scott v. Harris, 550 U.S. at 380. Suffice it to say that there is nothing in the record available to the Court that suggests bad faith or breach of contract. Therefore, when we only look at the available summary judgment record, the Court concludes that Defendant has shown "the absence of a genuine issue as to any material fact," Celotex, 477 U.S. at 323, and that it is now the Plaintiffs burden to "offer specific facts contradicting those averred by the movant to establish a genuine issue of material fact," Lujan, 497 U.S. at 888. Plaintiffs only effort to do so has been to argue that the record does not explain Nationwide's "about-face"—an argument the Court already disposed of above. Because Plaintiff never even raised the possibility that Kovaly's advice itself could contain evidence of bad faith, the Court is not required to consider that possibility on summary judgment.
All of Plaintiffs' other arguments for breach of contract or bad faith fail as well.
First, Plaintiffs attack Nationwide's decision to not define the term "employee" except by stating that it includes a leased worker and does not include a temporary worker. (See Doc. 172 at 3; see also p. 6, supra (citing "employee" definition).) As Plaintiffs note, Nationwide's Rule 30(b)(6) designee, Joseph Bottger, testified that "Nationwide doesn't have its own definition of what an employee is. We rely on the case law in the state and we apply that to the policy as best we can." (Doc. 172 at 3 (citing Joseph Bottger Dep., Doc. 173-1, at 137:12-18).)
This is irrelevant to either of Plaintiffs' claims. There is no evidence of record that Nationwide's insurance policy used a different definition of "employee" at the time that Bodnar obtained it. Rather, Bodnar bought the policy with this language in it. Nationwide, then, cannot be found in bad faith by operating under language to which Bodnar assented when he bought the policy. Moreover, in the absence of an explicit definition, there is nothing wrong with defining a term according to case law, as, indeed, this is the procedure that would be followed to determine the meaning of any undefined term. Therefore, Nationwide cannot be considered in bad faith simply because it sought a determination of its contractual language under Pennsylvania law. And, as already discussed above, the procedure that it followed—investigating the claim and then filing a declaratory judgment action to resolve the remaining legal ambiguities—is a proper way of determining this.
Second, Plaintiffs argue that Nationwide acted in bad faith by disregarding Bodnar's statements on October 25, 2010 that Bodnar believed Berry to be an employee. (Id. at 4.)
The Court cannot agree. While Nationwide would have been within its rights to rely on Bodnar's statements to grant coverage, those same statements were contradicted by other facts of record, such as the OSHA investigation, Workers' Compensation claims, and Berry's status on Bodnar's payroll, all of which suggest that Berry was excluded from coverage. Thus, evidence existed which pointed in both directions. It is not bad faith for Nationwide to come down on one side of this evidentiary split when both sides are defensible. And even less is it bad faith for Nationwide to disregard Bodnar's statements, when evidence supporting the other side is available, and when Bodnar himself is a clearly interested party, who, as a layman, is unable to opine on the legal meaning of an employee.
In this same vein, Plaintiffs note that "Bodnar had filed a verified answer to the action filed against the Campground corporate entity, Bodnarosa, LLC in which he swore to the Court that Berry was an independent contractor." (Id. (citing Doc. 1734, at 28-29).) While this is true, the person
Third, Plaintiffs argue that Nationwide did not conduct a reasonable investigation because it did not seek answers to all of the questions that Bottger laid out in his August 24, 2010 claims note, which is quoted in this Opinion at pages 7-8, supra. (See Doc. 172 at 15; [ Oral Argument Tr. at 52:14-21.) However, Bottger's claims note was one of the first entries in Bodnar's file, added just days after Nationwide received the claim. When read in the context of the whole file, Bottger's note is clearly a first impression containing educated guesses as to what information will be necessary to know as the case develops. It would be unreasonable to require Nationwide to find answers to all of these questions if, as occurred here, other information arises that calls Berry's employment status into question. Not finding answers to Bottger's questions would only be relevant if Nationwide did nothing else to investigate the claim. But, as discussed repeatedly above, Nationwide did adequately investigate the claim and thereby came upon information that provided an independent justification to file its declaratory judgment action.
Finally and somewhat unrelatedly, Plaintiffs complain that "Nationwide allowed and supervised a defense in the third party action which was adverse to Bodnar's interests." (Doc. 172 at 16.) Plaintiffs write:
(Id.)
The Court cannot agree with this analysis. First, the cited portion of Bottger's deposition testimony does not say that he "knew that there was no reasonable basis to claim immunity under the Workers' Compensation Act as a defense." The cited portion reads as follows:
(Joseph Bottger Dep., Nov. 19, 2014, Doc. 173-1, at 144:1-8.) The Court believes it is obvious that Bottger's only point is that the Luzerne County Court of Common Pleas' determination of Berry's employment status is not binding on Bodnar's Workers' Compensation carrier. It is illegitimate to infer from this that Bottger believed a Workers' Compensation defense in the underlying tort action against Danielle Berry was meritless. Indeed, insofar as Nationwide believed that Berry was actually an employee, a Workers' Compensation defense would be an appropriate means of defending its insured.
It is easy to focus on the details of Nationwide's claims handling. But we must keep in mind the larger picture. Nationwide received a claim that required it to determine the working relationship of two men who had only worked together for a few weeks before one's untimely death, kept their dealings "under the table," and reduced nothing to writing. The claims file reflects information that indicates that Berry variously could have been an employee, a temporary worker, or independent contractor. Nonetheless, Nationwide still paid for Bodnar's defense in the underlying lawsuit. Faced with ambiguous facts, it also submitted the case separately to court for a declaration of Berry's legal status. Then, before such a declaration was ever issued, Nationwide discontinued its action and paid Bodnar's designee the full limits of his insurance policy.
The Court is willing to assume, for summary judgment purposes, that the weight of the evidence in the claims file suggested that Berry was a temporary worker and that Bodnar was owed coverage. It is willing to assume, for the same purposes, that the claims handlers made judgment calls with which a third-party observer could defensibly disagree. But it cannot agree that Nationwide's documented actions were unreasonable, given the facts it knew at the time, sufficient to sustain a bad faith action or an action for breach of contract. Despite Plaintiffs' repeated invocations of the Golden Rule, (see, e.g., Oral Argument Tr. at 48:11-14), the record does not suggest that Nationwide gave Bodnar any other treatment than that which he was owed as a policyholder. Its duty was to pay claims made against Bodnar only if coverage were owed under the terms of his policy. Nationwide investigated the issue, determined that it did not owe him coverage, and then ultimately decided to pay the policy limits to James Berry's Estate anyway. Plaintiffs may not like how the claim was handled, but it cannot be said that Nationwide breached any duty under these facts.
For the foregoing reasons, Defendants' Motions for Summary Judgment (Docs. 114; 160) are
Without deciding the issue, the Court presently views Judge Blewitt's September 22, 2014 Order— which was never vacated or altered—as the law of the case and therefore does not understand how additional discovery could be allowed. However, even if more discovery is permissible, Judge Carlson's January 26, 2015 Order—which was also never vacated or altered—stayed it. Therefore, for purposes of resolving the issues raised in the Motions for Summary Judgment, the Court considers discovery closed.