HENRY S. PERKIN, District Judge.
Presently before the Court are Defendant's Motion for Summary Judgment (ECF No. 21) filed May 15, 2019, Plaintiff's Response in Opposition to Defendant's Motion for Summary Judgment (ECF No. 22) filed June 3, 2019, and Defendant's Sur-Reply to Plaintiff's Opposition to Defendant's Motion for Summary Judgment (ECF No. 24) filed June 25, 2019. In addition, the Court held oral argument on the Motion for Summary Judgment on January 23, 2020. For the reasons set forth below, the Motion for Summary Judgment is
This action arises from Plaintiff Marisol Martinez's claim for underinsured motorist benefits with her automobile insurance carrier, Defendant Nationwide Insurance Company. On March 13, 2015, Plaintiff was involved in a motor vehicle accident with Yasmin Kobeissi in which she sustained injuries. (Compl. ¶¶ 5-10; Def's Statement of Facts ¶1.) At the time of the accident, Plaintiff maintained an automobile insurance policy with Defendant Nationwide in which Plaintiff carried limits of $100,000 in underinsured motorist non-stacked benefits. (Compl. ¶¶ 18; Def's Statement of Facts ¶3.) Plaintiff filed suit against Ms. Kobeissi in the Berks County Court of Common Pleas on January 29, 2016. (Def's Statement of Facts ¶ 6, Pl.'s Mem. Of Law in Opp'n to Def.'s Mot. For Summ. J. at 1.)
Plaintiff agreed to engage in an alternative dispute resolution (ADR) process with Ms. Kobeissi in order to resolve the claim. (Def's Statement of Facts ¶ 6; Pl.'s Mem. of Law in Opp'n to Def.'s Mot. for Summ. J. at 7.) Both parties appeared before an arbitrator, Ms. Eileen Katz, and on March 28, 2018, Ms. Katz submitted her "Recommendation" and "Arbitration Findings in Support of Recommendation" to the parties. (Def's Mot. For Summ. J, Ex. C.) Ms. Katz recommended judgment in favor of the Plaintiff and against Ms. Kobeissi, inclusive of all claims and damages, in the amount of $22,500.
On March 7, 2018, before Ms. Katz submitted her findings to the parties, Defendant emailed Matthew Zamites of Plaintiff's counsel's firm asking for the status of the "binding hi/lo arbitration" to which Mr. Zamites responded that the "award" had not yet been received. (Def's Sur-reply to Pl. Opp'n to Def.'s Mot. For Summ. J. at 3.) After Ms. Katz submitted her findings to the parties, Plaintiff notified Defendant of the "settlement" via a Daley-Sands letter dated April 3, 2018 with a request that the "settlement" be approved or, alternatively, that Defendant tender the amount of the "settlement" in order to preserve its subrogation rights. (Pl.'s Mem. Of Law in Opp'n to Def.'s Mot. For Summ. J., Ex. B.) One day after receiving the letter, Defendant emailed Mr. Zamites asking for clarification, as it was Defendant's understanding that the ADR process resulted in a binding arbitration with an award entered for less than the tortfeasor's policy. (Def's Sur-reply at 3.) Plaintiff did not respond to Defendant's email, however, on April 10, 2018, sent a follow-up letter regarding its April 3, 2018 correspondence. (Pl.'s Mem. Of Law in Opp'n to Def.'s Mot. For Summ. J., Ex. C.) Again, on April 11 and April 18, 2018, Defendant emailed Plaintiff's counsel reiterating its understanding that Ms. Katz entered a judgment award for less than the tortfeasor's policy and asking for clarification.
Defendant contends that Plaintiff voluntarily agreed to proceed to binding arbitration in front of Ms. Katz and, thus, is not entitled to recover underinsured motorist benefits under her policy. (Def's Mot. For Summ. J. ¶ 7.) Plaintiff argues that Ms. Katz offered a settlement recommendation, accepted by both parties, which allows her to file a claim for underinsured motorist benefits. (Pl.'s Mem. Of Law in Opp'n to Def.'s Mot. For Summ. J. at 1.) On July 5, 2018, Plaintiff filed the instant lawsuit, asserting a claim for underinsured motorist benefits against Defendant Nationwide. (
Summary judgment is appropriate where the record and evidence, taken in the light most favorable to the non-moving party, show "that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). The essential inquiry is "whether the evidence presents a sufficient disagreement to require submission to the jury or whether it is so one-sided that one party must prevail as a matter of law."
To defeat summary judgment, the non-moving party cannot rest on the pleadings, but rather, that party must cite "to particular parts of materials in the record" showing that there is a genuine dispute for trial. Fed. R. Civ. P. 56(c). Similarly, the non-moving party cannot rely on unsupported assertions, conclusory allegations, or mere suspicions in attempting to survive a summary judgment motion.
Defendant moves for summary judgment on the grounds that no genuine issue of material fact exists for trial as (1) Plaintiff was not injured by an "underinsured motor vehicle" and (2) collateral estoppel prevents Plaintiff from re-litigating the amount of damages and losses based upon the award entered by Ms. Katz. Relying on the assertion that Ms. Katz entered a binding judgment, Defendant first contends that Ms. Kobeissi's car was not an underinsured vehicle, according to the Pennsylvania Motor Vehicle Financial Responsibility Law ("MVFRL") or her policy,
In response, Plaintiff maintains that the ADR process in which she and Ms. Kobeissi engaged resulted in a settlement recommendation, rather than a binding judgment, which the parties accepted. Because Defendant "failed to respond to requests for consent to settle," as argued by Plaintiff, Defendant "waived all rights to any denial of coverage or any rights to subrogation of the third-party settlement." Further, Plaintiff avers that collateral estoppel does not apply because there was no final judgment on the merits.
The key issue in dispute between the parties is whether the ADR process in which Plaintiff engaged resulted in a settlement recommendation or a binding and final judgment. As Plaintiff correctly notes, Pennsylvania motorists are permitted to bring actions to recover underinsured motorist benefits after settling with tortfeasors for less than the limits of one's liability policy.
Normally, an agreement by parties to partake in any form of alternate dispute resolution is dictated by the terms and conditions set forth in the written contract. However, neither party has provided any written document describing how Plaintiff and Ms. Kobeissi agreed to engage Ms. Katz to resolve the underlying motor vehicle suit. Similarly, neither party has provided evidence as to how the decision to participate in an ADR process was communicated from Plaintiff to Defendant.
Borrowing from the traditional canons of statutory construction, the Court begins its interpretation of Ms. Katz' findings with the language of the document itself.
In its motion for summary judgment, Defendant calls attention to the caption of both the "Recommendation" and the "Findings in Support of Recommendation" which reads "Binding Arbitration Proceeding by Agreement." Defendant argues that this caption decisively indicates that the hearing was a binding arbitration. A title or heading, being only "a short-hand reference to the general subject matter involved" and "not meant to take the place of the detailed provisions of the text," can provide only limited interpretive aid.
As noted above, Defendant also claims that Plaintiff is precluded from bringing the underinsured motorist claim under the doctrine of collateral estoppel. The doctrine of collateral estoppel, as applied in Pennsylvania, requires that: (1) the issue decided in the prior litigation was identical with the one presented in the later action; (2) there was a final judgment on the merits; (3) the party against whom the plea is asserted was a party or in privity with a party to the prior adjudication and (4) the party against whom it was asserted had a full and fair opportunity to litigate the issue in question in a prior action.
Based on the foregoing reasons, this Court finds that Plaintiff has come forth with evidence sufficient to find that the ADR process in which she engaged resulted in a nonbinding settlement recommendation rather than a binding final judgment. As a result, there exists a genuine dispute of material fact as to Plaintiff's damages to be submitted to the jury. Accordingly, Defendants' Motion for Summary Judgment is