Fennell v. Nationwide Mut. Fire Ins. Co.

• Decision Date: 28 February 1992
• Citation: 412 Pa.Super. 534,603 A.2d 1064
• Parties: Richard P. FENNELL and Frances Fennell, His Wife, Appellants, v. NATIONWIDE MUTUAL FIRE INSURANCE COMPANY and Thomas Rossman.
• Court: Pennsylvania Superior Court

Page 1064

603 A.2d 1064

412 Pa.Super. 534

Richard P. FENNELL and Frances Fennell, His Wife, Appellants, v. NATIONWIDE MUTUAL FIRE INSURANCE COMPANY and Thomas Rossman.

Superior Court of Pennsylvania.

Argued Dec. 12, 1991.

Filed Feb. 28, 1992.

Darrell L. Kadunce, Butler, for appellants.

Michale J. Kearney, Jr., Pittsburgh, for appellees.

Before ROWLEY, President Judge, and KELLY and CERCONE, JJ.

CERCONE, Judge:

Richard P. and Frances Fennell, appellants, appeal the order of the Court of Common Pleas of Butler County which granted a motion for summary judgment in favor of appellees, Nationwide Mutual Fire Insurance Company (Nationwide) and Thomas Rossman. We affirm.

The basic facts of this case are not in dispute. On March 5, 1985, appellants purchased from Nationwide a fire and other hazards insurance coverage package known as the "Elite II Home Owner's Policy." Thomas Rossman, Nationwide's agent, recommended the package to appellants. The policy provided the following insurance coverage for loss of appellant's property: (1) up to one hundred eleven thousand, three hundred dollars ($111,300) for their home; (2) up to eleven thousand, one hundred thirty dollars ($11,130) for other structures on the property; (3) up to seventy-seven thousand, nine hundred ten dollars ($77,910) for their personal property; and (4) 100% coverage for loss of the use of their home.

The policy provided that in the event of a loss, appellants would be entitled to the replacement cost of their residential dwelling without deduction for depreciation, subject to the following two conditions:

(1) When the cost to repair or replace the damage is more than $1,000 or more than 5 percent of the amount of insurance in this policy on the building, whichever is less, we will pay no more than the actual cash value of the damage until repair or replacement is made.

(2) You may claim loss or damage to buildings on an actual cash value basis. You may make claim within 180 days after loss for any added loss on a replacement cost basis.

Policy, at 9. In addition, the policy also included the following limitation:

Suit Against Us. No action can be brought unless there has been compliance with the policy provisions and the action is started within one year after the date of loss or damage.

Id.

On May 31, 1985, devastating tornados swept across Pennsylvania destroying appellants' home, swimming pool, and all outbuildings on their premises. Nationwide received appellants' claim for loss on June 1, 1985. On June 12, 1985, Nationwide issued appellants a check for one hundred eleven thousand, three hundred dollars ($111,300.00) for their residential dwelling claim, plus an additional five thousand dollars ($5,000) for debris removal. In April, 1986, appellants purchased a new home at a different location. Finally, on July 31, 1986, Nationwide paid appellants eighty-two thousand, nine hundred ten dollars ($82,910.00) to compensate appellants for damage to their personal property.

On August 13, 1987, appellants commenced this action to: (1) recover the costs of additional living expenses incurred as a result of the loss of their property; (2) recover the full replacement value of their home; and (3) recover damages for the emotional distress purportedly caused by Nationwide's agent, Thomas Rossman. Appellees filed a counter-claim seeking compensation for unjust enrichment of appellants through an overpayment of their insurance claim, and through appellants' breach of the Elite II insurance contract. Appellees filed a motion for summary judgment as to appellants' claims arguing that appellants' cause of action is barred by the policy's one-year limitation on the filing of lawsuits. ¹ Appellees' motion for summary judgment did not include their counter-claims. The lower court granted appellees' motion for summary judgment based upon the one-year limitation set forth in the policy. This timely appeal followed.

Appellants raise the following issues for our review:

1. Did the Lower Court err in granting summary judgment to the defendant, Thomas Rossman?

2. Did the Lower Court err in failing to consider emotional distress damages as to the Defendant, Thomas Rossman?

3. Did the Lower Court err in granting summary judgment based on Plaintiffs' alleged failure to file suit within one year of loss?

We will address these issues in order.

Appellants first argue that the trial court erred in granting summary judgment in favor of appellee, Thomas Rossman. We note that when reviewing an entry of summary judgment, an appellate court may disturb the order of the trial court only where there has been an error of law or a clear abuse of discretion. Green v. K & K Insurance Co., 389 Pa.Super. 73, 74, 566 A.2d 622, 623 (1989). In deciding a motion for summary judgment, the trial court must examine the record in a light most favorable to the non-moving party, and in doing so accept as true all well-pleaded facts relevant to issues in the non-moving party's pleadings giving him the benefit of all reasonable inferences to be drawn therefrom. Hathi v. Krewstown Park Apartments, 385 Pa.Super. 613, 615, 561 A.2d 1261, 1262 (1989).

Summary judgment shall be granted where the pleadings, depositions, answers to interrogatories and admissions on file, show that there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Rosenberg v. Nicholson, 408 Pa.Super. 502, 503, 597 A.2d 145, 146 (1991); McCain v. Pennbank, 379 Pa.Super. 313, 317-18, 549 A.2d 1311, 1313 (1988); Gabovitz v. State Auto Insurance Association, 362 Pa.Super. 17, 22, 523 A.2d 403, 405 (1987), allocatur denied, 516 Pa. 634, 533 A.2d 92 (1987). A party is not required to present his or her entire case in opposing a motion for summary judgment. Brecher v. Cutler, 396 Pa.Super. 211, 216, 578 A.2d 481, 483 (1990). However, appellants must present depositions, affidavits, or other acceptable documents demonstrating that there is a genuine issue of material fact to be submitted to the factfinder. Id. "Bold unsupported assertions of conclusory accusations cannot create genuine issue of material fact." McCain v. Pennbank, 379 Pa.Super. at 318, 549 A.2d at 1313-14.

Appellants contend that the insurance policy's one-year limitation on lawsuits does not apply to their negligence claim against Rossman. We agree. However, we affirm the order of the trial court on other grounds. ² After scrupulously reviewing the record, we cannot conclude that appellants have asserted a genuine issue of material fact as to Rossman's negligence.

The basic elements of a cause of action founded upon negligence are:

1. A duty, or obligation, recognized by the law, requiring the actor to conform to a certain standard of conduct, for the protection of others against unreasonable risks.

2. A failure on his part to conform to the standard required.

3. A reasonably close causal connection between the conduct and the resulting injury....

4. Actual loss or damage resulting to the interests of another.

Prosser, Law of Torts, § 30 at 143 (4th ed. 1971) Casey v. Geiger, 346 Pa.Super. 279, 499 A.2d 606, 612 (1985), allocatur denied 516 Pa. 638, 533 A.2d 710 (1987) (quoting Macina v. McAdams, 280 Pa.Super. 115, 120, 421 A.2d 432, 434 (1980). Count III of appellants' complaint sets forth the following charges:

30. The Plaintiffs, in purchasing the policy with Defendant Nationwide, relied upon the representations, information and advice of Defendant Rossman in determining the proper type and amount of insurance that they should purchase to insure their home, out buildings, and contents from natural disaster.

31. Defendant Rossman personally appeared on the premises owned by the Plaintiffs which were covered by the policy ... and inspected said premises and was aware of their type, construction, style and approximate worth.

32. The Plaintiffs established the policy limits which they purchased from Defendant based upon the advice and counsel of Defendant Rossman.

33. Plaintiffs have not been compensated under the terms of the policy sold to them by Defendant Rossman for the value of their home, out buildings, swimming pool, and contents and to the contrary believe that they were underinsured in the approximate amount of $125,000.00.

34. As a result of the improper advice, counsel and representations of Defendant Rossman the Plaintiffs have incurred a loss of approximately $125,000.00 to the best of their information, knowledge and belief at this time.

Appellants Complaint, at 7-8 (emphasis omitted). However, the record is void of any evidence supporting appellants' complaint. Appellants merely present unsupported accusations that Rossman offered improper advice, and that appellants were underinsured as a result of this advice. Appellants offer no evidence supporting their assertion that Rossman breached his alleged duty of care, or that this breach caused appellants damage. Because appellants' assertions are unsupported by any evidence in the record, we affirm the granting of summary judgment on this issue.

Appellants next argue that the trial court erred in failing to consider their claim for emotional distress damages caused by appellee Rossman. In D'Ambrosio v. Pennsylvania National Mutual Casualty Insurance Co., 494 Pa. 501, 431 A.2d 966 (1981), the Pennsylvania Supreme Court expressly refused to allow recovery in a claim for emotional distress damages based upon an insurer's bad faith conduct. In D'Ambrosio, our supreme court disallowed a claim for emotional distress damages concluding that the Unfair Insurance Practices Act ³ adequately covered the area of concern in such cases. Id., 494 Pa. at 508, 431 A.2d at 970. Although the D'Ambrosio case involved the alleged bad faith action of an insurance company, we hold the rationale equally applicable to the actions of the insurance agent in this case.

The Unfair Insurance Practices Act (act) provides that "[n]o person shall...