Court Opinion

ID: 9908803
Source: CourtListenerOpinion
Date Created: 2023-12-11 20:02:43.650173+00
Date Added: 2024-06-11T12:49:31.279101
License: Public Domain

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

MICHAEL VITO,                     :
         Plaintiff,               :
    v.                            :
WATERSIDE PROPERTY                :   C.A. No. S21C-08-006 CAK
OWNERS ASSOCIATION
INC., and PHILADELPHIA            :
INDEMNITY INSURANCE
COMPANY,                          :
         Defendants.              :
WATERSIDE PROPERTY                :
OWNERS ASSOCIATION,
INC.,                             :
         Crossclaim Plaintiff,    :
    v.                            :
PHILADELPHIA INDEMNITY            :
INSURANCE COMPANY,
                                  :
         Crossclaim Defendant,
                                  :
WATERSIDE PROPERTY
OWNERS ASSOCIATION,               :
INC.,
                                  :
         Third-Party Plaintiff,
                                  :
    v.
                                  :
CERTAIN UNDERWRITERS                  :
AT LLOYD’S, LONDON,
NATIONAL FIRE &                       :
INSURANCE COMPANY and
INDIAN HARBOR                         :
INSURANCE COMPANY,
                                      :
            Third-Party Defendants.

                               Submitted: November 21, 2023
                               Decided:   December 11, 2023
           Defendant Philadelphia Indemnity Insurance Company’s
                      Motion for Summary Judgment
                GRANTED IN PART and DENIED IN PART

       Defendant Certain Underwriters at Lloyd’s, London, National Fire
        & Insurance Company and Indian Harbor Insurance Company
                       Motion for Summary Judgment
                                  GRANTED

                 MEMORANDUM OPINION AND ORDER

Richard E. Berl, Jr., Esquire, Hudson, Jones, Jaywork & Fisher, LLC, 34382
Carpenter’s Way, Suite 3, Lewes, Delaware 19958, attorneys for Plaintiff.
Robert J. Valihura, Jr., Esquire, Morton, Valihura & Zerbato, LLC, 3704 Kennett
Pike, Suite 200, Greenville, Delaware 19807, attorneys for Defendant/Crossclaim
Plaintiff, Waterside Property Owners Association, Inc.
Bruce W. McCullough, Esquire, Boddel Bove, LLC, 1225 N. King Street, Suite
1000, Wilmington, Delaware 19801, attorneys for Defendant, Philadelphia
Indemnity Insurance Company.

                                          2
Eileen M. Ford, Esquire, Ryan Kingshill, Esquire, Marks, O’Neill, O’Brien,
Doherty & Kelly, P.C., 300 Delaware Avenue, Suite 900, Wilmington, Delaware
19801, attorneys for Certain Underwriters at Lloyd’s, London, National Fire &
Insurance Company and Indian Harbor Insurance Company.

KARSNITZ, RJ

                                       3
             This case has an unfortunately long and tortured history. Plaintiff,

Michael Vito, owns a condominium unit in “Canal Woods” in Frankford, Sussex

County, Delaware. Mr. Vito’s wife, Christy Cronin, has no ownership interest in

the unit, but was the primary contact for reporting and processing the insurance

claims which produced this controversy.

             Canal Woods is part of a larger community known as “Townhomes of

Waterside.” Townhomes of Waterside contains three separate condominiums,

including Canal Woods, and serves as an umbrella organization. A Declaration

established Townhomes of Waterside as a condominium, and all unit owners in the

three sub-communities are members of Defendant Waterside Property Owners

Association, Inc. (“Waterside”) which serves as the condominium association for

the unit owners. Completing the cast of characters on the condominium side is

SeaScape Property Management (“SeaScape”), the retained property manager for

Waterside.

             On November 4, 2016, Christy Cronin noticed signs of a water leak at

the unit her husband owned. Specifically, she noticed mold on several walls. She

reported her findings to representatives of SeaScape, including Jennifer Fannin.

Ms. Fannin met with Cronin on November 11, 2016, took pictures of the damage,

and filed a claim with L&W, the insurance agency that provided certain insurance

coverages for Waterside. Apparently, the initial investigation showed the leak
                                          4
occurred on the roof, a common area for which Waterside bore responsibility. No

one to date has challenged this determination.

             I jump ahead in the story to posit the crucial dispute. Certain

insurance interests (Lloyd’s of London) claim the leak was caused by ordinary

wear and tear to the roof, for which it claims no responsibility under its insurance

contract. A second insurance interest (Philadelphia Indemnity Insurance Company,

or PIIC) claims the leak resulted from wind damage, an occurrence specifically

excluded from responsibility by PIIC’s insurance contract. Not surprisingly, each

insurance interest has declined responsibility and, inter alia, points to the other.

Unfortunately, there is much more to this story.

             PIIC got involved almost immediately because L&W notified it

promptly, and sent its independent adjuster, Robert Veazey, to inspect the property.

Mr. Veazey adjusted the claim, but made no coverage determinations. Plaintiff

claims Mr. Veazey led him to believe PIIC accepted the claim, and Plaintiff relied

upon what Veazey said. Typically, independent adjusters do not make coverage

determinations, so I am skeptical as to Plaintiff’s claim. While these claims raise

factual issues, ultimately the reliance question is not determinative.

             Plaintiff’s claim continued through the adjustment process. Many

people, including representatives of SeaScape (the property manager for

                                           5
Waterside) and PIIC participated. Plaintiff and others on his behalf proceeded to

repair the damage, and Plaintiff sought reimbursement. Plaintiff raises myriad

factual issues, pointing fingers at many. Again, I find all of this irrelevant to the

issues necessary to resolve the Motions before me.

                 PIIC prepared a letter dated September 17, 2017, addressed to

SeaScape and copied to L&W denying the claim. In essence PIIC asserted wind

caused the loss, and its policy specifically excluded wind damage. Both SeaScape

and L&W deny ever receiving the letter. During discovery PIIC representative

Karen Grocutt testified that the process at the time was to send the letter regular

mail only, and they did not use electronic mail, which could confirm receipt.1

There is no proof that the Plaintiff or his representatives actually received the

letter, and only process evidence PIIC sent it.

                 Plaintiff continued his pursuit of the claim, mostly through the efforts

of his spouse, Christy Cronin. Ms. Cronin sent messages to Mr. Veazey, but got no

response. Ms. Cronin had health issues. COVID intervened. By the Spring of

2019, Mr. Vito and his spouse became increasingly frustrated. They were out-of-

pocket forty thousand dollars. Plaintiff complained to the Waterside Board of

Directors. Plaintiff contacted L&W. Plaintiff finally received notice of the denial

1
    Transcript of Oral Argument (“Tr.”) at 11.
                                                 6
letter on August 28, 2019. Ed Brown from L&W communicated electronically to

Christy Cronin, that L&W had no record of the denial. Representatives of

SeaScape asked Brown to make a claim against Waterside’s insurer who covered

wind losses, Lloyd’s of London. On August 19, 2019, L&W submitted the claim to

Lloyd’s.

               Lloyd’s got involved in late August, 2019, and investigated the claim.

On August 26, 2019, a representative of Lloyd’s inspected the roof. Apparently,

this was the first inspection of the roof, and it occurred after repairs had been

made.2 Obviously, the delay and changed conditions negatively impacted Lloyd’s

investigation.3 On October 10, 2019, Lloyd’s denied the claim raising a number of

coverage issues, including that wind was not the cause of the damage, late

reporting, and the policy’s one year limitation period.

               On August 9, 2021, Plaintiff sued Waterside and PIIC (but made no

claims against Lloyd’s).4 On November 1, 2021, Waterside filed a crossclaim

against PIIC, and a Third-Party Complaint against Lloyd’s. The Insurance carriers

have filed crossclaims. I previously granted Lloyd’s judgment on the pleadings as

2
  Tr. at 39.
3
  Id.
4
  A previous suit filed in Pennsylvania was dismissed.
                                                7
to all claims against Lloyd’s except for Waterside’s Count III in its Third-Party

Complaint, which alleges bad faith claims handling.5

                 In summary, Plaintiff discovered his loss November 4, 2016. Plaintiff

asserted a claim to PIIC almost immediately. The claim was adjusted and denied,

although Plaintiff did not know of the denial in fact until August 2019. Lloyd’s

was notified almost two years after Plaintiff realized the loss had occurred.

Lloyd’s denied the claim in relatively short order. Plaintiff filed suit August 9,

2021.

                 Both insurers now raise statute of limitation defenses. Lloyd’s raises

late notice and the policy’s one year limitation defenses. The parties have spent

reams of paper litigating the legal issues. In my view the efforts were for the most

part wasted. For me the issue with respect to PIIC is the effect of the 2017 denial.

With respect to Lloyd’s the issue is whether it has legitimate policy defenses. I

address those issues now.

                               THE CLAIMS AGAINST PIIC

          A. Michael Vito’s Claims

                 Count I –      Breach of Contract against Waterside
                                (Waterside has not filed a motion as to this claim.)

5
    Vito v. Waterside Prop. Owners Ass’n, Inc., 2022 WL 4372755 (Del. Super. Sept. 21, 2022.)
                                                 8
              Count II –     Breach of Contract/Third-Party Beneficiary
                             against PIIC.
              Count III – Breach of Covenant of Good Faith
                          and Fair Dealing against Waterside.
                          (Waterside has not filed a motion as to this claim,)
              Count IV – Breach of Covenant of Fair Dealing against PIIC.
              Count V –      Promissory Estoppel against Waterside and PIIC.
                             (Waterside has not filed a motion as to their claim.)

              PIIC asserts statute of limitations and laches as to Vito’s
              claims.

       B. Waterside’s Claims

              Count I –      Unfair Claim Settlement Practices pursuant to
                             18 Del. C. §2304 (16).
                             (The parties agree this claim fails because
                             the Statute does not create a private cause of action.6)
              Count II -     Declaratory Relief (contract based).
              Count III - Breach of Contract
              Count IV - Breach of the Implied Covenant of Good Faith
                         and Fair Dealing
              Count V -      Bad Faith

              PIIC contends all claims against it are barred by the Delaware three

years contract Statute of Limitations.7 The parties agree that the three-year

limitation period controls. At oral argument the parties also agreed that in an

6
  Peterson v. 21st Century Centennial Ins. Co., 2015 WL 4154070 (Del. Super. July 9, 2015).
7
  10 Del. C. §8106.
                                               9
insurance contract the limitation period runs from the date of denial of the claim by

the insurance carrier.8 The question which controls is: when did PIIC give an

effective denial? If the denial letter dated September 17, 2017, is an effective

denial, then the suit filed in August 2021 came too late. On the other hand, if the

Plaintiff’s receipt of notice of the denial in August 2019 is an effective denial, then

the suit is timely.

               At oral argument the parties spent a great deal of effort arguing about

the “mailbox rule”, and the “time of discovery rule.”9 In my view neither are

helpful. The mailbox rule often comes up in timing disputes as to appeals, often

from decisions of the Unemployment Insurance Appeal Board.10 But for me an

insurance carrier has a high duty and burden to make sure its denials are

communicated to be effective. An insurer cannot rely upon a denial that was not

received. One could posit that this raises a factual issue. If so, it is left for trial,

and cannot be disposed of by summary judgment. Insurance carriers when denying

claims pursuant to agreed upon and paid for policies must effectively deny

8
  Tr. at 31; Wal-Mart Stores, Inc. v. AIG Life Ins. Co., 860 A.2d 312 (Del. 2004); ISN Software
Corp. v. Richards, Layton & Finger, P.A., 226 A.3d 727 (Del. 2020). The issue here is not one
where a claim is made untimely.
9
  Tr. at 16, 18, 29, 60, 62, 94, 97.
10
   Windom v. William C. Ungerer, W.C., 903 A.2d 276 (Del. 2006).
                                               10
claims.11 When they have no proof that an insured or its agent ever received the

missive of denial it is not effective.12

               PIIC raises other issues contesting the factual sufficiency of Plaintiff’s

and Waterside’s claims. Factual issues are for trial and cannot be resolved by

summary judgment. I deny PIIC’s motion as to all claims except the statutory

claim.

                 THE CLAIMS AGAINST LLOYD’S OF LONDON

               The position of Lloyd’s is significantly different. Vito makes no

claims against it. Waterside makes the following claims:

               Count I -       A statutory claim under the Delaware Unfair
                               Claims Settlement Act.
                               (The parties agree there is no such claim
                               and it is dismissed; see footnote 6, supra.)
               Count II -      A claim for Declaratory Relief that Lloyd’s is obligated
                               to cover the loss under its wind policy (contact based.)

               Count III - A claim that Lloyd’s acted in bad faith,
                           seeking punitive damages.

11
   I raised the issue at oral argument if the passage of time could be effective denial. PIIC did not
make this argument and on this record I make no determination. In any event it would also be an
issue of fact left to the jury. See Tr. at 9.
12
   Ungerer (denial of receipt may create an issue of fact).
                                                 11
               Lloyd’s had a relatively standard contractual provision which required

notice of the loss “as soon as practicable”. It also had a contractual limitations

period of one year. Delaware has consistently recognized and enforced contract

limitations.13 Lloyd’s is in the position that no claim was made against it until

more than three years had passed from the date of discovery. Lloyd’s, thus, is in a

very different position from PIIC. Waterside, through counsel, recognized this at

oral argument, conceding that its declaratory relief claim based upon the contract

was time barred.14 But Waterside argues that the bad faith claim is different, it is

not tied to the contract, and the one year limitation should not apply. This claim

was subject to additional post-oral argument briefing.15

               For me, all of Waterside’s claims are contractually based. Indeed its

only claims result from the contract of insurance. The claims are likely barred by

the “as soon as practicable” language. They are certainly barred by the one year

limitation period. The claim was denied in October 2018. Suit was filed on the

Third-Party claim in November 2021. It came too late. I grant Lloyd’s Motion in

full. It also has no responsibility to PIIC and I am also dismissing PIIC’s claims

against Lloyd’s.

13
   Wal-Mart Stores, Inc., supra; INS Software Corp., supra.
14
   Tr. at 65.
15
   See letter from Robert J. Valihura, Jr., Esquire, dated Nov. 10, 2023 (D.I. 96), letter from Eileen
M. Ford, dated Nov. 21, 2023 (D.I. 97).
                                                 12
             In summary, all claims anyone alleges against Lloyd’s are dismissed.

All claims against PIIC, with the exception of the statutory claim, remain triable.

Plaintiff’s claims against Waterside remain for trial.

             Counsel for Lloyd’s shall circulate a form of order to effectuate this

decision. Counsel for PIIC shall do likewise.

                                        /s/ Craig A. Karsnitz
                                        Craig A. Karsnitz

cc:   Prothonotary

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