Court Opinion

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Date Created: 2015-10-13 21:51:20.203973+00
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Opinions of the United
2003 Decisions                                                                                                             States Court of Appeals
                                                                                                                              for the Third Circuit

12-17-2003

Atl Mutl Ins Co v. Gula
Precedential or Non-Precedential: Non-Precedential

Docket No. 02-4160

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Recommended Citation
"Atl Mutl Ins Co v. Gula" (2003). 2003 Decisions. Paper 55.
http://digitalcommons.law.villanova.edu/thirdcircuit_2003/55

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                                                           NOT PRECEDENTIAL

      UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT

                                   No. 02-4160

                ATLANTIC MUTUAL INSURANCE COMPANY,
                                            Appellant
                                 v.

                             KATHLEEN GULA,
                       AND HER HUSBAND; PAUL GULA

                  On Appeal from the United States District Court
                      for the Eastern District of Pennsylvania
                            (D.C. Civil No. 02-cv-03807)
                     District Judge: Hon. Edmund V. Ludwig

                    Submitted Under Third Circuit LAR 34.1(a)
                               December 1, 2003

          Before: SLOVITER, ALITO and FRIEDMAN,* Circuit Judges

                            (Filed : December 17, 2003)

                            OPINION OF THE COURT

___________________

*    Hon. Daniel M. Friedman, United States Senior Circuit Judge for the
     Federal Circuit, sitting by designation.
SLOVITER, Circuit Judge.

                                             I.

       Appellant Atlantic Mutual Insurance Company appeals from the judgment of the

District Court granting the motion of defendants Kathleen and Paul Gula to dismiss the

complaint and denying Atlantic Mutual’s motion for judgment on the pleadings as moot.

Atlantic Mutual filed this action for a declaratory judgment that it has no duty to

indemnify or defend its insured, Novaeon, Inc., with respect to the suit brought by the

Gulas against Novaeon.

       The issue arose when Kathleen Gula fell at work while carrying out her duties as

an x-ray technician at Taylor Hospital. During the course of her treatment she was

prescribed an EMG diagnostic test. Novaeon was the claims administrator for Taylor,

and according to Novaeon policy pre-certification was required before obtaining an EMG.

Mrs. Gula was certified to undergo the test, which she had on April 1, 1999. The treating

neurologist, Dr. Grossinger, opined that surgery was not needed and discharged her to full

duty on April 8, 1999. Dissatisfied with her quality of care, Mrs. Gula sought treatment

with neurosurgeon Dr. Chitale who performed release surgery on May 24, 1999.

       The Gulas filed two suits in the Court of Common Pleas in Delaware County,

Pennsylvania. The first alleges that Novaeon failed to provide appropriate health care;

the second against several health care providers alleges medical negligence during the

course of her treatment. Mrs. Gula is seeking compensation for personal injuries and M r.

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Gula is seeking compensation for loss of consortium.

       Novaeon filed for bankruptcy prior to the lawsuits filed by the Gulas, but the Gulas

were granted relief from the automatic stay so they could pursue their claim for personal

injuries in the pending state action. Atlantic Mutual filed this declaratory judgment action

seeking a declaration that its policy covering Novaeon does not provide coverage for the

Gulas’ claims. The District Court exercised its discretion under the Declaratory Judgment

Act to decline jurisdiction. The Court treated the Gulas’ motion to remand as a motion to

dismiss which it granted.

                                              II.

       We have jurisdiction pursuant to 28 U.S.C. § 1291. Because the question before

this court centers on a discretionary decision by the District Court, we review its decision

for an abuse of discretion. Wilton v. Seven Falls Co., 515 U.S. 277, 289-90 (1995).

       The Declaratory Judgment Act provides, in part, that “[i]n a case of actual

controversy within its jurisdiction, . . . any court of the United States, upon the filing of an

appropriate pleading, may declare the rights and other legal relations of any interested

party seeking such declaration.” 28 U.S.C. § 2201. Jurisdiction conferred by this act is

discretionary and district courts are “under no compulsion to exercise it.” State Auto Ins.

Cos. v. Summy, 234 F.3d 131, 133 (3d Cir. 2000) (citing Brillhart v. Excess Ins. Co. of

Am., 316 U.S. 491, 495 (1942)). “The central question is whether the controversy may

‘better be settled’ in the state court . . .” United States v. Pennsylvania Dep’t of Envtl.

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Res., 923 F.2d 1071, 1075 (3d Cir. 1991) (dismissing the action because the same issue

was pending in state court and because the court believed the declaratory action was an

attempt to forum shop).

       In Summy, we noted that the district courts do not maintain “open-ended discretion

to decline jurisdiction over a declaratory judgement action,” but stated that federal courts

should hesitate to entertain a declaratory judgment action where the action is restricted to

issues of state law. Summy, 234 F.3d at 134-35. Where the subject of the declaratory

judgment action involves an insurance coverage issue, the following considerations are

relevant: “1. A general policy of restraint when the same issues are pending in state court;

2. An inherent conflict of interest between an insurer’s duty to defend in a state court and

its attempt to characterize that suit in federal court as falling within the scope of a policy

exclusion; [and] 3. Avoidance of duplicative litigation.” Id. at 134. Moreover “[t]he

state’s interest in determining issues of state law also weighs against exercising

jurisdiction in declaratory judgment actions.” State Auto Mut. Ins. Co. v. Toure, 2003

U.S. Dist. LEXIS 15495, *5 (E.D. Pa. 2003) (citing Summy, 234 F.3d at 136).

       Looking to the first Summy factor, we note that of the two actions the Gulas filed

in state court related to the facts of this case, Gula v. TMCA/Novaeon, Inc., No. 01-02011

(Delaware County) is relevant to the case at bar as the complaint in that suit asserts that

Novaeon failed to provide adequate, timely and proper health care for Mrs. Gula’s injury.

Atlantic Mutual argues that this action does not expressly deal with the issue of coverage

                                               4
which is currently before this court. The Gulas respond that if they ultimately prevail in

state court on the negligence claim, “[t]he illusory coverage issue . . . will come up in

garnishment proceedings.” Gulas’ Br. at 6-7. In other words, even if the coverage issue

is not currently pending, it will as a matter of logic necessarily arise before the matter is

concluded in state court. The first Summy factor is met.

       Atlantic Mutual argues that Pennsylvania insurance law is not uncertain and that

therefore there is no need to remand. The District Court noted, among other things, that

Atlantic Mutual’s complaint questions the validity of the state default judgment, and

concluded that that issue is best decided by the state court in which the default judgment

is pending. The court’s conclusion in that regard is well within the stream of precedential

authority.

       Atlantic Mutual argues that there are “unusual circumstances” here, particularly

the possibility that a court will be required to interpret federal bankruptcy statutes

affecting the release of Novaeon from all personal liability. We see no open federal

bankruptcy issue. When the Bankruptcy Court granted Mrs. Gula’s Petition for Relief

from the Automatic Stay, Mrs. Gula was limited to insurance coverage. That signified the

conclusion of the her issues in the Bankruptcy Court.

                                              III.

       We find no basis to reverse the District Court’s order, and will affirm.

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TO THE CLERK:

         Please file the foregoing opinion.

         /s/ Dolores K. Sloviter
         Circuit Judge

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