Kliminsky v. Nationwide Mutual Fire Ins. Co., No. 44659 (May 8, 1991)
Opinion of the Court
Nationwide moves to strike the second and third counts of the complaint on the ground that the plaintiff alleges only a single act of insurance misconduct, which is insufficient, under the holding in Meads v. Burns,
The plaintiffs claim, in their memorandum of law in support of their objection to the motion to strike, that "considerable changes have taken place in the law since the Mead holding." The plaintiffs contend that the insurance misconduct upon which their claim is based is not any of the unfair claim settlement practices described in Conn. Gen. Stat. Sec. 38-61 (6), the subject of the Mead holding, but the failure to pay described in Conn. Gen. Stat. Sec. 38-61 (15). Section 38-61 (15) [now section
The following are defined as unfair methods of competition and unfair and deceptive acts or practices in the business of insurance:. . . (15) Failure to pay accident and health claims within forty-five days of receipt by an insurer of the claimant's proof of loss form unless the insurance commissioner determines that a legitimate dispute exists as to coverage, liability or damages or that the claimant has fraudulently caused or contributed to the loss.
A motion to strike challenges the legal sufficiency of the allegations of any complaint, or of any one or more counts thereof, to state a claim upon which relief can be granted. Conn. Practice Book Sec. 152(1) (rev'd to 1978, as updated October 1, 1990); see Mingachos v. CBS, Inc.,
The amended complaint in this case alleges that Nationwide issued to the plaintiffs "a policy of fire and homeowners insurance." (Complaint, First Count, para. 3). The plaintiffs have not alleged that the defendant has failed to pay "accident and health claims," but that the defendant has refused to compensate the plaintiffs for the losses sustained in the fire which destroyed their house and its contents pursuant to the fire and homeowners insurance policy (Complaint, First Count, para. 6). The allegations of the plaintiffs' amended complaint are not sufficient to support a claim for damages pursuant to CUIPA and CUTPA for a violation of Conn. Gen. Stat. Sec. 38-61 (15).
The only provision of section 38-61 which might be applicable to the facts alleged in the plaintiffs' complaint is subsection 6, which describes unfair claim settlement practices. However, the Connecticut Supreme Court in Mead has held that claims of unfair settlement practices under CUIPA require a showing of more than a single act of insurance misconduct. Mead,
The defendant's motion to strike the second and third counts of the plaintiffs' complaint is granted. The corresponding paragraphs of the demand for relief and separate "Prayer for Relief" seeking punitive damages, costs, attorney's fees and double and/or treble damages also are stricken.
HON. PHILIP DUNN SUPERIOR COURT JUDGE
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