Opinion

FITZSIMMONS v. EVANSTON INSURANCE COMPANY

Court
District Court, W.D. Pennsylvania
Filed
Aug 21, 2025
Cited by
0 cases
Authority
More cited than 38.9%

The opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE WESTERN DISTRICT OF PENNSYLVANIA

DAVID R. FITZSIMMONS, FITZSIMMONS

METAL CO., INC.,

25cv0856

Plaintiffs, ELECTRONICALLY FILED

v.

EVANSTON INSURANCE COMPANY

trading and doing business as MARKEL,

MARKEL SERVICE, INCORPORATED,

Defendants.

MEMORANDUM ORDER

Before the Court in this insurance coverage case is Defendants’ motion to dismiss and

brief in support of same. ECF 6 and ECF 7. Plaintiff filed a response in opposition (ECF 9) and

Defendant filed a reply brief. ECF 10. 1 For the reasons set forth below, the Motion will be

granted in part.

I. Standard of Review

In considering a Rule 12(b)(6) motion, Federal Courts require notice pleading, as

opposed to the heightened standard of fact pleading. Fed. R. Civ. P. 8(a)(2) requires only “‘a

short and plain statement of the claim showing that the pleader is entitled to relief,’ in order to

‘give the defendant fair notice of what the . . . claim is and the grounds on which it rests.’” Bell

Atlantic Corp. v. Twombly, 550 U.S. 554, 555 (2007) (quoting Conley v. Gibson, 355 U.S. 41, 47

(1957)).

1 Although Defendants styled their motion as a “Motion to Dismiss” and failed to identify the Rule under

which they were seeking a dismissal of Plaintiff’s claims, after careful consideration of the content of

Defendants’ briefs, the Court believes Defendants were attempting to file a partial motion to dismiss all

claims brought against Markel, Markel Service Incorporated (“MSI”) and to dismiss the bad faith claim

brought against Evanston, all in accordance with Fed. R. Civ. P. 12(b)(6).

Building upon the landmark United States Supreme Court decisions in Twombly and

Ashcroft v. Iqbal, 556 U.S. 662 (2009), the United States Court of Appeals for the Third Circuit

explained that a District Court must undertake the following three steps to determine the

sufficiency of a complaint:

First, the court must take note of the elements a plaintiff must plead to state a

claim. Second, the court should identify allegations that, because they are no more

than conclusions, are not entitled to the assumption of truth. Finally, where there

are well-pleaded factual allegations, a court should assume their veracity and then

determine whether they plausibly give rise to an entitlement for relief.

Connelly v. Steel Valley Sch. Dist., 706 F.3d 209, 212 (3d Cir. 2013) (citation omitted).

The third step requires this Court to consider the specific nature of the claims presented

and to determine whether the facts pled to substantiate the claims are sufficient to show a

“plausible claim for relief.” Covington v. Int’l Ass’n of Approved Basketball Officials, 710 F.3d

114, 118 (3d Cir. 2013). “While legal conclusions can provide the framework of a Complaint,

they must be supported by factual allegations.” Iqbal, 556 U.S. at 664.

This Court may not dismiss a Complaint merely because it appears unlikely or

improbable that Plaintiff can prove the facts alleged or will ultimately prevail on the merits.

Twombly, 550 U.S. at 563 n.8. Instead, this Court must ask whether the facts alleged raise a

reasonable expectation that discovery will reveal evidence of the necessary elements. Id. at 556.

Generally speaking, a Complaint that provides adequate facts to establish “how, when, and

where” will survive a Motion to Dismiss. Fowler v. UPMC Shadyside, 578 F.3d 203, 212 (3d

Cir. 2009).

In short, a Motion to Dismiss should not be granted if a party alleges facts, which could,

if established at trial, entitle him/her to relief. Twombly, 550 U.S. at 563 n.8.

II. Analysis

All factual information is taken from the Complaint which the Court accepts as true

solely for purposes of adjudicating Defendants’ partial motion to dismiss.

The Complaint identifies the two Defendants as follows:

5. Defendant Evanston Insurance Company is an insurance company with

a principal place of business at 10275 West Higgins Road, Suite 750

Rosemont, IL 60018. It does business under the name Markel. Defendant

Markel Service Incorporated is a corporation with a principal place of

business at 10275 West Higgins Road, Suite 750 Rosemont, IL 60018[.]

ECF 1-2 at p. 12.

Defendants contend that Evanston Insurance Company issued a commercial insurance

policy to Plaintiff and argue that because MSI is not a party to the insurance contract then it

cannot be sued for breach of contract as set forth in counts I through V of the Complaint, nor can

it have acted in bad faith as set forth in Count VI of the Complaint. Thus, Defendants argue that

MSI that should be dismissed from the instant matter entirely.

Plaintiff’s brief concedes that “[MSI] is not a party to the insurance contract.” ECF 9 at

p. 4. Thus, it appears from its brief in opposition that Plaintiff is abandoning its breach of

contract claims against MSI, but not Evanston Insurance Company. For this reason, the Court

will grant Defendants’ motion to dismiss Counts I through V as to Defendant-Merkel, MSI only.

Despite Plaintiff’s concession, Plaintiff argues that MSI is a statutory insurer for purposes

of its bad faith claim set forth in Count VI of the Complaint, and thus does not agree that this

claim should be dismissed against Defendant-Merkel, MSI.

The Court finds Smail Company Inc. v. Liberty Mutual Auto and Home Services, LLC,

instructive on this issues:

“Clearly one cannot be liable for breach of contract unless one is a party

to that contract.” Lockhart v. Federal Ins. Co., 1998 WL 151019, at *3

(E.D. Pa. Mar. 30, 1998) (citation omitted). Moreover, with respect to a

bad faith claim under Pennsylvania law:

There is no simple rule for determining who is the insurer

for purposes of the bad faith statute. The question is

necessarily one of fact, to be determined both by examining

the policy documents themselves, and by considering the

actions of the company involved. Thus, we look at two

factors: (1) the extent to which the company was identified

as the insurer on the policy documents; and (2) the extent to

which the company acted as an insurer. This second factor

is significantly more important than the first factor, because

it focuses on the true actions of the parties rather than the

vagaries of corporate structure and ownership.

Brown v. Progressive Ins. Co., 860 A.2d 493, 498-99 (Pa. Super. 2004)

(footnote omitted).

Courts have recognized that “liability may be imposed where a parent

corporation so dominates the activities of a subsidiary that it is necessary

to treat the dominated corporation as an ‘alter ego’ of the principal.”

Simon v. Unumprovident Corp., 2002 WL 1060832, at *2 (E.D. Pa. May

23, 2002) (citing Botwinick v. Credit Exch., Inc., 213 A.2d 349, 354 (Pa.

1965)). To succeed on this theory, however, a plaintiff must demonstrate

that the parent company exercised “complete domination, not only of

finances but of policy and business practice in respect to the transaction

attacked so that the corporate entity as to this transaction had at the time

no separate mind, will or existence of its own.” Craig v. Lake Asbestos of

Quebec, Ltd., 843 F.2d 145, 150 (3d Cir. 1988).

Smail Co., Inc. v. Liberty Mut. Auto & Home Servs., LLC, No. CV 23-2056, 2024 WL 1858586,

at *4 (W.D. Pa. Apr. 3, 2024), report and recommendation adopted, No. 2:23-CV-2056, 2024

WL 1857231 (W.D. Pa. Apr. 29, 2024).

Unlike the facts of the Smail case, the name “Markel” appears all throughout the policy

which was attached to Plaintiff’s Complaint and thus, the Court has broadly reviewed same for

purposes of adjudicating this motion. As the Complaint itself notes, the two entities (Markel and

Evanston) share a singular corporate address (ECF 1-2 at ¶5), and the Complaint further alleges

that in order to file a claim for a loss which Plaintiff believed to be covered by the policy, Markel

was the entity to whom the claim was to be reported. ECF 1-2 at ¶16.

The Court, therefore, finds that Plaintiff, here, has attempted to raise the potential

application of the theory of alter ego as they relate to Plaintiff’s bad faith claim, but as the Court

notes the facts supporting such a theory are sparse at best. Thus, the motion to dismiss the bad

faith claim asserted against Defendant Markel/MSI will granted for failure to name the proper

defendant, but without prejudice and with leave to amend.

Finally, Defendant claims that the bad faith claim should be dismissed in its entirety

because Plaintiff’s allegations set forth in its Complaint would fail to survive the policy’s

exclusions and are conclusory in nature. The Court concurs that the bad faith allegations

concerning how Defendants’ reliance on an expert report, which led to Plaintiff’s bad faith claim

against Defendants, needs to be more factually supported under the Iqbal / Twombly standard

and thus, the Court will grant the motion to dismiss the bad faith claim as to all Defendants but

without prejudice and with leave to amend.

ORDER

AND NOW, this 21st day of August 2025, the Court GRANTS Defendants’ Motion to

Dismiss Plaintiff’s breach of contract claims as to Defendant, Markel and Markel Service,

Incorporated. The Court GRANTS WITHOUT PREJUDICE Defendants’ motion to dismiss the

bad faith claim as to all Defendants with leave to amend by August 29, 2025. Defendants shall

file a responsive pleading, thereafter, on or before September 9, 2025.

s/ Arthur J. Schwab

United States District Judge

cc: All Registered ECF Counsel and Parties

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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