Thursday, April 27, 2006

consumer - insurance - cancellation - mailbox rule - intent to cancel

Russock v. AAA Mid-Atlantic Insurance Co. and Citizens Bank - Superior Court- April 17, 2006

http://www.courts.state.pa.us/OpPosting/Superior/out/a01034_06.pdf

Premium payments were to be made, according to insurer's instructions, through an on-line remittance service of the bank. Payment renewal date was June 13. Insured electronically requested the bank to issue payment on June 3. Bank issued and mailed the check on June 10. Check arrived at insurer's office on June 17, 4 days after the due date of June 13. Insurer issued a notice of cancellation on June 17 but nonetheless cashed insured's check. On June 20, insured had an accident on June 20 and submitted a claim, which was rejected.

Insurer's claim that the payment was late was rejected based on application of the mailbox rule, which holds that payment is deemed received when mailed, "[w]here the use of the mails as a means of acceptance is a;uthorized or implied from the surrounding circumstances...Here the use of the mails to submit premiums was not merely authorized, but required."

Insurer's affirmative defense that insured intended to cancel the policy was rejected. In order to prove that defense, the insurer has the burden to prove insured "had a clear and precise intent to cancel the policy prior to the loss....i.e., knowledge of payment due and refusal to pay." Those condition "do not exist where.... arrangements for payment are made, the payment itself is placed in transit to the payee who has dictated the method of transport, and the check is cashed."

Monday, April 24, 2006

UC - appeal - timeliness

Shea v. UCBR - Commonwealth Court - April 21, 2006

http://www.courts.state.pa.us/OpPosting/CWealth/out/2042CD05_4-21-06.pdf

Claimant's appeal of referee decision was held to be untimely under 34 Pa. Code 101.82(b)(1), where the appeal was mailed within appeal period but was returned for insufficient postage, then was re-mailed three days after end of appeal period.

Saturday, April 22, 2006

custody - standing - "gestational mother"

J.F. v. D.B. - Superior Court - Aril 21, 2006

http://www.aopc.org/OpPosting/Superior/out/A41034_05.pdf

Third-party "gestational mother" (GM)/"gestational carrier" who is not children's biological mother does not have standing, as against unconsenting Father a) to seek or challenge custody of triplets born of the embryo of Father's sperm and the egg of "egg donor" J.R., or b) to seek the termination of J.R.'s parental rights.

GM's actions were contrary to a surrogacy agreement of GM, Father, and Father's long-term companion, E.D. Father and E.D. planned to raise the children by an agreement arranged to a private surrogacy agency. However, the court "decline[d] to comment on the validity of surrogacy contracts, either specifically in this case or generally in this Commonwealth. That task is for the legislature."

Thursday, April 20, 2006

employment - FMLA - 11th Amendment

Febres v. Camden Board of Education - 3d Cir. - April 18, 2006

http://www.ca3.uscourts.gov/opinarch/051178p.pdf

Held: a local board of education is not an "arm of the state" under the 11th Amendment in a suit under the self-care provision of the Family and Medical Leave Act (FMLA), 29 USC 2612 (a)(1)(D). The court applied the test set out in Fitchik v. N.J. Transit Rail Operations, 873 F.2d 655, 659 (3d Cir. 1989), which "has been reiterated and applied many times since."

Tuesday, April 18, 2006

SSA Publishes Final Rule Establishing New Administrative Review Process for Adjudicating Initial Disability Claims

The Social Security Administration has published a final rule establishing its new disability determination process, known as the Disability Service Improvement (DSI) process. The rule explains SSA's new procedures for adjudicating the disability portion of initial claims for Social Security disability insurance (DI) benefits and for supplemental security income (SSI) based on disability or blindness.

SSA states that the purpose of the rule is to improve the accuracy, consistency, and fairness of its disability determination process and to make the right decision as early in the process as possible.

Under this rule, the administrative review process consists of several steps, which must be requested within certain time periods. When an application is filed for benefits, SSA will make an initial determination on the claim, and in certain circumstances refer the claim for a quick disability determination (QDD). If the applicant is dissatisfied with the initial determination, they may request review by a Federal reviewing official. If they are dissatisfied with the Federal reviewing official's decision, they may request a hearing before an administrative law judge.

The administrative law judge's decision becomes SSA's final decision, unless the claim is referred to the Decision Review Board (DRB). When the DRB reviews the claim and issues a decision, that decision is SSA's final decision. If the applicant is dissatisfied with the final decision, they may seek judicial review in Federal district court.

View the Final Rule

Monday, April 17, 2006

disability - continuance - lack of counsel - perfunctory hearing

Curry v. Barnhart - ED Pa. - April 13, 2006

http://www.paed.uscourts.gov/documents/opinions/06D0458P.pdf

The court remanded the case for a de novo hearing where
- claimant was a 60 y/o illiterate person
- first attorney agreed to represent claimant only if he got a continuance
- first attorney got a continuance, but in the interim claimant got a second attorney
- second attorney got the hearing continued again, but then decided not to represent claimant
- second attorney went to hearing only to say he wasn't representing claimant
- ALJ asked the claimant if he had any objection to having the hearing; claimant did not object
- There was "no attempt to explain to petitioner the pros and cons of proceeding without legal representation"
- The "ALJ hearing was perfunctory at best
- The claimant "did not knowingly and intelligently waive his right to be represented by counsel"
- "[B]asic fairness dictates that the case be remanded...with representation of the petitioner by counsel."

Friday, April 14, 2006

Pennsylvania Bulletin of April 15, 2006

http://www.pabulletin.com/secure/data/vol36/36-15/index.html

Of possible interest --

- Commonwealth contracts - Governor's executive order - non-discrimination
http://www.pabulletin.com/secure/data/vol36/36-15/598.html

- attorneys - discipline - criminal convictions
http://www.pabulletin.com/secure/data/vol36/36-15/600.html

- courts - rules - electronic filing - technical amendments
http://www.pabulletin.com/secure/data/vol36/36-15/602.html

- public utilities - natural gas suppliers and n/g distribution companies - permanent standards of conduct
http://www.pabulletin.com/secure/data/vol36/36-15/603.html

- welfare - payment for nursing facility services
http://www.pabulletin.com/secure/data/vol36/36-15/623.html
http://www.pabulletin.com/secure/data/vol36/36-15/624.html

Thursday, April 13, 2006

CJP Files Class Action Over Attachment of Social Security Funds

The Community Justice Project and private counsel from Harrisburg, Joseph K. Goldberg, have filed a class action lawsuit on behalf of a sixty-seven year-old Coalport (Clearfield County) man. The suit was filed in the United States District Court in Johnstown against Clearfield County Prothonotary William A. Shaw and CSB Bank.

In his suit, John J. Dransfield claims that he lives on Social Security payments directly deposited into his bank account and that his account, at CSB Bank in Coalport was frozen for more than a month in the fall of 2005, so he could not use his Social Security money to pay his bills. Mr. Dransfield also claims that CSB Bank took a total of $340 from the Social Security money in his account to pay itself legal fees associated with freezing his account.

The lawsuit claims that CSB’s action in taking the Social Security funds from his account and the Prothonotary’s action in issuing a writ of execution authorizing the account to be attached violated federal law that prohibits both execution and attachment of Social Security and Supplemental Security Income payments.

In his Complaint, Mr. Dransfield does not deny he owes creditor money and that a judgment has been entered against him, but he claims he is making small monthly payments and that the creditor is not permitted to collect the debt from his Social Security funds.

The lawsuit was filed as a class action on behalf of Mr. Dransfield and all other persons in Clearfield County who have Social Security or Supplemental Security Income payments directly deposited into their bank accounts and who have judgments entered against them. The complaint asks the court to prohibit the attachment of Social Security funds and to order CSB to refund charges it has made against Social Security funds belonging to any of its customers in the United States District Court in Johnstown.

The Complaint and Motion for Class Certification filed in the case are located in the PLS Brief and Information Bank at the link below.

Attachment of SSA Benefits

employment - personnel files - inspection - 43 P.S. 1321 et seq.

University of Pittsburgh v. Dept. of Labor & Industry - Commonwealth Court - April 12, 2006

http://www.courts.state.pa.us/OpPosting/CWealth/out/1440CD05_4-12-06.pdf

An employee can get access to her/his personnel file under the Personnel File Inspect Act, 43 P.S. 1321 et seq. In this case, however, access to outside references for an academic tenure evaluation was denied. The court said that such documents were excluded from the definition of "personnel file," since they were "letters of reference."

Tuesday, April 11, 2006

appeal - lack of transcript - reconstruction - PRAP 1923

In the Interest of G.T. - Superior Court - April 10, 2006

http://www.courts.state.pa.us/OpPosting/Superior/out/a04009_06.pdf

Appellant father contested the termination of his parental rights, claiming, inter alia, that the part of the hearing transcript was missing. The court rejected that argument, noting that father did nothing to try to recreate the missing parts of the transcript as best he could, which was his duty under PRAP 1923 http://www.pacode.com/secure/data/210/chapter19/s1923.html (Statement in Absence of Transcript) and which opposing counsel offered to draft. The court also held that there was a sufficient factual basis for the lower court's decision, even in the absence of parts of the transcript.

Monday, April 10, 2006

employment - age discrim. - PHRA - release

Griest v. Pennsylvania State University - Superior Court - April 4, 2006

http://www.courts.state.pa.us/OpPosting/Superior/out/a05001_06.pdf

Former employee's agreement/release barred him, on its face, from making any claims under the Pennsylvania Human Relations Act. Nonetheless, he filed a claim based on age discrimination in a common pleas action, which the trial court dismissed on the basis of the release, citing Long v.Sears, 105 F3d 1529 (3d Cir. 1997) and Wastak v. Lehigh Valley Health Network, 342 F3d 281 (3d Cir. 2003).

The appellate court affirmed, holding that
- the release agreement did not violate any state public policy;
- the technical requirements of the federal Older Worker's Benefits Protection Act (OWBPA) concerning waiver of federal ADEA rights, 29 USC 626(f)(1), were not relevant to a state cause of action under the PHRA;
- a release not procured by fraud, duress or mutual mistake is binding between the parties.

Wednesday, April 05, 2006

appeals - PRAP 1925(b) - Concise Statement of Matters Complained of on Appeal

Commonwealth v. Holtzapfel - Commonwealth Court - April 4, 2006

http://www.courts.state.pa.us/OpPosting/CWealth/out/1735CD05_4-4-06.pdf

Citing Commonwealth v. Castillo, 888 A2d 775 (Pa. 2005) and Commonwealth v. Schofield, 888 A2d 771 (Pa. 2005), the court held that there is a "bright-line rule" that requires timely filing of Concise Statement of Matters Compaint of on Appeal under PRAP 1925(b). The result of a failure to timely file such a Statement is a waiver of any issues that could be complained of on appeal.

The rule requires that a Statement be filed within 14 days of the direction of the trial court to file such a statement. In this case, appellant filed a statement but not until about 35 days after the order.

Monday, April 03, 2006

child support - standing of child to enforce parents' support agreement

Chen v. Chen - Pa. Supreme Court - March 20, 2006

http://www.courts.state.pa.us/OpPosting/Supreme/out/J-169-2004mo.pdf
http://www.courts.state.pa.us/OpPosting/Supreme/out/J-169-2004co1.pdf - concurring (Cappy)

http://www.courts.state.pa.us/OpPosting/Supreme/out/J-169-2004co2.pdf - consurring (Castille)

http://www.courts.state.pa.us/OpPosting/Supreme/out/J-169-2004co3.pdf - concurring (Saylor and Eakin)

Stating that it was applying contract principles, the court held that a child is an incidental beneficiary rather than a third-party intended beneficiary of her parents' property settlement agreement (PSA) concerning payment of child support, citing Restatement (2d) Contracts sec. 302, adopted in Guy v. Liederbach, 459 A.2d 744 (Pa. 1983). The Court held that a child does not have a legally enforceable interest/standing under the parents' PSA. The child has a right to be supported but not a right to receive direct individual payments.

custody - standing - adoptive grandparent - parents separated

Little-Stepp v. Cancilla and Little-Stepp - Superior Court - March 31, 2006

http://www.courts.state.pa.us/OpPosting/Superior/out/a02045_06.pdf

Citing Peters v. Costello, ___ A2d ___ (2005 Pa. Lexis 3199, December 30, 2005), the Superior Court held that non-biological grandparents who
a) stand in loco parentis to one of the parents of a child with respect to whom they seek grandparental visitation rights, and
b) who otherwise quality to seek partial custody/visitation,
have standing to seek visitation under the Grandparent Visitation Act, 23 Pa. CS 5311-13.

In n. 2, however, the Court noted that "'mere grandparental status alone' does not confer standing under the Act....One must meet the other requirements of the specific section upon which one is relying for standing. For instance, section 5312...requires that the parents' marriage be dissolved or they are separated....[I]n Malone v. Stonebrook, 843 A.2d 1278 (Pa. Super. 2004), this Court held that the biological paternal grandmother had standing under section 5312 in a case where [as here] the parents of the child as issue were never married and had no ongoing relationship."