The defendant insurer brought a motion for summary judgment seeking dismissal of portions of the plaintiff’s claim relating to non-earner accident benefits, breach of contract, and extra-contractual claims including mental distress, bad faith, and punitive damages.
The insurer argued that the plaintiff had not submitted a valid application for non-earner benefits because disability certificates did not confirm that the statutory disability test was met.
The court rejected this argument as an overly literal interpretation of the application requirements, finding that the meaning of the physician’s responses and the effect of mediation could not be resolved on the motion and required a trial.
However, the court granted summary judgment dismissing the extra-contractual claims, finding no evidence of malfeasance or bad faith in the insurer’s claims handling.
The motion therefore succeeded in part.