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Legal Updates for Insurance Agents & Brokers

Can a Claim Against an Agent Be Limited Under the Gist of the Action Doctrine In Pennsylvania?

Legal Update for Insurance Agents & Brokers – August 2022

August 22, 2022

Residential real estate sales are governed by the terms of the sales agreement. The contract for the sale of real estate establishes the legal rights and obligations of both the buyer and the seller in regard to the property itself and the transaction. When courts are confronted with disputes between a buyer and seller, and the seller’s agent, over a real estate transaction, the sales agreement along with the seller’s disclosure statement are the bases for the claims and defenses asserted. Despite real estate sales being a fundamentally contract matter, legal disputes between a buyer, a seller and an agent are not limited to breach of the contract upon which the transaction is based.

In the case of Josaphs v. Lacy, 2022 WL 474715 (E.D. Pa. Feb. 16, 2022), the court addressed a claim made by the buyer of residential property that the seller failed to complete repairs as required under the terms of the Agreement for Sale of Real Estate. The sellers then brought suit, alleging not only a claim for breach of the contract, but also separate tort claims for misrepresentation and fraud, and violations of the Real Estate Seller Disclosure Law and Unfair Trade Practices. The buyers sought to dismiss the claims on the basis of the legal doctrine that the “gist of the action” is in contract.

In its analysis, the court in Josaphs noted that the gist of the action doctrine precludes a plaintiff from bringing what is actually a breach of contract claim as a tort claim when the parties’ actions are defined by the terms of a contract and the claim is based on a breach of a specific promise in the contract. However, under established Pennsylvania law, the fact that a contract governs the parties’ actions does not limit a claim for damages to a breach of the contract where the wrong complained of arises from a violation of a broader social duty. Thus, fraud or misrepresentation claims not related to the performance of the contract are not precluded by the gist of the action doctrine.

Applying the principle of the gist of the action doctrine to the real estate dispute, the court held that the claim, based on the failure to make repairs to the property, was one of breach of the contract terms under the sales agreement. The plaintiffs’ claims of fraud, misrepresentation and violation of the Unfair Trade Practices law were barred as a result. A separate claim, that the defendants violated the disclosure statement by misrepresenting that the property had been vacant, was not barred by the gist of the action doctrine. The court reasoned that the disclosure statement was collateral to the sales agreement and the misrepresentation did not relate to the performance of a provision of the statement itself.

That the gist of the action doctrine was found to apply at all, even in a limited fashion, by the court in Josaphs is noteworthy as other courts have narrowed its application to cases involving disputes over insurance coverage under a contract. In two recent rulings, federal courts have held that this doctrine does not preclude misrepresentation claims against the insurer and the sales agent based on breach of a life insurance policy. In Rosenberg v. Nassau Life Insurance Company, 2022 WL 2718607 (E.D. Pa. Jul. 13, 2022), the Trust owner claimed that the insurer and the agent misrepresented the availability of an option to convert to another policy. The court found that the plaintiff’s fraud claim was premised not on the defendants’ obligations under the conversion provision of the contract, but on the defendants’ “broader social duty ... to refrain from defrauding” the Trust during the conversion process. In Vliet v. Liberty Mutual Insurance Company, 2022 WL 2109203 (E.D. Pa. Jun. 10, 2022), the plaintiff claimed the insurer did not fully cover property damage under its policy and had misled her into purchasing an inadequate insurance policy. The court found that this claim was not barred where the alleged misrepresentation was not based on following the terms of the policy but, rather, the inducement by the sales agent to purchase the insurance.

The importance of these decisions in the context of the defense of a real estate seller or agent is that, while the gist of the action doctrine may still be asserted to challenge a tort claim that is fundamentally based on the terms or conditions of the sales agreement or other contract between buyer and seller, courts are limiting the application of this principle where the claims involve alleged misrepresentations in the sales transaction separate from the terms of the agreement.

 

Legal Update for Insurance Agents & Brokers – August 2022, has been prepared for our readers by Marshall Dennehey. It is solely intended to provide information on recent legal developments, and is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. We welcome the opportunity to provide such legal assistance as you require on this and other subjects. If you receive the alerts in error, please send a note tgventura@mdwcg.com. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2022 Marshall Dennehey. All Rights Reserved.

Firm Highlights

Thought Leadership

Featured Conversations... Key Takeaways from A.M. Best’s Webinar on the Misuse Defense in Product Liability Claims, Featuring Michael Salvati

Michael Salvati, shareholder in our Philadelphia office, was a panelist for the April A.M. Best webinar, “The Misuse Defense: Strategic Approaches to Defending Product Liability Claims for Insurers.” During the program, Michael and his fellow panelists offered practical, jurisdiction‑specific guidance on how misuse and failure‑to‑warn theories intersect in modern product liability litigation. Michael emphasized the unique challenges these claims present—particularly in states like Pennsylvania, where evidentiary rules diverge sharply from those applied in many other jurisdictions. Failure to Warn as the “Flip Side” of Misuse Salvati explained that failure‑to‑warn allegations often arise as a direct counter to a misuse defense. As he noted, “If our misuse defense is that the plaintiff didn't use a product properly or safely, then the failure to warn claim is that we didn't tell them how to use it properly.” He emphasized that these claims can stem from either the absence of warnings or criticisms of existing warnings, such as insufficient specificity or lack of clarity about risks. Pennsylvania’s Unique Evidentiary Landscape One of Salvati’s most notable points was the stark difference in how Pennsylvania treats evidence of compliance with industry standards. He highlighted that Pennsylvania is “one of the only states…where that evidence is not admissible” in strict liability cases. Manufacturers cannot rely on compliance with ANSI, UL, ISO, or even federal safety standards to defend the product against a strict liability claim—because the focus is solely on the product itself, not the manufacturer’s conduct. Salvati acknowledged the challenge this creates for defense counsel and clients who expect such compliance to carry weight. Understanding the Three Defect Theories Salvati also walked through the three primary defect theories recognized in many jurisdictions: - Design defect – a flaw in the product’s intended design - Manufacturing defect – a deviation affecting a specific unit - Failure to warn – inadequate instructions or warnings He noted that warnings claims are increasingly significant and sometimes stand alone when design or manufacturing theories are weak. As he put it, plaintiffs often default to warnings claims because “the default position seems to be, ‘If I got hurt, there must be something wrong.’” Warranties and State‑by‑State Variations Salvati addressed how breach‑of‑warranty claims fit into the broader framework, explaining that implied warranties—such as merchantability—often overlap with strict liability in Pennsylvania. He emphasized the importance of understanding local nuances, as warranty law and admissibility rules vary widely across states. Looking Ahead: The Growing Importance of Warnings In his closing remarks, Salvati stressed that warnings should never be treated as an afterthought in product liability defense. He observed that warnings‑only claims are becoming more common and urged manufacturers and insurers to continually evaluate the clarity and completeness of their instructions and warnings. His takeaway: “We should always be talking about what are the instructions that come with our products…to bolster a misuse defense.” Listen to the complete webinar here: https://www3.ambest.com/conferences/events/eventregister.aspx?event_id=WEB1074.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict. 

Thought Leadership

Legal Update for Special Education Law: Recent Positive Outcomes From the Group

Hearing Officer Confirms District Acted Appropriately Under IDEA and Section 504 William J. McPartland (Scranton) obtained a finding in favor of our client, a school district, on all issues following a due process hearing. The parent had filed a due process complaint alleging that the school district had breached its child find duty under the IDEA and Section 504, that the school district had discriminated against the student on the basis of disability in violation of Section 504, and that the school district had denied a free and appropriate public education to the student both by developing inadequate IEPs and via an actionable procedural violation.  Specifically, the student had received a Section 504 evaluation in October 2023, after a number of behavioral infractions culminating in a fight in September 2023, was identified as having anxiety and a sleep disorder, and received appropriate Section 504 accommodations. The student had never previously demonstrated signs of a learning disability, and the parent denied the school district permission to evaluate the student for special education needs in November 2023, and January 2024. The parent granted the district permission to evaluate the student in October 2024, after a private psychologist diagnosed the student with Attention Deficit Hyperactivity Disorder, possible Oppositional Defiance Disorder, a learning disorder, and anxiety. The school district issued a special education evaluation report in December 2024, finding that the student had an emotional disturbance and other health impairment, and an IEP providing an itinerant level of emotional support, as well as instruction in academics and social skills, was issued in January 2025, and amended in February, March, and April 2025. The student withdrew from the school district in April 2025, to attend a cyber charter school. The hearing officer determined that the school district had not violated its child find duty to the student in violation of either the IDEA or Section 504 where the district developed a Section 504 plan for the student within a month and a half of the parent’s first request for a Section 504 evaluation and where the parent repeatedly denied consent to conduct an IDEA evaluation of the student. The hearing officer noted that the student’s sporadic record of behavioral infractions prior to September 2023, did not suggest that the student had a disability prior to the parent’s initial request for an evaluation. The hearing officer further determined that no evidence had been produced to suggest that the student was discriminated against on the basis of disability in violation of Section 504. Additionally, the hearing officer determined that the IEP offered to the student was substantively adequate and that, to the extent the social and emotional programming offered by the school district was not received by the student, this resulted from the parent’s refusal to accept the same. The hearing officer finally determined that the school district did not commit an actionable procedural violation by delaying development of an IEP for the student where the parent repeatedly denied consent to evaluate the student. Court Dismisses Three of Four Claims Against School District Christopher J. Conrad and Daniel P. McGannon (Harrisburg) achieved a significant early victory on behalf of a school district client in. The team successfully obtained dismissal of three of the four claims asserted in the plaintiff’s amended complaint. The former district superintendent brought multiple claims arising out of his alleged “forced resignation,” including age discrimination under the ADEA, a Section 1983 Equal Protection claim, a Pennsylvania Whistleblower claim, and breach of contract. On behalf of the district, the defense team moved to dismiss the complaint in part, arguing: The plaintiff failed to plead sufficient facts to support a prima facie case of age discrimination. The equal protection claim was barred because the ADEA provides the exclusive federal remedy for age-based employment claims. The breach of contract claim could not stand because the underlying employment agreement had expired prior to the alleged breach. The court agreed, dismissing the ADEA, equal protection, and breach of contract claims in their entirety. As a result, only a single claim under the Pennsylvania Whistleblower Law remains pending. This outcome substantially narrows the scope of the litigation and positions the client for a more efficient defense moving forward.