Cigna v. Exec. Risk Indemnity and Nutmeg Ins. ( 2015 )


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  • J-A25031-14
    NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT I.O.P. 65.37
    CIGNA CORPORATION,                                   IN THE SUPERIOR COURT OF
    PENNSYLVANIA
    Appellant
    v.
    EXECUTIVE RISK INDEMNITY, INC. AND
    NUTMEG INSURANCE COMPANY,
    Appellees                     No. 3538 EDA 2013
    Appeal from the Order October 21, 2013
    in the Court of Common Pleas of Philadelphia County
    Civil Division at No.: February, Term, 2012 No. 003993
    BEFORE: DONOHUE, J., WECHT, J., and PLATT, J.*
    MEMORANDUM BY PLATT, J.:                             FILED FEBRUARY 03, 2015
    Appellant,   Cigna    Corporation,     appeals   from   the   order   granting
    summary judgment in favor of Appellees, Executive Risk Indemnity, Inc. and
    Nutmeg Insurance Company, and dismissing Appellant’s complaint with
    prejudice.1    Appellant sought a declaration of coverage under a fiduciary
    liability policy for ERISA2 violations found in an underlying federal class
    action. Appellees denied coverage under a policy exclusion for deliberately
    ____________________________________________
    *
    Retired Senior Judge assigned to the Superior Court.
    1
    Although the order appealed from is dated October 18, it was docketed on
    October 21. We have amended the caption accordingly.
    2
    Employee Retirement Income Security Act of 1974, 
    29 U.S.C. §§ 1001
    –
    1461.
    J-A25031-14
    fraudulent or criminal acts or omissions.             Appellant challenges the trial
    court’s application of the fraudulent acts exclusion. We affirm.
    The material facts of the underlying litigation are not in substantial
    dispute, although the parties disagree markedly on the legal consequences.
    (See Appellant’s Brief, at 5-18; Appellees’ Brief, at 4-14).          However, this
    protracted course of litigation has extended longer than a decade.              We
    summarize only the facts most relevant to this appeal.3
    On December 21, 1998 Cigna amended its retirement plan, retroactive
    to January 1, 1998.         In simplified terms, Cigna converted its traditional
    defined benefit pension plan to a cash balance plan.            Cigna assured plan
    participants in the notification materials that the conversion would not affect
    benefits accrued as of December 31, 1997.              In fact, the conversion was
    presented as an enhanced benefit.              Nevertheless, there is no dispute on
    appeal that under certain circumstances some plan participants would have
    their expected benefits or accruals reduced or frozen, in a process
    designated “wear away.”4 Furthermore, there is no dispute that to avoid an
    ____________________________________________
    3
    A more complete factual account is contained in Amara v. CIGNA Corp.,
    
    534 F.Supp.2d 288
     (D. Conn. 2008), and Amara v. CIGNA Corp., 
    559 F.Supp.2d 192
     (D. Conn. 2008), as well as the Supreme Court’s discussion
    of the case in CIGNA Corp. v. Amara, 
    131 S. Ct. 1866
     (2011). To avoid
    confusion, and aid in clarification, rather than employ sequential numerals,
    we will continue to provide citations for the various stages of the Amara
    litigation, unless the specific case cited is otherwise clear in context.
    4
    “Wear away occurs when an employee continues to work at a company but
    does not receive additional benefits for those additional years of service.”
    (Footnote Continued Next Page)
    -2-
    J-A25031-14
    anticipated employee backlash at the wear away phenomenon (and the
    possible reduction in retirement benefits), Appellant withheld or declined to
    provide documentation which would have confirmed the risk of reduced
    benefits.
    In 2001, plan participants brought a class action lawsuit on behalf of
    some 27,000 employees, alleging in essence that the plan amendments had
    the net effect of reducing benefits or benefit accruals for some plan
    participants in violation of ERISA. Eventually, Judge Mark R. Kravitz, of the
    federal district court in Connecticut, decided that Appellant’s changes were
    permitted under ERISA, but that Appellant or its affiliate pension plan had
    violated ERISA-required notice provisions by providing misleading summary
    plan descriptions (SPD’s) and Summaries of Material Modifications (SMM’s)
    _______________________
    (Footnote Continued)
    Amara v. CIGNA Corp. 
    2014 WL 7272283
    , *4 (C.A.2 (Conn. (C.A.2
    (Conn.), filed December 23, 2014).
    Wear away means that there are periods of time in which the
    employee’s account balance is less than the employee's
    minimum benefit. What wear away means in practice is that
    even though an employee is continuing each year to receive pay
    and interest credits under Part B, and the employee's account
    balance may even be growing, it nonetheless remains less than
    the minimum benefit earned as of December 31, 1997; in effect,
    where there is wear away, even though the employee continues
    to work for CIGNA and continues to receive benefit credits, the
    employee’s expected retirement benefits have not grown beyond
    what the employee was entitled to under Part A as of December
    31, 1997.
    Amara v. Cigna Corp., 
    534 F.Supp.2d 288
    , 303-04 (D. Conn. 2008).
    -3-
    J-A25031-14
    in an apparent effort to forestall objections from plan participants.           See
    Amara v. Cigna Corp., 
    534 F.Supp.2d 288
    , 296 (D. Conn. 2008) (referred
    to by the parties as Amara I).5                In pertinent part, the district court
    summarized its findings of fact and conclusions of law as follows:
    [I]n effectuating the conversion to the cash balance plan, CIGNA
    did not give a key notice to employees that is required by
    ERISA; and CIGNA’s summary plan descriptions and other
    materials were inadequate under ERISA and in some instances,
    downright misleading. ERISA gives employers substantial
    leeway in designing a pension plan, and the Court believes that
    CIGNA’s Plan complies with the relevant statutory provisions.
    However, ERISA also emphasizes the importance of disclosure by
    employers to employees regarding the details of the company’s
    pension plan, to enable employees to plan for their retirement
    and to make decisions of profound importance for their lives.
    This is where CIGNA failed to fulfill its obligations; the company
    did not provide its employees with the information they needed
    to understand the conversion from a traditional defined benefit
    plan to a cash balance plan and its effect on their retirement
    benefits.
    
    Id.
     (emphasis added).
    In a subsequent opinion, Judge Kravitz ordered the reformation of the
    contract (the pension plan) as a remedy for Appellant’s violations.             See
    Amara v. CIGNA Corp., 
    559 F.Supp.2d 192
    , 222 (D. Conn. 2008).                   The
    parties cross-appealed.        The Second Circuit affirmed in an unpublished
    opinion.    See Amara v. CIGNA Corp., 
    348 Fed. Appx. 627
    , 
    2009 WL 3199061
     (C.A.2 (Conn.) 2009).
    ____________________________________________
    5
    This decision is also variously referred to by the parties and the trial court
    as the “Liability Opinion.”
    -4-
    J-A25031-14
    However, the United States Supreme Court vacated and remanded.
    See CIGNA Corp. v. Amara, 
    131 S. Ct. 1866
     (U.S. 2011).           In reviewing
    whether the district court applied the correct legal standard for relief, the
    High Court reasoned, in part, that the district court relied on the wrong
    ERISA remedy provision. See 
    id. at 1871
    .
    On remand, because Judge Kravitz had died in the meantime, the case
    was reassigned to District Court Judge Janet Bond Arterton. Judge Arterton
    decided in pertinent part that the remedy of contract reformation was
    appropriate. Specifically, she decided that:
    CIGNA engaged in fraud or similarly inequitable conduct.
    See 3 John N. Pomeroy, A Treatise on Equity Jurisprudence
    § 873 at 421 (5th ed. 1941) (stating that while “fraud” has no
    precise definition in equity, it generally consisted of “obtaining
    an undue advantage by means of some intentional act or
    omission that was unconscientious or a violation of good faith”);
    see also Tokio Marine & Fire Ins. Co. v. Nat'l Union Fire
    Ins. Co., 
    91 F.2d 964
    , 966 (2d Cir. 1937) (reformation was
    appropriate based on one party’s unilateral mistake combined
    with the fact that the court could infer that the other party knew
    of the mistake, knowledge which alone qualified as the
    “inequitable conduct” necessary to reform the contract).
    CIGNA’s deficient notice led to its employees' misunderstanding
    of the content of the contract, and CIGNA did not take steps to
    correct their mistake. Instead, CIGNA affirmatively misled and
    prevented employees from obtaining information that would
    have aided them in evaluating the distinctions between the old
    and new plans. See Amara I, 
    534 F.Supp.2d at 343
     (finding
    that CIGNA informed its benefits department and consulting
    company not to provide benefits comparisons under the old and
    new plans).      Furthermore, CIGNA sought and obtained an
    advantage from its inequitable actions. See 
    id.
     (finding that
    CIGNA intentionally and successfully avoided adverse employee
    reactions, which had caused other employers to modify their
    intended cash balance plans).
    -5-
    J-A25031-14
    As a result of CIGNA’s fraud, its employees were mistaken
    as to their retirement benefits.
    Amara v. CIGNA Corp., 
    925 F.Supp.2d 242
    , 253 (D. Conn. 2012) (one
    citation omitted; emphasis in original).
    The Second Circuit affirmed. See Amara v. CIGNA Corp., 
    2014 WL 7272283
     (C.A.2 (Conn.) filed December 23, 2014).                In specifically
    addressing the issue of fraud, the Second Circuit explained:
    (a) Fraud
    While no “single statement . . . accurately define[s] the
    equitable conception of fraud,” it generally consists of “obtaining
    an undue advantage by means of some act or omission which is
    unconscientious or a violation of good faith.”         3 John N.
    Pomeroy, A TREATISE ON EQUITY JURISPRUDENCE § 873 at 420–
    21 (5th ed. 1941). Here, defendants misrepresented the terms
    of CIGNA’s new pension plan and actively prevented employees
    from learning the truth about the plan. As Judge Kravitz put it in
    Amara I, “CIGNA employees suffered from the lack of accurate
    information in CIGNA’s disclosures, and CIGNA was aware of this
    fact.” Amara I, 
    534 F.Supp.2d at 342
    ; see also 
    id. at 349
    (deciding that CIGNA made “materially misleading statements”
    about wear away). CIGNA’s misbehavior was designed to “ease
    the transition to a less favorable retirement program.” 
    Id. at 343
    . As a result, the district court did not err in finding that
    defendants obtained undue advantage through these actions by
    avoiding adverse employee reactions. See Amara IV, 925
    F.Supp.2d at 253 (ruling that “CIGNA engaged in fraud or
    similarly inequitable conduct”).
    Id. at *13.
    During the relevant time period, Appellant was insured under a multi-
    line insurance policy, including professional liability and fiduciary liability.
    The primary insurer was Certain Underwriters of Lloyd’s of London.
    Appellees were excess carriers whose obligations were determined on a
    -6-
    J-A25031-14
    follow-form basis to the Lloyd’s of London policy (i.e., tracking the terms,
    conditions, and exclusions of the primary Lloyd’s policy).6
    In 2012, Appellant filed the complaint at issue in this appeal, seeking,
    inter alia, a declaratory judgment to declare coverage under the fiduciary
    liability provisions of the policy for claims made against it in the underlying
    class action, Amara v. Cigna Corp., 
    534 F.Supp.2d 288
     (D. Conn. 2008)
    (and its progeny).      Appellees filed a motion for summary judgment.       The
    trial court granted the motion for summary judgment, and dismissed
    Appellant’s complaint with prejudice in an order and opinion dated October
    18, 2013, and docketed on October 21, 2013.        Appellant filed a motion for
    reconsideration, which the trial court denied.7 This timely appeal followed.8
    Appellant raises two questions for our review on appeal:
    1. Did the trial court commit an error of law or abuse of
    discretion in applying the “deliberately fraudulent acts” exclusion
    to preclude coverage under the Fiduciary Liability coverage part?
    ____________________________________________
    6
    Other excess carriers settled separately. (See Appellant’s Brief, at 16 n.7;
    see also Appellees’ Brief, at 14 n.3).
    7
    In any event, it would appear, as argued by Appellees, that Appellant’s
    motion for reconsideration was untimely.      See Pa.R.C.P. No. 227.1(c)
    (“Post-trial motions shall be filed within ten days . . . .“); (see also
    Appellees’ Brief, at 14).
    8
    The trial court did not order a statement of errors. See Pa.R.A.P. 1925(b).
    The trial court filed an opinion on January 2, 2014, referencing and adopting
    its order and opinion of October 18, 2013, as its opinion on appeal. See
    Pa.R.A.P. 1925(a).
    -7-
    J-A25031-14
    2. Did the trial court commit an error of law of abuse of
    discretion in finding that Amara v. CIGNA Corp. 
    925 F.Supp.2d 242
     (D. Conn. 2012) . . . constitutes a “final judgment” sufficient
    to effectuate the application of the “deliberately fraudulent acts”
    exclusion?
    (Appellant’s Brief, at 4).
    Our review on an appeal from the grant of a motion for
    summary judgment is well-settled.         A reviewing court may
    disturb the order of the trial court only where it is established
    that the court committed an error of law or abused its discretion.
    As with all questions of law, our review is plenary.
    In evaluating the trial court’s decision to enter summary
    judgment, we focus on the legal standard articulated in the
    summary judgment rule. Pa.R.C.P. 1035.2. The rule states that
    where there is no genuine issue of material fact and the moving
    party is entitled to relief as a matter of law, summary judgment
    may be entered. Where the non-moving party bears the burden
    of proof on an issue, he may not merely rely on his pleadings or
    answers in order to survive summary judgment. Failure of a
    non-moving party to adduce sufficient evidence on an issue
    essential to his case and on which it bears the burden of proof
    . . . establishes the entitlement of the moving party to judgment
    as a matter of law. Lastly, we will view the record in the light
    most favorable to the non-moving party, and all doubts as to the
    existence of a genuine issue of material fact must be resolved
    against the moving party.
    Murphy v. Duquesne University of the Holy Ghost, 
    777 A.2d 418
    ,
    429 (Pa. 2001) (citations and quotation marks omitted). Furthermore,
    [W]e apply the same standard as the trial court, reviewing all
    the evidence of record to determine whether there exists a
    genuine issue of material fact. . . . Only where there is no
    genuine issue as to any material fact and it is clear that the
    moving party is entitled to a judgment as a matter of law will
    summary judgment be entered.
    Motions for summary judgment necessarily and directly implicate
    the plaintiff’s proof of the elements of [his] cause of action.
    Summary judgment is proper if, after the completion of
    -8-
    J-A25031-14
    discovery relevant to the motion, including the production of
    expert reports, an adverse party who will bear the burden of
    proof at trial has failed to produce evidence of facts essential to
    the cause of action or defense which in a jury trial would require
    the issues to be submitted to a jury. Pa.R.C.P. 1035.2. Thus, a
    record that supports summary judgment will either (1) show the
    material facts are undisputed or (2) contain insufficient evidence
    of facts to make out a prima facie cause of action or defense
    and, therefore, there is no issue to be submitted to the jury.
    Upon appellate review, we are not bound by the trial court’s
    conclusions of law, but may reach our own conclusions. The
    appellate Court may disturb the trial court’s order only upon an
    error of law or an abuse of discretion.
    Judicial discretion requires action in conformity with law on
    facts and circumstances before the trial court after hearing
    and consideration.       Consequently, the court abuses its
    discretion if, in resolving the issue for decision, it misapplies
    the law or exercises its discretion in a manner lacking
    reason. Similarly, the trial court abuses its discretion if it
    does not follow legal procedure.
    Where the discretion exercised by the trial court is challenged on
    appeal, the party bringing the challenge bears a heavy burden.
    [I]t is not sufficient to persuade the appellate court that it
    might have reached a different conclusion if . . . charged
    with the duty imposed on the court below; it is necessary to
    go further and show an abuse of the discretionary power.
    An abuse of discretion is not merely an error of judgment,
    but if in reaching a conclusion the law is overridden or
    misapplied, or the judgment exercised is manifestly
    unreasonable, or the result of partiality, prejudice, bias or ill
    will, as shown by the evidence or the record, discretion is
    abused.
    Nat’l Cas. Co. v. Kinney, 
    90 A.3d 747
    , 752-53 (Pa. Super. 2014) (case
    citations and quotation marks omitted).
    The interpretation of an insurance policy is a question of
    law that we review de novo.
    -9-
    J-A25031-14
    Our purpose in interpreting insurance contracts is to
    ascertain the intent of the parties as manifested by the
    terms used in the written insurance policy. When the
    language is clear and unambiguous, we must give effect to
    that language. However, when a provision in the policy is
    ambiguous, the policy is to be construed in favor of the
    insured to further the contract’s prime purpose of
    indemnification and against the insurer, as the insurer
    drafts the policy and controls coverage.
    Lexington Ins. Co. v. Charter Oak Fire Ins. Co., 
    81 A.3d 903
    , 908 (Pa.
    Super. 2013) (citations omitted).
    Whether [the insurer] breached a duty imposed by contract is a
    legal conclusion. Mellon Bank, N.A. v. Nat'l Union Ins. Co. of
    Pittsburgh, PA, 
    768 A.2d 865
    , 869 (Pa. Super. 2001) (“A legal
    conclusion is a statement of a legal duty without stating the facts
    from which the duty arises. A statement of the existence of a
    fact could be a legal conclusion if the fact stated is one of the
    ultimate issues in the proceeding.”).       We must, therefore,
    examine the factual averments to determine whether they
    support the conclusion.
    Joyce v. Erie Ins. Exchange, 
    74 A.3d 157
    , 168 (Pa. Super. 2013).
    Commonwealth v. Hawkins, 
    294 Pa. Super. 57
    , 
    439 A.2d 748
    ,
    751 (1982); and Commonwealth v. Eackles, 
    286 Pa. Super. 146
    , 
    428 A.2d 614
    , 618 (1981), which both define fraud as
    being “a false representation of a material matter made with
    knowledge of its falsity and with the intent to deceive.” 
    Id.
     This
    definition does not include the element of detriment.           In
    Hawkins, the underlying crime was theft by unlawful taking and
    because there was no requirement to prove a false
    representation to convict on that charge, the fraud extension did
    not apply. In Eackles, the underlying crime was receiving
    stolen property. Again, there was no requirement to prove a
    false representation to prove the crime, so the exception was
    irrelevant. However, here, the crime specifically includes making
    a false representation.      For purposes of this appeal, [the
    appellant] admits there was a false statement knowingly made
    with the intent to deceive. Therefore the definition of fraud as
    relied upon in Hawkins and Eackles has been established.
    - 10 -
    J-A25031-14
    Commonwealth v. Riding, 
    68 A.3d 990
    , 996-97 (Pa. Super. 2013)
    (footnote omitted).
    In this Commonwealth the rule is so firmly established that the
    Superior Court has said it is irrelevant whether or not [the
    insured] intended to be bound by the [policy’s] exclusion for
    intentional torts, since it is against the public policy of this
    Commonwealth to provide insurance coverage for
    intentional acts.
    State Farm Mut. Auto. Ins. Co. v. Martin, 
    660 A.2d 66
    , 67-68 (Pa. Super.
    1995), appeal denied, 
    678 A.2d 366
     (Pa. 1996) (citation and quotation
    marks omitted) (emphasis added).
    Here, preliminarily, we note that Appellant fails to divide its argument
    “into as many parts as there are questions to be argued; and shall have at
    the   head    of   each    part─in    distinctive   type   or   in   type   distinctively
    displayed─the particular point treated therein, followed by such discussion
    and citation of authorities as are deemed pertinent.”                Pa.R.A.P. 2119(a);
    (see also Appellant’s Brief, at 21-40).9 In general support of its first claim,
    Appellant argues that it has coverage under the policy provision for wrongful
    acts. (See Appellant’s Brief, at 15, 26).
    Notably, Appellant does not dispute that “the Liability Opinion,”
    Amara, supra (
    534 F.Supp.2d 288
    ), found that its (Cigna’s) summary plan
    ____________________________________________
    9
    We could find both of Appellant’s claims waived on this basis alone, but we
    will review them on the merits in the interest of juridical economy.
    - 11 -
    J-A25031-14
    descriptions and summary of material modifications were “affirmatively and
    materially misleading.” (Appellant’s Brief, at 29).10
    Nevertheless, Appellant maintains that the fraudulent acts exclusion
    does not apply.       Appellant posits that the policy covers its conduct as a
    “Wrongful Act,” defined in the policy to include “‘any actual or alleged . . .
    misstatement, misleading statement, act, omission’ [sic] on the part of the
    insured.” (Appellant’s Brief, at 26). We disagree.
    We begin by observing that “[u]nder Pennsylvania law . . . the court’s
    duty is to ascertain the intent of the parties as manifested in the language of
    the written instrument.       In discharging this duty, the court must view the
    policy in its entirety, giving effect to all of its provisions. Cont’l Cas. Co. v.
    Pro Machine, 
    916 A.2d 1111
    , 1121 (Pa. Super. 2007) (internal quotation
    marks and citation omitted) (emphasis added).           “Also, the words of the
    insurance policy must be construed in their natural, plain, and ordinary
    sense.    Moreover, an insurance policy, like every other written contract,
    must be read in its entirety and the intent of the policy is gathered from
    consideration of the entire instrument.” Ins. Co. of Evanston v. Bowers,
    ____________________________________________
    10
    Specifically, the court found that “CIGNA sought to negate the risk of
    backlash by producing affirmatively and materially misleading notices
    regarding Part B. As a result, its § 204(h) notice failed to meet ERISA’s
    stringent standards.” Amara v. Cigna Corp., 
    534 F.Supp.2d 288
    , 344 (D.
    Conn. 2008).
    - 12 -
    J-A25031-14
    
    758 A.2d 213
    , 216 (Pa. Super. 2000) (internal quotation marks and citation
    omitted).
    Appellant’s argument, in effect, would have us (and the trial court)
    read the wrongful acts provision as negating the fraudulent acts exclusion.
    (See Appellant’s Brief, at 25) (“Further, there is no exclusion for deliberately
    or intentionally misleading statements, acts, or omissions.”). We disagree.
    To the contrary, the plain meaning of the policy is that the fraudulent or
    criminal act exclusion operates as an exception to the more general wrongful
    acts coverage provision.    We read the insurance policy in its entirety, not
    piecemeal, “giving effect to all of its provisions.”   Pro Machine, supra at
    1121.
    We further note that both the federal district court, and the Second
    Circuit in affirmance, expressly concluded that Appellant’s conduct was
    fraudulent.   See Amara v. CIGNA Corp., 925 F.Supp.2d at 253           (“CIGNA
    engaged in fraud or similarly inequitable conduct.”); see also Amara, WL
    7272283 at *13, affirming.      In affirming, the Second Circuit concluded,
    “Based on our review of the record as a whole, we conclude that the district
    court did not err—much less clearly err—in determining that the plaintiffs
    established “a basis for [the court] to reform the CIGNA Pension Plan due to
    CIGNA’s fraud paired with Plaintiffs’ unilateral mistake.”     Id.   at *12-13
    (emphasis added).
    - 13 -
    J-A25031-14
    In addition to an unequivocal finding of fraud in the Amara litigation,
    we observe that Appellant’s conduct, including affirmative efforts at
    concealment and intentionally misleading representations that the benefits
    under the previous plan would not be disturbed, would clearly qualify as
    fraudulent under Pennsylvania law.      See Commonwealth v. Riding, 
    68 A.3d 990
    , 996-97 (Pa. Super. 2013) (“a false representation of a material
    matter made with knowledge of its falsity and with the intent to deceive.”)
    (citing Commonwealth v. Hawkins, 
    439 A.2d 748
    , 751 (Pa. Super. 1982);
    and Commonwealth v. Eackles, 
    428 A.2d 614
    , 618 (Pa. Super. 1981).
    We also reject Appellant’s suggestion that the Amara trial court’s
    finding of fraud on remand was mere dictum. (Appellant’s Brief, at 39).
    “Black’s Law Dictionary defines obiter dictum as [a] judicial comment
    made during the course of delivering a judicial opinion, but one that is
    unnecessary to the decision in the case and therefore not precedential
    (though it may be considered persuasive). Black’s Law Dictionary 1100 (7th
    ed. 1999).”     C.B. v. J.B., 
    65 A.3d 946
    , 959 (Pa. Super. 2013), appeal
    denied, 
    70 A.3d 808
     (Pa. 2013) (internal quotation marks omitted).
    Here, the Amara trial court’s determination of fraud was integral, if
    not critical, to its finding of the appropriateness of the remedy, as well as to
    the Second Circuit’s reasoning in affirmance. Appellant’s first claim does not
    merit relief.
    - 14 -
    J-A25031-14
    In its second question, Appellant posits that the trial court erred or
    abused its discretion because the federal court’s finding of fraud was not a
    final judgment. (See Appellant’s Brief, at 4). We disagree.
    In addition to Appellant’s argument that the finding of fraud by Judge
    Arterton was mere dictum, which we categorically reject, it appears to argue
    further that because the federal courts occasionally referred to fraud in
    conjunction with “other inequitable conduct,” in part by reference to a
    learned treatise, that “the court did not reach a final judgment that Cigna’s
    conduct was fraudulent.”      (Appellant’s Brief, at 39).     We emphatically
    disagree.
    “[N]o ‘single statement . . . accurately define[s] the equitable
    conception of fraud[.]’”   Amara v. CIGNA Corp. 
    2014 WL 7272283
    , *13
    (C.A.2 (Conn.) filed December 23, 2014). Here, we conclude for purposes of
    our review that the federal courts were entitled to discuss fraud in the
    context of prior authority, and their adoptive use of alternative formulations
    does not detract from their unequivocal finding of fraud. Appellant offers no
    controlling authority in support of its argument for a legal distinction. (See
    Appellant’s Brief, at 30, 39). The claim has no merit.
    Finally, on the issue of finality, we note that under Pennsylvania law,
    the federal courts’ finding of fraud would clearly constitute a final judgment.
    “[W]hat effect a civil appeal has on an otherwise final judgment has been
    answered.    A judgment is deemed final for purposes of res judicata or
    - 15 -
    J-A25031-14
    collateral estoppel unless or until it is reversed on appeal.”       Shaffer v.
    Smith, 
    673 A.2d 872
    , 874-75 (Pa. 1996) (citations omitted).11
    Appellant’s second claim is without merit.
    Order affirmed.
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 2/3/2015
    ____________________________________________
    11
    Moreover, we reject Appellant’s assertion that coverage of intentional acts
    would not be precluded by public policy in Pennsylvania. (See Appellant’s
    Brief, at 37). Pennsylvania caselaw is unequivocal that reimbursement from
    insurance for intentional acts is against the public policy of the
    Commonwealth. See Blackman v. Wright, 
    716 A.2d 648
    , 650 (Pa. Super.
    1998), appeal withdrawn, 
    727 A.2d 1115
     (Pa. 1998) (“in the context of
    contracts for insurance, it is against the public policy of this Commonwealth
    to provide insurance coverage for intentional acts”) (quoting State Farm v.
    Martin, 
    supra at 68
    ). Appellant attempts to distinguish numerous cases
    reflecting this policy, and draws a universal conclusion that “there is no
    blanket public policy in Pennsylvania against insurance coverage for
    intentional acts.” (Appellant’s Brief, at 37; see also id. at 32-38). We are
    unpersuaded. While many of these cases, and cases holding similarly, arose
    in the context of deliberate motor vehicle collisions, or assaults, and the like,
    our caselaw does not limit the policy preclusion to these types of cases. We
    perceive no reason or basis to read an exception into the public policy under
    the facts of this case.
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