Aetna Casualty & Surety Co. v. Hameen

758 F. Supp. 1049, 1990 U.S. Dist. LEXIS 16193, 1990 WL 271079
CourtDistrict Court, E.D. Pennsylvania
DecidedNovember 28, 1990
DocketCiv. A. 90-7074
StatusPublished
Cited by9 cases

This text of 758 F. Supp. 1049 (Aetna Casualty & Surety Co. v. Hameen) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aetna Casualty & Surety Co. v. Hameen, 758 F. Supp. 1049, 1990 U.S. Dist. LEXIS 16193, 1990 WL 271079 (E.D. Pa. 1990).

Opinion

MEMORANDUM AND ORDER

VANARTSDALEN, Senior District Judge.

Plaintiff Aetna Casualty & Surety Company (Aetna) has filed this action seeking a declaratory judgment concerning the limits of coverage in an uninsured motorist policy that it wrote for the defendant Najeebah Harneen. Defendant has filed a motion to dismiss which plaintiff opposes. For the reasons described in this memorandum, I will grant defendant’s motion.

A. BACKGROUND

Aetna issued an automobile insurance policy to Harneen which provided for uninsured motorist coverage. As a result of an alleged accident on July 17, 1989, Harneen has made an uninsured motorist claim under the Aetna automobile insurance policy. Aetna and Harneen dispute the amount of coverage that she is entitled to under the policy. Aetna asserts that the limits of coverage are $15,000/$30,000.00; Harneen counters that the upper limits of coverage under the policy are $100,000/$300,000.00.

Aetna filed the present declaratory judgment action based on diversity jurisdiction. Both parties agree that Pennsylvania law applies to this case. Aetna seeks a declaration that the maximum amount that plaintiff may be awarded is $15,000, and that Aetna’s maximum exposure in 'the underlying uninsured motorist claim is $15,-000.00.

Harneen has filed a motion to dismiss for failure to state a claim upon which relief can be granted pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure. Ha-rneen argues that the insurance policy contains an arbitration clause requiring that the present dispute be submitted to a panel of arbitrators. Harneen has attached a copy of the arbitration agreement as Exhibit A to her brief. The exact language of the arbitration clause reads as follows:

If we and a covered person do not agree:
1. Whether that person is legally entitled to recover damages under this Part; or
2. As to the amount of damages; either party may make a written demand for arbitration.... A decision agreed to by two of the arbitrators [of a panel of three] will be binding as to:
1. Whether the covered person is legally entitled to recover damages; and
2. The amount of damages.

See Exhibit A to Brief of Defendant in Support of Defendant’s Motion to Dismiss under Federal Rule of Civil Procedure 12(b) (emphasis in original).

In its answer to Hameen’s motion, Aetna does not deny that the policy contains the quoted arbitration agreement. Rather, Aetna argues that the two issues covered by the arbitration agreement (fault and amount) are not raised by this action for declaratory judgment which concerns only coverage. Aetna asserts that questions of coverage are proper for judicial resolution and cites two Third Circuit cases and one from the Eastern District of Pennsylvania in support of its argument. See Prudential Property and Casualty Ins. Co. v. Pendleton, 858 F.2d 930 (3d Cir.1988); LaCourse v. Firemen’s Ins. Co. of Newark, N.J., 756 F.2d 10 (3d Cir.1985); Nonemacher v. Aetna Casualty and Surety Co., 710 F.Supp. 602 (E.D.Pa.1989).

B. SCOPE OF THE ARBITRATION AGREEMENT

The cases cited by Aetna, as well as other Third Circuit cases, are all diversity cases applying Pennsylvania law. See Metropolitan Property and Liab. Ins. Co. v. Streets, 856 F.2d 526 (3d Cir.1988); Myers v. State Farm Ins. Co., 842 F.2d 705 (3d Cir.1988). They clearly hold that under Pennsylvania law, questions of coverage are subject to judicial determination, not arbitration. While these cases correctly reflect the state of Pennsylvania law at the time they were decided, the courts did not then have the guidance of a ruling by the Pennsylvania Supreme Court on this issue. Streets notes that prior decisions are controlling “unless [they] have been under *1051 mined by subsequent developments.” Streets at 529.

On April 27, 1990, the Pennsylvania Supreme Court addressed the question of exactly what matters are encompassed by an arbitration agreement in an automobile insurance policy in Brennan v. General Accident Fire and Life Assurance Corp., 524 Pa. 542, 574 A.2d 580 (1990). That case concerned the insurance company’s ability to “set-off” any payments the insured received from a third party settlement, thus lowering the amount of underinsurance coverage provided by the insurance company’s policy.

The policy language in Brennan stated that:

ARBITRATION
If we and the covered person disagree whether that person is legally entitled to recover damages from the owners or operator of an underinsured motor vehicle, or do not agree as to the amount of damages, either party may make a written demand for arbitration.... A decision agreed to by two of the arbitrators will be binding.

Brennan, 524 Pa. at 547-48, 574 A.2d at 582 (emphasis in original). The language interpreted by the Pennsylvania Supreme Court in Brennan is virtually identical to the language in the Aetna policy at issue, except that Brennan concerned underin-sured, rather than uninsured, motor vehicles, a distinction unimportant to the underlying legal analysis.

In Brennan the Pennsylvania Supreme Court held:

A review of the language of the arbitration clause reveals that arbitration is mandated whenever the insured and the insurer disagree as to when a party is legally entitled to recover damages. There is no limit to the jurisdiction of the arbitrators over what issues may be submitted and in fact the policy declares that all disputes between the insurance company and the insured will be arbitrated. The instant dispute, in its broadest sense, involves a disagreement as to the amount of damages which Appellant [the insured] would and could possibly receive under the policy. This court has held, since the insurance policy was written by Appellee [the insurance company], any ambiguity will be interpreted against Appellee. National Grange Mutual Insurance Co. v. Kuhn, 428 Pa. 179, 236 A.2d 758 (1968).

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758 F. Supp. 1049, 1990 U.S. Dist. LEXIS 16193, 1990 WL 271079, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aetna-casualty-surety-co-v-hameen-paed-1990.