Demmery v. National Union Fire Insurance

232 A.2d 21, 210 Pa. Super. 193, 1967 Pa. Super. LEXIS 983
CourtSuperior Court of Pennsylvania
DecidedJune 16, 1967
DocketAppeal, No. 58
StatusPublished
Cited by24 cases

This text of 232 A.2d 21 (Demmery v. National Union Fire Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Demmery v. National Union Fire Insurance, 232 A.2d 21, 210 Pa. Super. 193, 1967 Pa. Super. LEXIS 983 (Pa. Ct. App. 1967).

Opinion

Opinion by

Watkins, J.,

This is an appeal from a judgment entered on the pleadings, by the Court of Common Pleas of Dauphin [195]*195County, in favor of the defendant-appellee, National Union Fire Insurance Company and against the plaintiffs-appellants, Wayne E. Demmery and Robert Rivetti. Tbe matter was before tbe court below on motions by both parties for judgment on tbe pleadings. Tbe court below aptly stated tbe issue involved as follows:

“Tbe question involved is tbe right of an insurance company, in a policy in wbicb medical payment coverage is one of tbe risks, to provide that upon making such medical payments to tbe insured or bis guest passengers tbe company shall be subrogated to tbe rights of tbe insured or the person receiving such payments. Plaintiffs take the position that such provision in a policy of insurance is against public policy and void and that tbe company must make tbe medical payments regardless of tbe fact that tbe insured or other beneficiary has recovered from tbe tortfeasor and has given him a release, thus making it impossible for the company to be subrogated.

“Tbe defendant company on the other band avers that tbe subrogation provision in the policy is valid; not contrary to public policy; and that since the plaintiffs cannot and will not execute tbe required agreement of subrogation tbe company need not make tbe medical payments.1” They brought suit against tbe [196]*196driver of the other automobile and settlement was reached and both were paid in settlement of their claims. The court below points out that: “Although plaintiffs deny prior knowledge of the fact they admit that defendant became obligated to make a contribution in the amount of $1,625 in settlement of the claim of Bivetti against the tortfeasor, in which Demmery was joined as a third-party defendant.”

Defendant was duly notified of the accident and that both plaintiffs were injured and would present [197]*197claims under the medical payment plan. The company insisted that it would not pay until the necessary subrogation instruments were executed.

There is a rule of law forbidding the assignment of personal injury claims in tort. Sensenig v. Pennsylvania Railroad Co., 229 Pa. 168, 172, 78 A. 91 (1910): “A right of action strictly personal is not assignable and the general doctrine is, both in law and equity, that a right of action for a pure tort is not the subject of assignment: . . .”. See also: Marsh v. Western N. Y. & Pa. Ry. Co., 204 Pa. 229, 53 A. 1001 (1908); Sniderman v. Nerone, 336 Pa. 305, 9 A. 2d 335 (1939), affirming per curiam 136 Pa. Superior Ct. 381, 7 A. 2d 496 (1939).

However, reasoning in more modern decisions makes a clear distinction between assignment of a tort action and subrogation of medical payments under a contract. “Subrogation presupposes an actual payment and satisfaction of the debt or claim to which the party is subrogated, although the remedy is kept alive in equity for the benefit of the one who made the payment under circumstances entitling him to contribution or indemnity, while assignment necessarily contemplates the continued existence of the debt or claim assigned. Subrogation operates only to secure contribution and indemnity, whereas an assignment transfers the whole claim.” 6 C.J.S. Assignments §2(b)(12) 1937.

The court below in an able opinion by R. Dixon Herman, J., reviewed the cases of our own and other jurisdictions and we adopt his careful analysis:

“In Michigan, in 1954, in Michigan Medical Service v. Sharpe, 339 Mich. 574, 64 N.W. 2d 713 (1954), the Supreme Court of that State had before it the case of one Sharpe who had been injured in an automobile accident and who had received medical payments from Michigan Medical Service under a policy or contract containing a subrogation clause. (In a companion [198]*198case arising out of the same accident and involving Michigan Hospital Service and a policy or contract which did not contain a subrogation clause, the right of subrogation was denied.) The court, in here upholding the subrogation agreement, said: ‘The subrogation clause and its provision that the subscriber and his dependents shall execute and deliver such assignments of claim or other papers as may be necessary to secure plaintiff’s rights against a tortfeasor are binding on the subscriber and his dependents who accepted benefits under the certificate. . .’ (64 N.W. 2d 713, 714) See Annot., 43 A.L.R. 2d 1177-78 (1955).

“The Superior Court of New Jersey, in Smith v. Motor Club of America Ins. Co., 54 N.J. Super. 37, 148 A. 2d 37 (1959), aff’d, 56 N.J. Super. 203, 152 A. 2d 369 (1959), had before it a suit which had been brought by a passenger of an insured against her insurance carrier seeking the recovery of medical expenses previously paid by a tortfeasor. The insurance policy there had a subrogation clause and the requirement that before payments were made under the policy a subrogation agreement should be signed. In the absence of such signed subrogation agreement the company refused to pay. Plaintiff, in demanding payment, based her claim on the principle that such subrogation agreement was illegal and void as against public policy. The court held in favor of the insurance carrier, pointing out that the legislature declares the policy and having clothed its insurance commissioner with authority to strike out clauses in insurance policies unfair and inequitable, and he having failed to strike out the subrogation clause it was not against public policy.2

[199]*199“In Damhesel v. Hardware Dealers Mutual Fire Ins. Co., 60 Ill. App. 2d 279, 209 N.E. 2d 876 (1965), the appellate court of Illinois had before it a case on all fours with the instant case and in the same procedural posture; i.e., motion for judgment on the pleadings. The court had no hesitation in finding that the subrogation clause was valid and not contrary to public policy and that the person demanding the medical payments having executed a general release to the tortfeasor and thus being unable to comply with the subrogation clause in the contract, could not recover. This subrogation clause was, word for word, identical with the clause in the policy in the instant case. Illinois clearly forbids ‘assignment of a personal tort’ and the court points out that the subrogation clause here does not constitute an assignment of a personal tort, quoting in part from 6 C.J.S., Assignments §2 (b)(12) (1937): (supra) . . .

“A parallel case in the same jurisdiction, Bernardini v. Home and Automobile Ins. Co., 64 Ill. App. 2d 465, 212 N.E. 2d 499 (1965), was decided the same way and here it was also pointed out that since the insurance department was vested by the legislature with duties concerning the enforcement of insurance laws and since the department took no action against the policy in question, it was not contrary to public policy.

“Lower courts in both Ohio and New York have reached the same conclusion that for one reason or another a subrogation clause concerning medical payment benefits in insurance policies is valid and enforceable. See Miller v. Liberty Mutual Fire Ins. Co., 48 Misc. 2d 102, 264 N.Y. Supp. 2d 319. (1965); Travelers Ins. Co. v. Lutz, 3 Ohio. Misc. .144; 210 N.E. 2d 755 (1964). The Ohio case points out that an insured and an insurance company should be able to contract for this subrogation because it does not result in any unfair or improper result and is not against public policy.

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Bluebook (online)
232 A.2d 21, 210 Pa. Super. 193, 1967 Pa. Super. LEXIS 983, Counsel Stack Legal Research, https://law.counselstack.com/opinion/demmery-v-national-union-fire-insurance-pasuperct-1967.