Fandray v. Nationwide Mutual Insurance

459 A.2d 801, 313 Pa. Super. 186, 1983 Pa. Super. LEXIS 2887
CourtSuperior Court of Pennsylvania
DecidedApril 15, 1983
Docket124
StatusPublished
Cited by10 cases

This text of 459 A.2d 801 (Fandray v. Nationwide Mutual 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
Fandray v. Nationwide Mutual Insurance, 459 A.2d 801, 313 Pa. Super. 186, 1983 Pa. Super. LEXIS 2887 (Pa. Ct. App. 1983).

Opinion

VAN der VOORT, Judge:

Appellant was injured in an automobile accident and filed a claim for certain No-Fault Motor Vehicle Insurance benefits with appellee-insurer (Nationwide). The specific claim here at issue which was rejected by the insurer, is for replacement services loss. Appellant pressed his claim and won an award before a Board of Arbitrators in the amount of $85 for replacement services and $525 for counsel fees based on appellant’s need to bring suit to enforce his claim. Nationwide took an appeal to the Court of Common Pleas. After the presentation of the evidence, the court directed a verdict in favor of Nationwide. Appellant’s motion for a new trial was denied and this appeal was taken.

Appellant lists five issues in his brief but as he implicitly acknowledges by consolidating the issues into one argument, there is only one issue for us to address. Appellant’s complaint lies in the lower court’s direction of a verdict for defendant based on the court’s determination that the damages claimed were not within the intended scope of replacement services loss.

We turn to the definitional section of the No-fault Act, 40 P.S. § 1009.103.

Loss means accrued economic detriment resulting from injury arising out of the maintenance or use of a motor vehicle consisting of, and limited to, allowable expense, work loss, replacement service loss, and survivor’s loss. Replacement service loss is defined as:
Replacement services loss’ means expenses reasonably incurred in obtaining ordinary and necessary services in *189 lieu of those the victim would have performed, not for income, but for the benefit of himself or his family, if he had not been injured.

Further, under the insurance policy there is a similar provision which reads as follows:

REPLACEMENT SERVICES EXPENSES We will pay reasonable expenses incurred for hiring ordinary and necessary services an insured would have performed— but not for income — for himself and his family had he not been injured. Such expenses must be incurred during the insured’s lifetime. In connection with any one accident, we will pay this benefit up to a maximum of $25 per day for a maximum of one year.

Here appellant’s claim is for reimbursement of monies expended to install an A-frame bushing on his car ($35.00); and install a garage door opener ($50.00). 1 Further explanation is required. Appellant and wife maintained two automobiles, neither was involved in the accident at hand. One of the automobiles allegedly required the replacement of a bushing in order to comply with the state inspection requirements. Appellant contended that but for his injuries, he would have undertaken the bushing replacement himself, instead he was unable to do it and required another to perform the repairs. On a similar note is the claim for the installment cost of the garage door opener. The device was purchased prior to the accident with the intention that appellant would install it himself. Due to his injuries he was incapable of performing the installation and had to rely on the paid for assistance of others.

Appellant argues that as a matter of law the trial judge erred in withdrawing from the jurors’ consideration the question whether such expenses come within the definition supplied by § 103.

On a motion for a directed verdict the court should accept as true all facts and proper inferences which support the contention of the party against whom the motion has been *190 made and must reject all testimony and inferences to the contrary. Correll v. Werner, 293 Pa.Superior Ct. 88, 437 A.2d 1004 (1981); Stephens v. Carrara, 265 Pa.Superior Ct. 102, 401 A.2d 821 (1979); Hogan v. Bryn Mawr Hospital, 250 Pa.Superior Ct. 109, 378 A.2d 477 (1977). Here the trial court, in essence found that as a matter of law, the expenses of the bushing replacement and garage door opener installation were not “replacement services loss.” The trial court reasoned that as appellant had never before installed a garage door opener and had only replaced a bushing on a vehicle once before, years earlier, the expenses were not “ordinary and necessary” within the Act.

Like many of the cases that our appellate courts have faced concerning No-fault, the current controversy is a case of first impression in Pennsylvania. While the legislature has defined “replacement service loss”, such definition does not contain a list of examples to assist parties and the courts in applying it. We look to other jurisdictions as well as the dictionary for assistance. We find that the services claimed here could possibly come within the scope of “replacement services loss.”

For the purpose of this appeal the following phrases require defining: “reasonably incurred” and “ordinary and necessary services.” Even though the parties have stipulated that the claimed expenses were “reasonably incurred, we find it beneficial for the resolution of this controversy to expound upon such phrase. The “replacement services loss” provision must be construed as a whole and not as separate clauses.

Webster’s New Collegiate Dictionary (1980 Ed.) defines reasonable as “agreeable to reason;” “not extreme or excessive”, “having the faculty of reason”; “possessing sound judgment.” Jamison v. Utah Home Fire Ins. Co. Utah, 559 P.2d 958, 961 (1977) defined “reasonably incurred”, within the context of No-fault; by asking whether it was reasonable that a family would hire someone else to perform the tasks. The emphasis must be placed on whether a person exercising sound judgment would have paid another to perform the chore.

*191 Webster’s defines “ordinary” as “a kind to be expected in the normal order of events”; of common quality, rank, or ability.” Black’s Law Dictionary, 4th Ed.Rev. defines “ordinary” as “regular; usual; normal; common; often recurring; according to established order; settled; customary; reasonable; not characterized by peculiar or unusual circumstances; belonging to, exercised by, or characteristic of the normal or average individual.” (Citations omitted) See also, Zulich v. Bowman, 42 Pa. (6 Wright) 83, 87 (1862). “Necessary” is defined by Webster’s as: “of an inevitable nature;” logically unavoidable”; absolutely needed”; required.” Black’s points out that in defining necessary, one must consider the connection in which it is used. Necessary “may mean something which in the accomplishment of a given object cannot be dispensed with.” We find that the meaning of “ordinary and necessary services” for the purpose of this appeal may be expressed as: those services which must be performed for a particular household to continue its normal operation.

We have little difficulty in finding that both expenses were “reasonably incurred.” In Jamison,

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Bluebook (online)
459 A.2d 801, 313 Pa. Super. 186, 1983 Pa. Super. LEXIS 2887, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fandray-v-nationwide-mutual-insurance-pasuperct-1983.