Generette v. Donegal Mutual Insurance Company

957 A.2d 1180, 598 Pa. 505, 2008 Pa. LEXIS 1904
CourtSupreme Court of Pennsylvania
DecidedOctober 23, 2008
Docket16 MAP 2007
StatusPublished
Cited by69 cases

This text of 957 A.2d 1180 (Generette v. Donegal Mutual Insurance Company) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Generette v. Donegal Mutual Insurance Company, 957 A.2d 1180, 598 Pa. 505, 2008 Pa. LEXIS 1904 (Pa. 2008).

Opinions

OPINION

Justice BAER.

In this case, we consider the interaction between 75 Pa.C.S. § 1733,1 governing the priority of recovery of uninsured or underinsured motorist insurance under the Motor Vehicle Financial Responsibility Law (“MVFRL”), and the MVFRL’s provision for the waiver of stacking of underinsured motorist coverage, 75 Pa.C.S. § 1738.2 We hold that the Superior Court erred in concluding that the MVFRL provision relating to stacking and waiver applied to the Appellant, who was not an “insured” as defined by the MVFRL. Additionally, we hold that a portion of the “Other Insurance” clause in the Appellant’s policy with Donegal Mutual Insurance Company (“Donegal”) is non-enforceable because it conflicts with the public policy of the MVFRL to provide “excess” rather than “gap” underinsured motorist coverage. For the following reasons, we reverse the grant of summary judgment to Done-gal and remand to the trial court for further proceedings.

On April 29, 1997, Josephine Generette (“Appellant”) suffered injuries while riding as a guest passenger in a motor vehicle that collided with a third-party tortfeasor’s vehicle. Appellant recovered $25,000 under the third-party tortfeasor’s liability insurance policy. As her injuries exceeded the liability coverage provided by the tortfeasor, Appellant also recovered $50,000 from Nationwide Insurance Company, which provided underinsured motorist (“UIM”) coverage for the car in which she was a guest passenger, hereinafter “Nationwide-[509]*509UIM.” Appellant sought coverage for her remaining claims under her own policy with Donegal for underinsured motorist coverage, hereinafter “Donegal-UIM.”3 As relevant to the issues at bar, Appellant contracted for $35,000 of UIM coverage on the single vehicle insured through her Donegal-UIM policy and waived her ability to “stack” her coverage, as discussed in detail below. The parties stipulate that Appellant received premium reductions for each of the relevant renewal periods due to her waiver of stacking and her choice to reduce her UIM coverage from $100,000 to $35,000.

Donegal denied coverage for the April 1997 accident based on a provision in the policy entitled “Other Insurance.”4 The [510]*510“Other Insurance” clause was included in her policy to implement the waiver of stacked UIM benefits. It limited recovery of UIM coverage under the Donegal-UIM policy to the amount by which the Donegal-UIM policy’s coverage limit exceeded the coverage of the UIM policy at the first priority level. Accordingly, Donegal denied coverage claiming that her $35,000 coverage limit on her Donegal-UIM policy did not exceed the $50,000 of coverage provided by the Nationwide-UIM policy, the first priority policy.

Following Donegal’s denial of her claim, Appellant filed a declaratory judgment action in the Court of Common Pleas of York County. As is relevant to the issues before this Court, she asked the trial court to declare the “Other Insurance” clause of the Donegal-UIM policy void as against public policy and that Appellant could recover benefits under the DonegalUIM policy. In response, Donegal requested a declaratory judgment “that (1) the amount of UIM coverage available to [Appellant] under the Policy is $35,000 on a non-stacked basis and (2) [Appellant] is not entitled to receive any additional underinsured motorist benefits because of the non-stacked election in her Policy with Donegal Mutual.” Donegal Answer and New Matter, at 4. In so arguing, Donegal invoked the “Other Insurance” clause, which as previously stated, Donegal read to bar any additional coverage because her $35,000 coverage limit on her Donegal-UIM policy, the second priority policy, did not exceed the $50,000 of coverage provided by the Nationwide-UIM policy, the first priority policy.

As is relevant to the issues before this Court, in July 2002, the trial court denied Appellant’s motion for summary judgment finding that the waiver of stacking was valid and that the language of the Donegal-UIM policy did not violate public policy. In June 2003, the trial court granted Donegal’s motion for summary judgment concluding that Appellant’s waiver of [511]*511stacking was valid and enforceable and not against public policy.5 After Appellant filed for reconsideration, the trial court denied the motion.

Appellant appealed the grant of summary judgment to the Superior Court. In her statement of matters complained of on appeal, Appellant asserted, “the trial court’s granting of summary judgment in favor of the Defendant as to Appellant’s waiver of stacking of underinsured motorist benefits was in error.” 6 Appellant’s Statement of Matters Complained of on Appeal, at 1. In support of that statement, she argued that the trial court’s decision conflicted with the Superior Court’s recent decision in Nationwide Mutual Insurance Co. v. Harris, 826 A.2d 880 (Pa.Super.2003), holding that inter-policy stacking was not waivable under single vehicle policies.

A three-judge panel reversed the trial court’s decision in July 2004, finding the stacking waiver did not apply to the facts of Appellant’s case and instead, concluding that recovery under the Donegal-UIM policy was proper pursuant to the MVFRL’s priority of recovery provision, Section 1733.7 Su[512]*512per. Ct. Panel Slip Op. at 5-6.8 The panel reversed the grant of summary judgment to Donegal and remanded the case.

Judge Joyce filed a dissenting opinion. The dissent framed the case as “another instance of an auto insurance customer who makes a coverage decision that results in monetary savings, and then sues the carrier after being injured and realizing that more or better coverage would have been available absent that cost-saving decision.” Super. Ct. Slip Op. at 1 (Joyce, J., dissenting). The dissent applied the “Other Insurance” clause, limiting recovery of UIM coverage to the amount by which the first priority policy’s coverage is exceeded by the coverage at the second priority level. Thus, according to the dissent, Appellant could not recover under the second priority Donegal-UIM policy because that policy had a coverage limit of $35,000, which did not exceed the $50,000 already recovered from the Nationwide-UIM policy, which was in the first priority.9

Donegal sought reargument en banc, which was granted. Upon reargument, the majority of the en banc panel adopted the former dissenting opinion with only minor revisions in September 2005. We will not restate the argument explained [513]*513above, but merely note that the majority concluded that the Appellant could not recover under the Donegal-UIM policy because she waived stacking and the “Other Insurance” clause applied to bar recovery.

Judge Ford Elliott, however, authored a dissent joined by Judges Bender and Panella, which serves as the basis of Appellant’s current appeal.10 The dissent argued that the case did not involve stacking but instead priority of recovery, under Section 1733.

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Bluebook (online)
957 A.2d 1180, 598 Pa. 505, 2008 Pa. LEXIS 1904, Counsel Stack Legal Research, https://law.counselstack.com/opinion/generette-v-donegal-mutual-insurance-company-pa-2008.