Marroquin v. Mutual Benefit Insurance

591 A.2d 290, 404 Pa. Super. 444, 1991 Pa. Super. LEXIS 924
CourtSuperior Court of Pennsylvania
DecidedApril 11, 1991
DocketNo.82
StatusPublished
Cited by35 cases

This text of 591 A.2d 290 (Marroquin v. Mutual Benefit 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
Marroquin v. Mutual Benefit Insurance, 591 A.2d 290, 404 Pa. Super. 444, 1991 Pa. Super. LEXIS 924 (Pa. Ct. App. 1991).

Opinion

*445 FORD ELLIOTT, Judge:

This is an appeal from the order of January 17, 1990, granting appellee’s motion for summary judgment. Appellant argues that the trial court erred in finding that the “Family Car Exclusion” in a family member’s underinsurance motorist policy prohibits recovery by a resident family member where the tortfeasor is another resident family member covered by his own policy of liability insurance separate and distinct from the policy under which the underinsurance motorist benefits are claimed. We reverse and remand.

On January 19, 1989, appellant, Jose Luis Marroquin, was injured when he was struck by an automobile owned and operated by his brother, Jorge Marroquin. At the time of the accident, both appellant and his brother resided with their parents. The parent’s automobile policy was issued by appellee. This policy specifically covered two of their vehicles and provided liability coverage for family members. “Family member” was defined by the policy as any relative that lived in the same household as the named insured. Therefore, it is not disputed that appellant was insured under his parent’s policy. The policy also included one hundred thousand dollars in underinsured motorist benefits.

In addition, at the time of the accident, Jorge Marroquin, the tortfeasor, was the named insured on a separate policy, also issued by appellee, which covered only the vehicle that was involved in the accident. The policy issued to Jorge Marroquin contained the following “Family Liability Limitation”:

We do not provide Liability Coverage for any person, for ‘bodily injury’ to you or any ‘family member,’ to the extent that the limits of liability for this coverage exceed the limits of liability required by the Pennsylvania Motor Vehicle Financial Responsibility Law of 1984.

Appellant made demand on appellee for thirty-five thousand dollars, such amount being the stated liability limit of the policy issued to Jorge Marroquin. Appellee refused, asserting the above liability limitation. Appellant then executed a *446 limited release for fifteen thousand dollars, the limit of liability required by the Pennsylvania Motor Vehicle Financial Responsibility Law, 75 Pa.C.S. § 1701 et al. (Hereinafter MVFRL).

Appellant thereafter attempted to collect on the underinsured driver coverage in his parents insurance policy. The underinsured motorist section of the policy contained the following language: 1

I

We will pay damages which an “insured” is legally entitled to recover from the owner or operator of either an “uninsured motor vehicle” or “underinsured motor vehicle,” but not both, because of ‘bodily injury:’
1. Sustained by an ‘insured,’ and
2. Caused by an accident
II
‘Insured’ as used in this endorsement means:
1. ‘You or any family member.’
2. ‘Any other person’ ‘occupying’ ‘your covered auto.’
3. Any person for damages that person is entitled to recover because of ‘bodily injury’ to which this coverage applies sustained by a person described in 1. or 2. above.
‘Underinsured motor vehicle’ means a land motor vehicle or trailer of any type to which a bodily injury liability bond or policy applies at the time of the accident but the amount paid for ‘bodily injury’ under that bond or policy to an ‘insured’ is not enough to pay the full amount that the ‘insured’ is legally entitled to recover as damages.
III
In addition, neither ‘uninsured motor vehicle’ nor ‘under-insured motor vehicle’ includes any vehicle or equipment:
*447 1. Owned by or furnished or available for the regular use of you or any ‘family member.’
2. Owned by any governmental unit or agency.
3. Operated on rails or crawler treads.
4. Designed mainly for use off public roads while not on public roads.
5. While located for use as residence or premises.

The “Definitions” section of the policy further defined the terms “you” and “family member”:

IV
Throughout this policy, ‘you’ and ‘your’ refer to:
1. The ‘named insured’ shown in the Declarations; and
2. The spouse if a resident of the same household.
V.
‘Family member’ means a person related to you by blood, marriage or adoption who is a resident of your household. This includes a ward or foster child.

On the basis of the above language, appellee denied appellant’s request for underinsured motorist benefits. Appellee asserted that the “Family Car Exclusion” clause (See III, 1) specifically excludes appellant’s brother’s automobile from the definition of an underinsured motor vehicle. Appellant filed this Declaratory Judgment action seeking a declaration that the “Family Car Exclusion” is void as against public policy and contrary to the express provisions as well as the intent of the Pennsylvania Motor Vehicle Financial Responsibility Law. In the alternative, appellant argues that under the provisions of the MVFRL the “Family Car Exclusion” shall not apply to the extent that the owner and/or vehicle or equipment owned by or furnished for the regular use of the insured or any “family member” is covered by a policy of liability insurance separate and distinct from the policy under which Underinsured Motorist Benefits are claimed. Appellant and appellee filed motions *448 for the grant of summary judgment. On January 17, 1990, the trial court issued an opinion and order which determined that the “Family Car Exclusion” was neither in derogation of legislative intent in enacting the MVFRL nor a violation of public policy, thereby granting summary judgment in appellee’s favor. Most importantly, the trial court found that there existed no case law that dealt with the exact situation involved in this case. In so doing, the trial court distinguished between the rights of a “named insured” and the rights of family members who are protected under the policy but who pay no premiums. This appeal followed.

This court has often set forth the rules to be followed in deciding a motion for summary judgment:

On motions for summary judgment, the Court must consider the entire setting of the case and all of the papers that are included in the record. One who moves for summary judgment has the burden of demonstrating clearly that there is no genuine issue as to any material fact. The Court must consider both the record actually presented and the record potentially possible at the time of trial.

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Bluebook (online)
591 A.2d 290, 404 Pa. Super. 444, 1991 Pa. Super. LEXIS 924, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marroquin-v-mutual-benefit-insurance-pasuperct-1991.