Marryshaw v. Nationwide Mutual Insurance

13 Pa. D. & C.3d 172, 1979 Pa. Dist. & Cnty. Dec. LEXIS 72
Pennsylvania Court of Common Pleas, Monroe County·Decided December 31, 1979·No. no. 456·Published·Cited by 2 cases

Opinion

WILLIAMS, S.J.,

Merle A. Marryshaw, plaintiff, has filed the instant motion for partial summary judgment in the assumpsit action which she brought against Nationwide Mutual Insurance Company, defendant, upon a policy of No-fault insurance, No. 58B-766-391, issued by defendant. It appears that defendant already has paid hospital bills totalling $11,359 and that the occasion for bringing the action was defendant’s refusal to calculate and pay, in addition thereto, no-fault work loss benefits under section 205(c) of the Pennsylvania No-fault Motor Vehicle Insurance Act of July 19, 1974, P.L. 489, 40 P.S. §1009.205(c), which provides that, for a victim who has not previously earned income from work, “probable annual income,” absent a showing that it is or would be some other amount, means the average gross income of a production or nonsupervisory worker in the private nonfarm economy in the state in which the victim is domiciled for the year in which the accident resulting in injury occurs. After defendant filed an answer, the deposition of Merle A. Marryshaw was taken. From this, it appears that she was injured on September 9, 1978, her 19th birth[174] day, as the result of being struck by a car while she was crossing the highway. At Pocono Mountain High School, she had pursued the academic course and had graduated on June 15, 1978. For a week prior to the accident, she had been enrolled as a full-time student at East Stroudsburg State College majoring in psychology. Merle A. Marryshaw never has been gainfully employed, but during the summer months she helped her parents around the house. At the time of the deposition, she was scheduled for a second operation involving the re-breaking of her leg, in September 1979.

By moving for partial summary judgment, counsel for plaintiff, in effect, request the court to render an interlocutory determination (a) that defendant is generally responsible to plaintiff for work loss benefits under the facts pleaded; and (b) that it is defendant’s duty under the act to compute these benefits. Although not specifically provided for, this type of determination has been rendered desirable, if not indispensable, by the distinctive structure of the No-fault Act itself. Whereas the conventional tort action — with relation to damages for future loss of earnings or impairment of earning capacity — requires judgment for a lump sum estimated in advance of actual monetary loss,* the No-fault Act requires a pay-as-you-go procedure. Section 106(a), 40 P.S. §1009.106(a), provides, in pertinent part:

“Section 106. Payment of claims for no-fault benefits
[175] “(a) In general. — (1) No-fault benefits are payable monthly as loss accrues. Loss accrues not when injury occurs, but as allowable expense, work loss, replacement services loss, or survivor’s loss is sustained. (2) No-fault benefits are overdue if not paid within thirty days after the receipt by the obligor of each submission of reasonable proof of the fact and amount of loss sustained ...” (Emphasis supplied.)

Under the act, the obligation to pay compensation progresses by keeping equal pace, in monthly accrual increments, with the developing situation of the victim as it is related to expenses and to physical and mental condition. Where proposed rehabilitative programs are in question, sections 401 through 406, 40 P.S. §1009.401-406, specifically provide for a determinative order to be made by the court upon the factual basis then existing. In a more general sense, analogous procedure is essential whenever dispute arises concerning application of the law to a changing body of facts at intervals during the fife of the insurance coverage.

Stated in the most simple terms, defendant disclaims responsibility to plaintiff for work loss because, prior to the accident, she never was gainfully employed and, in the future, when she has recovered sufficiently from her injuries, she plans to continue as a full-time student at East Stroudsburg State College, which might be expected to preclude gainful employment so long as that status continues. This view fads to take into consideration the established principle of Pennsylvania tort law that impairment of earning capacity resulting from physical or mental injury caused by an accident is a legitimate element of damages, [176] and that proof of this element does not depend upon showing that, at some time, the victim was gainfully employed. Accordingly, such damages have been awarded to a three-year-old child: Campbell v. Philadelphia, 252 Pa. 387, 97 Atl. 456 (1916); to minors, each seven years old: Fedorawicz v. Citizens’ Electric Illuminating Co., 246 Pa. 141, 92 Atl. 124 (1914); O’Hanlon v. Pittsburgh Railways Co., 256 Pa. 394, 100 Atl. 972 (1917); to an eight-year-old girl, Brzyski v. Schreiber, 314 Pa. 353, 171 Atl. 614 (1934); to a ten-year-old boy: Allen v. Buffalo, R. & P. Ry., 274 Pa. 518, 118 Atl. 490 (1922); and to a high-school student, 18 years old at the time of the accident: Fisher v. Schlegel, 26 Berks 57 (1933), affirmed 315 Pa. 390, 172 Atl. 658 (1934). A case comparable to the instant case in a number of respects may be found in Frankel v, Todd, 260 F. Supp. 772 (E.D. Pa. 1966), reversed in 393 F. 2d 435 (3d Cir. 1968). There, the plaintiff was a 19-year-old student at East Stroudsburg State Teachers College at the time of the accident, May 13, 1961. She sustained fractures of the pelvic bones which resulted in a distortion of the pelvic ring, shifting the right side upward leaving the crest of the right hip one-half inch higher than the left. The deformity was permanent and could not be corrected. Despite seven weeks’ hospitalization, plaintiff was able to graduate in normal time. From graduation until the time of trial, she was employed fall time as an elementary school teacher. It does not appear in the report that she had been gainfully employed previously thereto. She was able to perform her duties despite the deformity, although it caused her to be slower in getting around and created discomfort in the form of backaches. The district court held that plaintiff had failed to carry the burden of establishing impairment of earning [177] capacity. On appeal, the circuit court reversed and remanded with directions to grant a new trial. Circuit Judge Kalodner said, 393 F. 2d 438, 439, 440:

“It is settled Pennsylvania law that where there is evidence that a plaintiff has suffered disabling permanent injury, it is a jury question as to whether such injury will ‘shorten’ his ‘economic horizon’ and thereby result in a future loss of earning power.
“The Pennsylvania Supreme Court has ruled, time and again, that the circumstance that a plaintiffs earnings are higher after his injury than before it, is not a bar to recovery of damages for impairment of earning power, where impairment is of disabling effect.
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Marryshaw v. Nationwide Mutual Insurance, 13 Pa. D. & C.3d 172, 1979 Pa. Dist. & Cnty. Dec. LEXIS 72 (Pa. Super. Ct. 1979).

13 Pa. D. & C.3d 172 (Marryshaw v. Nationwide Mutual Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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