Nationwide Insurance v. Pennsylvania Insurance Department

779 A.2d 14, 2001 Pa. Commw. LEXIS 362
CourtCommonwealth Court of Pennsylvania
DecidedJune 13, 2001
StatusPublished
Cited by9 cases

This text of 779 A.2d 14 (Nationwide Insurance v. Pennsylvania Insurance Department) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nationwide Insurance v. Pennsylvania Insurance Department, 779 A.2d 14, 2001 Pa. Commw. LEXIS 362 (Pa. Ct. App. 2001).

Opinion

COLINS, Judge.

Before the Court is the appeal of Nationwide Insurance Company from an order of Diane Koken, Insurance Commissioner, that affirmed a determination by the Insurance Department (Department) that the cancellation of the Jason Manley automobile insurance policy was in violation of Act 68. 1 The principle issue at hand involves the interpretation of Section 2006 of Act 68, 40 P.S. 991.2006, relating to time restrictions governing cancellation of insurance policies for non-payment of premiums. We conclude the Department did not abuse its discretion in granting the appeal nunc pro tunc; further, we conclude that the Department’s decision on the merits is not in error.

On April 18, 2000 the Insurance Commissioner held a hearing on the timeliness *16 of the request for review as well as the merits of the policy termination. At the hearing, it was learned that Manley paid his Nationwide automobile insurance policy premium through a monthly payment plan. Pursuant to that arrangement, on October 8, 1999 Manley forwarded a check in the amount of $80.44 to his Nationwide agent together with the billing document. (Notes of Testimony February 2, 2000, p. 95.) Rather than process the payment per the usual arrangements Nationwide returned the check to Manley together with a note from the agent indicating that the account was paid in full until November 7, 1999, and advising Manley that a $182.60 payment was required for him to return to the monthly payment plan. (Notes of Testimony, February 2, 2000, p. 95; Original Record, Defendant’s Exhibit A.) Manley received no further notices from his agent or Nationwide. On November 15, 1999, Manley’s Nationwide agent became disaffiliated with the company.

In late December 1999 Manley’s automobile was involved in a car accident. Manley, upon contacting Nationwide regarding the accident, learned of the cancellation of his insurance policy. On January 19, 2000, Manley filed a request to appeal nunc pro tunc and review of the cancellation. Nationwide challenged the appeal as untimely and lacking in merit since the policy cancellation was proper and in accordance with the dictates of Act 68.

At the hearing before the Insurance Commissioner, both parties were represented. In support of its case, Nationwide introduced computer activity logs indicating that a November 10, 1999 warning letter was mailed to Manley advising him that failure to pay the premium within 15 days would result in termination of his automobile policy, effective November 25, 1999. It was further noted that the activity logs indicate no further payments were posted to Manley’s account.

Manley testified that he paid his premium at the office of his insurance agent. He testified that on several occasions his mail was either not delivered or misdeliv-ered. He testified that because of the mail problem, he made arrangements with the phone company to pay his bills. His testimony is that after receiving the-note and check from his agent he expected to receive a billing notice from Nationwide. Manley did not make any further payments as he was awaiting the receipt of a bill. He testified that he received no notice and he did not learn of the cancellation of his auto insurance policy until he contacted Nationwide in late December 1999 or early January 2000. Upon learning of the cancellation, he promptly requested a review of the cancellation.

In sustaining the appeal, the Insurance Commissioner observed that Nationwide could not produce a copy of the warning/termination notice, a certificate of mailing, a template or an exemplar of the form used to generate the warning/termination notice, or testimony that the notice was never returned to the insurer. (Notes of Testimony, February 2, 2000, pp. 53-94; Exhibit N-l.) It was found that fewer than 15 days elapsed between Nationwide’s November 10, 1999 mail date and the November 25, 1999 cancellation date. Based thereon, the Insurance Department concluded that Nationwide’s warning/termination notice did not comply with the mandates of Act 68. The Commissioner affirmed, based in part on the credible testimony of Manley, and in part on its own interpretation of Act 68. Nationwide now appeals to this Court.

Our initial review concerns the propriety of the grant of a request to appeal nunc pro tunc and as such is governed by the abuse of discretion standard. Nunc *17 pro tunc relief may be granted where there is evidence of a breakdown in the postal system. Walker v. Unemployment Compensation Board of Review, 75 Pa.Cmwlth. 116, 461 A.2d 346 (1983).

The Insurance Commissioner permitted a nunc pro tunc appeal based on the credible testimony of Manley and his mother that a cancellation notice from Petitioner was never received at their residence and that there were sporadic problems with mail delivery at their residence. That credible testimony was sufficient to support the Insurance Commissioner’s grant of nunc pro tunc relief. Accordingly, we conclude there was no error or abuse of discretion in granting the requested relief. We turn now to the merits.

Our review of the merits of the decision is limited to determining whether constitutional rights were violated, errors of law were committed, or whether the findings of fact were not supported by substantial evidence. Donegal Mutual Insurance Company v. Pennsylvania Department of Insurance, 694 A.2d 391 (Pa.Cmwlth.1997). The insurer has the burden of proving compliance with the statutory requirements for cancellation of an automobile policy of insurance. Id. The notice of cancellation must be in strict accordance with the provisions of Act 68. An insurance policy may be cancelled by mailing to the named insured, at the address shown in the policy, a written notice of cancellation. If the notice sets forth a time period in which intervening action may negate the cancellation, the cancellation shall not become effective until the expiration of the time period. Donegal; Prudential Property and Casualty Insurance Company v. Safeguard Mutual Insurance Company, 528 F.Supp. 709 (E.D.Pa.1981). A mere denial that the item was received is not sufficient to overcome the presumption that the item was received. Donegal.

Nationwide contends that Manley’s mere assertion that he was having trouble with his mail was insufficient as a matter of law to support the conclusion that Nationwide improperly cancelled the Manley automobile insurance policy. Additionally, it is argued that the evidence of record supports a finding that the policy was can-celled in accord with Act 68.

Nationwide credits the testimony of Patrick Madigan, who explained that the computer printouts show the dates on which certain actions were taken and the type of notices sent, as being sufficient to support its burden, and Nationwide relies on Done-gal as support for this contention.

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Bluebook (online)
779 A.2d 14, 2001 Pa. Commw. LEXIS 362, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-insurance-v-pennsylvania-insurance-department-pacommwct-2001.