Nationwide Insurance v. Schneider

69 Pa. D. & C.4th 94, 2004 Pa. Dist. & Cnty. Dec. LEXIS 297
CourtPennsylvania Court of Common Pleas, Delaware County
DecidedOctober 7, 2004
Docketno. 03-1680
StatusPublished
Cited by1 cases

This text of 69 Pa. D. & C.4th 94 (Nationwide Insurance v. Schneider) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Delaware County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nationwide Insurance v. Schneider, 69 Pa. D. & C.4th 94, 2004 Pa. Dist. & Cnty. Dec. LEXIS 297 (Pa. Super. Ct. 2004).

Opinion

BURR, J.,

The defendant, Paul P. Schneider, has appealed from the order granting the motion for summary judgment of the plaintiff, Nationwide Insurance Company, in this declaratory judgment action which sought a determination as to whether or not the defendant insured was eligible for underinsured motorist coverage under an automobile insurance policy issued to him by the plaintiff. Despite the policy’s express terms and conditions requiring him. to do so, defendant, without obtaining plaintiff’s prior consent or informing plaintiff about the occurrence of the motor [96]*96vehicle accident in which he sustained injuries, had settled claims for the limit of bodily injury liability coverage from the insurer of the vehicle driven by the individual responsible for causing the accident and for underinsured motorist coverage for less than the policy limit under a policy covering the vehicle defendant was driving at the time thereof. The court ruled that defendant was ineligible for underinsured motorist coverage under the policy issued by the plaintiff and this appeal followed.1

The defendant, while engaged in his duties as an Upper Darby Township police officer, was driving an Upper Darby Township police vehicle when, on October 4, 1996, the vehicle was struck in the rear by a car driven by Ayanna Lee Cooper when defendant was stopped at a traffic light on MacDade Boulevard in Ridley Township, Delaware County, Pennsylvania. On May 21,1999, and in settlement of his claims against Ms. Cooper, defendant accepted the tender of her insurance carrier, American Independent Insurance Company, of $15,000, a sum representing the limit of bodily injury liability coverage available under the American Independent policy. (Copy of signed general release form, at declaratory judgment complaint, exhibit B.) In accepting this tender, defendant executed a release of any and all claims arising from this accident. (Id.)

Defendant then pursued a claim for underinsured motorist benefits through a Granite State Insurance Company automobile policy which covered the vehicle he was driving at the time of the incident and which pro[97]*97vided $1 million in non-stackable underinsured motorist coverage. (Copy of declarations page for Granite State insurance policy, at declaratory judgment complaint, exhibit C.) On or about December 21, 2001, defendant settled his primary underinsured motorist claim with Granite State for $750,000, or a sum that was $250,000 below the available policy limit. (Copy of signed settlement agreement and release of Granite State Insurance Company “in full settlement and discharge of all claims which are or might have been the subject of the underinsured motorist policy,” at declaratory judgment complaint, exhibit D.) This agreement called for an immediate cash payment of $500,000 to the defendant, and monthly payments in the amount of $1,725 for a period of 20 years. (Id. at exhibit A appended to settlement agreement.)

At the time of the accident, defendant was also a named insured under a personal automobile insurance policy issued by the plaintiff, Nationwide Insurance Company, which included $200,000 in underinsured motorist coverage for two vehicles, with $100,000 thereof applicable to each in stackable UIM coverage. (Copy of Nationwide policy, at declaratory judgment complaint, exhibit G.) Defendant, on February 4, 2002, or more than five years following the accident, and nearly three years following the settlement of his bodily injury claim with American Independent Insurance Company, and two months following his settlement with Granite State Insurance Company, notified plaintiff for the first time of the occurrence of this accident and of his intent to pursue underinsured motorist benefits under the Nationwide policy covering his own motor vehicles. (Copy of defendant’s letter of intention to pursue benefits, at de[98]*98claratory judgment complaint, exhibit F.) Plaintiff then filed this declaratory judgment action raising a number of grounds for denying the UIM benefits sought under the Nationwide policy issued to the defendant. The parties agreed to allow the court to resolve the dispute by way of their cross-motions for summary judgment and the arguments and exhibits appended thereto.

PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT

Plaintiff enumerated several grounds said to merit the granting of summary judgment in its favor.2 Plaintiff claimed that, in settling with Granite State Insurance Company for $750,000 instead of for the underinsured motorist policy limit of $1 million, defendant had failed to exhaust the primary underinsured motorist coverage available to him as required by the statutory scheme included in the MVFRL, 75 Pa.C.S. §1701 et sequitur, establishing the priority of recovery of benefits where a number of insurance policies provide coverage following a motor vehicle accident:

[99]*99“Section 1733 Priority of recovery
“(a) General rule. — Where multiple policies apply, payment shall be made in the following order of priority:
“(1) A policy covering a motor vehicle occupied by the injured person at the time of the accident.
“(2) A policy covering a motor vehicle not involved in the accident with respect to which the injured person is an insured.
“(b) Multiple sources of equal priority. — The insurer against whom a claim is asserted first under the priorities set forth in subsection (a) shall process and pay the claim as if wholly responsible. The insurer is thereafter entitled to recover contribution pro rata from any other insurer for the benefits paid and the costs of processing the claim.” 75 Pa.C.S. §1733.

Plaintiff contended, as an additional ground for relief, that the defendant had settled both his bodily injury claim against Ms. Cooper and his primary underinsured motorist claim against Granite State without first notifying the plaintiff of this accident, nor obtaining plaintiff’s consent to settle as required by the express terms and conditions of the policy issued to him.3

[100]*100It is altogether undisputed that defendant never provided plaintiff with notice of this accident nor of his intention to pursue UIM benefits under the Nationwide policy. There is also no question that he did not seek plaintiff’s permission to settle either of the previous claims for benefits arising from the injuries sustained in this accident. There was also no question in this action that the applicable terms and conditions set forth in the within Nationwide policy clearly and expressly provided that no payment of underinsured motorist benefits would be made until the limits of all other applicable automobile liability coverage and bonds had been exhausted by payments. (Copy of Nationwide policy and Endorsement 2358 at declaratory judgment complaint, exhibit G, “Limits of payment,” paragraph 5, p. 3.) Plaintiff contended that defendant had abrogated his claim for benefits under the Nationwide policy in failing to first exhaust the primary underinsured motorist coverage provided under the Granite State insurance policy.

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Related

Nationwide Insurance v. Schneider
960 A.2d 442 (Supreme Court of Pennsylvania, 2008)

Cite This Page — Counsel Stack

Bluebook (online)
69 Pa. D. & C.4th 94, 2004 Pa. Dist. & Cnty. Dec. LEXIS 297, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-insurance-v-schneider-pactcompldelawa-2004.