Nationwide Mutual Insurance v. Cosenza

120 F. Supp. 2d 489, 2000 U.S. Dist. LEXIS 16010
CourtDistrict Court, E.D. Pennsylvania
DecidedNovember 2, 2000
DocketCiv. A. 99-3533
StatusPublished
Cited by3 cases

This text of 120 F. Supp. 2d 489 (Nationwide Mutual Insurance v. Cosenza) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nationwide Mutual Insurance v. Cosenza, 120 F. Supp. 2d 489, 2000 U.S. Dist. LEXIS 16010 (E.D. Pa. 2000).

Opinion

MEMORANDUM

EDUARDO C. ROBRENO, District Judge.

I. INTRODUCTION

This case involves a dispute over insurance coverage arising out of an auto accident involving two cars, three claimants, and three insurance policies.

The defendants in this case are the driver, Mrs. Angeline Cosenza, and passengers, Mr. William Cosenza and Patsy De-zii, of a vehicle that collided with another vehicle, allegedly resulting in personal injuries to defendants. Defendants’ vehicle was insured under an automobile policy (“the auto policy”) issued by plaintiff, Nationwide Mutual Insurance Company (“Nationwide”), that contained both liability and underinsured motorist coverage (“the liability and underinsured portions of the auto policy”). The defendants’ vehicle’s policy holder, Mr. Cosenza, also carried an umbrella policy issued by Nationwide. The other vehicle involved in the accident was covered by an automobile liability policy issued by Progressive Casualty Insurance Company (“Progressive”).

After the accident, defendants filed suit in state court against the driver of the other vehicle. The parties subsequently settled the state court action. Under the terms of the settlement, defendants received the full amount of the coverage available under the Progressive liability policy. Two of the three defendants, Mr. *491 Cosenza and Dezii, also received some payment under Nationwide’s auto policy, but did not exhaust the full amount of the coverage available under that policy. No payment was made under either Nationwide’s underinsured portion of the auto policy or under the umbrella policy.

The defendants have now made claims for additional recovery under the underin-sured portion of the auto policy. In this action, Nationwide now seeks a declaratory judgment that defines the rights of defendants under the auto policy. Before the court are cross-motions for summary judgment. The primary issue raised by the motions is whether defendants are prohibited from further recovery under the terms of the auto policy.

For the reasons that follow, the court will grant in part and deny in part both motions as follows: (1) Mr. Cosenza and Dezii, who recovered liability benefits under the auto policy, are prohibited from recovering underinsured motorist benefits for their own injuries under either the auto policy or the umbrella policy by the plain language of the auto policy barring recovery of both liability and underinsured benefits; (2) Mrs. Cosenza is not prohibited from recovering underinsured motorist benefits for her own injuries under either the auto policy or the umbrella policy because the other vehicle involved in the accident insured by Progressive and not the vehicle insured by Nationwide is the “underinsured motor vehicle” upon which her claim is predicated; (3) Mrs. Cosenza is prohibited from recovering loss of consortium underinsured motorist benefits stemming from Mr. Cosenza’s injuries under either the auto policy or the umbrella policy because her claim is derivative of her husband’s claim, and her husband is prohibited from recovering underinsured motorist benefits for his own injuries by the plain language of the auto policy; (4) Mr. Cosenza is not prohibited from recovering loss of consortium underinsured motorist benefits stemming from his wife’s injuries under either the auto policy or the umbrella policy because the ambiguous language of the auto policy, when construed against Nationwide, does not bar Mr. Cozensa’s claim for underinsured motorist benefits; and (5) Nationwide is not entitled to a credit for payments already received by defendants pursuant to the state court settlement.

II. FACTS

The relevant facts are undisputed. On July 16, 1995, William Cosenza and Patsy Dezii were passengers in an automobile driven by Angeline Cosenza (“defendants’ vehicle”) which was involved in a collision with another vehicle driven by Angela M. Nicolucci (“Nieolucei’s vehicle”). 1 Defendants’ vehicle was covered by an automobile insurance policy issued to defendant Mr. Cosenza by the plaintiff, Nationwide Mutual Insurance Company. The auto policy provided up to $500,000 in coverage for each of the two portions of the auto policy relevant to this action: liability coverage and underinsured motorist coverage. Mr. Cosenza was also the insured under an umbrella insurance policy (“the umbrella policy”) issued by Nationwide, that provided coverage in the amount of $500,000 for underinsured motorist coverage and $1,000,000 in total liability coverage. Ni-colucci’s vehicle was covered by a liability policy issued by Progressive with bodily injury coverage limits of $15,000/$30,000.

Following the accident, defendants initiated a lawsuit against Nicolucci in the Delaware County Court of Common Pleas (“the state court action”). 2 Nicolucci subsequently joined defendant Mrs. Cosenza as an additional defendant in the state court action. Prior to trial, the parties settled the state court action. Under the *492 terms of the settlement, (1) defendant Mr. Cosenza received $14,998.00 from Progressive and $75,000.00 from Nationwide under the auto policy, for a total of $89,998.00; (2) defendant Dezii received $1.00 from Progressive and $7,000.00 from Nationwide under the auto policy, for a total of $7,001.00; (3) defendant Mrs. Cosenza received $1.00 from Progressive and nothing under Nationwide’s auto policy. The settlement agreement entered into by the parties was silent as to whether additional recovery was available under either the auto policy or the umbrella policy.

Thereafter, the three defendants to this action made claims upon Nationwide for underinsured motorist benefits under both the auto policy and the umbrella policy. 3 In response, Nationwide filed the instant declaratory judgment action.

Nationwide contends that defendants are prohibited from recovering underin-sured motorist benefits under the auto policy for three alternative reasons. First, Nationwide argues that the defendants’ vehicle is not an “underinsured motor vehicle” under the auto policy. Second, Nationwide asserts that even if the defendants’ vehicle is an “underinsured motor vehicle” as defined in the auto policy, defendants are prohibited under the auto policy from recovering both liability and underinsured benefits for the same injuries. Third, Nationwide contends that it is entitled to a credit equal to the full amount of the coverage limits under both the auto policy and the Progressive policy. Finally, Nationwide argues that because defendants are prohibited from recovering underinsured motorist benefits under the auto policy, and recovery under the umbrella policy depends upon recovery under the auto policy, defendants are likewise prohibited from recovering underinsured motorist benefits under the umbrella policy-

In response, defendants argue that Nationwide misconstrues their claims for un-derinsured motorist benefits. Defendants argue that Nicolucci’s vehicle, not defendants’ vehicle, is the “underinsured motor vehicle” upon which their claim for recovery is predicated in this case.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Bowersox v. Progressive Casualty Insurance
781 A.2d 1236 (Superior Court of Pennsylvania, 2001)
Nationwide Mutual Fire Insurance v. Salkin
163 F. Supp. 2d 512 (E.D. Pennsylvania, 2001)

Cite This Page — Counsel Stack

Bluebook (online)
120 F. Supp. 2d 489, 2000 U.S. Dist. LEXIS 16010, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-mutual-insurance-v-cosenza-paed-2000.