Nationwide Mutual Insurance v. Heintz

804 A.2d 1209, 2002 Pa. Super. 196, 2002 Pa. Super. LEXIS 1207
CourtSuperior Court of Pennsylvania
DecidedJune 19, 2002
StatusPublished
Cited by21 cases

This text of 804 A.2d 1209 (Nationwide Mutual Insurance v. Heintz) 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
Nationwide Mutual Insurance v. Heintz, 804 A.2d 1209, 2002 Pa. Super. 196, 2002 Pa. Super. LEXIS 1207 (Pa. Ct. App. 2002).

Opinion

LALLY-GREEN, J.

¶ 1 Appellant, Nationwide Mutual Insurance Company, appeals from the judgment entered on June 15, 2001, in favor of Dr. James Heintz and Marian Heintz (the Heintzes). The trial court entered judgment after denying Appellant’s “Petition to Vacate, Modify, or Correct” an arbitration award. We vacate the judgment and remand for further proceedings.

¶ 2 The factual and procedural history of the case is as follows. On September 15, 1998, Dr. Heintz, an orthopedic surgeon, was riding a bicycle when he was hit head-on by a Ford Explorer. Dr. Heintz suffered severe and permanent injuries.

¶ 3 Dr. Heintz was a named insured on a Nationwide policy, #58 37 C 664196 (the Policy). The Policy provided bodily injury liability coverage of $300,000.00 per person/$300,000.00 per occurrence. According to the Declarations Page of the Policy, the Policy provided stacked underinsured motorist (UIM) coverage of $50,000.00 per person/$100,000.00 per occurrence. 1 At *1211 the time of the accident, the Heintzes had three vehicles on the Policy.

¶ 4 The underlying tortfeasor held a policy with coverage limits of $100,000.00. The Heintzes received the full $100,000.00. Nationwide contended that the maximum it would pay under its own Policy was $150,000.00 (ie., $50,000.00 in UIM benefits x 3 vehicles = $150,000.00). Nationwide paid this “undisputed” amount to the Heintzes.

¶ 5 The Heintzes contended that the maximum amount payable under the Policy was not $150,000.00, but rather $900,000.00 (i.e., $300,000.00 in UIM benefits x 3 vehicles). Specifically, the Heintzes argued that they did not knowingly and intelligently reduce their UIM benefits to $150,000.00; therefore, the policy should be reformed so that UIM benefits equal the existing bodily injury coverage.

¶ 6 The case proceeded to arbitration under the Arbitration Act of 1927. The arbitrators held a hearing on September 6-7, 2000. The arbitrators agreed with the Heintzes, reasoning as follows:

There was no Section 1791 2 ‘Important Notice’ sent by Nationwide [to] Mr. James Heintz and Mrs. Marian Heintz. *1212 In the absence of a Section 1791 form, Mr. James Heintz and Marian Heintz could not make a knowing and intelligent reduction of benefits under Section 1734 3 . Pursuant to Section 1734, the majority of the panel finds the underin-sured policy limits to be equal to the bodily injury limits.

Award of Arbitration Panel at 1. The arbitrators awarded the Heintzes $900,000.00, with a credit of $150,000.00 for the payment Nationwide already paid. Thus, the net award to the Heintzes was $750,000.00.

¶ 7 On December 6, 2000, Appellant filed a “Petition to Vacate, Modify, or Correct Arbitration Award” with the Court of Common Pleas. In one section of the petition, Appellant argued that the award should be modified or corrected under 42 Pa.C.S.A. § 7302(d)(2) because the award was contrary to the law. Petition, ¶¶ 15-16. Specifically, Appellant argued that: (1) the Heintzes did knowingly and voluntarily reduce their UIM coverage; (2) Appellant did not violate § 1734 or § 1791; (3) even if Appellant did violate these sections, the MVFRL provides no legal remedy; and (4) even if a remedy existed, there is no legal basis for reforming the Heintzes’ UIM coverage to equal the bodily injury limits. Id. at ¶¶ 17-32. Appellant urged the trial court to “either vacate the underlying award, or correct or modify the same to conform to current Pennsylvania statutory and case law.” Id. at ¶ 33. Finally, Appellant asked the trial court to “enter judgment on this Petition by vacating the underlying arbitration award and ruling that [the Heintzes] are not entitled to any additional money pursuant to their claim for UIM benefits.” Id. In the alternative, Appellant asked for a new arbitration hearing so that the panel could rule on the issue of whether a valid reduction of UIM coverage took place. Id.

¶ 8 On April 3, 2001, the trial court denied the Petition and affirmed the arbitration award. The court reasoned as follows. Given Appellant’s request for relief, the Petition would be treated solely as a Petition to Vacate, even though Appellant captioned the petition as a “Petition to Vacate, Modify, or Correct Arbitration Award.” Trial Court Opinion, 6/19/2001, at 1-2. Under 42 Pa.C.SA. § 7314, the only basis for vacating an arbitration award is fraudulent, irregular, or partial conduct by the arbitration panel. Because Appellant failed to allege such fraud or partiality, the court had no power to vacate the award. Id. at 3.

¶ 9 Moreover, the court ruled that it would find no legal error even if it did review the award. The court reasoned as follows. In order to ensure that consumers reduce their UIM coverage in a knowing and intelligent manner, the MVFRL requires a written request from the consumer as well as an “Important Notice” under § 1791. Id. at 3. In the instant case, the parties stipulated that there was no conclusive proof of whether the Heintzes received the required notice. Next, the arbitrators found as a fact that Appellant failed to show that the Heintzes were adequately informed regarding the reduction in coverage. Under the circumstances, the trial court could not conclude *1213 that the panel committed legal error. Id. at 3-4. This appeal followed.

¶ 10 Appellant raises five issues on appeal:

A. Whether the lower court abused its discretion and/or committed an error of law in failing to vacate, modify, or correct the Arbitration Award entered in this matter which erroneously found that because the Heintzes were not provided with the § 1791 “Important Notice” found within Pennsylvania’s Motor Vehicle Financial Responsibility Law (hereinafter “MVFRL”), they could not have made a knowing and intelligent waiver of coverage.
B. Whether the lower court abused its discretion and/or committed an error of law in failing to vacate, modify, or correct the Arbitration Award entered in this matter wherein the Arbitration Panel relied upon the lack of a § 1791 “Important Notice” as a factor in its decision to award Underinsured Motorist benefits (hereinafter, “UIM Benefits”), to the Heintzes.
C. Whether the lower court abused its discretion and/or committed an error of law in failing to vacate, modify, or correct the Arbitration Award entered in this matter wherein the Arbitration Panel erroneously found that there had been a violation of § 1734 of the MVFRL.
D. Whether the lower court abused its discretion and/or committed an error of law in failing to vacate, modify, or correct the Arbitration Award entered in this matter which erroneously awarded the Heintzes UIM benefits equal to their liability limits.
E.

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Cite This Page — Counsel Stack

Bluebook (online)
804 A.2d 1209, 2002 Pa. Super. 196, 2002 Pa. Super. LEXIS 1207, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-mutual-insurance-v-heintz-pasuperct-2002.