Nationwide Mutual Insurance v. Lehman

743 A.2d 933, 1999 Pa. Super. 275, 1999 Pa. Super. LEXIS 3974, 1999 WL 1029527
CourtSuperior Court of Pennsylvania
DecidedNovember 15, 1999
Docket96 MDA 1999
StatusPublished
Cited by14 cases

This text of 743 A.2d 933 (Nationwide Mutual Insurance v. Lehman) 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. Lehman, 743 A.2d 933, 1999 Pa. Super. 275, 1999 Pa. Super. LEXIS 3974, 1999 WL 1029527 (Pa. Ct. App. 1999).

Opinion

JOHNSON, J.

¶ 1 This appeal presents the question of whether an insurer may deny underin-sured motorist coverage when its insured settles his or her claim with a tortfeasor for the limits of available liability insurance without the consent of the insurer as *935 required by the policy. We conclude that the insurer may not deny underinsured motorist coverage unless it demonstrates that its interests were actually prejudiced by the settlement. Accordingly, we affirm the decision of the trial court granting the insured’s motion for summary judgment on the insurer’s liability to the insured for underinsured motorist coverage.

¶ 2 Underinsured motorist coverage (UIM coverage) protects an insured driver from the risk that a negligent driver of another car will cause injury to the insured and will have inadequate liability coverage to compensate the insured for injuries sustained. See Daley-Sand v. West American Insurance Co., 387 Pa.Super. 630, 564 A.2d 965 (1989). The Motor Vehicle Financial Responsibility Law (MVFRL), 75 Pa.C.S. §§ 1701-1799.7, requires that:

No motor vehicle liability insurance policy shall be delivered or issued for delivery in this Commonwealth ... unless uninsured and underinsured motorist coverages are offered therein or supplemental thereto....

75 Pa.C.S. § 1731(a). UIM coverage is defined as “protection for persons who suffer injury arising out of the maintenance or use of a motor vehicle and are legally entitled to recover damages therefor from owners or operators of underinsured motor vehicles.” 75 Pa.C.S. § 1731(b). An underinsured motor vehicle is one “for which the limits of available liability insurance and self-insurance are insufficient to pay losses and damages.” 75 Pa.C.S. § 1702. Thus, to claim UIM coverage an injured insured who carries UIM coverage must show that he or she has suffered losses or damages greater than the amount available under the limits of the tortfeasor’s insurance policy. See 75 Pa. C.S. §§ 1702,1731.

¶ 3 In December 1990, Daniel W. Lehman was injured as a result of an accident while driving his motorcycle. Lehman was stopped on Route 22 at Devonshire Road in Dauphin County when a car driven by Kenneth Myers struck him. Myers had cut in front of a car driven by Martha Warner, and Warner’s vehicle struck Myers’s vehicle and pushed it into Lehman’s motorcycle. At the time of the accident, Lehman was insured by Nationwide Mutual Insurance Company (Nationwide) under an insurance policy that provided UIM coverage.

¶ 4 Although, initially, Lehman’s prognosis was not severe, he eventually had to undergo three back surgeries. These injuries eventually necessitated Lehman’s retirement from his position at the Central Dauphin School District. In April 1992, Mr. and Mrs. Lehman (the Lehmans) brought suit against Myers and Warner.

¶ 5 Lehman periodically informed his insurance agent from Nationwide, Joyce Potteiger, of his condition and deteriorating prognosis. In a letter dated April 21, 1993, Potteiger acknowledged that Lehman’s damages placed UIM coverage at issue and that, therefore, she had requested that “Nationwide pull [Lehman’s] records.” Defendants’ Brief in Support of Cross-Motion for Summary Judgment, Appendix 7. Lehman also informed Pot-teiger that the case against Myers and Warner was listed for trial in January of 1994. Trial Court Opinion, 12/8/98, at 2. However, as a result of additional necessary surgery for Lehman, the trial was continued until August 1994.

¶ 6 In July 1994, the Lehmans’ attorney offered-to settle the case with both Myers and Warner for the policy limits, which was $100,000 each. On August 12, 1994, Warner’s attorney offered the Leh-mans $80,000 to settle that portion of the case against her, which Warner’s attorney later increased to the $100,000 policy limit. Warner’s attorney presented the last offer on Thursday, August 18, 1994, four days before the trial was scheduled to begin on Monday, August 22,1994.

¶ 7 On Friday, August 19, 1994, the Lehmans’ attorney faxed a letter to Nationwide’s adjuster requesting consent to settle, stating that he needed Nationwide’s *936 answer by noon on Monday, August 22. The letter to Nationwide stated that Warner was a young female college student in her early twenties who had no assets other than her insurance policy. On Monday, August 22, 1994, Nationwide notified the Lehmans’ attorney that it had previously closed its claim file and the file was in storage in its home office in Ohio. Nationwide further indicated that it could not consent to a settlement agreement until it received and reviewed its file and other information regarding Warner’s potential assets.

¶ 8 Nationwide made no further response, and on August 22, 1994, the Leh-mans agreed to the settlement with Warner without Nationwide’s consent. The Lehmans also signed a release that immunized Warner from any further liability arising from the accident. The Lehmans then tried the case against Myers.

¶ 9 On August 26, 1994, the jury returned a verdict in the amount of $265,000, finding Warner 85% responsible and Myers 15% responsible. Myers’s insurer paid his portion of the verdict to the Leh-mans. After the trial, the Lehmans requested UIM coverage from Nationwide for the unpaid portion of the judgment. Nationwide did not respond to this request, but instead filed an action for declaratory judgment.

¶ 10 In Nationwide’s complaint for declaratory relief, it requested the court to: (1) determine and adjudicate the rights of the parties; (2) declare that Nationwide had no obligation to provide UIM coverage because the Lehmans settled and released Warner from liability without Nationwide’s consent; (3) declare that the Lehmans violated Nationwide’s policy regarding the requirement that an insured obtain Nationwide’s written consent before settling bodily injury claims; and (4) declare that the Lehmans’ attorney’s notice to Nationwide of the policy limit offer from Warner did not provide Nationwide with sufficient time to determine whether consent should be given.

¶ 11 The Lehman’s counterclaimed for declaratory relief seeking an order that would preclude Nationwide from refusing to provide UIM coverage on the basis that the Lehmans had failed to obtain consent to the settlement with Warner. At the close of discovery, both parties filed motions for summary judgment. On December 8, 1998, the court granted the Leh-mans’ motion, but denied Nationwide’s. Nationwide now appeals that decision.

Nationwide presents two questions for our review:

1. DID THE TRIAL COURT ERR IN REFUSING TO REQUIRE THAT AN INSURER BE GIVEN A REASONABLE AND EQUITABLE PERIOD OF TIME TO DETERMINE WHETHER IT WILL ALLOW ITS SUBROGATION RIGHTS AGAINST AN INSURER TO BE TERMINATED?

2. DID THE TRIAL COURT ERR IN DETERMINING THAT AN INSURER’S RIGHTS ARE NOT PREJUDICED MERELY BECAUSE THE PUNITIVE DEFENDANT DOES NOT HAVE SIGNIFICANT ASSETS AT THE TIME THAT THE REQUEST TO WAIVE SUBROGATION IS MADE?

Brief for Appellant at 3.

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Cite This Page — Counsel Stack

Bluebook (online)
743 A.2d 933, 1999 Pa. Super. 275, 1999 Pa. Super. LEXIS 3974, 1999 WL 1029527, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-mutual-insurance-v-lehman-pasuperct-1999.