Pestcoe v. Nisenzone

27 Pa. D. & C.4th 26, 1995 Pa. Dist. & Cnty. Dec. LEXIS 95
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedOctober 20, 1995
Docketno. 9408-3947
StatusPublished

This text of 27 Pa. D. & C.4th 26 (Pestcoe v. Nisenzone) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pestcoe v. Nisenzone, 27 Pa. D. & C.4th 26, 1995 Pa. Dist. & Cnty. Dec. LEXIS 95 (Pa. Super. Ct. 1995).

Opinion

MAIER, J.,

The above-captioned matters have been presented to this court by movants, who are each seeking a motion in limine to prevent defendants from raising a limited tort waiver defense. The court has, in effect, been asked to determine the adequacy of certain “limited tort” waiver forms1 pursuant to the Pennsylvania Motor Vehicle Financial Responsibility Law. 75 Pa.C.S. §1701 et seq. Jurisdiction has been conferred on this court pursuant to Philadelphia Civil Rule 206.2 and administrative order of the Honorable Alex Bonavitacola.

BACKGROUND

The Pennsylvania Legislature’s most recent attempt at automobile insurance reform is the Pennsylvania Motor Vehicle Financial Responsibility Law. 75 Pa.C.S. §1701 et seq. The PMVFRL sought to reduce the cost of auto insurance coverage through a variety of measures including “tort waiver” elections which effectively limit one’s right to seek financial compensation for certain vehicular injuries. The law requires that insurers provide [28]*28written notice to insureds concerning available tort options, basic coverages and in some instances — cost comparisons. 75 Pa.C.S. §1701 et seq.

In order to effectuate such waivers, the PMVFRL provides two similar yet distinct “notice/waiver” forms to be used in the dissemination of such information to existing policyholders and new applicants. Specifically, the PMVFRL requires that a section 1705(a) notice containing cost comparisons be sent to the insured at least 45 days prior to the first issuance (section 1705(a)(4)) or first renewal (section 1705(a)(1)) of a policy on and after July 1, 1990. 75 Pa.C.S. § 1705(a). This section 1705 notice requires a cost comparison of proposed rates for full tort coverage and limited tort coverage. 75 Pa.C.S. §1705(a)(l)(A)(B). Similarly, the PMVFRL requires that a section 1791.1 notice be sent to insureds at the time of application for original coverage and every renewal thereafter. 75 Pa.C.S. §1791.1. The section 1791.1 notice does not require cost comparisons. 75 Pa.C.S. §1791.1(b).

This apparent conflict in notice requirements is the crux of the consolidated motions before this court. Plaintiffs contend that the PMVFRL requires the issuance of a section 1705(a) notice and that the section 1791.1 notices (they received and signed) were inadequate due to the absence of cost comparisons. Plaintiffs further contend that the assigned risk plan’s notice/waiver form (entitled “PA-1000”) does not comply with section 1705 of the PMVFRL. Consequently, plaintiffs argue that their elections of “limited tort” coverage pursuant to section 1791.1 and PA-1000 are invalid and seek an order precluding the defendants from asserting a “limited tort” defense at trial. The defendants and the Insurance Department of Pennsylvania contend that any apparent conflict in the PMVFRL’s notice requirement was resolved by the insurance department’s “statement [29]*29of policy” amending the PMVFRL on April 13, 1990. (Infra)

DISCUSSION

The Insurance Department of Pennsylvania is statutorily empowered to implement and enforce the insurance laws of this Commonwealth. 75 Pa.C.S. §1704. This responsibility is coupled with the authority to promulgate administrative regulations which are as valid and binding as the statute under which they are adopted. Jones v. Travelers Insurance Co., 356 Pa. Super. 213, 514 A.2d 576 (1986). Moreover, those regulations are entitled to substantial deference by the courts and may be disregarded or overturned only where clearly erroneous. Philadelphia Suburban Corporation v. Commonwealth, 144 Pa. Commw. 410, 601 A.2d 893 (1992); Nationwide Mutual Insurance Co. v. Foster, 143 Pa. Commw. 433, 599 A.2d 267 (1991); State Farm Automobile Insurance Co. v. Department of Insurance, 143 Pa. Commw. 259, 598 A.2d 1344 (1991).

In 1990, the Insurance Department of Pennsylvania issued a “statement of policy” through its office of rate and policy regulation to provide guidance to auto insurers as to the PMVFRL’s notice requirements. See 31 Pa. Code chapter 68. Said administrative regulations advised auto insurers that “section 1705(a) notices apply to existing policyholders and for the initial renewal of those policies after July 1, 1990.” Id. [Note: The annual renewal occurs at the annual anniversary date of the policy’s original issuance. Id.] The “statement of policy” also confirms that “second and subsequent renewals of those policies as well as new policies after July 1,1990 must be given notice under section 1791.1.” See 31 Pa. Code §68.106-§68.108.

[30]*30In accordance with the statutory authority and relevant case law cited above, this court may rule contrary to the insurance department only where the department’s actions are clearly erroneous. (Supra)

The matter before us may be simply stated. That is, when an individual is renewing or purchasing an insurance policy and they are presented with the option of choosing limited or full tort coverage, whether those people must be informed as to the cost of limited tort versus full tort. The insurance department has indicated, through their statement of policy, that each purchaser of insurance, i.e., a consumer is not entitled to the financial data which discloses the comparative costs of limited versus full tort coverage. This court believes that position and notice by the insurance department is clearly erroneous.

No one can deny the plethora of activity on behalf of consumers, generally as well as in the insurance industry, for example, plain language insurance policies, banks and other lending agencies are required to set forth the interest rates that consumers are required to pay, i.e., the Truth In Lending Act (15 U.S.C., 12 CFR §226.30), the Consumer Credit Protection Act (15 U.S.C. §1601 et seq.), the Unfair Trade Practices and Consumer Protection Law (P.L. 1224, no. 387), the Consumer Product Safety Act (15 U.S.C. §2051 et seq.), the Consumer Goods Pricing Act (P.L. 94-145) and the Consumer Leasing Act (P.L. 94-240, 15 U.S.C. §1640). Despite the outpouring of consumer notice and protection legislation and governmental policies assuring consumer notice, the insurance department would have us deny to the consumer the most important information necessary in making an informed auto insurance benefit selection, that is, the cost of limited tort as opposed to full tort coverage.

[31]*31Certainly all would agree that a consumer would be aghast if the insurance agent, in writing a policy, refused to disclose the policy cost.

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Related

Philadelphia Suburban Corp. v. Commonwealth
601 A.2d 893 (Commonwealth Court of Pennsylvania, 1992)
Nationwide Mutual Insurance v. Foster
599 A.2d 267 (Commonwealth Court of Pennsylvania, 1991)
Jones v. Travelers Insurance
514 A.2d 576 (Supreme Court of Pennsylvania, 1986)
Pennsylvania Assigned Risk Plan v. Grode
526 A.2d 849 (Commonwealth Court of Pennsylvania, 1987)
Motorists Mutual Insurance v. Insurance Commissioner
586 A.2d 1050 (Commonwealth Court of Pennsylvania, 1991)
State Farm Mutual Automobile Insurance v. Department of Insurance
598 A.2d 1344 (Commonwealth Court of Pennsylvania, 1991)

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Bluebook (online)
27 Pa. D. & C.4th 26, 1995 Pa. Dist. & Cnty. Dec. LEXIS 95, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pestcoe-v-nisenzone-pactcomplphilad-1995.