Petrochko v. Nationwide Mutual Insurance

15 Pa. D. & C.5th 312, 2010 Pa. Dist. & Cnty. Dec. LEXIS 397
CourtPennsylvania Court of Common Pleas, Lackawanna County
DecidedAugust 27, 2010
Docketno. 07 CV 7113
StatusPublished
Cited by3 cases

This text of 15 Pa. D. & C.5th 312 (Petrochko v. Nationwide Mutual Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Lackawanna County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Petrochko v. Nationwide Mutual Insurance, 15 Pa. D. & C.5th 312, 2010 Pa. Dist. & Cnty. Dec. LEXIS 397 (Pa. Super. Ct. 2010).

Opinion

NEAL ON, J.,

The parties’ motions for summary judgment present an issue which has not been addressed by a state appellate court: whether an employee, who receives workers’ compensation benefits for injuries sustained in an automobile accident that is negligently caused by a co-worker, may also recover underinsurance motorist (UIM) benefits for the employee’s non-economic damages. Pennsylvania law and the insurance policy at issue limit UIM coverage to insureds who “are legally entitled to recover damages” from the underinsured tort-feasor. Since the negligent motorist in this case is immune from negligence liability to the insured employee due to the exclusive remedy provision of the Workers’ Compensation Act, the employee is not entitled to recover compensatory damages from the underinsured tort-feasor. As such, the employee is ineligible to collect UIM benefits under 75 Pa.C.S. §1731(c) and the applicable policy.

I. FACTUAL BACKGROUND

Plaintiff Cheryl Petrochko and defendant Nationwide Mutual Insurance Company have filed motions for summary judgment with regard to Petrochko’s claim for underinsured motorist (UIM) benefits from Nationwide. The parties’ joint submissions reflect that the salient facts are not in dispute. On December 11, 2003, Petrochko was injured during the course of her employment with Cinram Manufacturing Inc. when she was struck by a motor vehicle that way being operated by a co-worker, Albert L. Calzóla Jr., within the scope of his employment. As a result of her work-related injury, Petrochko applied for, and received, workers’ compensation benefits from [315]*315PMA Insurance Group comprised of medical expense benefits totaling $42,582.60 and indemnity payments in the amount of $142,482.83, including a lump sum payment of $48,000.

At the time of her injury, Petrochko was insured by Nationwide pursuant to a policy (no. 5837C012499) which afforded UIM coverage in the amount of $50,000. Nationwide’s policy defines an “underinsured motor vehicle” as a vehicle whose bodily injury liability coverage “is insufficient to pay the damages an insured is entitled to recover.” (Nationwide endorsement 2360 at p. 1.) The UIM coverage agreement obligates Nationwide to “pay compensatory damages... which are due by law to [Petrochko]... from the owner or driver of an under-insured motor vehicle because of bodily injury suffered by [Petrochko].” {Id.) In accordance with Pennsylvania law, the UIM provisions entitle Nationwide to an offset or reduction for any amount that has been paid to the UIM claimant (Petrochko) by the tort-feasor’s liability insurance carrier. {Id. at p. 3.)

By virtue of the exclusive remedy provision of section 205 of the Workers’ Compensation Act (WCA), 77 P.S. §72, Calzóla is immune from tort liability to Petrochko for any vehicular negligence. As a consequence, Petrochko has not recovered any compensatory damages from Calzóla or his liability insurer. Nor has Petrochko ever asserted a liability claim against Calzóla or his insurer within the two-year statute of limitations period governing negligence claims.

On December 11, 2007, Petrochko filed a complaint against Nationwide seeking a declaratory judgment that [316]*316she is entitled to UIM benefits from Nationwide. On April 9,2009, Petrochko entered into a compromise and release agreement with Cinram and PMA pursuant to which PMA agreed to pay Petrochko’s medical expenses for her work-related injuries until her Centers for Medicare & Medicaid Services (CMS) approved Medicare Set-Aside is exhausted. (Defendant’s statement of facts in support of motion for summary judgment, ¶¶7, 10-12; plaintiff’s answer to defendant’s statement of facts ¶¶7,10-12.) Both parties subsequently filed motions for summary judgment requesting declaratory judgment relief with respect to Petrochko’s demand for UIM benefits from Nationwide.

Nationwide contends that Petrochko is not entitled to UIM coverage under the Motor Vehicle Financial Responsibility Law (MVFRL), 75 Pa.C.S. §1701 et seq., and Nationwide’s insurance policy. Section 1731(c) of the MVFRL obligates insurers to provide UIM coverage “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(c). Nationwide’s UIM policy language similarly requires Nationwide to pay “compensatory damages . . . which are due by law to [Petrochko] . . . from the owner or driver of an underinsured motor vehicle because of bodily injury suffered by [Petrochko].” Nationwide submits that since Petrochko is not legally entitled to recover damages from Calzóla, nor are any compensatory damages “due by law” to Petrochko from Calzóla, Petrochko is not entitled to UIM coverage for her work-related injuries. (Defendant’s brief, pp. 6-7.)

[317]*317Relying upon Brumbaugh v. Erie Insurance Exchange, no. 2006-2211 (Franklin Cty. Nov. 30, 2006) which adopted the reasoning set forth in Barfield v. Barfield, 742 P.2d 1107 (Okla. 1987), Petrochko argues that the phrase “legally entitled to recover” in 75 Pa.C.S. § 1731 (c) should be interpreted to mean “able to establish fault on the part of [Calzóla], which gives rise to damages, and prove the extent of those damages.” (Plaintiff’s brief, p. 5, quoting Barfield, supra.) Petrochko asserts that her legal ability to recover compensatory damages from Calzóla does not determine her entitlement to UIM coverage under section 1731(c) of the MVFRL and Nationwide’s policy. (Id. at pp. 4-6.) Since Petrochko has received payment only for her economic losses via workers’ compensation benefits, she maintains that she should be permitted to recover non-economic damages under the UIM provisions of Nationwide’s policy. (Id. at p. 8.) Following the completion of oral argument on July 20, 2010, the parties’ motions for summary judgment became ripe for disposition.

II. DISCUSSION

(A) Standard of Review

Summary judgment may be granted only in those cases in which the record clearly establishes that there are no genuine issues of material fact and that the moving party is entitled to judgment as a matter of law. Mull v. Ickes, 994 A.2d 1137, 1139 (Pa. Super. 2010). The Declaratory Judgments Act enables parties to an insurance policy to secure a declaration of their respective rights and duties under the policy. Bottomer v. Progres[318]*318sive Casualty Insurance Co., 816 A.2d 1172, 1175 (Pa. Super. 2003), appeal dismissed, 580 Pa. 114, 859 A.2d 1282 (2004); HARIE v. Lycoming County Housing Authority, 58 D.&C.4th 321, 337 (Lacka. Cty. 2001), aff’d, 809 A.2d 1096 (Pa. Commw. 2002). Since the proper interpretation of an insurance policy presents a question of law for the court, see Utica Mutual Insurance Co. v. Contrisciane, 504 Pa. 328, 333 n.2, 473 A.2d 1005, 1008 n.2 (1984), questions concerning an insured’s right to insurance benefits may be decided by summary judgment in a declaratory judgment proceeding. See Dixon v. GEICO, 2010 WL 2950318 at * 2, ¶18 (Pa. Super. 2010); Reeser v. Donegal Mutual Insurance Company, 2008 WL 4453474 (Lacka. Cty. 2008).

(B) Impact of Co-Employee’s Tort Immunity on Availability of UIMBenefits

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Bluebook (online)
15 Pa. D. & C.5th 312, 2010 Pa. Dist. & Cnty. Dec. LEXIS 397, Counsel Stack Legal Research, https://law.counselstack.com/opinion/petrochko-v-nationwide-mutual-insurance-pactcompllackaw-2010.