Reynolds, S. v. Essentia Ins. Co.

CourtSuperior Court of Pennsylvania
DecidedFebruary 12, 2024
Docket2074 EDA 2023
StatusUnpublished

This text of Reynolds, S. v. Essentia Ins. Co. (Reynolds, S. v. Essentia Ins. Co.) 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
Reynolds, S. v. Essentia Ins. Co., (Pa. Ct. App. 2024).

Opinion

J-A05034-24

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

SHANE D. REYNOLDS, INDIVIDUALLY : IN THE SUPERIOR COURT OF AND ON BEHALF OF A CLASS OF : PENNSYLVANIA SIMILARLY SITUATED PERSONS : : : v. : : : ESSENTIA INSURANCE COMPANY : No. 2074 EDA 2023 : Appellant :

Appeal from the Order Entered July 3, 2023 In the Court of Common Pleas of Philadelphia County Civil Division at No(s): 210801568

BEFORE: DUBOW, J., KING, J., and LANE, J.

MEMORANDUM BY LANE, J.: FILED FEBRUARY 12, 2024

Essentia Insurance Company (“Essentia”) appeals from the order which

granted, in part, and denied, in part, the motion for partial summary judgment

filed by Shane D. Reynolds (Reynolds).1 We quash the appeal as interlocutory.

The facts underlying this insurance coverage dispute are uncontested.

On June 30, 2018, Reynolds was involved in a motor vehicle accident while

operating his 2003 Harley-Davidson motorcycle. The accident occurred when

a vehicle operated by Christopher Heasley (“Heasley”) struck Reynolds,

causing him to sustain serious and permanent injuries. The vehicle operated

by Heasley was insured under a policy issued by Erie Insurance Exchange

____________________________________________

1 Although the caption suggests that this is a class action, no class certification

has yet been made in the action. J-A05034-24

(“Erie”), which provided liability insurance coverage to Heasley in the amount

of $100,000 per person/$300,000 per accident. Reynolds made a claim under

the liability provisions of the Erie policy and received $85,000 in full settlement

of his claim. Reynolds determined that the settlement amount was insufficient

to compensate him for the injuries and damages he sustained in the accident;

accordingly, he sought to recover additional insurance benefits.

In this regard, Reynolds tendered a claim for underinsured motorist

(“UIM”) benefits under a Classic Automobile Policy issued by Essentia (“the

Essentia policy”), which insured two classic vehicles owned by Reynolds: a

1970 Chevrolet Corvette Coupe; and a 1967 Chevrolet Chevelle SS Coupe.

The Essentia policy provided uninsured motorist (“UM”) and UIM benefits in

the amount of $25,000 per person/$50,000 per accident. The UIM

endorsement to the Essentia policy included the following definition of an

“insured” for purposes of UIM benefits:

B. “Insured” as used in this endorsement means:

1. Any person “occupying” “your covered auto[;]”[]

2. Any person for damages that person is entitled to recover of “bodily injury” to which this coverage applies sustained by a person described in b.1 above.

Essentia Policy, Endorsement No. 13 37 05 16, at 1.

The UIM endorsement to the Essentia policy additionally included, in

relevant part, the following household exclusion:

A. We do not provide Underinsured Motorists Coverage for “bodily injury” sustained:

-2- J-A05034-24

1. By you:

a. While “occupying” any motor vehicle owned by or furnished for the regular use of you or any “family member” which is not insured for this coverage under this policy. . . .

Essentia Policy, Endorsement No. 13 37 05 16, at 2.

Given that Reynolds sustained his injuries while operating a vehicle

which was not insured under the Essentia policy, Essentia denied Reynolds

claim for UIM benefits on the following bases: (1) the definition of “insured”

required Reynolds to be an occupant of a vehicle insured by the Essentia policy

to recover UIM benefits; and (2) the household exclusion excluded UIM

benefits for any bodily injury sustained by Reynolds while occupying any

motor vehicle not insured under the Essentia policy. See Denial of Coverage

Letter, 8/28/18, at 3-4.

Reynolds thereafter initiated the present action against Essentia. In his

amended complaint, Reynolds asserted four claims for relief: Count I

declaratory relief—invalidity of definition of “insured;” Count II declaratory

relief—household exclusion; Count III compensatory relief—UIM benefits; and

(4) Count IV injunctive relief—seeking an order enjoining Essentia from

asserting either the definition of “insured” or the household exclusion as a

defense to claims for UM or UIM benefits. Essentia subsequently withdrew its

-3- J-A05034-24

denial of coverage based on the household exclusion.2 Thus, the sole

remaining basis for Essentia’s denial of UIM benefits to Reynolds was the

definition of an “insured” under the UIM endorsement to the Essentia policy.

Reynolds moved for partial summary judgment on his remaining claim

for declaratory relief at Count I of the amended complaint. In his prayer for

relief, Reynolds requested that the trial court enter an order declaring: (1)

Reynolds was eligible to recover UIM benefits under the Essentia policy; and

(2) the restrictions in the definition of an “insured” in the UIM endorsement to

the Essentia policy were void and unenforceable under the Pennsylvania Motor

Vehicle Financial Responsibility Law (“MVFRL”), 75 Pa.C.S.A. § 1701, et seq.

Essentia filed a response to Reynolds’ motion for partial summary judgment.3

Reynolds filed a reply brief in support of his motion for partial summary

judgment in which he reiterated that he sought partial summary judgment on

his “claim for declaratory relief,” and requested a declaration that the

definition of “insured” in the Essentia policy was void and unenforceable as

violative of the MVFRL, and that he was therefore “eligible” to recover UIM

2 The practical effect of Essentia’s decision to withdraw its denial of coverage

based on the household exclusion was to render as moot Count II of the amended complaint. Thus, the only claim for declaratory relief remaining in the action was Count I, which sought declaratory relief regarding the invalidity of definition of “insured.”

3 Although styled as a “Cross-Motion and Response,” Essentia’s filing did not

include any “motion,” and did not seek any ruling or relief from the trial court. Rather, in its filing, Essentia simply admitted or denied the assertions made by Reynolds in his motion for partial summary judgment.

-4- J-A05034-24

benefits under the Essentia policy. Reply Brief in Support of Motion for Partial

Summary Judgment, 8/1/22, at 9-10; see also Reynolds’ Answer to Cross[-

]Motion for Summary Judgment, 8/1/22, at 1 (clarifying that he was seeking

“Partial Summary Judgment in his favor on the claim for declaratory relief”).

On July 3, 2023, the trial court entered an order granting, in part, and

denying, in part, Reynolds’ motion for partial summary judgment.

Specifically, the trial court ruled: (1) in favor of Essentia and against Reynolds

regarding Reynolds eligibility to recover UIM benefits; and (2) in favor of

Reynolds and against Essentia regarding the limitations in the definition of

“insured.” See Order, 7/3/23. The trial court explained that, although it

found the definition of “insured” in the UIM endorsement to the Essentia policy

to be void and unenforceable, it could not grant the additional declaratory

relief requested by Reynolds regarding his eligibility for UIM benefits under

the Essentia policy because Reynolds had not demonstrated that he had first

sought UIM benefits from Progressive Preferred Insurance Company

(“Progressive”),4 in compliance with section 1733(a) of the MVFRL.5 The trial

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