SIMMS v. NEW JERSEY MANUFACTURERS INSURANCE COMPANY

CourtDistrict Court, E.D. Pennsylvania
DecidedMarch 16, 2023
Docket2:22-cv-02413
StatusUnknown

This text of SIMMS v. NEW JERSEY MANUFACTURERS INSURANCE COMPANY (SIMMS v. NEW JERSEY MANUFACTURERS INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
SIMMS v. NEW JERSEY MANUFACTURERS INSURANCE COMPANY, (E.D. Pa. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

ELLIS SIMMS, CIVIL ACTION

Plaintiff, NO. 22-2413-KSM v.

NEW JERSEY MANUFACTURERS INSURANCE COMPANY,

Defendant.

MEMORANDUM Marston J. March 16, 2023 Plaintiff Ellis Simms was involved in a motor vehicle accident while driving his mother’s car. (Doc. No. 1 at 5.) He claims that another car hit him and fled the scene. (Id.) Simms, who injured his neck and back in the resulting accident, seeks uninsured motor vehicle (“UM”) benefits under his mother’s insurance policy with Defendant New Jersey Manufacturers Insurance Company (“NJMIC”). (Id. at 5–6.) NJMIC argues that Simms failed to notify law enforcement that he was in an accident with a phantom vehicle, which is a prerequisite to receiving UM benefits under Pennsylvania’s Motor Vehicle Financial Responsibility Law (“MVFRL”). (Doc. No. 14-2 at 7–8.) NJMIC moves for summary judgment on this ground. (Id. at 4.) Simms opposes the motion, arguing that the police were called to the scene of the accident by someone, even if not by him, and that in the weeks that followed the accident, he repeatedly asked the local police department to create an accident report, but they refused. (Doc. No. 16 at 11–12.) I. Summary judgment is appropriate when the “pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(c). “[T]he mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment; the

requirement is that there be no genuine issue of material fact.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247–48 (1986). A dispute is genuine if the “evidence is such that a reasonable jury could return a verdict for the nonmoving party,” and a fact is material if it “might affect the outcome of the suit under the governing law.” Id. at 248. II. Under the MVFRL, a Pennsylvania insurance policy must include the option of uninsured motorist coverage, i.e., coverage that “provide[s] 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 uninsured motor vehicles.” 75 Pa. Stat. & Cons. Stat. § 1731(b). The Act defines an “uninsured motor vehicle” as, among other things, “[a]n

unidentified motor vehicle that causes an accident resulting in injury provided the accident is reported to the police or proper governmental authority and the claimant notifies his insurer within 30 days, or as soon as practicable thereafter, that the claimant or his legal representative has a legal action arising out of the accident.” Id. § 1702 (emphasis added). “Provision of prompt notice to both law enforcement and the insurance company enables those entities to promptly investigate the accident, thus making it less likely a claimant might fabricate a phantom vehicle’s involvement to excuse his own neglect.” Vanderhoff v. Harleysville Ins. Co., 78 A.3d 1060, 1066–67 (Pa. 2013); accord State Farm Mut. Auto Ins. Co. v. Foster, 889 A.2d 78, 81 (Pa. 2005) (“Section 1702’s police notification requirement advances the policy of keeping automobile insurance affordable to the public by minimizing fraudulent claims and the attempted recovery of benefits in cases where accidents were alleged to have been caused by phantom vehicles.”) (quotation marks omitted); Blazquezt v. Pa. Fin. Resp. Assigned Claims Plan, 757 A.2d 384, 385–86 (Pa. Super. Ct. 2000) (“The purpose underlying the reporting requirement of

section 1702 is the prevention of fraudulent claims.”). NJMIC argues that Simms failed to notify law enforcement of the accident and even though someone else called the police to the scene, Simms failed to tell them that the accident involved a phantom vehicle. (Doc. No. 14-2 at 7–8.) According to NJMIC, these failures kept police from investigating the accident. (Id. at 8.) Simms disagrees with NJMIC’s interpretation of the facts and the law. He argues that he satisfied § 1702’s notification requirement because police were called to the scene of the accident, and although the officer’s incident report does not mention a phantom vehicle, Simms asked the police to create an accident report multiple times after being discharged from the hospital. (Doc. No. 16 at 12.) As an initial matter, the Court agrees with Simms that nothing in the text of the MVFRL

requires that the claimant be the one who reports the accident to police. Instead, it merely requires that “the accident be reported to the police or proper governmental authority.” 75 Pa. Stat. & Cons. Stat. § 1702 (emphasis added). Notably, the Pennsylvania legislature used the passive voice, despite requiring—in the very next clause—that “the claimant notif[y] his insurer” of the accident. Id. (emphasis added). Although the Court imagines that the claimant will, in most cases, be the person who reports the accident to police, we cannot say that the statute requires it. Turning to the facts of this case, neither party disputes that a police officer was called to the scene of the accident, spoke with Simms, and produced a report documenting the incident. (See Doc. No. 14-3 at ¶¶ 8–11; Doc. No. 16 at 3 ¶¶ 8–11.) Notably, however, there is no evidence that the officer was told the case involved a phantom vehicle. The incident report does not mention a second vehicle, and neither the officer nor Simms remember their initial discussion. (See Simms Depo. Tr. at 50:5–9; Curtosi Depo. Tr. at 13:12–16; Doc. No. 14-9 at

26.) NJMIC argues that this lack of evidence is detrimental to Simms’s claim. Neither the Pennsylvania Supreme Court nor the Third Circuit has ruled on whether the police must be told that the accident involved a phantom vehicle. And the text of § 1702, which merely requires that “the accident” be “reported to police,” is ambiguous on this point. Nevertheless, given the purpose of the notice provision, the Court finds that the police must be told the accident involved an unidentified vehicle for the prerequisite to be satisfied. In State Farm Mutual Auto Insurance Co. v. Foster, the Pennsylvania Supreme Court held that § 1702’s police notification requirement is a mandatory prerequisite to receiving UM benefits. 889 A.2d at 82. In other words, if an accident is not reported to police, the insurance company can deny benefits and need not show that it was prejudiced by the lack of notice before

doing so. Id. In so holding, the court explained that the purpose of the police notification requirement is “protection of the public’s interest in affordable automobile insurance.” Id at 81. When an accident involving a phantom vehicle is reported to the police, officers can timely investigate the cause of the accident, thus limiting the number of fraudulently reported UM claims, the cost of which “is ultimately passed on to the public in the form of higher premiums.” Id.; accord Vanderhoff, 78 A.3d at 1067 (“Provision of prompt notice to both law enforcement and the insurance company enables those entities to promptly investigate the accident, thus making it less likely a claimant might fabricate a phantom vehicle's involvement to excuse his own neglect.”).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Jackson v. Pennsylvania Financial Responsibility Assigned Claims Plan
575 A.2d 626 (Supreme Court of Pennsylvania, 1990)
Owens v. the Travelers Ins. Co.
675 A.2d 751 (Superior Court of Pennsylvania, 1996)
State Farm Mutual Automobile Insurance v. Foster
889 A.2d 78 (Supreme Court of Pennsylvania, 2005)
Hatcher v. Travelers Insurance
617 A.2d 808 (Superior Court of Pennsylvania, 1992)
Blazquez v. Pennsylvania Financial Responsibility Assigned Claims Plan
757 A.2d 384 (Superior Court of Pennsylvania, 2000)
Vanderhoff v. Harleysville Insurance Co.
78 A.3d 1060 (Supreme Court of Pennsylvania, 2013)
Pak v. Allstate Insurance
15 Pa. D. & C.4th 514 (Lehigh County Court of Common Pleas, 1992)

Cite This Page — Counsel Stack

Bluebook (online)
SIMMS v. NEW JERSEY MANUFACTURERS INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simms-v-new-jersey-manufacturers-insurance-company-paed-2023.