Tannenbaum v. Nationwide Insurance

992 A.2d 859, 605 Pa. 590, 2010 Pa. LEXIS 926
CourtSupreme Court of Pennsylvania
DecidedApril 28, 2010
Docket100 MAP 2007
StatusPublished
Cited by9 cases

This text of 992 A.2d 859 (Tannenbaum v. Nationwide Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tannenbaum v. Nationwide Insurance, 992 A.2d 859, 605 Pa. 590, 2010 Pa. LEXIS 926 (Pa. 2010).

Opinions

OPINION

Justice SAYLOR.1

This appeal requires assessment of the scope of an offset provision of the Motor Vehicle Financial Responsibility Law.

In December 2000, Alan Tannenbaum, M.D. (“Appellee”), suffered severe injuries in a motor vehicle accident, rendering him permanently disabled from his previous hospital employment. In addition to Social Security disability payments, Appellee applied for and received income-loss benefits under a group plan provided by the hospital, as well as further benefits pursuant to two personal disability policies. He also commenced a civil action against the driver of a truck involved in the accident and his employer, and a substantial monetary settlement was consummated.

Subsequently, Appellee sought to recover income-loss benefits under the underinsured motorist (“UIM”) provisions of an applicable vehicle policy issued by Appellant, Nationwide Insurance Company (“Nationwide”). Nationwide countered that it was entitled to offset the benefits Appellee received under his group plan and personal disability policies.

In support, Nationwide invoked Section 1722 of the Motor Vehicle Financial Responsibility Law,2 entitled “Preclusion of recovering required benefits,” which provides:

[594]*594In any action for damages against a tortfeasor, or in any uninsured or underinsured motorist proceeding, arising out of the maintenance or use of a motor vehicle, a person who is eligible to receive benefits under the coverages set forth in this subchapter, or workers’ compensation, or any program, group contract or other arrangement for payment of benefits as defined in section 1719 (relating to coordination of benefits) shall be precluded from recovering the amount of benefits paid or payable under this subchapter, or workers’ compensation, or any program, group contract or other arrangement for payment of benefits as defined in section 1719.

75 Pa.C.S. § 1722. According to Nationwide, the statute required an offset favorable to UM/UIM insurers for monies recovered by the insured as first-party benefits and/or which had historically been subject to subrogation. In the latter regard, Nationwide highlighted an interrelated provision of the MVFRL, Section 1720, which curtails subrogation relative to such funds. See 75 Pa.C.S. § 1720 (providing, in relevant part, that “there shall be no right of subrogation or reimbursement from a claimant’s tort recovery with respect to ... benefits paid or payable by a program, group contract or other arrangement whether primary or excess under section 1719 (relating to coordination of benefits)”).

Nationwide also relied on a decision of the federal district court sitting in its diversity jurisdiction, Austin v. Dionne, 909 F.Supp. 271 (E.D.Pa.1995), which sanctioned a Section 1722 disability-benefit offset against a plaintiffs recovery under his automobile insurance policy. Austin reasoned that Section 1722 “reflects the Pennsylvania legislature’s goal of preventing double recovery from both an employer’s disability insurance fund and a tortfeasor.” Id. at 275. Nationwide took the stance that Appellee’s receipt of disability benefits similarly overlapped with his UIM claim, thereby amounting to an attempt — as Nationwide put it — to “double dip.”

Appellee countered that recovery of benefits for which he paid (or otherwise contributed to premiums) did not represent a double recovery, and such benefits were not subject to [595]*595Section 1722 offset. In support of his position, Appellee relied substantially on the rationale of Panichelli v. Liberty Mut. Ins. Group, 543 Pa. 114, 669 A.2d 930 (1996).

As relevant to Appellee’s position, Panichelli held that sick pay and Social Security disability benefits received by a policyholder could not be deducted by an insurer in calculating the insured’s “actual loss of gross income” under the first-party-benefits provisions of the MVFRL contained in its Section 1712(2), 75 Pa.C.S. § 1712(2). The Court reasoned that, in light of the insured’s contribution to payment for these benefits, they were to be considered “in excess of, and not in duplication of, the income loss benefits payable under § 1712(2).” Panichelli, 543 Pa. at 118, 669 A.2d at 932; see also id. (“Panichelli’s receipt of both employer provided sick leave benefits and social security disability benefits ... does not result in ‘double dipping.’ These are benefits for which the employee has paid in the form of lower wages for the sick leave benefits and in the form of payroll deductions for the social security benefits.”); 75 Pa.C.S. § 1719(a) (“Any program, group contract or other arrangement for payment of benefits such as described in [the first-party provisions, including Section 1712,] shall be construed to contain a provision that all benefits provided therein shall be in excess of and not in duplication of any valid and collectible first party benefits .... ”). Furthermore, Appellee observed, Panichelli’s rationale had been extended by the intermediate appellate courts to a variety of contexts. See Browne v. Nationwide Mut. Ins. Co., 449 Pa.Super. 661, 666-67, 674 A.2d 1127, 1129-30 (1996) (referencing Panichelli’s contribution-based reasoning in holding that Social Security disability benefits are not subject to Section 1722 offset, albeit advancing a primary rationale resting on the recognition that such benefits were not subject to subrogation in the first instance); Carroll v. Kephart, 717 A.2d 554, 558 (Pa.Super.1998) (indicating that, pursuant to Panichelli and Broume, “benefits for which a plaintiff has paid for or earned through his employment are not within the purview of § 1722 and the receipt of those benefits do[es] not constitute a double recovery”).

[596]*596Two of three members of the panel of arbitrators selected to resolve the parties’ dispute agreed with Nationwide, with the chairperson referencing Austin’s rationale in support of the majority position. Thus, although the panel rendered an award of approximately $1.9 million in Appellee’s favor, it also implemented an offset, favorable to Nationwide, reflecting the nearly one-million dollars in disability benefit payments Appellee had received under his employer plan and personal policies. Contesting this offset, Appellee filed a petition to set the award aside in the common pleas court, acting as a statutory appeals court.

Upon its review, the court found the offset to have been improper and vacated the arbitrators’ award. It reasoned that the arbitrators erroneously relied upon Austin, whereas they should have followed the Panichelli line, particularly Carroll, as these matters all were decided after Austin.

On Nationwide’s subsequent appeal, the Superior Court affirmed in a published opinion, see Tannenbaum v. Nationwide Ins. Co., 919 A.2d 267 (Pa.Super.2007), upon a rationale tracking Appellee’s position.

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Bluebook (online)
992 A.2d 859, 605 Pa. 590, 2010 Pa. LEXIS 926, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tannenbaum-v-nationwide-insurance-pa-2010.