Tubner v. State Farm Mutual Automobile Insurance

421 A.2d 392, 280 Pa. Super. 38
CourtSuperior Court of Pennsylvania
DecidedOctober 27, 1980
Docket434
StatusPublished
Cited by7 cases

This text of 421 A.2d 392 (Tubner v. State Farm Mutual Automobile Insurance) 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
Tubner v. State Farm Mutual Automobile Insurance, 421 A.2d 392, 280 Pa. Super. 38 (Pa. Ct. App. 1980).

Opinion

PRICE, Judge:

The instant appeal presents this court with another opportunity 1 to decide a question of first impression 2 involving the interrelationship of the Uninsured Motorist Act 3 and the Pennsylvania No-fault Motor Vehicle Insurance Act. 4 The specific issue raised is whether a company designated as a servicing insurance company under the Pennsylvania Assigned Claims Plan of the No-fault Act (see 40 P.S. § 1009.108) is required to pay not only the basic loss benefits specified by the Act, but also uninsured motorist benefits. We hold that the legislative intent requires inclusion of such payments within the assigned claims plan, and we therefore *40 reverse the order of the court of common pleas and remand the case for further proceedings consistent with this opinion.

The pertinent facts are as follows. Decedent Jerry Amey died of injuries he received in a motor vehicle collision while riding in an uninsured automobile on October 3, 1977. Appellant, administratrix of the decedent’s estate, obtained a default judgment against the driver of the uninsured car, but the driver was unable to satisfy the judgment. Appellant thereafter presented her claim to the Assigned Claims Bureau to obtain benefits under the No-fault Act. Appellee was designated as the assigned participating insurer, and it paid appellant those basic loss benefits prescribed in section 202 of the Act. 5 Appellant filed a motion for summary judgment in the court of common pleas, alleging that she was also entitled to uninsured motorist benefits under the assigned claims plan. Appellee filed a cross-motion for summary judgment, and the court of common pleas per order of the Honorable R. Stanton Wettick, granted appellee’s cross-motion.

*41 We recognize, at the outset, that the preamble to the No-fault Act proclaims that its purpose, inter alia, is “the maximum feasible restoration of all individuals injured and compensation of the economic losses of the survivors of all individuals killed in motor vehicle accidents on Commonwealth highways.” When interpreting this statute, we generally have employed a liberal construction so as to find coverage whenever feasible. As this court noted in Heffner v. Allstate Insurance Co., 265 Pa.Super. 181, 187, 401 A.2d 1160, 1162-63 (1979):

“Historically, the courts of this Commonwealth have routinely . . . found coverage for the insured in close or doubtful cases. The tendency has been that if we should err in ascertaining the intent of the legislature or the intendment of an insurance policy, we should err in favor of coverage for the insured.” (footnotes omitted).

Similarly, we and our supreme court have acknowledged that the Uninsured Motorist Act is designed to give monetary protection to that “ever changing and tragically large group of persons who while lawfully using the highways themselves suffer grave injury through the negligent use of those highways by others,” Pattani v. Keystone Insurance Co., 426 Pa. 332, 338, 231 A.2d 402, 404 (1967), see Adelman v. State Farm Mutual Automobile Insurance Co., 255 Pa.Super. 116, 386 A.2d 535 (1978), and that the legislative intent in promulgating the Act therefore requires a liberal construction of the statute and a “pronounced propensity ... to find coverage unless equally strong legal or equitable considerations to the contrary are present.” Adelman v. State Farm Mutual Insurance Co., supra, 255 Pa.Super. at 127, 386 A.2d at 540, quoting Sands v. Granite Mutual Insurance Co., 232 Pa.Super. 70, 80, 331 A.2d 711, 716-17 (1974). See also Harleysville Mutual Casualty Co. v. Blumling, 429 Pa. 389, 241 A.2d 112 (1968). It is with these tenets in mind that we assess the merits of the instant appeal.

Under the assigned claims plan of the No-fault Act, claimants for whom insurance is not carried must present their claims to the Assigned Claims Bureau. The claims are *42 then allocated equitably among all insurance companies licensed in Pennsylvania to write automobile insurance. See generally, Schimmelbusch v. Royal-Globe Insurance Co., 247 Pa.Super. 28, 371 A.2d 1021 (1977). Once the claim is assigned to a participating insurer, the claimant is entitled to recover “basic loss benefits.” “Basic loss benefits,” as defined in section 103 of the Act (40 P.S. § 1009.103), are:

“benefits provided in accordance with this act for the net loss sustained by a victim, subject to any applicable limitations, exclusions, deductibles, waiting periods, disqualifications, or other terms and conditions provided or authorized in accordance with this act. Basic loss benefits do not include benefits for damage to property. Nor do basic loss benefits include benefits for net loss sustained by an operator or passenger of a motorcycle.”

Appellee contends that benefits payable under the assigned claims section of the No-fault Act should be strictly limited to those benefits defined as “basic loss benefits” in section 103 and delineated in section 202 of the Act, and, initially, this argument seems persuasive. However, the section of the No-fault Act establishing the assigned claims plan additionally provides that “[cjlaims shall be assigned so as to minimize inconvenience to claimants. The assignee thereafter has rights and obligations as if he had issued a policy of basic loss insurance complying with this act applicable to the injury . . . .” 40 P.S. § 1009.108. (emphasis added). Question then arises as to what constitutes a “policy of basic loss insurance complying with this act.” At first blush, section 104(a) of the No-fault Act apparently answers this inquiry. Under that section:

“Every owner of a motor vehicle which is registered or which is operated in this Commonwealth by the owner or with his permission, shall continuously provide security covering such motor vehicle while such vehicle is either present or registered in the Commonwealth. Security shall be provided for the payment of basic loss benefits, and for the payment of sums up to a total limit of thirty thousand dollars ($30,000) which the owner or any person *43

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Bluebook (online)
421 A.2d 392, 280 Pa. Super. 38, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tubner-v-state-farm-mutual-automobile-insurance-pasuperct-1980.