Infinity Select Insurance Co. v. Fleming, T.
2079 EDA 2015
| Pa. Super. Ct. | Oct 18, 2016Background
- Infinity issued Fleming a personal auto policy effective 7/16/2003; it was cancelled for nonpayment effective 10/4/2013 at 12:01 a.m.
- Fleming allegedly struck and fatally injured a pedestrian on 10/4/2013 at ~11:00 p.m., after the stated cancellation time.
- On 10/5/2013 at ~2:34 p.m., Fleming (or someone on her behalf) made an online premium payment and indicated no accidents had occurred; Infinity reinstated the policy "without lapse."
- Infinity sued for declaratory relief (Feb 2014), alleging the policy lapsed at the time of the accident and it owed no duty to defend or indemnify Fleming; no answer was filed to the complaint.
- Infinity moved for summary judgment arguing (1) policy was lapsed at the accident and (2) payment occurred after the accident; the trial court granted summary judgment in part, preserving potential coverage for innocent third parties; Infinity appealed.
- The Superior Court affirmed, holding Infinity’s concession that it reinstated the policy without lapse was dispositive as to coverage for innocent third parties and that Infinity’s fraud/rescission argument was waived (and in any event would be constrained by Erie).
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether cancellation for nonpayment defeated coverage for the 10/4/2013 accident | Policy had been cancelled before the accident; therefore no coverage | Reinstatement without lapse created coverage in effect at time of accident; innocent third parties are protected | Court: Infinity conceded reinstatement without lapse; policy in effect; coverage must be afforded to innocent third parties |
| Whether insurer may void the reinstatement due to insured's misrepresentation/fraud | Insurer may rescind/revoke reinstatement because Fleming fraudulently induced it | No fraud was pleaded with particularity; rescission as to innocent third parties barred by Act 78/Erie | Court: Fraud argument waived for lack of pleading; even if proven, Erie restricts rescission as to innocent third parties |
Key Cases Cited
- Kelly v. Allstate Ins. Co., 138 F. Supp. 2d 657 (E.D. Pa. 2001) (late premium acceptance generally reinstates policy as of payment; lapse typically bars recovery for loss during lapse)
- Cooper v. Belt Auto. Indem. Ass’n, 79 Pa. Super. 479 (Pa. Super. 1922) (absent waiver, coverage resumes on payment of overdue premium)
- Schifalacqua v. CNA Ins., 567 F.2d 1255 (3d Cir. 1977) (insurer may expressly waive forfeiture for lapse; otherwise acceptance of late payment reinstates from payment date)
- Equitable Life Assurance Soc’y v. Klein, 173 A. 188 (Pa. 1934) (life-insurance rescission permitted for fraudulent certification) (distinguished)
- Erie Ins. Exch. v. Lake, 671 A.2d 681 (Pa. 1996) (Act 78/68 limits rescission of automobile policies procured by fraud; insurer may rescind as to the fraudster but innocent third parties retain coverage)
- Kvaerner Metals Div. v. Commercial Union Ins. Co., 908 A.2d 888 (Pa. 2006) (standards for appellate review of summary judgment)
