208 F. Supp. 356 | E.D. Pa. | 1959
The facts which give rise to this motion are stated in the comments attached to the order of November 19, 1958, 208 F.Supp. 354 (Document No. 5 in Clerk’s file). By that order, defendant’s first Motion for Judgment on the Pleadings was granted on the ground that the Complaint did not show that defendant was notified in writing of the accident, in accordance with the conditions of the policy. Plaintiff was given leave to amend paragraph 22 of its Complaint to cure this deficiency, if possible. On December 18, plaintiff filed an Amended Complaint, alleging in paragraph 22 that defendant, on or about nine days after the accident, received a written report of the accident, made an investigation, and settled certain property damage claims. To these pleadings, defendant, on December 23, 1958,
It must now be determined whether the amended pleading alleges sufficient notice to the defendant insurer to comply with the notice requirements of the policy. It is the opinion of the hearing judge that the disposition of this issue, under the facts as they are now alleged, is controlled by the case of Frank '***• Pa-SuPtr-,476’+!1 A-2d,835 (1950). The issue before the court m the Frank case was the same as the issue now under consideration. The applicable provisions of the pohcies involved are identical. In both the Frank case and this case, the insurer received prompt written notice of the accident and made an investigation, subsequent to which a personal injury claim was filed against the insured. In the Frank case, the insurer was notified of the personal injury claim by forwarding of the suit papers 11 months after suit was instituted and 3 y2 months before trial; in the present case, defendant received notice of the personal injury claim about 11 months after suit was instituted and one month before trial. In the Frank case, the court held that the delay in notice of the personal injury claim would not, of itself, relieve the insurer, and that if the insurer were to be relieved of liability under the policy, it had to show that it was prejudiced by such delay. It is clear, therefore, that, although the insurer does not have to show that it was prejudiced by an unreasonable delay in the initial notiñcation of the occurrence of the accident Unverzagt v. Prestera, 339 Pa. 141, 13 A2d 46 (1940),
In view of the disposition of this issue necessary to consider the other grounds asserted by the defendant in its original motion.
It doeg not appear to be> and) jndeed, cannot be, contended that plaintiff was not an additional insured within the meaning of the “omnibus” clause of the policy (Insuring Agreement III, Ex
Defendant finally contends that plaintiff is barred from coverage by reason of the employee exclusion clause of the policy. This clause (Exclusion (b)) reads as follows:
“(b) Under coverage A, to bodily injury to or sickness, disease or death of any employee of the insured while engaged in the employment, other than domestic, of the insured or in domestic employment if benefits therefor are either payable or required to be provided under any workman’s compensation law; or to any obligation for which the insured or any company as his insurer may be held liable under any workmen’s compensation law;”
The question is whether “the insured,” within the meaning of this clause of the policy, refers to the named insured, an additional insured, or to either of them. There are apparently no Pennsylvania appellate court decisions interpreting this clause in light of facts similar to those presented here. However, in Clark v. United Steel Barrel Co., 7 Dist. & Co. R.2d 209 (C.P.Phila.1956), the court, interpreting an identical clause, said at page 217:
“ * * * the exclusion applies only to the party against whom the claim is made and the test is applied: ‘Is the plaintiff an employe of the defendant?’ It is immaterial whether plaintiff is an employee of any other insured, whether such other insured is the named insured or another additional insured under the ‘unqualified insured’ definition.”
See, also, Walls, to use, v. Gaines et al., 46 Dist. & Co. R. 327 (C.P.Chester 1940). This approach has been adopted in Greaves v. Public Service Mutual Insurance Co., 5 N.Y.2d 120, 181 N.Y. S.2d 489, 155 N.E.2d 390 (N.Y.1959); Maryland Casualty Co. v. N. J. Mfrs. Cas. Ins. Co., 28 N.J. 17, 145 A.2d 15 (N.J. 1958); Pleasant Valley Lima Bean Growers, etc., v. Cal-Farm Ins. Co., 142 Cal.App.2d 126, 298 P.2d 109 (Cal.1956); Ginder v. Harleysville Mut. Casualty Co., 49 F.Supp. 745 (E.D.Pa.1942), aff’d. 135 F.2d 215 (3rd Cir.1943). Applying this test to the facts of this case, the question is: was the deceased driver the employee of the Bethlehem Steel Co. at the time of the accident? While the record as it now stands shows nothing with regard to this question, in light of the particular circumstances of this case, this question is one of fact, Restatement, Second, Agency, § 227 (Comment (a) and Illustration 5), and, therefore, cannot be determined upon this motion.
For the foregoing reasons, defendant’s Motion will be denied.
. This case governed the disposition of the first of defendant’s motions.
. The case which has been found most nearly to support defendant’s position is Keyes etc., v. Continental Cas. Co., 121 Pa. Super. 359, 183 A. 672 (1936). In this case, it appeared that the plaintiff was insured by the defendant and another insurance company. The plaintiff had an auto accident which was investigated by the other insurance company. The defendant was promptly notified of the accident and requested from the other insurer more detailed information concerning it. The defendant did not receive the requested information, made no investigation, and was not notified of the subsequent suit against the plaintiff (the defense of which was assumed by the other insurer) until 11 months after the suit was begun and two days before tbe oa/e listed for ,triaL 1Under facts> the court found that the defendant was relieved of liability under the policy.
_ Because of the circumstances of this case- however, it is distinguishable from th<; P"»1 2*****8 *****?* case‘ 14 fay be furtller added; with regard to the present case, tbat would be reasonable for defendant to _assume’ upon an investigation of ^be accident which resulted in the death °i the driver, that a personal injury claim would be asserted against the insured. In this connection, note should be made of plaintiff’s offer of continuance in the original action alleged in paragraph 28 of the Amended Complaint.
. The exceptions contained in Insuring Agreement III of the original contract (Exhibit A) and of the alleged rider of May 12, 1954, which is assumed to be a true representation (see paragraph 11 of the Amended Complaint, Document No. 6 in Clerk’s file), do not appear, and have not been asserted, to bar plaintiff from coverage under the policy.
