Lead Opinion
OPINION
We granted allocatur to determine whether the “regularly used, non-owned car” exclusion and its ensuing contractual restraint on underinsured motorist (UIM) coverage portability violate public policy. For the reasons that follow, we reverse the order of the Superior Court.
On September 4, 1993, Sid and Doreen Burstein were driving in Lower Southampton, Pennsylvania. A speeding motorcyclist struck their vehicle and injured both Mr. and Mrs. Burstein. Subsequently, the motorcyclist’s insurance policy surrendered the maximum amount payable under its liability limits, but failed to fully compensate the Bursteins for their injuries. This inadequacy forced the Bursteins to determine whether another insurance policy could cover their damages.
At the time of the accident, Mr. Burstein was driving the vehicle that Mrs. Burstein’s employer had provided to her as a benefit of employment. Mrs. Burstein regularly drove the vehicle, both for business and personal use, and had driven employer-provided vehicles throughout the previous eight
The. Bursteins also owned three vehicles, none of which were involved in the collision. All of these vehicles were insured with liability, UM, and UIM coverage through Prudential Property and Casualty Insurance Company. The Bur-steins submitted a claim for UIM benefits under the Prudential policy. Prudential denied the claim because the policy specifically excluded regularly used, non-owned cars, such as Mrs. Burstein’s employer-provided vehicle. Thereafter, the Bursteins sued Prudential and claimed that the regularly used, non-owned car exclusion is unenforceable because it violates public policy.
A panel of arbitrators determined that the policy exclusion violates public policy as applied to Mr. Burstein, but not as applied to Mrs. Burstein. Both Prudential and the Bursteins petitioned the trial court for a modification of the arbitration decision. While the Bursteins argued that the exclusion violates public policy as applied to both, Prudential defended that the exclusion did not violate public policy in either instance. The trial court held that the exclusion violated public policy as applied to both insureds, thereby affirming the arbitrator’s decision as to Mr. Burstein, but reversing as to Mrs. Burstein.
Prudential appealed and a divided panel of the Superior Court affirmed. Upon Prudential’s application for reargument, the court granted reargument en banc and withdrew its memorandum decision. The Superior Court, en banc, af
President Judge McEwen authored a concurring and dissenting opinion, which Judges Ford Elliott and Lally-Green joined. President Judge McEwen disagreed with the court’s holding that UIM coverage “follows the person, not the vehicle.” Id. at 691. Nonetheless, he. agreed with the court’s result because the Bursteins had purchased UIM insurance on all three of their owned vehicles and therefore were not attempting to reap UIM benefits for multiple vehicles from a single-vehicle policy. Id. at 693.
Judge Cavanaugh, joined by Judges Popovich and Johnson, authored a dissenting opinion. Judge Cavanaugh pointed out that the court’s analysis ignored the legislative concern for the increasing cost of automobile insurance and argued that the majority’s reasons for voiding the policy exclusion did not rise to the level of public policy. Id. at 694. Accordingly, the dissent would have upheld the regularly used, non-owned car exclusion. Prudential petitioned this Court for allowance of appeal, which we granted. Burstein v. Prudential Prop. & Cas. Ins. Co.,
PART 5[:] UNDERINSURED MOTORISTS ... IF YOU ARE HIT BY A MOTOR VEHICLE THAT IS UNDER-INSURED
LOSSES WE WILL NOT PAY FOR (PART 5)
REGULARLY USED NON-OWNED CARS We will not pay for bodily injury to you or a household resident using a non-owned car not insured under this part, regularly used by you or a household resident.
R. at 25a-26a (emphasis omitted). The plain language of this provision clearly and unambiguously delineates an exclusion for regularly used, non-owned vehicles. Indeed, the parties agree that the exclusion, if applied, severs the portability of Appellees’ UIM coverage to any regularly used, non-owned cars. As a result, the policy simply does not cover Appellees’ claim. Thus, their only remaining avenue of relief is to demonstrate that the regularly used, non-owned car exclusion and its contractual restraint on UIM portability violate a clearly expressed public policy.
This Court has repeatedly confronted the formless face of public policy. Wary of its vague nature, we have adopted a circumspect posture:
Public policy is to be ascertained by reference to the laws and legal precedents and not from general considerations of supposed public interest. As the term “public policy” isvague, there must be found definite indications in the law of the sovereignty to justify the invalidation of a contract as contrary to that policy. ... Only dominant public policy would justify such action. In the absence of a plain indication of that policy through long governmental practice or statutory enactments, or of violations of obvious ethical or moral standards, the Court should not assume to declare contracts ... contrary to public policy. The courts must be content to await legislative action.
Eichelman,
Here, because the Pennsylvania Legislature has already enacted the MVFRL, the vexation of awaiting legislative action does not hinder our analysis. Pertaining to the public policy concerns of the MVFRL, our Court has repeatedly spelled out that
[t]he repeal of the No-Fault Act[2 ] and the enactment of the MVFRL reflected a legislative concern for the spiralling consumer cost of automobile insurance and the resultant increase in the number of uninsured motorists driving on public highways. The legislative concern for the increasing cost of insurance is the public policy that is to be advanced by statutory interpretation of the MVFRL. This reflects the General Assembly’s departure from the principle of “maximum feasible restoration” embodied in the now defunct No-Fault Act.
Paylor,
Rules and regulations of the Pennsylvania Insurance Department are also relevant when considering the MVFRL. The Department is charged with administering and enforcing the MVFRL and “may make rules and regulations necessary for the administration and enforcement of [the MVFRL].” 75 Pa.C.S. § 1704(b). As a result, the Department’s regulations relating to coverage exclusions could be persuasive in some cases. See, e.g.,. Hall,
In light of the primary public policy concern for the increasing costs of automobile insurance, it is arduous to
Here, voiding the exclusion would frustrate the public policy concern for the increasing costs of automobile insurance, as the insurer would be compelled to underwrite unknown risks that it has not been compensated to insure.
Nonetheless, Appellees make broad claims about the universal portability of UM and UIM coverage. Appellees reason that, as UIM coverage is first party coverage, it is essentially portable; in other words, because UIM coverage is personal, it should “follow the person, not the vehicle.” Thus, they conclude that their “use of a non-owned vehicle on the night of the accident placed no additional risk upon Prudential.... ” Appellees’ Brief at 24-26. Despite Appellees’ wide arguments, the only issue in this appeal is whether the regularly used, non-owned car exclusion and its contractual restraint on UIM portability violate a clearly expressed public policy.
Moreover, it is clear that Appellees’ contention takes the practical realities of insurance for granted. Several dynamics affect an insurer’s risks pertaining to an insured’s regular use of a non-owned car: the type of car; the safety features of the car; the cost of repairing and maintaining the car; the miles regularly logged on the car; etc. To illustrate, if an insured’s employer-provided car offered only nominal safety features, the risk of injury would be far greater than if the insured were driving a vehicle that boasted state-of-the-art safety features. In effect, the heightened risks increase the probability that damages will exceed a tortfeasor’s liability policy
From a practical standpoint, Mrs. Burstein should have taken affirmative steps to determine whether the employer-provided vehicle was insured and, if so, with what types of coverage. This is especially glaring in view of Mrs. Burstein’s use of employer-provided vehicles for over eight years. Stipulated Facts at 2. Once she would have discovered the lack of UIM coverage, she would have had several options. First, she could have accepted the vulnerability of driving the vehicle without UIM coverage. While this may not have been the option preferred by Mrs. Burstein, this Commonwealth does not require UIM coverage. See 75 Pa.C.S. § 1731(a) (requiring the offer of UM and UIM motorist coverage, but declaring that such coverage is optional). Thus, tolerating the risk of injury from an underinsured motorist was a viable option for Mrs. Burstein. Second, she could have obtained UIM coverage for the vehicle in either of two ways: she could have negotiated with her employer for it to purchase UIM coverage on the vehicle; or, if the employer refused, there is no evidence of record suggesting that Mrs. Burstein could not have purchased the coverage herself. Lastly, if Mrs. Burstein could neither obtain the desired UIM coverage nor accept the risk of driving the employer-provided vehicle without UIM coverage, then she could have refused to drive the car.
Accordingly, we hold that the regularly used, non-owned car exclusion and its contractual restraint on UIM portability comport with the underlying policies of the MVFRL, and reverse the order of the Superior Court.
Notes
. Mrs. Burstein used the vehicle primarily for business purposes, but paid a twenty-five dollar weekly fee so that she could drive it for her personal use as well.
. Act of July 19, 1974, P.L. 489, as amended, 40 P.S. §§ 1009.101-1009.701, repealed by the Act of February 12, 1984, P.L. 26. The No-Fault Act was Ihe predecessor to the MVFRL.
. While we recognize that other public policies may underlie the MVFRL, the “legislative concern for the spiralling consumer cost of automobile insurance’’ is its dominant and overarching public policy. Paylor,
. Act of July 31, 1968, P.L. 769, No. 240, as amended, 45 P.S. §§ 1102-1208.
. In addition, the parties do not offer any discussion of the Department’s regulations, except to nakedly claim that the Department has approved of the policy’s terms and has not prohibited use of the regularly used, non-owned vehicle exclusion. Appellant's Brief at 25, 28.
. Appellees baldly assert that, as they paid for liability, UM, and UIM coverage on all three of their vehicles, the public policy behind the MVFRL is achieved and surpassed. Appellees, however, fail to account for their fourth vehicle, the employer-provided car that is at issue here.
. While Section 1733 contemplates that UM and UIM coverage may be portable in some instances, it does not suggest that UM or UIM coverage would extend where the coverage has been specifically excluded, as is the case here.
. We do not purport to hold that UIM coverage is not portable under any circumstances.
Dissenting Opinion
dissenting.
The central public policy at issue in this appeal is expressly established by the General Assembly and embodied in the statutory requirement that companies providing motor vehicle insurance coverage in Pennsylvania must offer UM and UIM coverage to the insurance buying public. See 75 Pa.C.S. § 1781(a). Fundamental questions thus presented are: what precisely was the General Assembly’s conception of UM and UIM insurance when it first mandated such coverage; if it did not have a fixed understanding, to whom did it intend to delegate the determination of what must be offered; and have the legislative ideas in these regards changed over time?
In its opinion, the majority’s implicit response to the first of these questions appears to be that the General Assembly maintained no fixed conception of UM and UIM insurance when it mandated their offering. Rather, the majority opinion seems to suggest that the Legislature was' content to delegate to insurers the determination of what the required offering must entail, so long as exclusions from coverage may be' justified, in the most generalized manner, under the rubric of cost containment (on which basis virtually any and all exclusions and restrictions on coverage can be defended). Moreover, the majority opinion also implies that the legislative understanding of UM and UIM insurance has changed over time, particularly as this Court previously had endorsed the view that portability was an essential characteristic of UM and UIM insurance.
While I tend to agree with the majority’s apparent assessment that the General Assembly afforded a degree of latitude in terms of what must be offered as UM and UIM coverage, I disagree that it designed to effectively leave the decision to insurers. Upon close review of the entire statutory framework, it is my best judgment that the delegated latitude as was afforded, not to insurers, but rather, to the entity statutorily vested with the responsibility to implement the pertinent
Thus, I view this case as an opportunity to clarify and correct the relevant decisional law, to ameliorate fluctuations and uncertainties that have pervaded the jurisprudence in this area, and to establish a foundation for advancement of all salient legislative purposes involved'. To this end, I would undertake the necessary review in this case as follows:
I. Background
The substantive discussion, below, includes references to the historical development of the legislative conception of UIM coverage in the context of Pennsylvania’s motor vehicle insurance law; various forms of exclusions sought to be included within such coverage; and certain specific attributes of UM/ UIM insurance. This section provides a brief overview of these concepts. Since UIM insurance constitutes an out
In Lewis v. Erie Ins. Exchange,
Although the UM Act was not repealed, it was supplanted in some respects by the MVFRL, which notably contained its own requirement that UM coverage be provided. See Hackenberg v. Southeastern Pa. Transp. Auth.,
In setting forth the mandatory offer of UIM coverage, the General Assembly prescribed:
Underinsured motorist coverage shall provide 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 underinsured motor vehicles.
75 Pa.C.S. § 1731(c).
In connection with the mandatory offer of UM and UIM insurance, insurers frequently seek to make various exclusions from coverage, such as the exclusion pertaining to regularly used non-owned vehicles presently at issue.
As an additional element of background, it is often necessary to distinguish between classes of insureds in motor vehicle policies in order to assess the availability of coverage. The MVFRL defines an “insured” as the named insured, designated insureds, and certain household family members. See 75 Pa.C.S. § 1702. This class of insureds has the strongest claim to portability of coverage, as their claim arises by virtue of their relationship with the named insured who maintains a contractual relationship with the insurer. Other categories of persons who may have a claim include guest occupants, who, by definition, must establish a nexus with a motor vehicle insured for UIM coverage. See generally Dupin v. Adkins,
Finally, the discussion below includes a survey of law from other jurisdictions. Such approach is a common one among courts in their efforts to interpret the intent of legislative bodies as they have provided for uninsured and underinsured motorist coverage in a generalized fashion, with sparse direction concerning implementation. As noted below, the approach has been employed in varying degrees by the Superior Court in this area, as well as by this Court. See, e.g., Paylor,
I would begin the substantive review with a close examination of the Superior Court’s divided, en bane decision in this case. In the lead opinion, Judge Schiller, joined by Judges Kelly and Stevens, acknowledged that the regularly used non-owned car exclusion is clear and unambiguous and, if enforced according to its terms, would preclude the Bursteins from recovering UIM benefits from Prudential. See Burstein v. Prudential Property and Cas. Ins. Co.,
The statutory language of the MVFRL ... clearly contemplates a situation in which an insurance company will be required to provide underinsured motorist coverage for an insured who is injured while using a vehicle not covered under one of its policies. When an individual is injured in a motor vehicle accident, the tortfeasor’s insurance carrier must compensate that individual for his or her injuries. See generally 75 Pa.C.S. §§ 1701-1799.7. If the tortfeasor’s policy limits are inadequate, the individual is also entitled to recover underinsured motorist coverage from his or her personal insurance carrier, provided that the individual did not waive such coverage. Where the insured is covered bymore than one policy providing underinsured motorist coverage, however, the MVFRL specifically states that the policy covering the motor vehicle involved in the accident must pay first, followed by the “policy covering a motor vehicle not involved in the accident with respect to which the injured person is an insured.” 75 Pa.C.S. § 1733(a)(2) (emphasis added).
Burstein,
as the frequency of operating the vehicles increases, so does the risk that the insured will be injured by an underinsured motorist. Voiding this particular exclusion in every insurance policy would essentially require insurance companies to provide underinsured motorist coverage for all company cars used by their insureds when such coverage was never discussed, contemplated or paid for by the insured, a risk many insurance companies would deem substantial.
Burstein,
The lead judges thus expressly viewed their task as weighing the competing policy interests and determining which interests should prevail in the circumstances presented. See id. at 687. For the reasons first identified by the common pleas court (the Bursteins maintained liability and UIM coverage on all of their vehicles, had no knowledge of the decision of Mrs. Burstein’s employer to forego UIM coverage, and were not attempting to avoid their responsibility to purchase adequate insurance), the lead judges determined that upholding the exclusion would not foster the cost containment policy. See id. at 690-91. More affirmatively, the lead opinion stated that:
voiding the “regularly used non-owned car” exclusion under the facts of this case furthers the aforementioned public policies by providing the greatest possible coverage to the [Bursteins], by compensating them for injuries caused by a tortfeasor who had inadequate coverage, and by allowing them to recover underinsured motorist coverage they had specifically paid for under their policy with [Prudential].
In sum, we find that in this case the public policies in favor of voiding the exclusion supersede that which favors uphold- ■ ing it. We therefore hold that under the present facts— where an insured has complied with both the letter and spirit of the MVFRL and was not notified that the vehicle he or she was regularly using was not covered by underinsured motorist coverage — the policy provision denying underinsured motorist coverage for a “regularly used non-owned car” is void as against public policy.
Id. at 688-89, 691 (emphasis in original).
In an opinion that was joined by Judges Ford Elliott and Lally-Green, then-President Judge McEwen agreed with the disposition but disagreed with the assertion expressed in the lead opinion that UIM benefits are first-party benefits that follow the person rather than the vehicle. See Burstein, 742
Judge Cavanaugh, joined by Judges Popovich and Johnson, dissented. In the dissent’s view, the MVFRL manifests a single public policy — containment of the cost of insurance premiums. See Burstein,
[t]o require an insurer to cover a use which is subject to an unambiguous policy exclusion, may almost certainly be expected to give rise to an increase in the cost of automobile insurance. This is violative of public policy. This is the result reached by the majority.
Burstein,
This Court granted allocatur primarily to resolve whether enforcement of the regularly used non-owned car exclusion would offend Pennsylvania public policy.
III. The Parties’ Arguments
Referencing the. Superior Court dissent, Prudential contends that the overriding policy to be effectuated in construing the MVFRL is the containment of automobile insurance costs to facilitate the offer and procurement of affordable coverage. Prudential asserts that such policy is advanced by enforce
The Bursteins, on the other hand, advance the reasoning employed by the opinions of the common pleas court and the Superior Court lead, highlighting the view that UIM coverage by its nature should be deemed to follow the person of an insured; the liberal compensatory scheme of UIM protection; and the general policy of facilitating the greatest possible coverage to injured claimants. The Bursteins contend that such considerations have been invoked by this Court and the Superior Court to void similar exclusionary provisions, such as the “family car exclusion.” See infra § I. The Bursteins also emphasize this Court’s admonition that public policy impact is to be determined in light of the particular facts presented; in
IV. Public Policy
Although arbitration awards generally are substantially insulated from review, as concerns determinations expressly grounded in public policy, this Court’s review is plenary in scope. See Hall,
In the broadest frame, I deem the dissenting position on this point to be the correct one. This Court has explained that avoidance of unambiguous contractual terms on policy grounds requires the demonstration of an overriding public policy deriving from the laws and legal precedents, long governmental practice, or obvious ethical or moral standards. See Hall,
The Superior Court lead opinion also can be viewed in a narrower frame, however. As previously noted, legislative prescriptions such as the MVFRL themselves establish prevailing public policy; accordingly, when a contractual provision contravenes a statute, courts will generally declare the provision void. See George J. Couch, Couch on Insurance § 101.15 (3d ed. 2000) (“As statutes and regulations are considered articulations of public policy, a violation of a statute or administrative regulation is also a violation of public policy.”). In the insurance setting, a policy of insurance may expand, but cannot reduce, coverage .that is mandated by statute — any attempt by an insurer to diminish the statutorily mandated UM/UIM protection (absent an effective rejection by the insured) is void as contrary to public policy.
For purposes of determining the meaning of the UIM provisions of the MVFRL (and correspondingly whether public policy is violated by the regularly used non-owned car exclusion), more general policies such as the remedial purposes of the offer of UIM insurance (the legislative intent of UM/UIM statutes as a protective measure for victims of uninsured and underinsured motorists) again become relevant as a means of assessing legislative intent. See 1 Pa.C.S. § 1921 (enumerating tools of statutory construction, including reference to the circumstances under which a statute was enacted; the mischief to be remedied; the object to be attained; and the consequences of a particular interpretation). It is crucial, however, to distinguish between reference to public policy as a means to determine the intent underlying a statute, and the direct application of overarching public policy to invalidate a contractual provision. In the former circumstance, the policy may inform the manner in which the statute is applied to the facts and circumstances of an individual case; it is only in the latter circumstance that the individual facts and circumstances are evaluated in direct relation to the overarching policy that has been discerned. While this distinction may seem to be a fine one, its observance prevents courts from disrupting broad social policy established by the General Assembly by directing the results of individual cases according to their own individual notions concerning which policies should prevail in any given set of circumstances.
Thus, even in the narrower frame, the Superior Court’s approach of looking to the Bursteins’ individual situation to determine whether public policy would be advanced in the individual facts and circumstances of the case was an incorrect one. Nevertheless, in the course of its discussion, the Superi- or Court lead identified several policies relevant to the construction of the MVFRL, including the liberal compensatory scheme of the MVFRL, the public interest in providing UIM insurance, and, correspondingly, the core conclusion that the legislative conception requires that the coverage follow the person of the insured except in limited circumstances. See Burstein,
In interpreting similar financial responsibility schemes, many courts have adopted the position taken by the Superior Court lead and, accordingly, have invalidated various geographic exclusions. For example, in Calvert v. Farmers Ins.
nothing in our uninsured motorist statute which limits coverage depending on the location or status of the insured. Thus, our uninsured motorist protection is portable.... Any gaps in uninsured motorist protection dependent on location of the insured should be sanctioned by the Legislature and not by this Court.
Id. at 689; see also Howell v. Balboa Ins. Co.,
Conversely, other courts have enforced various geographic exclusions, frequently emphasizing that the purpose of the financial responsibility laws is to encourage owners of uninsured vehicles to purchase insurance and stressing the absence of express legislative limitations on exclusions. See, e.g., Clampit v. State Farm Mut. Auto. Ins. Co., 309 Ark.. 107,
Further, the positions taken by various jurisdictions have changed with the evolution of financial responsibility laws. For example, prior to 1985, Minnesota courts strongly disapproved geographic exclusions — in Nygaard v. State Farm Mut. Auto. Ins. Co.,
places no geographical limits on coverage and does not purport to tie protection against uninsured motorists to occupancy of the insured vehicle ...
... “[Ujninsured motorist protection is not coverage for vehicles but persons, even though it is contained in an insurance policy otherwise insuring an automobile.” If our interpretation of the intent of the uninsured-motorist statute is correct, little room is left for an insurer unilaterally to narrow the geographic scope of the statutorily required coverage.
Id. at 156-57 (citations omitted). See generally Smetak, Underinsured Motorist Coverage in Minnesota, 24 Wm. Mitchell L.Rev. at 906 (“[bjefore October 1,1985, Minnesota courts consistently refused to enforce policy exclusions which prevented UM and UIM coverages from following the person rather than the vehicle”). In 1985, the Minnesota legislature amended the Minnesota uninsured motorist statute to include a geographic limitation and to designate the occupied motor vehicle as the primary source of UM or UIM coverage, which the Minnesota Supreme Court interpreted as “reflecting] a broad policy decision to tie uninsured motorist and other coverage to the particular vehicle involved in an accident.” Hanson v. American Family Mut. Ins. Co.,
Before the 1985 statutory changes to the UM/UIM system, both UM and UIM policies were deemed to essentially follow the person and not the vehicle. Thus, before 1985 Minnesota law allowed the “stacking” of all UM or UIM coverages available to a person under several potentially available policies. At some point, however, these policyobjectives shifted; allowing recovery of the UM or UIM coverage became unacceptable.
Minnesota’s UIM history, in terms of its application to the family auto exclusion, shows the struggle as the courts have tried to apply these shifting policies. More recently, the appellate courts have come to recognize that the post-1985 statutes not only validate the family auto exclusions, but impose the limitation even in the absence of an exclusion or limitation in the insurance policy.
Smetak, Underinsured Motorist Coverage in Minnesota, 24 Wm. Mitchell L.Rev. at 891.
In Pennsylvania, the treatment of geographic exclusions, and, correspondingly, the judicial understanding of portability, has undergone a similar evolution. As previously noted, in December of 1963, following the enactment of the Uninsured Motorist Act, the Insurance Department promulgated title 31, chapter 63 of the Pennsylvania Code pursuant to its authority under the Commonwealth Documents Act. Section 63.2 provided that “[t]he extent of coverage which shall be offered as “Uninsured Motorist Coverage” shall be at least that coverage contained in the sample form in Exhibit C, which is the National standard form for this insurance.” 31 Pa.Code § 63.2. Originally, the sample form contained an other owned vehicle/household family member exclusion.
Following Wilbert and Williams, the Insurance Department amended its sample form in accordance with the provisions of the Commonwealth Documents Law, 45 P.S. §§ 1201-1208, to omit the other owned vehicle/household family member exclusion. The Insurance Department cited Wilbert and certified that the amendment was necessary and appropriate for the
Subsequently, in a line of cases concerning the family car exclusion, the Superior Court endorsed the view that UM and UIM coverage is, by legislative design, portable; therefore, the family car exclusion was invalid, except in limited circumstances in which the insured was attempting to utilize the coverage effectively as a substitute for more expensive liability coverage. See Marroquin,
In this Court’s 1994 decision in Paylor,
[T]he legislative history of the MVFRL indicates that the primary concerns of the General Assembly in repealing the No-fault Act and enacting the MVFRL were the spiraling cost of automobile insurance and the resultant increase in the number of uninsured motorists driving on public highways.
We therefore hold that the [other owned vehicle/household family member] exclusion ... is a valid and enforceable provision. Our conclusion is bolstered by the fact that Windrim’s argument, if accepted, would actually contravene the legislative intent behind the MVFRL by serving as a disincentive to insure vehicles. As Judge Popovich observed, “[a] possible result ... is that many individuals owning several vehicles will purchase coverage for only one of them. Likewise, relatives living with an insured will be less inclined to purchase insurance for their vehicles, instead seeking uninsured motorist coverage under their relative’s insurance policy.” Clearly, the General Assembly did not envision nor intend such abuses of the system when it enacted the MVFRL.
Windrim,
Although uninsured motorist coverage serves the purpose of protecting innocent victims from irresponsible uninsured motorists, that purpose does not rise to the level of a public policy overriding every other consideration of statutory construction. Not to lose sight of the forest for the trees, we quote the obvious: “[T]he policy of liberal interpretation of the [uninsured motorist law] is not limitless, a proverbial House that Jack Built____[T]here is a correlation between the premiums paid by the insured and the coverage a claimant could reasonably expect to receive.”
Hall,
The next year (1995), this Court reversed a memorandum decision of the Superior Court which had invalidated an other owned vehicle/household family member exclusion in a UIM policy. See Hart v. Nationwide Ins. Co.,
In 1998, this Court issued Elchelman,
The Bursteins cogently argue that, in enacting and amending the MVFRL, the General Assembly did not manifest an intent to alter its own pre-existing conception of the fundamental nature of UM and UIM coverage, but rather, merely made such coverage optional.
Primarily, I would discern a central limiting principle in the Insurance Department’s regulatory role. Pursuant to the MVFRL, the Department is expressly charged with administration and enforcement and empowered with the authority to make substantive rules and regulations necessary to these ends. See 75 Pa.C.S. § 1704(b).
Through this Court’s decision in Paylor, this Court’s interpretations created uncertainty in terms of the Insurance Department’s ability to promulgate regulations formally authorizing geographic exclusions; indeed, as noted, following the Superior Court’s decision in Wilbert and this Court’s in Williams, the Insurance Department withdrew its formal authorization of other owned vehicle/household family member exclusions in the UM context. See swpra. As noted, this case presents an opportunity to ameliorate such uncertainty by clarifying and correcting the Court’s decisional law in light of the prevailing understanding of the MVFRL. In furtherance of both the remedial purposes and cost containment objectives, I would therefore expressly recognize that the General Assembly left significant room for administrative adjustment in terms of defining permissible UM and UIM geographic coverage exclusions, and clarify that the Department’s validly enacted substantive rules in the UM/UIM arena (namely, those enacted pursuant to the Commonwealth Documents Law and within the scope of the delegated authority)
As other courts and commentators have recognized, the UM/UIM arena is complex, and the expansive litigation it has generated has yielded transitional decisional law. See generally J. Ronca, L. Sloane, D. Lutz, et al., Pennsylvania Motor Vehicle Insurance 2d at xxvi (“The past twenty three years teaches us that automobile insurance law is in a constant state of change.”). Certainly, affirming the Superior Court would have the effect of fostering additional change. The Insurance Department could elect to amend its regulations to align them with its present approval practices so as to allow for geographic exclusions such as the other owned vehicle/household family member and regularly used non-owned car exclusions which it determined were justified as a reasonable impingement upon the remedial objectives of the MVFRL based upon the cost containment objective. In this regard, I note that the process
Y. Alternative Ground Supporting Affirmance as to Mr. Burstein’s Claim
Finally, there is an additional ground upon which the award in favor of Mr. Burstein should be affirmed.
The manner in which an appellate court reviews an award resulting from a common-law arbitration reflects the strong preference for non-judicial resolution of disputes. See, e.g., Bateman v. Motorists Mut. Ins. Co.,
Here, Prudential predicated its position before the arbitrators entirely upon the regularly used non-owned car exclusion contained in its policy., Such exclusion, by its terms, however, applies solely to “non-owned cars,” printed in bold type to indicate that the phrase is a defined term in the policy. Under the definitional provisions, a “non-owned car” is “a car which is not owned by, registered in the name of or furnished or available for the regular or frequent use of you or a household resident” (emphasis in original). Since it is undisputed that the company car in which the Bursteins were injured was available for their regular use, such car simply is not a “non-owned car” for purposes of the policy. See generally Adelman,
In summary, I disagree with the majority’s explication of fundamental principles governing UM and UIM coverage, entrenchment of the view that the legislative cost containment objective overwhelms the remedial purposes of Pennsylvania’s scheme of insurance regulation, and emphasis on attribution of
Accordingly, and respectfully, I dissent.
. Act of February 12, 1984, P.L. 26, No. 11 (effective October 1, 1984) (as amended, 75 Pa.C.S. §§ 1701-1799.7) (the "MVFRL”).
. Act of July 19, 1974, P.L. 489, No. 176 (codified at 40 P.S. § 1009.101-1009.701 (repealed)) (the "No-Fault Act”).
. See Act of Feb. 7, 1990, P.L. 11, No. 6.
. Section 1731(a) provides:
(a) Mandatory offering. — No motor vehicle liability insurance policy shall be delivered or issued for delivery in this Commonwealth, with respect to any motor vehicle registered or principally garaged in this Commonwealth, unless uninsured motorist and underinsured motorist coverages are offered therein or supplemental thereto in amounts as provided in section 1734 (relating to request for lower limits of coverage). Purchase of uninsured motorist and underinsured motorist coverages is optional.
75 Pa.C.S. § 1731(a).
. This provision mirrors Section 1731(b), pertaining to UM coverage. See 75 Pa.C.S. § 1731(b). The MVFRL defines "underinsured motor
. As the Superior Court has explained:
claimants who purchased uninsured motorist coverage were in a better position when they were involved in a car accident with an uninsured tortfeasor rather than an underinsured tortfeasor. If they were hit by an uninsured tortfeasor, they could recover from their uninsured motorist benefits; however, if they were hit by an underinsured tortfeasor, they could not recover from that coverage but were limited to recovering the minimal amount of benefits available to them under the tortfeasor’s insurance. The legislature enacted the underinsured motorist coverage in the MVFRL to resolve this anomaly-
Newkirk v. United Services Auto. Ass'n,
. Based upon this relationship and the substantial similarity of the legislative prescriptions for UM and UIM coverage, courts frequently recognize the relevance of decisional law pertaining to UM coverage when considering the applicability of UIM coverage. See, e.g., Jeffrey v. Erie Ins. Exch.,
. As reflected in the majority opinion, the text of the exclusion in question if as follows:
REGULARLY USED NON-OWNED CARS
We will not pay for bodily injury to you or a household resident using a non-owned car not insured under this part, regularly used by you or a household resident.
(emphasis in original). The general provisions of the Prudential policy explain that highlighting is employed to designate defined terms. See infra.
. In Crum and Forster, the Superior Court stated:
The purpose of the [“regular use”] language was to provide coverage to the insured or members of her family while engaged in casual or infrequent use of a vehicle other than the one described in the policy, but not to cover the insured or members of her family with respect to another vehicle which he or she used or had the opportunity to use frequently.
The clause in question represents an attempt on the part of the insurance company to strike a balance between the desire of the insured to be covered, even though not using his own car, and its own right to receive payment of premiums based upon the risk presented by the number of automobiles operated. It is generally held that such a clause covers the insured during infrequent or casual use of a nonowned automobile, but excludes coverage as to another’s automobile which the policyholder frequently uses or has the opportunity to use.
[t]he type of premium charged for uninsured motorist protection illustrates the coverage afforded. The rate is a flat rate, and coverage is available to everyone at the same rate. The rate is not related to risk. [T]he fact that [the insured] had purchased uninsured motorist coverage for only one vehicle and paid a premium on this vehicle does not give rise to the exclusion of coverage on any other owned vehicles.
Jacobson v. Implement Dealers Mut. Ins. Co.,
. An example of such an exclusion is presented in Windrim,
does not apply to bodily injury suffered while occupying or from being hit by a motor vehicle owned by you or a relative living in your household, but not insured for Uninsured or Underinsured Motorist Coverage under this policy.
Windrim,
. Used in this sense, the term “geographic exclusions” is broader than and includes “territorial exclusions.” See, e.g., Hall v. Amica Mut. Ins. Co.,
. Act of August 14, 1963, P.L. 909, § 1 (codified as amended at 40 P.S. § 2000) (the "UM Act"). The UM Act was repealed in part by the Act of February 12, 1984, P.L. 26, No. 11 § 8(c), insofar as inconsistent with the MVFRL.
. Section 1713 of the Vehicle Code contains the source-of-benefits priority scheme for defined first-party benefits and provides, inter alia, as follows:
(a) General rule. — Except as provided in section 1714 (related to ineligible claimants), a person who suffers injury arising out of the maintenance or use of a motor vehicle shall recover first party benefits against applicable insurance coverage in the following order of priority:
(1) For a named insured, the policy on which he is the named insured.
(2) For an insured, the policy covering the insured.
(3) For the occupants of an insured motor vehicle, the policy on that motor vehicle.
75 Pa.C.S. § 1713(a). Section 1733 establishes the general rule regarding priority of recovery for UM and UIM benefits as follows:
(a) General rule. — Where multiple policies apply, paymcnl shall be made in the following order of priority:
(1) A policy covering a motor vehicle occupied by the injured person at the time of the accident.
(2) A policy covering a motor vehicle not involved in the accident with respect to which the injured person is an insured.
75 Pa.C.S. § 1733(a).
. In this regard, it is useful lo note that respect for agreements to promote stability and certainty in contractual undertakings is one salient policy involved. See generally Veness v. Midland Risk Ins. Co.,
The above (textual) limitations are inherent in ihe judicial function, which is directed to deciding discrete controversies in an adjudicative fashion, rather than to resolution of broad social policy debates. See generally Regram v. Herdrich,
. Specifically, the Court has indicated:
The repeal of the No-Fault Act and the enactment of the MVFRL reflected a legislative concern for the spiraling consumer cost of automobile insurance and the resultant increase in the number of uninsured motorists driving on public highways. The legislative concern for the increasing cost of insurance is the public policy that is to be advanced by statutory interpretation of the MVFRL. This reflects the General Assembly’s departure from the principle of "maximum feasible restoration” embodied in the now defunct No Fault Act.
Paylor,
. See Kmonk-Sullivan v. State Farm Mut. Auto. Ins. Co.,
. See Williamson v. Lee Optical of Oklahoma, Inc.,
. Accord Nationwide Mut. Ins. Co. v. Mabe,
. See, e.g., Frank v. Horizon Assurance Co.,
. See, e.g., Calvert, 697 P.2dat 687 (stating that, "if the Legislature had intended to include additional exclusions, such as an 'other vehicle’ exclusion, it would have expressly done so”); State Farm Mut. Auto. Ins. Co. v. Hinkel,
. Accord Wintz v. Colonial Ins. Co. of Cal.,
. The Clampit court framed its risk assessment as follows:
a person is more likely to be occupying an owned vehicle than he is to be occupying a vehicle owned by someone else. Hence, an insurance carrier may be willing to assume risks which it perceives as relatively slight, i.e., being damaged by an uninsured motorist while occupying a non-owned vehicle, without an increase in premium. It might be unwilling to insure against a risk it perceives as substantial without an increase in premium. If an insurer is required to insure against a risk of an undesignated but owned vehicle ... it is thereby required to insure against risks of which it is unaware, unable to underwrite, and unable to charge a premium for.
Clampit,
. The sample form provided:
This endorsement does not apply:
(b) to bodily injury to an insured while occupying an automobile (other than an insured automobile) owned by a named insured or any relative resident in the same household, or through being struck by such an automobile, but this exclusion does not apply to the principal named insured or his relatives while occupying or if struck by an automobile owned by an insured named in the schedule or his relatives!)]
31 Pa.Code § 63.2, Exhibit C (superseded).
. Under the UM Act, the statutory exclusions were:
1. Property damage.
2. Bodily injury damages when the insured or his representative has without written consent of the insurance carrier settled or prosecuted to judgment any action against any person or persons liable for such injuries.
3. Any damage, the payment of which would be for the direct or indirect benefit of a workmen's compensation carrier or any person who would qualify as a self-insurer under any workmen’s compensation law.
Williams,
. The primary decisions from this line are discussed at length in Paylor,
. Prudential cites Insurance Co. of N. Am. v. Hippert,
It should be acknowledged that the Superior Court has approved a number of other forms of exclusion not specifically delineated in the MVFRL. For example, in Marino v. General Accident Ins. Co.,
. In Windrim, the plaintiff was injured by an unidentified motorist while driving his own uninsured vehicle. He therefore sought coverage under his mother’s policy, which contained an other owned vehicle/household family member exclusion. See Windrim,
. This rationale was echoed in the concurring opinion filed by Mr. Justice C.appy as follows:
Viewing the exclusion at issue here, I am constrained to conclude that it is entirely consistent with the public policy underlying the enactment of the MVFRL and therefore, is valid and enforceable. There is no question that by being denied coverage, Windrim will be induced to purchase the mandated automobile insurance for his registered automobiles. In addition, it is axiomatic that the cost of insurance will be reduced as a result of providers not having to pay benefits to uninsured persons who have failed to comply with the law and thereby failed to contribute to the resources necessary for a comprehensive insurance program. Both the insurance company and the insured have recognized this public policy in negotiating the contractual exclusion.
Windrim,
. The provision unambiguously limited the territory of coverage to the United States, its territories and possessions, Puerto Rico, and Canada. See Hall,
. This reasoning is opposite that applied by many jurisdictions which have endorsed the principle that coverage follows the person, as they reason that the legislative body would have expressly provided for exclusions if it had intended them to be available. See supra note 21 and accompanying text.
. The Court also indicated that:
[t]he Pennsylvania Insurance Commission, responsible to implement the statute, has promulgated regulations permitting the territorial limitation at issue in this case. See 31 Pa.Code §§ 63.3(a), 63.2 (requiring coverage only “within the United States, its territories andCanada”). The form of the policy issued by [the insurer] was submitted to and approved by the insurance commissioner. We regard this factor as a significant one.
Hall,
. In Eichelman, the plaintiff was injured while riding his motorcycle, which, while insured, did not carry UIM coverage. Claiming that the other driver's liability insurance was insufficient, the plaintiff sought to recover UIM benefits from his mother’s policy and her husband's policy. See Eichelman,
. Prior to the passage of the MVFRL, this Court had essentially endorsed the Bursteins' position on this point, as follows:
[W]e are not impressed by [the insurer’s] argument that the Pennsylvania statute must be distinguished, as to its intent, from others, by reason of the fact that our act permits the insured to reject uninsured motorist coverage. While the coverage may be rejected, it must be noted that the carrier is required to include it in every policy, and only an affirmative written rejection is effective. We are convinced that the overriding interest of the legislation was to provide the coverage without positively forcing it down the throat of the insured.
Harleysville Mut. Cas. Co. v. Blumling,
. There is considerable weight to the position that, once a reasonable construction of a statute is discerned, the preferable course is for this
. The Superior Court lead’s observation in this regard is creditable, see Burstein,
. Similarly, in the UM Act, the Legislature specified that coverage be provided under “provisions approved by the Insurance Commissioner.” 40 P.S. § 2000.
. In these respects, it is noteworthy that the authority of the Insurance Department is not unfettered.
. The regulation does effectively allow for a limited regularly used non-owned car exclusion pertaining to persons who are not named insureds or household family members. See 31 Pa.Code § 63.2, Exhibit C § II(b)(3)(iv). Such exclusion, however, would be inapplicable in the Bursteins' situation, as they were named insureds on the Prudential policy.
. In this regard, Prudential’s policy includes the regularly used non-owned car exclusion in both the UM and UIM portions of the coverage.
. Although the parties have not referenced the Insurance Department's regulations in their briefs, the case is about whether the regularly used non-owned car exclusion violates public policy, and this Court has traditionally considered the Department's regulations a significant factor in making this assessment. See, e.g., Hall,
. See McAdoo Borough v. Commonwealth, Pa. Labor Relations Bd.,
. The principal intended significance of the policy definition of non-owned car appears to be in relation to the affirmative portability
. In this regard, Mrs. Burstein stands in different shoes, since as to her claim, the arbitrators issued an award in Prudential's favor. Accordingly, in her case, Prudential benefits from the applicable review standards, and Mrs. Burstein bore the burden of issue preservation and presentation.
