BRIAN GALLAGHER v. GEICO INDEMNITY COMPANY
No. 35 WAP 2017
IN THE SUPREME COURT OF PENNSYLVANIA WESTERN DISTRICT
DECIDED: JANUARY 23, 2019
[J-18-2018]
JUSTICE BAER
OPINION
JUSTICE BAER
This appeal requires the Court to determine whether a “household vehicle exclusion” contained in a motor vehicle insurance policy violates
At the time of the accident, Gallagher had two insurance policies; notably, he purchased both of the policies from GEICO. One policy, which included $50,000 of UIM coverage, insured only Gallagher‘s motorcycle (“Motorcycle Policy“). The second policy insured Gallagher‘s two automobiles and provided for $100,000 of UIM coverage for each vehicle (“Automobile Policy“). Gallagher opted and paid for stacked UM and UIM coverage when purchasing both policies.2
Stouffer was insured by Progressive Insurance Company (“Progressive“), and Gallagher eventually settled his claim against Stouffer and Progressive. However, Stouffer‘s insurance coverage was insufficient to compensate Gallagher in full. Consequently, Gallagher filed claims with GEICO seeking stacked UIM benefits under both of his GEICO policies.
While GEICO paid Gallagher the $50,000 policy limits of UIM coverage available under the Motorcycle Policy, it denied his claim for stacked UIM benefits under the Automobile Policy. GEICO based its decision on a household vehicle exclusion found in an amendment to the Automobile Policy. The exclusion states as follows:
“This coverage does not apply to bodily injury while occupying or from being struck by a vehicle owned or leased by you or a relative that is not insured for Underinsured Motorists Coverage under this policy.”
GEICO‘s Motion for Summary
In November of 2014, Gallagher filed a complaint naming GEICO as the defendant. Gallagher claimed that, because he purchased stacked UIM coverage as part of the Automobile Policy, GEICO is required to provide that coverage. GEICO responded by filing an answer with new matter, wherein it contended that stacked UIM coverage was unavailable to Gallagher due to the Automobile Policy‘s household vehicle exclusion.
In reply, Gallagher pointed out that GEICO placed his motorcycle and automobiles on separate policies and, thus, had full knowledge of all of his vehicles. He further stated that, because he opted and paid for stacked UM/UIM coverage, GEICO charged him a higher premium on both policies. According to Gallagher, by denying him stacked UIM coverage based upon the household vehicle exclusion, GEICO was depriving him of the stacked UIM coverage for which he paid. Gallagher highlighted that GEICO was well aware that he had not waived stacked coverage on either of his policies and that he had paid increased premiums for that coverage; yet, GEICO refused to honor his claim for stacked UIM coverage, rendering that coverage illusory.
In April of 2015, GEICO filed a motion for summary judgment and a brief in support of that motion wherein GEICO renewed its argument that the Automobile Policy‘s household vehicle exclusion precluded Gallagher from receiving stacked UIM coverage under that policy. In support of its argument, GEICO observed that “[t]he
Gallagher filed a response to the motion for summary judgment and a brief in support thereof. Gallagher acknowledged that, in Ayers, the Superior Court ruled that a household vehicle exclusion contained in a motor vehicle insurance policy did not violate
On February 18, 2016, the trial court issued an order granting GEICO‘s motion for summary judgment, citing to the Superior Court‘s decision in Ayers. Gallagher timely filed a notice of appeal and subsequently argued to the Superior Court that the trial court erred by granting GEICO‘s motion for summary judgment. A three-judge panel of the Superior Court affirmed the trial court‘s order in a non-precedential memorandum. Gallagher v. GEICO Indem. Co., 352 WDA 2016 (Pa. Super. filed January 27, 2017). In so doing, the Superior Court concluded that it was bound by its opinion in Ayers and by Erie Insurance Exchange v. Baker, 972 A.2d 507 (Pa. 2009) (plurality), wherein a plurality of this Court concluded that a household vehicle exclusion was valid and enforceable to preclude UIM coverage.5
Gallagher then filed a petition for allowance of appeal, which this Court granted to address the following issues, as stated by Gallagher:
(1) Whether the “household vehicle exclusion” violates Section 1738 of the Pennsylvania Motor Vehicle Financial Responsibility Law (MVFRL) where GEICO issued all household policies and unilaterally decided to issue two separate policies, when the insured desired stacking, elected stacking, paid additional premiums for stacking and never knowingly waived stacking of underinsured motorist benefits?
(2) Whether the “household vehicle exclusion” impermissibly narrows or conflicts with the statutory mandates of the Pennsylvania Motor Vehicle Financial Responsibility Law and the evidence of record is that GEICO was fully aware of the risks of insuring a motorcycle in the same household as other family vehicles but unilaterally decided to write a separate motorcycle policy?
Gallagher v. GEICO Indem. Co., 170 A.3d 974 (Pa. 2017).
According to Gallagher, GEICO‘s household vehicle exclusion “impermissibly narrows and conflicts with the mandates of the MVFRL.” Gallagher‘s Brief at 23.
GEICO, on the other hand, believes that Gallagher‘s reliance on Section 1738‘s waiver-of-stacking rubric is misplaced. GEICO contends that
We begin our analysis by summarizing the general principles of law that govern this matter. First, this appeal comes to the Court by way of an order granting summary judgment. “When a party seeks summary judgment, a court shall enter judgment whenever there is no genuine issue of any material fact as to a necessary element of the cause of action or defense that could be established by additional discovery.”
To answer this question of law, we must examine the interplay between provisions of the MVFRL and the Automobile Policy. To the extent that such a task requires us to interpret the MVFRL, we are guided by the Statutory Construction Act,
To the extent that this appeal involves the interpretation of the Automobile Policy, we must apply general principles of contract interpretation, as, at base, an insurance policy is nothing more than a contract between an insurer and an insured. 401 Fourth St., Inc. v. Inv’rs Ins. Grp., 879 A.2d 166, 171 (Pa. 2005). In so doing, we must “ascertain the intent of the parties as manifested by the terms used in the written
Importantly, however, provisions of insurance contracts are invalid and unenforceable if they conflict with statutory mandates because contracts cannot alter existing laws. Prudential Prop. & Cas. Ins. Co. v. Colbert, 813 A.2d 747, 751 (Pa. 2002).
Turning first to the MVFRL, Subsection 1738(a) unambiguously states that the limits of coverage for each vehicle owned by an insured “shall be the sum of the limits for each motor vehicle as to which the injured person is an insured.”
Under the MVFRL, insureds can choose to waive stacked coverage.
Here, it is undisputed that: (1) Stouffer, the tortfeasor who caused the accident, was underinsured; (2) Gallagher did not sign the statutorily-prescribed UIM stacking waiver form for either of his GEICO policies; and (3) he would have received the UIM
This policy provision, buried in an amendment, is inconsistent with the unambiguous requirements Section 1738 of the MVFRL under the facts of this case insomuch as it acts as a de facto waiver of stacked UIM coverage provided for in the MVFRL, despite the indisputable reality that Gallagher did not sign the statutorily-prescribed UIM coverage waiver form. Instead, Gallagher decided to purchase stacked UM/UIM coverage under both of his policies, and he paid GEICO premiums commensurate with that decision. He simply never chose to waive formally stacking as is plainly required by the MVFRL.
One of the insurance industries’ age-old rubrics in this area of the law is that an insured should receive the coverage for which he has paid. Here, GEICO argues against this maxim by invoking the household vehicle exclusion to deprive Gallagher of the stacked UIM coverage that he purchased. This action violates the clear mandates of the waiver provisions of Section 1738. Indeed, contrary to Section 1738‘s explicit requirement that an insurer must receive an insured‘s written acknowledgement that he knowingly decided to waive UM/UIM coverage, the household vehicle exclusion strips an insured of default UM/UIM coverage without requiring an insurer to demonstrate, at a bare minimum, that the insured was even
Often in these cases, an insurer contends that it should not have to provide stacked coverage when an insured purchases UM/UIM coverage on his motorcycle in Policy A, and then purchases UM/UIM coverage on passenger cars in Policy B. The obvious argument is that the insurer of the passenger cars is unaware of the potentiality of stacking between the car policy and the motorcycle policy. Here, however, GEICO was aware of this reality, as it sold both of the policies to Gallagher and collected premiums for stacked coverage from him. To the extent that GEICO‘s premium would be higher on an automobile policy because of stacking with a motorcycle policy, all GEICO has to do is quote and collect a higher premium. There simply is no reason that insurers cannot comply with the Legislature‘s explicit directive to offer stacked UM/UIM coverage on multiple insurance policies absent a knowing Section 1738 waiver and still be fairly compensated for coverages offered and purchased.6
For all of these reasons, we hold that the household vehicle exclusion violates the MVFRL; therefore, these exclusions are unenforceable as a matter of law.7, 8
Justices Todd, Donohue, Dougherty and Mundy join the opinion.
Justice Wecht files a dissenting opinion.
Chief Justice Saylor notes his dissent.
Unlike the Dissent, we offer no opinion or comment on the enforceability of any other exclusion to UM or UIM coverage or to coverage in general, including exclusions relating to racing and other inherently dangerous activities. Dissenting Opinion 5-6. If, at some later date, the Court is presented with issues regarding the validity of other UM or UIM exclusions, then we will address them at that time. Our focus here is narrow, regardless of the Dissent‘s lament to the contrary.
Notes
(a) Limit for each vehicle.--When more than one vehicle is insured under one or more policies providing uninsured or underinsured motorist coverage, the stated limit for uninsured or underinsured coverage shall apply separately to each vehicle so insured. The limits of coverages available under this subchapter for an insured shall be the sum of the limits for each motor vehicle as to which the injured person is an insured.
(b) Waiver.--Notwithstanding the provisions of subsection (a), a named insured may waive coverage providing stacking of uninsured or underinsured coverages in which case the limits of coverage available under the policy for an insured shall be the sum of the stated limits for the motor vehicle as to which the injured person is an insured.
(c) More than one vehicle.--Each named insured purchasing uninsured or underinsured motorist coverage for more than one vehicle under a policy shall be provided the opportunity to waive the stacked limits of coverage and instead purchase coverage as described in subsection (b). The premiums for an insured who exercises such waiver shall be reduced to reflect the different cost of such coverage.
(d) Forms.--
(1) The named insured shall be informed that he may exercise the waiver of the stacked limits of uninsured motorist coverage by signing the following written rejection form:
UNINSURED COVERAGE LIMITS
By signing this waiver, I am rejecting stacked limits of uninsured motorist coverage under the policy for myself and members of my household under which the limits of coverage available would be the sum of limits for each motor vehicle insured under the policy. Instead, the limits of coverage that I am purchasing shall be reduced to the limits stated in the policy. I knowingly and voluntarily reject the stacked limits of coverage. I understand that my premiums will be reduced if I reject this coverage.
* * *
(2) The named insured shall be informed that he may exercise the waiver of the stacked limits of underinsured motorist coverage by signing the following written rejection form:
UNDERINSURED COVERAGE LIMITS
By signing this waiver, I am rejecting stacked limits of underinsured motorist coverage under the policy for myself and members of my household under which the limits of coverage available would be the sum of limits for each motor vehicle insured under the policy. Instead, the limits of coverage that I am purchasing shall be reduced to the limits stated in the policy. I knowingly and voluntarily reject the stacked limits of coverage. I understand that my premiums will be reduced if I reject this coverage.
* * *
(e) Signature and date.--The forms described in subsection (d) must be signed by the first named insured and dated to be valid. Any rejection form that does not comply with this section is void.
