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Nationwide Mutual Insurance v. Buffetta
230 F.3d 634
3rd Cir.
2000
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Docket

*2 RENDELL, Circuit Judge. Appellant challenges the District Court’s ruling that Nationwide Mutual Insurance (“Nationwide”) Company was not required payment make of uninsured benefits to or on behalf appellant in excess of the $25,000 amount stated in the policy limits after an earlier named insured under the policy, husband, her former had elected that amount in writing. An understanding of the facts is necessary to our discussion. I. STATEMENT OF FACTS Appellant (also Rosetta Buffetta re- Miriello) to as ferred was married to Saverio Buffetta in August 1981, Mr. Buffetta obtained an automobile policy, 5837B93654, insurance No. thereafter, Nationwide. Sometime appel- lant Rosetta Buffetta became licensed driver and was added to as such. However, from 1981 to Mr. Buffetta was the sole named insured under the policy. The initial limité of liability the policy $25,000/$50,000 were $25,000/$50,000 for uninsured parties stipulated to several of important facts, them recite car, Rosetta to the taking title Upon verbatim:1 Mutual the Nationwide notified Property Settlement aof terms By the divorce Company Saver- August dated Agreement placed requested in- automobile retained io Buffetta *3 1995, 10, July Effective her name. In- Mutual the Nationwide under on identified insured/policyholder named Company policy. surance the Nationwide pages of the declaration filed 1994, Buffetta Rosetta In October policy was Company Insurance Mutual On Buffetta. Saverio divorce from for Effective Buffetta. to Rosetta changed re- 1994, Buffetta 22, Saverio October underwriting/rating 14, 1995, the July limits of liability in the change a quested changed Buffetta Rosetta status In- Mutual Nationwide coverage of unmarried. married to from $25, from Company policy surance writ- any signed never Buffetta Rosetta $300,- $100,000.00/ to 000.00/$50,000.00 uninsured requesting ten authorization 1994, 22, Saverio October On 000.00. bodily limits motorist an Uninsured and dated signed Buffetta Nationwide Ferullo J. limits. Form Authorization Coverage Motorist en- changes and all handled who agent maintain and continue to electing and Policy to dorsement motorist uninsured $25,000.00/$50,000.00 un- is deceased Mr. Ferullo 1995. 22, October Effective coverage limit. testimony re- available on the 1994, coverage limits this matter. garding Insur- Mutual Nationwide by the issued 14, 1997, Miriel- Francesco February On $100,000'.00/$300, Company were ance in a motor injuries fatal lo sustained $25, coverage and liability 000.00 vehicle motor accident. vehicle 000.00/$50,000 .00 uninsured Miriello Francesco struck which accident, time of the theAt uninsured. the divorce his filing with resided Following the Miriello Francesco Buffetta same, Following Saverio entry of Buffetta. Rosetta daughter, at live continued the Estate Buffetta question, Rosetta the accident ’ Street, Philadelphia, claim S. Carlisle Miriello made Francesco and Ro- Company Buffetta Saverio Pennsylvania. Mutual Insurance Nationwide 1, March motorist bene- were divorced recovery Buffetta of uninsured setta for to live Buffetta continued Saverio 1995. fits. Street, Philadelphia, Carlisle

at 2343 S. liabili- Nationwide’s that Buffetta contends Italy moved to until he Pennsylvania, ty for uninsured live continues $25,000, be limited policy should Street, Philadelphia, S. Carlisle at 2343 writing never executed she because Pennsylvania. $75,000 her amount, less than which She bodily injury. $100,000 Buffet- Italy, Saverio moving Prior Pennsyl- 1734 of that section contends the automobile title of ta transferred Responsibil- Financial Vehicle vania Motor Mutual the Nationwide her, a (“MVFRL”) requires ity Law to Rosetta Company insured,” signed written to have “named insured/policy- Buffetta. that, since authorization the declarations identified holder authorization, such Insur- never Nationwide'Mutual of the pages as to so “reformed” must be from October Company policy ance mo- for uninsured the same permit Saverio 1995 was July until injury. coverage as torist Buffetta. Court, re- in the submitted of Facts reproduced narrative factual 1. The Appendix. pages 23a-25a printed Stipulation through paragraphs 12 Nationwide, hand, on the other contends West v. AT & T 223, 231, 311 U.S. can there be no reformation because (1940). S.Ct. 85 L.Ed. 139 applicable statutory provision does not We exercise plenary review over provide a remedy for provi- violation of its prediction Court’s of Pennsyl sions. Nationwide argues also See, vania law. e.g., Companie des Baux statute complied has been because ites de Guiñee v. Am., Insurance Co. of N. written authorization for the reduction of F.2d Cir.1983). 371-72 the uninsured motorist coverage had been predicting how highest court of the executed the “named insured” of the state would issue, resolve the we must policy, namely, Mr. Buffetta.2 consider “relevant precedents, state analo *4 gous decisions, dicta, considered scholarly II. AND JURISDICTION STANDARD works, and any other reliable data tending OF REVIEW convincingly to show highest how the The District jurisdiction Court had over in the state would decide the issue at this action based upon §§ 28 U.S.C. 2201 hand.” McKenna v. Ortho Pham. Corp., 1332(a). Nationwide foreign is a cor- 622 Cir.1980). F.2d 663 poration organized and existing under the laws of Ohio. Ms. Buffetta in Penn- resides III. DISCUSSION sylvania. jurisdiction We have over this The District Court framed the issue be- appeal upon § based 28 U.S.C. 1291. fore it as follows: Court, The District exercising di Does the failure of the insurer to obtain versity jurisdiction in this declaratory new uninsured motorist election forms judgment action, was obliged apply to change of the named insured substantive Pennsylvania. law of See Erie from the husband to wife following R.R. Co. v. Tompkins, 64, 78-80, 304 U.S. divorce require the reformation of the (1938). S.Ct. 82 L.Ed. 1188 Be uninsured motorist coverage limits to cause there reported was no decision the higher liability limits of coverage? Pennsylvania any Court or Opinion, September 20,1999, at 2. Pennsylvania other court addressing the The District Court recited the facts rele- precise it, issue before it duty was the vant to discussion, its emphasizing Mrs. the District Court predict to how the Buffetta’s conduct after the policy was Pennsylvania Supreme Court would inter changed to her name: pret section 1734 of the Pennsylvania Nationwide requested to maintain if presented MVFRL See, with this case. same for the same vehicle at e.g., Pennsylvania Glass Corp. Sand address, the same but with Rosetta Buf- Co., Caterpillar Tractor 652 F.2d fetta now listed as the named insured. (3d Cir.1981). In so doing, federal She continued to receive with billings court can also give due regard, but not coverage listings, paid She premi- effect, conclusive to the decisional law of ums and the policy renewed at least (cid:127) See, lower state courts. e.g., Burke v. three times before the accident. At no Maassen, (3d Cir.1990). 904 F.2d time did Rosetta Buffetta opinions The appellate intermediate coverage changes. state courts are “not to be disregarded by Id. at 2-3. a federal court it is unless convinced by other persuasive data that the highest The District Court noted that provi- court of the state would decide otherwise.” sions of the MVFRL relating to the waiver 2. We note that curiae amicus were briefs filed Defense Institute. Since in support position of the appellant by essentially echo arguments same made Association, Lawyers Trial parties, we will not specifically comment in support position appellee on or refer to their submissions. liability for limits of less than (“UIM”) coverage,

of uninsured bodily injury. amounts, were coverage in provisions previous The in 1990. amended Id. elec- that, a written without

had section examined District The automati- tion, coverage UIM arguments. parties’ of the light liability limits. higher default one cally issue as characterized parties Both however, made amendments, so as The “reformation” require- comply with $100,000 the failure only of UIM waiver rather ments total uninsured provision, default au- automatic had been $25,000 subject default any automatic Buffetta. providing Mr. writing by thorized for reduc- providing remedy in the skepticism expressed stat- coverage amounts. UIMof tion policy to ability reform to its waiver of total regarding utory statutory pro- limits absent UIM higher coverage, and reduction ÜIM It noted that that effect. vision follows: read as now Pa. v. Allstate Salazar *5 Donnelly (Pa.1997), and 1038 702 A.2d will (c.l) waiver.—Insurers Forms (Pa. 447 720 A.2d Bauer, Pa. v. by required forms rejection print Supreme Court 1998), (c) (b) separate on and subsections relating certain notice construed location. type and prominent in sheets an insured held that and to UIM by the first signed must be forms reformation not obtain to be valid. dated insured provided specifically the MYFRL unless may be wit- the form on signatures noted The District remedy. that or broker. agent an insurance nessed legislature that, while specifi- not that does form rejection Any uninsured waiver a total that void. this section comply with cally If in ineffective be coverage would re- a valid produce insurer fails rejection form of a valid absence or underin- uninsured form, jection bodily to the default automatically both, may case as the or in providing injury limits—thus to the equal will be be, that appli- statutory section situation —the poli- On liability limits. bodily injury situation, namely, sec- instant to the cable uninsured under- in which either cies remedy. How- no such contains tion rejected, been coverage has insured did not resolve ever, notice must contain renewals basis, proceeded but on this matter not policy does type that prominent argument: other address Nationwide’s damages against provide protection of section no violation been there had or underinsured by uninsured caused only requires the section 1734 because who executes person Any motorists. lower for the authorization (c) (b) shall a subsection waiver Buffetta, a named limits, and Saverio UIM liability of claiming precluded be authorization an insured, such signed had infor- inadequate based any person credited District Court form. The mation. concluding: argument, (1996) (em- 1731(c.l) Pa. Cons.Stat. actually which change I find that added). phasis after pages on declaration listed her elec- a new require did coverage: the divorce Request in order coverage to tion of writing may request named insured A As coverage. the same continue coverages under the issuance Cigna Ins. of Kimball in the case scope and availability, (relating to (Pa.Su- 143, A.2d 1386 Pa.Super. equal in amounts coverage) per.1995), Rosetta Miriello Buffetta was We start with the statutory lan initially listed as a driver under the poli- guage we quoted statute, above. The cy. terms, Under the policy she enjoyed terms, its does not require anything to the same status as named insured. be done permit insurer to the reduc Saverio Buffetta was initially the named tion in the amount of UIM coverage under the policy elected, he when in a policy. Rather, section provides writing, the lower limits of uninsured that “a named insured may request When Rosetta Mir- writing the issuance of coverages ... iello Buffetta assumed equal amounts to or less than the limits of insured, became the listed she took no the liability injury.” Unlike sec steps to change the policy provisions for tion section 1734 does not dictate more than years. three During that the opportunity reduction, or a time, she received premium and overage effect, form to that be presented when a notices paid premiums every six policy is It merely provides issued. that a so, months. In doing acquiesced reduction of this kind may be accom the coverage that had been selected. plished, only by a writing which consti tutes a request by a named Opinion, insured. at 6. We will affirm the District Court’s Interestingly, the case law that has order essentially for the reasons stated developed regarding section, which therein.3 We note that while the issue of Ms. Buffetta upon, relies has arisen in a “reformation” of policy implicated by different case, context. In each the in- parties’ arguments and that the pro surer has claimed that a reduction was *6 nouncements of Pennsylvania the Supreme authorized, but argument the has focused Court on this appear issue favor to Nation on whether there was in fact a signed wide’s position, we agree with the District writing that valid, constituted a effective Court’s analysis that there was no section request of a named insured for the re- violation, 1784 and thus we need not add duction. In the instances in which the our voice to the ongoing of discussion poli successful, insured has been it has been cy reformation in the Pennsylvania courts.4 based the of a valid absence writ- We base our affirmance on unique the set request ten for reduced coverages signed of presented facts and the absence in a named insured. See Nationwide statutory language any of requirement for Ins. Resseguie, Co. v. 980 F.2d 226 a new written Cir.1992) (no authorization to be submit reduction where there was ted by Ms. Buffetta in this factual setting. no written request signed by a named note, 3. We while necessary not ruling, to our opinion an Court, Pennsylvania of Superior that we do not subscribe to the District May which in determined that the ab- Court's view that Ms. enjoyed remedy us, of a sence in the section before “named insured” status when she merely was reformation, section prevents consistent policy. driver under policy clearly The Pennsylvania Supreme with the Court’s rul- provides “insured,” that she was an but she ings in Donnelly. See Salazar v. Lewis insured,” was listed not aas "named Exch., (Pa.Su- Erie Ins. 753 A.2d 839 appear does not even be a "policyholder,” addition, per.Ct.2000). parties In filed a However, as defined. policy was ad- jointly motion requesting that certify we dressed to her coverage insofar as and other Court of the issue obligations concerned, are because she was of whether there is a alleged for the concept included in the of “you” “your” or failure the insurer to obtain election of under policy spouse as of the named in- lower limits uninsured motorist cover- sured. We view the District Court’s state- pursuant age 1734 incorrect, ment as pivot- do not view it as analysis Donnelly court’s Be- its, Salazar. our, al to reasoning or conclusion. cause our for basis does not affirmance in- parties issue, Even as the proceeding were toward volve of that resolution we will decline case, argument in this certify us with requested. the issue as 640 had an indicated the Emig, v. Cos.

insured); Ins. Motorists to act: (Pa.Su obligation 559 A.2d Pa.Super. completion form not listed (agent’s bar, plaintiff was per.Ct.1995) At albeit time, statutory requirement her at the satisfy insured” “named did v. form to insured); Botsko “sign down” executed request mother Co., Pa.Super. cover- Ins. Mut. Donegal reduce uninsured/underinsured (written when (Pa.Super.Ct.1993) a “named insured” age, she was A.2d 30 amending ineffective coverage “endorsement” request ad insured” a “named her as listing no where evidence Kimball household. by statute at the coverage mandated received vised indicated favor of the amendment Specifically, authorization signing before mo- the uninsured language coverage). clear lesser $100,000 and no coverage stood torist a valid written Here, there However, taken action was no higher. only Buffetta. Saverio executed level rectify this plaintiff by the on Rosetta binding it is is whether issue have increased coverage. She agree setting, Given Buffetta. mother’s her Pennsylva- that the increases) (with premium accompanying ruling in Kimball Court’s Superior nia separate her own secured Pa.Super. Cigna not be amenable mother her provides (Pa.Super.Ct.1995), A.2d additional coverage and increased resolu- probable into the insight best plaintiff therewith. associated cost by the issue tion of front. on either no action took courts. remained limits Moreover, periods renewal for two effect as driv- was listed plaintiff In to in- part plaintiffs on the effort but her moth- policy, under her father’s er $100,000.00 beyond crease Her insured.” only “named was the er insur- limit uninsured/underinsured reducing unin- a form executed mother (at Rather, premiums ance. in 1990. *7 rate) be paid continued lower vehicle, and purchased plaintiff agent Cigna complaint to question added policy of portion “endorsement” coverage. Under level of about Plaintiff .” a “named insured her as Pa. scenario, is consistent as by an uninsured injured the re- of payment C.S.A. by bound she contended and (which occurred here premiums newal made for had her mother the election awas plaintiff while least twice that, when she was coverage and reduced insured”) plain- [the evidences “named election, she after the policy to the added understand- knowledge and actual tiffs] as to informed have been these benefits availability of ing of the required and available amount benefits as well and limits for lower request a written to execute ... selected. Penn- 1734. The not ac- did plaintiff if the Accordingly, authority cited Superior sylvania election, receipt upon cept her mother’s and federal courts pleas common limit and the lower policy with plain- one effect that to the cases contact- she premiums, lower writing by position bound tiffs informed company, the insurance ed named insured. by another with the of the dissatisfaction position, them plaintiffs that one court noted cov- uninsured/underinsured and re- becoming named upon corrected it be requested erage and poli- amending ceiving endorsement In- own. on her policy another obtained a named insured her as cy listed stead, plaintiff accepted this is not evident in the statutory lan- n withthe lower limits without complaint guage, nor was it expressed in Kimball. permitted payment of pre- the lower above, As we noted the statute requires mium without incident. To find that the only that a waiver form be plaintiff by is not bound her mother’s issuance a policy. There is no statutory election remaining silent on the is- requirement that an given insured be sue of increased coverage, while reaping reduction authorization form without the rates, the benefits of reduced would be insured’s having requested one. The stat- Here, reward inaction. plaintiff ute is in permissive terms, leaving had the means and opportunity to avoid it insured, to a named who “may” request shortfall, insurance took no reduced coverage. option exists to action the matter. and, such a submit, Kimball, 660 A.2d at 1388-89. Kimball was decided on the basis that a later insured, named upon being added to

We realize that the issue before us is not the policy, could have notified the insur- precisely but, situation in company ance that she did not drawing on the want Pennsylvania Superior bound another’s repeated Court’s election of reduced references to a later being insured’s bound having understood the policy limits and ac- We also view the Pennsylvania Supreme quiesced in them paying premi- Court’s reasoning in its opinions recent ums, we conclude that the instant factual Salazar and Donnelly regarding the issue is setting sufficiently analogous to Kimball of “reformation” to support way to require the same result.5 Ms. Buffetta approach which we the statute before us. asked for the to be in her name and Even where defendant insurance compa- received notices referencing policy limits. nies have violated the policy notice re- paid She premiums based on those limits quirements of the Pennsylvania MVFRL, that were obviously less if the unin- the Pennsylvania Supreme Court has de- $100,000 had been clined to provide a remedy for the insured $25,000. instead the stated by, for example, construing While we concede against that a argu- Instead, the insurer. the court has ment could be made to the effect that strictly adhered to the statutory language, new named always and, insured should have his where no remedy provided, it has or her voice count as to whether a reduced refused Salazar, to create one. See uninsured motorist coverage requested, 1044; A.2d at Donnelly, A.2d at 454.6 Interestingly, reasoning father, one towas Ms. Buffetta's the Groff *8 upon cases relied by Pennsylvania the Superi- presented. situation is The court in Kimball Court led it have to different result also relied by a case decided the Court (although here). not one that would follow In of County Pleas of Common York that refer- v. Continental policy, Groff F.Supp. ences a coverage” "one reality, one (E.D.Pa.1990), Judge Huyettheld noting that if different insureds differ- desire that where one named insured had executed a coverages, they ent opt sepa- should to have authorization, the other had policies. rate See 660 A.2d 1387- not, person a third insured policy, under the (discussing Liberty Mitt. Fire Ins. Co. v. insured, not a named would by be bound the Lindsey, (Pa.Com.Pl. 3 Pa. D. & C.4th 659 However, reduction. the court that a noted 1989)). presented dilemma would be ally claiming if one the actu- the was one of the Judge Caputo the District Court for the named insureds. id. See at 548-49. In Kim- Middle Pennsylvania recently ex- ball, Pennsylvania Superior the Court did not amined the difference require- the between concern itself at all with the fact that the waiving, ments for reducing, and for UIM plaintiff injured who was seeking coverage noted this trend as well: be relieved of the reduction was in fact a named insured had not who executed a form Recent Supreme decisions the Court of Here, authorizing the reduction. Pennsylvania since the suggested have unwilling- ample opportunity with named insured diversity, we in sitting federal court As a having policy, the coverage the alter create reluctant especially be should of the notice ongoing received legisla- state the neither that rights new having paid policy, and under her fit to have seen courts ture nor state coverage limits such that took premiums Aeronautics See, e.g., Keystone recognize. by the account, bound cover- she was into 146, 499 F.2d Corp., v. R.J. Enstrom Corp. previous named by the made age choices as- Cir.1974) “our (3d that (noting the policy. insured under form not to predict role is to signed law”). the order AFFIRM state will Accordingly, we Court. of the District the Salazar addition, that note, in We express concern opinions Donnelly STAPLETON, J., dissenting: us, before by the issue implicated policies respectfully dissent. I over concern legislative namely, insurance, of automobile increasing costs scheme a rational In fashion order in Court Supreme which pertaining Pennsylvania statutes from the poli- public “the Donnelly characterized mo- insured voluntary uninsured/under interpret- when to be advanced cy which I that coverage, predict torist statutory ing that hold would Court A.2d at 452. Donnelly, 720 1731(a) MVFRL.” Cons.Stat. 75 Pa. “[u]nder a rem- not it would reasoning that coverage is auto- (1997), amount of UM in the forth specifically set edy not injury of bodily equal to matically part in relied MVFRL, Donnelly effectively exer- the insured policy unless policy considerations: on waive such lower or option to cises the fashion a Illi- were to Co. Court Indem.

If this Travelers coverage.” 168, DiBartolo, expressly 171 F.3d nois essentially MVFRL, Further, would Cir.1999). I think it clear this cost containment exercise an effective to be contravene for there order allowing because MVFRL the UM option to lower behind full tort a written appellants be there must appellant giving Cons.Stat. would result 75 Pa. insured.” seek “a named has (1999). no individual is- which difficult something for The more §Ann. in in- turn, principles result would these paid, which how presented sue this extra passing Pennsylvania Su- companies surance applied be setting all insureds. other factual cost preme common. case, quite that must one noted, Penn- weAs have Id. at 454. in Kimball Superior Court sylvania Saverio July Prior to here, concerned, must be as we similarly under Nation- insured named the sole by ruling he While No. 5837B93654. wide’s which receive insured, in writ- he elected was the paid. his coverage lower UM ing to have he July limits. On Penn- that the predict

Accordingly, we policy, in the any interest ceased to *9 hold would Supreme Court sylvania Buffetta, purchased having and Rosetta covered named insured was where the new orally re- having from Saverio car when the existing policy cov- the insurance continuation quested effected, and became reduction Auto. Ins. Mut. Farm Leymeister v. State high court to part of the State's on the ness (M.D.Pa.2000) F.Supp.2d 272 n. that de- interpretations statutory entertain text, at Donnelly, 720 A.2d discussing where (citing 453-54, even part the letter from 1044). Salazar, without redress plaintiff is left A.2d the statute. injury vehicle, erage on that became the sole

named insured. Because a pur- central

pose of the statutory scheme is to focus

the attention of a real party interest on

the issue of how much UM coverage secured,

should be I believe the Pennsylva-

nia hold that Na- responsibilities

tionwide’s to Rosetta were

the same as would have been had she

applied a new policy, given that she neither waiver nor

form. I would hold that Rosetta’s UM cov-, equal to her

erage.

I find this materially situation different involved where a

daughter became an additional named in-

sured on her mother’s her

mother’s earlier election reduced UM

coverage continued to effective UM

coverage limits of the policy. mother’s

UNITED America, STATES BROOKS, Appellant

Lawrence

in No. 98-7419.

In re Brooks, Lawrence Petitioner

in No. 99-8043. 98-7419,

Nos. 99-8043.

United States Appeals, Court of

Third Circuit.

Argued Feb. 2000.

Filed Oct.

Case Details

Case Name: Nationwide Mutual Insurance v. Buffetta
Court Name: Court of Appeals for the Third Circuit
Date Published: Oct 23, 2000
Citation: 230 F.3d 634
Docket Number: 99-1832
Court Abbreviation: 3rd Cir.
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