Lead Opinion
OPINION OF THE COURT
In this diversity of citizenship, declaratory judgment action, appellee-plaintiff West American Insurance Company asks us to predict that the Supreme Court of Pennsylvania would not enforce the terms of a policy that West American wrote for appellant-defendant Suzanne Park. West American argues that section 1736 of the Pennsylvania Motor Vehicle Financial Responsibility Law (“MVFRL”), 75 Pa.Cons.Stat. Ann. § 1736 (Purdon supp. 1990), prohibits the aggregation or “stacking”
I.
Factual Background and Contentions of the Parties
The following facts have been stipulated. On June 3, 1988, Suzanne Park was operating her husband’s 1986 Mercury Topaz automobile when she was allegedly injured by an uninsured motorist. At that time the Mercury was insured under a West American policy which also covered her husband’s 1983 Ford Escort. The policy had a limit of coverage for liability to third persons of $100,000 and also provided uninsured/underinsured motorist coverage of $100,000 for each vehicle. West American charged separate premiums for the uninsured/underinsured motorist coverage for each automobile.
After the accident, Suzanne Park initiated a claim against West American for uninsured motorist benefits. On February 22, 1990, West American, a California corporation with its principal place of business in California, commenced this action in the district court seeking a declaratory judgment against Park, a citizen of Pennsylvania, as to the limits of uninsured motorist coverage under the policy.
Park claims that she may stack the $100,-000 worth of uninsured motorist coverage
The [uninsured/underinsured motorist] coverages provided under this subchap-ter may be offered by insurers in amounts higher than those required by this chapter but may not be greater than the limits of liability specified in the bodily injury liability provisions of the insured’s policy.
75 Pa.Cons.Stat.Ann. § 1736 (Purdon supp. 1990). West American contends that although stacking is authorized by the policy, “[i]n instances such as this case in which [the] stacking allowed by a policy would run afoul of the express statutory limitation of [section] 1736, the public policy behind the statute must prevail.” Appellee’s Brief at 17. Two intermediate Pennsylvania courts have indicated that section 1736 is intended to prevent
an insured from providing greater coverage, via uninsured/underinsured coverages, for himself and his additional insureds than the amount of coverage he provides for others injured through his negligence.
Tallman v. Aetna Cas. & Sur. Co.,
II.
Subject Matter Jurisdiction and Standard of Review
West American and Park are citizens of different states and the amount in controversy exceeds $50,000. Thus, the district court had subject matter jurisdiction under 28 U.S.C. §§ 1332(a)(1) and 2201(a), and we have jurisdiction under 28 U.S.C. § 1291. Federal court jurisdiction exists even though the ultimate resolution of the dispute will come only in an arbitration proceeding to determine Park’s damages. See Aetna Life Ins. Co. v. Haworth,
III.
Discussion
West American claims that Park should be denied recovery on public policy grounds because section 1736 prohibitions insurers from offering uninsured/underinsured motorist coverage in excess of liability coverage. In other words, West American claims that it should be excused from fulfilling Park’s reasonable expectations and its own obligations under the policy’s plain language, because it violated the MVFRL.
Pennsylvania insurance law incorporates principles of equitable estoppel. As one Pennsylvania court expressed it,
Reduced to its essence, equitable estop-pel is a doctrine of fundamental fairness intended to preclude a party from depriving another of a reasonable expectation, when the party inducing the expectation knew or should have known that the other would rely to his detriment upon that conduct.
Straup v. Times Herald,
[t]he reasonable expectation of the insured is the focal point of the insurance transaction_ Courts should be concerned with assuring that the insurance public’s reasonable expectations are fulfilled. Thus, regardless of the ambiguity, or lack thereof, inherent in a given set of insurance documents ... the public has a right to expect that they will receive something of value in return for the premium paid.
Collister v. Nationwide Life Ins. Co.,
In the Collister case, a life insurance applicant died after he sent in an application for life insurance and the first premium, but before the insurer had accepted or rejected the application. Disregarding plain language in the application that made coverage conditional on insurer receiving a completed medical exam, the Pennsylvania Supreme Court concluded that the reasonable expectations of the insured, specifically the expectation that he would receive something upon paying the first premium, controlled. It held that those expectations created a temporary insurance contract until the insurer either accepted or rejected the application. In essence, the principles of equitable estoppel were used to bar the insurer from both accepting the first premium and denying that coverage existed.
Collister and subsequent insurance cases expand traditional notions of equitable es-toppel so that the insurer is bound not only by the expectations that it creates, but also by any other reasonable expectation of the insured. The insured’s reasonable expectations control, even if they are contrary to the explicit terms of the policy. State Farm Mut. Auto Ins. Co. v. Williams,
Thus, the Supreme Court of Pennsylvania has consistently applied equitable estop-pel to prevent an insurer from attempting to frustrate the reasonable expectations of the insured. We predict that it would apply that doctrine to achieve that objective in context of the facts of this case, even though the result may be to provide Park with more underinsured motorist protection than the legislature intended her to have, i.e., more underinsured motorist protection than the liability protection for which she had contracted. The Pennsylvania courts on more than one occasion have applied equitable estoppel to bar arguments supported by legislatively established public policy.
the statutorily mandated obligation to bargain in good faith is not met by permitting the governmental employer to avoid the performance of a term by questioning its legality after having received the advantages that flowed from that term’s acceptance.
More recently, Pennsylvania’s Commonwealth Court has applied equitable estoppel to bar a party from asserting that the position advocated by its opponent would violate the Health Care Facilities Act. In Laurel Mobile H. Serv. v. Health Department,
[The hospital] never asserted the illegality or impropriety of the assignment of contracts, but instead accepted and paid for the [medical] services provided by the Laurel without objection. Having accepted the benefits, [the hospital] is now estopped from asserting that the arrangement was prohibited.
We conclude that the courts of Pennsylvania would find this case a far more compelling one for application of the doctrine of equitable estoppel than Hickey or Laurel Mobile. West American wrote the policy that it now seeks to challenge and received premiums for the coverage it now tries to contest. Moreover, the Pennsylvania legislature has determined that the most effective means of securing the desired objective of this portion of the MVFRL is to impose a duty on all insurers not to issue uninsured/underinsured coverage above a prescribed amount. We would expect a Pennsylvania court fashioning an equitable remedy in a situation of this kind to take note of that legislative decision and to choose a result that will not reward an insurer for violating what the insurer claims to be the proper interpretation of § 1736.
IV.
Conclusion
Pennsylvania law will not allow an insurer to use the explicit language of an insurance policy to defeat the reasonable expectations of the insured. West American seeks to use a provision of Pennsylvania law, prohibiting certain conduct by insurers, to defeat both the reasonable expectations of the insured and the explicit terms of the policy it wrote. We are confident that the Pennsylvania Supreme Court would not allow an insurer to challenge the legality of a policy which it wrote, for which it collected premiums, and on which it gave the insured every reason to rely. Accordingly, we will reverse the order of June 19, 1990, of the district court and remand with instructions to enter a judgment declaring that West American is responsible for such damages as Park can establish up to a limit of $200,000.
Notes
. "Stacking is where a claimant adds all available policies together to create a greater pool in order to satisfy his actual damages." 12A Couch on Insurance 2d § 45:651 at 207 (1981). It "permits the total amount of uninsured motorist coverage provided for all vehicles listed in an insurance policy to be applied to the damages resulting from an accident involving only one of the vehicles.” Rhody v. State Farm Mut. Ins. Co.,
. Compare Chartan v. Chubb Corp.,
. Pennsylvania Insurance Guideline C-2 requires that West American "make it clear in [its] policies that an insured ... may add together the limits of uninsured motorist coverage for multiple vehicles covered under the insured’s policy[.]” But this guideline did not require
. This rationale also underlies Pennsylvania courts’ preference for stacking (even under policies which expressly prohibit stacking):
the intended beneficiary of an uninsured motorist policy is entitled to multiple coverage when multiple premiums have been paid. [This] rationale is grounded in the belief that a person has reasonable expectations when he pays separate premiums that he has obtained coverage under separate policies, and therefore is entitled to benefits under each.
Utica Mut. Ins. Co. v. Contrisciane,
Concurrence Opinion
I do not disagree with the conclusion of the majority that West American is es-topped from challenging the legality of its policy. I would, however, go further and hold that section 1736 of the MVFRL was not violated here and thus the stacking should be allowed as provided in the poli
Coverages in excess of required amounts
The coverages provided under this sub-chapter may be offered by insurers in amounts higher than those required by this chapter but may not be greater than the limits of liability specified in the bodily injury liability provisions of the insured’s policy.
75 Pa.Cons.Stat.Ann. § 1736 (Purdon supp. 1990).
As explained by a district court in another case in which the question now before us was presented:
Section 1736 allows only two possibilities. The first is that one may obtain uninsured coverage and recover in an amount equal to the liability coverage the insured has provided for others. The second is that one may obtain uninsured coverage in an amount equal to one’s liability coverage and then may recover that amount multiplied by the number of cars he owns and insures.
Chartan v. Chubb Corp.,
Whatever alleged demerits there may be to permitting the stacking of uninsured motorist coverage,
In Harleysville Mut. Cas. Co. v. Blumling,
The court noted that while the uninsured motorist statute did not impose a ceiling on uninsured motorist coverage, it did impose a floor on the coverage that all insureds had to be offered by insurers, the right to which could only be waived by the insured in writing. Id. The court therefore refused to enforce a clause in the insured’s personal policy purporting to require him to seek recovery from “other insurance,” if any, before claiming uninsured motorist benefits from his policy with Harleysville Mutual Casualty. The court said: “Appel-lee has received its premium attributable to this coverage, which coverage the Act of Assembly requires it to furnish. We will not permit it to avoid its statutorily imposed liability by its unilateral insertion into the policy of a liability limiting clause repugnant to the statute.” Id. at 396,
In State Farm Mut. Auto Ins. Co. v. Williams,
The holding in Williams was, in turn, considerably expanded in Utica Mut. Ins. Co. v. Contrisciane,
The Contrisciane court then held that Contrisciane’s estate could stack coverage under his father’s policy, but could not stack coverage under his employer’s fleet policy. As to the latter, the court looked to the language of the Utica Mutual policy which defined insureds thereunder as:
(a) the named insured and any designated insured and, while residents of the*1243 same household, the spouse and relatives of either,
(b) any other person while occupying an insured highway vehicle; and
(c) any person with respect to damages he is entitled to recover because of bodily injury to which this insurance applies sustained by an insured under (a) or (b) above.
Id. at 338,
The court respectively characterized these three groups as “class one,” “class two,” and “class three” insureds and said that Contrisciane was a “class two” insured under the employer’s fleet policy. Of significance to the problem in this case, the court explicitly enunciated the policies behind stacking, saying:
The basis upon which our Court has justified stacking is twofold: first, it furthers the policies sought to be accomplished by the act; and second, that the intended beneficiary of an uninsured motorist policy is entitled to multiple coverage when multiple premiums have been paid. See Harleysville v. Blumling_ The latter rationale is grounded in the belief that a person has reasonable expectations when he pays separate premiums that he has obtained coverage under separate policies, and therefore is entitled to benefits under each.
Id.
Using these policy concerns as its starting point, then, the court found that Con-trisciane, as a “class two” insured, was a person who had come under the coverage of his employer’s policy merely by occupying a vehicle, and therefore was not entitled to stack coverage under the employer’s fleet policy: “A claimant whose coverage is solely a result of membership in this class has not paid premiums, nor is he a specially intended beneficiary of the policy. Thus, he has no recognizable contractual relationship with the insurer, and there is no basis upon which he can reasonably expect multiple coverage.” Id. at 338-39,
The Contrisciane court, however, extended the right to stack on the father’s policy beyond the Williams court’s restriction of stacking to where “the injured party paid the premiums of the policy and was the named insured_” Williams,
This clear pro-stacking trend in Pennsylvania’s Supreme Court has been paralleled in the Superior Court. See Sones v. Aetna Cas. & Sur. Co.,
Tallman does not, however, answer the question posed in this case. While the court in Tallman took note of section 1736, finding it did not affect its result, see id. at 601-02,
There is, as seen in Blumling, Williams, Contrisciane, Sones, and Tallman, a pro-stacking thrust throughout Pennsylvania case law under both the predecessor statute and the current MVFRL and, as noted by Tallman, the policies forwarded to justify stacking under the Uninsured Motorist Act continue under the MVFRL. In enacting the MVFRL, the Legislature of Pennsylvania clearly remained concerned that insureds be fully protected against injuries caused by uninsured motorists. See 75 Pa. Cons.Stat.Ann. § 1731(b) (Purdon supp. 1990) (declaring that purpose of uninsured motorist coverage is to “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 uninsured motor vehicles”). See Tallman,
Of continued vigor, too, under the MVFRL, is the logic and policy behind the second major justification proffered for stacking under the Uninsured Motorist Act —i.e., “the intended beneficiary of an uninsured motorist policy is entitled to multiple coverage when multiple premiums have been paid.” Contrisciane,
Moreover, my conclusion would not thwart the policy purportedly expressed by section 1736, i.e., to prevent “an insured from providing greater coverage, via uninsured/underinsured coverages, for himself and his additional insureds than the amount of coverage he provides for others injured through his negligence.” Tallman,
Furthermore, in promulgating section 1736, the Legislature must be presumed to have been aware of the long-standing Pennsylvania rule permitting stacking. Tallman,
Finally, my conclusion is bolstered by a new section added to the MVFRL, section 1738, which provides, in part:
(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 coverage 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.
Act of Feb. 7, 1990, No. 6, § 12 (§ 1738(a)), 1990 Pa.Legis.Serv. 23 (Purdon March 1990).
The parties agree that as section 1738 became effective on July 1, 1990, see id. § 32(8), 1990 Pa.Legis.Serv. 44, it is not applicable to this case. I note, however, that section 1736 has remained in force,
In view of the aforesaid, I join in the judgment of the court.
. This conclusion may not be merely theoretical as it is possible that the basis for estoppel may not exist in another case.
. See generally, e.g., J. Appleman, 8C Insurance Law & Practice § 5106, "Thou Shalt Not Stack” (1981), arguing that, where in a given situation there is to be more than one driver and several vehicles, the more vehicles there are the greater the risk that one of them will be in an accident; and that charging multiple premiums for multiple vehicles is therefore fair, whereas stacking is an unfair windfall to insureds.
. The Court added: "and
2. If the recovery under the second uninsured motorist coverage was limited to actual damages; and
3. If the recovery is not limited by the statutory exclusions.”
. This result was essentially repeated in Selected Risks Ins. Co. v. Thompson,
. "Although lower state court decisions are not controlling on an issue on which the highest court of the state has not spoken, federal courts must attribute significant weight to these decisions in the absence of any indication that the highest state court would rule otherwise.” Wisniewski v. Johns-Manville Corp.,
. I am satisfied, as West American admits, that the insurance contract by its terms allowed stacking, but I am not in particular relying on those terms, as I think that the public policy of Pennsylvania would require the result I propose, even if the contract did not address the point, as multiple premiums have been paid for the uninsured coverage.
. The fact that the Legislature promulgated section 1738 does not establish that the Legislature thought that, in light of section 1736, section 1738 was needed to allow stacking of uninsured motorist coverage in excess of liability coverage. The legislative history on this point cuts both ways and is circumstantial at best. It appears that House Bill No. 121, as amended, eventually became the law in which section 1738 was contained. That bill, in turn, was actually an amalgamation of an original House Bill No. 121, which did not deal with insurance reform at all, into which the Senate inserted all of its insurance reform bill, Senate Bill No. 1106, the final version of which contained section 1738. See Pa.Legis.J. — Senate, June 29, 1989, at 974 (statement of Sen. Loeper). While the earliest version of Senate Bill No. 1106, like the original House bill, did not contain the progenitor of section 1738, a proposed amendment to the original Senate bill would have prohibited the stacking of uninsured and underinsured motorist benefits altogether. See Id., June 28, 1989, at 921, 932. That amendment was not adopted and, instead, an amendment containing section 1738 as promulgated was eventually adopted in its place. See Id., June 29, 1989, at 970, 977. Then, as already stated, the Senate bill, as amended, was inserted into the House bill, and the House bill, as amended, containing section 1738, was eventually enacted into law. Nowhere in the various recorded debates in this legislative process have I been able to locate explicit comments on section 1738 or the reasons for its passage. I believe this ambiguous legislative history, typical of the give-and-take of the legislative process, can add nothing to anyone's understanding of section 1738 or section 1736.
