Nationwide Mutual Insurance v. Merdjanian , 195 F. App'x 78 ( 2006 )

Opinions of the United
2006 Decisions States Court of Appeals
for the Third Circuit
9-20-2006
Nationwide Mutl Ins v. Merdjanian
Precedential or Non-Precedential: Non-Precedential
Docket No. 05-1790
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NOT PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
__________
No. 05-1790
__________
NATIONWIDE MUTUAL INSURANCE COMPANY
v.
ANDRE MERDJANIAN, Individually and as Administrator of the ESTATE OF SONA
T. MERDJANIAN, Deceased, HAGOP MERDJANIAN, and RAFFI MERDJANIAN,
Appellants
__________
On Appeal from the United States District Court
For the Eastern District of Pennsylvania
(Civ. A. No. 03-5153)
District Judge: Honorable Michael M. Baylson
__________
Submitted Under Third Circuit L.A.R. 34.1(a)
September 15, 2006
___________
Before: SLOVITER, WEIS, and GARTH, Circuit Judges
(Filed: September 20, 2006)
__________
OPINION
__________
Garth, Circuit Judge:
I.
Appellant Andre Merdjanian purchased an auto insurance policy from Appellee
Nationwide Mutual Life Insurance Company (“Nationwide”) on July 16, 1990. The
policy, which took effect on July 17, 1990, provided bodily injury liability limits of
$25,000 per person and $50,000 per occurrence ($25,000/$50,000) and uninsured and
underinsured motorist coverage (“UM/UIM”) of $15,000/$30,000. In the process of
applying for the policy, Merdjanian also signed an “Uninsured Motorist Coverage
Authorization Form,” in which he selected UM/UIM coverage in the amount of
$15,000/$30,000. It is undisputed that this was the only form signed by Merdjanian
relating to UM/UIM insurance.
On August 26, 1998, Merdjanian added an additional vehicle to his policy, and
contemporaneously increased the limits of his liability coverage from $25,000/$50,000 to
$100,000/$300,000. In response, Nationwide mailed forms to Merdjanian giving him the
option of changing the limits of his UM/UIM coverage. The form pertaining to uninsured
motorist coverage stated: “Send this form . . .if you want to change the limits of your
Uninsured Motorist Coverage.” The second form contained identical language with
respect to underinsured motorist coverage. Merdjanian concedes that these forms “were
never signed nor returned by him.”
On April 17, 2001, Merdjanian met with Rocco J. Polidoro, an authorized seller of
Nationwide insurance, to add a third car to the policy. Merdjanian asserts that, at this
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meeting, he requested “full coverage for my whole family.” Merdjanian testified that he
intended by this request to raise his UM/UIM coverage to the same coverage limit as his
liability: $100,000/$300,000. It is undisputed, however, that he did not specifically ask
Polidoro to increase his UM/UIM coverage and that he did not sign any forms requesting
a change in his UM/UIM coverage. Nationwide subsequently issued a “Declarations
Page” to Merdjanian, dated April 23, 2001, stating that his policy provided coverage of
$100,000/$300,000 for liability and $15,000/$30,000 of UM/UIM coverage. Merjadian
did not object to these coverage limits, and paid premiums for the coverage reflected in
the April 23,2001 Declarations Page.
On June 10, 2001, Merdjanian’s wife was killed, and his two sons injured, when an
uninsured motorist struck one of the vehicles covered under his Nationwide policy.
II.
Merdjanian and his two sons subsequently submitted a claim to Nationwide for
UM/UIM benefits in the amounts of $300,000/$900,000.1 In response, Nationwide filed a
declaratory judgment action against Merdjanian requesting a declaration that the policy
limited UM/UIM coverage to $15,000/$30,000 for all uninsured motorist claims arising
out of the June 10, 2001 accident. Merdjanian responded with a counterclaim, seeking
reformation of the Nationwide policy to reflect his entitlement to UM/UIM coverage of
1
Merdjanian arrived at this figure by “stacking” the $100,000/$300,000 liability coverage
the policy provided for each of his three vehicles. “Stacking” coverage allows an insured to
combine the limits of per-vehicle coverage for all the vehicles on the policy to pay the loss from
a single occurrence.
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$300,000/$900,000.
Both parties moved for summary judgment. On March 7, 2005, the district court
granted summary judgment in favor of Nationwide, holding that the Merdjanians’
UM/UIM coverage was limited to $15,000/$30,000. We affirm.
III.
In this appeal, Merdjanian argues that, despite his signed authorization for only
$15,000/$30,000 of UM/UIM coverage, Nationwide must nevertheless provide such
coverage in the amount of $100,000/$300,000 under Pennsylvania’s Motor Vehicle
Financial Responsibility Law, 75 Pa.C.S.A. § 1701 et seq. (“MVFRL”). Merdjanian
asserts that, pursuant to the MVFRL, any policy issued by an automobile liability insurer
must provide UM/UIM coverage in an amount equal to the policy’s liability coverage
unless the insured has signed a valid coverage reduction form, agreeing to less than the
maximum UM/UIM coverage-i.e., less than the policy’s liability limit. Merdjanian
claims that, although he signed such a form when he initially purchased the policy, his
subsequent alteration of the policy, whereby he increased his liability coverage to
$100,000/$300,000, triggered an obligation upon Nationwide to obtain a new signed
confirmation that he wished to continue to waive maximum UM/UIM coverage.
Merdjanian argues that, because he never signed such a form, Nationwide must provide
the maximum UM/UIM coverage-i.e., the same $100,000/$300,000 worth of coverage his
policy provides for liability.
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IV.
Section 1731(a) of the MVFRL provides, in pertinent part:
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 . . .. Purchase of
uninsured motorist and underinsured motorist
coverages is optional.
Id.
Sections 1731 (b), (c), and (c.1) provide the format of specific written forms to be
signed by an insured who wishes to reject UM or UIM coverage entirely, as well as
certain strict formalities that must be observed in executing these forms. Section
1731(c.1) also contains a penalty for insurers who fail to secure valid UM/UIM rejection
waivers: “If the insurer fails to produce a valid rejection form, uninsured or underinsured
coverage, or both, as the case may be, under that policy shall be equal to the bodily injury
liability limits.” Id. Section 1731(c.1) is essentially a penalty default imposed upon
insurers who fail to procure the proper authorization from motorists who do not wish to
purchase any UM/UIM coverage. See Lewis v. Erie Ins. Exch., 568 Pa. 105, 123 (Pa.
2002) (Section 1731(c.1) is designed to give insurers “the proper incentive to follow the
legislature’s prescription for avoiding uninformed choice on the part of purchasers of
insurance.”)
Motorists may also choose the intermediate option of purchasing UM/UIM
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coverage in an amount less than their liability coverage. To obtain a reduced amount of
UM/UIM coverage, an insured must only request it in writing. 75 Pa.C.S.A. § 1734.
Section 1734 provides:
A named insured may request in writing the issuance of
coverages under section 1731 . . . in amounts equal to or
less than the limits of liability for bodily injury.
Id.
Merdjanian’s main argument is that when he increased his liability coverage to
$100,000/$300,000 in 1998, Nationwide immediately became obligated to obtain a
written confirmation that he wished to continue receiving UM/UIM coverage in a reduced
amount. Nationwide did not do so. Merdjanian asserts that, just as failure to obtain a
valid rejection form defaults UM/UIM coverage to the policy’s liability limit, see id. §
1731(c.1), failure to obtain a writing confirming reduced UM/UIM coverage
automatically defaults UM/UIM coverage to the limit of the policy’s liability coverage.
This argument is without merit. Merdjanian’s policy was issued in 1990 and
continued in effect through the date of the accident in 2001. Nationwide fully complied
with sections 1731 and 1734 by obtaining from Merdjanian, at the time he purchased the
policy an “Uninsured Motorist Coverage Authorization Form,” wherein Merdjanian
agreed, in writing, to reduced UM/UIM coverage in the amount of $15,000/$30,000.
Nothing in the statute requires an insurer to obtain a new writing under section 1734 each
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time an insured chooses to increase liability coverage or otherwise alter the policy.2 The
statute requires only that an insurer offer UM/UIM coverage in the amounts specified in
1734 -i.e, in amounts less than or equal to liability coverage, and that the purchase of
reduced coverage must be confirmed in writing. Id. §§ 1731, 1734.
That changes in the amount of liability coverage do not trigger additional
requirements under the MVFRL is further confirmed by the language of section 1731,
which applies specifically to the “deliver[y] or issu[ance] for delivery” of a “liability
insurance policy.” Id. § 1731. It is therefore the initial issuance of a policy, rather than
alteration of the policy’s liability coverage limits, that triggers the MVFRL’s
requirements. It is true that section 1734 refers to “issuance of coverages.” Id. § 1734.
However, the Pennsylvania Supreme Court has held “that sections 1731 and 1734 should
be read in pari materia.” Lewis, 568 Pa. 105 at 115. Read together, sections 1731 and
1734 clearly impose obligations only with respect to the issuance of policies, not changes
to pre-existing policies. Cf. Smith v. Hartford Ins. Co., 2004 Pa. Super. 145 (Pa. Super.
Ct. 2004) (holding that an increase in liability coverage does not trigger an obligation
upon the insurer to obtain a new rejection of coverage form).
2
Section 1791 of the MVFRL, which requires notice to insureds of available
benefits and limits, provides that such notice must state “. . . payment of any renewal
premium evidences your actual knowledge and understanding of the availability of these
benefits and limits as well as the benefits and limits you have selected.” It is significant
in this regard that Merdjanian paid the renewal premiums on his policy from 1990, and
particularly from 1998, through the date of the accident, without objecting to the
coverages. Merdjanian’s UM/UIM coverage continued to remain the same
($15,000/$30,000) from 1990 through the date of the accident.
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Merdjanian’s interpretation is further undermined by section 1791 of the MVFRL,
which provides:
It shall be presumed that the insured has been
advised of the benefits and limits available under
this chapter provided the following notice in bold
print of at least ten-point type is given to the
applicant at the time of application for original
coverage, and no other notice or rejection shall be
required:
IMPORTANT NOTICE
Insurance companies operating in the
Commonwealth of Pennsylvania are required by
law to make available for purchase the following
benefits for you . . .
....
(6) Uninsured, underinsured and bodily injury
liability coverage. . .
Id.
Under section 1791, once an insurance applicant has been informed of the
available choices for UM/UIM coverage, and opted to reject or reduce such coverage in
conformity with the requirements of sections 1731 and 1734, the insurer has no further
obligation to provide notice or rejection with regard to UM/UIM coverage. Here,
Nationwide provided Merdjanian with the notice prescribed by section 1791 and obtained
his written application for reduced UM/UIM coverage in the amount of $15,000/$30,000.
Nothing more was required.
Merdjanian cites the recent Pennsylvania Superior Court en banc decision in
Blood v. Old Guard Ins. Co., 894 A.2d 795 (Pa. Super. Ct. 2006) to support his
contention that his altering of the policy’s coverage limits obligated Nationwide to obtain
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a new reduction waiver. However, in Blood, the insured had been presented with a
“change request form” containing sections pertaining to both liability and UM/UIM
coverage. This alone distinguishes Blood from the present case. Moreover, Blood is not
a decision rendered by the Supreme Court of Pennsylvania.3 If it were,--and if it involved
facts and issues similar to those of the present case-- we, of course, would be bound by its
holding. It is well-established that Pennsylvania inferior courts may influence our
decision if we are persuaded by their analysis. We are not persuaded here that Blood
requires us to rule in favor of Merdjanian.
Even if applying for an increase in liability coverage would somehow trigger an
obligation on the part of an insurer to obtain a new writing confirming reduced UM/UIM
coverage, there is no basis for applying section 1731(c.1), which deals specifically with
failure to obtain a valid rejection form, to the reduction context at issue here. The statute
treats complete rejection of UM/UIM coverage far more stringently than reduction by
specifying precise language to be included in a rejection form and by the other formalities
set forth in section 1731(c.1). Section 1734, involving requests for reduced UM/UIM
coverage, contains no such provisions, requiring only a “request in writing.” Id. § 1734.
There is therefore no basis for importing Section 1731(c.1)’s penalty relating to rejections
into the reduction context.
These differences between complete rejection of UM/UIM coverage and opting for
3
No decision of the Pennsylvania Supreme Court has dealt with the precise issue
before us.
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reduced coverage are consistent with the policy underlying the statute, which is to protect
consumers from unknowingly waiving their UM and UIM coverage. Lewis, 568 Pa. at
123. The Pennsylvania Legislature, clearly more concerned about the unknowing waiver
of all UM/UIM coverage than a consumer’s choice to purchase only a reduced amount of
such coverage, logically chose to impose the severe penalty contained in section
1731(c.1)-i.e., increasing UM/UIM coverage to the liability limits, only in the case of
rejection. For these reasons, Merdjadnian’s claim that Nationwide must provide
UM/UIM coverage in an amount greater than the $15,000/$30,000 for which he
subscribed and paid premiums must be rejected.
Unlike rejection, the statute contains no penalty for violation of section 1734's
requirement that requests for reduction be in writing. Under well-established
Pennsylvania law, we are not empowered to create one. Nationwide Mut. Ins. Co. v.
Buffetta, 230 F.3d 634, 642 (3d Cir. 2000); Donnelly v. Bauer, 553 Pa. 596, 608 (Pa.
1998); Salazar v. Allstate Ins. Co., 549 Pa. 658, 702 A.2d 1038 (Pa. 1997).
V.
Merdjanian also argues that there is at least a factual dispute about whether, at the
April 17, 2001 meeting, he requested that Nationwide increase his UM/UIM coverage to
$100,000/$300,000. Merdjanian testified that, at this meeting, he told Polidoro that he
wanted “full coverage for my whole family” and that by full coverage he meant UM/UIM
coverage equal to the policy’s liability coverage limit. However, it is undisputed that
Merdjanian did not, at any point during this conversation or thereafter, state that he
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desired an increase in his UM/UIM coverage. Nor did he execute the necessary forms to
effect such an increase, despite the conceded fact that he received such forms from
Nationwide.4
VI.
For these reasons, we will affirm the district court’s order granting Nationwide’s
motion for summary judgment.
4
It is also significant that Merdjanian did not object to the Declarations Page
mailed to him by Nationwide on April 23, 2001, which stated that his UM/UIM coverage
remained $15,000/$30,000. Indeed, Merdjanian subsequently paid premiums for the
coverage reflected in the April 23, 2001 Declarations Page.
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