Erie Insurance Exch. v. Mione, A. ( 2021 )


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  • J-A01005-21
    
    2021 PA Super 91
    ERIE INSURANCE EXCHANGE                        :   IN THE SUPERIOR COURT OF
    :        PENNSYLVANIA
    :
    v.                                :
    :
    :
    ALBERT MIONE AND LISA MIONE                    :
    :
    Appellants                  :   No. 1450 EDA 2020
    Appeal from the Order Entered June 26, 2020
    In the Court of Common Pleas of Lehigh County Civil Division at No(s):
    No. 2019-C-2395
    BEFORE:        BENDER, P.J.E., OLSON, J., and STRASSBURGER, J.*
    OPINION BY BENDER, P.J.E.:                                      FILED: May 10, 2021
    Appellants, Albert Mione and Lisa Mione, appeal from the trial court’s
    June     26,   2020   order    granting        Appellee’s,   Erie   Insurance   Exchange
    (hereinafter, “Erie”), motion for judgment on the pleadings, and denying
    Appellants’ motion for judgment on the pleadings. After careful review, we
    affirm.1
    ____________________________________________
    *   Retired Senior Judge assigned to the Superior Court.
    1 On December 14, 2020, Erie filed a motion to quash and/or strike Appellants’
    reply brief, arguing that Appellants filed their reply brief five days late and
    improperly restated arguments already raised in their initial brief. See
    Pa.R.A.P. 2185(a)(1) (“A party may serve and file a reply brief permitted by
    these rules within 14 days after service of the preceding brief but, except for
    good cause shown, a reply brief must be served and filed so as to be received
    at least three days before argument.”); Pa.R.A.P. 2113(a) (providing that “the
    appellant may file a brief in reply to matters raised by [the] appellee’s brief …
    and not previously addressed in [the] appellant’s brief”).            Appellants
    responded that their reply brief was inadvertently filed late because Erie had
    (Footnote Continued Next Page)
    J-A01005-21
    The trial court summarized the underlying facts, procedural history, and
    arguments of the parties as follows:2
    This case arises out of a dispute over whether … [Appellants] are
    entitled to underinsured motorist ([“]UIM[”]) benefits for a motor
    vehicle accident on July 21, 2018[,] under two policies issued by
    [Erie].[3] On July 21, 2018, while operating his 2008 Suzuki
    GS500F motorcycle, Albert was involved in a motor vehicle
    accident with a third-party, Cory Huff. At that time, Albert, Lisa,
    and Angela S. Mione … resided together.[4] Albert recovered the
    applicable policy limits from the tort liability insurer for Cory Huff
    ____________________________________________
    filed its brief five days early, and Appellants had neglected to change the due
    date of their reply brief on their calendar. Appellants further asserted that
    their reply brief simply responded to points made by Erie and elaborated upon
    their original arguments. Upon review, we decline to quash or strike
    Appellants’ reply brief based on the relatively minor defects complained about
    by Erie, as they do not hinder our review and do not seem to have caused
    prejudice to Erie in any way. See Pa.R.A.P. 2101 (“Briefs and reproduced
    records shall conform in all material respects with the requirements of these
    rules as nearly as the circumstances of the particular case will admit,
    otherwise they may be suppressed, and, if the defects are in the brief or
    reproduced record of the appellant and are substantial, the appeal or other
    matter may be quashed or dismissed.”) (emphasis added).
    2 In the future, we respectfully ask the trial court to please not provide the
    background and rationale for its decision in lengthy, single-spaced footnotes
    to its order. See Pa.R.A.P. 1925(a) Opinion, 8/28/20, at 3 (“The reasons for
    this [c]ourt’s decision were sufficiently set forth in footnotes one and two of
    the June 26, 2020 [o]rder, and we incorporate them herein, as if fully set
    forth.”). Using lengthy, single-spaced footnotes makes it very difficult for us
    to read.
    3“[Uninsured motorist coverage (UM)] applies when an insured suffers injury
    or damage caused by a third-party tortfeasor who is uninsured, whereas UIM
    coverage is triggered when a third-party tortfeaser [sic] injures or damages
    an insured and the tortfeasor lacks sufficient insurance coverage to
    compensate the insured in full.” Gallagher v. GEICO Indem. Co., 
    201 A.3d 131
    , 132 n.1 (Pa. 2019).
    4 Lisa is Albert’s wife, and Angela is Albert’s daughter. See Appellants’ Motion
    for Judgment on the Pleadings, 1/8/20, at ¶ 4.
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    and then sought to recover benefits from Erie Auto Policy
    #Q031507213 issued to Albert and Lisa[,] and Erie Auto Policy
    #Q093013593 issued to Angela [(collectively referred to herein as
    “Erie Auto Policies”)]. Neither Erie Auto Policy #Q031507213[,]
    nor Erie Auto Policy #Q093013593[,] listed the 2008 Suzuki
    GS500F motorcycle as a covered vehicle. Instead, the 2008
    Suzuki GS500F motorcycle was insured under Progressive
    Insurance Company Policy #27195650 ([“]Progressive Motorcycle
    Policy[”]).[5]
    ***
    On November 6, 2019, Erie filed its Amended Complaint-
    Declaratory Judgment. On November 26, 2019, [Appellants] filed
    Defendant[s], Albert Mione and Lisa Mione’s Answer to Complaint
    with New Matter, and Counterclaim for Declaratory Judgment. On
    December 4, 2019, Erie filed its Reply to New Matter and
    Counterclaim for Declaratory Judgment of Defendants, Albert
    Mione and Lisa Mione. The pleadings are closed. On December
    13, 2019, Erie filed its Motion of Plaintiff, Erie Insurance Exchange,
    for Judgment on the Pleadings. On January 8, 2020, [Appellants]
    filed Defendants, Albert Mione and Lisa Mione’s Motion for
    Judgment on the Pleadings and Defendants, Albert Mione and Lisa
    Mione’s, Answer to Motion for Judgment on the Pleadings of
    Plaintiff, Erie Insurance Exchange. On January 21, 2020, Erie filed
    Plaintiff, Erie Insurance Exchange’s, Opposition to Motion for
    Judgment on the Pleadings of Defendants. Thereafter, in late
    January 2020, [Appellants] filed a [r]eply [b]rief, a
    [s]upplemental [b]rief, and a [p]ost-[a]rgument [b]rief. On
    March 26, 2020, Erie also filed a [p]ost-[a]rgument [b]rief.
    In its Motion, Erie contends that [Appellants] are precluded from
    recovering UIM benefits under Erie Auto Policy #Q031507213[,]
    and Erie Auto Policy #Q093013593[,] because Albert’s 2008
    Suzuki GS500F motorcycle is not listed as a covered vehicle on
    either Erie Auto Policy[,] and both Erie Auto Policies contain a
    “household exclusion” that bars [Appellants] from recovering UIM
    benefits for injuries arising out of operation of a non-listed
    ____________________________________________
    5Albert had rejected UIM coverage under the Progressive Motorcycle Policy.
    See Appellants’ Brief at 4; Erie’s Brief at 5.
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    miscellaneous vehicle.[6] Erie further contends that the Supreme
    Court of Pennsylvania’s decision in Gallagher[, cited supra at
    note 3 and discussed further infra,] is inapplicable in this case
    because the decision in Gallagher involved a situation where the
    “household exclusion” acted to prevent recovery of stacked UIM
    benefits even though the plaintiff had paid for stacked UIM
    coverage on his motorcycle policy and his auto policy, whereas
    here, Albert did not pay for stacked UIM coverage on his
    Progressive Motorcycle Policy, but Albert, Lisa, and Angela did pay
    for stacked UIM coverage on both Erie Auto Policies at issue.[7]
    Erie contends that this case is governed by the Supreme Court of
    Pennsylvania’s decision in Eichelman v. Nationwide Ins. Co.,
    
    711 A.2d 1006
     (Pa. 199[8]), where the plaintiff did not pay for
    UIM coverage on his motorcycle policy and [the] Supreme Court
    held that the “household exclusion” prevented him from
    recovering UIM benefits under auto policies issued to members of
    his household.
    In response and in their Motion, [Appellants] contend that[,]
    although the 2008 Suzuki GS500F motorcycle was not listed on
    either Erie Auto Policy, Erie knew about its presence in the
    ____________________________________________
    6   The household exclusion in the Erie Auto Policies states:
    This insurance does not apply to:
    5. damages sustained by “anyone we protect” while
    “occupying” or being struck by a “miscellaneous vehicle”
    owned or leased by “you” or a “relative,” but not insured
    for Uninsured or Underinsured Motorists Coverage under
    this policy.
    See Erie’s Amended Complaint, 11/6/19, at Exhibit C (UM/UIM Coverage
    Endorsement at 3) (emphasis in original). The definition of “miscellaneous
    vehicle” in the Erie Auto Policies includes motorcycles. 
    Id.
     (Auto Insurance
    Policy at 2).
    7 “The basic concept of stacking is the ability to add the coverages available
    from different vehicles and/or different policies to provide a greater amount
    of coverage available under any one vehicle or policy.” Erie Ins. Exch. v.
    Petrie, 
    242 A.3d 915
    , 917 n.2 (Pa. Super. 2020) (citation omitted). “There
    are two types of stacking, intra-policy and inter-policy. Intra-policy stacking
    is when more than one vehicle is insured under a single policy of insurance.
    Inter-policy stacking … is the addition of coverages for vehicles insured under
    different policies of insurance.” 
    Id.
     (citation omitted; emphasis in original).
    -4-
    J-A01005-21
    household. [Appellants] further contend that it is against public
    policy and the Motor Vehicle Financial Responsibility Law
    ([“]MVFRL[”]), 75 Pa.C.S.[] § 1701 et seq., for Erie to completely
    exclude motorcycles from coverage. [Appellants] contend that
    the “household exclusion” contained in both Erie Auto Policies is
    void. [Appellants] further contend that Albert’s rejection of UIM
    coverage on his Progressive Motorcycle Policy does not prevent
    access to the UIM coverage available under both Erie Auto Policies.
    [Appellants] contend that Albert did not purchase separate UIM
    coverage on the Progressive Motorcycle Policy because of the
    “abundant” UIM coverage purchased under the Erie Auto Policies
    and that it is inequitable to penalize [Appellants] simply because
    Albert did not purchase “additional” UIM coverage for his
    motorcycle. [Appellants] further rely on the proposition that
    “stacked” UIM coverage is the default coverage available on every
    insurance policy and that the Eichelman decision has been
    implicitly overruled.
    In response, Erie contends that Eichelman is still good law
    because Eichelman and Gallagher addressed the household
    exclusion under two factually different circumstances.         Erie
    contends that Eichelman upheld the “household exclusion” where
    “an insured owned and operated a vehicle on which he or she
    rejected UM/UIM benefits entirely, yet made a claim for such
    benefits under a household UM/UIM policy which did not insure
    the occupied vehicle.” Erie further contends that Gallagher is
    distinguishable because it involved “stacking” and here, there is
    no policy for [Appellants] to “stack” Erie UIM benefits on because
    Albert rejected UIM coverage on his Progressive Motorcycle Policy.
    Erie further contends that entering judgment in its favor still
    affords [Appellants] the benefit of the insurance they paid for
    because they “chose to pay reduced premiums by not insuring the
    subject motorcycle under either of the Erie [Auto P]olicies, and
    chose to pay a further reduced premium by rejecting UM/UIM
    coverage outright on the policy of insurance which listed the
    motorcycle.”
    Trial Court Order (“TCO”), 6/26/20, at 1 n.1, 2 n.2 (internal citations omitted).
    The trial court granted Erie’s motion for judgment on the pleadings,
    declaring that Appellants are precluded from recovering UIM benefits under
    the Erie Auto Policies, and denied Appellants’ competing request for judgment
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    on the pleadings. In doing so, the trial court determined that, as a matter of
    law, Appellants “are precluded from recovering UIM benefits under Erie Auto
    Policy #Q031507213 issued to Albert and Lisa[,] and Erie Auto Policy
    #Q093013593 issued to Angela[,] because Albert rejected UIM benefits on his
    Progressive Motorcycle Policy, which means that there is no underlying policy
    to ‘stack’ the Erie Auto Policy benefits onto.” Id. at 2 n.2. In addition, the
    trial court found Gallagher to be factually distinguishable from Appellants’
    situation and instead ascertained that “the facts in this case are nearly
    identical to the facts in Eichelman, where the Supreme Court of Pennsylvania
    enforced the household exclusion because the insured was operating a vehicle
    covered by an insurance policy that did not provide UIM coverage.” See id.
    Appellants filed a timely notice of appeal from the trial court’s order.
    The trial court subsequently directed Appellants to file a concise statement of
    errors complained of on appeal pursuant to Pa.R.A.P. 1925(b), and they timely
    did so.
    Presently, Appellants raise the following issue for our review:
    Did the trial court err in entering judgment in favor of … Erie …
    whereby it: (1) held that the household exclusions in the Erie Auto
    Policies barred the [UIM] claims of Albert…; (2) concluded that the
    decision of the Pennsylvania Supreme Court in Gallagher … was
    not applicable; and (3) based its decision on elections and waivers
    under the [Progressive] Motorcycle Policy, in direct contravention
    of the methodology adopted by the Supreme Court of
    Pennsylvania for the evaluation of contractual [UIM] claims, rather
    than focusing on the terms and provisions of the [Erie] Auto
    Policy, alone?
    Appellants’ Brief at 2 (some capitalization omitted).
    -6-
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    Initially, we note our standard of review for judgment on the pleadings:
    Entry of judgment on the pleadings is permitted under
    Pennsylvania Rule of Civil Procedure 1034, which provides that
    “after the pleadings are closed, but within such time as not to
    unreasonably delay trial, any party may move for judgment on
    the pleadings.” Pa.R.C.P. 1034(a). A motion for judgment on the
    pleadings is similar to a demurrer. It may be entered when there
    are no disputed issues of fact and the moving party is entitled to
    judgment as a matter of law.
    Appellate review of an order granting a motion for judgment on
    the pleadings is plenary. The appellate court will apply the same
    standard employed by the trial court. A trial court must confine
    its consideration to the pleadings and relevant documents. The
    court must accept as true all well[-]pleaded statements of fact,
    admissions, and any documents properly attached to the
    pleadings presented by the party against whom the motion is filed,
    considering only those facts which were specifically admitted.
    We will affirm the grant of such a motion only when the moving
    party’s right to succeed is certain and the case is so free from
    doubt that the trial would clearly be a fruitless exercise.
    Rourke v. Pennsylvania Nat. Mut. Cas. Ins. Co., 
    116 A.3d 87
    , 91 (Pa.
    Super. 2015) (citation omitted). “Additionally, we note that interpretation of
    an insurance policy presents a pure question of law, over which our standard
    of review is de novo.” 
    Id.
     (citation omitted).
    The crux of Appellants’ argument on appeal is that the trial court erred
    in determining that the household exclusions in the Erie Auto Policies barred
    Appellants’ UIM claims given our Supreme Court’s decision in Gallagher.
    Though Appellants concede that, “[o]n its face, the [household] exclusion
    eliminates coverage for Albert … while operating his motorcycle[,]” see
    Appellants’ Brief at 19, they insist that Gallagher invalidated household
    exclusions in Pennsylvania, and that Gallagher’s rationale applies to the
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    issues in this case. See id. at 6. In addition, Appellants say that the trial
    court “failed to employ the methodology adopted by the Supreme Court of
    Pennsylvania for the evaluation of contractual [UIM] claims” because “[i]n
    evaluating [UIM] claims, the policies under which claims are being made — in
    this case the [Erie] Auto Policies — alone, are to be considered.” Id. at 7.
    Thus, they aver that “[t]he elections and coverages made under any other
    policy, e.g.[,] the [Progressive] Motorcycle Policy, are irrelevant to the
    analysis.     The [t]rial [c]ourt erred in focusing upon the [Progressive]
    Motorcycle Policy, thereby engaging in a faulty analysis leading to an
    erroneous conclusion.”      Id.   Furthermore, by focusing on the Progressive
    Motorcycle Policy, Appellants say that the trial court “failed to consider the
    unambiguous policy language of the [Erie] Auto Policies. [It] wrote into the
    [Erie] Auto Policies provisions that simply do not exist.     The [t]rial [c]ourt
    reasoned that stacking conclusively requires coverage under the [Progressive]
    Motorcycle Policy. The [Erie] Auto Policies impose no such requirement.” Id.
    at 17.
    At the outset of our review, we acknowledge that this area of the law is
    not particularly clear and straightforward. Therefore, we take a close look at
    Eichelman, Gallagher, and the cases decided since Gallagher.
    To begin, we turn our attention to Eichelman. As mentioned by the
    trial court supra, Eichelman was injured when his motorcycle was struck by
    an underinsured driver.        Eichelman, 711 A.2d at 1007.          Eichelman’s
    motorcycle policy did not provide UIM coverage because he had expressly
    -8-
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    waived it.   Id.   Eichelman then made claims for UIM coverage under two
    insurance policies maintained by members of his household, which were
    denied based on household exclusions in those policies.       Id.   Eichelman
    subsequently sought a declaratory judgment that he was entitled to benefits
    under those two policies and that the household exclusions in those policies
    — which barred UIM coverage for injuries suffered while occupying a vehicle
    owned by the insured or a relative but not insured for UIM coverage under
    those particular policies — were invalid on the basis of public policy. Id. at
    1007, 1008. On review, our Supreme Court concluded that Eichelman could
    not recover under those two policies, holding that “a person who has
    voluntarily elected not to carry [UIM] coverage on his own vehicle is not
    entitled to recover [UIM] benefits from separate insurance policies issued to
    family members with whom he resides where clear and unambiguous
    ‘household exclusion’ language explicitly precludes [UIM] coverage for bodily
    injury suffered while occupying a motor vehicle not insured for [UIM]
    coverage.” Id. at 1010. In reaching that determination, our Supreme Court
    weighed that “giving effect to the ‘household exclusion’ in this case furthers
    the legislative policy behind [UIM] coverage in the MVFRL since it will have
    the effect of holding [Eichelman] to his voluntary choice.” Id. It also voiced
    concerns that, “[i]f [Eichelman’s] position were accepted, it would allow an
    entire family living in a single household with numerous automobiles to obtain
    [UIM] coverage for each family member through a single insurance policy on
    one of the automobiles in the household.”    Id. It observed that, “[i]f this
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    result were allowed, it would most likely result in higher insurance premiums
    on all insureds (even those without family members living at their residence)
    since insurers would be required to factor expanded coverage cost into rates
    charged for [UIM] coverage.” Id.
    Subsequently, in Gallagher, Gallagher— who suffered injuries when an
    underinsured motorist hit him while he was riding his motorcycle — had
    stacked UIM benefits under both his motorcycle policy and his auto policy.
    Gallagher, 201 A.3d at 132-33. Gallagher had purchased the two policies
    from GEICO Indemnity Company. Id. GEICO paid Gallagher the policy limits
    available under his motorcycle policy, but it denied his claim for stacked UIM
    benefits under his auto policy based on the household exclusion contained in
    that policy. Id. at 133. After litigation ensued to determine whether UIM
    coverage was available for Gallagher’s motorcycle accident under his auto
    policy, our Supreme Court ascertained that the household exclusion contained
    in the auto policy violated Section 1738 of the MVFRL “because the exclusion
    impermissibly acts as a de facto waiver of stacked [UM] and [UIM] coverages.”
    Id. at 132 (footnote omitted). Section 1738 addresses the stacking of UM
    and UIM benefits, along with how to waive such coverage, specifically
    providing, in relevant part, that:
    (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.
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    (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
    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.--
    ***
    (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.
    75 Pa.C.S. § 1738(a)-(e).
    - 11 -
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    In concluding that the household exclusion violated Section 1738, our
    Supreme Court reasoned:
    Here, it is undisputed that: (1) … 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 coverage
    that he bought and paid for under both of his GEICO policies
    pursuant to Subsection 1738(a) of the MVFRL, save for the
    “household vehicle exclusion” found in an amendment to the
    [a]utomobile     [p]olicy  for   which     no   explicit, formal
    acknowledgement was provided. … [T]his exclusion provides 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.”
    This policy provision, buried in an amendment, is inconsistent with
    the unambiguous requirements [of] 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 aware that the exclusion was part of
    the insurance policy. This practice runs contrary to the MVFRL
    and renders the household vehicle exclusion invalid and
    unenforceable. In fact, this case is a prime example of why
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    household vehicle exclusions should not and cannot operate as a
    pretext to avoid stacking.
    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
    6 We recognize that this decision may disrupt the insurance
    industry’s current practices; however, we are confident that
    the industry can and will employ its considerable resources
    to minimize the impact of our holding. For example, when
    multiple policies or insurers are involved, an insurer can
    require disclosure of all household vehicles and policies as
    part of its application process.
    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
    7Additionally, the Legislature is free to alter the MVFRL to
    allow this type of exclusion; however, given the MVFRL’s
    conspicuous silence regarding the household vehicle
    exclusion, we are bound to follow the plain language of
    Section 1738.
    8 As in every case, we are deciding the discrete issue before
    the Court and holding that the household vehicle exclusion
    is unenforceable because it violates the MVFRL. 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. If, at some
    later date, the Court is presented with issues regarding the
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    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.
    Gallagher, 201 A.3d at 137-38 (internal citations omitted).8
    Following Gallagher, this Court decided Petrie, cited supra at note 7.
    In that case, an underinsured driver struck and killed Petrie’s husband while
    he was riding his motorcycle. Petrie, 242 A.3d at 917. At the time of the
    accident, Petrie and her husband had purchased and were named insureds on
    two insurance policies through Erie and Foremost Insurance.          Id.   The
    Foremost policy, which insured the motorcycle, provided $25,000 in UIM
    coverage. Id. Petrie successfully claimed UIM benefits from Foremost. Id.
    Petrie then sought UIM benefits from the Erie policy, which covered four other
    vehicles and had UIM coverage limits for bodily injury of “$100,000 per
    person/$300,000 per accident-Unstacked.” Id. (emphasis added). The Erie
    policy also included a household exclusion, which stated that “[t]his insurance
    does not apply to … damages sustained by ‘anyone we protect’ while
    ‘occupying’ or being struck by a ‘miscellaneous vehicle’ owned or leased by
    ‘you’ or a ‘relative,’ but not insured for Uninsured or Underinsured Motorists
    Coverage under this policy.” Id. at 918 (citation omitted).
    ____________________________________________
    8 We note that the Majority Opinion in Gallagher makes no mention of
    Eichelman. Moreover, since Gallagher, our High Court has discussed
    Eichelman to support the proposition that “there is a balance to be struck
    between [the] goal [of cost containment] and the remedial purpose of the
    MVFRL.” Safe Auto Ins. Co. v. Oriental-Guillermo, 
    214 A.3d 1257
    , 1266
    (Pa. 2019).
    - 14 -
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    After the trial court granted Erie’s motion for judgment on the pleadings,
    determining that there was no UIM coverage available to Petrie for the
    motorcycle accident under the Erie policy, Petrie appealed. Upon review, this
    Court first ascertained that the Erie policy’s stacking waiver, which Petrie’s
    husband had signed, did not explicitly provide for inter-policy stacking, so he
    had not knowingly waived it. See id. at 918-21. This Court then considered
    whether the Erie policy’s household exclusion nevertheless precluded
    coverage. After discussing Gallagher, this Court explained that:
    Erie argues that Gallagher does not apply because it was a
    “narrow”6 decision limited to its facts of that case that are not
    present here. They contend that, unlike in Gallagher, the policies
    here were from two different companies and the [d]ecedent did
    not purchase stacking in either policy. However, if it wanted the
    holding in Gallagher to be that narrow, our Supreme Court would
    have simply held that where you had two different stacked policies
    from the same insurance company, absent an express waiver
    conforming to Section 1738, the household exclusion provision did
    not prevent stacking because the insured paid for stacking in both
    policies.
    6 The contention that the decision is narrow comes from
    footnote 8 in the opinion where it states, “[o]ur focus here
    is narrow.” Gallagher, supra at 138 n.8. However, that
    phrase was written to explain that the majority’s opinion did
    not endanger other, non-household coverage exclusions
    such as “exclusions related to racing and other inherently
    dangerous activities” and does not narrow the scope of its
    holding as to the household exclusion. Id.
    Instead of that narrow holding, our Supreme Court issued a broad
    holding that the household exclusion provision cannot be used to
    skirt the express requirement under Section 1738 that an insurer
    must receive an insured’s written acknowledgement that he
    knowingly decided to waive stacked UM/UIM coverage. That
    holding is not limited to the facts set forth in Gallagher, but one
    that finds that the exclusion is inconsistent with the requirements
    of Section 1738 of knowing waiver — a holding that is applicable
    - 15 -
    J-A01005-21
    to all policies for automobile insurance. Moreover, just because
    [the d]ecedent did not purchase stacking or the polices are from
    two different companies is irrelevant because Section 1738
    requires a knowing waiver of stacking from whom the insurance
    is being obtained — in this case, Erie.
    Accordingly, because Gallagher found the household exclusion
    provision inconsistent with Section 1738 of the MVFRL
    requirement that insureds knowingly waive stacked coverage, and
    … the present stacking waiver provision was not sufficient for an
    insured to make a knowing decision to waive stacked coverage,
    the trial court’s grant of judgment on the pleadings is reversed
    and the matter is remanded to the trial court.
    Petrie, 242 A.3d at 922 (internal citation and footnote omitted).
    After Petrie, this Court again confronted Gallagher in Erie Ins. Exch.
    v. King, 
    246 A.3d 332
     (Pa. Super. 2021).9 In that case, an uninsured driver
    struck King’s truck while he was driving in it with his paramour’s niece, with
    whom King and his paramour resided. Id. at 333-34. King owned the truck,
    but it was insured under a commercial policy issued to “Night Train Express,
    Inc.[,]” and it did not name King, or the niece, as insureds. Id. at 334. King
    and his paramour additionally shared an Erie policy for a personal vehicle. Id.
    After King and the niece exhausted the UM benefits available under the truck’s
    commercial policy, they made a UM claim under the Erie policy, which
    contained a household exclusion and an executed stacking waiver. Id. Erie
    subsequently filed a declaratory judgment action, arguing that coverage was
    barred due to the household exclusion and/or King’s execution of the stacking
    ____________________________________________
    9  We note that the decision in King was issued after the parties had already
    filed their briefs in this case, and neither party mentions King in their briefing
    to this Court.
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    J-A01005-21
    waiver, and the trial court granted its motion for judgment on the pleadings.
    Id. at 334-35.
    On appeal, this Court initially determined that King’s execution of a
    stacking waiver is “irrelevant” because King and the niece cannot “‘stack’
    benefits they receive from Erie with benefits they received from [the truck’s
    commercial policy], where [they] are not ‘insureds’ under the [truck’s
    commercial] policy.”        Id. at 339 (citations omitted).     This Court then
    addressed their argument that the household exclusion also did not bar
    coverage, explaining:
    Section 1731 [of the MVFRL] (governing rejection of UM
    coverage), provides the sole manner in which a person may reject
    UM coverage.[10] [King and the niece] maintain that any deviation
    from the rejection form set forth in Section 1731 requires an
    insurance company to provide UM coverage even where an
    insured did not pay for such coverage. [King and the niece] insist
    that under Gallagher, the household exclusion cannot be used as
    a de facto rejection of UM benefits where Section 1731 provides
    the exclusive means for a rejection of UM benefits to occur. [King
    and the niece] emphasize that premiums were paid to Erie for UM
    coverage, and Erie should not be able to deprive its insureds of
    the benefit of that which was purchased. Specifically, [King and
    the niece] contend: “If under Gallagher, the household vehicle
    exclusion is an invalid means to waive the stacking of [UM]
    coverage, it should certainly be an invalid means to reject [UM]
    coverage. There is no reason to draw a distinction.”
    King, 246 A.3d at 339-40 (internal citation and footnote omitted).
    ____________________________________________
    10 In short, Section 1731 mandates that UM/UIM coverage be offered to
    insureds and explains that insureds may reject such coverage by signing a
    specific written rejection form. 75 Pa.C.S. § 1731. Further, Section 1731(c.1)
    states that “[a]ny rejection form that does not specifically comply with this
    section is void. 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.” 75 Pa.C.S. § 1731(c.1).
    - 17 -
    J-A01005-21
    This Court rejected this argument, deeming it undeveloped and holding
    that “Gallagher does not bar applicability of the household exclusion in this
    case.” Id. at 343. We noted that:
    [W]e have already decided that stacking under Section 1738 is
    not implicated under these facts, where [King and the niece] were
    guest passengers and not “insureds” under the [commercial]
    policy covering the [truck] involved in this accident.        We
    reiterate that because [King and the niece] were not
    “insureds” under the [truck’s commercial] policy, there is
    no UM coverage on which to “stack” the Erie policy. Thus,
    the holding in Gallagher — that a household exclusion cannot
    circumvent the clear requirements of a rejection of stacking set
    forth in Section 1738 — is not directly applicable here.
    Id. at 341 (internal citations omitted; emphasis added).     Furthermore, in
    doing so, the King Court distinguished Petrie, recognizing that,
    in Petrie, … this Court interpreted Gallagher as a “broad holding
    that the household exclusion provision cannot be used to skirt the
    express requirement under Section 1738 that an insurer must
    receive an insured’s written acknowledgment that he knowingly
    decided to waive stacked UM/UIM coverage” and stated that
    Gallagher “is not limited to [its] facts…, but one that finds that
    the [household] exclusion is inconsistent with the requirements of
    Section 1738 of knowing waiver — a holding that is applicable to
    all policies for automobile insurance.” Petrie, supra at 922
    (explaining that just because [the] insured did not purchase
    stacking, or that policies are from two different companies is
    irrelevant because Section 1738 requires knowing waiver of
    stacking from whom insurance is being obtained). Although this
    Court interpreted Gallagher broadly as applied to Section
    1738, this Court did not consider or decide Gallagher’s
    applicability with respect to Section 1731. See id.
    Id. at 342 n.8 (emphasis in original).   Based on the foregoing, this Court
    affirmed the trial court’s order granting Erie’s motion for judgment on the
    pleadings.
    - 18 -
    J-A01005-21
    In light of the above-stated case law, Gallagher does not seem to
    invalidate household exclusions in all cases, despite Appellants’ suggestions
    to the contrary.11 Instead, Gallagher has been interpreted by this Court to
    hold that a household exclusion cannot be used to evade Section 1738’s
    explicit requirements for waiving stacking. Thus, the next question for us to
    decide is whether stacking and Section 1738 are implicated in this case, which
    would trigger applying the rule set forth in Gallagher.
    Appellants contend that the rationale of Gallagher applies because the
    Erie Auto Policies “provided stacked coverage, the factual predicate for the
    application of Gallagher.” Appellants’ Brief at 21. They argue that “[t]he
    household exclusion eliminated the stacking benefit provided by the policy
    without any knowing waiver by the named insured.          Thus, the Gallagher
    decision applies in this case.” Id.
    Erie, on the other hand, says that stacking, Section 1738 — and
    consequently Gallagher — are irrelevant to this matter.          Instead, Erie
    maintains that Eichelman applies. It contends:
    Eichelman, like this case, doesn’t involve two UIM policies being
    stacked. Eichelman, like this case, involves no coverage on the
    host vehicle at all. Eichelman, like this case, only involves
    coverage on household policies. Thus, there is no host-vehicle
    UIM policy “to stack” on top of. As a consequence, “stacking” is
    not at issue and [Section] 1738 is not relevant or applicable to
    ____________________________________________
    11 See Appellants’ Brief at 9 (“The Supreme Court invalidated household
    exclusions in Gallagher….”); id. at 11 (“In Gallagher…, the Supreme Court
    invalidated household exclusions in auto policies in Pennsylvania.”); id. at 19
    (“In Gallagher…, the Supreme Court found that household exclusions in
    automobile policies in Pennsylvania are invalid and unenforceable.”).
    - 19 -
    J-A01005-21
    this case at all. This is precisely the reason why Eichelman never
    cited [Section] 1738, and Gallagher never cited Eichelman.
    Erie’s Brief at 19 (footnote omitted).
    Additionally, Erie directs our attention to Dunleavy v. Mid-Century
    Ins. Co., 
    460 F.Supp.3d 602
     (W.D. Pa. 2020), which it claims has identical
    facts and arguments as the case sub judice.          Erie’s Brief at 22-23.12   In
    Dunleavy, a husband and wife were riding a motorcycle when they were
    struck by an underinsured driver, leaving them seriously injured. 
    Id.
     at 605-
    06. The motorcycle was insured through Progressive, and the husband had
    rejected UIM coverage under that policy. Id. at 606. Additionally, the couple
    had a separate auto policy from Mid-Century Insurance Company that insured
    two other vehicles, but not the motorcycle. Id. The couple did not sign the
    statutorily prescribed waiver form to reject stacking in the Mid-Century policy.
    Id. at 607. The Mid-Century policy also had a household exclusion, which
    stated that UIM coverage does not apply “[t]o bodily injury sustained by you
    or any family member while occupying or when struck by any motor vehicle
    owned by you or any family member which is not insured for this coverage
    under any similar form.”        Id. at 606 (citation omitted).   When the couple
    sought UIM coverage under the Mid-Century policy, Mid-Century told them
    they were not entitled to UIM coverage because “the [motorcycle] [they] were
    ____________________________________________
    12 “While we recognize that federal district court cases are not binding on this
    [C]ourt, Pennsylvania appellate courts may utilize the analysis in those cases
    to the extent we find them persuasive.” Umbelina v. Adams, 
    34 A.3d 151
    ,
    159 n.2 (Pa. Super. 2011) (citations omitted). We also are mindful that
    Dunleavy was decided before this Court issued its opinions in Petrie and
    King.
    - 20 -
    J-A01005-21
    occupying is owned by [them], [they] did not list it on [their] Mid-Century
    policy, and [they] did not elect Uninsured/Underinsured Motorist Coverage on
    the policy through Progressive[.]”     
    Id.
     (citation omitted; some brackets
    added). After our Supreme Court decided Gallagher, the couple sued Mid-
    Century, alleging, inter alia, that Mid-Century’s reliance on the household
    exclusion to deny UIM coverage violated the new rule of law established by
    Gallagher.     
    Id.
        Mid-Century subsequently filed a counterclaim for
    declaratory judgment regarding the appropriateness of its denial decision, and
    later a motion for judgment on the pleadings. 
    Id.
    Before the district court, the couple argued that, “under Gallagher, Mid-
    Century can’t use the household vehicle exclusion to deny them the benefit of
    stacking their [UIM] benefits in the Mid-Century policy[,]” and that “the only
    way they could be validly denied the benefit of stacking their [UIM] coverage
    is if they signed a statutorily prescribed waiver form, which they never did.”
    Id. at 607.     In response, Mid-Century contended that “Gallagher is
    inapplicable because this isn’t a stacking case at all[,]” and asserted that the
    couple has “no [UIM] coverage with which to stack their Mid-Century policy.”
    Id. (citation and internal quotation marks omitted).     Instead, Mid-Century
    claimed that the couple was “trying to use the Mid-Century [policy] to
    establish [UIM] coverage in the first instance.” Id. at 605. The district court
    sided with Mid-Century, reasoning:
    When a policyholder buys [UIM] coverage for several vehicles,
    within or across policies, the law authorizes the policyholder to
    stack the per-vehicle limits of all that coverage that the
    - 21 -
    J-A01005-21
    policyholder bought. Gallagher, 201 A.3d at 137. An insurer
    cannot insert an exclusion in the policy that effectively prevents
    the stacking of limits of covered vehicles by saying there is no
    coverage for some of those vehicles. Id. at 138. But this rationale
    is predicated on the policyholder buying [UIM] coverage on every
    vehicle to stack the benefits. That’s the fundamental idea behind
    stacking — the policyholder stacks limits of coverage that he or
    she paid for. Id. (“Gallagher decided to purchase stacked UM/UIM
    coverage under both of his policies, and he paid GEICO premiums
    commensurate with that decision.”). If the vehicle involved in the
    accident doesn’t have [UIM] coverage, then the policyholder can’t
    stack anything on top of it because the policyholder hasn’t paid
    for that privilege.
    ***
    Here, [the couple] concede that [the husband] validly waived
    [UIM] coverage on his Progressive policy for the motorcycle. So,
    there is no [UIM] coverage on which to “stack” the Mid-Century
    policy. Because there is no [UIM] coverage for the motorcycle
    under the Progressive policy, [the couple has] not properly framed
    the question for this [c]ourt. The question is not whether [the
    couple] may stack the Mid-Century policy, but whether [the couple
    is] entitled to [UIM] coverage under that policy in the first
    instance. For that question, neither Section 1738 nor Gallagher
    are relevant.
    Dunleavy, 460 F.Supp.3d at 608, 609 (internal citation omitted).
    The district court then determined that the couple did not buy UIM
    coverage for their motorcycle from Mid-Century, and it addressed the vitality
    of Eichelman following Gallagher, opining:
    The relevant provision of the MVFRL to this dispute is Section
    1731, which generally governs the purchase of [UIM] coverage.
    Gallagher does not affect the application of that statute to the
    facts here. Rather, it is the Pennsylvania Supreme Court’s
    decision in Eichelman … that controls.
    ***
    Gallagher did not overrule Eichelman because the two cases
    “are not in conflict.” Indeed, the Pennsylvania Supreme Court has
    even cited Eichelman approvingly in a case after Gallagher.
    - 22 -
    J-A01005-21
    See … Oriental-Guillermo, [cited supra, note 8].         Thus,
    Eichelman remains good law and controls the result here.
    As in Eichelman, [the husband] waived [UIM] coverage for his
    motorcycle policy. And, as in Eichelman, [the couple is] trying
    to obtain [UIM] coverage under a separate policy. That policy,
    however, clearly states that [UIM] coverage will not apply “[t]o
    bodily injury sustained by you or any family member while
    occupying or when struck by any motor vehicle owned by you or
    any family member which is not insured for this coverage under
    any similar form.” The motorcycle was an “owned” vehicle that
    was not insured under the Mid-Century policy. As a result, [the
    couple] are not entitled to [UIM] coverage under the Mid-Century
    policy.
    Id. at 609, 610 (internal citation omitted).
    After considering the relevant case law and the arguments of the
    parties, we agree with Erie and the trial court that stacking and Section 1738
    are not implicated in this case. In Eichelman, King, and Dunleavy, stacking
    was either not discussed or determined to be irrelevant because those
    individuals who did not have UM/UIM coverage under their host-vehicle
    policies did not have the requisite UM/UIM coverage on which to stack other
    household policies with UM/UIM benefits. Similarly, here, Albert’s Progressive
    Motorcycle Policy does not have UIM coverage on which to stack the Erie Auto
    Policies’ UIM benefits. Instead, like the people in Eichelman and Dunleavy,
    Albert is using the Erie Auto Policies to procure UIM coverage in the first place.
    - 23 -
    J-A01005-21
    Therefore, this is not a stacking case, and the rationale of Gallagher does not
    apply.13, 14
    As we have already determined that Gallagher only invalidated
    household exclusions in cases where they are used to circumvent Section
    1738’s specific requirements for waiving stacking, we cannot agree with
    Appellants that Eichelman has been overruled and/or does not control here.
    Accordingly, we apply Eichelman’s principle that a clear and unambiguous
    household exclusion is enforceable where the insured was operating a vehicle
    at the time of the accident that was covered by a separate policy not providing
    the insured with UM/UIM coverage because the insured had voluntarily, and
    validly, waived such coverage. Thus, the household exclusions in the Erie
    Auto Policies are enforceable to preclude Appellants from recovering UIM
    benefits. No relief is due.
    Order affirmed.
    Judge Strassburger did not participate in the consideration or decision
    of this case.
    ____________________________________________
    13We agree with the trial court’s observation that, “[h]ad Albert purchased
    UIM coverage under his Progressive Motorcycle Policy, this case would fall
    squarely within the factual scenario addressed in Gallagher[,] but … that is
    not the situation before the [c]ourt.” TCO at 2 n.2.
    14Because this is not a stacking case, we disagree with Appellants’ arguments
    that our review must be limited to the policy under which the claim is being
    made, i.e., the Erie Auto Policies, and that the UIM coverage provided by the
    Progressive Motorcycle Policy is wholly irrelevant. The Eichelman, King, and
    Dunleavy Courts all considered the UM/UIM coverage provided by, and the
    named insureds listed in, the host-vehicle policies.
    - 24 -
    J-A01005-21
    Judgment Entered.
    Joseph D. Seletyn, Esq.
    Prothonotary
    Date: 5/10/21
    - 25 -
    

Document Info

Docket Number: 1450 EDA 2020

Filed Date: 5/10/2021

Precedential Status: Precedential

Modified Date: 5/10/2021