Donegal Mut. Ins. Co. v. McConnell
Donegal Mut. Ins. Co. v. McConnell
Opinion
The issue in this case is whether under an application of Pennsylvania law, the trial court erred in concluding, under the facts of this case, that a serviceman stationed in Alabama was a "resident" of his parents' household in Pennsylvania within the meaning of his parents' automobile insurance policy.
In this declaratory judgment action, the issue before the trial court was whether Donegal Mutual Insurance Company of Marietta, Pennsylvania ("Donegal"), under its automobile insurance policy with Stephen McConnell's parents, Walter and Octavia McConnell, was obligated to provide Stephen with basic first-party medical expense coverage and underinsured motorist coverage for injuries that he sustained in an automobile accident in Tennessee.1 *Page 202
On July 13, 1986, Stephen McConnell and David King, a military friend who was also stationed at Redstone Arsenal, were involved in an automobile accident with another car in Tennessee. At the time of the accident, Stephen was not a passenger in his own car, but was riding with King in his car. After the accident, Stephen was transferred to Huntsville Hospital, where he stayed for treatment until August 15, 1986, and he was later transferred to a military hospital located at Maxwell Air Force Base in Montgomery, Alabama. After two or three weeks of treatment there, Stephen was released and he returned to Redstone Arsenal.
On March 3, 1987, several months after the accident, Stephen notified his father's insurance agent that he had been involved in the automobile accident. After Donegal concluded its investigation of the automobile accident, it denied Stephen's claims for basic first-party medical expense coverage and for underinsured motorist coverage, basing its denial on its assertion that Stephen did not qualify as a "covered person" under his parents' policy at the time of the accident.2
On July 6, 1987, Stephen and his wife, Brenda, filed a complaint for themselves and for the United States of America against King and Donegal in the Circuit Court of Madison County.3
In their complaint, the McConnells sought damages totaling $500,000. Apart from their negligence claim against King, the McConnells alleged that Donegal was obligated under its automobile insurance policy with Stephen's parents to provide Stephen with basic first-party medical expense coverage and underinsured motorist coverage for Stephen's automobile accident.
On August 5, 1987, Donegal filed its answer and a counterclaim in the nature of a complaint for a declaratory judgment, in which Donegal denied that it was obligated to provide Stephen with the requested coverages. In its counterclaim, Donegal requested a judgment declaring that it was not obligated to provide Stephen with the requested coverages because, it claimed, Stephen did not qualify as a "covered person" under its policy at the time of his automobile accident. Essentially, Donegal's argument for denying the claims was that Stephen was not a resident of the household of the named insureds (his parents) at the time of his accident; therefore, Donegal did not consider Stephen to be a *Page 203 family member under its policy so as to qualify as a "covered person."
On August 12, 1987, the McConnells filed an amended complaint against Donegal that added a count claiming damages for an alleged bad faith refusal to pay. Donegal answered that amended complaint on September 18, 1987, denying the McConnells' allegations that it was obligated under its policy with Stephen's parents to provide Stephen with the requested coverages, and denying that its refusal to satisfy the claims constituted a bad faith refusal on its part.
The trial court declared that, under the terms of the policy, Stephen did reside in his parents' household at the time of his automobile accident; therefore, the court held that Stephen was deemed to be a family member under Donegal's policy, which further meant that he met the stated qualification for being a "covered person." Consequently, the trial court declared in its judgment that Stephen was entitled to the coverages sought in their complaint. In support of its order, the trial court listed the following facts as reasons why it considered Stephen to be a resident of his parents' household at the time of his automobile accident:
(1) Stephen possesses a Pennsylvania driver's license that lists his parents' home address on it;
(2) Stephen and his father jointly hold title to Stephen's car, as is noted on the car's certificate of title;
(3) most of Stephen's personal property remains at his parents' home;
(4) Stephen maintains a bank account in his parents' hometown;
(6) Stephen's military records reflect that his permanent address is at his parents' home; and
(7) Stephen visits with his parents at their home whenever he is on leave from his duty with the Army.
On August 8, 1988, Donegal filed a motion to amend or vacate the judgment, which the trial court denied on November 8, 1988. On December 19, 1988, Donegal filed its notice of appeal to this Court.4
The case before the trial court involved an interpretation of an automobile insurance policy that was executed in the State of Pennsylvania. Under Alabama's choice of law rule, the trial court was obligated to apply the substantive law of Pennsylvania in its interpretation of that policy. See Ex parteOwen,
The outcome of this appeal turns on the proper construction of the term "covered *Page 204 person," as that term is defined in Donegal's automobile insurance policy. As noted in footnote 2 to this opinion, the policy defines a "covered person" to mean: (1) the named insured as shown on the policy's declaration page,5 (2) the spouse of a named insured if he or she resides in the same household, or (3) a family member.
The term resident is nowhere defined in Donegal's automobile insurance policy;6 therefore, as required under Alabama's choice of law rule, this Court is obligated to look to the substantive law of Pennsylvania to construe that term. In addressing the difference between residence and domicile as those terms are defined under Pennsylvania's common law, a Pennsylvania court stated the following:
Krager v. Foremost Ins. Co.,"The Courts of this Commonwealth have historically recognized the classical definitions of the words domocile [sic] and residence. Domicile being that place where a man has his true, fixed and permanent home and principal establishment, and to which whenever he is absent he has the intention of returning.
"Residence being a factual place of abode. Living in a particular place, requiring only physical presence." (Emphasis added.)
Although we have been unable to find a Pennsylvania case that discusses the interpretation to be placed on the word "resident" under the facts of this case, we have found a Fifth Circuit Court of Appeals case that does interpret Pennsylvania law under similar facts. In Beck v. National Mutual Cas. Ins.Co.,
After carefully reviewing the record, we conclude that the trial court properly applied the law to the facts before it in its interpretation of Donegal's automobile insurance policy. In so doing, the trial court correctly declared that Stephen McConnell qualified as a "covered person" under Donegal's policy. The judgment of the trial court, therefore, is due to be, and it is hereby, affirmed.
AFFIRMED.
HORNSBY, C.J., and JONES, ALMON, SHORES, ADAMS, HOUSTON, STEAGALL and KENNEDY, JJ., concur.
The basic $10,000 medical benefits coverage, which Donegal refers to as basic first-party medical expense coverage in its automobile insurance policies, covers medical expenses incurred for the care, recovery, or rehabilitation of a "covered person" arising from injuries incurred from the maintenance or use of a motor vehicle. See § 1711 and § 1712(1) of the statute.Underinsured motorist coverage provides "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 underinsured motor vehicles." § 1731(c).
" 'Covered person' means: You or any family member.
"Throughout this policy, 'you' and 'your' refer to:
"1. The 'named insured' shown in the Declarations; and
"2. The spouse if a resident of the same household.
" 'Family member' means a person related to you by blood, marriage or adoption who is a resident of your household. This includes a ward or foster child." (Emphasis added.)
Reference
- Full Case Name
- Donegal Mutual Insurance Company v. Stephen J. McConnell and Brenda A. McConnell.
- Cited By
- 8 cases
- Status
- Published