Midboe v. State Farm Mutual Automobile Insurance
Opinion of the Court
— Plaintiff seeks reformation of the terms of an automobile insurance policy issued by defendant to her pursuant to the Pennsylvania No-fault Motor Vehicle Insurance Act of July 19, 1974, P.L. 489, 40 P.S. §1009.101 et seq. (No-fault Act). Specifically, she requests that she be allowed to receive survivor’s benefits under the policy by reason of her son’s death on December 19, 1976, from injuries sustained in an automobile accident which occurred the day before in Allentown, Pa. The policy is alleged to be at variance with the strictures of the No-fault Act with respect to survivor’s benefits; thus, plaintiff seeks conformance of the policy with what she asserts to be controlling law.
The No-fault Act enumerates those persons who are legally entitled to recover as “survivors” of an “insured” (here, plaintiffs son is deemed to be an “insured” under the act since he was a resident in plaintiffs household) in 40 P.S. §1009.103, as follows:
“ ‘Survivor’ means:
“(A) spouse; or
*85 “(B) child, parent, brother, sister or relative dependent upon the deceased for support.
“ ‘Survivor’s loss’ means:
“(A) loss of income of a deceased victim which would probably have been contributed to a survivor or survivors, if such victim had not sustained the fatal injury; and
“(B) expenses reasonably incurred by a survivor or survivors, after a victim’s death resulting from injury, in obtaining ordinary and necessary services in lieu of those which the victim would have performed, not for income, but for their benefit, if he had not sustained the fatal injury ...”
The policy defines “survivor” as follows:
“‘Survivor’ means:
“(1) a spouse,
“(2) a child, parent, brother, sister or relative who was dependent on the insured at the time of the insured’s death.” (Emphasis in original.)
Plaintiff quarrels with the above definition of “survivor” arguing that it unduly restricts the class of relations entitled to recover to only those dependent on the deceased for support using as the sole yardstick the time of death.
Plaintiff concedes that she is not entitled to recover under the existing contract of insurance but maintains that proof of her son’s probable financial contribution to her in future years, had he lived, necessarily entitles her to the policy proceeds regardless of whether she was a dependent of her son while he lived. We are not at all persuaded by this contention since if the legislative so intended it could have so specified.
Defendant, on the other hand, submits that its definition of “survivor” is in accord with both the No-fault Act as well as relevant interpretations of the Insurance Commissioner (commissioner) made pursuant to the Act of May 17,1921, P.L. 682, 40 P.S. §477(b) as amended, and the Act of July 19, 1974, 40 P.S. §1009.209(b), which inter alia invest in the commissioner the authority to regulate and set guidelines for the approval of rates and forms. In this regard, defendant points out that the commissioner has further clarified the statute’s definition of “survivor” as follows:
“D. ‘Survivor’ The definition of survivor is clarified as being:
“(a) spouse, or
“(b) any of the following dependent upon the deceased for his or her support at the time of death: child, parent, brother, sister or relative.” 5 Pa. Bull. 240 (1975); 31 Pa. Code §66.1.
Our research indicates that the commissioner has also promulgated the following regulatory definition of “survivor” for use as a mandatory term in all endorsements used to modify existing automobile policies to comply with the No-fault Act’s basic loss benefits sections: “(a) a spouse, or (b) any [one] of the following dependent upon the deceased for support at the time of death of the eligible person resulting from bodily injury; child, parent, brother, sister or relative.” 31 Pa. Code §66.2(A).
In determining the result in this case, we begin
Then too, we do not lightly disregard the principle that the construction accorded an insurance statute by the commissioner, though not conclusive in itself, is entitled to considerable weight in construing a contract of which it becomes a part: Masland v. Bachman, 473 Pa. 280, 374 A. 2d 517 (1977); Walburn v. Nationwide Mutual Ins. Co., 98 Dauph. 166 (1976); Couch on Insurance 2d §15:54 (1959). Since the Pennsylvania Insurance Commissioner has construed the statute’s definition of “survivor” by way of clarification in favor of defendant’s position, it remains only to decide whether the commissioner’s regulatory pronouncement runs contrary to the rules of grammar which, according to the principles of statutory construction govern our inquiry.
We conclude that the proposition restricting the
The No-fault Act seemingly was intended to serve as a comprehensive and uniform scheme designed to keep automobile insurance within the average person’s purchasing power while at the same time making adequate, fair and prompt indemnification to those who actually suffer loss. See 40 P.S. §1009.102(b). This goal would be subverted were we to enlarge the class of survivors to include those who might never have been dependents of decedent or benefited financially from the decedent
For all of the foregoing reasons, we hold that plaintiff is not entitled to the relief sought. We need not reach and do not resolve the procedural issues raised with respect to the propriety of a class action in this case.
ORDER
Now, January 9,1978, for the reasons set forth in the accompanying opinion, it is ordered that defendant’s prehminary objections in the nature of a demurrer be and the same are hereby sustained, and judgment is entered in favor of defendant, State Farm Mutual Automobile Insurance Company.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.