Opinion

Higgins, M. v. Nationwide Affinity Ins.

  • 329 A.3d 701
  • 2024 Pa. Super. 312
Court
Superior Court of Pennsylvania
Filed
Dec 26, 2024
Status
Published
On the bench
Sullivan
Cited by
3 cases
Authority
More cited than 49.6%

The opinion

J-A24040-23

2024 PA Super 312

MARQUITA HIGGINS, INDIVIDUALLY : IN THE SUPERIOR COURT OF

AND ON BEHALF OF A CLASS OF : PENNSYLVANIA

SIMILARLY SITUATED PERSONS :

:

Appellants :

:

:

v. :

: No. 752 EDA 2023

:

NATIONWIDE AFFINITY INSURANCE :

COMPANY OF AMERICA :

Appeal from the Order Entered March 8, 2023

In the Court of Common Pleas of Philadelphia County

Civil Division at No(s): 2201001722

BEFORE: STABILE, J., DUBOW, J., and SULLIVAN, J.

OPINION BY SULLIVAN, J.: FILED DECEMBER 26, 2024

Marquita Higgins (“Higgins”) individually and on behalf of similarly

situated persons appeals from the grant of summary judgment in favor of

Nationwide Affinity Insurance Company of America (“Nationwide”). We affirm.

The trial court described the underlying facts:

Higgins is a Pennsylvania resident seeking to represent a

class of similarly situated persons. During the application process

for an auto-insurance policy (“[the policy]”), Nationwide gathered

information about Higgins, which indicated that Higgins owned

one vehicle and that there were no other drivers, vehicles, or

policies in Higgins’[s] household. Higgins elected to stack

[uninsured motorist/underinsured motorist “UM/UIM”] coverages

and was charged a premium for stacking. UM/UIM coverage

allows an individual to recover from a third party that has either

no auto insurance or has insufficient auto insurance, which does

not fully cover an injured victim. “Stacking” coverage benefits

allow an individual to combine coverage limits on a vehicle [] to

increase the potential recovery. Here, Higgins argues that there

is no stacking coverage benefit under a single-vehicle policy where

there are no other policies in the household. Higgins further

J-A24040-23

alleges that Nationwide knowingly sold Higgins stacked coverage

benefits that did not exist. Thus, Higgins is seeking a return of

premiums paid for the alleged non-existent coverage. Higgins

[sought] partial summary judgment for declaratory relief and a

return of premiums paid. Nationwide filed a motion for summary

judgment in response to Higgins’[s] claims for declaratory relief,

return of premiums, injunctive relief, unjust enrichment, fraud,

and violation of the Pennsylvania Unfair Trade Practices and

Consumer Protection Law (“UTPCPL”).

Trial Court Opinion, 3/8/23, at 3 (footnote and unnecessary capitalization

omitted).

The trial court granted Nationwide’s motion for summary judgment and

denied Higgins’s motion for partial summary judgment. This timely appeal

followed.1

On appeal, Higgins contends:

1. Did the trial court err in finding that a stacking coverage benefit

exists under a single vehicle auto policy issued to a named insured

with no other auto policies in the household?

2. Did the trial court err in finding that the charge of an additional

premium for stacking under a single vehicle policy was justified

even though the policy provided no intra-policy stacking coverage

benefit nor any inter-policy stacking coverage benefit?

Higgins’s Brief at 1-2 (unnecessary capitalization omitted).

Both of Higgins’s issues challenge the trial court’s grant of summary

judgment based on the language of the policy. Our standard of review of an

order granting or denying summary judgment is well-settled:

We view the record in the light most favorable to the

nonmoving party, and all doubts as to the existence of a genuine

____________________________________________

1 Higgins and the trial court complied with Pa.R.A.P. 1925.

-2-

J-A24040-23

issue of material fact must be resolved against the moving party.

Only where there is no genuine issue as to any material fact and

it is clear that the moving party is entitled to a judgment as a

matter of law will summary judgment be entered. Our scope of

review of a trial court’s order granting or denying summary

judgment is plenary, and our standard of review is clear: the trial

court’s order will be reversed only where it is established that the

court committed an error of law or abused its discretion.

Siciliano v. Mueller, 149 A.3d 863, 864 (Pa. Super. 2016) (citation omitted).

As has been recently explained.

Section 1738 of the [Motor Vehicle Financial Responsibility

Law “MVFRL”] sets forth the provisions governing the stacking of

UM and UIM benefits in Pennsylvania as well as the waiver of such

stacking. 75 [Pa.C.S.A.] § 1738. Specifically, Section 1738(a)

requires that insurers provide stacked UM and UIM coverage as

the default coverage in Pennsylvania.2 . . . Under the MVFRL, two

types of stacking exist: intra-policy and inter-policy. Intra-policy

stacking of UM/UIM benefits refers to the multiplication of the

limits of UM/UIM coverage under a single insurance policy by the

number of vehicles insured by that policy. On the other hand,

inter-policy stacking involves adding together the coverages for

vehicles insured under separate policies of insurance.

2 Section 1738(a) provides:

(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.

*****

Under the MVFRL, a named insured may elect to waive

stacked UM/UIM coverage. 75 [Pa.C.S.A.] § 1738(b).3 If a named

insured chooses to waive such coverage, the MVFRL requires that

-3-

J-A24040-23

the insured’s premiums be reduced to reflect the different cost of

such coverage. 75 [Pa.C.S.A.] § 1738(c). As the Pennsylvania

Supreme Court explained, “the MVFRL makes clear that to

effectuate a waiver of UM/UIM coverage, an insurer must provide

the insured with a statutorily-prescribed waiver form, which the

named insured must sign if he wishes to reject the default

provision of stacked coverage.” [Gallagher v. GEICO Indemnity

Company, 201 A.3d 131, 137 (Pa. 2019)]. Although Section

1738 does not designate specifically whether or how inter-policy

stacking can be waived when individual vehicles are insured

through single-vehicle policies[,] Section 1738(a) . . .

unambiguously provides for inter-as well as intra-policy stacking,

thus expressing the clear intention of the General Assembly to

compel insurers to provide stacking coverage absent a valid

waiver.

3 Section 1738(b) states:

(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.

Paldolf v . United Services Automobile Assoc., 2022 WL 16951954, at *3

(W.D. Pa., 10/27/22) (most citations omitted, one citation format altered,

quotation marks omitted, footnotes in original), report and

recommendation adopted at, 2022 WL 16950485 (W.D. Pa., 11/15/22).2

In her inter-related issues, Higgins argues since she is “insured [under]

only one vehicle, there is no, and can be no, intra-policy stacking coverage

____________________________________________

2 “We recognize [federal court] decisions are not binding precedent on this

Court. Nevertheless, we may consider federal court decisions, and opinions

of other states, as persuasive authority.” Commonwealth v. Lang, 275 A.3d

1072, 1083 (Pa. Super. 2022) (citations omitted).

-4-

J-A24040-23

benefit.” Higgins’s Brief at 4. She further claims “Inter-policy stacking . . .

involves only household policies. Since there were no other policies in the

household of [Higgins], . . . there is no, and can be no, inter-policy stacking

coverage benefit.” Id.3 Lastly, Higgins contends she was wrongly charged

additional premiums for stacking when that coverage did not provide her with

a benefit.4 See id.

The trial court disagreed because a single-vehicle policy holder may

confer a benefit from stacking UM/UIM coverage benefits:

In [Craley v. State Farm Fire and Cas. Co., 895 A.2d 530,

537 (Pa. 2006)] the [Supreme] Court noted that a single-vehicle

policy holder could benefit from stacking “where the individual is

injured in a vehicle other than his own insured vehicle and is an

insured under the non-owned vehicle’s policy, which also has

uninsured motorist coverage (such as an employer’s vehicle).”

[Id.] . . . [T]he Court found another instance in which a single-

vehicle policy owner may confer a benefit from stacking UM/UIM

coverages. [See id.] Similarly, in [Jones v. Geico Choice

Insurance Company, 617 F.Supp.3d 275, 281-82 (E.D. Pa.

2022)], the [trial c]ourt named additional scenarios in which a

single-vehicle policy holder may confer a benefit from stacking

____________________________________________

3 We note Higgins’s failure to comply with the Rules of Appellate Procedure.

Higgins’s argument is divided into nine sections, many including multiple

subsections, rather than the two enumerated in her statement of questions

presented. None of the argument titles match the two issues stated in the

statement of questions presented. See Higgins’s Brief at 7-81; see also

Pa.R.A.P. 2119(a) (“The argument shall be divided into as many parts as there

are questions to be argued.”).

4 This claim is not supported by the facts.

Higgins has not pointed to anything

of record which would demonstrate she was charged an additional premium

for stacking. Rather, had she elected to waive stacking, she would have

received a reduction in her premium. See 75 Pa.C.S.A. § 1738(c). Therefore,

we will not further address this issue.

-5-

J-A24040-23

UM/UIM coverages. [See id.] The [Jones c]ourt notes a specific

scenario:

[C]onsider a mother-in-law about to move in

with one of her adult children and that child’s spouse

who owns two vehicles and has policies with stacking

coverage. The mother-in-law purchases a car and her

own single vehicle insurance policy with stacking

coverage knowing that she will soon be joining her

adult child’s “household.” As soon as she moves in,

she and her adult child will both benefit from

interpolicy stacking in the event of an accident.

[Id. at 284].

Here, Higgins’[s] assertion that the household policy

situation is the only situation where the charge of stacking by an

insurance may be justified . . . is incorrect. Stacked UM/UIM

coverage does confer a benefit, and accordingly, Higgins is not

entitled to declaratory relief, return of premiums, or injunctive

relief.

Trial Court Opinion, 3/8/23, at 4-5 (unnecessary capitalization and footnotes

omitted; citation format altered).

The trial court further concluded Higgins did not state a claim for unjust

enrichment both because the stacked UM/UIM coverage conferred a benefit

on her and because she entered a binding contract with Nationwide and a

“claim for unjust enrichment cannot be made when the parties enter into a

binding contract.” Id. at 6. See also Wilson Area School Dist. v. Skepton,

895 A.2d 1250, 1254 (Pa. 2006) (“the doctrine of unjust enrichment is

inapplicable when the relationship between the parties is founded upon a

written agreement or express contract”).

-6-

J-A24040-23

Likewise, the trial court found Higgins’s fraud claim did not merit relief.

See Trial Court Opinion, 3/8/23, at 6-8. The court noted Higgins’s fraud claim

was based on a “mischaracterization” of the Pennsylvania Supreme Court’s

holding in Generette v. Donegal Mut. Ins. Co., 957 A.2d 1180 (Pa. 2008).5

Id. at 7. Thus, the trial court concluded Higgins’s fraud claim was based on

a misconception that stacked UM/UIM coverage provided no benefits to her.

See id.

Lastly, the trial court rejected Higgins’s claim pursuant to the UTPCPL

because it was again based on Higgins’s overly broad interpretation of the

holding in Generette. See id. at 8-9. The court explained:

To state a claim under Pennsylvania’s UTPCPL, a plaintiff

must allege facts from which the court can plausibly infer: (1)

deceptive conduct or representations by the defendant, and (2)

justifiable reliance by the plaintiff on the defendant's deceptive

conduct that caused the plaintiffs harm. [See Jones, 617

F.Supp.3d at 288 (citations omitted)]. Deceptive conduct is

viewed through the eyes of the “reasonable consumer.” [Landau

v. Viridian Energy PA LLC, 223 F.Supp.3d 401, 417 (E.D. Pa.

2016)].

Here, Higgins relies on the incorrect holding of Generette

in claiming that Nationwide engaged in deceptive conduct or

representations. Nationwide was required by the MVFRL to

provide stacked coverage absent an express waiver from Higgins,

and Nationwide did not deceive Higgins because there are benefits

____________________________________________

5 In Generette, our Supreme Court narrowed and clarified the instances in

which stacking applies, stating, “[stacking applies] only to ‘insureds’ as

provided in the MVFRL’s definition section, 75 Pa.C.S.A. [§] 1702, which does

not include guest passengers.” Generette, 957 A.2d at 1190. As has been

explained, “The decision in Generette changed the law by holding [that]

waiver of stacked UIM coverage only applied to policies between statutorily

defined insureds.” Jones, 617 F.Supp.3d at 283 (citation omitted).

-7-

J-A24040-23

to stacking UM/UIM coverage as stated infra. Higgins had an

obligation to question Nationwide prior to entering into the

contract. Accordingly, Higgins failed to state a claim for a violation

of UTPCPL, and Higgins’[s] claims fail as a matter of law.

Trial Court Opinion, 3/8/23, at 8-9 (footnotes omitted, citation format

altered).

Having thoroughly reviewed the law and the record, we find no error in

the trial court’s ruling. Our conclusion is reinforced by the decision of the

United States Court of Appeals for the Third Circuit, which recently addressed

the identical issues in Berardi v. USAA Gen. Indemnity Company, 2023

WL 4418219 (3d Cir. 7/10/23), which held single-vehicle owners with no other

household policies can derive benefits from stacked motor vehicle insurance

policies. See id. at *2-3, citing In re Insurance Stacking Litig., 754 A.2d

702 (Pa. Super. 2000) and disagreeing that Generette compelled a contrary

result.

After discussing scenarios in which the Third Circuit believed single-

vehicle owners would derive a benefit from stacking, it stated:

[Appellants] assert that these hypothetical scenarios are

inapplicable to them because none have been involved in an

incident in their employer’s vehicle, purchased another vehicle, or

added another person to their household. Pennsylvania law,

however, does not “require an insurer to explain every

permutation possible from an insured's choice of coverage.”

Kilmore v. Erie Ins. Co., 595 A.2d 623, 626-27 (Pa. Super.

1991). Instead, insureds have the “obligation to question [the]

insurer at the time the insurance contract is entered into as to the

type of coverage desired and the ramifications arising therefrom,”

and to determine what coverage will best serve their needs. Id.

at 627; see also Wisniski v. Brown & Brown Ins. Co., 906

A.2d 571, 579 n. 6 (Pa. Super. 2006) (stating that insureds have

-8-

J-A24040-23

“the duty to inquire about the scope of insurance coverage”

(internal quotations and citation omitted)). As discussed, insureds

with a single vehicle and no other household policies can still

benefit from stacking in certain situations, and [Appellants] had

the choice to waive stacking coverage if they believed these

scenarios would be inapplicable to them.

Id. at *3 (citation format altered). The Third Circuit also rejected the

appellants’ unjust enrichment and UTPCPL claims for the same reasons the

trial court proffered here. See id. at *3-4; see also Trial Court Opinion,

3/8/23, at 5-9.

Having thoroughly reviewed the relevant law, we see nothing to

distinguish the instant matter from Berardi and find the Third Circuit’s

reasoning to be persuasive.6 Accordingly, for the reasons discussed above,

we affirm the grant of summary judgment.

____________________________________________

6 The Third Circuit decided Berardi after Higgins filed her brief in the instant

matter. The attorneys who represent Higgins represented the appellants in

Berardi and Jones. In Berardi, the Third Circuit affirmed the district court

decisions in both Berardi and Jones in all respects. See Berardi, 2023 WL

4418219, at *4. The trial court in the instant matter relied heavily on the

district court decisions in Berardi and Jones. See Trial Court Opinion,

3/7/23, at 4-9.

In her brief, Higgins castigates the trial court for its reliance on Berardi

and Jones and repeatedly impugns and demeans the district courts’ opinions

in Berardi and Jones. Higgins complains:

The decision of the trial court failed miserably in attempting to

understand stacking concepts in Pennsylvania. The trial court

relied blindly upon decisions of the federal district court[,] which

similarly displayed a profound misunderstanding of stacking law

under the MVFRL . . . However, the trial court (along with the

(Footnote Continued Next Page)

-9-

J-A24040-23

Order affirmed.

Date: 12/26/2024

____________________________________________

district court) failed miserably in attempting to understand and

interpret these concepts.

Higgins’s Brief at 6-7 (unnecessary capitalization omitted). See also id. at

51 n. 29 (quoting Ralph Waldo Emerson’s statement “Consistency is the

hobgoblin of little minds,” when referencing the trial court decision).

We note with disapproval the condescending, and at times sarcastic tone

that permeates Higgins’s counseled brief. As an appellant, an individual is

certainly entitled to argue the trial court erred. However, to use a brief

addressed to this, or any, court to express disdain for the trial courts that rule

contrary to a party’s position is unprofessional.

- 10 -

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.