
CHAPTER 17
FINANCIAL RESPONSIBILITY
Subchapter
A. General Provisions
B. Motor Vehicle Liability Insurance First Party Benefits
C. Uninsured and Underinsured Motorist Coverage
D. Assigned Risk Plan
E. Assigned Claims Plan
F. Catastrophic Loss Trust Fund (Repealed 12/12/88)
G. Nonpayment of Judgments
H. Proof of Financial Responsibility
I. Miscellaneous Provisions
SUBCHAPTER A
GENERAL PROVISIONS
Sec.
1701. Short
title of chapter.
1702. Definitions.
1703. Application
of chapter.
1704. Administration
of chapter.
1705. Election
of tort options.
Sec. 1701. Short title
of chapter.
This
chapter shall be known and may be cited as the Motor Vehicle Financial Responsibility
Law.
Sec. 1702. Definitions.
The
following words and phrases when used in this chapter shall have the meanings
given to them in this section unless the context clearly indicates otherwise:
“Assigned
Risk Plan.” A program for the equitable apportionment
of assigned risks and clean risks among insurers.
“Automobile
Insurance Policy Act.” The act of June 5, 1968 (P.L.
140, No. 78), entitled “An act regulating the writing, cancellation of or refusal
to renew policies of automobile insurance; and imposing powers and duties on
the Insurance Commissioner therefor.”
“Benefits” or “first party benefits.” Medical benefits, income
loss benefits, accidental death benefits and funeral benefits.
“Clean
risk.” An insured or an applicant for insurance, who
for the 36‑month period immediately preceding the date of application
or renewal date of the policy:
(1) has not
been involved in an accident as a driver, provided, that for purposes of this
paragraph, an “accident” shall not include accidents described in section 3
of the Automobile Insurance Policy Act or section 1799.3 (relating to limit
on cancellations, refusals to renew, refusals to write, surcharges, rate penalties
and point assignments);
(2) has not
received more than three points for violations as set forth in Chapter 15 (relating
to licensing of drivers); and
(3) whose
operator’s license has not been suspended or revoked except under section 1533
(relating to suspension of operating privilege for failure to respond to citation)
and the insured is able to produce proof that he or she has responded to all
citations and paid all fines and pena1ties imposed under that section and provided
further that the named insured has been a licensed operator in Pennsylvania
or another state for the immediately preceding three years.
“Commissioner.”
The Insurance Commissioner of the Commonwealth.
“Department.”
The Department of Transportation or Insurance Department, as applicable.
“Financial
Responsibility.” The ability to respond in damages
for liability on account of accidents arising out of the maintenance or use
of a motor vehicle in the amount of $15,000.00 because of injury to one person
in any one accident, in the amount of $30,000.00 because of injury to two or
more persons in any one accident and in the amount of $5,000.00 because of damage
to property of others in any one accident. The financial responsibility shall
be in a form acceptable to the Department of Transportation.
“Injury.” Accidentally sustained bodily harm to an individual and
that individual’s illness, disease or death resulting therefrom.
“Insured.” Any of the following:
(1) An individual
identified by name as an insured in a policy of motor vehicle liability insurance.
(2)
If residing in the household of the named insured:
(i)
a spouse or other relative of the named insured; or
(ii)
a minor in the custody of either the named insured or a relative of the named
insured.
“Insurer” or “insurance company.” A motor vehicle liability
insurer subject to the requirements of this chapter.
“Necessary
medical treatment and rehabilitative services.” Treatment,
accommodations, products or services which are determined to be necessary by
a licensed health care provider unless they shall have been found or determined
to be unnecessary by a State‑approved Peer Review Organization (PRO).
“Noneconomic
loss.” Pain and suffering and other nonmonetary detriment.
“Peer
Review Organization” or “PRO.” Any Peer Review
Organization with which the Federal Health Care Financing Administration or
the Commonwealth contracts for medical review of Medicare or medical assistance
services, or any health care review company, approved by the commissioner, that
engages in peer review for the purposes of determining that medical and rehabilitation
services are medically necessary and economically provided. The membership of
any PRO utilized in connection with this chapter shall include representation
from the profession whose services are subject to the review.
“Private
passenger motor vehicle.” A four-wheel motor vehicle, except
recreational vehicles not intended for highway use, which is insured by a natural
person and:
(1) is a
passenger car neither used as a public or livery conveyance nor rented to others;
or
(2) has a
gross weight not exceeding 9,000 pounds and is not principally used for commercial
purposes other than farming.
The
term does not include any motor vehicle insured exclusively under a policy covering
garage, automobile sales agency repair shop, service station or public parking
operation hazards.
“Self‑insurer.”
An entity providing benefits and qualified in the manner set forth in
section 1787 (relating to self‑insurance).
“Serious
injury.” A personal injury resulting in death, serious impairment
of body function or permanent serious disfigurement.
“Underinsured
motor vehicle.” A motor vehicle for which the limits
of available liability insurance and self‑insurance are insufficient to
pay losses and damages.
“Uninsured
motor vehicle.” Any of the following:
(1) A motor
vehicle for which there is no liability insurance or self‑insurance applicable
at the time of the accident.
(2) A motor
vehicle for which the insurance company denies coverage or the insurance company
is or becomes involved in insolvency proceedings in any jurisdiction.
(3) An unidentified
motor vehicle that causes an accident resulting in injury provided the accident
is reported to the police or proper governmental authority and the claimant
notifies his insurer within 30 days, or as soon as practicable thereafter, that
the claimant or his legal representative has a legal action arising out of the
accident.
“Voluntary
rate.” An insurer’s rating plan approved by the commissioner.
In the case of an insurer with multiple rating plans, the voluntary rate shall
be that rating plan applicable to the risk.
Sec. 1703. Application
of chapter.
This
chapter does not apply with respect to any motor vehicle owned by the United
States.
Sec. 1704. Administration
of chapter.
(a)
General rule.‑‑Except as provided in subsection (b), the
Department of Transportation shall administer and enforce this chapter and may
make rules and regulations necessary for the administration and enforcement
of this chapter.
(b)
Insurance matters.‑‑The Insurance Department shall administer
and enforce those provisions of this Chapter as to matters under its jurisdiction
as determined by this chapter or other statute and may make rules and regulations
necessary for the administration and enforcement of those provisions.
Sec. 1705. Election
of tort options.
(a)
Financial responsibility requirements.--
(1) Each
insurer, not less than 45 days prior to the first renewal of a private passenger
motor vehicle liability insurance policy on and after July 1, 1990, shall notify,
in writing, each named insured of the availability of two alternatives of full
tort insurance and limited tort insurance described in subsections (c) and (d).
The notice shall be a standardized form adopted by the commissioner and shall
include the following language:
NOTICE TO NAMED INSUREDS
A.
“Limited Tort” Option‑‑The laws of the Commonwealth of Pennsylvania
give you the right to choose a form of insurance that limits your right and
the rights of members of your household to seek financial compensation for injuries
caused by other drivers. Under this form of insurance, you and other household
members covered under this policy may seek recovery for all medical and other
out‑of‑pocket expenses, but not for pain and suffering or other
nonmonetary damages unless the injuries suffered fall within the definition
of “serious injury” as set forth in the policy, or unless one of several other
exceptions noted in the policy applies. The annual premium for basic coverage
as required by law under this “limited tort” option is $_______. Additional
coverages under this option are available at additional cost.
B.
“Full Tort” Option‑‑The laws of the Commonwealth of Pennsylvania
also give you the right to choose a form of insurance under which you maintain
an unrestricted right for you and the members of your household to seek financial
compensation for injuries caused by other drivers. Under this form of insurance,
you and other household members covered under this policy may seek recovery
for all medical and other out‑of‑pocket expenses and may also seek
financial compensation for pain and suffering and other nonmonetary damages
as a result of injuries caused by other drivers. The annual premium for basic
coverage as required by law under this “full tort” option is $__________. Additional
coverages under this option are available at additional cost.
C.
You may contact your insurance agent, broker or company to discuss the cost
of other coverages.
D.
If you wish to choose the “limited tort” option described in paragraph
A, you must sign this notice where indicated below and return it. If you do
not sign and return this notice, you will be considered to have chosen the “full
tort” coverage as described in paragraph B and you will be charged the “full
tort” premium.
I
wish to choose the “limited tort” option described in Paragraph A:
_________________________
__________________________
Named
Insured Date
E.
If you wish to choose the “full tort” option described in paragraph
B, you may sign this notice where indicated below and return it. However, if
you do not sign and return this notice, you will be considered to have chosen
the “full tort” coverage as described in paragraph B and you will be charged
the “full tort” premium.
I
wish to choose the “full tort” option described in paragraph B:
_________________________
__________________________
Named
Insured Date
(2) Insurers
shall print the above notice containing both options on one sheet in prominent
type and place in a prominent location. Any person signing, or otherwise bound
by, a document containing such terms is bound by such election and is precluded
from claiming liability of any person based upon being inadequately informed
in making the election between full tort or limited tort alternatives. Where
there are two or more named insureds on a policy, any named insured may make
the full or limited tort election provided for in this section for all named
insureds on the policy.
(3) If a
named insured who receives a notice under paragraph (1) does not indicate a
choice within 20 days, the insurer shall send a second notice. The second notice
shall be in a form identical to the first notice, except that it shall be identified
as a second and final notice. If a named insured has not responded to either
notice, ten days prior to the renewal date, the named insured and those he is
empowered by this section to bind by his choice are conclusively presumed to
have chosen the full tort alternative. All notices required by this section
shall advise that if no tort election is made, the named insured and those he
is empowered to bind by his choice are conclusively presumed to have chosen
the full tort alternative. Any person subject to the limited tort option by
virtue of this section shall be precluded from claiming liability of any person
based upon being inadequately informed.
(4) Each
insurer, prior to the first issuance of a private passenger motor vehicle liability
insurance policy on and after July 1, 1990, shall provide each applicant with
the notice required by paragraph (1). A policy may not be issued until the applicant
has been provided an opportunity to elect a tort option.
(5) An owner
of a currently registered private passenger motor vehicle who does not have
financial responsibility shall be deemed to have chosen the limited tort alternative.
(6) Nothing
in this section changes or modifies the existing requirement that owners of
registered vehicles maintain bodily injury and property damage liability insurance
arising out of the ownership, maintenance or use of a motor vehicle.
(b)
Application of tort options.-‑
(1) The tort
option elected by a named insured shall apply to all private passenger motor
vehicle policies of the named insured issued by the same insurer and shall continue
in force as to all subsequent renewal policies, replacement policies and any
other private passenger motor vehicle policies under which the individual is
a named insured, until the insurer, or its authorized representative, receives
a properly executed form electing the other tort option.
(2) The tort
option elected by a named insured shall apply to all insureds under the private
passenger motor vehicle policy who are not named insureds under another private
passenger motor vehicle policy. In the case where more than one private passenger
motor vehicle policy is applicable to an insured, and the policies have conflicting
tort options, the insured is bound by the tort option of the policy associated
with the private passenger motor vehicle in which the insured is an occupant
at the time of the accident if he is an insured on that policy, and bound by
the full tort option otherwise.
(3) An individual
who is not an owner of a currently registered private passenger motor vehicle
and who is not a named insured or insured under any private passenger motor
vehicle policy, shall not be precluded from maintaining an action for noneconomic
loss or economic loss sustained in a motor vehicle accident as the consequence
of the fault of another person pursuant to applicable tort law.
(c)
Full tort alternative.‑‑Each person who is bound by the full tort
election remains eligible to seek compensation for noneconomic loss claimed
and economic loss sustained in a motor vehicle accident as the consequence of
the fault of another person pursuant to applicable tort law.
(d)
Limited tort alternative.‑‑Each person who elects the limited tort
alternative remains eligible to seek compensation for economic loss sustained
in a motor vehicle accident as the consequence of the fault of another person
pursuant to applicable tort law. Unless the injury sustained is a serious injury,
each person who is bound by the limited tort election shall be precluded from
maintaining an action for any noneconomic loss, except that:
(1) An individual
otherwise bound by the limited tort election who sustains damages in a motor
vehicle accident as the consequence of the fault of another person may recover
damages as if the individual damaged had elected the full tort alternative whenever
the person at fault: ‑
(i)
is convicted, or accepts Accelerated Rehabilitative Disposition (ARD)
for driving under the influence of alcohol or a controlled substance in that
accident;
(ii)
is operating a motor vehicle registered in another state;
(iii)
intends to injure himself or another person, provided that an individual
does not intentionally injure himself or another person merely because his act
or failure to act is intentional or done with his realization that it creates
a grave risk of causing injury if the act or omission causing the injury is
for the purpose of averting bodily harm to himself or another person; or
(iv)
has not maintained financial responsibility as required by this chapter,
provided that, nothing in this paragraph shall affect the limitation of section
1731(d)(2) (relating to availability, scope, and amount of coverage).
(2) An individual
otherwise bound by the limited tort election shall retain full tort rights with
respect to claims against a person in the business of designing, manufacturing,
repairing, servicing or otherwise maintaining motor vehicles arising out of
a defect in such motor vehicle which is caused by or not corrected by an act
or omission in the course of such business, other than a defect in a motor vehicle
which is operated by such business.
(3) An individual
otherwise bound by the limited tort election shall retain full tort rights if
injured while an occupant of a motor vehicle other than a private passenger
motor vehicle.
(e)
Nondiscrimination.‑‑No insurer shall cancel, refuse to write, or
refuse to renew a motor vehicle insurance policy based on the tort option election
of the named insured. Any violation of this subsection shall be deemed a violation
of the Automobile Insurance Policy Act.
(f)
Definitions.‑‑As used in this section, the following words
and phrases when used in this section shall have the meanings given to them
in this subsection unless the context clearly indicates otherwise:
“Insured.”
Any individual residing in the household of the named insured who is: . ‑
(1) a spouse
or other relative of the named insured;
(2) a minor
in the custody of either the named insured or relative of the named insured.
“Named
insured.” Any individual identified by name as an insured in a policy of private
passenger motor vehicle insurance.
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SUBCHAPTER B
MOTOR VEHICLE LIABILITY INSURANCE
FIRST PARTY BENEFITS
Sec.
1711.
Required benefits
1712.
Availability of benefits.
1713.
Source of benefits
1714.
Ineligible claimants.
1715.
Availability of adequate limits.
1716.
Payment of benefits.
1717.
Stacking of benefits.
1718.
Exclusion from benefits.
1719.
Coordination of benefits.
1720.
Subrogation.
1721.
Statute of limitations.
1722.
Preclusion of recovering required benefits.
1723.
Reporting requirements.
1724.
Certain nonexcludable conditions.
Sec. 1711. Required
benefits.
(a)
Medical benefit.-‑An insurer issuing or delivering liability insurance
policies covering any motor vehicle of the type required to be registered under
this title, except recreational vehicles not intended for highway use, motorcycles,
motor‑driven cycles or motorized pedalcycles or like type vehicles, registered
and operated in this Commonwealth, shall include coverage providing a medical
benefit in the amount of $5,000.
(b)
Minimum policy.-‑All insurers subject to this chapter shall make
available for purchase a motor vehicle insurance policy which contains only
the minimum requirements of financial responsibility and medical benefits as
provided for in this chapter.
Sec. 1712. Availability
of benefits.
An
insurer issuing or delivering liability insurance policies covering any motor
vehicle of the type required to be registered under this title, except recreational
vehicles not intended for highway use, motorcycles, motor‑driven cycles
or motorized pedalcycles or like type vehicles, registered and operated in this
Commonwealth, shall make available for purchase first party benefits with respect
to injury arising out of the maintenance or use of a motor vehicle as follows:
(1) Medical
benefit.‑‑Subject to the limitations of section 1797 (relating to
customary charges for treatment), coverage to provide for reasonable and necessary
medical treatment and rehabilitative services, including but not limited, to,
hospital, dental, surgical, psychiatric, psychological, osteopathic, ambulance,
chiropractic, licensed physical therapy, nursing services, vocational rehabilitation
and occupational therapy, speech pathology and audiology, optometric services,
medications, medical supplies and prosthetic devices, all without limitation
as to time, provided that, within 18 months from the date of the accident causing
injury, it is ascertainable with reasonable medical probability that further
expenses may be incurred as a result of the injury. Benefits under this paragraph
may include any nonmedical remedial care and treatment rendered in accordance
with a recognized religious method of healing.
(2) Income
loss benefit.‑‑Includes the following:
(i)
Eighty percent of actual loss of gross income.
(ii)
Reasonable expenses actually incurred for hiring a substitute to perform self‑employment
services thereby mitigating loss of gross income or for hiring special help
thereby enabling a person to work and mitigate loss of gross income. Income
loss does not include loss of expected income for any period following the death
of an individual or expenses incurred for services performed following the death
of an individual. Income loss shall not commence until five working days have
been lost after the date of the accident.
(3) Accidental
death benefit.‑‑A death benefit paid to the personal representative
of the insured, should injury resulting from a motor vehicle accident cause
death within 24 months from the date of the accident.
(4) Funeral
benefit.‑‑Expenses directly related to the funeral, burial, cremation
or other form of disposition of the remains of a deceased individual, incurred
as a result of the death of the individual as a result of the accident and,
within 24 months from the date of the accident.
(5) Combination
benefit.‑‑A combination of benefits described in paragraphs (1)
through (4) as an alternative to the separate purchase of those benefits.
(6) Extraordinary
medical benefits.-‑Medical benefits, as defined in paragraph (1), which
exceed $100,000.
Sec. 1713. Source
of benefits.
(a)
General rule.--Except as provided in Section 1714 (relating to ineligible
claimants), a person who suffers injury arising out of the maintenance or use
of a motor vehicle shall recover first party benefits against applicable insurance
coverage in the following order or priority:
(1)
For a named insured, the policy on which he is the named insured.
(2)
For an insured, the policy covering the insured.
(3) For the
occupants of an insured motor vehicle, the policy on that motor vehicle.
(4) For a
person who is not the occupant of a motor vehicle, the policy on any motor vehicle
involved in the accident. For the purpose of this paragraph, a parked and unoccupied
motor vehicle is not a motor vehicle involved in an accident unless it was parked
so as to cause unreasonable risk of injury.
(b)
Multiple sources of equal priority.-- The insurer against whom a claim
is asserted first under the priorities set forth in subsection (a) shall process
and pay the claim as if wholly responsible. The insurer is thereafter entitled
to recover contribution pro rata from any other insurer for the benefits paid
and the costs of processing the claim. If contribution is sought among insurers
responsible under subsection (a)(4), proration shall be based on the number
of involved, motor vehicles.
Sec. 1714. Ineligible
claimants.
An
owner of a currently registered motor vehicle who does not have financial responsibility
or an operator or occupant of a recreational vehicle not intended for highway
use, motorcycle, motor‑driven cycle, motorized pedalcycle or like type
vehicle required to be registered under this title cannot recover first party
benefits.
Sec. 1715. Availability
of adequate limits.
(a)
General rule.‑‑An insurer shall make available for purchase first
party benefits as follows:
(1) For medical
benefits, up to at least $100,000.
(1.1) For extraordinary
medical benefits, from $100,000 to $1,100,000., which may be offered in increments
of $100,000, as limited by subsection (d).
(2) For income
loss benefits, up to at least $2,500 per month up to a maximum benefit of at
least $50,000.
(3)
For accidental death benefits, up to at least $25,000.
(4)
For funeral benefits, $2,500.
(5) For combination
of benefits enumerated in paragraphs (1), (2),(3) and (4) and subject to a limit
on the accidental death benefit of up to $25,000 and a limit on the funeral
benefit of $2,500, up to at least $177,500 of benefits in the aggregate or benefits
payable up to three years from the date of the accident, whichever occurs first,
provided that nothing contained in this subsection shall be construed to limit,
reduce, modify or change the provisions of subsection (d).
(b)
Higher or lower limits and additional benefits.‑‑Insurers
may make available higher or lower limits or benefits in addition to those enumerated
in subsection (a).
(c)
Restriction on providing first party benefits.‑‑An insurer
shall not issue or deliver a policy providing first party benefits in accordance
with this subchapter unless the policy also contains coverage for liability
in amounts at least equal to the limits required for financial responsibility.
(d)
Limitations.--The maximum medical benefit which shall be paid on behalf
of any one eligible claimant under subsection (a)(l.l) shall be $50,000 per
year and $1,000,000 lifetime aggregate of reasonable and necessary expenses
only for medical treatment and rehabilitative services which, as described in
section 1712(1) (relating to availability of benefits), exceed $100,000. During
the first 18 months of eligibility, the insurer shall approve payments on behalf
of a claimant without regard to the $50,000 per year limit but subject to the
$1,000,000 lifetime aggregate.
(e)
Other extraordinary medical benefits.‑‑Notwithstanding the
requirement of subsection (a)(1.1), an insured may obtain the extraordinary
medical benefits described in that subsection through any insurance contract,
program or group arrangement.
(f)
Determining adverse experience of an agent.‑‑For purposes
of determining adverse experience of an agent, experience generated from extraordinary
medical benefit coverage described in subsection (a)(l.1) shall be excluded.
(g)
Voluntary pooling.‑‑Notwithstanding any other provisions
of this act or the act of June 11, 1947 (L.538, No. 246), known as The Casualty
and Surety Rate Regulatory Act, two or more insurers may enter into an arrangement
or agreement to provide for the availability of an extraordinary medical benefit
pursuant to the provisions of this chapter. All such arrangements or agreements
entered into by an insurer shall be subject to the prior approval of the Insurance
Commissioner. (As amended by Section 3 of Act of February 12, 1984, P.L. 53,
No. 12, effective October 1, 1984; amended by Section 4 of Act of April 26,
1989, P.L. 13, No. 4, effective June 1, 1989.)
Sec. 1716. Payment
of benefits.
Benefits
are overdue if not paid within 30 days after the insurer receives reasonable
proof of the amount of the benefits. If reasonable proof is not supplied as
to all benefits, the portion supported by reasonable proof is overdue if not
paid within 30 days after the proof is received by the insurer. Overdue benefits
shall bear interest at the rate of 12% per annum from the date the benefits
become due. In the event that the insurer is found to have acted in an unreasonable
manner in refusing to pay the benefits when due, the insurer shall pay, in addition
to the benefits owed and the interest thereon, a reasonable attorney fee based
upon actual time expended.
Sec. 1717. Stacking
of benefits.
First
party benefits shall not be increased by stacking the limits of coverage of:
(1) multiple
motor vehicles covered under the same policy of insurance; or
(2) multiple
motor vehicle policies covering the individual for the same loss.
Sec. 1718. Exclusion
from benefits.
(a)
General rule.‑‑An insurer shall exclude from benefits any insured,
or his personal representative, under a policy enumerated in section 1711 (relating
to required benefits) or 1712 (relating to availability of benefits), when the
conduct of the insured contributed to the injury sustained by the insured in
any of the following ways:
(1) While
intentionally injuring himself or another or attempting to intentionally injure
himself or another.
(2) While
committing a felony.
(3) While
seeking to elude lawful apprehension or arrest by a law enforcement official.
(b)
Conversion of a vehicle.‑‑‑A person who knowingly converts
a motor vehicle is ineligible to receive first party benefits from any source
other than a policy of insurance under which he is an insured for any injury
arising out of the maintenance or use of the converted vehicle.
(c)
Named driver exclusion.‑‑An insurer or the first named insured may
exclude any person or his personal representative from benefits under a policy
enumerated in section 1711 or 1712 when any of the following apply:
(1) The person
is excluded from coverage while operating a motor vehicle in accordance with
the act of June 5, 1968 (P.L. 140, No.78), relating to the writing, cancellation
of or refusal to renew policies of automobile insurance.
(2) The first
named insured has requested that the person be excluded from coverage while
operating a motor vehicle. This paragraph shall only apply if the excluded person
is insured on another policy of motor vehicle liability insurance.
Sec. 1719. Coordination
of benefits.
(a)
General rule.‑‑Except for workers’ compensation, a policy
of insurance issued or delivered pursuant to this subchapter shall be primary.
Any program, group contract or other arrangement for payment of benefits such
as described in section 1711 (relating to required benefits), 1712(1) and (2)
(relating to availability of benefits), or 1715 (relating to availability of
adequate limits), shall be construed to contain a provision that all benefits
provided therein shall be in excess of and not in duplication of any valid and
collectible first party benefits provided in section 1711, 1712, or 1715 or
workers’ compensation.
(b)
Definition.‑‑As used in this section, the term “Program,
group contract, or other arrangement” includes, but is not limited to, benefits
payable by a hospital plan corporation or a professional health service corporation
subject to 40 Pa. C.S. Chapter 61 (relating to hospital plan corporations) or
63 (relating to professional health services plan corporations).
Sec. 1720. Subrogation.
In
actions arising out of the maintenance or use of a motor vehicle, there shall
be no right of subrogation or reimbursement from a claimant’s tort recovery
with respect to workers’ compensation benefits, benefits available under
section 1711 (relating to required benefits), 1712 (relating to availability
of benefits) or 1715 (relating to availability of adequate limits) or benefits
paid or payable by a program, group contract or other arrangement whether primary
or excess under section 1719 (relating to coordination of benefits).
(NOTE: EFFECTIVE 8/31/93, REFERENCE
TO WORKERS’ COMPENSATION BENEFITS IS DELETED).
Sec. 1721. Statute
of limitations.
(a)
General rule.‑‑If benefits have not been paid, an action
for first party benefits shall be commenced within four years from the date
of the accident giving rise to the claim. If first party benefits have been
paid, an action for further benefits shall be commenced within four years from
the date of the last payment;
(b)
Minors.‑‑For minors entitled to benefits described in section
1711 (relating to required benefits) or 1712 (relating to availability of benefits),
an action for benefits shall be commenced within four years from the date on
which the injured minor attains 18 years of age.
(c)
Definition.‑‑As used in this section, the term “further benefits”
means expenses incurred not earlier than four years preceding the date an action
is commenced.
Sec. 1722. Preclusion
of recovering required benefits.
In
any action for damages against a tortfeasor, or in an uninsured or underinsured
motorist proceeding, arising out of the maintenance or use of a motor vehicle,
a person who is eligible to receive benefits under the coverages set forth in
this subchapter, or workers’ compensation, or any program, group contract
or other arrangement for payment of benefits as defined in section 1719 (relating
to coordination of benefits) shall be precluded from recovering the amount of
benefits paid or payable under this subchapter, or workers’ compensation or
any program, group contract or other arrangement for payment of benefits as
defined in section 1719.
(NOTE: EFFECTIVE 8/31/93, REFERENCE
TO WORKERS’ COMPENSATION IS DELETED).
Sec. 1723. Reporting
requirements.
Beginning
December 31, 1986, and each year thereafter, each insurance company writing
automobile insurance in this Commonwealth shall file with the Insurance Department
the number of its insureds, the number of its insureds who have purchased first
party medical benefits in excess of the minimum required by section 1711 (relating
to required benefits) and the number of insureds who have purchased first party
medical benefits in the amount of $100,000. The Insurance Department shall furnish
this information to the General Assembly annually.
Sec. 1724. Certain
nonexcludable conditions.
(a)
General rule.‑‑Insurance benefits may not be denied solely
because the driver of the insured motor vehicle is determined to be under the
influence of drugs or intoxicating beverages at the time of the accident for
which benefits are sought.
(b)
Contract exclusions.‑‑Provisions of an insurance policy which
exclude insurance benefits if the insured causes a vehicular accident while
under the influence of drugs or intoxicating beverages at the time of the accident
are void.
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SUBCHAPTER C
UNINSURED AND UNDERINSURED MOTORIST
COVERAGE
Sec.
1731.
Availability, Scope and amount of coverage.
1732.
Limits of coverage. (Repealed)
1733.
Priority of recovery.
1734.
Request for lower limits of coverage.
1735.
Coverages unaffected by workers’ compensation.
1736.
Coverages in excess of required amounts.
1737.
Workers’ compensation benefits not a bar to uninsured
and
underinsured motorist benefits.
1738.
Stacking of uninsured and underinsured benefits and
option
to waive.
Sec. 1731. Availability,
scope and amount of coverage.
(a)
Mandatory offering.‑‑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 (relating to
request for lower limits of coverage). Purchase of uninsured motorist and underinsured
motorist coverages is optional.
(b)
Uninsured motorist coverage.‑‑Uninsured motorist coverage
shall provide 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 uninsured motor vehicles. The named insured shall
be informed that he may reject uninsured motorist coverage by signing the following
written rejection form.
REJECTION OF UNINSURED MOTORIST PROTECTION
By
signing this waiver I am rejecting uninsured motorist coverage under this policy,
for myself and all relatives residing in my household. Uninsured coverage protects
me and relatives living in my household for losses and damages suffered if injury
is caused by the negligence of a driver who does not have any insurance to pay
for losses and damages. I knowingly and voluntarily reject this coverage.
_____________________________________
SIGNATURE
OF FIRST NAMED INSURED
_____________________________________
DATE
(b.1)
Limitation of rejection.‑‑Uninsured motorist protection may
be rejected for the driver and passengers for rental or lease vehicles which
are not otherwise common carriers by motor vehicle, but such coverage may only
be rejected if the rental or lease agreement is signed by the person renting
or leasing the vehicle and contains the following rejection language:
REJECTION OF UNINSURED MOTORIST PROTECTION
I
am rejecting uninsured motorist coverage under this rental or lease agreement,
and any policy of insurance or self‑insurance issued under this agreement,
for myself and all other passengers of this vehicle. Uninsured coverage protects
me and other passengers in this vehicle for losses and damages suffered if injury
is caused by the negligence of a driver who does not have any insurance to pay
for losses and damages.
(b.2)
Rejection language change.‑‑The rejection language of subsection
(b.l) may only be changed grammatically to reflect a difference in tense in
the rental agreement or lease agreement.
(b.3)
Vehicle rental services.‑‑The requirements of subsection (b.1)
may be met in connection withan expedited vehicle rental service, which service
by agreement of the renter does not require the renter’s signature for each
rental, if a master enrollment or rental agreement contains the rejection language
of subsection (b.l) and such agreement is signed by the renter.
(c)
Underinsured motorist coverage.-‑Underinsured motorist coverage
shall provide 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. The named insured shall
be informed that he may reject underinsured motorist coverage by signing the
following written rejection form.
REJECTION OF UNDERINSURED MOTORIST PROTECTION
By
signing this waiver I am rejecting underinsured motorist coverage under this
policy, for myself and all relatives residing in my household. Underinsured
coverage protects me and relatives living in my household for losses and damages
suffered if injury is caused.by the negligence of a
driver who does not have enough insurance
to pay for all losses and damages. I knowingly and voluntarily reject this coverage.
_____________________________________
SIGNATURE
OF FIRST NAMED INSURED
_____________________________________
DATE
(c.l)
Form of waiver.‑‑Insurers shall print the rejection forms required
by subsections (b) and (c) on separate sheets in prominent type and location.
The forms must be signed by the first named insured and dated to be valid. The
signatures on the forms may be witnessed by an insurance agent or broker. Any
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. On policies in which either uninsured or underinsured
coverage has been rejected, the policy renewals must contain notice in prominent
type that the policy does notÆ provide protection against damages caused by
uninsured or underinsured motorists. Any person who executes a waiver under
subsection (b) or (c) shall be precluded from claiming liability of any person
based upon inadequate information.
(d)
Limitation on recovery.‑‑
(1) A person
who recovers damages under uninsured motorist coverage or coverages cannot recover
damages under underinsured motorist coverage or coverages for the same accident.
(2) A person
precluded from maintaining an action for noneconomic damages under section 1705
(relating to election of tort options) may not recover from uninsured motorist
coverage or underinsured motorist coverage for noneconomic damages.
Sec. 1732. Limits
of coverage (Repealed effective 7/1/90).
Sec. 1733. Priority
of recovery.
(a)
General rule.‑‑ Where multiple policies apply, payment shall be
made in the following order or priority:
(1) A policy
covering a motor vehicle occupied by the injured person at the time of the accident.
(2) A policy
covering a motor vehicle not involved in the accident with respect to which
the injured person is an, insured.
(b)
Multiple sources of equal priority.‑‑The Insurer against whom a
claim is asserted first under the priorities set forth in subsection (a) shall
process and pay the claim as if wholly responsible. The insurer is thereafter
entitled to recover contribution pro rata from any other insurer for the benefits
paid and the costs of processing the claim.
Sec.
1734. Request for lower limits of coverage.
A
named insured may request in writing the issuance of coverages under section
1731 (relating to availability, scope and amount of coverage) in amounts equal
to or less than the limits of liability for bodily injury.
Sec. 1735. Coverages
unaffected by workers’ compensation benefits. (Repealed effective 7/2/93)
Sec. 1736. Coverages
in excess of required amounts.
The
coverages provided under this subchapter may be offered by insurers in amounts
higher than those required by this chapter, but may not be greater than the
limits, of liability specified in the bodily injury liability provisions of
the insured’s policy.
Sec. 1737. Workers’
compensation benefits not a bar to uninsured and underinsured motorist benefits.
(Sec. repealed effective 7/2/93)
Sec. 1738. Stacking
of uninsured and underinsured benefits and option to waive.
(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 motorist 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.
(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
injuredperson 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.‑-
(1) The named
insured shall be informed that he may exercise the waiver of the stacked limits
of uninsured motorist coverage by signing the following written rejection form:
UNINSURED COVERAGE LIMITS
By
signing this waiver, I am rejecting stacked limits of uninsured 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.
_____________________________________
SIGNATURE
OF FIRST NAMED INSURED
_____________________________________
DATE
(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.
_____________________________________
SIGNATURE
OF FIRST NAMED INSURED
_____________________________________
DATE
(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.
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SUBCHAPTER D
ASSIGNED RISK PLAN
Sec.
1741.
Establishment.
1742.
Scope of Plan.
1743.
Rates.
1744.
Termination of policies.
Sec. 1741. Establishment.
The
Insurance Department shall, after consultation with the insurers licensed to
write motor vehicle liability insurance in this Commonwealth, adopt a reasonable
Assigned Risk Plan for the equitable apportionment among those insurers of applicants
for motor vehicle liability insurance who are entitled to, but are unable to,
procure insurance through ordinary methods. When the plan has been adopted,
all motor vehicle liability insurers shall subscribe thereto and shall participate
in the plan. The plan may provide reasonable means for the transfer of individuals
insured thereunder into the ordinary market, at the same or lower rates, pursuant
to regulations established by the department.
Sec. 1742. Scope of
plan.
The
Assigned Risk Plan shall:
(1) Include
rules for the classification of risks and rates therefor.
(2) Provide
for the installment payment of premiums subject to customary terms and conditions.
(3) Provide
rules for the equitable apportionment among participating insurers of clean
risks who shall be eligible to receive the insurer’s voluntary rate.
(4) Provide
rules to specify the effective date and time of coverage, provided that applicants
may only obtain coverage effective as of the date and time of the application
if the agent or broker of record uses electronic mail binding procedures specified
in the rules.
Sec. 1743. Rates.
All
rates for the Assigned Risk Plan shall be subject to the act of June 11, 1947
(P.L.538, No. 246), known as The Casualty and Surety Rate Regulatory Act, and
shall not be inadequate, excessive or unfairly discriminatory.
Sec. 1744. Termination
of policies.
Cancellation,
refusal to renew and other termination of policies issued under the Assigned
Risk Plan shall be in accordance with the rules of the plan.
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SUBCHAPTER E
ASSIGNED CLAIMS PLAN
Sec.
1751.
Organization
1752.
Eligible claimants.
1753.
Benefits available.
1754.
Additional coverage.
1755.
Coordination of benefits.
1756.
Subrogation.
1757.
Statute of limitations.
Sec. 1751. Organization.
Insurers
providing financial responsibility as required by law shall organize and maintain,
subject to the approval and regulation of the Insurance Department, an Assigned
Claims Plan and adopt rules for the operation and for the assessment of costs
on a fair and equitable basis.
Sec. 1752. Eligible
claimants.
(a)
General rule.‑‑A person is eligible to recover benefits from the
Assigned Claims Plan if the person meets the following requirements:
(1) Is a
resident of this Commonwealth.
(2) Is injured
as the result of a motor vehicle accident occurring in this Commonwealth.
(3) Is not
an owner of a motor vehicle required to be registered under Chapter 13 (relating
to registration of vehicles).
(4) Is not
the operator or occupant of a motor vehicle owned by the Federal Government
or any of its agencies, departments or authorities.
(5) Is not
the operator or occupant of a motor ævehicle owned by a self‑insurer or
by an individual or entity who or which is immune from liability for, or is
not required to provide, benefits or uninsured and underinsured motorist coverage.
(6) Is otherwise
not entitled to receive any first party benefits under Section 1711 (relating
to required benefits) or 1712 (relating to availability of benefits) applicable
to the injury arising from the accident.
(7) Is not
the operator or occupant of a recreational vehicle not intended for highway
use, motorcycle, motor‑driven cycle or motorized pedalcycle or other like
type vehicle required to be registered under this title and involved in the
accident.
(b)
Grounds for ineligibility.--A person otherwise qualifying as an eligible claimant
under subsection (a) shall nevertheless be ineligible to recover benefits from
the Assigned Claims Plan if that person contributed to his own injury in any
of the following ways:
(1) While
intentionally injuring himself or another or attempting to intentionally injure
himself or another.
(2) While
committing a felony.
(3) While
seeking to elude lawful apprehension or arrest by a law enforcement official.
(4) While
knowingly converting a motor vehicle.
Sec. 1753. Benefits
available.
An
eligible claimant may recover medical benefits, as described in section 1712(1)
(relating to availability of benefits), up to,a maximum of $5,000. No income
loss benefit or accidental death benefit shall be payable under this subchapter.
Sec. 1754. Additional
coverage.
An
eligible claimant who has no other source of applicable uninsured motorist coverage
and is otherwise entitled to recover in an action in tort against a party who
has failed to comply with this chapter may recover for losses or damages suffered
as a result of the injury up to $15,000. subject to an aggregate limit for all
claims arising out of any one motor vehicle accident of $30,000. If a claimant
recovers medical benefits under section 1753 (relating to benefits available),
the amount of medical benefits recovered or recoverable up to $5,000 shall be
set off against any amounts recoverable in this section.
Sec. 1755. Coordination
of benefits.
(a)
Workers’ compensation.‑‑All benefits (less reasonably incurred
collection costs) that an eligible claimant receives or is entitled to receive
from workers’ compensation and from any other like source under local, state,
or Federal law shall be subtracted from any benefits available in section 1753
(relating to benefits available) unless the law authorizing or providing for
those benefits makes them excess or secondary to the benefits in accordance
with this subchapter.
(b)
Accident and health benefits.‑‑All benefits an eligible claimant
receives or is entitled to receive as a result of injury from any available
source of accident and health benefits shall be subtracted from those benefits
available in section 1753.
Sec. 1756. Subrogation.
The
Assigned Claims Plan or its assignee is entitled to recover, in accordance with
the tort liability law of this Commonwealth, reimbursement for benefits or coverages
paid, loss adjustment costs and any other sums paid to an eligible claimant
under this subchapter.
Sec. 1757. Statute of limitations.
(a)
General rule.‑‑An action by an eligible claimant to recover
benefits or coverages from the Assigned Claims Plan shall be commenced within
four years from the ædate of the accident.
(b)
Minors.‑‑For minors entitled to benefits described in section 1753
(relating to benefits available) or 1754 (relating to additional coverage),
an action to recover these benefits or coverages shall be commenced within four
years from the date on which the injured minor attains 18 years of age.
BACK TO TOP
SUBCHAPTER F
CATASTROPHIC LOSS FUND
(Repealed effective 12/12/88)
BACK TO TOP
SUBCHAPTER G
NONPAYMENT OF JUDGMENTS
Sec.
1771. Court reports on nonpayment
of judgments.
1772. Suspension for nonpayment of
judgments.
1773. Continuation of suspension until
judgments paid and proof given.
1774. Payments sufficient to satisfy
judgments.
1775. Installment payment of judgments.
Sec. 1771. Court reports
on nonpayment of judgments.
(a)
General rule.‑‑ Whenever any person fails within 60 days
to satisfy any judgment arising from a motor vehicle accident, the judgment
creditor may forward to the department a certified copy of the judgment.
(b)
Notice to state of nonresident defendant.‑‑If the defendant
named in any certified copy of a judgment reported to the Department is a nonresident,
the department shall transmit a certified copy of the judgment to the official
in charge of the issuance of licenses and registration certificates of the state
of which the defendant is a resident.
Sec. 1772. Suspension
for nonpayment of judgments.
(a)
General rule.‑‑The department, upon receipt of a certified
copy of a judgment, shall suspend the operating privilege of each person against
whom the judgment was rendered except as otherwise provided in this section
and in section 1775 (relating to installment payment of judgments).
(b)
Nonsuspension with consent of judgment creditor.‑‑If the
judgment creditor consents in writing, in such form as the department may prescribe
that the judgment debtor’s operating privilege be retained or restored, the
department shall not suspend or shall restore until the consent is revoked in
writing, notwithstanding default in the payment of the judgment, or of any installment
thereof prescribed in section 1775, provided the judgment debtor furnishes proof
of financial responsibility.
(c)
Financial responsibility in effect at time of accident.-‑Any person
whose operating privilege has been suspended, or is about to be suspended or
become subject to suspension under this chapter shall be relieved from the effect
of the judgment as prescribed in this chapter if the person files evidence satisfactory
to the department that financial responsibility was in force and effect at the
time, of the accident resulting in the judgment and is or should be available
for the satisfaction of the judgment. If insurance already obtained is not available
because the insurance company has gone into receivership or bankruptcy, the
person shall only be required to present to or file with the department proper
evidence that an insurance, policy was in force and effect at the time of the
accident.
Sec. 1773. Continuation
of suspension until judgments paid and proof given.
A
person’s operating privilege shall remain suspended and shall not be renewed
in the name of that person unless and until every judgment is stayed, satisfied
in full or to the extent provided in this subchapter, and until the person furnishes
proof of financial responsibility as required.
Sec. 1774. Payments
sufficient to satisfy judgments.
(a)
General rule.‑-For the purpose of this chapter only, judgments shall be
deemed satisfied upon the occurrence of one of the following:
(1) When
$15,000. has been credited upon any judgment or judgments rendered in excess
of that amount because of injury to one person as the result of any one accident.
(2) When
$30,000. has been credited upon any judgment or judgments rendered in excess
of that amount because of injury to two or more persons as the result of any
one accident.
(3) When
$5,000. has been credited upon any judgment or judgments rendered in excess
of that amount because of damage to property of others as the result of any
one accident.
(b)
Credit for payment under settlement.‑‑Payments made in settlement
of any claims because of bodily injury or property damage arising from a motor
vehicle accident shall be credited in reduction of the amounts provided for
in this section.
(c)
Escrow deposit by judgment debtor.‑‑When the judgment creditor can
not be found, the judgment debtor may deposit in escrow with the prothonotary
of the court where the judgment was entered in an amount equal to the amount
of the judgment, subject to the limits set forth in subsection (a), interest
to date and record costs, whereupon the prothonotary shall notify the department
and the judgment shall be deemed satisfied. The amount deposited shall be retained
by the prothonotary for a period of five years from the date of the deposit,
after which, if it has not been claimed by the judgment creditor, it shall be
returned to the judgment debtor. When the deposit is made, the prothonotary
shall notify the judgment creditor and his counsel, if any, by certified or
registered mail at his last known address. No interest shall run on any judgment
with respect to the amount deposited with the prothonotary under the terms of
this subsection.
Sec. 1775. Installment
payment of judgments.
(a)
Order authorizing installment payment.‑‑A judgment debtor, upon
due notice to the judgment creditor, may apply to the court in which the judgment
was rendered for the privilege of paying the judgment in installments and the
court, in its discretion and without prejudice to any other legal remedies which
the judgment creditor may have, may so order and fix the amounts and times of
payment of the installments.
(b)
Suspension prohibited during compliance with order.‑‑The department
shall not suspend a driver’s operating privilege and shall restore any operating
privilege suspended following nonpayment of a judgment when the judgment debtor
obtains an order permitting payment of the judgment in installments and while
the payment of any installment is not in default, provided that the judgment
debtor furnishes proof of financial responsibility.
(c)
Suspension for default in payment.‑‑In the event the judgment debtor
fails to pay any installment as specified by the order, then, upon notice of
the default, the department shall suspend the operating privilege of the judgment
debtor until the judgment is satisfied as provided in this chapter.
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SUBCHAPTER H
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