HomeMy WebLinkAbout14-5640 Supreme Court of Pennsylvania
For prothonoraq Ilse only;
Court of Common Pleas
Civil Cover Sheet Docket No.
Cumberland County 11 ,n
The information collected on this form is used solely for court administration purposes. This form does not
supplement or replace thefiling and service offeadings or other papers as required by law or rules of court.
Commencement of Action:
Z Complaint F1 Writ of Summons M Petition El Notice of Appeal
❑ Transfer from Another Jurisdiction D Declaration of Taking
Lead Plaintiffs Name: Lead Defendant's Name:
Metropolitan Group Property and Casualty Insurance Company Marilynn Willits, Executrix of the Estate of Dianne Elaine Barrick,
Deceased
OD Check here if you are a Self-Represented (Pro Se) Litigant
Name of Plaintiff/Appellant's Attorney: Brigid Q. Alford,Esq ir
Are money damages requested?: E] YesZ No Dollar Amount Requested: El within arbitration limits
I (Check one El outside arbitration limits
Is this a Class Action Suit? 0 Yes Z No
Nature of the Case: Place an "X"to the left of the ONE case category that most accurately describes your
PRIMARY CASE.If you are making more than one type of claim, check the one that
you consider most important.
TORT(do not include Mass Tort) CONTRACT(do not include Judgments) CIVIL APPEALS
❑ Intentional El Buyer Plaintiff Administrative Agencies
❑Malicious Prosecution El Debt Collection: Credit Card El Board of Assessment
❑ Motor Vehicle E3 Debt Collection:Other D Board of Elections
❑Nuisance F1 Dept. of Transportation
r_1 Premises Liability El Zoning Board
R Product Liability (does not include El Employment Dispute: El Statutory Appeal:
mass tort) Discrimination Other
❑ Slander/Libel/Defamation ❑ Employment Dispute: Other
Ej r_1 Other:
Judicial Appeals
El Other: M MDJ-Landlord/Tenant
MASS TORT El MDJ-Money Judgment
O r_1 Asbestos El Other:
❑ Tobacco
Toxic Tort- DES
❑Toxic Tort-Implant REAL PROPERTY MISCELLANEOUS
El Toxic Waste [:1 Ejectment 0 Common Law/Statutory Arbitration
❑ Other: ❑ Eminent Domain/Condemnation Z Declaratory Judgment
❑Ground Rent [] Mandamus
El Landlord/Tenant Dispute El Non-Domestic Relations
PROFESSIONAL LIABLITY [3 Mortgage Foreclosure El Restraining Order
0 Dental El Partition M Quo Warranto
El Legal E]Quiet Title E)Replevin
❑ Medical
❑Other Professional ❑Other: El Other:
1
t
METROPOLITAN GROUP PROPERTY : IN THE COURT OF COMMON PLEAS
AND CASUALTY INSURANCE CUMBERLAND COUNTY,
COMPANY, PENNSYLVANIA
Plaintiff
V. elW
No.
MARILYNN WILLITS, Executor of
The Estate of Dianne Elaine
Barrick, Deceased, .
Defendant ACTION FOR DECLARATORY
JUDGMENT
NOTICE TO DEFEND
TO: MARILYNN WILLITS, Executor of
The Estate of Dianne Elaine Barrick, Deceased
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth in the following pages, you must take action within twenty (20) days after this Complaint
and Notice are served, by entering a written appearance personally of by attorney and filing in
wiring with the Court your defense or objections to the claims set forth against you. You are
warned that if you fail to do so the case may proceed without you and a judgment may be entered
against you by the Court without further notice for any money claimed in the Complaint or for
any other claim or relief requested by the Plaintiff. You may lose money or property or other
rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LOCAL
HELP.
Cumberland County Bar Association -.
32 South Bedford Street
Carlisle, PA 17013
(717)-249-3166
�C) �.. .
C--14
4
G3o ss 9
� LL- !7/13�s
Brigid Q. Alford, Esquire
MARSHALL DENNEHEY WARNER
COLEMAN&GOGGIN
100 Corporate Center Drive, Suite 201
Camp Hill,PA 17011
(717)-651-3710
bgalford@mdwcg.com
Attorneys for Plaintiff
METROPOLITAN GROUP PROPERTY : IN THE COURT OF COMMON PLEAS
AND CASUALTY INSURANCE CUMBERLAND COUNTY,
COMPANY, PENNSYLVANIA
Plaintiff
V.
No.
MARILYNN WILLITS, Executor of
The Estate of Dianne Elaine
Barrick, Deceased
Defendant ACTION FOR DECLARATORY
JUDGMENT
COMPLAINT
Plaintiff Metropolitan Group Property and Casualty Insurance Company, by its attorneys,
Brigid Q. Alford, Esquire and Marshall Dennehey Warner Coleman & Goggin, presents its
Complaint for Declaratory Judgment, and in support thereof avers as follows:
Jurisdiction and Venue
1. This is an action for Declaratory Judgment filed pursuant to 42 Pa. C.S.A. §7531
et seq., and Pa. R.C.P. No. 1601 et seq., for the purpose of determining a question of actual
controversy among the parties as is more particularly described herein.
2. Venue lies in Cumberland County under Pa. R.C.P. No. 1006(a)(1).
3. An actual controversy has arisen among and between the parties hereto, with
respect to their rights under the terms of a certain Auto Insurance Policy issued by Plaintiff to
Dianne Elaine Barrick, as set forth in more detail below.
l
4. As a result of the various pending claims, as set forth in more detail below,
Plaintiff seeks a declaration of its rights under the aforementioned Policy.
The Parties
5. Plaintiff, Metropolitan Group Property and Casualty Insurance Company
("MetLife") is an insurance company licensed to do business in the Commonwealth of
Pennsylvania, with a principal place of business located at 700 Quaker Lane, Warwick, Rhode
Island.
6. Defendant Marilynn Willits is an adult individual with a last known address of
107 Allen Street, Apt. 2, Mechanicsburg, Cumberland County, Pennsylvania.
7. Defendant Marilynn Willits is the Executrix/Personal Representative of the Estate
of Dianne Elaine Barrick, Deceased, Letters Testamentary having been granted to Defendant by
the Cumberland County Register of Wills on November 12, 2013, at Estate No. 21-13-1198.
The Policy
8. On or about November 2, 2013, there was in effect an Auto Insurance Policy,
issued by MetLife to Dianne Elaine Barrick, identified as Policy No. 4933800980 ("MetLife
Policy"), and effective 12/09/2012 to 12/09/2013. A true and correct of the MetLife Policy,
including the policy declarations and all applicable endorsements, is attached hereto, made part
hereof, and identified as Exhibit A.
9. At the time of the underlying motor vehicle accident, there was one vehicle listed
on the MetLife Policy - a 2004 Kia Optima.
10. At the time of the underlying motor vehicle accident, coverage under the MetLife
Policy included Underinsured Motorists Benefits in the amounts of $100,000 Per
Person/$300,000 Per Accident, Stacked.
2
11. The UIM Endorsement [PA400B] that is part of the MetLife Policy states, in
relevant part:
UNDERINSURED MOTORISTS COVERAGE
1. If bodily injury is sustained by you or any relative:
The maximum amount we will apply to all persons for all
damages, including damages for care, loss of consortium,
emotional distress loss of services or death, arising out of bodily
injury sustained by any one person as the result of any one
accident is the limit of liability shown in the Declarations for "each
person" for Underinsured Motorists coverage multiplied by the
number of covered automobiles shown in the Declarations.
Subject to this limits for "each person", the maximum amount we
will pay to all persons for all damages including damages for care,
loss of consortium, emotional distress, loss of services or death
arising out of bodily injury sustained by two or more persons
resulting from any one accident is the limits of liability shown in
the Declarations for "each accident" for Underinsured Motorists
Coverage multiplied by the number of covered automobiles
shown in the Declarations.
The Motor Vehicle Accident
12. On October 29, 2013, Dianne Elaine Barrick was involved in a motor vehicle
accident while operating the 2004 Kia Optima listed on the MetLife Policy,
13. Upon information and belief, MetLife avers that the accident occurred when a
2008 Jeep, operated by one Yu Smedley, initiated a left-hand turn directly in front of the Barrick
vehicle.
14. Barrick sustained personal injuries in the course of the accident, and died on
November 2, 2013.
3
f
The UIM Claim
15. Defendant Willits subsequently presented a claim for Underinsured Motorist
Benefits to MetLife on behalf of the Barrick Estate.
16. An issue has arisen between the parties to this litigation, with respect to the total
amount of Underinsured Motorist limits available under the MetLife Policy, with respect to the
UIM claim asserted under that policy by Defendant Willits.
17. MetLife has determined that the total amount of Underinsured Motorist limits
available under the MetLife Policy to Defendant, with respect to the pending UIM claim, is
$100,000.00.
18. MetLife has tendered the sum of $100,000.00 to Defendant, with respect to the
pending UIM claim, pending approval of the settlement by the Cumberland County Court of
Common Pleas.
19. Defendant has expressed disagreement with MetLife's position as to the total
amount of Underinsured Motorist limits available under the MetLife Policy, with respect to the
UIM claim asserted under that policy by Defendant Willits.
20. Based upon the respective positions of the parties regarding the total amount of
Underinsured Motorist limits available under the MetLife Policy, with respect to the UIM claim
asserted under that policy by Defendant Willits, there exists a real case and controversy over
whether there exists any additional limits of UIM coverage potentially applicable to the pending
UIM claim.
21. Despite the parties' best efforts, they have not been able to resolve the
aforementioned case and controversy to date, and will be unable to do so without judicial
intervention.
4
22. By issuing a declaration of rights and making a determination of the total UIM
limits available under the MetLife Policy with respect to the pending UIM Claim, this Honorable
Court would greatly assist all parties named in the instant action in resolving the coverage
controversy, as described in more detail heretofore, which in turn will likely facilitate a more
expeditious and amicable resolution of the underlying claims.
WHEREFORE, Plaintiff MetLife Property and Casualty Insurance Company respectfully
requests this Honorable Court to enter judgment in its favor and further enter a decree, declaring
that the total amount of Underinsured Motorist limits available under the MetLife Policy to
Defendant, with respect to the pending UIM claim, is $100,000, and awarding such additional
and further relief as the Court may deem to be appropriate under the circumstances.
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
Date: R +4 iq
Brigid Q. Alford, Esquir
I.D. No. 38590 r+
100 Corporate Center Drive, Suite 201
Camp Hill, PA 17011
(717)-651-3710/FAX (717)-651-3707
bgalford@mdwcg.com
Attorneys for Plaintiff
5
MetLife Auto&Home®
Dayton Customer Service Center
9797 Springboro Pike,Dayton,Ohio 45448
MetLife®
This is to certify that the policy language contained in the attached is a true
and accurate representation of the insurance policy and/or declaration page
for the following:
Customer: Dianne Elaine Barrick
Policy Number: Auto 493-38-0098-0
As of Date: 10/29/2013
Signed by: �p
vnc
Notary:
Date 12/1.1/201.3
``,0����ttA � ����/'
i
Kathy Richards
Notary Public-Ohio
My Commission Expires June 18,2018
. 1
Metl-INS Aum&Home iS a Mind of Metropolitan Vropeny and Casually Incuranec Company and its Aff1hutas,Warwick.RI
MPL9192-078 EXHIBIT Printed In U.S.A.1105
41
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D
D
MetLife Auto&Home Metropolitan Group Property and Casualty Insurance Company 11102/2012
Automobile Insurance Declarations ST 37
Policy Number: 4933800980 Page 1 of 2
Policy Effective Date: 12/09/2012
Policy Expiration Date: 12109/2013
At: 12:01 A.M. Renewal Effective Date: 12/09/2012
Named Insured:
DIANNE ELAINE BARRICK
304 MONROE ST
' MECHANIC513URG PA 17055 You Have Selected ExpresslT. Your premium payments
will be reflected in the monthly statement from your bank.
Insured Vehicle(s)
Veh Year Make Model Body Type Vehicle ID Number Com/Col Sym Terr
1 2004 KIA OPTIMA 4DR KNAGD128245297757 22/21 04
Coverage Description Applicable Limits Annual Premiums
2004
KIA
Full Tort Option Incl
First Party Benefits $ 277,500 Combined Amt Incl 140
$ 25,000 Accidental Death
$ 2,500 Funeral Benefit
Extraordinary Medical Expense $1,000,000 26
Liability
Bodily Injury $ 100,000 Per Person/
$ 300,000 Per Occurrence 154
Property Damage $ 100,000 Per Occurrence 124
Uninsured Motorists
Bodily Injury Stacked $ 100,000 Per Person/
$ 300,000 Per Accident 32
Underinsured Motorists
Bodily Injury Stacked100,000 Per Person/
1 300,000 Per Accident 40
Physical Damage 2004
KIA
Actual Cash Value (ACV)or Limit ACV
Collision less deductible $ 300 221
Comprehensive less deductible $ 300 63
Towing and Labor Limit $ 50 Incl
Optional Coverages
Substitute Transportation $ 25 Day/$ 750 Occurrence 32
Glass Deductible Buyback Incl
Total Annual Premium: $ 832.00 Vehicle Totals: 832
If your policy provides Collision coverage, then you are covered for collision
damage to rented vehicles, subject to all of the terms and conditions contained
in your policy.
---—-------------------------------------------......... ----------------------------------------------------------------------------------------------------------------
Forms and Endorsements
MPL 6010-000 PA400B PA600 PA700A V550 V702 V911 PA300 V506
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
MetLife Acta b Homo is a brand of Metropolitan Property and Casually Imurance Company and as atblietes,Wa-iCk.RI,
MPL 1380-000 Printed in U.S.A.0298
MetLife Auto&Home Metropolitan Group Property and Casualty Insurance Company 11/02/2012
Automobile Insurance Declarations ST 37
Policy Number: 4933800980 Pae 2 of 2
Policy Effective Date: 12/09/2012 9
Policy Expiration Date: 12109/2013
At: 12:01 A.M. Renewal Effective Date: 12/09/2012
Discounts
The following have been included in the total annual premium:
Superior Driver Discount applies
Airbag Discount applies to 2004 KIA
Passive Anti-theft Discount applies to 2004 KIA
ExpresslT Discount applies to 2004 KIA
A Discount for Long Term Employment applies
Garage Discount applies to 2004 KIA
Auto Policy Plus, including
Homeowners
Individual Life/Annuity
A Special Group Rate applies
- ------------------------------ ......._..... .- ---
------ -------------------------------
Rating Information
Household Drivers:
07/16/1948 DIANNE BARRICK Insured
IF YOU HAVE A DRIVER IN YOUR HOUSEHOLD WHO IS NOT LISTED ABOVE,PLEASE NOTIFY US IMMEDIATELY.
Your policy is rated on the following information:
2004 KIA Driver Assigned: DIANNE BARRICK Licensed 48 Years
Pleasure Use Unmarried
Your policy premium does not reflect the presence of any youthful operators
of the vehicles on your policy.
.-- -------------------_...---------------..-_......-------------------------------............-.-------....».-_......-.......------------------...----._.-..----
Messages
Any person who knowingly and with intent to defraud any insurance company or other person files an
application for insurance or statement of claim containing any materially false information or conceals
for the purpose of misleading, information concerning any fact material thereto commits a fraudulent
insurance act, which is a crime and subjects the person to criminal and civil penalties.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
For service or claims, see the Customer
Service and Claim Directory located on
the back of your cover page.
955-A73 - 1
MetLife Auto a Nome is a brand of Metropolitan Property and Casually Insurance Company and its aBdiates,Warwick,RI.
e
MetLife Auto & Home°
Auto
Insurance Policy
MetLife Auto&Home is a brand of Metropolitan Property and Casualty Insurance Company and its Affiliates.Warwick,R)
MPL 6000.000 Printed in U.S.A.1299
AUTO INSURANCE POLICY
WHERE TO FIND IT
PAGE
INSURANCE AGREEMENT AND DECLARATIONS 1
GENERAL DEFINITIONS 1
AUTOMOBILE LIABILI'T'Y 2
Additional Definitions For This Coverage 2
Coverage Provided 3
Additional Benefits We Will Provide 3
Coverage Exclusions 4
Limit Of Liability 5
Conformity With Financial Responsibility Laws 5
Out Of State Insurance 5
Reductions 5
Other Insurance 6
PERSONAL INJURY PROTECTION 6
AUTOMOBILE MEDICAL EXPENSE 6
Additional Definitions For This Coverage 6
Coverage Provided 7
Coverage Exclusions 7
Limit Of Liability 8
Other Insurance g
Medical Expense Review 9
UNINSURED AND UNDERINSURED MOTORISTS 9
Additional Definitions For These Coverages 9
Uninsured Motorists Coverage 10
Underinsured Motorists Coverage 11
Coverage Exclusions 11
Settlement 12
Limit Of Liability 12
Reductions 12
Other Insurance 12
PHYSICAL DAMAGE 13
Additional Definitions For These Coverages 13
Coverage Provided 14
Comprehensive 14
Collision 14
Towing And Labor 14
Substitute Transportation 15
Additional Costs We Will Pay is
Coverage Exclusions 15
Maximum Amount We Will Pay 17
Other Insurance 17
Your Duties In The Event Of Loss 17
MPL 6010-000 Printed in U,S.A,0900
No Benefit To Bailee 17
Right To Appraisal 17
Payment Of Loss 18
GENERAL POLICY CONDITIONS 18
Territory And Policy Period 18
Premium Changes 18
Fraud And Misrepresentation 19
Other Automobile Insurance With Us 19
If An Accident Or Loss Occurs 19
Your Duty To Cooperate 19
Lawsuits Against Us 19
Medical Reports; Proof And Payment Of Claim 20
Our Recovery Right 20
Policy Changes 21
Assignment 21
Termination 21
Loss Payable Clause 22
INDEX OF POLICY PROVISIONS 24
THE COMPANY NAMED IN THE DECLARATIONS
Administrative Offices:Warwick, Rhode Island
AUTO INSURANCE POLICY
INSURANCE AGREEMENT AND DECLARATIONS
This insurance policy is a legal contract between you (the policyholder) and us (the Company named in
the Declarations). It insures you and your automobile for the various kinds of insurance you have
selected, as shown in,the Declarations. The Declarations are an important part of this policy. By
accepting this policy, you agree that the statements contained in the Declarations and in any application
are your true and accurate representations. This policy is issued and renewed in reliance upon the truth
of those representations. This policy contains all agreements between you and us and any of our sales
representatives relating to this insurance. You must pay the required premium.
The exact terms and conditions are explained in the following pages.
GENERAL DEFINITIONS
The following words and phrases appear in bold-face type repeatedly throughout this policy. They have a
special meaning and are to be given that meaning whenever used in connection with this policy and any
endorsement which is part of this policy:
"AUTOMOBILE" means a private passenger automobile, pick-up truck, panel truck or van, designed for
use mainly on public roads.
"BODILY INJURY"means any bodily injury, sickness, disease or death sustained by any person.
"LOSS"means direct and accidental loss or damage.
"MOTOR VEHICLE"means a land motor vehicle designed for use mainly on public roads other than:
1, a farm type tractor or other farm equipment designed for use principally off public roads. while not
upon public roads;
2. a vehicle operated on rails or crawler-treads;
3. a vehicle while located for use as a residence or premises; or
4. a vehicle used as a dwelling or place of business.
"OCCUPYING" and "OCCUPIED" mean being in or upon, entering into, or alighting from a motor
vehicle.
"PROPERTY DAMAGE"means physical injury to or destruction of tangible property, including the loss of
use of such property.
"RELATIVE" means a person related to you by blood, marriage or adoption (including a ward or foster
child)and who resides in your household.
"TRAILER" means a trailer designed for use with an automobile which is not used as an office, store,
MPL 6010000 Printed in U.S.A.0900 Page 1 of 24
display, or passenger trailer.A farm wagon or farm implement is a trailer when used with an automobile.
"WE", "US", "OUR"and"COMPANY"mean the company named in the Declarations.
"YOU" and "YOUR" mean the person(s) named in the Declarations of this policy as named insured and
the spouse of such person or persons if a resident of the same household.
AUTOMOBILE LIABILITY
ADDITIONAL DEFINITIONS FOR THIS COVERAGE
The following definitions apply to this coverage only.
"COVERED AUTOMOBILE"means:
1. an automobile owned by you or hired under a written contract for one year or more, which is
described in the Declarations, and for which a specific premium is charged.
2. an automobile newly acquired by you,if:
a. it replaces a vehicle described in the Declarations; or
b. it is an additional automobile, but only if:
i. we insure all other automobiles owned by you on the date of acquisition:
ii. you notify us within 30 days of acquisition of your election to make this and no other policy
issued by us applicable to the automobile; and
iii. you pay any additional premium required by us.
3. a substitute automobile.
"INSURED"means:
1. with respect to a covered automobile:
a. you;
b. any relative; or
c. any other person using it within the scope of your permission.
2. with respect to a non-owned automobile,you or any relative.
The operation or use of such vehicle must have been with the permission of, or reasonably believed to
have been with the permission of, the owner. The operation or use must also have been within the
scope of the permission given.
_ 3.!any other person_or organization if liable due to the acts or omissions of any.person.described.in 1._or. ..
2. above. This provision does not apply if the vehicle is a non-owned automobile owned or hired by
the person or organization.
MPL 6010-000 Printed in U.S.A.0900 Page 2 of 24
................. .
"NON-OWNED AUTOMOBILE"means:
1. an automobile which is not owned by, furnished to, or made available for regular use to you or any
resident in your household.
EXCEPTION: An automobile owned by, furnished to, or made available for regular use to any
resident in your household, is considered a non-owned automobile when used by you.
2, a commercially rented automobile used by you or a relative on a temporary basis.
"SUBSTITUTE AUTOMOBILE" means a motor vehicle not owned by you or any resident of the same
household and which is used with the owner's permission to replace for a short time a covered
automobile. The covered automobile has to be out of use for servicing or repair or because of
breakdown,.loss or destruction.
COVERAGE PROVIDED
We will pay damages for bodily injury and property damage to others for which the law holds an
Insured responsible because of an accident which results from the ownership, maintenance-or use of a
covered automobile, a non-owned automobile or a trailer while being used with a covered
automobile or non-owned automobile. We will defend the Insured, at our expense with attorneys of
our choice, against any suit or claim seeking these damages. We may investigate, negotiate or settle any
such suit or claim.
ADDITIONAL BENEFITS WE WILL PROVIDE
In addition to the limits of liability, we will pay the following expenses incurred in connection with any
claim or suit to which the policy applies:
1. Premiums on the following bonds:
a. Appeal bonds in any suit we defend.
b. Bonds to release attachments in any suit we defend, The total amount of the bonds must not
exceed our limit of liability.
c. Up to $250 for any bail bond needed because of an accident or traffic violations arising out of the
ownership, maintenance or use of a covered automobile.
We have no duty to furnish or apply for any bonds.
2. Court costs levied against the insured.
3. Post-judgment interest on all damages following a judgment until we pay, offer or deposit in court the
amount due up to our limit of liability.
4. Expenses incurred by the insured for first aid to others at the time of a motor vehicle accident.
5. Up to $200 per day for lost wages, but not for loss of other income, if we ask the insured to attend a
hearing or trial.
6. Other reasonable expenses incurred at our request.
MPL 6010-000 Printed in U.S.A.0900 Page 3 of 24
J
COVERAGE EXCLUSIONS
We do not cover:
A. bodily injury to any employee of an insured arising out of his or her employment, except domestic
employees who are not covered or required to be covered under any workers compensation law.
B. bodily injury to a fellow employee while on the job and arising from the use of a motor vehicle or
trailer in the business of his employers.
EXCEPTION: You are covered in this situation.
C. ,bodily injury or property damage covered under an atomic or nuclear energy liability insurance
Policy, or that would have been covered had that policy not been terminated upon exhaustion of its
limit of liability.
D. any motor vehicle rented to others or used to carry persons for a charge.
EXCEPTION: This exclusion does not apply to shared expense car pools.
E. bodily injury or property damage arising out of the business or occupation of selling, leasing,
repairing, servicing, storing, or parking vehicles or trailers.
EXCEPTION: This exclusion does not apply to the use of a covered automobile by you,a relative,
or by any other person in any such business in which you have an interest as owner or partner.
F. any non-owned automobile while used by any person in any business or occupation.
EXCEPTION: This exclusion does not apply.to an automobile or trailer used therewith, if driven or
occupied by you or your chauffeur or domestic servant.
G. property damage caused by any insured to:
1. an automobile that is owned by, rented to, operated by, or in the care of that insured; or
2. any other property that is owned by, rented to, or in the care of any insured. This exclusion does
not apply to a rented dwelling or private garage.
H. bodily injury or property damage caused intentionally by or at the direction of an insured.
I. bodily injury to you or any person related to an insured by blood, marriage, or adoption who resides
in the same household. This exclusion applies regardless of whether demand is made or suit is
brought against the insured by the injured person or by a third party seeking contribution or
indemnity.
J. bodily injury or property damage awards designated as punitive, exemplary, or statutory multiple
damages.
K. any motor vehicle while it is located inside a facility designed for racing, for the purpose of competing
in, practicing for, or preparing for, any prearranged or organized racing or speed contest.
L.. a non-owned automobile while used by a relative who owns, leases or has available for their regular
use, a motor vehicle not described in the Declarations.
M. any motorized vehicle which has less than four wheels.
MPL 6010-00o Printed in U.S.A.0900
Page 4 of 24
LIMIT OF LIABILITY
The limit of liability shown in the Declarations for"each person"for Bodily Injury Liability is the most we
will pay for all damages, including damages for care, loss of consortium, emotional distress, loss of
services or death, arising out of bodily injury sustained by any one person as the result of any one
accident. Subject to this limit for"each person",the limit shown in the Declarations for"each accident"for
Bodily Injury Liability is the most we will pay for all damages, including damages for care, loss of
consortium, emotional distress, loss of services or death, arising out of bodily Injury sustained by two or
more persons resulting from any one accident.
The limit of liability shown in the Declarations for "each accident" for Property Damage Liability is the
most we will pay for all damages to all property resulting from any one accident.
If a single limit of liability is shown in the Declarations for bodily injury and property damage, it is the
maximum we will pay for any one accident for all damages, including damages for care, loss of
consortium, emotional distress, loss of services or death.
The limit of liability shown in the Declarations for this coverage is our maximum limit of liability for all
damages resulting from any one accident. This is the most we will pay regardless of the number of:
1. covered persons;
2. claims made;
3. vehicles or premiums shown in the Declarations; or
4. vehicles involved in the accident.
A motor vehicle and attached trailer are considered one vehicle.
If notice of this policy is given in lieu of security or if we certify this policy as proof under any financial
responsibility law,the limit of liability will be applied to provide separate limits for bodily injury liability and
property damage liability to the extent required by such law. Such separate application will not increase
the total limit of our liability.
CONFORMITY WITH FINANCIAL RESPONSIBILITY LAWS
If we certify this policy under any financial responsibility law, this liability coverage will comply to the
extent of the liability coverage and limits required by the law.
OUT OF STATE INSURANCE
If any insured becomes subject to a financial responsibility law or the compulsory insurance law or
similar laws of another state or Canada because of the ownership, maintenance, or use of a covered
automobile in that state or Canada,we will interpret this policy to provide the coverage required by those
laws. The coverage provided shall be reduced to the extent that other automobile liability insurance
applies. No person may in any event collect more than once for the same loss.
REDUCTIONS
Any amount payable to any person under this section will be reduced by any amount that person is paid
under the Uninsured and Underinsured Motorists coverage portion of this policy.
MPL 6010-000 Printed in U.S.A.0900 Page 5 of 24
OTHERINSURANCE
if there is other similar insurance,we will pay our fair share.
However, with respect to a non-owned automobile or a substitute automobile, this insurance will be
excess over any other insurance. If there is other excess or contingent insurance, we will pay our fair
share.
Our fair share is the proportion that our limit bears to the total of all applicable limits.
PERSONAL INJURY PROTECTION
If applicable, see special state provisions.
AUTOMOBILE MEDICAL EXPENSE
ADDITIONAL DEFINITIONS FOR THIS COVERAGE
The following definitions apply to this coverage only-
"COVERED
nly"COVERED AUTOMOBILE"means;
1. an automobile owned by you or hired under a written contract for one year or more, which is
described in the Declarations, and for which a specific premium is charged.
2. an automobile newly acquired by you, if:
a. it replaces a vehicle described in the Declarations; or
b. it is an additional automobile, but only if:
i. we insure all other automobiles owned by you on the date of acquisition:
ii. you notify us within 30 days of acquisition of your election to make this and no other policy
issued by-us applicable to the automobile; and
iii. you pay any additional premium required by us.
3. a substitute automobile.
"MEDICAL EXPENSES" means usual, customary and reasonable expenses for necessary medical,
surgical, x-ray, ambulance, hospital, professional nursing, funerals and dental services, including
prosthetic devices.
"NON-OWNED AUTOMOBILE"means:
1. an automobile, while being used by you or a relative with the owner's permission, which is not
owned by,furnished to, or made available for regular use to you or any resident in your household.
EXCEPTION: An automobile owned by, furnished to, or made available for regular use to any
resident in your household, is considered a non-owned automobile when used by you.
MPL 6010-000 Printed in U.S.A.0900 Page 6 of 24
f
2. a commercially rented automobile used by you or a relative on a temporary basis.
"SUBSTITUTE AUTOMOBILE" means a motor vehicle not owned by you or any resident of the same
household and which is used with the owners permission to replace-for a short time a covered
automobile. The covered automobile has to be out of use for servicing or repair or because of
breakdown, loss or destruction.
COVERAGE PROVIDED
We will pay reasonable medical expenses incurred by you or any relative for bodily injury as a result
of an accident involving a motor vehicle or trailer while being used with an automobile.
We will pay reasonable medical expenses incurred by any other person for bodily injury as a result of:
1. occupying or using a covered automobile at the time of the accident with your consent;
2. being struck by a covered automobile; or
3. occupying a non-owned automobile if the bodily injury results from the operation or occupancy of
such non-owned automobile by you or a relative.
COVERAGE EXCLUSIONS
We do not cover:
A. medical expenses incurred for services furnished more than three years after the date of accident.
B. any person injured while in a vehicle located for use as a residence or premises.
C. that portion of any medical expense for which benefits are available under any:
1. premises insurance which affords benefits for medical expenses;
2. law which provides workers compensation or disability benefits; or
3. personal injury protection coverage of this policy.
D. bodily Injury sustained while occupying:
1. a motorized vehicle having less than four wheels;or
2. a vehicle located for use as a residence or premises.
E. a covered automobile while hired or rented to others for a charge, or any automobile which you are
driving while available for hire by the public.
EXCEPTION: This exclusion does not apply to:
1. bodily injury sustained as a pedestrian: or
2. shared expense car pools.
F. bodily injury arising out of the business or occupation of selling, leasing, repairing, servicing, storing,
or parking vehicles or trailers.
MPL 6010-000 Printed In U.S.A.0900 Page 7 of 24
EXCEPTION: This exclusion does not apply to:
1. bodily injury sustained as a pedestrian; or
2. the use of a covered automobile by you, a relative, or by any other person in any business or
occupation of selling, leasing, repairing, servicing, storing, or parking vehicles or trailers, in which
you have an interest as owner or partner.
G. any non-owned automobile while used by any person in any business or occupation.
EXCEPTION: This exclusion does not apply to:
1. bodily injury sustained as a pedestrian;or
2. an automobile or its attached trailer used by you,your chauffeur or domestic servant.
H. medical treatment that is experimental in nature which is not accepted as effective therapy by:
1. the state medical association or board;
2. an approved medical specialty board: or
3. the American Medical Association.
I. a non-owned automobile while used by a relative who owns, leases or has available for their regular
use, a motor vehicle.
LIMIT OF LIABILITY
The limit shown in the Declarations for"each person"is the maximum we will pay for any one person as a
result of any one accident.
The limit of liability shown in the Declarations for this coverage is our maximum limit of liability for all
damages resulting from any one accident. This is the most we will pay regardless of the number of:
1. covered persons:
2. claims made;
3. vehicles or premiums shown in the Declarations; or
4. vehicles involved in the accident_
The total amount we will pay includes funeral and burial expenses not to exceed$1000 for each person.
OTHERINSURANCE
If there is other similar insurance, we will pay out fair share. However, with respect to a non-owned
automobile or a substitute automobile,this insurance will be excess over any other insurance. If there
is other excess or contingent insurance, we will pay our fair share. This coverage shall be excess over
—any--personal--injury protection--be hefits-paid-or-payable; except for-.a,-deductible-under-this-or-any-other-——----
motor vehicle insurance policy, for bodily injury to an eligible person.
Our fair share is the proportion that our limit bears to the total of all applicable limits.
MPL 6010-000 Printed in U,S.A.0900 Page 8 of 24
MEDICAL EXPENSE REVIEW
At our option,we may use various cost containment and utilization review measures to identify excessive
or inappropriate treatments and expenses. For example,- we may use medical bill audits, case
management, preferred provider discounts or other such tools.
UNINSURED AND UNDERINSURED MOTORISTS
ADDITIONAL DEFINITIONS FOR THESE COVERAGES
The following definitions apply to these coverages only:
"COVERED AUTOMOBILE"means:
1. an automobile described in the Declarations to which the Automobile Liability coverage of this policy
applies and for which a specific premium is charged.
2. an automobile newly acquired by you,rf:
a. it replaces a vehicle described in the Declarations: or
b. it is an additional automobile, but only if:
i. we insure all other automobiles owned by you on the date of acquisition:
ii. you notify us within 30 days of acquisition of your election to make this and no other policy
issued by us applicable to the automobile; and
iii. you pay any additional premium required by us.
3. a substitute automobile.
4, a motor vehicle,white being operated by you or a relative with the owner's permission, which is not
owned by, furnished to, or made available for the regular use to you or any relative in your
household.
EXCEPTION: A motor vehicle owned by, furnished to, or made available for regular use to any
relative in your household is covered when operated by you.
"SUBSTITUTE AUTOMOBILE" means a motor vehicle not owned by you or any resident of the same
household and which is used with the owner's permission to replace for a short time a covered
automobile. The covered automobile has to be out of use for servicing or repair or because of
breakdown, loss or destruction.
"UNINSURED MOTOR VEHICLE"means:
1. a motor vehicle for which, at the time of the accident, there is no insurance policy or other financial
security applicable to the owner, or operator, or any other liable person or organization.
2. a motor vehicle which has a bodily injury liability bond or insurance policy in effect at the time of the
accident, but the amount of bodily injury coverage under such bond or insurance policy is less than
the minimum financial security requirements of the state in which the covered automobile is
principally garaged.
MPL 6010-000 Printed in U.S.A.0900 Page 9 of 24
3. a motor vehicle which has a bodily injury liabillity bond or insurance policy in effect at the time of the
accident, but the company writing such bond or policy denies coverage, or is or becomes insolvent.
4. a hit and run motor vehicle which causes bodily-injury to a person covered under this section as the
result of striking that person or a motor vehicle which that person is occupying at the time of the
accident, if:
a. the identity of the driver and the owner of the hit and run vehicle is unknown;
b. the accident is reported within 24 hours to a police officer, a peace or judicial officer, or the
Commissioner or Director of Motor Vehicles;
c. the injured person or someone on their behalf files with us within 30 days of the accident a
statement under oath that the injured person or their legal representative has a cause of action due
to the accident for damages against someone whose identity is unknown; and
d. the injured person or their legal representative makes available for inspection by us, when
requested,the motor vehicle occupied by that person at the time of the accident.
The term uninsured motor vehicle does not include:
1. a covered automobile or motor vehicle regularly furnished or available for the use of you or any
relative;
2. an automobile owned and operated by a self-insurer as defined in the applicable motor vehicle
financial responsibility law, compulsory insurance law, motor carrier law, or any other similar
applicable law; or
3. an automobile owned by the United States of America, Canada, a state, a political subdivision of any
such government, or an agency of any of the foregoing.
"UNDERINSURED MOTOR VEHICLE"means a motor vehicle which has a bodily injury liability bond or
insurance policy in effect at the time of the accident, in at least the minimum amount required by the state
in which the covered automobile is principally garaged, but less than the limits of this coverage provided
by this policy as stated in the Declarations.
The term underinsured motor vehicle does not include:
1. a covered automobile or motor vehicle regularly furnished or available for the use of you or any
relative;
2. an automobile owned and operated by a self-insurer as defined in applicable motor vehicle financial
responsibility law, compulsory insurance law, motor carrier law, or any other similar applicable law; or
3. an automobile owned by the United States of America, Canada, a state, a political subdivision of any
such government, or an agency of any of the foregoing.
UNINSURED MOTORISTS COVERAGE
This coverage is provided only if a premium is shown in the Declarations._ .......
We will pay damages for bodily injury sustained by.
1. you or a relative,caused by an accident arising out of the ownership, maintenance, or use of an
MPL 6010-000 Printed in U.S.A.0900 Page 10 of 24
_ - - -- -
uninsured motor vehicle, which you or a relative are legally entitled to collect from the owner or
driver of an uninsured motor vehicle;or
2. any other person, caused by an accident while occupying a covered automobile, who is legally
entitled to collect from the owner or driver of an uninsured motor vehicle.
We will also pay damages to any person for damages that person is entitled to recover because of bodily
injury sustained by anyone described in 1. or 2. above.
UNDERINSURED MOTORISTS COVERAGE
This coverage is provided only if a premium is shown in the Declarations.
We will pay damages for bodily injury sustained by:
1. you or a relative, caused by an accident arising out of the ownership, maintenance, or use of an
underinsured motor vehicle, which you or a relative are legally entitled to collect from the owner or
driver of an underinsured motor vehicle; or
2. any other person, caused by an accident while occupying a covered automobile, who is legally
entitled to collect from the owner or driver of an underinsured motor vehicle.
We will also pay damages to any person for damages that person is entitled to recover because of bodily
Injury sustained by anyone described in 1. or 2.above.
COVERAGE EXCLUSIONS
We do not cover:
A. any person occupying or struck by a motor vehicle owned by you or a relative, other than a
covered automobile.
B. any person who settles a bodily injury claim, with any liable party, without our written consent.
C. any claim which would benefit any insurer or self-insurer under any workers compensation, disability
benefits, or similar law.
D. any claim for which benefits are provided under the Personal Injury Protection or Medical Expense
coverage of this policy.
E. any person, other than you,or a relative,while occupying:
1. a covered automobile while it is being used to carry persons or property for a fee.
EXCEPTION: This exclusion does not apply to shared expense car pools.
2. a vehicle while being used without the permission of the owner.
F. bodily injury or property damage awards designated as punitive, exemplary, or statutory multiple
damages.
G. a relative who owns, leases or has available for their regular use, a motor vehicle not described in
the Declarations.
MPL 6010-000 Printed in U.S.A.0900 Page 11 of 24
SETTLEMENT
Whether any person is legally entitled to collect damages under this section, and the amount to which
such person is entitled, will be determined by agreement between that person and us. Upon written
consent of both parties, any disagreement will be settled by arbitration.
When arbitration applies, it will take place under the rules of the American Arbitration Association, unless
other means are required by law or are agreed to by the injured party and us.
If a person seeking coverage files a suit against the owner or driver of the uninsured or underinsured
motor vehicle, copies of suit papers must be forwarded to us and we have the right to defend on the
issues of the legal liability of, and the damages owed by, such owner or driver. However, we are not
bound by any judgment against any person or organization obtained without our written consent.
LIMIT OF LIABILITY
The limit of liability shown in the Declarations for "each person" is the most we will pay for all damages,
including damages for care, loss of consortium, emotional distress, loss of services or death, arising out
of bodily injury sustained by any one person as the result of any one accident. Subject to this limit for
"each person", the limit shown in the Declarations for "each accident" for bodily injury liability, is the
most we will pay for all damages, including damages for care, loss of consortium, emotional distress, loss
of services or death, arising out of bodily injury sustained by two or more persons resulting from any
one accident. This is the most we will pay regardless of the number of:
1. covered persons;
2. claims made:
3, vehicles or premiums shown in the Declarations: or
4. vehicles involved in the accident.
REDUCTIONS
The lesser of the limits of this insurance or the amount payable under this coverage will be reduced by
any amount:
1. paid by or on behalf of any liable parties.
2. paid or payable under any workers compensation, disability benefits or similar laws.
3. paid or payable under the AUTOMOBILE LIABILITY section of this policy.
OTHERINSURANCE
If there is other similar insurance,we will pay only our fair share. The total amount of recovery under all
policies will be limited to the highest of the applicable limits of liability of this insurance and such other
insurance.
Our fair share is the proportion that our limit bears to the total of all applicable limits. However, if you do
not own the motor vehicle, our insurance will be excess over other.similar uninsuredor underinsured
insurance available but only in the amount by which the limit of liability of this policy exceeds the limits of
liability of the other available insurance. If there is other excess or contingent insurance, we will pay our
fair share.
MPL 6010-000 Printed in U.S.A.0900 Page 12 of 24
..._................................._.........._.....__.........._.......
No payments will be made until the limits of all other liability insurance and bonds that apply have been
exhausted by payments.
PHYSICAL DAMAGE
ADDITIONAL DEFINITIONS FOR THESE COVERAGES
The following definitions apply to these coverages only.
"ACTUAL CASH VALUE".means the amount that it would cost to repair or replace damaged property,
less allowance for physical deterioration and depreciation.
"COLLISION"means the upset of an automobile or the contact of an automobile with another object or
vehicle.
"COVERED AUTOMOBILE"means:
1. an automobile or a trailer designed for use with an automobile, owned by you or hired under a
written contract for one year or more and for which a specific premium is shown in the Declarations.
2. an automobile newly acquired by you,subject to the following:
a. If Comprehensive or Collision coverage applies to any automobile shown in the Declarations:
i. we will apply the broadest of these coverages to the newly acquired automobile;
6. you must notify us within 30 days of acquisition, of your election to make this and no other
policy issued by us applicable to the newly acquired automobile; and
iii. you must pay any additional premium required by us.
b. If Comprehensive or Collision coverage does not apply to any automobile shown in the
Declarations:
i. we will provide Comprehensive and Collision coverage subject to a $500 deductible for the
newly acquired automobile;
ii. you must notify us within 6 days of acquisition, of your election to make this and no other
policy issued by us applicable to the newly acquired automobile; and
iii. you must pay any additional premium required by us.
3. a substitute automobile.
"DEDUCTIBLE" means the amount of loss to be paid by you. We pay for covered loss above the
deductible amount.
"NON-OWNED AUTOMOBILE" means:
1. an automobile or trailer while being used by you or a relative,with the owner's permission, which is
not owned by, furnished to, or made available for regular use to you or any resident in your
household.
EXCEPTION: An automobile or a trailer owned by, furnished to, or made available for regular use to
MPL 6010-000 Printed in U.S.A.0900 Page 13 of 24
I
any resident in your household, is considered a non-owned automobile when used by you.
2. a commercially rented automobile or trailer used by you or a relative on a temporary basis.
"SUBSTITUTE AUTOMOBILE" means an automobile or a trailer not owned by you or any resident of
the same household and which is used with the owner's permission to replace for a short time a covered
automobile. The covered automobile has to be out of use for servicing or repair or because of
breakdown, loss or destruction.
COVERAGES PROVIDED
The following coverages are applicable only if indicated in the Declarations. They apply to the vehicles for
which a premium is shown.
COMPREHENSIVE
We will pay for loss to your covered automobile or to a non-owned automobile, including its
equipment, not caused by collision, minus any applicable deductible shown in the Declarations.
Coverage is included for a loss caused by, but not limited to,the following:
1. Falling objects or contact with a bird or animal;
2. Fire.explosion or earthquake;
3. Theft or larceny,
4. Windstorm, hail, water or flood;
S. Malicious mischief or vandalism;
6. Riot or civil commotion; or
7. Breakage of glass, even if caused by collision. If your Comprehensive and Collision coverages have
different deductibles, the smaller deductible will apply to broken glass.
COLLISION
We will pay for loss to your covered automobile or to a non-owned automobile, caused by
collision, including its equipment, minus any applicable deductible shown in the Declarations.
Deductible Waiver: We will waive the deductible if the loss is the result of collision with another
vehicle insured by us.
TOWING AND LABOR
This coverage is provided for vehicles covered under Comprehensive or Collision, as shown in the
Declarations.
If the covered automobile is disabled, we will pay up to the maximum limit shown in the Declarations for
the costs of labor done at the place of disablement and costs of towing for each disablement.
The deductible does not apply to the above payments.
MPL 6010-000 Printed in U.S.A.0900 Page 14 of 24
SUBSTITUTE TRANSPORTATION
We will pay for the cost of substitute transportation if the covered automobile is disabled as a result of a
loss covered under Comprehensive or Collision. For loss caused by theft of the covered automobile,
this coverage is provided in lieu of the substitute transportation costs provided by item 3. of ADDITIONAL
COSTS WE WILL PAY.
Payment will begin the day the covered automobile is:
1. out of use due.,to the loss, but, in the case of theft of the entire vehicle, 48 hours after the theft is
reported to us; or
2. the day you leave it at the repair shop.
Payment will be made for the reasonable and necessary time required to repair or replace the covered
automobile, but, in the case of theft of the entire vehicle, until we offer settlement for the theft.
We will pay for rental from an auto rental agency, as shown in the Declarations. up to the amount per
day, but not more than the maximum amount for each disablement for any one loss.
However, if you do not rent from an auto rental agency, we will pay you $12 per day, but not more than
the limit shown in the Declarations for each disablement for any one loss.
No deductible shall apply to payment for substitute transportation.
ADDITIONAL COSTS WE WILL PAY
1. If a disablement occurs as a result of loss to the covered automobile, we will pay up to $25 for
transportation to reach the intended destination.
2. If a loss is caused to the covered automobile by a peril insured against under this section, we will
pay up to $300 for loss to clothes and luggage belonging to you or a relative which are in the
covered automobile.
3. If the covered automobile is stolen,we will pay up to$25 per day for substitute transportation for the
period that will begin 48 hours after the theft is reported to us and will end when we offer settlement
for the theft. If you do not rent from an auto rental agency, we will pay you $12 per day. However.
the total amount we will pay will not be more than $750,
4. We will pay general average and salvage charges for which you become legally liable for transporting
the covered automobile.
The deductible does not apply to the above payments.
COVERAGE EXCLUSIONS
We do not cover:
A. any automobile while used to carry persons for a fee.
EXCEPTION: This does not apply to shared expense car pools.
B. a motor vehicle not owned by you while being used in the business or occupation of selling, leasing,
repairing, servicing, storing, or parking motor vehicles or trailers.
MPL 6010-000 Printed in U.S.A.0900 Page 15 of 24
C. any loss due and confined to wear and tear, freezing, or mechanical or electrical breakdown, unless
the loss results from a theft.
D. tires unless stolen, damaged by fire or vandalism, or unless another loss happens at the same time
for which there is coverage under this policy.
E. loss to any electronic equipment designed for the reception, recording or reproduction of sound or
video, and any accessories used with such equipment. This includes, but is not limited to:
1. radios and televisions;
2. tape decks;
3. compact disc players; or
4. video cassette recorders.
This exclusion does not apply if the equipment is operated solely from the electrical system of the
vehicle and is:
a. permanently installed in a housing unit or location used by the automobile manufacturer for such
equipment: or
b. a component that is removable from a housing unit permanently installed in the location used by
the automobile manufacturer for such equipment.
F. loss to electronic equipment designed for receiving or transmitting audio, visual or data signals and
any accessories used with such equipment. This includes, but is not limited to:
1. citizens band radios;
2. two-way mobile radios;
3, telephones; or
4. personal computers.
This exclusion does not apply to:
a. any electronic equipment that operates solely from the electrical system of, and is necessary for
the normal operation of the vehicle.
b. a telephone permanently installed in a location in the dashboard or console of the vehicle used by
the automobile manufacturer for a telephone.
G. loss to tapes, records, discs, other media or other devices designed for use with equipment described
in exclusions E. and F.
H. loss to a camper or living quarters unit designed for mounting on an automobile, unless the unit is
reported to us and the required premium is paid before the loss.
I. loss due to war, civil war, insurrection,,rebellion, or revolution.
I loss due to radioactive contamination.
MPL 6010-000 Printed in U.S.A.0900 Page 16 of 24
K. loss due to destruction or confiscation by governmental or civil authorities.
L. loss to an automobile located inside a facility designed for racing, for the purpose of competing in,
practicing1'or,or preparing for, any prearranged or organized racing or speed contest.
M. a non-owned automobile while used by a relative who owns, leases or has available for their regular
use, a motor vehicle.
N. radar and laser detectors.
O. loss to your covered automobile or any non-owned automobile due to any actual or perceived lass
in market or resale value.
MAXIMUM AMOUNT WE WILL PAY
Our payments will not exceed the lesser of:
1. the actual cash value of the property at the time of loss; or
2, the cost to repair or replace the property with other of like kind and quality.
If the loss is only to a part of the property, our responsibility extends to that part only.
The most we will pay for loss to a trailer you do not own is $500.
OTHERINSURANCE
If you have other insurance against a loss covered by this policy, we will pay our fair share. Our fair
share is the proportion that our limit bears to the total of all applicable limits. However,any insurance we
provide with respect to non-owned automobiles or substitute automobiles will be excess over any
other collectible insurance.
YOUR DUTIES IN THE EVENT OF LOSS
You must:
u for reasonable
enses incurred for this
1 protection We will not cover rotect the automobile from any loss which results frrther loss. We will om failure to protect the automobile from
further loss.
2. file with us a proof of loss within 91 days or within the number of days required by law.
3. show us the damaged property and submit to examination under oath upon request.
NO BENEFIT TO BAILEE
This coverage shall not directly or indirectly benefit any carrier or bailee for hire for loss to the covered
automobile.
RIGHT TO APPRAISAL
If within 60 days after proof of loss is filed, there is a disagreement as to the amount, you or we may
demand an appraisal. Each party will select a competent appraiser. Each appraiser will state separately
the actual cash value and the amount of loss. If they fail to agree, they must select and submit their
Page 17 of 24
MPL 6010.000 Printed in U.S.A.0900
differences to a competent and disinterested umpire. Agreement by any two will determine the amount of
loss. Each party will pay his chosen appraiser and will equally share the expenses of the appraisal and
umpire.
PAYMENT OF LOSS
We may pay for the loss in money, repair the damaged property, or replace the damaged or stolen
property. We may, at any time before the loss is paid or the property replaced, return at our own
expense any stolen property. We will return the property to you or to the address shown in the
Declarations, at our option. We may take all or part of the damaged property at the agreed or appraised
value, but you cannot abandon the property to us. We may settle any claim or loss either with you, the
owner, or any other party who has an interest,title, or lien on the property.
GENERAL POLICY CONDITIONS
1. TERRITORY AND POLICY PERIOD
This policy applies to accidents and losses which happen while the policy is in effect:
a. in the United States, its territories or possessions:
b. in Canada;
c. while the covered automobile is being shipped between their ports: and
d. during the policy period shown by the effective date and expiration date in the Declarations, or until
the effective date and time of cancellation at your address shown in the Declarations.
2. PREMIUM CHANGES
a. All premiums for this policy will be computed in accordance with our rules, rates, rating plans,
premiums and minimum premiums which apply to the insurance provided by this policy. The
premiums we charge are based on the information provided by you on your application and other
information we possess. We are permitted to adjust your premiums when this information
changes.
Changes during the policy period that may result in a premium increase or decrease include, but
are not limited to, changes in:
i, the number,type or use classification of the covered automobiles.
ii. operators using the covered automobiles, including you, relatives and all licensed drivers in
your household.
iii. the principal garaging of the covered automobiles.
iv. coverage, deductible or limits of the policy.
If a change requires a premium adjustment,.we will adjust.the.premium.as of-the-effective-date of -
- - --- -the change. Premiums are payable on the dates set forth by us.
b. We will round all premium adjustments made for any reason to the nearest dollar, in accordance
with the manuals in use.
Page 18 of 24 -
MPL 6010-000 Printed in U.S.A.0900 -^ -
i
c. The policy premium may be re-computed upon expiration of the Policy Period.as shown in the
Declarations.
3. FRAUD AND MISREPRESENTATION
All coverages under this policy are void if, whether before or after a loss, you or any person seeking
coverage has;
a. concealed or misrepresented any material fact or made any fraudulent statements; or
b. in the case of any fraud or attempted fraud, affected any matter regarding this policy or any loss
for which coverage is sought.
4. OTHER AUTOMOBILE INSURANCE WITH US
If two or more automobile insurance policies issued by us apply to any accident or loss,the most we
will pay is the highest dollar limit or benefit in any one such policy.
5. IF AN ACCIDENT OR LOSS OCCURS
You or someone on your behalf must notify us as soon as possible of any accident or loss. The
notification should include as many details-as possible, including names and addresses of drivers,
injured persons and witnesses. and the time, place, and circumstances of the accident or loss. We
may require it in writing.
In the forward tonus every claim, must promptly
o cel sum ons,the orlother process.ice. If a claim or suit is made, immediately
if any legal action is begun before we make payment under any coverage, a copy of the summons and
complaint or other process must be forwarded to us immediately.
6. YOUR DUTY TO COOPERATE
You must cooperate with us in every effort to investigate the accident or loss, settle any claims and
defend you.
You must attend hearings and trials and assist in securing and giving evidence and obtaining the
attendance of witnesses. Except at your own cost, you will not voluntarily make any payment,
assume any obligation, or incur any expense, other than for first aid to others at the time of the
accident.
Under Uninsured and Underinsured Motorists coverage, we may require you to take appropriate
action to preserve your right to recover damages from any other person responsible for the bodily
injury. Also, in any lawsuit against us, we may require you to join the responsible person as a
defendent.
You must submit to examinations under oath as often as we may reasonably require.
These duties also apply to any other person making a claim under this policy.
7. LAWSUITS AGAINST US
You may not sue us unless there is full compliance with all of the terms of the policy.
liab
You may not sue us under the Automobile 'afteryactual t9 al oruntil
bythe
writtenamount
ag agreement legal
of y'ou,the
has
been finally determined either by judgment
Page 19 of 24
MPL 6010-000 Printed in U.S.A.0900
claimant and us. However, no one has the right to make us a party in a suit to determine legal
responsibility. Your bankruptcy or insolvency will not relieve us of any obligation under this policy.
You may not sue us under Physical Damage coverage until 30 days after proof of loss is filed and the
amount of loss is determined as provided in this policy.
These conditions also apply to any other person insured under this policy.
8. MEDICAL REPORTS; PROOF AND PAYMENT OF CLAIM
Any person making a claim as a result of bodily injury, which may result in payment from Personal
Injury Protection coverage or Automobile Medical Expense coverage, must notify us in writing. This
notification should be sent to us as soon as reasonably possible after the person's first examination or
treatment resulting from the bodily injury. Another person may give us the required notice on behalf
of the person making a claim.
Any person making a claim must, as soon as possible:
a. give us details about the death, injury. treatment, and other information we need to determine the
amount payable. We have the right to make or obtain a review of medical expenses and services
to determine if they are reasonable and necessary for the bodily injury sustained. Forms for
providing this information may be provided by us.
b. consent to be examined by physicians chosen and paid by us when, and as often as, we
reasonably may require.
c. execute authorizations to permit us to obtain medical reports and records. if the person is dead or
unable to act, such authorizations must be executed by his or her legal representative.
d. submit to and provide all details concerning loss information through written or recorded
statements or examinations under oath as often as we reasonably may require.
Under Personal Injury Protection coverage and Automobile Medical Expense coverage, we may pay
the injured person or any person or organization rendering the services.Any such payment will reduce
the total amount we will pay for the injury. Any payment by us will not constitute admission of liability.
Under Personal Injury Protection coverage and Uninsured and Underinsured Motorists coverage, we
may pay any amount due to:
a. the injured person;
b. if the injured person is a minor, his parent or guardian;
c. if the person is deceased, the surviving spouse:
d, the person authorized by law to receive such payment; or
e. the person entitled by law to recover the damages,which the payment represents.
9_. OUR RECOVERY RIGHT
In the event of any payment under this policy, we are entitled to all of the rights of recovery of the
person to whom, or on whose behalf. payment was made.
Page 20 of 24
MPL 6010-000 Printed in U.S.A.0900 _
That person must:
a. hold in trust for us all rights of recovery.
b. sign and deliver to us any legal papers relating to the recovery.
c. help us exercise those rights and do nothing after loss to prejudice our rights.
In the event of recovery,we must be repaid for ail amounts paid out by us plus any related collection
expenses. We will enforce this provision only in the manner and to the extent permitted under all
applicable state laws.
10. POLICY CHANGES
a. This policy contains all
of the agreements
edorsemet issued band us. The terms of this policy may not
be changed or waived
b. We will automatically give you the benefits of any extension or broadening of coverage if a policy
change does not require additional premiums. The change will automatically apply to your policy
as of the date we implement the change in your state.
c. We may replace this policy to reflect
otiimplemges entedtroduced since it was with a general revision thatincludes both the
this section does not apply
broadening and restriction of coverage, whether that general revision is implemented through
introduction of;
i. a future edition of your policy; or
ii. an endorsement changing the policy.
However, any replacement policy wi11 not change the limits of coverage with respect to any
accident or loss which occurs before it was replaced.
11. ASSIGNMENT
is effective unless we consent in writing by means of
No change of interest in this policy
endorsement to this policy.
if you die, this policy will continue for:
a. the surviving spouse if a resident of the same household;
b. any legal representative to the extent he is acting within the scope of his duties as such; or
c. any person having proper temporary custody of the covered automobile.
12. TERMINATION
CANCELLATION
You may cancel this policy by telling us on what future date you wish to stop coverage.
We can cancel this policy by delivering to you or by mailing to you, at your last known address
shown on our records, notice stating when the cancellation will be effective. This notice will be
Page 21 of 24
MPL 6010-000 Printed in U.S.A.0900
mailed to you not less than the minimum statutory time permitted by state law, but:
1. not less than 10 days:
a. for non-payment of premium:or
b. if this policy has been in effect less than 60 days at the time notice of cancellation is mailed;
and
2. not less than 20 days prior to the effective date of cancellation for underwriting reasons if your
driver's license or the license of any other driver who either resides in the same household or
customarily operates the covered automobile has been suspended or revoked during the 12
month period preceding the effective date of cancellation.
NONRENEWAL
If we decide not to renew or continue your policy, we will mail notice to you at the last known
address shown on our records. Notice will be mailed at least 20 days before the end of the policy
period. We will have the right not to renew or continue at the expiration date shown in the
Declarations.
If we offer to renew or continue and you do not accept, this policy will automatically terminate at the
end of the current policy period. Failure to pay the required renewal or continuation premium when
due shall mean that you have not accepted our offer.
OTHER TERMINATION PROVISIONS
a. If you obtain other insurance on your covered automobile, any similar insurance provided by
this policy will terminate as to that automobile on the effective date of the other insurance.
b. If the law in effect in your state at the time this policy is issued, renewed or continued:
i, requires a longer notice period;
ii. requires a special form of or procedure for giving notice; or
iii. modifies any of the stated termination reasons;
we will comply with those requirements.
c. Proof of mailing of any notice shall be sufficient proof of notice.
d. If you cancel, premium may be computed on a short rate basis. if we cancel, premium shall be
computed on a pro-rata basis. Return premium shall be rounded to the nearest dollar. Any
refund may be returned either at the time cancellation is effected or as soon as possible after
cancellation becomes effective,but refund or offer of refund is not a condition of cancellation.
e. The effective date of cancellation or termination stated in the notice shall become the end of the
policy period.
_-13.—LOSS.PAYABLE.CLAUSE. — - -- - -— - --'
If a loss payee is shown in the Declarations, we may pay any comprehensive or collision loss to:
a. you and, if unpaid, the repairer:
MPL 6010-000 Printed in U.S.A.0900 Page 22 of 24
b. you and the loss payee, as its interest may appear, when we find it is not practical to repair the
covered automobile; or
c. the loss payee, as to its interest, if the covered automobile has been repossessed.
When we pay the loss payee for loss, we are entitled to the loss payee's right of recovery to the
extent of our payment. our right of recovery shall not impair the loss payee's right to recover the full
amount of its claim.
The coverage for the loss payee's interest will not be invalidated by any act or neglect of you or the
owner or person legally in possession of the vehicle except:
a. when you or the owner or person legally in possession of the covered automobile makes
fraudulent statement(s) or engages in fraudulent conduct in connection with any loss for which
coverage is sought.
b. when the vehicle is intentionally damaged,destroyed or concealed:
i. by or at the direction of,you or the owner or person legally in possession of the vehicle; or
ii. as a result of any other act which constitutes a breach of contract between you or the owner
and the loss payee.
c. if you do not have any insurable interest in the covered automobile.
The loss payee must file a claim in writing and comply with the conditions of the policy.
The loss payee's interest may be terminated as permitted by the terms and conditions of the policy
and the date of termination of the loss payee's interest will be at least 10 days after the date we mail
the termination notice.
IN WITNESS WHEREOF, we have caused this policy to be signed by its President and its Secretary at
Warwick. Rhode Island. In the event that the President or Secretary who signed this contract cease to be
our officers either before or after the contract is issued,the contract may be issued with the same effect
as if they were still our officers.
President
Secretary
MPL 6010-000 Printed in U.S.A.0900 Page 23 of 24
INDEX OF POLICY PROVISIONS
Additional Benefits We Will Provide 3 General Policy Conditions 18
Additional Costs We Will Pay is
Additional Definitions For This Coverage 2.6,9,13 If An Accident Or Loss Occurs 19
Actual Cash Value 13
Collision 13 Lawsuits Against Us 19
Covered Automobile 2,6,9,13 Loss Payable Clause 22
Deductible 13 Limit Of Liability 5,8,12
Insured 2
Medical Expenses 6 Maximum Amout We Will Pay 17
Non-Owned Automobile 3,6,13 Medical Expense Review 9
Substitute Automobile 3,7,9,14 Medical Reports;Proof And Payment Of Claim 20
Uninsured Motor Vehicle 9
Underinsured Motor Vehicle 10 No Benefit To Bailee 17
Automobile Liability Coverage 2 Nonrenewal 22
Assignment 21
Other Automobile Insurance Wth Us 19
Cancellation 21 Other insurance 6,8,12,17
Clothes And Luggage 15 Other Termination Provisions 22
Collision Coverage 14 Our Recovery Right 20
Comprehensive Coverage 14 Out Of State Insurance 5
Conformity With Financial Responsibility Laws 5
Coverage Provided 3.7,14 Payment Of Loss 18
Premium Changes 18
Deductible 13.14 Policy Changes 21
Disablement 14
Reductions 5,12
Exclusions Right To Appraisal 17
Liability 4
Medical Expense 7 Salvage Charges 15
Uninsured And Underinsured Motorists 11 Settlement 12
Physical Damage 15 Substitute Transportation Coverage 15
Substitute Transportation is
Fraud and Misrepresentation 19
Termination 21
General Definitions 1 Territory And Policy Period 18
Automobile 1 Towing And Labor Coverage 14
Bodily Injury 1
Loss 1 Uninsured Motorists Coverage 10
Motor Vehicle 1 Underinsured Motorists Coverage 11
Occupying,Occupied 1
Property Damage 1 Your Duties In The Event Of A Loss 17
Relative 1 Your Duty To Cooperate 19
Trailer 1
We,Us,Our,Company 2
You,Your 2
MPL 6010-000 Printed in U.S.A.0900 Page 24 of 24
ENDORSEMENT PA400B
PENNSYLVANIA
UNINSURED AND UNDERINSURED MOTORISTS
COVERAGE
UNINSURED AND UNDERINSURED MOTORISTS is deleted and replaced by:
UNINSURED AND UNDERINSURED MOTORISTS
ADDITIONAL DEFINITIONS FOR THESE COVERAGES
The following definitions apply to these coverages only:
"COVERED AUTOMOBILE"means:
1. an automobile described in the Declarations to which the Automobile Liability coverage of this policy
applies and for which a specific premium is charged.
2, an automobile newly acquired by you,if.
a. it replaces a vehicle described In the Declarations;or
b. it is an additional automobile,but only if:
i. we insure all other automobiles owned by you on the date of acquisition;
Ii. you notify us within 30 days of acquisition of your election to make this and no other policy
issued by us applicable to the automobile;and
iii. you pay any additional premium required by us.
3, a substitute automobile.
4, a motor vehicle,while being operated by you or a relative with the owner's permission,which is not
owned by,furnished to,or made available for the regular use of you or any relative.
"NON-ECONOMIC DAMAGES"means pain and suffering and other non-monetary loss.
"SUBSTITUTE AUTOMOBILE means a motor vehicle not owned by you or any resident of your
household and which is used with the owner's permission to replace for a short time a covered
automobile. The covered automobile must be out of use for servicing or repair or because of
breakdown,loss or destruction.
"UNINSURED MOTOR VEHICLE"means:
1. a motor vehicle for which,at the time of the accident,there is no insurance policy or other financial
security applicable to the owner,or operator, or any other liable person or organization.
2. a motor vehicle which has a bodily injury liability bond or insurance policy in effect at the time of the
accident, but the amount of bodily injury coverage under such bond or Insurance policy is less than
the minimum financial security requirements of the state in which the covered automobile is
principally garaged.
3. a motor vehicle which has a bodily injury liability bond or insurance policy in effect at the time of the
accident,but the company writing such bond or policy denies coverage,or is or becomes insolvent.
MPL 6040-037 Printed in U.S.A.1110 Page t of 7
ENDORSEMENT PA400B
4, a hit and run motor vehicle which causes bodily Injury to a person covered under this section as
the result of striking that person or a motor vehicle which that person is occupying at the time of the
accident,If:
a. the identity of the driver and the owner of the hit and run vehicle Is unknown;
b. the accident is reported to a state or local police officer;
c. the injured person or someone on their behalf flies with us within 30 days of the accident a
statement under oath that the injured person or their legal representative has a cause,or causes,
of action due to the accident for damages against someone whose identity is unknown;and
d. the injured person or their legal representative makes available for inspection by us, when
requested,the motor vehicle occupied by that person at the time of the accident.
The term uninsured motor vehicle does not include:
1. a covered automobile;or
2. an automobile owned and operated by a self-insurer as defined in the applicable motor vehicle
financial responsibility law, compulsory insurance law, motor carrier law, or any other similar
applicable law except a self-insurer which is or becomes Insolvent.
"UNDERINSURED MOTOR VEHICLE"means a motor vehicle which has a bodily injury liability bond or
insurance policies in effect at the time of the accident, in at least the minimum amount required by the
state in which the covered automobile is principally garaged,but its limits for bodily Injury liability is less
than the amount the injured person is legally entitled to recover as damages.
The term underinsured motor vehicle does not include a covered automobile.
UNINSURED MOTORISTS COVERAGE
This coverage is provided only if a premium for Uninsured Motorists coverage is shown in the
Declarations.
We will pay damages for bodily Injury sustained by:
1. you or a relative, caused by an accident arising out of the ownership, maintenance, or use of an
uninsured motor vehicle, which you or a relative are legally entitled to collect from the owner or
driver of an uninsured motor vehicle;
2. any other person, caused by an accident while occupying a covered automobile, who is legally
entitled to collect from the owner or driver of an uninsured motor vehicle;or
3. any person for damages that person is entitled to recover because of bodily Injury, to which this
coverage applies,sustained by anyone described in 1.or 2.above.
UNDERINSURED MOTORISTS COVERAGE
This coverage is provided only if a premium for Underinsured Motorists coverage is shown in the
Declarations.
We will pay damages for bodily injury sustained by:
MPL 6040-037 Printed in U.S.A.1110 Page 2 of 7
ENDORSEMENT PA400B
hip, m
1. you ora ►redtntenance, or use of an
lmotor vehice, caused le,which you o a relative are legally ey an accident arising.out of the ntitled o collect from the owner or
underinsured
driver of an underinsured motor vehicle;
2. any other person, caused'by an accident while occupying a covered automobile, who is legally
entitled to collect from the owner or driver of an underinsured motor vehicle;or
3. any person for damages that person is entitled to recover because of bodily Injury, to which this
coverage applies,sustained by anyone described in 1.or 2.above.
COVERAGE EXCLUSIONS
We do not cover:
A. any person occupying or struck by a motor vehicle owned by you or a relative, other than a
covered automobile.
B. any person who settles a bodily injury claim without our written consent.
C. any claim which would benefit any insurer or self-insurer under any workers'compensation,disability
benefits,or similar law.
D. any person,other than you or a relative,while occupying:
1, a covered automobile while hired or rented to others for a charge,or any automobile which
you are driving while available for hire by the public.
EXCEPTION: This exclusion does not apply to shared expense car pools.
2, a vehicle while being used without the permission of the owner.
E. any non-economic damages for any person who is subject to the limited tort option of the policy.
F. any judgments or awards designated as punitive,exemplary,or statutory multiple damages.
G. a relative who owns, leases or has available for their regular use,a motor vehicle not described in
the Declarations.
SETTLEMENT
Whether any person is legally entitled to collect damages under this section, and the amount to which
such person is entitled,will be determined by agreement between that person and us.
If a person seeking coverage files a suit against the owner or driver of the uninsured or underinsured
motor vehicle, copies of suit papers must be forwarded to us and we have the right to intervene and
defend on the issues of the legal liability of,and the damages owed by,such owner or driver. However,
we are not bound by any judgment against any person or organization obtained without our written
consent.
We will not pay any judgments or awards which exceed the limits of liability shown in the Declarations for
Uninsured Motorists or Underinsured Motorists coverage.
Page 3 of 7
MPL 6040-037 Printed in U.S.A.1110
ENDORSEMENT PA400B
LIMIT OF LIABILITY
UNINSURED MOTORISTS COVERAGE
i. If bodily Injury is sustained by you or any relative:
The maximum amount we will pay to all persons for all damages,including damages for care,loss of
consortium, emotional distress, loss of services or death, arising out of bodily injury sustained by
any one person as the result of any one accident is the limit of liability shown in the Declarations for
"each person" for Uninsured Motorists coverage multiplied by the number of covered automobiles
shown in the Declarations. Subject to this limit for"each person", the maximum amount we will pay
to all persons for all damages, including damages for care, loss of consortium, emotional distress;
loss of services or death, arising out of bodily Injury sustained by two or more persons resulting
from any one accident is the limit of liability shown in the Declarations for "each accident" for
Uninsured Motorists coverage multiplied by the number of covered automobiles shown in the
Declarations. 1^
However, if the Declarations indicates that stacked Uninsured Motorists coverage limits have been
rejected by you,then.the limit of liability shown in the Declarations for"each person"is the most we
will pay to all persons for all damages, including damages for care, loss of consortium, emotional
distress, loss of services or death,arising out of bodily Injury sustained by any one person as the
result of any one accident. Subject to this limit for"each person",the limit shown in the Declarations
for "each accident" is the most we will pay for all damages, including damages for care, loss of
consortium, emotional distress, loss of services or death, arising out of bodily injury sustained by
two or more persons resulting from any one accident.
This is the most we will pay regardless of the number of:
a. covered persons;
b. claims made;
c. vehicles or premium shown in the Declarations;or
d. vehicles involved in the accident.
2. If bodily Injury is sustained by any person other than you or any relative:
The limit of liability shown in the Declarations for"each person"is the most we will pay to all persons
for all damages,including damages for care, loss of consortium, emotional distress, loss of services
or death,arising out of bodily injury sustained by any one person as the result of any one accident.
Subject to this limit for"each person", the limit shown in the Declarations for "each accident" is the
most we will pay for all damages,including damages for care,loss of consortium, emotional distress,
loss of services or death, arising out of bodily injury sustained by two or more persons resulting
from any one accident.
This is the most we will pay regardless of the number of:
a. covered persons;
b. claims made;
c. vehicles or premium shown in the Declarations;or
d. vehicles involved in the accident.
MPL 6040-037 Printed in U.S.A.1110 Page 4 of 7
ENDORSEMENT PA400B
3. No person including you or any relative:
a. will be entitled to receive duplicate payments for the same elements of loss;and
b, will recover damages under Uninsured Motorists Coverage and Underinsured Motorists Coverage
for the same accident.
UNDERINSURED MOTORISTS COVERAGE
1. If bodily Injury is sustained by you or any relative:
The maximum amount we will pay to all persons for all damages,including damages for care,loss of
consortium, emotional distress, loss of services or death, arising out of bodily injury sustained by
any one person as the result of any one accident is the limit of liability shownin the De larations covered
for
"each person" for Underinsured Motorists coverage multiplied by the
automobiles shown in the Declarations. Subject to this limit for "each person", the maximum
amount we will pay to all persons for all damages, including damages for care, loss of consortium,
emotional distress, loss of services or death,arising out of bodily Injury sustained by two or more
persons resulting from any one accident is the limit of liability shown in the Declarations for "each
accident"for Underinsured Motorists coverage multiplied by the number of covered automobiles
shown in the Declarations.
However,if the Declarations indicates that stacked Underinsured Motorists coverage limits have been
rejected by you, then the limit of liability shown in the Declarations for"each person" is the most we
will pay to all persons for all damages, including damages for care, loss of consortium, emotional
distress, loss of services or death,arising out of bodily injury sustained by any one person as the
result of any one accident. Subject to this limit for"each person",the limit shown in the Declarations
for "each accident" is the most we will pay for all damages, including damages for care, loss of
consortium, emotional distress, loss of services or death, arising out of bodily injury sustained by
two or more persons resulting from any one accident.
This is the most we will pay regardless of the number of:
a. covered persons;
b. claims made;
c. vehicles or premium shown in the Declarations;or
d. vehicles involved in the accident.
2. If bodily injury is sustained by any person other than you or any relative:
The limit of liability shown in the Declarations for"each person" is the most we will pay to all persons
for all damages, including damages for care, loss of consortium, emotional distress, loss of services
or death,arising out of bodily Injury sustained by any one person as the result of any one accident.
Subject to this limit for"each person", the limit shown in the Declarations for"each accident" is the
most we will pay for all damages,including damages for care,loss of consortium, emotional distress,
loss of services or death, arising out of bodily injury sustained by two or more persons resulting
from any one accident.
This is the most we will pay regardless of the number of:
a. covered persons;
page 5 of 7
MPL 6040-037 Printed in U.S.A.1110
ENDORSEMENT PA400B
b. claims made;
c. vehicles or premium shown in the Declarations;or
d. vehicles.involved in the accident.
3. No person including you or any relative:
a. will be entitled to receive duplicate payments for the same elements of loss;and
b. will recover damages under Uninsured Motorists coverage and Underinsured Motorists coverage
for the same accident.
REDUCTIONS
Any amounts otherwise payable for damages which a person occupying a covered automobile,
including you or any relative, is legally entitled to recover from the owner or operator of an uninsured
motor vehicle or underinsured motor vehicle because of bodily injury caused by an accidant,shall be
reduced by all sums paid because of the bodily injury by or on behalf of persons or organizations who
may be legally responsible. This includes all sums paid under the AUTOMOBILE LIABILITY section of
this policy.
Any payment under this coverage will reduce any amount that person is entitled to recover for the same
damages under the AUTOMOBILE LIABILITY section of this policy.
OTHER UNINSURED AND UNDERINSURED MOTORISTS INSURANCE
If there is other similar insurance available under more than one policy or provision of coverage,payment
shall be made in the following order of priority:
First- The policy for a covered automobile occupied by you, any relative or any other person at
the time of the accident.
Second-A policy affording Uninsured and Underinsured Motorists coverage on an automobile not
involved in the accident with respect to which you or any relative is an insured.
Additionally, if the Declarations indicates that stacked Uninsured Motorists or Underinsured Motorists
coverage limits have been rejected by you,then provisions 1.and 2,below apply to the coverages where
stacking has been rejected:
1. When there is Uninsured or Underinsured Motorists coverage available under the First priority shown
above:
a. the limit of liability applicable to the automobile occupied by you, any relative or any other
person at the time of the accident,shall first be exhausted;and
b. the maximum amount recoverable under all policies in the Second priority above shall not exceed
the amount by which the highest limit for any one automobile under any one policy providing
coverage to you or any relative; and
2. When there is no applicable insurance available under the First priority above,the maximum amount
recoverable under all policies in the Second priority shall not exceed the highest applicable limit for
any one automobile under any.one.policy.
MPL 6040-037 Printed in U.S.A.1110 Page 6 of 7
ENDORSEMENT PA400B
We will pay only our fair share of the foss. Our share is the proportion that our limit of liability bears to
the total of all limits applicable on the same level of priority. If two or more policies have equal priority,
the insurer against whom the claim is made shall process and pay the claim as if wholly responsible for
all insurers equal priority. 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,
All other provisions of the policy apply except as modified by this endorsement.
MPL 6040-037 Printed in U.S.A.1110 Page 7 of 7
ENDORSEMENT PA600
PENNSYLVANIA
FIRST PARTY BENEFITS COVERAGE
ENDORSEMENT
PERSONAL INJURY PROTECTION is deleted and replaced by:
FIRST PARTY BENEFITS COVERAGE
In accordance with the Pennsylvania Motor Vehicle Financial Responsibility Law, we will pay first party
benefits for:
A. medical expenses, income loss, and funeral expenses arising from bodily injury to an eligible
person resulting from the maintenance or use of a motor vehicle as a vehicle;and
B. accidental death arising from bodily Injury to you or a relative resulting from the maintenance or
use of a motor vehicle as a vehicle.
Only the First Party Benefits shown as applicable in the Declarations will apply.
ADDITIONAL DEFINITIONS FOR THIS COVERAGE
The following definitions apply to this coverage only:
"ACCIDENTAL DEATH"means your death or the death of a relative if death occurs within 24 months
from the date of the accident. The death benefit shall be paid to the executor or administrator of your
estate or the estate of a relative.
"BODILY INJURY"means accidental bodily harm to a person and that person's resulting illness,disease
or death.
"ELIGIBLE PERSON"means:
1. you or any relative.
2. any other person who sustains bodily Injury:
a. while occupying the insured motor vehicle;or
b. while a non-occupant of a motor vehicle if injured as a result of an accident in Pennsylvania
involving the insured motor vehicle. An unoccupied parked insured motor vehicle is not a
motor vehicle involved in an accident unless it was parked in a manner as to create an
unreasonable risk of injury.
"FUNERAL EXPENSE" means reasonable expenses directly related to the funeral,burial,cremation or
other form of disposition of the remains of the deceased eligible person. The expenses must be
incurred as a result of the death of the eligible person and within 24 months from the date of the
accident.
"INCOME LOSS" means eighty (80%) percent of gross income actually lost by an eligible person.
Income loss includes reasonable expenses actually incurred for hiring:
1. a substitute to perform the work a self-employed eligible person would have performed except for
bodily injury;or
MPL 6044.037 Printed in U.S.A.1100 Page 1 of 6
2. special help,thereby enabling a person to work,thereby reducing loss of gross income.
Income loss does not include:
1, loss of expected income for any period following the death of an eligible person;
2. expenses incurred for services performed following the death of an eligible person;or
3. any loss of income during the first 5 working days the eligible person did not work after the accident
because of the bodily injury.
"INSURED MOTOR VEHICLE"means a motor vehicle:
1. to which the bodily Injury liability insurance of the policy applies and for which a specific premium is
charged;and
2, for which you maintain First Party Benefits as required under the Pennsylvania Motor Vehicle
Financial Responsibility Law.
"LIMITED TORT OPTION"means a form of Insurance that limits your right and the right of members of
your household to seek financial compensation for injuries caused by other drivers.
"MEDICAL EXPENSES"means reasonable and necessary charges for:
1. medical treatment,including but not limited to:
a. medical,hospital,surgical,nursing and dental services;
b. medications,medical supplies and prosthetic devices;and
c. ambulance.
2. medical and rehabilitative services, including but not limited to:
a. medical care;
b. licensed physical therapy,vocational rehabilitation and occupational therapy;
c. osteopathic,chiropractic,psychiatric and psychological services;and
d. optometric services,speech pathology and audiology.
3. nonmedical remedial care and treatment rendered in accordance with a recognized religious method
of healing.
All medical treatment and medial and rehabilitative services must be provided by or prescribed by a
person or facility approved by the Department of Health,the equivalent governmental agency responsible
for health programs or the accrediting designee of a department of agency of the state in which those
services are provided. Payment of medical expenses incurred after 18 months from the date of the
accident causing bodily injury shall be made only if within 18 months from the date of the accident it is
ascertainable with reasonable medical probability that further expenses may be incurred as a result of the
_
injury..
"MOTOR VEHICLE"means any vehicle which is self-propelled except one which is propelled:
MPL 6044037 Printed in U.S.A.1100 Page 2 of 6
I. solely by human power;or
2, upon rails.
"OCCUPYING"means In or upon,entering into or alighting from.
"RELATIVE"means, If resident in the same household as you:
1. your spouse;or
2. any person related to you by blood, marriage or;adoption, including a minor in the custody of you,
your spouse or such related person,
whether or not temporarily residing elsewhere.
"SERIOUS INJURY"means a personal injury resulting in death,serious impairment of bodily function or
permanent serious disfigurement.
"WE","US"and"OUR"mean the company providing this insurance.
"YOU"and"YOUR"mean the person or organization named in the Declarations Including the spouse if a
resident of the same household.
COVERAGE EXCLUSIONS
This coverage does not apply to bodily injury to any person:
A. while occupying or struck by an owned motor vehicle which is currently registered for which
financial responsibility Is not provided.
B. while occupying a motorcycle,motor-driven cycle, motorized pedalcycle or like type vehicle required
to be registered under Title 75 or a recreational vehicle not intended for highway use.
C. other than you or any relative,who knowingly converts a motor vehicle if the bodily injury arises
out of the maintenance or use of the converted vehicle,
D. when the conduct of that person contributed to the bodily injury sustained by that person,while:
1. intentionally Injuring or attempting to intentionally Injure himself or another;
2. committing a felony;or
3. seeking to elude lawful apprehension or arrest by a law enforcement official.
E. engaged in the business of repairing, servicing, or otherwise maintaining motor vehicles if the
bodily injury arises out of that business unless the conduct occurs off the business premises.
F. not occupying a motor vehicle other than you or any relative, if the accident occurs outside the
Commonwealth of Pennsylvania.
G. sustaining bodily Injury as a direct result of loading or unloading any motor vehicle.
H. while maintaining or using a motor vehicle while located for use as a residence or premises.
MPL 6044-037 Printed in U.&A.1100 Page 3 of 6
1. due to war, whether or not declared, civil war, Insurrection, revolution or rebellion or any
accompanying acts or conditions.
J. caused by nuclear radioactivity or explosion.
POLICY PERIOD AND TERRITORY
This coverage applies only to accidents which occur on or after October 1, 1984 during the policy period
and within the United States of America,its territories and possessions or Canada.
LIMITS OF LIABILITY
A. Our liability for benefits with respect to bodily injury to any one eligible person in any one motor
vehicle accident is limited to the amount shown in the Declarations;or
B. If the Declarations show that Combination Benefits apply,we will pay:
BENEFIT LIMIT
1. Medical Expenses Subject to Aggregate Limit
2. Income Loss Subject to Aggregate Limit
3. Funeral Expenses Subject to amount shown in the Declarations
4. Accidental Death Subject to amount shown in the Declarations
The Aggregate Limit is shown In the Declarations, The Aggregate Limit Is the total amount payable
for all benefits(as defined and limited in this endorsement)with respect to bodily Injury to any one
eligible person in any one motor vehicle accident for expenses and loss Incurredwithin three years
from the date of the accident.
Benefits shall not be Increased for any eligible person by adding together the limits of liability:
a. under this policy because there are multiple motor vehicles covered under this policy;or
b. under multiple motor vehicle policies covering an eligible personfor the same loss.
Any amount payable by us under the terms of this coverage for First Party Benefits shall be excess over
all benefits that an eligible person receives or is entitled to receive under any workers'compensation law
or similar law.
PRIORITIES OF POLICIES
We will pay First Party Benefits in accordance with the following order of priority. We will not pay if there
is another insurer at a higher level of priority. The priority order is:
First-The insurer providing benefits to the eligible person as a named insured.
Second-The insurer providing benefits to the eligible person as a relative who is not a named insured
under another policy providing coverage under the Pennsylvania Motor Vehicle Financial Responsibility
Law.
Third-The insurer of the motor vehicle which the eligible person is occupying at the time of the
MPL 6044.037 Printed In U.S.A.1100
Page 4 of a
accident. '
Fourth - The insurer providing benefits on any motor vehicle involved in the accident if the eligible
person is not:
a. occupying a motor vehicle;and
b. provided coverage under any other policy.
The"First"category listed above is the highest level of priority,and the"Fourth"category listed above is
the lowest level of priority.
If two or more policies have equal priority:
a. the insurer against which the claim is first made shall process and pay the claim as if wholly
responsible,
b. the maximum recovery under all policies will not exceed the amount payable under the policy with the
highest dollar limits of benefits.
For the purposes of determining priorities, an unoccupied parked motor vehicle is not a motor vehicle
involved in an accident unless it was parked in a manner as to create an unreasonable risk of injury.
CONDITIONS
A. Action Against Us. No action shall lie against us on the part of any eligible person unless such
person has fully complied with all terms of this coverage.
B. Notice. If an accident occurs, written notice adequately identifying the eligible person and
reasonably accessible facts concerning the time, place and circumstances of the accident shall be
given as soon as practicable by or on behalf of each eligible person to us or any of our authorized
agents.
C. Medical Reports; Proof Of Claim. As soon as practicable the eligible person or someone on his
behalf, shall give us written proof of claim, under oath if required, fully describing the nature and
extent of bodily injury,treatment and rehabilitation received and contemplated and other information
to assist us in determining the amount due and payable.
Proof of claim shall be made upon forms furnished by us unless we fail to supply such forms within
15 days after receiving notice of claim.
The eligible person shall submit to mental and physical examinations by physicians selected by us
when and as often as we may reasonably require. We will pay the costs of such examinations.
The eligible person (or, in the event of such person's incapacity or death, his legal representative)
shall,if we request,sign papers to enable us to obtain medical reports and copies of records. A copy
of such medical report will be forwarded to such eligible person upon his written request.
If benefits for income loss are claimed, the eligible person presenting such claim shall authorize us
to obtain details of all earnings paid to him by an employer or earned by him since the time of the
Injury or during the year immediately preceding the date of the accident.
D. Customary Charges For Treatment. The amount we will pay to a person or institution providing
treatment, accommodations, products or services to an eligible person for an injury covered by
MP16044-037 Printed in U.S.A.1100 Page 5 01 6
medical expense benefits shall not exceed the amount the person or institution customarily charges
for like treatment,accommodations,products and�services in cases involving no insurance.
E. Non-Duplication Of Benefits. No eligible person shall recover duplicate benefits for the same
elements of loss under this or any other similar automobile insurance including self-insurance.
LIMITED TORT OPTION
Each person who.elects the limited tort option remains eligible to seek compensation for economic
damages 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 option shall be precluded for maintaining an action for any noneconomic
damages except that:
1. An individual otherwise.bound by the limited tort option 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 option whenever the person at fault:
a. is convicted, or accepts Accelerated Rehabilitative Disposition (ARD) for driving under the
influence of alcohol or a controlled substance in that accident;
b. is operating a motor vehicle registered in another state;
c. 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 or the act or omission causing the
injury is for the purpose of averting bodily harm to himself or another person;or
d. has not maintained financial responsibility as required by Act 6, 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 option 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 option shall retain full tort rights if injured while an
occupant of a motor vehicle other than a private passenger motor vehicle.
All other provisions of the policy apply except as modified by this endorsement.
MPL 6044-037 Printed in U.S.A.1100 Page 6 of 8
ENDORSEMENT PA700A
PENNSYLVANIA
STATE PROVISIONS ENDORSEMENT
1. Under AUTOMOBILE LIABILITY,COVERAGE EXCLUSIONS,We do not cover:, item I. is deleted.
2. AUTOMOBILE MEDICAL EXPENSE is deleted.
3. Under GENERAL POLICY CONDITIONS:
A. item 3.FRAUD AND MISREPRESENTATION is deleted and replaced by:
3. FRAUD
1. We may void or rescind this policy within the first 60 days of the inception of this policy if
you or any Insured has:
a, concealed or misrepresented any material fact;
b. made any fraudulent statements;or
c. engaged in fraudulent conduct.
2. in addition,we do not provide coverage if you or any insured has:
a. concealed or misrepresented any material fact;
b. made any fraudulent statements; or
C. engaged in fraudulent conduct, in connection with any accident or toss for which
coverage is sought under this policy.
B. item 12.TERMINATION is deleted and replaced by:
12. CANCELLATION
You may cancel this policy telling us on what future date you wish to stop coverage. We can
cancel this policy by delivering to you or by mailing to you, at your last known address
shown on our records, notice stating when the cancellation will be effective. This notice will
be mailed to you:
1. not less than 15 days prior to the effective date of cancellation:
a. for non-payment of premium;
b. if this policy has been in effect less than 60 days at the time notice of cancellation is
made;or
c. if your driver's license has been suspended or revoked during the 12 month period
preceding the effective date of cancellation.
2. not less than 60 days prior to the effective date of cancellation in all other cases.
We will have the right to non-renew your policy by providing you with written notice not less
MPL 6045-037 Printed in U.S.A.1110 Page 1 of 2
ENDORSEMENT PA700A
than 60 days prior to the expiration date shown in the Declarations,for any reason permitted
under Pennsylvania law. We will mail notice to you at the last known address shown in our
records.
If we offer to renew and you do not accept, this policy will automatically terminate at the end
of the current policy period. Failure to pay the required renewal premium when due shall
mean that you have not accepted our offer.
If you obtain Insurance on your covered automobile,any similar insurance provided by this
policy will terminate as-to that automobile on the effective date of the other insurance.
OTHER TERMINATION PROVISIONS
a. If the law in effect in Pennsylvania at the time this policy is issued or renewed:
1. requires a longer notice period;
2. requires a special form of or procedure for giving notice;or
3. modifies any of the stated termination reasons;
we will comply with those requirements.
b. Proof of mailing of any notice shall be sufficient proof of notice.
c. If you cancel,premium may be computed on a short rate basis. If we cancel, premium
shall be computed on a pro rata basis. Return premium shall be rounded to the nearest
dollar. Any refund may be returned either at the time cancellation is effected or as soon
as possible after cancellation becomes effective, but refund or offer of refund Is not a
condition of cancellation.
d. The effective date of cancellation or termination stated in the notice shall become the end
of the policy period.
C. item 13.LOSS PAYABLE CLAUSE,the following Is added:
However, this exclusion does not apply to an insured for losses arising out of abuse to that
insured to the extent of the insured's legal interest in the covered property if the loss is caused by
intentional acts of another insured.
All other provisions of the policy apply except as modified by this endorsement.
MPL 6045.037 Printed in U.S.A.1110 Page 2 of 2
ENDORSEMENT V550
PHYSICAL DAMAGE
SPECIAL LOSS SETTLEMENT
Under the PHYSICAL DAMAGE section:
1. the following is provided for vehicles covered under Comprehensive or Collision:
RENTAL CAR-Additional Costs We Will Pay:
We will pay expenses for loss of use,diminished value and reasonable fees and charges which you
become legally obligated to pay as a result of direct and accidental damage to a commercially rented
automobile rented by you or a relative on a temporary basis.
2. the following are added to MAXIMUM AMOUNT WE WILL PAY:
REPLACEMENT COST FOR SPECIAL PARTS
We will not take a deduction for depreciation for loss to,steering and suspension components, brake
parts,electrical wiring and components,batteries,and tires If repair or replacement results in a better
part than was damaged. This does not apply to theft of tires or batteries, unless the entire vehicle
was stolen.
If the loss is only to a part of the property,our responsibility extends to that part only.
REPLACEMENT COST FOR TOTAL LOSS
If the covered automobile is owned by you and sustains a total loss within:
a. one year after purchase;or
b. the vehicle's first 15,000 miles,
whichever occurs first, we will pay, at our option, the full cost of repair or replacement, less the
applicable deductible.
This coverage applies only to a covered automobile that has not been previously titled and is not
more than one model year old when purchased by you.
This does not apply to a substitute automobile,a non-owned automobile or a vehicle leased under
a long-term contract of 6 months or more.
The following conditions apply:
1. Our liability for any loss will not be more than the cost to replace the damaged property with:
a. a previously untitled vehicle of the year, make, model and equipment of the damaged
automobile or,if unavailable,
b. a vehicle that Is most similar in class and body type to the year,make, model and equipment
of the damaged automobile.
2. We will not pay for any loss before the actual repair or replacement is completed.
3. We have the right to pay the loss in money or to repair or replace the damaged automobile.
MPL 6027-000 Panted in U,SA 1299 Page 1 of 2
"TOTAL LOSS" means a loss In which the cost to replace or repair the vehicle to its pre-loss
condition plus the salvage value,equals or exceeds the actual cash value.
All other provisions of the policy apply except as modified by this endorsement.
MPL 6027-M Printed in U,S.A.1299 Page 2 of 2
ENDORSEMENT V702
SPECIAL PROVISIONS
ENDORSEMENT
I. Under AUTOMOBILE LIABILITY:
A. ADDITIONAL DEFINITIONS FOR THIS COVERAGE:
1. "COVERED AUTOMOBILE",item 1.is deleted and replaced by:
1, any motor vehicle described in the Declarations.
2. 'INSURED",item 3. is deleted and replaced by:
3, any other person or organization if liable due to the acts or omissions of any person
described in 1,or 2.above. This provision does not apply:
a. if the vehicle is a non-owned automobile owned or hired by the person or
organization.
b. to the United States of America or any of its agencies.
3. "NON-OWNED AUTOMOBILE",item 2,is deleted and replaced by:
2. a commercially rented automobile,or truck which has a Gross Vehicle Weight Rating of
under 26,000 lbs., used by you or a relative on a temporary basis.
B. COVERAGE EXCLUSIONS,We do not cover:
1. item K.is deleted and replaced by:
K. any motor vehicle while competing in, practicing for, or preparing for, any prearranged
or organized racing, speed contest, hili climbing exhibition or other contest or
demonstration.
2, the following items are added:
a, bodily injury or property damage due to a nuclear reaction,nuclear discharge.radiation
or radioactive contamination including any cleanup, decontamination or containment
activities.
b. bodily injury or property damage directly or indirectly caused by or resulting from
Inhalation,ingestion,existence or exposure to fungi,mold,mushrooms, bacteria, mildew
and any mycotoxins,spores,scents or by-products produced by any of these.
c. bodily injury or property damage arising out of the use of a motor vehicle by an
employee of the United States Government. This applies only if the provisions of Section
2679 of Title 28, United States Code as amended,require the Attorney General of the
United States to defend the employee in any civil action.
C. LIMIT OF LIABILITY,the first paragraph is deleted and replaced by:
The limit of liability shown In the Declarations for "each person" for Bodily Injury Liability is the
most we will pay to all persons for all damages, including damages for care, loss of consortium,
emotional distress, loss of services or death,arising out of bodily injury sustained by any one
MPL 6083-000 Printed in U.S.A.0505 Page t of 3
person as the result of any one accident. Subject to this limit for"each person",the limit shown
in the Declarations for "each accident" for Bodily Injury Liability is the most we will pay to all
persons for all damages,including damages for care, loss of consortium,emotional distress, loss
of services or death, arising out of bodily injury sustained by two or more persons resulting
from any one accident.
Ii. Under AUTOMOBILE MEDICAL EXPENSE:
A. ADDITIONAL DEFINITIONS FOR THIS COVERAGE:
1. "COVERED AUTOMOBILE",Item 1.is deleted and replaced by:
1. any motor vehicle described in the Declarations.
2. "NON-OWNED AUTOMOBILE",item 2.is deleted and replaced by:
2. a commercially rented automobile,or truck which has a Gross Vehicle Weight Rating o1
under 26,000 lbs.,used by you or a relative on a temporary basis.
B. COVERAGE EXCLUSIONS,We do not cover:
1. item 1.is deleted and replaced by:
I. a non-owned automobile while used by a relative who owns,leases or has available for
their regular use, a motor vehicle not described in the Declarations.
2, the following items are added:
a, bodily injury due to a nuclear reaction, nuclear discharge, radiation or radioactive
contamination Including any cleanup,decontamination or containment activities.
b. bodily injury directly or indirectly caused by or resulting from Inhalation, ingestion,
existence or exposure to fungi,mold,mushrooms, bacteria, mildew and any mycotoxins,
spores,scents or by-products produced by any of these,
c. bodily injury arising out of the use of a motor vehicle by an employee of the United
States Government. This applies only if the provisions of Section 2679 of Title 28,United
States Code as amended, require the Attorney General of the United States to defend
the employee in any civil action.
III. Under UNINSURED AND UNDERINSURED MOTORISTS:
A. UNINSURED MOTORISTS COVERAGE,the last paragraph is deleted and replaced by:
3. any person for damages that person is entitled to recover because of bodily injury sustained
by anyone described in 1.or 2.above.
B. UNDERINSURED MOTORISTS COVERAGE,the last paragraph is deleted and replaced by:
3. any person for damages that person is entitled to recover because of bodily injury
sustained by anyone described in 1.or 2.above.
-C.- LIMIT OF LIABILITY,the first paragraph is deleted and replaced by:
MPL 13093.000 Printed in U.S.A.0505 Page 2 of 3
The limit of liability shown in the Declarations for "each person" is the most we will pay to all
persons for all damages,including damages for care, loss of consortium,emotional distress, loss
of services or death,arising out of bodily injury sustained by any one person as the result of any
one accident. Subject to this limit for"each person",the limit shown in the Declarations for"each
accident" for bodily injury liability, is the most we will pay to all persons for all damages,
including damages for care, loss of consortium, emotional distress, loss of services or death,
arising out of bodily Injury sustained by two or more persons resulting from any one accident.
This is the most we will pay regardless of the number of:
IV. Under AUTOMOBILE PHYSICAL DAMAGE:
A. ADDITIONAL DEFINITIONS FOR THIS COVERAGE:
1. "COVERED AUTOMOBILE",item 1.is deleted and replaced by:
1. any motor vehicle or trailer described in the Declarations.
2. "NON-OWNED AUTOMOBILE",item 2.is deleted and replaced by:
2. a commercially rented automobile, trailer, or truck which has a Gross Vehicle Weight
Rating of under 26,000 lbs.,used by you or a relative on a temporary basis.
B. ADDITIONAL COSTS WE WILL PAY,item 1.Is deleted and replaced by:
1. If a disablement occurs as a result of loss to the covered automobile,we will pay up to$50
for transportation to reach the intended destination.
C. COVERAGE EXCLUSIONS,We do not cover:
1. item J. is deleted and replaced by:
J. loss due to a nuclear reaction,nuclear discharge, radiation or radioactive contamination
Including any cleanup,decontamination or containment activities.
2. item L.Is deleted and replaced by:
L. loss to a covered automobile while competing in, practicing for, or preparing for, any
prearranged or organized racing, speed contest, hill climbing exhibition or other contest
or demonstration.
3. item M.is deleted and replaced by:
M. a non-owned automobile while used by a relative who owns,leases or has available for
their regular use,a motor vehicle not described in the Declarations.
A. the following item is added:
a. loss due to or resulting from fungi, mold, mushrooms, bacteria, mildew and any
mycotoxins,spores,scents or by-products produced by any of these.
D. MAXIMUM AMOUNT WE WILL PAY,the last paragraph is deleted and replaced by:
The most we will pay for loss to a trailer you do not own is$1500.
All other provisions of the policy apply except as modified by this endorsement.
MPL 6093-000 Printed in U.S.A,0505 Page 3 of 3
a
ENDORSEMENT V911
IDENTITY THEFT RESOLUTION
The following is added:
MISCELLANEOUS
IDENTITY THEFT RESOLUTION
a
7
We will provide, at our expense, a representative of our choice to assist you, and any relatives in
resolving issues of unauthorized use of personal identity or credit information. The unauthorized use
must be reported to us during the policy period. Our obligation under this provision is limited to paying
for the services of a representative of our choice. No other limit of liability or deductible applies.
Our obligation terminates when the policy terminates for any reason.
All other provisions of the policy apply.
MPL 6097.000 Printed In U.S.A.0306 Page 1 or 1
a
Y
ENDORSEMENT PA300
PENNSYLVANIA
EXTRAORDINARY MEDICAL BENEFITS COVERAGE
ENDORSEMENT
SPECIAL NOTICE:
ALTHOUGH YOU HAVE PURCHASED EXTRAORDINARY MEDICAL BENEFITS COVERAGE, THIS
ENDORSEMENT IS NOT APPLICABLE TO THE FIRST$100,000 OF MEDICAL EXPENSES PAID BY
OR FOR ANY INSURED. YOU CAN AVOID PAYING OUT OF POCKET MEDICAL EXPENSES BY
PURCHASING FIRST PARTY BENEFITS COVERAGE WITH A MEDICAL EXPENSE BENEFIT LIMIT
OF$100,000.
This endorsement is subject to all provisions of the policy except as follows:
INSURING AGREEMENT
We will pay medical expense benefits arising from bodily injury to an eligible person resulting from the
maintenance or use of a motor vehicle. This coverage applies only to medical expense benefits in
excess of$100,000.
ADDITIONAL DEFINITIONS FOR THIS COVERAGE
The following definitions apply to this coverage only:
"BODILY INJURY"means accidental bodily harm to a person and that person's resulting illness,disease
or death.
"ELIGIBLE PERSON"means:
1. you or any relative;
2. any other person who sustains bodily injury:
a. while occupying the insured motor vehicle;or
b. while a non-occupant of a motor vehicle if injured as a result of an accident in Pennsylvania
involving the insured motor vehicle. An unoccupied parked insured motor vehicle is not a
motor vehicle involved in an accident unless it was parked in a manner as to create an
unreasonable risk of injury.
"INSURED MOTOR VEHICLE"means a motor vehicle:
1. to which the bodily injury liability insurance of the policy applies and for which a specific premium is
charged: and
2. for which you maintain First Party Benefits as required under the Pennsylvania Motor Vehicle
Financial Responsibility Law.
"MEDICAL EXPENSES"means reasonable and necessary charges for:
1. medical treatment,including but not limited to:
a. medical,hospital,surgical,nursing and dental services:
MPL 6056-0$7 Printed in U.S.A.1100 Page 1 of 5
b, medications,medical supplies and prosthetic devices;and
c. ambulance.
2. medical and rehabilitative services, Including but not limited to:
a. medical care;
b. licensed physical therapy,vocational rehabilitation and occupational therapy;
c. osteopathic,chiropractic,psychiatric and psychological services;and
d. optometric services,speech pathology and audiology.
3. nonmedical remedial care and treatment rendered in accordance with a recognized religious method
of healing.
All medical treatment and medical and rehabilitative services must be provided by or prescribed by a
person or facility approved by the Department of Health,the equivalent governmental agency responsible
for health programs or the accrediting designee of a department or agency of the state in which those
services are provided. Payment of medical expenses incurred after 18 months from the date of the
accident causing bodily injury shall be made only if within 18 months from the date of the accident it is
ascertainable with reasonable medical probability that further expenses may be incurred as a result of the
injury.
"MOTOR VEHICLE"means any vehicle which is self-propelled except one which is propelled:
1. solely by human power;or
2. upon rails.
"OCCUPYING"means in or upon,entering into or alighting from.
"RELATIVE"means,if resident In the some household as you:
1. your spouse;or
2. any person related to you by blood, marriage or adoption, including a minor in the custody of you,
your spouse or such related person
whether or not temporarily residing elsewhere.
"WE", "US"and"OUR"mean the company providing this insurance.
"YOU"and"YOUR"mean the person or organization named in the Declarations including the spouse if a
resident of the same household.
COVERAGE EXCLUSIONS
This coverage does not apply to bodily injury to:
A. any person while occupying or struck by an owned motor vehicle which Is currently registered for
which financial responsibility is not provided.
MPL 6056.037 Printed in U.S.A.1100 Page 2 of 5
f
B. any person while occupying a motorcycle, motor-driven cycle, motorized pedalcycle or like type
vehicle required to be registered under Title 75 or a recreational vehicle not intended for highway use.
C, any person other than you or any relative, who knowingly converts a motor vehicle if the bodily
Injury arises out of the maintenance or use of the converted vehicle.
D. any person when the conduct of that person contributed to the bodily injury sustained by that
person,while:
1. intentionally injuring or attempting to intentionally injure himself or another:
2. committing a felony;or
3. seeking to elude lawful apprehension or arrest by a law enforcement official.
E. any person engaged in the business of repairing,servicing, or otherwise maintaining motor vehicles
if the bodily injury arises out of that business unless the conduct occurs off the business premises.
F. any person not occupying a motor vehicle other than you or any relative, if the accident occurs
outside the Commonwealth of Pennsylvania.
G. any person sustaining bodily injury as a direct result of loading or unloading any motor vehicle.
H. any person while maintaining or using a motor vehicle while located for use as a residence or
premises.
I. any person due to war,whether or not declared, civil war,insurrection,revolution or rebellion or any
accompanying acts or conditions.
J. any person caused by nuclear radioactivity or explosion.
K. any person who,at the time of the accident,is the owner of one or more motor vehicles and none of
those motor vehicles have Extraordinary Medical Benefits Coverage or similar coverage in effect.
However, this exclusion does not apply if that person insured one or more of those motor vehicles
for First Party Benefits Coverage and was denied the opportunity, prior to the accident, to purchase
Extraordinary Medical Benefits Coverage or similar coverage by the insurer of each of those motor
vehicles.
L. any person who,at the time of the accident,is:
1. the owner of a motor vehicle which is not insured for Extraordinary Medical Benefits Coverage
or similar coverage; and
2. injured while occupying that motor vehicle.
However, this exclusion does not apply if that person insured that motor vehicle for First Party
Benefits Coverage and was denied the opportunity, prior to the accident, to purchase Extraordinary
Medical Benefits Coverage or similar coverage by the insurer of that motor vehicle.
M. the first$100.000 of medical expense paid by or for an eligible person as a result of any accident.
MPL 6056-037 Printed in U.S.A.1100 Page 3 of 5
. __................____......__..........._.._............__._....
........._............. .._............_.__.....................
Y n.
a
LIMITS OF LIABILITY
Our liability for benefits with respect to bodily injury in any one motor vehicle accident is limited to the
amount shown in the Declarations subject to an annual limit of $50,000 for each eligible person.
However, during the first 18 months of eligibility, we shall make payments in excess of the$50,000 per
year limit,subject to the lifetime aggregate limit of$1,000,000. This is the most we will pay regardless of
the number of:
1. claims made;
2. vehicles or premiums shown in the Declarations;
3. vehicles involved in the accident;or
4. insurers providing Extraordinary Medical Benefits Coverage.
PRIORITIES OF POLICIES
We will pay First Party Benefits in accordance with the following order of priority. We will not pay if there
is another insurer at a higher level of priority. The priority order is:
First- The insurer providing benefits to the eligible person as a named insured.
Second- The insurer providing benefits to the eligible person as a relative who is not a named insured
under another policy providing Extraordinary Medical Benefits Coverage or similar coverage.
Third - The insurer of the motor vehicle which the eligible person is occupying at the time of the
accident.
Fourth- The insurer of any motor vehicle involved in the accident for any eligible person who is not
the occupant of a motor vehicle.
The "First"category listed above is the highest level of priority,and the"Fourth" category listed above is
the lowest level of priority.
If two or more policies have equal priority:
a. the insurer against which the claim is first made shall process and pay the claim as if wholly
responsible.
b. the maximum recovery under all policies will not exceed the amount payable under the policy with the
highest dollar limits of benefits.
For the purposes of determining priorities, an unoccupied parked motor vehicle is not a motor vehicle
involved in an accident unless it was parked in a manner as to create an unreasonable risk of injury.
CONDITIONS
A. Action Against Us. No action shall lie against us on the pan of any eligible person unless such
person has fully complied with all the terms of this coverage.
B. Notice. If an accident occurs, written notice .adequately .identifying the•eligible person and
- - -"reasonably accessible facts concerning the time, place and circumstances of the accident shall be
given as soon as practicable by or on behalf of each eligible person to us or any of our authorized
MPL 6056-037 Printed in U.S.A.1100 Page 4 of 5
agents.
C. Medical Reports; Proof Of Claim. As soon as practicable the eligible person or someone on his
behalf, shall give us written proof of claim, under oath if required, fully describing the nature and
extent of bodily injury,treatment and rehabilitation received and contemplated and other Information
to assist us in determining the amount due and payable.
Proof of claim shall be made upon forms furnished by us unless we fail to supply such forms within
15 days after receiving notice of claim.
The eligible person shall submit to mental and physical examinations by physicians selected by us
when and as often as we may reasonably require. We will pay the costs of such examinations.
The eligible person (or, in the event of such person's incapacity or death,his legal representative)
shall,if we request,sign papers to enable us to obtain medical reports and copies of records. A copy
of such medical report will be forwarded to such eligible person upon his written request.
D. Customary Charges For Treatment. The amount we will pay to a person or institution providing
treatment, accommodations, products or services to an eligible person for an injury covered by
medical expense benefits shall not exceed the amount the person or institution customarily charges
for like treatment,accommodations,products and services in cases involving no Insurance.
E. Non-Duplication Of Benefits. No eligible person shall recover duplicate benefits for the same
elements of loss under this or any other similar automobile insurance including self-insurance.
F. Structured Settlements. Where It appears that payment of medical expense benefits in the form of
a structured settlement will be both cost effective to us and in the best interest of an eligible person,
we and any eligible person may make an agreement which is mutually satisfactory as respects
timing and amounts of payments under Extraordinary Medical Benefits Coverage. This may include
annuities or other long-term payment arrangements.
G. Evidence And Recovery In Tort Actions. In consideration for coverage provided under this
endorsement, an eligible person to whom medical expense benefits under Extraordinary Medical
Benefits Coverage are paid or payable agrees not to introduce these benefits into evidence in any
action for damages against a tortfeasor arising out of any accident involving a motor vehicle. In
addition, such eligible person agrees not to seek to recover from any tortfeasor amounts for
medical expense benefits which are paid or payable under Extraordinary Medical Benefits Coverage
for the same elements of loss.
MPL 6056-037 Printed in U.S.A.1100 Page 5 of 5
ENDORSEMENT V506
SAFETY GLASS DEDUCTIBLE BUYBACK
We agree with you that if you pay the tadditionalotentr Hium,under der Compreh ns ve PHYSICAL coverage
for rthe repair section of tho
policy, no deductible shall apply
replacement of damaged safety glass.
Coverage only applies to the vehicle for which a premium is shown far"Glass Deductible Buyback:'
"Safety glass"means the glass,plastic or other material used in the windshield and windows of a motor
vehicle.
All other provisions of the policy apply except as modified by this endorsement.
------ Page 1 of 1
MPL 6028-000 Printed in U.S.A.0599
VERIFICATION
1, Deborah Machnik, on. behalf of Metropolitan Group property and Casualty Insurance
Company, hereby state and aver that I have read the foregoing document, which has been
drafted by counsel of record. The factual statements contained therein are true and correct to the
best of my knowledge, information and belief although the language is that of counsel, and, to
the extent that the content, of the foregoing document is that of counsel, I have relied upon
counsel in making this Verification.
This statement is .made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn
falsification to authorities.
METROPOLITAN GROUP PROPERTY AND
CASUALTY INSURANCE COMPANY
Date. �GfJy B 17x...Gk
Y•
Deborah Machnik
Sr. Casualty Adjuster
METROPOLITAN GROUP PROPERTY : IN THE COURT OF COMMON PLEAS
AND CASUALTY INSURANCE CUMBERLAND COUNTY,
COMPANY, PENNSYLVANIA
Plaintiff .:
v.
No. 14-5640
MARILYNN WILLITS, Executor of
The Estate of Dianne Elaine
Barrick, Deceased,
Defendant ACTION FOR DECLARATOR`'•
JUDGMENT
ACCEPTANCE OF SERVICE OF DECLARATORY JUDGMENT COMPLAINT
The undersigned, Matthew L. Owens, Esquire, as counsel for Defendant Marilynn
Willits, Executor of the Estate of Dianne Elaine Barrick, Deceased, has been authorized, on
behalf of my client, to accept service of the Declaratory Judgment Complaint filed in this action
and initiating this action.
Date: 16 ((3(ltf
LAW OFFICE OWENS, LLC
BY:
Matthew Uens, Esquire
2595 Interstate Drive, Suite 101
Harrisburg, PA 17110
(717)-909-2500
mlowens@centralpaattomeys.com
Attorneys for Defendant
METROPOLITAN GROUP PROPERTY : IN THE COURT OF COMMON PLEAS
AND CASUALTY INSURANCE : CUMBERLAND COUNTY,
COMPANY, : PENNSYLVANIA
Plaintiff
: NO. 14-5640
v.
MARILYNN WILLITS, Executor of the
Estate of Dianne Elaine Barrick, : ACTION FOR DECLARATORY
Deceased : JUDGMENT
Defendant
-73
c,)
PRAECIPE FOR ENTRY OF APPEARANCE
TO THE PROTHONOTARY:
Please enter the appearance of the Matthew L. Owens, Esquire and the Law Offices of
Matthew L. Owens, Esquire, LLC on behalf of the Defendant relative to the above captioned
matter.
rw
CA
Date:
iII2K((�
Respectfully 'tted,
Matthew L. Owens, Esquire
ID# 76080
2595 Interstate Drive, Suite 101
Harrisburg, PA 17110
(717) 909-2500
CERTIFICATE OF SERVICE
AND NOW, this 24th day of November 2014, I, Sunni Elmore, an employee of the Law
Offices of Matthew L. Owens, Esquire, LLC, hereby certify that I have this date served a copy of
the foregoing document pursuant to Pa.R.C.P. 1012, by United States Mail, postage prepaid,
addressed to the party or attorney of record as follows, as well as by electronic mail:
Brigid Q. Alford, Esquire
Marshall Dennehey, Warner, Coleman & Goggin
100 Corporate Center Drive, Suite 201
Camp Hill, PA 11
Date: %a �y
Sunni Elmore
METROPOLITAN GROUP PROPERTY
AND CASUALTY INSURANCE
COMPANY,
Plaintiff
v.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY,
: PENNSYLVANIA
: NO. 14-5640
MARILYNN WILLITS, Executor of the
Estate of Dianne Elaine Barrick, : ACTION FOR DECLARATORY
Deceased . : JUDGMENT
Defendant
ANSWER WITH NEW MATTER
AND NOW COMES Defendant, Marilynn Willits, Administratrix of the Estate of Dianne
Elaine Barrick, Deceased, by and through her attorney Matthew L. Owens, Esquire, who files the
following Response to Plaintiff's Complaint and in support thereof avers as follows:
Jurisdiction and Venue
1. Admitted.
2. Admitted.
3. Admitted:
4. Admitted.
The Parties
5. Denied. Defendant lacks knowledge sufficient to form a belief as to the truth of the
allegations contain in Paragraph 5 and therefore the same are denied with strict proof
thereof required at trial.
6. Admitted.
7. Admitted.
The Policy
8. Admitted:
9. Admitted.
10. Admitted in Part and Denied in Part. It is admitted that the Declarations section of the
subject policy indicates the limits as set forth in Plaintiff's Complaint. However it is
denied that those limits are correct. To the contrary it is Defendant's position that the per
person benefits with stacking coverage equal three hundred thousand dollars
($300,000.00).
11. Denied. The UIM Endorsement references a writing which speaks for itself.
The Motor Vehicle Accident
12. Admitted.
13. Admitted.
14. Admitted.
The UIM Claim
15. Admitted.
16. Admitted.
17. Admitted in Part and Denied in Part. It is admitted that the Plaintiff has made a
determination that one hundred thousand dollars ($100,000.00) in coverage applies. It is
denied that this limit is correct. To the contrary it is Defendant's position that the UIM
benefits total three hundred thousand dollars ($300,000.00).
18. Admitted.
19. Admitted.
20. Admitted.
21. Admitted.
22. Admitted.
WHEREFORE, Defendant, Marilynn Willits, Administratrix of the Estate of Dianne
Barrick, respectfully requests Judgment in their favor and against Plaintiff, Metropolitan Group
Property and Casualty Insurance Company, and determine that the UIM benefits available are
three hundred thousand dollars ($300,000.00) per person and available to the Estate of Dianne
Barrick and award such additional and further relief including attorney's fees, costs and other
expenses as deemed appropriate by this Court and under that law.
NEW MATTER
23. Answering Defendant's responses set forth in the foregoing paragraphs one through
twenty-two are incorporated herein by reference as if set forth at length.
24. Metropolitan Group Property and Casualty Insurance Company by and through its agent,
employee, representative, or servant sold automobile insurance to now deceased Dianne
Barrick (hereinafter "Decedent").
25. Metropolitan Group Property and Casualty Insurance Company by and through its agent,
employee, representative, or servant sold a single automobile policy to Decedent with
UIM benefits and stacking coverage.
26. Stacking coverage in a policy such as that sold to Decedent means that the insured can
stack all applicable automobiles and/or automobile insurance policies together for a
greater total than a single policy.
27. For this benefit to have any application to Decedent in this case, Decedent would have
had to have had multiple vehicles owned and/or insured both individually or through
relatives or other household members.
28. Decedent owned one (1) vehicle and insured this vehicle with Metropolitan Group
Property and Casualty Insurance Company.
29. Decedent lived alone and had no other relatives or household members and thus no other
applicable automobiles for which to benefit from stacking coverage.
30. Decedent was exceptionally conservative in her life and in her selection of insurance
coverages for all aspects of her life.
31. Decedent insured her life, her home and her car with unusually high benefits and thus
was an individual concerned with understanding applicable insurance and specific
coverages which applied.
32. Decedent clearly was enticed to select the additional benefit of stacking of UIM benefits
despite not understanding or realizing that there were no other automobiles or specifically
automobile insurance policies from vehicles she owned or other relatives or household
members owned from which she could benefit from the stacking option.
33. Thus she was enticed to purchase coverage believing it would apply and help her in an
accident, specifically and tragically in this accident which ultimately caused her death.
However once the benefits were needed the Plaintiff, Metropolitan Group Property and
Casualty Insurance Company, clearly concluded and asserted that the one hundred
thousand dollars ($100,000.00) in UIM coverage limits applied and that in light of the
fact that no other policies existed for the stacking benefit to apply, denied further
coverage and ultimately used the Decedent's decision against her and against her wishes,
desires, hopes and goals in selecting such insurance.
34. Despite selecting and paying a premium for stacking coverage, Decedent could never
benefit from the stacking coverage as there were no other policies to stack onto or into to
form a greater total than the one hundred thousand dollar ($100,000.00) limits in UIM
coverage available to her through a single policy and indeed the erroneous single policy
sold to her in this case.
35. There exists no set of circumstances under which Decedent could ever have benefitted
from the stacking coverage sold to her by Metropolitan Group Property and Casualty
Insurance Company or Metropolitan Group Property and Casualty Insurance Company's
agents, employees, representatives, or servants.
36. Metropolitan Group Property and Casualty Insurance Company has an obligation and
duty to sell only coverages where insureds can derive a benefit. To sell coverages that an
insured can never benefit from is in bad faith and furthermore a breach of contract.
37. Under Pennsylvania Law where an insurer sells coverage that is in bad faith and/or
breaches a contract which exists where the insured can never derive a benefit from
purchased coverage, the limits of liability one made to match the liability limits of the
insured or in this case three hundred thousand dollars ($300,000.00), not one hundred
thousand dollars ($100,000.00).
38. Further under Pennsylvania Law, attorney's fees can be awarded in cases where the
insurer acts in bad faith or sells coverages that are inapplicable or can never provide a
benefit but where the insurer has collected a premium.
39. In this case Defendant demands that their attorney's fees be reimbursed to counsel and
furthermore demands that this Court make a declaration that the UIM limits applicable to
this case and to Defendants total three hundred thousand dollars ($300,000.00).
40. In the alternative, should this Court determine there is some odd or remote possibility that
the Decedent could have derived a benefit from the stacking coverage sold to her despite
having no other applicable vehicles or insurance policies to stack onto or into, Defendant
requests that this Court find that that possibility of such benefit is so remote that the
Plaintiff, Metropolitan Group Property and Casualty Insurance Company, still acted in
bad faith and furthermore under Pennsylvania Law determine that the applicable UIM
benefits match the liability limits of the same policy and thus are three hundred thousand
dollars ($300,000.00) per person not one hundred dollars ($100,000.00) and further
award attorney's fees, costs and expenses.
WHEREFORE, Defendant, Marilynn Willits, Administratrix of the Estate of Dianne
Barrick, respectfully requests that this Honorable Court enter Judgment in their favor and against
Plaintiff, and further enter a decree declaring that the total amount of Underinsured Motorist
benefits available under the applicable Metropolitan Group Property and Casualty Insurance
Company's policy to Defendant totals three hundred thousand dollars ($300,000.00) and award
as additional damages attorney's fees, costs and expenses as appropriate and as determined by
this Court.
Date: 11 ( t(' � 1
Respectful
Matthew L. • wens, Esquire
ID# 76080
2595 Interstate Drive, Suite 101
Harrisburg, PA 17110
(717) 909-2500
VERIFICATION
I, Marilynn Willits, Administratrix of the Estate of Dianne Barrick, certify under penalty
of 18 Pa.C.S. § 4904, related to Unsworn Falsification to Authorities, that the averments of fact
or things produced in the foregoing document are true and correct upon my personal knowledge,
or information and belief.
Date: ///?C -77r
CERTIFICATE OF SERVICE
AND NOW, thiJS day of November 2014, I, Sunni Elmore, an employee of the Law
Offices of Matthew L. Owens, Esquire, LLC, hereby certify that I have this date served a copy of
the foregoing document pursuant to Pa.R.C.P. 1012, by United States Mail, postage prepaid,
addressed to the party or attorney of record as follows, as well as by electronic mail:
Date: // 5X4/
Brigid Q. Alford, Esquire
Marshall Dennehey, Warner, Coleman & Goggin
100 Corporate Center Drive, Suite 201
Camp Hill, PA 17011
METROPOLITAN GROUP PROPERTY
AND CASUALTY INSURANCE
COMPANY,
Plaintiff
v.
MARILYNN WILLITS, Executor of the
Estate of Dianne Elaine Barrick,
Deceased
Defendant
: IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, 53.
(- T
C.
: PENNSYLVANIA
: NO. 14-5640
: ACTION FOR DECLARATORY
: JUDGMENT
•
c!� •_A. C.....,;,,
PRAECIPE TO SUBSTITUTE VERIFICATION
TO THE PROTHONOTARY:
Please substitute the attached Verification to the Answer with New Matter which was
filed in the above referenced matter.
DATE: 12/9/2014 BY:
Matthew L. Owens
ID# 76080
2595 Interstate Drive, Suite 101
Harrisburg, PA 17110
VERIFICATION
I, Marilynn Willits, Administratrix of the Estate of Dianne Barrick, certify under penalty
of 18 Pa.C.S. § 4904, related to Unsworn Falsification to Authorities, that the averments of fact
or things produced in the foregoing document are true and correct upon my personal knowledge,
or information and belief.
Date: y
A/AZIA''
signature)
CERTIFICATE OF SERVICE
AND NOW, this day of December 2014, I, Sunni Elmore, an employee of the Law
Offices of Matthew L. Owens, Esquire, LLC, hereby certify that I have this date served a copy of
the foregoing document pursuant to Pa.R.C.P. 1012, by United States Mail, postage prepaid,
addressed to the party or attorney of record as follows, as well as by electronic mail:
Date: /2/i 0 /'i
Brigid Q. Alford, Esquire
Marshall Dennehey, Warner, Coleman & Goggin
100 Corporate Center Drive, Suite 201
Camp Hill, PA 17011
METROPOLITAN GROUP PROPERTY :
AND CASUALTY INSURANCE
COMPANY,
Plaintiff
v.
MARILYNN WILLITS, Executor of
The Estate of Dianne Elaine
Barrick, Deceased,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, c'
PENNSYLVANIA,
z• Fri
C—;
ay
No. 14-5640
ACTION FOR DECLARATORY
JUDGMENT
1.0
C?
PLAINTIFF METROPOLITAN GROUP PROPERTY AND CASUALTY
INSURANCE COMPANY'S REPLY TO NEW MATTER
Plaintiff Metropolitan Group Property and Casualty Insurance Company, by its attorneys
Brigid Q. Alford, Esquire and Marshall Dennehey Warner Coleman & Goggin, replies to
Defendant's New Matter, as follows:
23. Plaintiff incorporates herein by reference the averments set forth at Paragraphs 1-
22 of its Complaint.
24. Denied as stated. Admitted that Plaintiff sold an Auto Insurance Policy to Dianne
Elaine Barrick, which policy was a writing, the terms of which speak for themselves, and a true
and correct copy of which was attached to Plaintiffs Complaint as Exhibit A.
25. Denied as stated. Admitted that Plaintiff sold an Auto Insurance Policy to Dianne
Elaine Barrick, which policy was a writing, the terms of which speak for themselves, and a true
and correct copy of which was attached to Plaintiffs Complaint as Exhibit A.
26. Paragraph 26 sets forth a conclusion of law to which no response is required. To
the extent a response is deemed required, the conclusion of law set forth by Defendant is denied;
proof thereof is demanded.
27. Paragraph 27 sets forth a conclusion of law to which no response is required. To
the extent a response is deemed required, the conclusion of law set forth by Defendant is denied;
proof thereof is demanded.
28. Denied as stated. Plaintiff admits that, at the time she applied for the subject Auto
Insurance Policy with Plaintiff, Dianne Elaine Barrick identified one (1) vehicle, a 2004 Kia
Optima, Vehicle ID Number KNAGD128245297757, to be listed as an Insured Vehicle on the
Automobile Insurance Declarations page for the Policy, and represented to Plaintiff that she was
the owner of that vehicle. Plaintiff is without knowledge or information sufficient to form a
belief as to the truth of the remaining factual averments; the same are therefore denied and proof
thereof is demanded.
29. The allegation as to benefits and stacking coverage set forth conclusions of law to
which no response is required. Plaintiff is without knowledge or information sufficient to form a
belief as to the truth of the remaining factual averments set forth in Paragraph 29; the same are
therefore denied and proof thereof is demanded.
30. Plaintiff is without knowledge or information sufficient to form a belief as to the
truth of the averments set forth in Paragraph 30; the same are therefore denied and proof thereof
is demanded.
31. Plaintiff is without knowledge or information sufficient to form a belief as to the
truth of the averments set forth in Paragraph 31; the same are therefore denied and proof thereof
is demanded. Plaintiff admits the implication, within Paragraph 31, that Dianne Elaine Barrick's
choice to elect stacked UM/UIM coverage was consistent with Defendant's characterization of
her as one who insured her car with "unusually high benefits" and as one concerned with
"understanding applicable insurance and specific coverages."
2
32. The allegations as to benefits and stacking options set forth conclusions of law to
which no response is required. Plaintiff is without knowledge or information sufficient to form a
belief as to the truth of the remaining factual averments set forth in Paragraph 32; the same are
therefore denied and proof thereof is demanded.
33. The allegations as to benefits and stacking options set forth conclusions of law to
which no response is required. Admitted as to the clarity of Plaintiffs conclusion that the UIM
benefits applicable to the subject claim were one hundred thousand dollars ($100,000.00).
Plaintiff is without knowledge or information sufficient to form a belief as to the truth of the
remaining factual averments set forth in Paragraph 33; the same are therefore denied and proof
thereof is demanded.
34. Plaintiff denied the implication, in Paragraph 34, that Decedent "could never
benefit from the stacking coverage." Plaintiff is without knowledge or information sufficient to
form a belief as to the averment that the policy sold to Decedent was "erroneous;" the same is
therefore denied and proof thereof demanded. The remaining averments set forth conclusions of
law to which no response is required.
35. Paragraph 35 sets forth a conclusion of law to which no response is required. To
the extent a response is deemed required, the conclusion of law set forth by Defendant is denied;
proof thereof is demanded.
36. Paragraph 36 sets forth a conclusion of law to which no response is required. To
the extent a response is deemed required, the conclusion of law set forth by Defendant is denied;
proof thereof is demanded.
3
37. Paragraph 37 sets forth a conclusion of law to which no response is required. To
the extent a response is deemed required, the conclusion of law set forth by Defendant is denied;
proof thereof is demanded.
38. Paragraph 38 sets forth a conclusion of law to which no response is required. To
the extent a response is deemed required, the conclusion of law set forth by Defendant is denied;
proof thereof is demanded.
39. Paragraph 39 sets forth no averments of fact; it is in the nature of a prayer for
relief, to which no response is required.
40. Paragraph 40 sets forth no averments of fact; it is in the nature of a prayer for
relief, to which no response is required.
WHEREFORE, Plaintiff respectfully requests that the New Matter be dismissed and the
declaratory relief requested within Plaintiffs Complaint be granted.
Date: 12/110
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
Brigid Q. Alford, Esq
I.D. No. 38590
100 Corporate Center Drive, Suite 201
Camp Hill, PA 17011
(717)-651-3710/FAX (717)-651-3707
bqalford@mdwcg.com
Attorneys for Plaintiff
4
VERIFICATION
I, Alison Barber, on behalf of Metropolitan Group Property and Casualty Insurance
Company, hereby state and aver that I have read the foregoing document, which has been
drafted by counsel of record. The factual statements contained therein are true and correct to the
best of my knowledge, information and belief although the language is that of counsel, and, to
the extent that the content of the foregoing document is that of counsel, I have relied upon
counsel in making this Verification.
This statement is made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn
falsification to authorities.
METROPOLITAN GROUP PROPERTY AND
CASUALTY INSURANCE COMPANY
Date: I ?` 1 i11i1 By:
d�9 /36 -t16 -t.
A ison Barber
Sr. Casualty Adjuster
CERTIFICATE OF SERVICE
I, Brigid Q. Alford, Esquire, do hereby certify that a true and correct copy of the
foregoing was served upon the following via US Postal Mail on the date specified below:
Matthew L. Owens, Esquire
2595 Interstate Drive
Suite 101
Harrisburg, PA 17110
Attorney for Defendant
Dated: ta11244
MARSHALL, DENNEHEY, WARNER,
COLEMAN & GOGGIN
,2 Ad
Brigid QDAlford, Esi) ire
Attorney for Plainti '