Stacking UM/UIM Coverage Can be Waived
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Tina Bubonovich was involved in a two-car vehicular accident. After recovering the available limits of the other driver’s liability coverage and her own underinsured motorist (UIM) coverage, she filed a claim seeking the proceeds from her resident son’s UIM coverage. When that claim was denied, she sued State Farm Mutual Automobile Insurance Company (State Farm Auto), State Farm Fire and Casualty Company (State Farm Fire), and State Farm, claiming that she was entitled to “stack” her son’s UIM coverage on top of her own recovery.
In Tina Bubonovich v. State Farm Mutual Automobile Insurance Company; State Farm Fire And Casualty Company; State Farm; No. 21-1611; United States Court of Appeals, Third Circuit (July 6, 2022) the District Court dismissed State Farm Fire from the suit because it did not issue the disputed insurance policies, and it also dismissed State Farm because State Farm “is not a proper legal entity.” The Court then granted State Farm Auto’s motion for summary judgment, ruling that Plaintiff could not “stack” her son’s UIM coverage because he had executed a valid stacking waiver.
FACTS
In 2015, the 2006 Scion xB that Plaintiff was driving was hit by another car and she suffered serious injuries. The other driver’s insurance paid Plaintiff $50,000 – the limit of his liability coverage. Pursuant to Plaintiff’s own State Farm Auto policy, State Farm paid her $25,000, the limit of her underinsured motorist coverage.
Plaintiff resides with her son, Nicholas Bubonovich. Nicholas is the named insured on his own State Farm Auto insurance policy. That policy does not list Plaintiff’s Scion as an insured vehicle and has a limit of $100,000 for UIM coverage. Nicholas, however, executed a UIM stacking rejection waiver as to his policy.
Plaintiff made a UIM claim under Nicholas’s coverage, but State Farm Auto denied the claim based on Nicholas’s waiver of his right to “stack” coverage. Such coverage, State Farm Auto contended, was otherwise unavailable because of the household exclusion.
THE ISSUE
Because Plaintiff has already recovered the applicable limit of UIM coverage under her policy, the question is whether she can “stack” her son’s UIM policy on top of her own recovery.
DISCUSSION
The District Court determined that the Pennsylvania Supreme Court answered this question in Craley v. State Farm Fire & Casualty Company, 895 A.2d 530 (Pa. 2006). In Craley, Jayneann Craley was driving with her infant son, Keith Craley, and her mother-in-law, Gloria Craley, when their car was hit by a drunk driver. Jayneann was killed; Keith and Gloria were injured.
Gloria, as well as Jayneann’s husband, Randall Craley, as administrator of Jayneann’s estate and on behalf of Keith, both sought and received uninsured motorist (UM) coverage from Jayneann’s auto insurance policy-the policy that covered Jayneann’s car and on which she was the named insured. The insurer paid the limits of that policy. Randall and Gloria then sought UM coverage under Randall’s separate single-vehicle policy. Yet Randall had executed a waiver of inter-policy stacking coverage prior to the accident. The Supreme Court of Pennsylvania concluded that because the parties were attempting to collect under Randall’s policy, “[i]t is Randall’s policy and its exclusions that are relevant to the legal issues presented in this case.” The Supreme Court held that stacking insurance can be validly waived in single-vehicle policies, and that because Randall had waived the ability to “stack” his insurance the claimants could not recover under his policy.
Here, Plaintiff is trying to recover under Nicholas’s policy. The Third Circuit, therefore, looked to the terms of his policy to determine if Plaintiff may “stack” his coverage on top of her own. That attempt failed. The District Court correctly held that State Farm Auto was entitled to summary judgment.
The Pennsylvania Supreme Court’s reasoning was clear. It and the Third Circuit could only look to the policy under which the claimant is trying to recover to determine if coverage is available. As such, whether Plaintiff waived coverage is beside the point.
Plaintiff’s two remaining arguments fare no better.
First, she argues that she paid for stacking on her policy, so if stacking is not allowed here, she paid an extra premium and received no benefit. Yet she could have stacked her own benefits had she been injured while driving her son’s car.
Second, Plaintiff then argued that if the Third Circuit honors the stacking waiver in Nicholas’s policy, it is effectively voiding all of Nicholas’s UIM coverage. But Nicholas could receive the benefit of his own UIM coverage were he to be injured by an underinsured driver. As such, denying stacking here does not deprive either the Plaintiff or her son of the “benefit of the bargain”: they both get the insurance coverage they’ve paid for.
Finally, because it is clear that this case is controlled by Craley, the Third Circuit declined Plaintiff’s invitation to certify a question to the Pennsylvania Supreme Court.
ZALMA OPINION
People who buy auto insurance often carry more insurance for their liability to third persons yet keep minimal UM/UIM coverages. Tina collected on the UM/UIM coverages she bought. After she was injured she was sorry that she did not buy a higher coverage and attempted to collect on her son’s auto UM/UIM insurance only to find he waived the right to stack insurance. The case teaches that the purchaser of auto insurance should buy the same limits to protect herself as she bought to protect third parties.
(c) 2022 Barry Zalma & ClaimSchool, Inc.
Barry Zalma, Esq., CFE, now limits his practice to service as an insurance consultant specializing in insurance coverage, insurance claims handling, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He practiced law in California for more than 44 years as an insurance coverage and claims handling lawyer and more than 54 years in the insurance business. He is available at http://www.zalma.com and [email protected].
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Concurrent Cause Doctrine Does Not Apply When all Causes are Excluded
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Southern Insurance Company Of Virginia v. Justin D. Mitchell, et al., No. 3:24-cv-00198, United States District Court, M.D. Tennessee, Nashville Division (October 10, 2024) Southern Insurance Company of Virginia sought a declaratory judgment regarding its duty to defend William Mitchell in a wrongful death case pending in California state court.
KEY POINTS
1. Motion for Judgment on the Pleadings: The Plaintiff moved for judgment on the pleadings, which was granted in part and denied in part.
2. Duty to Defend: The court found that the Plaintiff has no duty to defend William Mitchell in the California case due to a specific exclusion in the insurance policy.
3. Duty to Indemnify: The court could not determine at this stage whether the Plaintiff had a duty to ...
GEICO Sued Fraudulent Health Care Providers Under RICO and Settled with the Defendants Who Failed to Pay Settlement
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Post 5119
Default of Settlement Agreement Reduced to Judgment
In Government Employees Insurance Company, Geico Indemnity Company, Geico General Insurance Company, and Geico Casualty Company v. Dominic Emeka Onyema, M.D., DEO Medical Services, P.C., and Healthwise Medical Associates, P.C., No. 24-CV-5287 (PKC) (JAM), United States District Court, E.D. New York (July 9, 2025)
Plaintiffs Government Employees Insurance Company and other GEICO companies (“GEICO”) sued Defendants Dominic Emeka Onyema, M.D. (“Onyema”), et al (collectively, “Defendants”) alleging breach of a settlement agreement entered into by the parties to resolve a previous, fraud-related lawsuit (the “Settlement Agreement”). GEICO moved the court for default judgment against ...
ZIFL – Volume 29, Issue 14
Post 5118
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You can read the full 20 page issue of the July 15, 2025 issue at https://lnkd.in/giaSdH29
THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL
This issue contains the following articles about insurance fraud:
The Historical Basis of Punitive Damages
It is axiomatic that when a claim is denied for fraud that the fraudster will sue for breach of contract and the tort of bad faith and seek punitive damages.
The award of punitive-type damages was common in early legal systems and was mentioned in religious law as early as the Book of Exodus. Punitive-type damages were provided for in Babylonian law nearly 4000 years ago in the Code of Hammurabi.
You can read this article and the full 20 page issue of the July 15, 2025 issue at https://zalma.com/blog/wp-content/uploads/2025/07/ZIFL-07-15-2025.pdf
Insurer Refuses to Submit to No Fault Insurance Fraud
...
Rulings on Motions Reduced the Issues to be Presented at Trial
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CASE OVERVIEW
In Richard Bernier v. State Farm Mutual Automobile Insurance Company, No. 4:24-cv-00002-GMS, USDC, D. Alaska (May 28, 2025) Richard Bernier made claim under the underinsured motorist (UIM) coverage provided in his State Farm policy, was not satisfied with State Farm's offer and sued. Both parties tried to win by filing motions for summary judgment.
FACTS
Bernier was involved in an auto accident on November 18, 2020, and sought the maximum available UIM coverage under his policy, which was $50,000. State Farm initially offered him $31,342.36, which did not include prejudgment interest or attorney fees.
Prior to trial Bernier had three remaining claims against State Farm:
1. negligent and reckless claims handling;
2. violation of covenant of good faith and fair dealing; and
3. award of punitive damages.
Both Bernier and State Farm dispositive motions before ...
ZIFL Volume 29, Issue 10
The Source for the Insurance Fraud Professional
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Zalma’s Insurance Fraud Letter (ZIFL) continues its 29th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ You can read the full issue of the May 15, 2025 issue at http://zalma.com/blog/wp-content/uploads/2025/05/ZIFL-05-15-2025.pdf
This issue contains the following articles about insurance fraud:
Health Care Fraud Trial Results in Murder for Hire of Witness
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Professional Health Care Services Exclusion Effective
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This opinion is the recommendation of a Magistrate Judge to the District Court Judge and involves Travelers Casualty Insurance Company and its duty to defend the New Mexico Bone and Joint Institute (NMBJI) and its physicians in a medical negligence lawsuit brought by Tervon Dorsey.
In Travelers Casualty Insurance Company Of America v. New Mexico Bone And Joint Institute, P.C.; American Foundation Of Lower Extremity Surgery And Research, Inc., a New Mexico Corporation; Riley Rampton, DPM; Loren K. Spencer, DPM; Tervon Dorsey, individually; Kimberly Dorsey, individually; and Kate Ferlic as Guardian Ad Litem for K.D. and J.D., minors, No. 2:24-cv-0027 MV/DLM, United States District Court, D. New Mexico (May 8, 2025) the Magistrate Judge Recommended:
Insurance Coverage Dispute:
Travelers issued a Commercial General Liability ...