.

Defense Digest

UIM Stacking Even When Not a Named Insured

Defense Digest, Vol. 30, No. 4, December 2024

December 1, 2024

Key Points:

  • Pennsylvania Superior Court addresses issue of first impression involving UIM stacking and coverage. 
  • The company president, insured under policy covering one vehicle, was entitled to inter-policy stacking of UIM benefits.    

The Pennsylvania Superior Court recently addressed an issue of first impression involving UIM stacking and coverage in Baclit v. Sloan, 323 A.3d 1 (Pa. Super. 2024).  The plaintiff, Timothy S. Baclit, died acting as a good samaritan to aid the defendant, Steven Sloan, who was involved in a single motor vehicle accident after crashing into a bridge retaining wall. Mr. Baclit was operating a motor vehicle owned by his mother and stopped at the accident scene to render aid to Mr. Sloan. In the process of providing assistance to Mr. Sloan, Mr. Baclit fell from the bridge retaining wall and later succumbed to his injuries.  

Mr. Sloan’s automobile liability coverage through Farmers Insurance tendered the limits to the administrator of the estate of Mr. Baclit. The vehicle Mr. Baclit operated was insured under a multivehicle policy through State Farm Mutual Insurance Company with stacked UIM limits of $300,000. State Farm paid the stacked UIM policy limits under that claim. At the time of his death, Mr. Baclit owned a motorcycle that had UIM coverage through Progressive, which also tendered its UIM policy limits. What remained at issue was a commercial automobile policy through United Financial Casualty Company (United).      

Mr. Baclit was the president and sole officer of a trucking business, TKC Trucking, which was covered by a commercial automobile insurance policy through United.  Under that commercial policy, TKC Trucking was a “named insured” and Mr. Baclit and another individual were designated as rated drivers. The subject policy covered a truck and load trail trailer and provided stacked UIM coverage. 

The administrator of the estate for Mr. Baclit filed a complaint against United, asserting claims of breach of contract, bad faith, wrongful death, and survival. Notably, there was no waiver of stacking signed by Mr. Baclit under that policy and the premiums reflected higher payments for stacking coverage. 

Upon inception of the policy, United charged a premium for stacking under the single car commercial policy. The trial court felt that, since the carrier chose to provide stacked insurance coverage on a one-vehicle commercial policy, where the injured party was both the sole officer of TKC Trucking and named as a rated driver in the policy, the attempt to deny stacked coverage served as a de facto waiver, in violation of the language of the Pennsylvania Motor Vehicle Financial Responsibility Law (MVFRL). Thus, the trial court found that the estate was entitled to collect UIM benefits and granted its motion for summary judgment. 

United appealed to the Superior Court, which noted that the only question before it was purely one of law requiring of a determination whether Mr. Baclit was entitled to UIM benefits under the United policy. The court examined the interplay between the provisions of the MVFRL and the plain language of the policy. It reviewed the various provisions of the MVFRL pertaining to UIM coverages, focusing on section 1738(a), which provided, when multiple vehicles are insured on one or more policies providing UIM coverage, any UIM coverages “stacked” by default and the amount of coverage shall be the sum of the limits for each motor vehicle as to which the injured person is an insured. See also Gallagher v. Geico Indemnity Co., 201 A.3d 131, 137 (Pa. 2019). Section 1738 (a) unambiguously provides for inter-policy as well as intra-policy stacking. 

Although UM/UIM coverage is stacked by default, a named insured may waive stacking of UM or UIM coverages, in which case, the limits of coverage available under the policy for an insured shall be the stated limits for the motor vehicle as to which the injured person is an insured. 75 Pa.C.S. § 1738(b). Each named insured purchasing UM/UIM coverage must be “provided the opportunity to waive stacked limits of coverage and instead purchase coverage as described under Subsection (b). The premiums for an insured who exercises such waiver shall be reduced to reflect the different cost of such coverage.” Id. § 1738(c). Similarly, with regard to the waiver of UIM coverage, stacking may also be waived through the statutorily prescribed form contained in § 1738(b)(2). Failure to comply with the appropriate language in the rejection form will void any purported waiver.  

Citing Gallagher, 201 A.3d at 137, the Superior Court stated that “[w]e must apply general principles of contract interpretation, as, at base, an insurance policy is nothing more than a contract between an insurer and the insured.” It also referred to Gallagher, 201 A.3d at 137 (citation omitted), in noting that, “[i]mportantly, however, provisions of insurance contracts are invalid and unenforceable if they conflict with statutory mandates because contracts cannot alter existing laws.” Based on Erie Ins. Exch. v. Eachus, 306 A.3d 930, 933 (Pa. Super. 2023), it indicated that “[t]he provisions of the MVFRL are mandatory, and where the insurance policy provisions fail … to comply with the provisions of the MVFRL, the policy provisions will be found unenforceable.”

Utilizing these principles, the Superior Court interpreted the policy to determine whether Mr. Baclit, as a sole officer of the company, should be regarded as an insured under the subject policy and, therefore, entitled to stacked UIM benefits. The court first recognized that “[t]he owner and/or officers of a corporation are ‘Class I’ insureds under a policy issued in the name of a corporation.” Miller v. Royal Ins. Co., 510 A.2d 1257, 1258 (Pa. Super. 1986). The Superior Court in Miller had found that Mr. Miller was a de facto named insured under the business automobile policy and that the spouse of a corporate officer was also a “Class I insured.” Taking the analysis in Miller, the court here felt that because Mr. Baclit was the sole officer and president of TKC Trucking and was the sole corporate officer and person responsible for paying premiums for the subject policy, he would be the one who would have had the power to decline waiver of UIM and stacking of coverage for TKC Trucking. 

United contended the subject policy should have been considered a first priority UIM policy. Thus, the concept of “stacking” would not have come into play unless the insured had more than one vehicle insured under one or more policies providing UM or UIM coverage. United presented a hypothetical that Mr. Baclit would be seeking primary UIM coverage under the policy as a single policy of insurance that insures a single vehicle. Following the hypothetical through to its logical conclusion, Mr. Baclit would thereafter seek stacked UIM coverage from his mother’s policy and his own motorcycle policy. As the driver or operator of the vehicle insured under the policy involved in an accident, wherein Mr. Baclit was not at fault, he would recover first priority UIM coverage from the policy under §§ 1731 and 1733 and not stacked coverage under § 1738. Yet, there would be no mechanism for any individual to stack benefits paid for by TKC Trucking under the policy. As per the Supreme Court in Gallagher, this constituted de facto waiver of stacking benefits in violation of the MVFRL. Gallagher, 201 A.3d at 132. 

In the absence of finding Mr. Baclit was an insured under the policy pursuant to Miller, the language of the policy (defining an “insured” in a corporate policy for purposes of stacking UIM benefits) operated as a de facto waiver of stacking coverage because, as in Gallagher, there was no ability for anyone to recover stacked UIM benefits, despite the fact that the carrier did not obtain the requisite waiver in violation of § 1738 of the MVFRL. 

To the contrary, as in Gallagher, Mr. Baclit paid increased premiums to obtain stacked UIM benefits under the commercial policy and, as the sole officer of the company and one who made the payments, reasonably expected to receive such stacked UIM benefits. Unless Mr. Baclit was a named insured under the policy, United’s constricted view of who could constitute as “an insured” for purposes of collecting stacked UIM benefits under a single-vehicle, business automobile policy violated the MVFRL. As such, the Superior Court found no error or abuse of discretion in the trial court’s decision and affirmed the trial court’s order granting the estate’s motion for summary judgment seeking stacked UIM benefits under United’s commercial automobile policy.  


 

Defense Digest, Vol. 30, No. 4, December 2024, is prepared by Marshall Dennehey to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2024 Marshall Dennehey. All Rights Reserved. This article may not be reprinted without the express written permission of our firm. For reprints, contact tamontemuro@mdwcg.com.

Firm Highlights

Thought Leadership

What’s Hot in Workers’ Comp - News and Results*

RESULTS* Ben Durstein (Wilmington) obtained a favorable decision involving a claimant who fractured his patella in a work accident requiring two surgeries. The IAB rejected the claimant’s medical expert’s opinion that he sustained a 25% permanent impairment to the right lower extremity. Instead, the board accepted the opinion of the employer’s medical expert that the appropriate permanency was 13% utilizing the 6th Edition of the AMA Guides to the Evaluation of Permanent Impairment. Tony Natale III (King of Prussia) successfully had a claim petition alleging new injuries and periods of disability dismissed based on full recovery. The claimant was injured when his skid loader was struck by another loader in the process of baling hay. Original injuries were accepted and the claimant returned to work. Thereafter, the claimant abandoned work and filed a claim petition to assert new injuries and extended disability. Cross examination of the claimant’s medical expert stunningly revealed his failure to review claimant testimony, his lack of awareness of a social security disability decision detailing the existence of claimant’s alleged work-related conditions prior to the date of work injury, and his failure to understand that the claimant admitted to full recovery of injuries for which he was continuing to treat. Tony Natale III (King of Prussia) successfully obtained a defense verdict in a Medicare conditional payment lien third level appeal. The United States government alleged a Medicare conditional lien payment was due and owing in the upper six-figure range based on an auto accident and PIP policy for which the government conditionally became the primary carrier. The government argued that our client, the PIP carrier, was the primary payer and, under federal law, must reimburse the government for its conditional lien payment. At the third-level appeal hearing, the government’s position was refuted by the revelation that the date of injury tied to the medical bills associated with the lien was glaringly and chronologically prior to the insurer’s PIP policy date. The court held that based on this evidence and argument, the government could not meet its requirements to assert a lien against our client. A. Judd Woytek (King of Prussia) and John Abda (Scranton) successfully had a workers’ compensation claim petition granted for medical benefits only for a closed period with no wage loss awarded. The claimant alleged multiple injuries as the result of a very minor motor vehicle incident where a co-worker’s delivery van rolled down an incline of approximately six feet, and bumped into the rear of the claimant’s delivery van. He claimed he was thrown forward and suffered head and neck injuries, along with aggravating a pre-existing ankle injury. The claimant was also terminated following the accident for having a large hunting knife in his van, which was against the employer’s workplace violence policy. The judge granted the claim for a mild concussion and an ankle contusion, but terminated medical benefits as of the date of our IME’s. The judge found that no wage loss benefits were payable as the claimant was terminated for cause and work remained available to him. The judge found our medical experts to be more credible than the claimant’s, along with finding our four employer witnesses to all be credible. The trial team was assisted by paralegal Bonnie Zemek (King of Prussia). Eric Scott Thompson (Wilmington) was successful in a workers’ compensation matter in Delaware. On October 15, 2024, the claimant was injured while performing fire training in a multistory building when he tripped over a fire line, injuring his right knee. The claimant received regular and consistent treatment for the right knee through August 29, 2025, when he presented with left knee complaints for the first time. His treating orthopedist diagnosed a hamstring strain. The claimant was next seen October 15, 2025, with continued left knee complaints, and was referred to a total knee doctor within the practice. He was then diagnosed with a posterior root tear of the medial meniscus. Our expert testified that it was not plausible for a lateral hamstring strain to progress to a meniscal tear in two months. The claimant required a total knee replacement that was ultimately performed in February 2026. In the six months between the time of initial presentation with left knee complaints and the total knee replacement, conservative care consisted of a single injection. Our expert testified that posterior root media meniscal tears can respond to conservative care, and it was not known if it would with the claimant because it was not adequately explored. The Industrial Accident Board agreed with our expert and determined that the claimant failed to meet the burden of establishing more likely than not that the left knee complaints were caused by overloading/overuse as a result of the compensable injury to the right knee. They also agreed that the claimant was able to return to work in a sedentary capacity as opined by his physicians and our expert prior to the left total knee replacement and that there were employment opportunities available within his restrictions and capabilities as presented by the vocational expert. As a result, the claimant was no longer entitled to total disability benefits and will receive partial disability benefits for which he is limited to 300 weeks. Michele Punturi (Philadelphia) and Alana Staniszewski (Pittsburgh) had a termination petition granted in a Pennsylvania workers’ compensation case. The petition involved an echocardiography technologist with long-term employment at a local hospital who sustained a right shoulder injury resulting in surgery in January 2024. Following surgery, the claimant was diagnosed with a frozen shoulder and underwent additional surgery in June 2024, with a recommendation for a third surgery. The opinions of the defense medical expert, a Board-certified orthopedic surgeon, were found credible, persuasive, and competent based upon the extensive history he obtained from the claimant, analysis of the mechanism of injury, and review of records, along with comparison of MRIs from October 2023, February 11, 2024, and January 6, 2025, which failed to reveal any causal relationship other than a strain/sprain of the right shoulder. This evidence supported that the claimant had fully recovered, and was not in need of any ongoing medical treatment and/or restrictions. In particular, despite allegations of injuries beyond a sprain/strain, the defense medical expert identified that those allegations were not consistent with what was found at the time of surgery, and elements of the surgery were to treat a chronic and degenerative condition. Additionally there were no ongoing issues or problems with the subscapularis, which was intact, consistent with the follow-up MRI of February 11, 2024, and the claimant did not have evidence of a frozen shoulder. In fact, the MRIs and mechanism of injury, he opined, did not support any injury causing tendonitis or inflammatory conditions within the bicep tendon. Furthermore, multiple days of surveillance footage demonstrated the claimant’s normal use, with the ability to sweep and shovel snow, operate her vehicle, raise her arms above shoulder level, and use a broom – all without any observable difficulty, which challenged the claimant’s credibility of a disability and further established a lack of causation. As a result of this favorable decision, supersedeas fund reimbursement will be obtained for both wage loss and medical benefits through the supersedeas fund recovery process. *Prior Results Do Not Guarantee a Similar Outcome NEWS Heather Carbone (Jacksonville) was a panelist for a webinar hosted by The Workers’ Compensation Claims Professionals (WCCP) Association. As part of the “Meet the Experts” Series, the speakers addressed “Afterthoughts that Undermine a Successful Mediation,” highlighting the pitfalls and challenges of underprepared or unprepared mediation participants. The discussion included appropriate pre-mediation communications, setting of expectations, management of expectations, and working through the unexpected or unprepared. Attendees gained ideas about how and when to prepare, best practices, and the potential for non-parties (spouse, significant other, risk owners-insurers) to have differing perspectives or concerns than the actual employee and employer. On May 21-22, 2026, A. Judd Woytek, (King of Prussia) joined a panel at the CLM Alliance (Claims and Litigation Management Alliance) Work Comp Conference in Nashville to present "We See You: How Employee Engagement Enhances Work Comp Outcomes." Judd and his fellow panelists discussed the positive impact of employee engagement on claim outcomes, return-to-work timelines, and overall claim costs.

Thought Leadership

NJ Workers' Compensation Legislation Update

A couple more bills were introduced for the 2026-27 session. Any updates since February have been highlighted in bold. A1023 | S3984 Medical use of cannabis under certain circumstances This requires workers’ compensation, PIP, and health insurance coverage for the medical use of cannabis under certain circumstances. It was introduced on January 13, 2026 and referred to the Assembly Financial Institutions and Insurance Committee. It was also introduced on March 19, 2026 and referred to the Senate Commerce Committee. A1045 Certain injuries to volunteer and professional public safety and law enforcement personnel This revises workers’ compensation coverage for certain injuries to volunteer and professional public safety and law enforcement personnel. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. A3724 Personal liability to employer officers for failure to pay for coverage This provides personal liability for owner, executive officer, or executive director of employer for failure to pay for workers' compensation coverage. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly Judiciary Committee. A4617 Certain workers' compensation supplemental benefits and funding method This concerns certain workers' compensation supplemental benefits and funding method. For a permanently and totally disabled worker or surviving dependents after December 31, 1979, with some exceptions, this bill provides for an annual cost of living adjustment in the weekly workers’ compensation benefit rate. It was introduced on March 10, 2026, and referred to the Assembly Labor Committee. S241 Inclusion in database of appointed officials This requires that workers’ compensation judges and administrative law judges be included in database of appointed officials. It was introduced on January 13, 2026 to the Senate, Referred to Senate State Government, Wagering, Tourism & Historic Preservation Committee. A1870 | S1379 Workers' compensation benefits for certain workers due to September 11, 2001, terrorist attacks This provides workers’ compensation benefits for certain public safety workers who developed illness or injury as result of responding to September 11, 2001 terrorist attacks. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. It was also introduced on the same day and referred to the Senate Labor Committee. On February 5, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. A2779 | S1521 Excludes Certain Illegal Aliens This excludes certain illegal aliens from workers’ compensation and temporary disability benefits. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A2792 | S1555 Prevent Intoxicated Employees from Workers’ Compensation This prevents intoxicated employees from receiving workers’ compensation. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. S2290 Increase Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 72. It was introduced on January 13, 2026, and referred to the Senate Judiciary Committee. A3167 | S2372 Workers’ compensation insurance requirements for certain corporations and partnerships. This concerns workers’ compensation insurance requirements for certain corporations and partnerships. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A1384 | S2757 Reduce Statute of Limitations in Medical Fee Disputes This reduces statute of limitations from six years to two years in medical fee disputes in workers’ compensation matters. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. S3144 Testimony in Workers’ Compensation This concerns submission of testimony in workers’ compensation claims. It was introduced on January 13, 2026, and referred to the Senate Labor Committee. S3342 Increase Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 75. It was introduced on February 5, 2026, and referred to the Senate Judiciary Committee. A3548 | S3571 Maximum benefits for certain volunteers This provides certain volunteer and other workers with maximum compensation benefit for workers' compensation claim regardless of outside employment.. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. On March 2, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly State and Local Government Committee.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict.