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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

Appellate Division Affirmed Workers’ Compensation Order Striking Defenses and Ordering Treatment

Kneezel v. Lambertville House, No. A-2729-24 (June 1, 2026) In Kneezel v. Lambertville House, Lambertville House appealed from a workers’ compensation order to strike its defenses and directing it to authorize knee replacement surgery. By way of background, the petitioner worked as a property manager for Lambertville and injured his back and knee in December 2019. A workers’ compensation claim was filed and the petitioner treated at Rothman Institute. He underwent four injections to his low back and was recommended for surgery. The day before, Lambertville canceled and set up a second opinion exam with Dr. Lawrence Barr. The petitioner filed a motion for medical and temporary benefits (MMT), which was ultimately granted by the workers’ compensation judge. As such, he received authorized treatment for his back. The petitioner was then referred for his left knee pain and treatment was provided by Lambertville. He was recommended for a knee replacement, but the petitioner declined at that time. Approximately two years later, he sought additional treatment, which was denied. After obtaining a report from Dr. Dhimant Balar, the petitioner filed another MMT. In response, Lambertville submitted Dr. Zachwieja’s report and surveillance reports. Dr. Balar opined the left knee injury was related to the work accident, whereas Dr. Zachwieja believed it was due to his advanced degeneration as there was no evidence of acute trauma. A hearing on the MMT began in November 2024, with the petitioner testifying his knee pain never went away and he had a lot of trouble walking, especially for more than five to ten minutes. The surveillance investigators were scheduled to testify after, but had to be rescheduled a couple of times. During a conference in early February 2025, prior to when the investigators were to testify, it was discovered that Lambertville did not provide discovery to the petitioner, including the investigators’ information and surveillance footage. The petitioner moved to strike Lambertville’s defenses and sought an order to authorize the left knee treatment. Petitioner’s counsel pointed to Lambertville’s unreasonable delay in providing the necessary information and Lambertville did not file an opposition. In March 2025, the investigators’ testimonies were set for mid-March. On March 14, 2025, petitioner’s counsel advised she was still waiting for discovery and the judge directed Lambertville’s counsel to provide any missing information by March 17, 2025. Lambertville provided video clips after the petitioner had testified so the judge indicated that if everything was not provided to petitioner’s counsel by the end of March 19, 2025, the judge would sign the order granting the MMT. The next day, the judge entered the order striking Lambertville’s defenses and ordering left knee treatment. Lambertville moved for reconsideration of stay of the order pending appeal. Following oral arguments, the judge denied Lambertville’s motion, citing N.J.A.C. 12:235-3.11 (a)(4)(i) that Lambertville was required to provide surveillance after the petitioner’s testimony and that it had failed to do so even after he testified in November 2024. The judge also noted the investigators’ testimonies were rescheduled multiple times and Lambertville had more than enough time to provide the requested information and failed to do so. The judge also noted Lambertville failed to file a response to the petitioner’s motion to strike. In addition, the judge pointed to the petitioner’s testimony, finding him to be credible and observing him to have to stand and move multiple times during testimony. Lambertville appealed, arguing its due process rights were violated as there was no opportunity to be heard and the order was procedurally and factually defective. However, the Appellate Division disagreed, noting Lambertville had sufficient notice and many opportunities to be heard. It was noted Lambertville’s failure to comply with the judge’s requests led to the order. As for the motion to strike, the Appellate Division indicated Lambertville failed to oppose the motion, which provided the judge with the ability to decide without a hearing for an uncontested motion. Ultimately, the Appellate Division found no abuse of discretion and affirmed the judge’s rulings and order.

Thought Leadership

Mitigating Long-Tail Liability: Delaware Court Reaffirms Five-Year Workers’ Compensation Deadline

Williamson v. Donald F. Deaven, Inc., No. N25A-07-004 FWW, 2026 LX 252526 (Del. Super. Ct. June 2, 2026) Claimant was involved in a compensable industrial work accident on May 12, 1995, for a low back injury.  Following this, he received compensation for temporary total disability benefits from July 1996 to September 1996 and for sustaining a permanent impairment in 1997 and 1998.  For the next 23 years, the claimant continued treatment and paid his own medical bills without submitting them to the employer’s insurer.  In November 2021, the claimant filed a petition seeking payment for medical expenses, including prospective surgery and a resulting period of total disability.  The employer moved to dismiss the petition, arguing it was barred by Delaware’s five-year statute of limitations (19 Del. C. § 2361(b)). Pursuant to 18 Del. C. § 3914, insurers must provide prompt written notice of the applicable statute of limitations to invoke the five-year deadline.  Due to the age of the case, neither party had a comprehensive file of the claim and the Board had archived its file of the matter.  The carrier’s computer system retained only bare information indicating that payments occurred and agreements and receipts were filed with the Board in 1997. While the claimant argued that the employer could not prove it provided the mandatory statutory notice, the Hearing Officer recovered the archived file, which contained two “Receipts for Compensation Paid” signed by the claimant.  The receipts explicitly contained the required five-year limitation language, which the claimant testified to signing at the hearing.  The claimant also attempted to introduce evidence of payments he claimed the employer made, which would have extended the statute of limitations.  As a preliminary matter, the hearing officer excluded the testimony about the payments because the claimant did not produce them to the employer.  The Board found in favor of the employer and dismissed the claimant’s petition as time-barred. The claimant appealed the Board’s decision, arguing that he never received adequate notice of the statute of limitations and that the hearing officer’s evidentiary ruling was an abuse of discretion. The Court held that the archived, signed receipts constituted substantial evidence that the insurer fulfilled its statutory notice requirements.  Therefore,  the claimant’s petition was time-barred under the statute of limitations provisions of 19 Del. C. § 2361(b).  Furthermore, the Court reinforced strict procedural compliance: it rejected the claimant’s attempts to introduce evidence of payment on appeal, ruling the argument was waived for failure to preserve it while the matter was still before the Board. This recent ruling by the Court underscores the importance and necessity of robust data preservation and precise compliance with notice requirements.  For risk managers, employers, and insurers, the decision highlights how tight administrative execution protects against catastrophic long-tail liability.

Thought Leadership

Employer/Carriers Must Explicitly Invoke Right to Deny Claim Under “Pay and Investigate” Statutory Provision; Employes Must Always Prove Medical Necessity of Treatment

Koren v. City of Kissimmee/PGCS, ___So.3d___(Fla 1st DCA 6/10/26) The majority opinion in Koren holds that the Judge of Compensation Claims (JCC) properly denied psychiatric treatment because the claimant did not challenge on appeal the JCC’s finding that the requested treatment was not medically necessary. However, Judge K. Thomas authored a detailed concurrence agreeing with the result on the ground that the claimant failed to meet his burden of proving medical necessity. In doing so, Judge K. Thomas also emphasized an important principle: employer/carriers must expressly invoke the 120-day pay-and-investigate provision under Florida’s Workers’ Compensation Act if they intend to preserve their right to deny compensability. Merely authorizing evaluations, without explicitly invoking the 120-day rule, may be insufficient to preserve the right to deny compensability of specific injuries. In Koren, the claimant sustained injuries to his upper lip, tooth, right knee, and right foot when a board gave way on a deck he was repairing for the employer/carrier. The accident was accepted as compensable, and multiple specialists were authorized to treat his physical injuries, including an ear, nose, and throat physician, dentist, orthopedist, and plastic surgeon. The claimant later sought psychiatric treatment and attended an independent medical examination (IME) with a psychiatrist. The IME diagnosed adjustment disorder with mixed anxiety and depressed mood, opining that the condition was caused by “the actual appearance of the scar” resulting from the industrial accident. The IME recommended continued medication, including an antidepressant, as well as follow-up care with a psychiatrist and psychologist. Critically, however, the IME did not offer an opinion regarding the medical necessity of this treatment. The claimant then filed a petition for benefits attaching the IME report and requesting authorization of psychiatric care. The employer/carrier responded by authorizing a psychiatrist, whom the claimant did, in fact, see. However, the employer/carrier neither denied the claim nor issued written notice invoking the 120-day pay-and-investigate provision. The authorized psychiatrist subsequently opined that the claimant’s psychiatric condition was unrelated to the industrial accident and instead attributable to prior employment as a law enforcement officer and volunteer firefighter. The psychiatrist further concluded that the work accident was not the major contributing cause of the condition. Although the employer/carrier stipulated to the authorization of the psychiatrist, it ultimately denied the claimant’s entitlement to psychiatric treatment. The JCC denied the requested benefit. The majority opinion affirmed on the narrow ground that medical necessity had not been established. Judge K. Thomas’s concurrence, however, expands on the legal framework. Under Florida law, an employer/carrier presented with a claim must “pay, pay and investigate, or deny.” To avail itself of the 120-day pay-and-investigate protection, the employer/carrier must affirmatively and explicitly invoke that option, typically through a written 120-day letter. The statutory investigative period does not arise automatically upon the provision of care. Furthermore, an attempt to characterize authorization as a “one-time evaluation” does not avoid waiver, as even a single evaluation may constitute the provision of a compensable benefit. By authorizing psychiatric care without invoking the 120-day provision, the employer/carrier in Koren effectively accepted compensability of the claimant’s PTSD condition. Nonetheless, it retained the ability to contest entitlement to ongoing treatment. While the employer/carrier failed to demonstrate a break in the causal chain, the claimant still bore the burden of proving that the requested treatment was medically necessary. Because the JCC found that the claimant failed to meet this burden, and the claimant did not challenge that finding either below or on appeal, the denial of psychiatric benefits was ultimately affirmed.

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.