Vespaziani v. Insana

• Decision Date: 04 January 1982
• Citation: 293 Pa.Super. 117,437 A.2d 1234
• Parties: Tony VESPAZIANI and Viola Vespaziani, his wife, v. Pete INSANA, individually and t/d/b/a Pete Isana Auto Body Repair and Towing, and Richard Insana. Appeal of TRANSPORT INSURANCE COMPANY.
• Court: Pennsylvania Superior Court

Page 1234

437 A.2d 1234

293 Pa.Super. 117

Tony VESPAZIANI and Viola Vespaziani, his wife, v. Pete INSANA, individually and t/d/b/a Pete Isana Auto Body Repair and Towing, and Richard Insana Appeal of TRANSPORT INSURANCE COMPANY.

Superior Court of Pennsylvania.

Argued Nov. 13, 1980.

Filed Oct. 9, 1981.

Reargument Denied Jan. 4, 1982.

Joseph F. Grochmal, Pittsburgh, for appellant.

Daniel M. Berger, Pittsburgh, for appellees.

Before SPAETH, WICKERSHAM and LIPEZ, JJ.

SPAETH, Judge:

This is an appeal from an order denying a petition for leave to intervene as use plaintiff in a trespass action. We affirm.

Tony Vespaziani, while in the course of his employment, was injured in a motor vehicle accident. As a result, he received workmen's compensation benefits from The Transport Insurance Company. When Vespaziani brought an action in trespass against the driver and owner of the other vehicle, Transport filed a petition for leave to intervene as use plaintiff. ¹

The petition alleged that Transport is subrogated to Vespaziani's rights against the driver and owner of the other vehicle "to the extent that Workmen's Compensation Benefits paid and payable to Vespaziani are in excess of Basic Loss Benefits as construed under the Pennsylvania No-Fault Motor Vehicle (Insurance) Act (Act of July 19, 1974, P.L. 489, No. 176, Art. I, § 101, 40 P.S. § 1009.101 et seq (Supp.1981-22))." Petition, para. 10. The lower court denied the petition, and Transport took this appeal.

The No-Fault Act "abolished" Vespaziani's right to sue the driver and owner of the other vehicle, with certain exceptions. 40 P.S. § 1009.301(a). One of these exceptions is that the driver and owner of the other vehicle "remain () liable for loss which is not compensated because of any limitation in accordance with section 202(a), (b), (c), or (d) of this Act." 40 P.S. § 1009.301(a)(4). Section 202 is entitled "Basic loss benefits." 40 P.S. § 1009.202. Section 202(b) provides that "(w)ork loss ... shall be provided ... up to a total amount of fifteen thousand dollars ($15,000)." 40 P.S. § 1009.202(b). ²

In other words-and surely Dante would have condemned the authors of the No-Fault Act to be lost in a labyrinth of their own devising-if one is hurt in an automobile accident, he has no right to sue the other driver, unless he has suffered a work loss of over $15,000. If he has suffered a work loss of over $15,000, he may sue the other driver for so much of his loss as exceeds $15,000, for as to that excess he will not have been compensated by his No-fault insurance.

The question presented by this appeal is, How is one's right to sue the other driver affected if, like Vespaziani, one has received not only No-fault insurance benefits but also workmen's compensation benefits?

Under the No-Fault Act "(b)asic loss benefits" means "benefits provided ... for the net loss sustained by a victim." 40 P.S. § 1009.103. "Net loss" means "loss less benefits or advantages required to be subtracted from loss in calculating net loss." Id. One of the benefits required thus to be subtracted is "all benefits ... that an individual receives or is entitled to receive from ... workmen's compensation." 40 P.S. § 1009.206(a).

In other words: Suppose as a result of a motor vehicle accident one has suffered a work loss of $100,000, and has received workmen's compensation benefits of $25,000. In determining his ability to sue the driver of the other vehicle, such a person must proceed with the following computation. From his work loss of $100,000 he subtracts the $25,000 he has received in workmen's compensation benefits, giving him a net loss of $75,000. Under the No-Fault Act he is entitled to be compensated for his loss, but only up to a total amount of $15,000. Consequently, to the extent of $60,000 he has not been compensated for his loss. Therefore, to that extent the other driver "remains liable" to him, and may be sued.

Such an exercise shows, or so we hope, that Transport's petition to intervene is without merit. Vespaziani may maintain his trespass action against the driver and owner of the other vehicle-using the figures of the case we have just supposed, he may recover $60,000. However, Transport is not entitled to share in that recovery. If Vespaziani were entitled to recover from the driver and owner of the other vehicle the $25,000 workmen's compensation benefits received from Transport-again, to use the figures we have supposed-then he would be entitled to recover not $60,000 but $85,000, and Transport would be entitled to subrogation to the extent of the...