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05/27/97 DONEGAL MUTUAL INSURANCE COMPANY v.

May 27, 1997

DONEGAL MUTUAL INSURANCE COMPANY, PETITIONER
v.
PENNSYLVANIA DEPARTMENT OF INSURANCE, RESPONDENT



Appealed From No. P-93-09-2S. State Agency Pennsylvania Department of Insurance.

Before: Honorable Joseph T. Doyle, Judge, Honorable Rochelle S. Friedman, Judge, Honorable Jess S. Jiuliante, Senior Judge. Opinion BY Senior Judge Jiuliante

The opinion of the court was delivered by: Jiuliante

OPINION BY SENIOR JUDGE JIULIANTE

FILED: May 27, 1997

Donegal Mutual Insurance Company (Donegal) petitions for review of the March 18, 1996 order of the Insurance Commissioner (Commissioner) which found that Donegal had failed to establish it properly notified its insured, Janet Stuart (Stuart) that Donegal was cancelling Stuart's automobile insurance policy for nonpayment of premium. The issue presented for our review is whether the Commissioner erred as a matter of law in determining that a copy of the notice of cancellation actually sent to the insured must be produced at the hearing before the Commissioner to show compliance with section 5 of Act 78. *fn1

Effective May 23, 1992, Donegal issued an automobile insurance policy to Stuart. In August of 1992, Donegal issued Stuart an invoice for an unpaid premium in the amount of $303.00. Stuart failed to pay the premium. On August 20, 1992, Donegal mailed Stuart a notice of cancellation to her address in Salix, Pennsylvania. The day before this notice was sent, Stuart informed her local agent that she had moved and informed the agent of her new address in Johnstown, Pennsylvania. On September 8, 1992, Donegal sent a second notice of cancellation, this time to the Johnstown address. In late October, Stuart sent Donegal $50.00 toward the payment of her outstanding premium. Donegal cancelled Stuart's policy, effective September 26, 1992. *fn2

On March 26, 1993, Stuart requested a review hearing before the Commonwealth Insurance Department (Department). By letter dated March 26, 1993, the Department informed Stuart her request for review was untimely, as it was not made within thirty days after the policy in question was cancelled. The letter informed Stuart of her right to a formal hearing before the Commissioner, which Stuart exercised.

The hearing before the Commissioner was held November 30, 1993. *fn3 At the hearing, Donegal presented the testimony of Karen E. Lawrence, Supervisor of Personal Accounting. Ms. Lawrence testified as follows: that as of August 1992, an invoice was issued to Stuart for the unpaid premiums. Stuart failed to pay the premium and therefore, Donegal issued a notice of cancellation on August 18, 1992. This notice was sent to Stuart's address in Salix, Pennsylvania on August 20, 1992. After learning Stuart had moved, Donegal issued a second notice of cancellation on September 3, 1992. The second notice was sent to Stuart's address in Johnstown, Pennsylvania on September 8, 1992.

In order to satisfy its burden under section 5 of Act 78, Ms. Lawrence produced certificates of mailing for both the August 20 and September 8, 1992 mailings. She also produced printouts from Donegal's data processing unit which listed those clients Donegal issued notices of cancellation and the date those notices were issued and mailed. (Exhibits D2 and D6; Reproduced Record "R.R." 47 and 54). Stuart's name was listed among those who had been issued a notice of cancellation. In addition, Ms. Lawrence noted there was no indication in Stuart's file that any of the mailings had been returned to Donegal.

Ms. Lawrence further testified that in the normal course of business, Donegal does not keep copies of individual notices of cancellation in a client's file. Thus, at the hearing she produced a blank copy of a notice of cancellation.

A cancellation memo was produced by Donegal on September 28, 1992, which detailed the payment history of Stuart's policy. According to Ms. Lawrence, Donegal sent this memo to Stuart. Since Donegal apparently maintains copies of its cancellation memos, Ms. Lawrence was able to produce a copy of this memo at the hearing. Stuart testified that prior to her move in August, she notified her local agent of her new address. Stuart maintained that from August until November, she did not receive any notices from Donegal. She stated that in late October she contacted her local agent because she was concerned she did not receive any notices from Donegal. Stuart stated that at that time, her local agent sent her the bottom portion or "stub" of the cancellation notice and she then tendered a check to Donegal for $50.00. Stuart testified that it was not until November that she learned Donegal had cancelled her insurance and then, the letter indicating her insurance was cancelled did not inform her of her right to appeal Donegal's cancellation of her policy. Stuart stated she did not have any problems receiving mail at either her old or new addresses. Stuart did, however, admit she received a document from Donegal, but stated she believed it was a notice of nonrenewal.

The Commissioner found in favor of Stuart, stating that although Donegal had provided credible evidence it mailed certain documents to Stuart, it had not proven that the documents mailed were the notices of cancellation. *fn4 This petition for review followed.

The issues presented for the Court's review are 1) whether the Commissioner committed an error of law in determining that a copy of the notice of cancellation must be produced in order for there to be sufficient evidence of notice to the insured, and 2) whether the Commissioner erred in determining Stuart's request for review was timely. Our scope of review is limited to whether constitutional rights have been violated, an error of law has been committed, or whether the necessary findings are supported by substantial evidence. American Motorists Insurance Co. v. Insurance Department of Pennsylvania, 154 Pa. Commw. 17, 622 A.2d 406 (Pa. Commw. 1992).

Donegal has the burden of proving it complied with Act 78 in cancelling Stuart's insurance policy. See State Farm Mutual Automobile Insurance Co. v. Department of Insurance, 134 Pa. Commw. 226, 578 A.2d 999 (Pa. Commw. 1990), petition for ...


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