PRINTER'S NO. 1364

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1200 Session of 1987


        INTRODUCED BY PETRONE, KOSINSKI, DeLUCA, MARKOSEK, TRELLO,
           SALOOM, J. L. WRIGHT, FOSTER, KUKOVICH, LaGROTTA, DIETTERICK,
           CARLSON, MAIALE, HOWLETT, STUBAN, MRKONIC, BELFANTI, TIGUE,
           WASS, DISTLER, HALUSKA, LLOYD, JOHNSON, STABACK, FOX, HASAY,
           WILSON, GRUPPO, GEIST, DALEY, ANGSTADT, NOYE, KASUNIC, LUCYK,
           GANNON, GODSHALL, PERZEL, ARGALL, FISCHER, LEH, SHOWERS,
           GEORGE, MILLER, VEON, WOZNIAK, KENNEY, BUNT, DONATUCCI,
           HERMAN, MORRIS, STAIRS, MELIO, RAYMOND, TELEK, PETRARCA AND
           PRESTON, APRIL 28, 1987

        REFERRED TO COMMITTEE ON INSURANCE, APRIL 28, 1987

                                     AN ACT

     1  Amending Title 75 (Vehicles) of the Pennsylvania Consolidated
     2     Statutes, eliminating the Catastrophic Loss Trust Fund.

     3     The General Assembly of the Commonwealth of Pennsylvania
     4  hereby enacts as follows:
     5     Section 1.  Subchapter F of Chapter 17 and section 1787(d) of
     6  Title 75 of the Pennsylvania Consolidated Statutes are repealed.
     7     Section 2.  Sections 1796(a) and 1798 of Title 75 are amended
     8  to read:
     9  § 1796.  Mental or physical examination of person.
    10     (a)  General rule.--Whenever the mental or physical condition
    11  of a person is material to any claim for medical[,] or income
    12  loss [or catastrophic loss] benefits, a court of competent
    13  jurisdiction [or the administrator of the Catastrophic Loss
    14  Trust Fund for catastrophic loss claims] may order the person to


     1  submit to a mental or physical examination by a physician. The
     2  order may only be made upon motion for good cause shown. The
     3  order shall give the person to be examined adequate notice of
     4  the time and date of the examination and shall state the manner,
     5  conditions and scope of the examination and the physician by
     6  whom it is to be performed. If a person fails to comply with an
     7  order to be examined, the court or the administrator may order
     8  that the person be denied benefits until compliance.
     9     * * *
    10  § 1798.  Attorney fees and costs.
    11     (a)  Basis for reasonable fee.--No attorney's fee for
    12  representing a claimant in connection with a claim for first
    13  party benefits provided under Subchapter B (relating to motor
    14  vehicle liability insurance first party benefits) [or a claim
    15  for catastrophic loss benefits under Subchapter F (relating to
    16  Catastrophic Loss Trust Fund)] shall be calculated, determined
    17  or paid on a contingent fee basis, nor shall any attorney's fees
    18  be deducted from the benefits enumerated in this subsection
    19  which are otherwise due such claimant. An attorney may charge a
    20  claimant a reasonable fee based upon actual time expended.
    21     (b)  Unreasonable refusal to pay benefits.--In the event an
    22  insurer is found to have acted with no reasonable foundation in
    23  refusing to pay the benefits enumerated in subsection (a) when
    24  due, the insurer shall pay, in addition to the benefits owed and
    25  the interest thereon, a reasonable attorney fee based upon
    26  actual time expended.
    27     [(c)  Payment by fund.--The Catastrophic Loss Trust Fund may
    28  award the claimant's attorney a reasonable fee based upon actual
    29  time expended because a claimant is unable to otherwise pay the
    30  fees and costs.]
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     1     (d)  Fraudulent or excessive claims.--If, in any action by a
     2  claimant to recover benefits under this chapter, the court
     3  determines that the claim, or a significant part thereof, is
     4  fraudulent or so excessive as to have no reasonable foundation,
     5  the court may award the insurer's attorney a reasonable fee
     6  based upon actual time expended. The court, in such case, may
     7  direct that the fee shall be paid by the claimant or that the
     8  fee may be treated in whole or in part as an offset against any
     9  benefits due or to become due the claimant.
    10     Section 3.  This act shall take effect in 60 days.














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