PRIOR PRINTER'S NOS. 132, 942, 2074, PRINTER'S NO. 2907 2300
No. 121 Session of 1989
Report of the Committee of Conference
To the Members of the House of Representatives and Senate:
We, the undersigned, Committee of Conference on the part of the House of Representatives and Senate for the purpose of considering House Bill No. 121, entitled: "An act amending Title 75 (Vehicles) of the Pennsylvania Consolidated Statutes, further providing for the securing of loads on vehicles hauling garbage," AMENDING TITLES 18 (CRIMES AND OFFENSES), 42 (JUDICIARY AND JUDICIAL PROCEDURE) AND 75 (VEHICLES) OF THE PENNSYLVANIA CONSOLIDATED STATUTES, FURTHER PROVIDING FOR CORRUPT ORGANIZATIONS; PROVIDING FOR INSURANCE FRAUD; PROVIDING FOR CERTIFICATION OF PLEADINGS, MOTIONS AND OTHER PAPERS; * * * FURTHER PROVIDING FOR SECURING LOADS IN VEHICLES; FURTHER PROVIDING FOR THE INSPECTION OF NEWLY PURCHASED VEHICLES, FOR TRANSPORTING FOODSTUFFS IN VEHICLES USED TO TRANSPORT WASTE AND FOR PENALTIES; CONFERRING POWERS AND DUTIES ON THE INSURANCE DEPARTMENT AND THE DEPARTMENT OF TRANSPORTATION; AND MAKING REPEALS," respectfully submit the following bill as our report: ROBERT W. O'DONNELL WILLIAM C. RYBAK (Committee on the part of the House of Representatives.) EDWIN G. HOLL F. JOSEPH LOEPER (Committee on the part of the Senate.)
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AN ACT 1 Amending Titles 18 (Crimes and Offenses), 42 (Judiciary and 2 Judicial Procedure) and 75 (Vehicles) of the Pennsylvania 3 Consolidated Statutes, further providing for corrupt 4 organizations; providing for insurance fraud; providing for 5 certification of pleadings, motions and other papers; 6 providing for special damages; further providing for vehicle 7 registration; further providing for financial responsibility 8 and insurance related to motor vehicles; providing for proof 9 of insurance; further providing for reinstatement of 10 operating privileges or vehicle registration; further 11 providing for driving under the influence of alcohol or 12 controlled substances; further providing for inspection of 13 vehicles; providing for certain reductions in automobile 14 insurance premiums; conferring powers and duties on the 15 Insurance Department and the Department of Transportation; 16 and making repeals. 17 The General Assembly of the Commonwealth of Pennsylvania 18 hereby enacts as follows: 19 Section 1. Section 911(h) of Title 18 of the Pennsylvania 20 Consolidated Statutes is amended to read: 21 § 911. Corrupt organizations. 22 * * * 23 (h) Definitions.--As used in this section: 24 (1) "Racketeering activity" means: 25 (i) any act which is indictable under any of the 26 following provisions of this title: 27 Chapter 25 (relating to criminal homicide) 28 Section 2706 (relating to terroristic threats) 29 Chapter 29 (relating to kidnapping) 30 Chapter 33 (relating to arson, etc.) 31 Chapter 37 (relating to robbery) 32 Chapter 39 (relating to theft and related 33 offenses) 34 Section 4108 (relating to commercial bribery and 35 breach of duty to act disinterestedly) 36 Section 4109 (relating to rigging publicly 19890H0121B2907 - 3 -
1 exhibited contest) 2 Section 4117 (relating to automobile insurance 3 fraud) 4 Chapter 47 (relating to bribery and corrupt 5 influence) 6 Chapter 49 (relating to perjury and other 7 falsification in official matters) 8 Section 5512 through 5514 (relating to gambling) 9 Chapter 59 (relating to public indecency) 10 (ii) any offense indictable under section 13 of the 11 act of April 14, 1972 (P.L.233, No.64), known as ["]The 12 Controlled Substance, Drug, Device and Cosmetic Act["] 13 (relating to the sale and dispensing of narcotic drugs); 14 (iii) any conspiracy to commit any of the offenses 15 set forth in subparagraphs (i) and (ii) of this 16 paragraph; or 17 (iv) the collection of any money or other property 18 in full or partial satisfaction of a debt which arose as 19 the result of the lending of money or other property at a 20 rate of interest exceeding 25% per annum or the 21 equivalent rate for a longer or shorter period, where not 22 otherwise authorized by law. 23 Any act which otherwise would be considered racketeering 24 activity by reason of the application of this paragraph, 25 shall not be excluded from its application solely because the 26 operative acts took place outside the jurisdiction of this 27 Commonwealth, if such acts would have been in violation of 28 the law of the jurisdiction in which they occurred. 29 (2) "Person" means any individual or entity capable of 30 holding a legal or beneficial interest in property. 19890H0121B2907 - 4 -
1 (3) "Enterprise" means any individual, partnership, 2 corporation, association or other legal entity, and any union 3 or group of individuals associated in fact although not a 4 legal entity, engaged in commerce. 5 (4) "Pattern of racketeering activity" refers to a 6 course of conduct requiring two or more acts of racketeering 7 activity one of which occurred after the effective date of 8 this section. 9 (5) "Racketeering investigator" means an attorney, 10 investigator or investigative body so designated in writing 11 by the Attorney General and charged with the duty of 12 enforcing or carrying into effect the provisions of this 13 section. 14 (6) "Racketeering investigation" means any inquiry 15 conducted by any racketeering investigator for the purpose of 16 ascertaining whether any person has been involved in any 17 violation of this section or of any order, judgment, or 18 decree of any court duly entered in any case or proceeding 19 arising under this section. 20 (7) "Documentary material" means any book, paper, 21 record, recording, tape, report, memorandum, written 22 communication, or other document relating to the business 23 affairs of any person or enterprise. 24 Section 2. Title 18 is amended by adding a section to read: 25 § 4117. Automobile insurance fraud. 26 (a) Offense defined.--A person commits an offense if the 27 person does any of the following: 28 (1) Knowingly and with the intent to defraud a 29 government or local agency files, presents or causes to be 30 filed with or presented to the government or local agency a 19890H0121B2907 - 5 -
1 document that contains false, incomplete or misleading 2 information concerning any fact or thing material to the 3 agency's determination in approving or disapproving an 4 automobile insurance rate filing, an automobile insurance 5 transaction or other automobile insurance action which is 6 required or filed in response to an agency's request. 7 (2) Knowingly and with the intent to defraud any insurer 8 presents or causes to be presented to any insurer any 9 statement forming a part of, or in support of, an automobile 10 insurance claim that contains any false, incomplete or 11 misleading information concerning any fact or thing material 12 to the automobile insurance claim. 13 (3) Knowingly and with the intent to defraud any insurer 14 assists, abets, solicits or conspires with another to prepare 15 or make any statement that is intended to be presented to any 16 insurer in connection with, or in support of, an automobile 17 insurance claim that contains any false, incomplete or 18 misleading information concerning any fact or thing material 19 to the automobile insurance claim. 20 (4) Engages in unlicensed agent or broker activity as 21 defined by the act of May 17, 1921 (P.L.789, No.285), known 22 as The Insurance Department Act of one thousand nine hundred 23 and twenty-one, knowingly and with the intent to defraud an 24 automobile insurer or the public. 25 (5) Knowingly benefits, directly or indirectly, from the 26 proceeds derived from a violation of this section due to the 27 assistance, conspiracy or urging of any person. 28 (6) Is the owner, administrator or employee of any 29 health care facility, and knowingly allows the use of such 30 facility by any person in furtherance of a scheme or 19890H0121B2907 - 6 -
1 conspiracy to violate any of the provisions of this section. 2 (7) Borrows or uses another person's financial 3 responsibility identification card or permits his financial 4 responsibility identification card to be used by another, 5 knowingly and with intent to present a fraudulent automobile 6 insurance claim for reimbursement to an insurer. 7 (b) Additional offenses defined.-- 8 (1) In a claim arising out of an automobile accident, a 9 lawyer may not compensate or give anything of value to a non- 10 lawyer to recommend or secure employment by a client or as a 11 reward for having made a recommendation resulting in 12 employment by a client; except that the lawyer may pay: 13 (i) the reasonable cost of advertising or written 14 communication as permitted by the rules of professional 15 conduct; or 16 (ii) the usual charges of a not-for-profit lawyer- 17 referral service or other legal service organization. 18 Upon a conviction of an offense provided for by this 19 paragraph, the prosecutor shall certify such conviction to 20 the disciplinary board of the Supreme Court for appropriate 21 action. Such action may include a suspension or disbarment. 22 (2) With respect to a motor vehicle insurance benefit or 23 claim, a health care provider may not compensate or give 24 anything of value to a person to recommend or secure the 25 provider's service to or employment by a patient or as a 26 reward for having made a recommendation resulting in the 27 provider's service to or employment by a patient; except that 28 the provider may pay the reasonable cost of advertising or 29 written communication as permitted by rules of professional 30 conduct. Upon a conviction of an offense provided for by this 19890H0121B2907 - 7 -
1 paragraph, the prosecutor shall certify such conviction to 2 the appropriate licensing board in the Department of State 3 which shall suspend or revoke the health care provider's 4 license. 5 (3) A person may not receive compensation, a reward or 6 anything of value in return for providing names, addresses, 7 telephone numbers or other identifying information of victims 8 involved in automobile accidents to a lawyer or health care 9 provider which results in employment of the lawyer or health 10 care provider by the victims for purposes of a motor vehicle 11 insurance claim or suit. Attempts to circumvent this 12 paragraph through use of any other person, including, but not 13 limited to, employees, agents or servants, shall also be 14 prohibited. This provision shall not prohibit a lawyer or 15 health care provider from making a referral as is permitted 16 under applicable professional rules of conduct. 17 (c) Electronic claims submission.--If a claim for a benefit 18 is made by means of computer billing tapes or other electronic 19 means, it shall be a rebuttable presumption that the person 20 knowingly made the claim if the person has advised the insurer 21 in writing that claims for benefits will be submitted by use of 22 computer billing tapes or other electronic means. 23 (d) Grading.--An offense under subsection (a)(1) through (7) 24 is a felony of the third degree. An offense under subsection (b) 25 is a misdemeanor of the first degree. 26 (e) Restitution.--The court may, in addition to any other 27 sentence authorized by law, sentence a person convicted of 28 violating this section to make restitution under section 1106 29 (relating to restitution for injuries to person or property). 30 (f) Immunity.--An insurer, and any agent, servant or 19890H0121B2907 - 8 -
1 employee acting in the course and scope of his employment, shall 2 be immune from civil or criminal liability arising from the 3 supply or release of written or oral information to any entity 4 duly authorized to receive such information by Federal or State 5 law, or by Insurance Department regulations, only if both of the 6 following conditions exist: 7 (1) the information is supplied to the agency in 8 connection with an allegation of fraudulent conduct on the 9 part of any person relating to the filing or maintenance of 10 an insurance claim or bodily injury or property damage; and 11 (2) the insurer, agent, servant or employee has probable 12 cause to believe that the information supplied is reasonably 13 related to the allegation of fraud. 14 (g) Civil action.--An insurer damaged as a result of a 15 violation of this section may sue therefor in any court of 16 competent jurisdiction to recover compensatory damages, which 17 may include reasonable investigation expenses, costs of suit and 18 attorney fees. A successful claimant may recover damages if the 19 court determines that the defendant has engaged in a pattern of 20 violating this section. 21 (h) Criminal action.-- 22 (1) The district attorneys of the several counties shall 23 have authority to investigate and to institute criminal 24 proceedings for any violation of this section. 25 (2) In addition to the authority conferred upon the 26 Attorney General by the act of October 15, 1980 (P.L.950, 27 No.164), known as the Commonwealth Attorneys Act, the 28 Attorney General shall have the authority to investigate and 29 to institute criminal proceedings for any violation of this 30 section or any series of such violations involving more than 19890H0121B2907 - 9 -
1 one county of the Commonwealth or involving any county of the 2 Commonwealth and another state. No person charged with a 3 violation of this section by the Attorney General shall have 4 standing to challenge the authority of the Attorney General 5 to investigate or prosecute the case, and, if any such 6 challenge is made, the challenge shall be dismissed and no 7 relief shall be available in the courts of the Commonwealth 8 to the person making the challenge. 9 (i) Regulatory and investigative powers additional to those 10 now existing.--Nothing contained in this section shall be 11 construed to limit the regulatory or investigative authority of 12 any department or agency of the Commonwealth whose functions 13 might relate to persons, enterprises, or matters falling within 14 the scope of this section. 15 (j) Definitions.--As used in this section, the following 16 words and phrases shall have the meanings given to them in this 17 subsection: 18 "Insurance claim." A claim for payment or other benefit 19 pursuant to an insurance policy. 20 "Insurance policy." A document setting forth the terms and 21 conditions of a contract of insurance. 22 "Insurer." A company, association or exchange defined by 23 section 101 of the act of May 17, 1921 (P.L.682, No.284), known 24 as The Insurance Company Law of 1921; an unincorporated 25 association of underwriting members; a hospital plan 26 corporation; a professional health services plan corporation; a 27 health maintenance organization; a fraternal benefit society; 28 and a health insured health care entity under the act of October 29 15, 1975 (P.L.390, No.111), known as the Health Care Services 30 Malpractice Act. 19890H0121B2907 - 10 -
1 "Person." Any individual, corporation, association, 2 partnership, reciprocal exchange, inter-insurer, Lloyd's 3 insurer, fraternal benefit society, beneficial association and 4 any other legal entity engaged or proposing to become engaged, 5 either directly or indirectly, in the business of insurance, 6 including agents, brokers, adjusters and health care plans as 7 defined in 40 Pa.C.S. Chs. 61 (relating to hospital plan 8 corporations), 63 (relating to professional health services plan 9 corporations), 65 (relating to fraternal benefit societies) and 10 67 (relating to beneficial societies) and the act of December 11 29, 1972 (P.L.1701, No.364), known as the Health Maintenance 12 Organization Act. For purposes of this section, health care 13 plans, fraternal benefit societies and beneficial societies 14 shall be deemed to be engaged in the business of insurance. 15 "Statement." Any oral or written presentation or other 16 evidence of loss, injury or expense, including, but not limited 17 to, any notice, statement, proof of loss, bill of lading, 18 receipt for payment, invoice, account, estimate of property 19 damages, bill for services, diagnosis, prescription, hospital or 20 doctor records, X-ray, test result or computer-generated 21 documents. 22 Section 3. Chapter 83 of Title 42 is amended by adding a 23 section and a subchapter to read: 24 § 8355. Certification of pleadings, motions and other papers. 25 Every pleading, motion and other paper of a party represented 26 by an attorney shall be signed by at least one attorney of 27 record in his individual name and his address shall be stated. A 28 party who is not represented by an attorney shall sign his 29 pleading, motion or other paper and state his address. Except 30 when otherwise specifically provided by rule or statute, 19890H0121B2907 - 11 -
1 pleadings need not be verified or accompanied by affidavit. The 2 signature of an attorney or party constitutes a certification by 3 him that he has read the pleading, motion or other paper; that, 4 to the best of his knowledge, information and belief, it is well 5 grounded in fact and is warranted by existing law or a good- 6 faith argument for the extension, modification or reversal of 7 existing law; and that it is not interposed in bad faith or for 8 any improper purpose, such as to harass another, to maliciously 9 injure another or to cause unnecessary delay or increase in the 10 cost of litigation. If a pleading, motion or other paper is not 11 signed, it shall be stricken unless it is signed promptly after 12 the omission is called to the attention of the pleader or 13 movant. If a pleading, motion or other paper is signed in 14 violation of this section, the court shall award to the 15 successful party costs and reasonable attorney fees in addition 16 to a fine; the fine shall not exceed $10,000. Such costs, fees 17 and fines shall be in addition to any other judgment awarded to 18 the successful party and shall be imposed upon the person who 19 signed the pleading, motion or other paper, or a represented 20 party, or both. This section is in addition to and shall not be 21 construed to limit any other remedies or sanctions provided by 22 law. 23 SUBCHAPTER G 24 SPECIAL DAMAGES 25 Sec. 26 8371. Actions on insurance policies. 27 § 8371. Actions on insurance policies. 28 In an action arising under an insurance policy, if the court 29 finds that the insurer has acted in bad faith toward the 30 insured, the court may take all of the following actions: 19890H0121B2907 - 12 -
1 (1) Award interest on the amount of the claim from the 2 date the claim was made by the insured in an amount equal to 3 the prime rate of interest plus 3%. 4 (2) Award punitive damages against the insurer. 5 (3) Assess court costs and attorney fees against the 6 insurer. 7 Section 4. Sections 1305 and 1306 of Title 75 are amended to 8 read: 9 § 1305. Application for registration. 10 (a) General rule.--Application for the registration of a 11 vehicle shall be made to the department upon the appropriate 12 form or forms furnished by the department. The application shall 13 contain the full name and address of the owner or owners; the 14 make, model, year and vehicle identification number of the 15 vehicle; and such other information as the department may 16 require. Applicants for registration of a truck, truck tractor, 17 trailer or bus shall provide the vehicle's Gross Vehicle Weight 18 Rating (GVWR), or the Gross Combination Weight Rating (GCWR), as 19 applicable. If the manufacturer's ratings are not available, the 20 applicant shall provide sufficient information as to the 21 horsepower, braking capacity and such other data as necessary 22 for the department to determine an equivalent measure of the 23 vehicle's hauling and stopping capability. If the applicant 24 wishes to register a vehicle at a registered gross weight less 25 than the gross vehicle weight rating, the application shall 26 include information as to weight, load and any other such 27 information as the department may require. The application shall 28 be accompanied by self-certification of financial responsibility 29 and the applicable fee. 30 (b) Evidence of P.U.C. approval for buses and taxis.--Before 19890H0121B2907 - 13 -
1 registering any bus or taxi which is required under the laws of 2 this Commonwealth to obtain a certificate of public convenience 3 from the Pennsylvania Public Utility Commission, the department 4 shall require evidence that the certificate has been issued and 5 has not been revoked or has not expired. 6 (c) Designation of lessee as registrant.--The owner as 7 lessor may designate the lessee as the registrant of the vehicle 8 and the name and address of the lessee may be substituted on the 9 registration card for the address of the lessor. The department 10 shall designate the relationship upon the card in a manner it 11 deems appropriate. This subsection is applicable only for the 12 period during which the lease remains in effect. 13 (d) Self-certification of financial responsibility.--In 14 addition to the other requirements to registration, the 15 applicant shall file a self-certification of financial 16 responsibility which shall include: 17 (1) The complete name, address and telephone number of 18 the applicant. 19 (2) The name of the insurance company which is insuring 20 the subject vehicle. 21 (3) The policy number, effective date and expiration 22 date of the policy of insurance insuring the vehicle. 23 § 1306. Grounds for refusing registration. 24 The department shall refuse registration or renewal or 25 transfer of registration when any of the following circumstances 26 exists: 27 (1) The applicant is not entitled to registration under 28 the provisions of this chapter. 29 (2) The applicant has at registration or titling 30 neglected or refused to furnish the department with the 19890H0121B2907 - 14 -
1 information required on the appropriate official form, or any 2 reasonable additional information required by the department. 3 (3) The department has reasonable grounds to believe 4 that the application contains false or fraudulent 5 information, or that the vehicle is stolen, which fact the 6 department shall ascertain by reference to the stolen vehicle 7 file required to be maintained under section 7114 (relating 8 to records of stolen vehicles), or that the granting of 9 registration would constitute a fraud against the rightful 10 owner or other person having a valid lien upon the vehicle. 11 (4) The fees required by law have not been paid. 12 (5) The vehicle is not constructed or equipped as 13 required by this title. 14 (6) The registration of the vehicle stands suspended for 15 any reason as provided for in this title. 16 (7) Self-certification of financial responsibility, as 17 required under section 1305(d) (relating to application for 18 registration) is not filed with the registration application. 19 Section 5. Title 75 is amended by adding a section to read: 20 § 1318. Duties of agents. 21 (a) Verification of financial responsibility.--An agent who 22 is authorized to issue on behalf of the department a vehicle 23 registration renewal or temporary registration shall be required 24 to verify financial responsibility prior to issuance. 25 (b) Proof.--Proof of financial responsibility shall be 26 verified by examining one of the following documents: 27 (1) An identification card as required by regulations 28 promulgated by the Insurance Department. 29 (2) The declaration page of an insurance policy. 30 (3) A certificate of financial responsibility. 19890H0121B2907 - 15 -
1 (4) A valid binder of insurance issued by an insurance 2 company licensed to sell automobile liability insurance in 3 Pennsylvania. 4 Section 6. Sections 1376 and 1540(c) of Title 75 are amended 5 to read: 6 § 1376. Surrender of registration plates and cards upon 7 suspension or revocation. 8 (a) General rule.--The department, upon suspending or 9 revoking any registration, shall require the registration plate 10 or plates and registration card or cards to be surrendered 11 immediately to the department [and]. 12 (b) Delegation of authority.--If within 35 days the 13 registration plates and cards are not surrendered under 14 subsection (a), the department may delegate authority to [any 15 authorized department employee, member of the Pennsylvania State 16 Police or local police officer to seize the registration plate 17 or plates and registration card or cards.] the following persons 18 to seize a registration plate and registration card which are 19 required to be surrendered under subsection (a): 20 (1) A designated department employee. 21 (2) Members of the Pennsylvania State Police. 22 (3) Local police officers. 23 (4) Sheriffs or deputy sheriffs. 24 (5) Constables or deputy constables. If constables and 25 deputy constables are delegated authority to seize 26 registration plates and registration cards under this 27 section, they shall be compensated by the department at the 28 rate of $15 for each registration plate and card jointly 29 seized, plus mileage. The department shall pay a constable or 30 deputy constable within 30 days after a documented request 19890H0121B2907 - 16 -
1 for payment is submitted to it. 2 (c) Regulations.--The department shall, by regulation, 3 prescribe the manner of selecting [the employees and State and 4 local police officers] those officials who are delegated 5 authority under this section to seize the registration plates 6 and registration cards. 7 [(b)] (d) Penalty.--Any person failing or refusing to 8 surrender to the department or its authorized delegate, upon 9 demand, any registration plate or card which has been suspended 10 or revoked is guilty of a summary offense and shall, upon 11 conviction, be sentenced to pay a fine of [$100] $300, plus 12 costs. Cost shall include a reasonable fee for official seizure 13 of the unsurrendered items. 14 § 1540. Surrender of license. 15 * * * 16 (c) Seizure of revoked and suspended licenses.-- 17 (1) The department may delegate authority to [any 18 authorized department employee, member of the Pennsylvania 19 State Police or local police officer] the following persons 20 to seize the driver's license of any person [when the 21 operating privilege of that person has been revoked or 22 suspended and his] whose driver's license has been ordered to 23 be surrendered by a court or district attorney or by the 24 department[.]: 25 (i) A designated department employee. 26 (ii) Members of the Pennsylvania State Police. 27 (iii) Local police officers. 28 (iv) Sheriffs or deputy sheriffs. 29 (v) Constables or deputy constables. If constables 30 and deputy constables are delegated authority to seize 19890H0121B2907 - 17 -
1 drivers' licenses under this subsection, they shall be 2 compensated by the department at the rate of $15 for each 3 driver's license seized, plus mileage. The department 4 shall pay a constable or deputy constable within 30 days 5 after a documented request is submitted to it. 6 (2) The department shall, by regulation, prescribe the 7 manner of selecting [the employees and State and local police 8 officers] those officials who are delegated authority under 9 this subsection to seize the drivers' licenses. 10 Section 7. Section 1702 of Title 75 is amended by adding 11 definitions to read: 12 § 1702. Definitions. 13 The following words and phrases when used in this chapter 14 shall have the meanings given to them in this section unless the 15 context clearly indicates otherwise: 16 * * * 17 "Commissioner." The Insurance Commissioner of the 18 Commonwealth. 19 * * * 20 "Necessary medical treatment and rehabilitative services." 21 Treatment, accommodations, products or services which are 22 determined to be necessary by a licensed health care provider 23 unless they shall have been found or determined to be 24 unnecessary by a State-approved Peer Review Organization (PRO). 25 "Peer Review Organization" or "PRO." Any Peer Review 26 Organization with which the Federal Health Care Financing 27 Administration or the Commonwealth contracts for medical review 28 of Medicare or medical assistance services, or any health care 29 review company, approved by the commissioner, that engages in 30 peer review for the purpose of determining that medical and 19890H0121B2907 - 18 -
1 rehabilitation services are medically necessary and economically 2 provided. The membership of any PRO utilized in connection with 3 the act shall include representation from the profession whose 4 services are subject to the review. 5 * * * 6 Section 8. Sections 1711, 1712, 1715(a), 1718(c), 1722 and 7 1731 of Title 75 are amended to read: 8 § 1711. Required benefits. 9 (a) Medical benefit.--An insurer issuing or delivering 10 liability insurance policies covering any motor vehicle of the 11 type required to be registered under this title, except 12 recreational vehicles not intended for highway use, motorcycles, 13 motor-driven cycles or motorized pedalcycles or like type 14 vehicles, registered and operated in this Commonwealth, shall 15 include coverage providing a medical benefit in the amount of 16 [$10,000, an income loss benefit up to a monthly maximum of 17 $1,000 up to a maximum benefit of $5,000 and a funeral benefit 18 in the amount of $1,500, as defined in section 1712 (relating to 19 availability of benefits), with respect to injury arising out of 20 the maintenance or use of a motor vehicle. The income loss 21 benefit provided under this section may be expressly waived by 22 the named insured provided the named insured has no expectation 23 of actual income loss due to age, disability or lack of 24 employment history. At the election of the named insured, such 25 policy shall also include an extraordinary medical benefit as 26 described in section 1715(a)(1.1) and (d) (relating to 27 availability of adequate limits).] $5,000. 28 (b) Minimum policy.--All insurers subject to this chapter 29 shall make available for purchase an automobile insurance policy 30 which contains only the minimum requirements of financial 19890H0121B2907 - 19 -
1 responsibility and medical benefits as provided for in this 2 chapter. 3 § 1712. Availability of benefits. 4 An insurer issuing or delivering liability insurance policies 5 covering any motor vehicle of the type required to be registered 6 under this title, except recreational vehicles not intended for 7 highway use, motorcycles, motor-driven cycles or motorized 8 pedalcycles or like type vehicles, registered and operated in 9 this Commonwealth, shall make available for purchase first party 10 benefits and uninsured and underinsured motorist coverage with 11 respect to injury arising out of the maintenance or use of a 12 motor vehicle as follows: 13 (1) Medical benefit.--[Coverage] Subject to the 14 limitations of section 1797 (relating to customary charges 15 for treatment), coverage to provide for reasonable and 16 necessary medical treatment and rehabilitative services, 17 including, but not limited to, hospital, dental, surgical, 18 psychiatric, psychological, osteopathic, ambulance, 19 chiropractic, licensed physical therapy, nursing services, 20 vocational rehabilitation and occupational therapy, speech 21 pathology and audiology, optometric services, medications, 22 medical supplies and prosthetic devices, all without 23 limitation as to time, provided that, within 18 months from 24 the date of the accident causing injury, it is ascertainable 25 with reasonable medical probability that further expenses may 26 be incurred as a result of the injury. Benefits under this 27 paragraph may include any nonmedical remedial care and 28 treatment rendered in accordance with a recognized religious 29 method of healing. 30 (2) Income loss benefit.--Includes the following: 19890H0121B2907 - 20 -
1 (i) Eighty percent of actual loss of gross income. 2 (ii) Reasonable expenses actually incurred for 3 hiring a substitute to perform self-employment services 4 thereby mitigating loss of gross income or for hiring 5 special help thereby enabling a person to work and 6 mitigate loss of gross income. 7 Income loss does not include loss of expected income for any 8 period following the death of an individual or expenses 9 incurred for services performed following the death of an 10 individual. Income loss shall not commence until five working 11 days have been lost after the date of the accident. The total 12 premium for all first party coverages for an insured who 13 elects not to purchase an income loss benefit shall be 14 reduced by at least 15%. 15 (3) Accidental death benefit.--A death benefit paid to 16 the personal representative of the insured, should injury 17 resulting from a motor vehicle accident cause death within 24 18 months from the date of the accident. 19 (4) Funeral benefit.--Expenses directly related to the 20 funeral, burial, cremation or other form of disposition of 21 the remains of a deceased individual, incurred as a result 22 of the death of the individual as a result of the accident 23 and within 24 months from the date of the accident. The total 24 premium for all first party coverages for an insured who 25 elects not to purchase a funeral benefit shall be reduced by 26 at least 1%. 27 (5) Combination benefit.--A combination of benefits 28 described in paragraphs (1) through (4) as an alternative to 29 the separate purchase of those benefits. 30 (6) Uninsured and underinsured motorist coverage. 19890H0121B2907 - 21 -
1 (7) Extraordinary medical benefits.--Medical benefits, 2 as defined in paragraph (1), which exceed $100,000. 3 § 1715. Availability of adequate limits. 4 (a) General rule.--An insurer shall make available for 5 purchase first party benefits and uninsured and underinsured 6 motorist coverage as follows: 7 (1) For medical benefits, up to at least $100,000. 8 (1.1) For extraordinary medical benefits, from $100,000 9 to $1,100,000, which may be offered in increments of 10 $100,000, as limited by subsection (d). 11 (2) For income loss benefits, up to at least $2,500 per 12 month up to a maximum benefit of at least $50,000. 13 (3) For accidental death benefits, up to at least 14 $25,000. 15 (4) For funeral benefits, $2,500. 16 (5) For combination of benefits enumerated in paragraphs 17 (1) through (4) and subject to a limit on the accidental 18 death benefit of up to $25,000 and a limit on the funeral 19 benefit of $2,500, up to at least [$277,500] $177,500 of 20 benefits in the aggregate or benefits payable up to three 21 years from the date of the accident, whichever occurs first, 22 provided that nothing contained in this subsection shall be 23 construed to limit, reduce, modify or change the provisions 24 of subsection (d). 25 (6) Uninsured and underinsured motorist coverage in 26 amounts equal to or less than the motor vehicle liability 27 insurance required under this chapter. 28 * * * 29 § 1718. Exclusion from benefits. 30 * * * 19890H0121B2907 - 22 -
1 (c) Named driver exclusion.--An insurer or the first named 2 insured may exclude any [insured] person or his personal 3 representative from benefits under a policy enumerated in 4 section 1711 or 1712 when [the insured] any of the following 5 apply: 6 (1) The person is excluded from coverage while operating 7 a motor vehicle in accordance with the act of June 5, 1968 8 (P.L.140, No.78), relating to the writing, cancellation of or 9 refusal to renew policies of automobile insurance. 10 (2) The first named insured has requested that the 11 person be excluded from coverage while operating a motor 12 vehicle. This paragraph shall only apply if the excluded 13 person is insured on another policy of motor vehicle 14 liability insurance. 15 § 1722. Preclusion of pleading, proving and recovering required 16 benefits. 17 In any action for damages against a tortfeasor arising out of 18 the maintenance or use of a motor vehicle, a person who is 19 eligible to receive benefits under the coverages set forth in 20 [section 1711 (relating to required benefits) or the coverage 21 set forth in section 1715(a)(1.1) (relating to availability of 22 adequate limits)] this subchapter shall be precluded from 23 pleading, introducing into evidence or recovering the amount of 24 benefits paid or payable under [section 1711 or 1715(a)(1.1). 25 This preclusion applies only to the amount of benefits set forth 26 in sections 1711 and 1715(a)(1.1)] this subchapter. 27 § 1731. [Scope] Availability, scope and amount of coverage. 28 (a) [General rule] Mandatory availability.--No motor vehicle 29 liability insurance policy shall be delivered or issued for 30 delivery in this Commonwealth, with respect to any motor vehicle 19890H0121B2907 - 23 -
1 registered or principally garaged in this Commonwealth, unless 2 uninsured motorist and underinsured motorist coverages are 3 [provided] made available therein or supplemental thereto in 4 amounts equal to the bodily injury liability coverage except as 5 provided in section 1734 (relating to request for lower [or 6 higher] limits of coverage). Purchase of uninsured motorist and 7 underinsured motorist coverages is optional, provided that the 8 total premium for all first party coverages for an insured who 9 elects not to purchase uninsured and underinsured motorist 10 coverage benefit shall be reduced by at least 35%. 11 (b) Uninsured motorist coverage.--Uninsured motorist 12 coverage shall provide protection for persons who suffer injury 13 arising out of the maintenance or use of a motor vehicle and are 14 legally entitled to recover damages therefor from owners or 15 operators of uninsured motor vehicles. The insured may reject 16 uninsured motorist coverage by signing the following written 17 rejection form. 18 REJECTION OF UNINSURED MOTORIST PROTECTION 19 By signing this waiver I am rejecting uninsured motorist 20 coverage under this policy, for myself and all relatives 21 residing in my household. Uninsured coverage protects me and 22 relatives living in my household for losses and damages suffered 23 if injury is caused by the negligence of a driver who does not 24 have any insurance to pay for losses and damages. I knowingly 25 and voluntarily reject this coverage. 26 ................................ 27 Signature of First Named Insured 28 ................................ 29 Date 30 (c) Underinsured motorist coverage.--Underinsured motorist 19890H0121B2907 - 24 -
1 coverage shall provide protection for persons who suffer injury 2 arising out of the maintenance or use of a motor vehicle and are 3 legally entitled to recover damages therefor from owners or 4 operators of underinsured motor vehicles. The insured may reject 5 underinsured motorist coverage by signing the following written 6 rejection form. 7 REJECTION OF UNDERINSURED MOTORIST PROTECTION 8 By signing this waiver I am rejecting underinsured motorist 9 coverage under this policy, for myself and all relatives 10 residing in my household. Underinsured coverage protects me and 11 relatives living in my household for losses and damages suffered 12 if injury is caused by the negligence of a driver who does not 13 have enough insurance to pay for all losses and damages. I 14 knowingly and voluntarily reject this coverage. 15 ................................ 16 Signature of First Named Insured 17 ................................ 18 Date 19 (c.1) Form of waiver.--Insurers shall print the rejection 20 forms required by subsections (b) and (c) on separate sheets in 21 prominent type and location. The forms must be signed by the 22 first named insured and dated to be valid. The signatures on the 23 forms may be witnessed by an insurance agent or broker. Any 24 rejection form that does not specifically comply with this 25 section is void. If the insurer fails to produce a valid 26 rejection form, uninsured or underinsured coverage, or both, as 27 the case may be, under that policy shall be equal to the bodily 28 injury liability limits. On policies in which either uninsured 29 or underinsured coverage has been rejected, the policy renewals 30 must contain notice in prominent type that the policy does not 19890H0121B2907 - 25 -
1 provide protection against damages caused by uninsured or 2 underinsured motorists. 3 (d) Limitation on recovery.--A person who recovers damages 4 under uninsured motorist coverage or coverages cannot recover 5 damages under underinsured motorist coverage or coverages for 6 the same accident. 7 Section 9. Section 1732 of Title 75 is repealed. 8 Section 10. Sections 1733 and 1734 of Title 75 are amended 9 to read: 10 § 1733. Priority of recovery. 11 (a) General rule.--Where multiple policies apply, payment 12 shall be made in the following order of priority: 13 (1) A policy covering a motor vehicle occupied by the 14 injured person at the time of the accident. 15 (2) A policy covering a motor vehicle not involved in 16 the accident with respect to which the injured person is an 17 insured. 18 (b) Multiple sources of equal priority.--The insurer against 19 whom a claim is asserted first under the priorities set forth in 20 subsection (a) shall process and pay the claim as if wholly 21 responsible. The insurer is thereafter entitled to recover 22 contribution pro rata from any other insurer for the benefits 23 paid and the costs of processing the claim. 24 § 1734. Request for lower [or higher] limits of coverage. 25 A named insured may request in writing the issuance of 26 coverages under section 1731 (relating to availability, scope 27 and amount of coverage) in amounts equal to or less than the 28 limits of liability for bodily injury. [but in no event less 29 than the amounts required by this chapter for bodily injury. If 30 the named insured has selected uninsured and underinsured 19890H0121B2907 - 26 -
1 motorist coverage in connection with a policy previously issued 2 to him by the same insurer under section 1731, the coverages 3 offered need not be provided in excess of the limits of 4 liability previously issued for uninsured and underinsured 5 motorist coverage unless the named insured requests in writing 6 higher limits of liability for those coverages.] 7 Section 11. Title 75 is amended by adding sections to read: 8 § 1737. Rights to payment. 9 (a) Subrogation.--In claims arising out of the maintenance 10 or use of an underinsured motor vehicle, there shall be no right 11 of subrogation by an insurer with respect to the payment of 12 underinsured motorist benefits. 13 (b) Condition to payment.--No policy of insurance shall 14 require, as a condition to the payment of underinsured motorist 15 benefits, the prior consent of the insurer to the settlement of 16 a bodily injury claim with any person. 17 § 1738. Stacking of uninsured and underinsured benefits. 18 When multiple vehicles are insured under one or more policies 19 of insurance, the stated limit shall apply separately to each 20 vehicle. The limits of coverage available under this subchapter 21 for an insured shall be the sum of the limits for each motor 22 vehicle as to which the injured person is an insured. 23 Section 12. Section 1753 of Title 75 is amended to read: 24 § 1753. Benefits available. 25 An eligible claimant may recover medical benefits, as 26 described in section 1712(1) (relating to availability of 27 benefits), up to a maximum of $5,000. No income loss benefit or 28 accidental death benefit shall be payable under this subchapter. 29 [Funeral expenses, as described in section 1712(4), in the 30 amount of $1,500 shall be recoverable as an offset to the 19890H0121B2907 - 27 -
1 maximum amount of medical benefits available under this 2 section.] 3 Section 13. Section 1782 of Title 75 is amended by adding a 4 subsection to read: 5 § 1782. Manner of providing proof of financial responsibility. 6 * * * 7 (d) Financial responsibility identification cards.--Insurers 8 shall provide financial responsibility identification cards to 9 insureds which shall be valid only for the period for which 10 coverage has been paid by the insured. Financial responsibility 11 identification cards shall disclose the period for which 12 coverage has been paid by the insured and shall contain such 13 other information as required by the Insurance Department. In 14 such instance where the insured has financed premiums through a 15 premium finance company or where the insured is on an insurer- 16 sponsored or agency-sponsored payment plan, financial 17 responsibility identification cards may be issued for periods of 18 six months even though such payment by the insured may be for a 19 period of less than six months. Nothing in this paragraph shall 20 be construed to require the immediate issuance of financial 21 responsibility identification cards where an insured replaces an 22 insured vehicle, adds a vehicle, or increases coverages under an 23 existing policy for which a premium adjustment is required. 24 Section 14. Sections 1786 and 1791 of Title 75 are amended 25 to read: 26 § 1786. [Self-certification of] Required financial 27 responsibility. 28 (a) Self-certification.--The Department of Transportation 29 shall require that each motor vehicle registrant certify that 30 the registrant is financially responsible at the time of 19890H0121B2907 - 28 -
1 registration or renewal thereof. The department shall refuse to 2 register or renew the registration of a vehicle for failure to 3 comply with this requirement or falsification of self- 4 certification. 5 (b) Consent to produce proof of financial responsibility.-- 6 Upon registering a motor vehicle or renewing a motor vehicle 7 registration, the owner of the motor vehicle shall be deemed to 8 have given consent to produce proof, upon request, to the 9 Department of Transportation or a police officer that the 10 vehicle registrant has the financial responsibility required by 11 this chapter. 12 (c) Suspension of registration and operating privilege.--The 13 Department of Transportation shall suspend or revoke the 14 registration of a vehicle if it determines the required 15 financial responsibility has not been secured as required by 16 this chapter and shall suspend the operating privilege of the 17 registrant. The operating privilege shall not be restored until 18 proof of financial responsibility is submitted, together with 19 the restoration fee for operating privilege provided by section 20 1960 (relating to reinstatement of operating privilege or 21 vehicle registration). Whenever the department revokes or 22 suspends the registration of any vehicle under this chapter, the 23 department shall not restore the registration until the vehicle 24 owner furnishes proof of financial responsibility in a manner 25 determined by the department and submits an application for 26 registration to the department, accompanied by the fee for 27 restoration of registration provided by section 1960. 28 (d) Obligations upon termination of financial 29 responsibility.-- 30 (1) An owner of a motor vehicle who ceases to maintain 19890H0121B2907 - 29 -
1 financial responsibility on a registered vehicle shall not 2 operate or permit operation of the vehicle in this 3 Commonwealth until proof of the required financial 4 responsibility has been provided to the Department of 5 Transportation. 6 (2) An insurer who has issued a contract of motor 7 vehicle liability insurance, or any approved self-insurance 8 entity, shall notify the department in a timely manner and in 9 a method prescribed by the department's regulations. 10 (3) An insurer who has issued a contract of motor 11 vehicle liability insurance and knows or has reason to 12 believe that the contract is only for the purpose of 13 providing proof of financial responsibility shall notify the 14 department if the insurance has been canceled or terminated 15 by the insured or by the insurer. The insurer shall notify 16 the department not later than ten days following the 17 effective date of the cancellation or termination. 18 (4) A person who, after maintaining financial 19 responsibility on the vehicle of another person, ceases to 20 maintain such financial responsibility shall immediately 21 notify the vehicle's owner, who shall not operate, or permit 22 operation of, the vehicle in this Commonwealth. 23 (5) In the case of a person who leases any motor vehicle 24 from a person engaged in the business of leasing motor 25 vehicles, the lessee shall sign a statement indicating that 26 the required financial responsibility has been provided 27 through the lessor or through the lessee's motor vehicle 28 liability insurance policy coverage. The lessee shall submit 29 the statement to the lessor. 30 (e) Operation of a motor vehicle without required financial 19890H0121B2907 - 30 -
1 responsibility.--Any owner of a motor vehicle for which the 2 existence of financial responsibility is a requirement for its 3 legal operation shall not operate the motor vehicle or permit it 4 to be operated upon a highway of this Commonwealth without the 5 financial responsibility required by this chapter. Any person 6 who fails to comply with this subsection commits a summary 7 offense and shall, upon conviction, be sentenced to pay a fine 8 of $300; and the department shall suspend the operating 9 privilege of the person for 30 days and shall revoke the vehicle 10 registration until proof of financial responsibility is provided 11 under subsection (c). 12 (f) Defenses.-- 13 (1) No person shall be convicted of failing to produce 14 proof of financial responsibility under this section or 15 section 3743 (relating to accidents involving damage to 16 attended vehicle or property) or 6308 (relating to 17 investigation by police officers), if the person produces, at 18 the office of the issuing authority within five days of the 19 date of the violation, proof that he possessed the required 20 financial responsibility at the time of the violation. 21 (2) No person shall be penalized for maintaining a 22 registered motor vehicle without financial responsibility 23 under subsection (c) if the registration and license plates 24 were surrendered to the Department of Transportation at the 25 time insurance coverage terminated or financial 26 responsibility lapsed. 27 (g) Lack of knowledge.--No person, other than a registrant, 28 who proves that he was authorized to drive the vehicle and that 29 he did not know and had no reason to believe that the required 30 financial responsibility had not been provided shall be 19890H0121B2907 - 31 -
1 convicted of failing to produce proof of financial 2 responsibility as required under this section. In such case, 3 however, the registrant may be charged with a violation. 4 § 1791. Notice of available benefits and limits. 5 It shall be presumed that the insured has been advised of the 6 benefits and limits available under this chapter provided the 7 following notice in bold print of at least ten-point type is 8 given to the applicant at the time of application for original 9 coverage [or at the time of the first renewal after October 1, 10 1984], and no other notice or rejection shall be required: 11 IMPORTANT NOTICE 12 Insurance companies operating in the Commonwealth of 13 Pennsylvania are required by law to make available for 14 purchase the following benefits for you, your spouse or 15 other relatives or minors in your custody or in the 16 custody of your relatives, residing in your household, 17 occupants of your motor vehicle or persons struck by your 18 motor vehicle: 19 (1) Medical benefits, up to at least $100,000. 20 (1.1) Extraordinary medical benefits, from $100,000 21 to $1,100,000 which may be offered in increments of 22 $100,000. 23 (2) Income loss benefits, up to at least $2,500 per 24 month up to a maximum benefit of at least $50,000. 25 (3) Accidental death benefits, up to at least 26 $25,000. 27 (4) Funeral benefits, $2,500. 28 (5) As an alternative to paragraphs (1) through (4), 29 a combination benefit, up to at least [$277,500] $177,500 30 of benefits in the aggregate or benefits payable up to 19890H0121B2907 - 32 -
1 three years from the date of the accident, whichever 2 occurs first, subject to a limit on accidental death 3 benefit of up to $25,000 and a limit on funeral benefit 4 of $2,500, provided that nothing contained in this 5 subsection shall be construed to limit, reduce, modify or 6 change the provisions of section 1715(d) (relating to 7 availability of adequate limits). 8 (6) Uninsured, underinsured and bodily injury 9 liability coverage up to at least $100,000 because of 10 injury to one person in any one accident and up to at 11 least $300,000 because of injury to two or more persons 12 in any one accident or, at the option of the insurer, up 13 to at least $300,000 in a single limit for these 14 coverages, except for policies issued under the Assigned 15 Risk Plan. Also, at least $5,000 for damage to property 16 of others in any one accident. 17 Additionally, insurers may offer higher benefit levels 18 than those enumerated above as well as additional 19 benefits. However, an insured may elect to purchase lower 20 benefit levels than those enumerated above. 21 Your signature on this notice or your payment of any 22 renewal premium evidences your actual knowledge and 23 understanding of the availability of these benefits and 24 limits as well as the benefits and limits you have 25 selected. 26 If you have any questions or you do not understand all of 27 the various options available to you, contact your agent 28 or company. 29 If you do not understand any of the provisions contained 30 in this notice, contact your agent or company before you 19890H0121B2907 - 33 -
1 sign. 2 Section 15. Title 75 is amended by adding a section to read: 3 § 1791.1. Disclosure of premium charges. 4 (a) Invoice.--At the time of application for original 5 coverage and every renewal thereafter, an insurer must provide 6 to an insured an itemized invoice listing the minimum automobile 7 insurance coverage levels mandated by the Commonwealth and the 8 premium charge for the insured to purchase the minimum mandated 9 coverages. The invoice must contain the following notice in 10 print of no less than ten-point type: 11 The laws of the Commonwealth of Pennsylvania, as enacted 12 by the General Assembly, require that you purchase only 13 liability and medical benefit coverages to comply with 14 Pennsylvania law. Any additional coverages or coverages 15 in excess of the limits required by law are provided only 16 at your request as enhancements to basic coverages. 17 The insurer shall provide the itemized invoice to the insured in 18 conjunction with the declaration of coverage limits and premiums 19 for the insured's existing coverages. 20 (b) Cost information.--Upon an oral or written request, an 21 insurer subject to this chapter shall provide to the requestor 22 information on the requestor's cost to purchase from the insurer 23 the minimum automobile insurance coverages required under this 24 chapter. This requirement shall include the request for and 25 provision of information by telephone. 26 Section 16. Sections 1792 and 1797 of Title 75 are amended 27 to read: 28 § 1792. Availability of uninsured, underinsured, bodily injury 29 liability and property damage coverages and mandatory 30 deductibles. 19890H0121B2907 - 34 -
1 (a) Availability of coverages.--Except for policies issued 2 under Subchapter D (relating to Assigned Risk Plan), an insurer 3 issuing a policy of bodily injury liability coverage pursuant to 4 this chapter shall make available for purchase higher limits of 5 uninsured, underinsured and bodily injury liability coverages up 6 to at least $100,000 because of injury to one person in any one 7 accident and up to at least $300,000 because of injury to two or 8 more persons in any one accident or, at the option of the 9 insurer, up to at least $300,000 in a single limit for these 10 coverages. Additionally, an insurer shall make available for 11 purchase at least $5,000 because of damage to property of others 12 in any one accident. However, the exclusion of availability 13 relating to the Assigned Risk Plan shall not apply to damage to 14 property of others in any one accident. 15 (b) Mandatory deductibles.-- 16 (1) Every private passenger automobile insurance policy 17 providing collision coverage issued or renewed on or after 18 the effective date of this subsection, shall provide a 19 deductible in an amount of $500 for collision coverage, 20 unless the named insured signs a statement indicating the 21 insured is aware that the purchase of a lower deductible is 22 permissible and that there is an additional cost of 23 purchasing a lower deductible, and the insured agrees to 24 accept it. 25 (2) Under no circumstances may a private passenger 26 automobile insurance policy provide a collision deductible in 27 an amount less than $100. 28 (3) Any person or entity providing financing to the 29 purchaser of a motor vehicle or otherwise holding a security 30 interest in a motor vehicle shall not be permitted to require 19890H0121B2907 - 35 -
1 the purchase of a deductible for less than $500 for collision 2 and comprehensive coverages. Any financial institution, 3 insurer, agent or other person or entity found to have 4 violated this provision shall be required to reimburse the 5 policyholder in an amount equal to the difference and, in 6 addition, shall be required to pay a civil penalty of $500 to 7 the Department of Transportation for each violation. 8 (4) With the purchase of a $500 or greater deductible, 9 there shall be an immediate commensurate reduction in rate 10 for collision and comprehensive coverages. The reduction in 11 rate shall be based on the insured's existing deductible 12 level. Should the insured elect to purchase a deductible in 13 an amount equal to or exceeding $100, there shall be an 14 immediate commensurate reduction in rate for collision and 15 comprehensive coverages, but only as it relates to the 16 insured's existing deductible rate. 17 § 1797. Customary charges for treatment. 18 (a) General rule.--A person or institution providing 19 treatment, accommodations, products or services to an injured 20 person for an injury covered by [medical or catastrophic loss 21 benefits] liability or first party medical benefits, including 22 extraordinary medical benefits, for a motor vehicle described in 23 Subchapter B (relating to motor vehicle liability insurance 24 first party benefits), shall not [make a charge] require, 25 request or accept payment for the treatment, accommodations, 26 products or services in excess of [the amount the person or 27 institution customarily charges for like treatment, 28 accommodations, products and services in cases involving no 29 insurance.] 110% of the prevailing charge at the 75th 30 percentile; 110% of the applicable fee schedule, the recommended 19890H0121B2907 - 36 -
1 fee or the inflation index charge; or 110% of the diagnostic 2 related groups (DRG) payment; whichever pertains to the 3 specialty service involved, determined to be applicable in this 4 Commonwealth under the Medicare program for comparable services 5 at the time the services were rendered, or the provider's usual 6 and customary charge, whichever is less. If a prevailing charge, 7 fee schedule, recommended fee, inflation index charge or DRG 8 payment has not been calculated under the Medicare program for a 9 particular treatment, accommodation, product or service, the 10 amount of the payment may not exceed 80% of the provider's usual 11 and customary charge. If acute care is provided in an acute care 12 facility to a patient with an immediately life-threatening or 13 urgent injury by a Level I or Level II trauma center accredited 14 by the Pennsylvania Trauma Systems Foundation under the act of 15 July 3, 1985 (P.L.164, No.45), known as the Emergency Medical 16 Services Act, or to a major burn injury patient by a burn 17 facility which meets all the service standards of the American 18 Burn Association, the amount of payment may not exceed the usual 19 and customary charge. Providers subject to this section may not 20 bill the insured directly but must bill the insurer for a 21 determination of the amount payable. The provider shall not bill 22 or otherwise attempt to collect from the insured the difference 23 between the provider's full charge and the amount paid by the 24 insurer. 25 (b) Peer review plan for challenges to reasonableness and 26 necessity of treatment.-- 27 (1) Peer review plan.--Insurers shall contract jointly 28 or separately with any peer review organization established 29 for the purpose of evaluating treatment, health care 30 services, products or accommodations provided to any injured 19890H0121B2907 - 37 -
1 person. Such evaluation shall be for the purpose of 2 confirming that such treatment, products, services or 3 accommodations conform to the professional standards of 4 performance and are medically necessary. An insurer's 5 challenge must be made to a PRO within 90 days of the 6 insurer's receipt of the provider's bill for treatment or 7 services or may be made at any time for continuing treatment 8 or services. 9 (2) PRO reconsideration.--An insurer, provider or 10 insured may request a reconsideration by the PRO of the PRO's 11 initial determination. Such a request for reconsideration 12 must be made within 30 days of the PRO's initial 13 determination. If reconsideration is requested for the 14 services of a physician or other licensed health care 15 professional, then the reviewing individual must be, or the 16 reviewing panel must include, an individual in the same 17 specialty as the individual subject to review. 18 (3) Pending determinations by PRO.--If the insurer 19 challenges within 30 days of receipt of a bill for medical 20 treatment or rehabilitative services, the insurer need not 21 pay the provider subject to the challenge until a 22 determination has been made by the PRO. The insured may not 23 be billed for any treatment, accommodations, products or 24 services during the peer review process. 25 (4) Appeal to court.--A provider of medical treatment or 26 rehabilitative services or merchandise or an insured may 27 challenge before a court an insurer's refusal to pay for past 28 or future medical treatment or rehabilitative services or 29 merchandise, the reasonableness or necessity of which the 30 insurer has not challenged before a PRO. Conduct considered 19890H0121B2907 - 38 -
1 to be "wanton" shall be subject to a payment of treble 2 damages to the injured party. 3 (5) PRO determination in favor of provider or insured.-- 4 If a PRO determines that medical treatment or rehabilitative 5 services or merchandise were medically necessary, the insurer 6 must pay to the provider the outstanding amount plus interest 7 at 12% per year on any amount withheld by the insurer pending 8 PRO review. 9 (6) Court determination in favor of provider or 10 insured.--If pursuant to paragraph (4) a court determines 11 that medical treatment or rehabilitative services or 12 merchandise were medically necessary, the insurer must pay to 13 the provider the outstanding amount plus interest at 12%, as 14 well as the costs of the challenge and all attorney fees. 15 (7) Determination in favor of insurer.--If it is 16 determined by a PRO or court that a provider has provided 17 unnecessary medical treatment or rehabilitative services or 18 merchandise or that future provision of such treatment, 19 services or merchandise will be unnecessary, or both, the 20 provider may not collect payment for the medically 21 unnecessary treatment, services or merchandise. If the 22 provider has collected such payment, it must return the 23 amount paid plus interest at 12% per year within 30 days. In 24 no case does the failure of the provider to return the said 25 payment obligate the insured to assume responsibility for 26 payment for the treatment, services or merchandise. 27 (c) Review authorized.--By December 1, 1991, the Legislative 28 Budget and Finance Committee shall commence a review of the 29 impact of this section. Such review may be conducted biennially. 30 Section 17. Title 75 is amended by adding sections to read: 19890H0121B2907 - 39 -
1 § 1799.1. Restraint system. 2 (a) General rule.--All insurance companies authorized to 3 write private passenger automobile insurance within this 4 Commonwealth shall reduce the premiums for first party coverages 5 as defined in section 1712 (relating to availability of 6 benefits) for any insured vehicle equipped with a passive 7 restraint system for front seat passengers: 15% for passive seat 8 belts, 20% for one air bag on the driver's side of the vehicle 9 or 30% for two air bags. 10 (b) Definitions.--As used in this section, the following 11 words and phrases shall have the meanings given to them in this 12 section unless the context clearly indicates otherwise: 13 "Passive restraint." Any frontal automobile crash protection 14 system which requires no action of the vehicle occupants and 15 complies with standard 751.208 of the National Traffic Safety 16 Administration or its successor. 17 § 1799.2. Antitheft devices. 18 (a) General rule.--All insurance companies authorized to 19 write private passenger automobile insurance within this 20 Commonwealth shall reduce by 10% the premiums for comprehensive 21 coverage for all insured vehicles equipped with passive 22 antitheft devices. 23 (b) Definitions.--As used in this section, the following 24 words and phrases shall have the meanings given to them in this 25 section unless the context clearly indicates otherwise: 26 "Passive antitheft device." Any item or system installed in 27 an automobile which is activated automatically when the operator 28 turns the ignition key to the off position and which is designed 29 to prevent unauthorized use, as prescribed by regulations of the 30 department. The term does not include an ignition interlock 19890H0121B2907 - 40 -
1 provided as a standard antitheft device by the original 2 automobile manufacturer. 3 § 1799.3. Driver improvement course discounts. 4 (a) Motor vehicle driver improvement course.--Every insurer 5 which writes a policy of automobile insurance in this 6 Commonwealth shall reduce by 5% the total premium charged for 7 each vehicle for those insureds 55 years of age and older for a 8 three-year period after they successfully complete a motor 9 vehicle driver improvement course meeting the standards of the 10 department. 11 (b) Completion of course.--Upon successfully completing the 12 approved course, each participant shall be issued, by the 13 course's sponsoring agency, a certificate which shall be the 14 basis of qualification for the discount on insurance. 15 (c) Continuing eligibility.--Each participant shall take an 16 approved course every three years to continue to be eligible for 17 the discount on insurance. Each insurer may require, as a 18 condition of providing and maintaining the discount, that the 19 insured for a three-year period after course completion: 20 (1) not be involved in an accident for which the insured 21 is chargeable; and 22 (2) not have any accumulation of points for a traffic 23 violation. 24 (d) Nonapplicability.--This section shall not apply in the 25 event the approved course is specified by a court or other 26 governmental entity resulting from a moving traffic violation. 27 § 1799.4. Good driver discount. 28 Every insurer which writes a policy of automobile insurance 29 in this Commonwealth shall reduce by 10% the total premium 30 charged for each vehicle as to which no at-fault claim has been 19890H0121B2907 - 41 -
1 filed for five consecutive years immediately preceding the 2 period for which the policy is written if none of the drivers 3 named in the policy has committed a moving violation during the 4 five-year period which resulted in a conviction or which remains 5 unresolved. 6 (1) If a violation which is unresolved at the time the 7 policy is written results in an acquittal, the discount shall 8 be allowed either as a refund or as a credit on a subsequent 9 policy. 10 (2) For the purpose of this section, the term 11 "conviction" includes a plea of guilty, a plea of nolo 12 contendere, a finding of guilty by a court, an unvacated 13 forfeiture of bail or collateral deposited to secure a 14 defendant's appearance in court, and a payment by any person 15 charged with a violation of the fine prescribed for the 16 violation. 17 § 1799.5. Limit on surcharges, late penalties and point 18 assignments. 19 (a) Property damage claims.--No surcharge, rate penalty or 20 driver record point assignment shall be made if the aggregate 21 cost to the insurer of repair or replacement of property damaged 22 or bodily injury liability is determined to be less than $650 in 23 excess of any self-insured retention or deductible applicable to 24 the named insured. 25 (b) First party medical claims.--No surcharge, rate penalty 26 or driver record point assignment shall be made as a result of 27 an insurer paying a first party medical claim. 28 (c) Notice to insured.--If an insurer makes a determination 29 to impose a surcharge, rate penalty or driver record point 30 assignment, the insurer shall inform the named insured of the 19890H0121B2907 - 42 -
1 determination and shall specify the manner in which the 2 surcharge, rate penalty or driver record point assignment was 3 made and clearly identify the amount of the surcharge or rate 4 penalty on the premium notice for as long as the surcharge or 5 rate penalty is in effect. 6 (d) Adjustment of cap.--The Insurance Department, at least 7 once every three years, shall adjust the $650 cap or limit on 8 the property damage or bodily injury liability surcharge, rate 9 penalty or driver record point assignment scheme relative to 10 changes in the components of the Consumer Price Index (Urban) to 11 measure seasonally adjusted changes in medical care and 12 automobile maintenance and repair costs and shall make such 13 adjustments to the cap or limit as shall be necessary to 14 maintain the same rate of change in the cap or limit as has 15 occurred in the Consumer Price Index (Urban). Such adjustments 16 may be rounded off to the nearest $50 figure. 17 § 1799.6. Examination of vehicle repairs. 18 Upon request of the insurer, an insurance adjuster shall be 19 afforded a reasonable opportunity to enter a repair facility and 20 examine covered repairs being made to a specific insured's 21 vehicle at a mutually arranged time during regular business 22 hours. 23 § 1799.7. Conduct of market study. 24 (a) Duty of Insurance Department.--The Insurance Department 25 may authorize a market conduct study of private passenger 26 automobile insurers. 27 (b) Purposes of study.--The purposes of the study shall be 28 to: 29 (1) Determine extent of insurer competition. 30 (2) Determine the number of uninsured motorists. 19890H0121B2907 - 43 -
1 (3) Determine extent of insurer profits and losses. 2 (4) Determine if all rate filings are reasonable in 3 terms of statutory and regulatory requirements. 4 (5) Determine the validity of existing rating 5 territories and if rate differentials between or among rating 6 territories is justified by the losses. 7 (6) Determine if the various policies for automobile 8 insurance written in this Commonwealth are available equally 9 to each resident. 10 § 1799.8. Conduct of random field surveys. 11 (a) Authority.--In furtherance of the purposes and goals of 12 section 1799.7 (relating to conduct of market study), the 13 Insurance Department may conduct field surveys in this 14 Commonwealth. The field survey shall: 15 (1) Determine the geographical area to be surveyed. 16 (2) Establish a list of insurance producers in the 17 surveyed area or its immediate neighborhood. 18 (3) Construct hypothetical risk examples and obtain 19 premium quotations. 20 (4) Develop a tentative list of questions for the 21 agents. 22 (5) Interview agents at their offices and obtain premium 23 quotations from the agent for each company represented by 24 that agent. 25 (6) Sort and categorize information. 26 (7) Construct a table displaying quotations by insurer, 27 area and risk. 28 (8) Write a report of the findings. 29 (b) Conjunctive analysis of market study and field survey.-- 30 The department may analyze information collected from insurance 19890H0121B2907 - 44 -
1 companies under section 1799.7 in conjunction with information 2 collected from field surveys. This analysis may be ongoing. 3 § 1799.9. Insurance in cities of the first class. 4 (a) Study by the Insurance Department.--On or after the 5 effective date of this section, the Insurance Department shall 6 commence a study of the use of a single carrier for automobile 7 insurance in cities of the first class. The term "single 8 carrier" includes a private insurance company or a public 9 authority or agency specifically created for the implementation 10 of this section. Upon completion, the study shall be delivered 11 to the Majority and Minority Leaders of the Senate and the House 12 of Representatives. The study shall include, at a minimum, the 13 following components: 14 (1) An assessment of the number of uninsured vehicles in 15 cities of the first class. 16 (2) An assessment of the number of insured vehicles in 17 cities of the first class. 18 (3) An analysis of sources of automobile insurance, by 19 company, of vehicles in cities of the first class. The 20 analysis shall include a determination of the number of 21 vehicles insured in cities of the first class in both the 22 voluntary market and the Assigned Risk Plan by each insurance 23 carrier licensed to provide automobile insurance in this 24 Commonwealth. 25 (4) An analysis of the costs to motorists to insure a 26 vehicle in cities of the first class in the voluntary market 27 and through the Assigned Risk Plan. 28 (5) An assessment of the impact of "take-out" provisions 29 on the voluntary market place in cities of the first class. 30 (6) A determination as to the number of lawsuits filed 19890H0121B2907 - 45 -
1 for bodily injury claims; the amount and type of damages 2 requested in such lawsuits; the percentage of claims settled 3 before court and the amount of settlement; the percentage of 4 lawsuits decided by the court and the amount of damages 5 awarded; and the fees charged by lawyers for representing 6 claims. 7 (7) An assessment of the frequency, type and amount of 8 physical damage claims and first party medical payments. 9 (8) A determination as to whether the use of a single 10 carrier in cities of the first class would have a positive 11 financial impact on all motorists in such cities and in this 12 Commonwealth. Such determination shall include an analysis of 13 the use of a public authority or agency as the single carrier 14 and of its potential for providing lower rates when compared 15 to use of a private insurance company as a single carrier. In 16 addition, the determination shall include an analysis of the 17 single carrier program when voluntary participation in the 18 program is permitted in comparison to the benefits of 19 mandatory participation. 20 (9) A legal opinion as to whether the use of a single 21 carrier in cities of the first class is permissible under the 22 Constitution and laws of the Commonwealth. 23 (b) Duties of insurance companies.--Insurance companies 24 licensed in this Commonwealth to write policies of automobile 25 insurance coverage shall cooperate with the Insurance Department 26 study as described in subsection (a). Cooperation shall include, 27 but not be limited to, the provision of information by insurance 28 companies within reasonable time frames as requested by the 29 department, if the information is available, to be used to 30 address the various components of the study described in 19890H0121B2907 - 46 -
1 subsection (a). Such information may be used by the department 2 only for purposes of this study. 3 (c) Implementation of Single Carrier Insurance Program in 4 cities of the first class.--If a study undertaken under 5 subsection (a), section 1799.7 (relating to conduct of market 6 study) or section 1799.8 (relating to conduct of random field 7 surveys) provides information supporting a conclusion that a 8 single carrier in cities of the first class will improve the 9 availability and affordability of automobile insurance in such 10 cities and in this Commonwealth, the Insurance Department may 11 implement the program. If the program is implemented, the 12 Insurance Department shall develop regulations detailing the 13 components and operation of a Single Carrier Insurance Program 14 for cities of the first class and shall contract with a single 15 carrier to implement such a program. The contract must be 16 secured following the request for proposal process used by the 17 Commonwealth to secure goods and services. The request for 18 proposal process shall include a procedure for the 19 prequalification of bidders based on financial ability to 20 administer the program. Any contract signed by the department 21 must include the following provisions: 22 (1) Participation in the program is voluntary by 23 motorists living in cities of the first class unless 24 legislation has been enacted subsequent to this act 25 specifically providing for mandatory participation. 26 (2) All drivers, except those determined to be 27 ineligible as defined in subsection (d), shall be afforded 28 the opportunity to purchase automobile insurance coverage 29 through the program. 30 (3) Preferred provider arrangements or a fee schedule 19890H0121B2907 - 47 -
1 may be developed in the program with service providers for 2 medical benefits; such arrangements shall be accessible to 3 the insureds. 4 (4) For physical damage repair or replacement, the 5 program may provide for a fee schedule or other method to 6 contain costs, as well as a minimum deductible higher than 7 that provided for in this subchapter, but in no case may the 8 minimum deductible be greater than $1,000. 9 (5) Antifraud mechanisms may be established, including 10 the inspection of physical damage claims, investigation of 11 suspicious claims, and case management for selected medical 12 services. 13 (6) A cancellation clause permitting the single carrier 14 to cancel the contract with 90 days' notice should enrollment 15 in the program fall below a percentage of the vehicles 16 registered in cities of the first class. The percentage shall 17 be established in the contract. 18 (7) The contract shall be valid for a period of not less 19 than five years unless a shorter contract period is proposed 20 by the single carrier. 21 (8) Rates charged in the program shall be lower than 22 rates available in the voluntary market and shall be included 23 in the contract and shall be valid for a period of not less 24 than two years. Rate increases after this period shall be 25 subject to approval as provided in the act of June 11, 1947 26 (P.L.538, No.246), known as The Casualty and Surety Rate 27 Regulatory Act. 28 (d) Ineligible driver.--For purposes of subsection(c), the 29 term "ineligible driver" shall mean a person who meets at least 30 one of the following criteria: 19890H0121B2907 - 48 -
1 (1) The person has, within five years of the date of 2 application for insurance, been convicted of a violation of: 3 (i) section 3731 (relating to driving under the 4 influence of alcohol or a controlled substance); 5 (ii) 18 Pa.C.S. § 4117 (relating to automobile 6 insurance fraud); or 7 (iii) any felony involving the use of a motor 8 vehicle. 9 (2) The person has previously been insured under a motor 10 vehicle insurance policy and has made more than one claim 11 under an insurance policy, within 36 months of the date of 12 application for insurance under this section, arising out of 13 an accident where the insured was found to be substantially 14 at fault, that is, more than 50%, and where a payment was 15 made by the insurer that exceeded 50% of the annual premium 16 for the policy of insurance. 17 (3) The person's operating privilege has been suspended 18 or revoked within the preceding 36-month period. 19 (4) The person's driving record shows six or more points 20 assessed under section 1535 (relating to schedule of 21 convictions and points) for violations that occurred within 22 36 months of the date of application for insurance under this 23 section. 24 Section 18. Section 1960 of Title 75 is amended to read: 25 § 1960. Reinstatement of operating privilege or vehicle 26 registration. 27 The department shall charge a fee of $25 or, if section 28 1786(c) (relating to required financial responsibility) applies, 29 a fee of $50 to restore a person's operating privilege or the 30 registration of a vehicle following a suspension or revocation. 19890H0121B2907 - 49 -
1 Section 19. Title 75 is amended is amended by adding a 2 section to read: 3 § 3731.1. Operators of commercial vehicles. 4 (a) Additional offense defined.--A person may not drive, 5 operate or be in actual physical control of the movement of a 6 commercial vehicle when the amount of alcohol by weight in the 7 blood of the person is 0.04% or greater. 8 (b) Disqualification.--Upon receipt of a certified copy of a 9 conviction of a violation of this section, the department shall 10 disqualify the person from driving a commercial motor vehicle 11 for a period of one year. Two or more convictions of a violation 12 of this section shall result in the department disqualifying the 13 person from driving a commercial motor vehicle, as provided in 14 49 C.F.R. § 383.51 (relating to disqualification of drivers). 15 (c) Definitions.--As used in this section, "commercial 16 vehicle" means any of the following: 17 (1) A vehicle with a gross vehicle weight rating of 18 26,001 or more pounds. 19 (2) A combination of vehicles with a gross combination 20 weight rating of 26,001 or more pounds, including the gross 21 vehicle weight rating of the towed unit or units. 22 (3) A vehicle which is designed to transport 16 or more 23 passengers, including the driver. 24 (4) A vehicle which is transporting hazardous material 25 and which is required to be placarded for hazardous 26 materials. 27 Section 20. Section 4703(d) of Title 75 is amended to read: 28 § 4703. Operation of vehicle without official certificate of 29 inspection. 30 * * * 19890H0121B2907 - 50 -
1 (d) Newly-purchased vehicles.--Newly-purchased vehicles may 2 be driven without a current inspection certificate for [five] 3 ten days after sale or resale or entry into this Commonwealth, 4 whichever occurs later. 5 * * * 6 Section 21. Section 4727 of Title 75 is amended by adding a 7 subsection to read: 8 § 4727. Issuance of certificate of inspection. 9 * * * 10 (d) Proof of insurance.--No certificate of inspection shall 11 be issued unless a financial responsibility identification card 12 indicating proper proof of financial responsibility as required 13 by law is submitted to the inspection official, who shall, on a 14 form provided by the department, keep a record of the name of 15 the insured, the vehicle tag number, the issuing company, the 16 policy number, and the expiration date. In those cases where the 17 insured fails to present proof of financial responsibility to 18 the inspection official, the inspection official, in addition to 19 denying a certificate of inspection, may provide notification to 20 the department on the form provided by the department within 30 21 days of the insured's failure to present proof of financial 22 responsibility. 23 Section 22. Section 6104 of Title 75 is amended by adding a 24 subsection to read: 25 § 6104. Administrative duties of department. 26 * * * 27 (f) Furnishing information to municipal police departments 28 and sheriffs' offices.--The department shall regularly transmit 29 to each municipal police department and sheriff's office a list 30 of the names of persons residing within its jurisdiction whose 19890H0121B2907 - 51 -
1 operating privilege or registration has been suspended or 2 revoked. 3 Section 23. Title 75 is amended by adding a section to read: 4 § 6308.1. Payment to police or sheriff's office of one-half of 5 reinstatement fee. 6 The police department or sheriff's office whose officers or 7 deputies seize a suspended or revoked driver's license or 8 vehicle registration shall, in every case where the driver's 9 license or vehicle registration is reinstated, receive from the 10 department one-half of the fee imposed under section 1960 11 (relating to reinstatement of operating privilege or vehicle 12 registration). 13 Section 24. (a) Rate freeze.--In order to provide stability 14 during the period of transition leading up to the effective date 15 of the amendments to 75 Pa.C.S. Ch. 17 (relating to financial 16 responsibility) and to assure fair and equitable treatment of 17 insurer and insurers, it is in the best interest of the 18 Commonwealth to temporarily suspend the adoption of new rates. 19 Notwithstanding any provisions to the contrary, all rates 20 approved prior to December 1, 1989, and in effect as of that 21 date may not be changed until June 1, 1990. Any rate requests 22 filed with the Insurance Department and not approved as of 23 December 1, 1989, shall be disapproved as being in conflict with 24 this act. 25 (b) Rate filing.--All insurers subject to 75 Pa.C.S. Ch. 17 26 shall file for new rates in compliance with subsections (c) and 27 (d) by May 15, 1990. The rates shall be effective for one year, 28 beginning June 1, 1990. A filing with an effective date after 29 May 31, 1990, but before May 31, 1991, under section 4 of the 30 act of June 11, 1947 (P.L.538, No.246), known as The Casualty 19890H0121B2907 - 52 -
1 and Surety Rate Regulatory Act, shall become effective 2 immediately upon its filing and is deemed to comply with that 3 act unless disapproved by the Insurance Commissioner under the 4 procedures described in section 5 of that act. This subsection 5 is limited to two filings per coverage. This subsection 6 supersedes the prior approval requirements of The Casualty and 7 Surety Rate Regulatory Act and regulations promulgated under 8 that act insofar as they are inconsistent with this act. 9 (c) Rate rollback.--Total premiums charged by any insurer 10 for an insured during the first 12-month period following the 11 effective date of this act shall be reduced from the rates in 12 effect on December 1, 1989, by 20% for a good driver as defined 13 in 75 Pa.C.S. § 1799.4 (relating to good driver discount). Total 14 premiums for an insured who does not meet the conditions of 75 15 Pa.C.S. § 1799.4 shall be reduced by 10%. 16 (d) Additional premium reductions.--Notwithstanding any 17 other provisions of this act to the contrary, in addition to 18 reductions provided in subsection (c) based on the premium 19 reduction requirements contained in section 8 (75 Pa.C.S. §§ 20 1711, 1712 and 1731), section 16 (75 Pa.C.S. § 1792) and section 21 17 (75 Pa.C.S. §§ 1799.1, 1799.2 and 1799.3), the premiums for 22 an insured shall be reduced up to a total of at least 30%. An 23 insured who elects to purchase coverages as specified in those 24 sections shall receive a reduction commensurate with the 25 election. 26 (e) Rate increase justification.--Total premiums charged by 27 an insurer for an insured during the second 12-month period 28 following the effective date of this act may not be increased 29 over the rates in effect on May 31, 1991, by an amount greater 30 than that indicated by an increase in the Consumer Price Index, 19890H0121B2907 - 53 -
1 the cost of medical care services, the cost of automobile 2 repairs or other cost increases affecting automobile insurance. 3 By March 1, 1991, the Insurance Commissioner shall promulgate 4 regulations containing the criteria which shall be used by 5 insurers to justify any rate increases during that time period. 6 (f) Provision for insolvency.--The Insurance Commissioner, 7 after due notice and hearing, shall permit rate reductions 8 lesser than those indicated in this section upon demonstration 9 by an insurer that the rate reductions provided for in this 10 section will result in insolvency of the insurer. 11 Section 25. (a) Insurers shall provide the following notice 12 all policyholders no later than June 1, 1990: 13 IMPORTANT NOTICE 14 CHANGES IN REQUIRED INSURANCE BENEFITS 15 As a result of the Pennsylvania General Assembly's recent 16 amendment to the Motor Vehicle Financial Responsibility 17 Law, as of June 1, 1990, a number of automobile insurance 18 coverages which you previously were required to purchase 19 are now optional. These optional coverages are wage loss 20 coverage, accidental death coverage, funeral expense 21 benefits and uninsured/underinsured motorist coverage. In 22 addition, the required medical benefit has been reduced 23 to $5,000. The recent amendment also provides discounts 24 for policyholders who have vehicles with certain passive 25 restraint systems and antitheft devices. Please contact 26 your agent for additional information. 27 (b) Insurers shall provide a notice to all policyholders 28 upon application or renewal stating that discounts are available 29 for drivers who meet the requirements of 75 Pa.C.S. §§ 1799.1 30 (relating to restraint system), 1799.2 (relating to antitheft 19890H0121B2907 - 54 -
1 devices), 1799.3 (relating to driver improvement course 2 discounts) and 1799.4 (relating to good driver discount). 3 Section 26. The Insurance Department and the Department of 4 Transportation shall promulgate regulations to the extent 5 necessary to carry out the provisions of sections 1 (18 Pa.C.S. 6 § 911(h)), 2 (18 Pa.C.S. § 4117), 4 (75 Pa.C.S. §§ 1305 and 7 1306), 6 (75 Pa.C.S. §§ 1376 and 1540) and 14 (75 Pa.C.S. § 8 1786). 9 Section 27. (a) Section 349 of the act of May 17, 1921 10 (P.L.682, No.284), known as The Insurance Company Law of 1921 is 11 repealed insofar as it is inconsistent with this act. 12 (b) Sections 604 and 623 of the act of May 17, 1921 13 (P.L.789, No.285), known as The Insurance Department Act of one 14 thousand nine hundred and twenty-one are repealed. 15 Section 28. This act shall take effect as follows: 16 (1) Sections 24, 25, 26 and this section shall take 17 effect immediately. 18 (2) Section 17 (75 Pa.C.S. §§ 1799.7, 1799.8 and 1799.9) 19 shall take effect in 60 days. June 1, 1990, or immediately, 20 whichever is later. 21 (3) Section 16 (75 Pa.C.S. § 1797) shall take effect 22 April 1, 1990, or immediately, whichever is later. 23 (4) Section 19 (75 Pa.C.S. § 3731.1) shall take effect 24 April 1, 1992. 25 (5) The following sections shall take effect March 1, 26 1990: 27 (i) Section 1 (18 Pa.C.S. § 911(h)). 28 (ii) Section 2 (18 Pa.C.S. § 4117). 29 (iii) Section 3 (42 Pa.C.S. § 8355). 30 (iv) Section 4 (75 Pa.C.S. §§ 1305 and 1306). 19890H0121B2907 - 55 -
1 (v) Section 5 (75 Pa.C.S. § 1318). 2 (vi) Section 6 (75 Pa.C.S. §§ 1376 and 1540(c)). 3 (vii) Section 13 (75 Pa.C.S. § 1782). 4 (viii) Section 14 (75 Pa.C.S. § 1786). 5 (ix) Section 18 (75 Pa.C.S. § 1960). 6 (x) Section 21 (75 Pa.C.S. § 4727). 7 (xi) Section 22 (75 Pa.C.S. § 6104). 8 (xii) Section 23 (75 Pa.C.S. § 6308.1). 9 (6) The remainder of this act shall take effect June 1, 10 1990, or immediately, whichever is later. A10L75CHF/19890H0121B2907 - 56 -