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Nationwide Insurance Company v. Pennsylvania Insurance Dept.

In case involving cancellation of insurance coverage, Insurance Department's order granting insured's appeal nunc pro tunc affirmed; evidence of a breakdown in the postal system, resulting in insured's not receiving notice of cancellation, was sufficient to support the Insurance Commissioner's grant of nunc pro tunc relief.

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Submitted: April 12, 2001

Before the Court is the appeal of Nationwide Insurance Company from an order of Diane Koken, Insurance Commissioner, that affirmed a determination by the Insurance Department (Department) that the cancellation of the Jason Manley automobile insurance policy was in violation of Act 68. *fn1 The principle issue at hand involves the interpretation of Section 2006 of Act 68, 40 P.S. 991.2006, relating to time restrictions governing cancellation of insurance policies for non-payment of premiums. We conclude the Department did not abuse its discretion in granting the appeal nunc pro tunc; further, we conclude that the Department’s decision on the merits is not in error.

On April 18, 2000 the Insurance Commissioner held a hearing on the timeliness of the request for review as well as the merits of the policy termination. At the hearing, it was learned that Manley paid his Nationwide automobile insurance policy premium through a monthly payment plan. Pursuant to that arrangement, on October 8, 1999 Manley forwarded a check in the amount of $80.44 to his Nationwide agent together with the billing document. (Notes of Testimony February 2, 2000, p. 95.) Rather than process the payment per the usual arrangements Nationwide returned the check to Manley together with a note from the agent indicating that the account was paid in full until November 7, 1999, and advising Manley that a $132.60 payment was required for him to return to the monthly payment plan. (Notes of Testimony, February 2, 2000, p. 95; Original Record, Defendant’s Exhibit A.) Manley received no further notices from his agent or Nationwide. On November 15, 1999, Manley’s Nationwide agent became disaffiliated with the company.

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