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This book is solely intended to provide public legal information regarding personal injury claims and insurance.
None of the information in this book is intended to be formal legal advice, nor the formation of lawyer or attorney
client relationship.
Jonathan Ostro, Esquire
Pennsylvanias
Limited Tort
Option
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Table of Contents
1. Preface .............................................................................................. 4
2. Introduction ...................................................................................... 5
3. Minimum Insurance Coverage Required in Pennsylvania .............. 6
4. When Are You Covered by the Limited Tort Option? ..................... 7
5. When Does Your Limited Tort Policy Apply to Others .................... 8
6. What Do Limited Tort and Full Tort Insurance Coverage Have in
Common? .......................................................................................... 9
7. The Dierences Between Full Tort and Limited Tort Options ........ 11
8. Limited Tort Exceptions #1-#6: When You Can Still Recover for Pain
and Suering .................................................................................... 12
9. Limited Tort Exception #7: The Most Common Exception –
The Serious Injury Exception to Limited Tort .................................. 15
10. Hard to Dene Injuries Under the Serious Injury Exception .......... 17
11. Statute of Limitations in Limited Tort Cases ................................... 19
12. What to Do After an Accident If You Have Limited Tort ................ 20
13. Apply These Basic Limited Tort “Rules of the Road” After a Motor
Vehicle Accident in Pennsylvania ..................................................... 21
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Appendix
75 Pa. Cons. Stat. § 1702 ........................................................................... 23
75 Pa. Cons. Stat. § 1705(a) ...................................................................... 26
75 Pa. Cons. Stat. § 1705(b) ...................................................................... 28
75 Pa. Cons. Stat. § 1705(c) ....................................................................... 28
75 Pa. Cons. Stat. § 1705(d) ...................................................................... 29
75 Pa. Cons. Stat. § 1711 ............................................................................ 30
75 Pa. Cons. Stat. § 1712(1) ........................................................................ 31
75 Pa. Cons. Stat. § 1731 ............................................................................ 33
75 Pa. Cons. Stat. § 3802 .......................................................................... 36
75 Pa. Cons. Stat. § 3807 .......................................................................... 39
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Preface
Jon Ostro, Esquire, is well known for his expertise and success as a
Pennsylvania limited tort lawyer. In this book, Jon will provide you with the
tools to understand:
The limited tort option and its eect on your claim for compensation if
you are injured in a motor vehicle accident in Pennsylvania.
The dierences between full tort and limited tort insurance coverage.
Who is covered by your limited tort insurance policy.
The exceptions to limited tort.
Whether to select and purchase limited tort or full tort insurance when
you obtain or renew your insurance policy.
The minimum insurance that all Pennsylvania motorists are required to
maintain.
If this book does not address a question you have about the limited tort
option or any other issue related to your insurance coverage, please email
your question to Jon Ostro, Esquire, at jostro@ostroaw.com.
Please note that the full statutory language for each insurance section that is
referred to in the content of this book (e.g., “See 75 Pa. Cons. Stat. § 1711,”),
may be found in the Appendix at the end of this book.
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Introduction
For more than two decades, Pennsylvania drivers have been given a choice
between two types of insurance coverage. The rst is known as “full
tort” insurance and the second is known as “limited tort” insurance. The
Pennsylvania Motor Vehicle Financial Responsibility Law, passed in 1990,
provides Pennsylvania drivers and motor vehicle owners with this choice
between “limited tort” and “full tort.”
While limited tort insurance coverage is typically slightly less expensive than
full tort insurance coverage, the choice between the two types of insurance
policies can have signicant consequences if you are injured in a car
accident caused by the negligence of another person. Every Pennsylvania
driver should completely understand the dierences between the full tort
and limited tort insurance options before signing a car insurance contract.
By being informed about these important insurance issues pertaining to the
limited tort insurance option, you will then understand how these insurance
options will impact you in the event that you have been involved in a
Pennsylvania motor vehicle accident. Further, when it is time to purchase
or renew your automobile insurance, you will be in a better position to
understand why Pennsylvania motor vehicle owners are much better o
choosing the full tort insurance option over the limited tort option.
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Minimum Insurance Coverage
Required in Pennsylvania
Regardless of whether you choose the full tort or limited tort insurance
option, Pennsylvania law requires you to maintain liability insurance
coverage. See 75 Pa. Cons. Stat. § 1711. At a minimum, Pennsylvania law
requires all insured drivers to pay for and maintain a liability insurance policy
that provides coverage of up to $15,000 per individual, and $30,000 to all
individuals who are injured in a Pennsylvania motor vehicle accident. See 75
Pa. Cons. Stat. § 1702. Liability insurance is intended to protect and cover the
driver who causes a motor vehicle accident.
Additionally, Pennsylvania requires vehicle owners to purchase at least
$5,000 of “rst party medical benets.” These medical benets cover your
medical bills that are related to an injury or injuries that you sustain in a
car accident. Your insurance company will be responsible for paying your
medical bills regardless of who was at fault for a car accident that caused you
to sustain an injury. See 75 Pa. Cons. Stat. § 1702.
Higher amounts of virtually all insurance benets are available and should be
considered. Also, additional types of motor vehicle insurance are available,
such as insurance to cover income you lose because of injuries you sustain
in an accident, or insurance to protect you nancially if you are injured by
an uninsured driver (called “UM,”) or an underinsured driver (called “UIM”)
who does not carry enough liability insurance to compensate you and your
family members fully for your injuries and losses. See 75 Pa. Cons. Stat. § 1731.
If you were at fault for causing an accident and the value of the injuries,
losses and/or damage you cause to another party or parties exceeds the
amount of your insurance coverage, then the other parties may pursue your
assets in order to pay for their damages and losses. It is therefore important
to maintain Pennsylvania car insurance in an amount that will adequately
protect your property and nancial interests.
Your potential nancial recovery for injuries and losses you might sustain in
a motor vehicle accident may be impacted by whether you selected full tort
insurance coverage or the limited tort option. The remainder of this book will
be dedicated to explaining the impact of this important decision.
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When Are You Covered by the
Limited Tort Insurance Option?
A Pennsylvania motor vehicle owner decides whether to purchase full
tort or limited tort insurance coverage at the time he or she purchases or
renews car insurance. If you choose limited tort coverage, then you are
bound by the terms of the contract until you change your selections and a
new insurance contract becomes eective.
Additionally, if you own a motor vehicle that is currently registered in
Pennsylvania but is uninsured, you will be treated as if you selected the
limited tort insurance option. As a result, you may be prevented from
obtaining a nancial recovery for your injuries caused by a negligent driver.
The Pennsylvania Motor Vehicle Financial Responsibility Act provides
that the owner of a currently registered vehicle who fails to purchase
motor vehicle insurance
as required by Pennsylvania law is deemed to
have selected the limited tort insurance option if he or she is injured in a
Pennsylvania motor vehicle accident. See 75 Pa. Cons. Stat. § 1705(a).
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When Does Your Limited Tort
Policy Apply to Others?
Not only does the decision about whether to select the full tort or limited
tort insurance option aect the motor vehicle owner, this decision often
impacts other relatives who reside with the named insured.
Resident relatives” of the named insured will be bound by the insured
person’s tort option selection if they:
do not own a motor vehicle in their name;
and are not a named insured on their own insurance policy;
and reside with the named insured;
and are related to the named insured.
Some examples of “resident relative” include the following categories of
individuals who reside with and share one of the following relationships
with the named insured:
biological children or stepchildren;
a spouse;
siblings;
parents;
stepparents;
grandparents;
rst aunts or uncles and more distant relatives in some cases.
Here are some examples of individuals who are not considered “resident
relatives” of a named insured, even if they reside with the named insured:
unrelated roommates or housemates;
a live-in boyfriend or girlfriend, if not married to the named insured,
even if they have children together. This includes same-sex partner
marriages, even if legally recognized outside of Pennsylvania;
foster children or foster parents;
friends;
relatives of someone in the household other than the named insured
or his or her spouse
See 75 Pa. Cons. Stat. § 1705(b)(2).
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What Do Limited Tort and Full
Tort Insurance Coverage Have in
Common?
In order to understand how limited tort insurance is dierent from full
tort insurance, it is important to rst understand what the two types of
insurance options have in common. Both full tort and limited tort insurance
options allow an injured party who is not the primary cause of a motor
vehicle accident to recover for unreimbursed economic losses from the
party who caused the accident.
Unreimbursed Economic losses” may include, but are not limited to:
unreimbursed medical expenses, including co-pays, deductibles, and
amounts owed out of a recovery for liens imposed by certain health
providers;
unreimbursed, lost income;
property damage to your vehicle;
specic out-of-pocket costs, such as for personal property that is
damaged in an accident, including eyeglasses, laptop computers,
damaged clothing, after-market radios or GPS, etc.
See 75 Pa. Cons. Stat. § 1705(a)(1)A.
Both limited tort and full tort insurance allow an injured party who is not
the primary cause of a motor vehicle accident to recover for unreimbursed
medical expenses from the party who caused the accident. “Unreimbursed
medical expenses” include the costs incurred for reasonable and necessary
medical treatment and rehabilitation services for injuries that are sustained
in an automobile accident and are not covered by other insurance available
to the injured party. Many health insurance policies have the right to be
reimbursed for car accident-related medical bills they pay and this creates
an enforceable lien. This lien is also recoverable from the party at fault,
regardless of whether the injured party is covered by the full tort or limited
tort insurance option.
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Unreimbursed medical expenses can arise from many types of medical
services. These services include, but are not limited to, hospital, dental,
rehabilitation, surgical, psychiatric, psychological, osteopathic, ambulance,
chiropractic, licensed physical therapy, nursing services, vocational
rehabilitation, occupational therapy, speech pathology, audiology,
optometry services, medications, medical supplies, and prosthetic devices.
Loss of income. Whether an injured party is covered by the full tort or
limited tort insurance option, if a physician deems the injured person
disabled and unable to perform his or her job responsibilities, the injured
person may recover for:
the wages lost from being out of work; or
the cost of paying another person to perform the injured person’s job
responsibilities, if the injured person is self-employed.
Property Damage. Finally, regardless of whether you selected the full tort
or limited tort option, if another person is at fault for causing your accident,
you are entitled to be reimbursed for the cost of xing or replacing your
damaged vehicle.
See 75 Pa. Cons. Stat. § 1705(d).
Despite these similarities, there are still signicant dierences between full
tort and limited tort insurance coverage.
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The Differences Between the Full
Tort and Limited Tort Options
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The most signicant dierence between full tort and limited tort insurance
coverage relates to the recovery of non-economic damages. The most
common non-economic damage is pain and suering. However, non-
economic damages also include loss of consortium (if the victim is married),
loss of your ability to continue with your favorite hobbies, pasttimes,
and household routines. See 75 Pa. Cons. Stat. § 1705(a)(1). Pennsylvania
accident victims who are covered by the full tort insurance option at the
time they are injured in a car accident can sue for pain and suering, loss
of consortium, loss of life’s pleasures, and other non-economic losses,
regardless of the extent of their injuries and without consideration to any
of the “limited tort exceptions,” which are outlined in the next chapter.
See 75 Pa. Cons. Stat. § 1705(a)(1)B. Quite simply, those insured by full tort
policies can sue and may recover for non-economic, pain and suering
damages, as long as the driver who caused their accident was negligent or
otherwise legally responsible for the accident injuries, damages or losses.
Pennsylvania accident victims who are covered by limited tort insured
policies do not share the same unlimited right to sue for these non-
economic damages. In order for an accident victim covered by limited
tort insurance policies to recover for non-economic losses, including pain
and suering, he or she must be able to prove that they suered a serious
injury or that a circumstance of their accident falls into a specic exception
to the restrictions of limited tort that would allow them to recover these
damages. See 75 Pa. Cons. Stat. § 1705(a)(1)A.
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Limited Tort Exceptions #1-#6:
When You Can Still Recover for Pain
and Suffering
Limited tort may limit an insured’s right to recover non-economic damages
in some accident cases, but not in all situations.
Pennsylvania law expressly allows those covered by limited tort insurance
to recover non-economic damages in certain situations. See 75 Pa. Cons.
Stat. § 1705(a)(1)A. In other words, there are circumstances in which
a person who is insured by a limited tort policy can still recover these
damages as if he or she has a full tort policy. This includes damages for
non-economic injuries, such as pain and suering. See 75 Pa. Cons. Stat. §
1705(d).
In order to recover for pain and suering and other non-economic
damages, a person covered by the limited tort option must have been
injured in a motor vehicle accident that was the fault of another person
and one of the exceptions to limited tort which are described below must
apply. It is important to note that only the serious injury exception to limited
tort applies to Uninsured Motorist Benets (UM) and Underinsured Motorist
Benets (UIM) claims submitted through your own insurance policy or for
the policy covering the motor vehicle you were occupying at the time of the
accident. The other exceptions only apply to a claim made against the other
driver.
Limited Tort Exception #1: The person at fault was convicted of or accepted
Accelerated Rehabilitative Disposition (ARD) for driving under the
inuence of alcohol or a controlled substance in the accident that caused
the limited tort insured’s injuries. See 75 Pa. Cons. Stat. § 1705(d)(1)(i).
Also see “Driving under inuence of alcohol or controlled substance” 75 Pa.
Cons. Stat. § 3802.
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Under this limited tort exception, it is not enough that the person causing
the crash was arrested for driving under the inuence of alcohol. The
following conditions must also apply:
The at-fault driver must have a blood alcohol content above the
Pennsylvania legal limit of 0.08% at the time of the collision.
The at-fault driver must have been convicted of drunk driving or
accepted into an Accelerated Rehabilitative Disposition (“ARD”)
program pursuant to 75 Pa. Cons. Stat. § 3807.
Limited Tort Exception #2: The person at fault for the accident was driving
a vehicle registered in a state other than Pennsylvania. See 75 Pa. Cons.
Stat. § 1705(d)(1)(ii).
This exception applies to the vehicle involved in the crash rather than to the
driver. For example, if the person at fault has a New Jersey driver’s license,
but is driving a motor vehicle that is registered in Pennsylvania, then this
exception would not apply. However, if the person causing the accident was
driving a car registered in New Jersey, or any state other than Pennsylvania,
then this exception would apply.
Limited Tort Exception #3: The person at fault intends to injure himself or
someone else. See 75 Pa. Cons. Stat. § 1705(d)(iii).
This exception applies when a driver intentionally strikes another person,
with the purpose of injuring another person, pedestrian or cyclist.
This exception clearly sets forth that it is not enough for the person’s
action, or inaction, to be intentional. Nor is it sucient for purposes of this
limited tort exception for the person to have been aware that his or her
action would create a grave risk of causing an injury. Furthermore, even
if the act had been intentional, it would not constitute an exception to
limited tort if the person was intentionally acting to avoid bodily harm. The
intention of the other driver must be to cause harm, and then the intended
harm occurs.
There is a very important practical consideration for this exception. In
almost all cases, if a driver intentionally causes harm to another individual,
this intentional act will usually not be covered by that person’s liability
insurance policy. Virtually all liability insurance policies in Pennsylvania
exclude injuries caused by the intentional acts of the insured driver.
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Limited Tort Exception #4: The person covered by limited tort insurance
is injured in an accident caused by a defect in the design, manufacturing,
repair or maintenance of a vehicle. See 75 Pa. Cons. Stat. § 1705(d)(1)(ii).
If an accident was caused by a motor vehicle defect rather than the
negligence of another driver, a person covered under a limited tort
insurance policy may be able to recover non-economic damages. In order
for this exception to apply, the injured party must be able to prove that
the accident was the result of negligence by the vehicle manufacturer,
mechanic, distributor, or seller.
Limited Tort Exception #5: The person covered by limited tort insurance
is injured while a passenger in a vehicle other than a private passenger
motor vehicle. See 75 Pa. Cons. Stat. § 1702.
If a person with limited tort insurance is injured while on a bus, in
a commercial truck, as a pedestrian, in a taxi, on a motorcycle, in a
recreational vehicle, in a rental vehicle, or in any other type of vehicle that
is not a private passenger vehicle, then that person is entitled to recover
for their pain and suering damages against the negligent party’s insurance
company as if they chose the full tort option.
Pennsylvania law denes a private passenger motor vehicle as a four wheel
motor vehicle that:
Is insured by a person.
Is a passenger car that is used privately and not rented to others, used
by the public (such as a taxi cab), or used in livery conveyance.
Has a gross weight of not more than 9,000 pounds.
Is not principally used for commercial purposes (other than farming).
Is not a recreational vehicle unintended for highway use.
Limited Tort Exception #6: The person at fault has not maintained nancial
responsibility, or insurance, as required by the Motor Vehicle Financial
Responsibility Law. See 75 Pa. Cons. Stat. § 1705(a).
As a practical matter, this exception is rarely helpful. If the at-fault driver is
uninsured, then the injured victim may either pursue their personal assets
— which is rarely successful — or they can pursue UM coverage through
their own insurance company. However, this limited tort coverage does not
apply to a UM or UIM claim.
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Limited Tort Exception #7:
The Most Common Exception: The
Serious Injury Exception to Limited
Tort
The “serious injury exception” is relied upon more frequently than any
other limited tort exception. This exception is also the most challenging
exception to rely on. However, if a serious injury can be proven, it will not
only serve as an exception to limited tort in the claim against the negligent
person who caused the accident, it will also serve as an exception to an
Uninsured Motorist (UM) or Underinsured Motorist (UIM) benet claim for
these benets from the injured parties own insurance company.
The “serious injury exception” is set forth in 75 Pa. Cons. Stat. § 1705(d). In
order to prove that a serious injury was sustained under this statute and in
accordance with court decisions in Pennsylvania, the victim must have either:
Been fatally injured;
Suered a serious impairment of a bodily function; or
Sustained a permanent, serious disgurement. Note that a signicant,
prominent scar will often qualify as a “disgurement.”
Unlike the exceptions discussed above, insurance companies often challenge
and try to disprove the existence of a serious enough injury to overcome
limited tort. In limited tort exceptions #1 through #6 discussed earlier, the
application of an exception to a case is typically clear. For example, your
car was either registered in Pennsylvania, or it was not. You were either a
pedestrian when you were hurt, or you were not. The at-fault driver was
either convicted of DUI or not.
Because the insurance companies frequently dispute the existence of a
“serious injury” under this statutory exception, there have been many cases
in Pennsylvania that address the controversy over this issue. As a result,
the denition of a serious injury has been argued in courts throughout
Pennsylvania over the past 20 years. Still, there is ongoing uncertainty about
what constitutes a “serious injury” in many cases. Limited tort “serious injury
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exception” cases have dierent outcomes in the same county and especially
from one county to the next. For instance, it may be easier to prove that an
injury is serious before a jury in Philadelphia, than it is to do the same before
a jury in Bucks or Montgomery County.
For these reasons, it is typically very dicult for an unrepresented
Pennsylvania accident victim to prove that he has sustained a “serious
injury” under this limited tort exception. As a result, it is critically important
that an accident victim consult with an experienced limited tort lawyer who
understands these exceptions. The limited tort lawyer you consult with
should make sure you understand the “serious injury” exception. The limited
tort lawyer must have experience proving that their clients have sustained
a “serious injury.” Finally, the Pennsylvania limited tort lawyer you contact
must be able to apply the Pennsylvania “serious injury exception” to the
specic facts in your case. This analysis must take into account:
The injuries that were diagnosed;
The length of time your accident related treatment lasted;
The type of treatment you received;
Any residual problems you have after improving as much as you can
medically;
Any activities of daily living that you are unable to do or that are harder
for you to do;
The dierent counties that you may be able to sue in.
While a good Pennsylvania limited tort lawyer is important regardless of the
exception you are claiming, it is even more imperative if you are claiming that
you should be entitled to pain and suering damages because you suered a
“serious injury.”
If the evidence in your medical records and your lawyer’s arguments are
convincing enough, then your Pennsylvania limited tort lawyer may be able
to convince an insurance company to settle with you prior to trial. In the end,
it may be necessary to present your case to a jury in order to prove that your
injury is both serious and substantially impacting your life.
It is important that your lawyer always prepare your case as if it’s going to
trial. This is the best strategy to properly prepare your case for settlement
or trial. In order to obtain a fair settlement, the insurance company must
recognize that you and your lawyer are truly committed to successfully
proving that your injury or injuries will overcome the “serious injury
exception” to limited tort.
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Hard to Define Injuries Under the
Limited Tort Exception
Where it is not abundantly clear that an individual sustained a “serious
injury” or “disgurement,” the Pennsylvania Supreme Court has made it
clear that a jury may decide whether an injury resulted in a “permanent
disgurement” or an “impairment of a bodily function.” See Washington v.
Baxter, 719 A.2d 733 (Pa. 1998) and Hames v. Philadelphia Housing Authority,
737 A.2d 825 (PA 1999). The Baxter case established that the injured party
has the right to a jury trial in all but the clearest cases and developed a
standard for determining whether a serious impairment of a bodily function
occurred. Specically, the Baxter Court decided that two questions must
be answered in determining whether an injury is a serious impairment to a
bodily function.
(1) Was a signicant bodily function impaired because of the Pennsylvania
car accident injuries?
(2) Was the impairment serious?
In applying the Baxter standard, Pennsylvania courts want a jury to weigh
evidence about the injuries themselves and about the impact of the
injuries on the accident victim’s life. Medical testimony from a physician is
necessary to determine the existence of a serious injury. The injury does not
need to be permanent to be dened as “serious.” However, permanence is
one relevant consideration for this limited tort “serious injury exception.”
Under Baxter, a jury may consider:
The extent of the impairment;
The length of time the impairment lasted;
The medical and rehabilitation treatment required to correct or
minimize the eects of the impairment;
Any other relevant factors.
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Whether an injury will be serious enough to meet the criteria of this
“serious injury exception” to limited tort depends very specically on the
details of the case. What may constitute a lesser injury for one person may
be a serious injury for another, depending on that person’s age, occupation,
and other relevant factors.
When discussing the factors relevant to a jury’s determination of whether
or not an accident victim’s injury is a “serious injury” and an exception to
limited tort, it is also important to consider what a jury cannot consider. The
jury cannot be instructed that the plainti elected the limited tort option
in exchange for a lower car insurance premium, because this is misleading,
prejudicial and irrelevant. See Price v. Guy, 735 A.2d 668 (Pa. 1999). Instead,
it is the jury’s role to focus on determining whether the plainti suered a
“serious injury,” without any additional information about why the jury is
making this determination.
The information described above may seem daunting. The “serious injury
exception” to limited tort is confusing and is not consistent from county to
county in Pennsylvania. It is important to know that many Pennsylvania car
accident victims who are well represented by a Pennsylvania limited tort
lawyer and who are covered by the limited tort option have successfully
asserted their rights under this “serious injury exception” and are able to
recover pain and suering damages for their serious injuries. By consulting
and retaining an experienced and knowledgeable limited tort attorney,
you will better understand how the “serious injury” exception applies to
your circumstance. For these reasons, the limited tort lawyer you retain
must have experience proving that their clients have sustained a “serious
injury” and must have a track record of success in dealing with insurance
companies and juries when this issue arises.
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Statute of Limitations in Limited
Tort Cases
Generally, motor vehicle accident cases and other personal injury actions
have a two-year statute of limitations in Pennsylvania. See 42 Pa. Cons,
Stat. §5524(2). This general rule holds true for the economic damages part
of a limited tort case. For example, the statute of limitations for medical
expenses and lost wages generally begins on the day of the accident.
However, the two year statute of limitations may be extended for non-
economic damages in limited tort cases when a person insured by limited
tort sues for non-economic damages pursuant to the serious injury
exception. As discussed above, what constitutes a “serious injury” and
how that injury will impact your life is not always readily apparent. Thus,
Pennsylvania courts have held that for purposes of the “serious injury
exception” to limited tort, the statute of limitations does not begin to
run until the injured party knows, or should have known, that he or she
incurred a serious injury.
The potentially dierent eective dates for the applicable statute of
limitations can create practical and legal problems. Therefore, it is
important to consult with an experienced Pennsylvania limited tort
attorney who can help you navigate these potential complications. You also
want to make sure that your lawsuit is properly led and served upon all
defendants, within the required statute of limitations under Pennsylvania
law. Failure to le your case before the expiration of the statute of
limitations may preclude you from obtaining a nancial recovery and bar
you from bringing a claim.
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What to Do After An Accident If
You Have Limited Tort
As you can tell from the information provided in this book about limited
tort, you may have a lot at stake if you are covered by the limited tort
option when you are injured in a Pennsylvania car crash.
Some insurance companies try to convince an accident victim covered by
limited tort that they do not have the right to recover for their pain and
suering after an accident. Obviously, insurance companies would much
prefer to receive premiums than pay benets or compensation to injured
victims.
Your insurance agent also has a strong nancial incentive to try to convince
you that you shouldn’t pursue an injury claim if you have limited tort. This
is because your insurance agent receives a potentially large kickback or
bonus at the end of the year from the insurance companies he or she sells
for. This compensation is important to your agent and is a direct result of
claims paid versus premiums received by your agent’s oce. Therefore, this
bonus goes up based on premiums paid and drops dramatically when the
insurance company has to pay money related to a loss.
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21
Apply These Basic Limited Tort
“Rules of the Road” After a Motor
Vehicle Accident in Pennsylvania
By taking the time to read this book and understand how the limited tort
option works in Pennsylvania, you now possess the knowledge you need to
be aware of your basic rights after you’ve been injured in a motor vehicle
accident. You will also understand why the insurance adjusters or your
agent immediately dismiss your right to compensation and benets. Be
sure to take the following steps to ensure your fair and just recovery.
1. If you are physically able to—or if another passenger in your vehicle is
physically able to—do the following at the accident scene:
Use a cell phone to take photos of both cars. If possible, do this at
the accident scene before the vehicles are moved.
If any witnesses approach you at the scene, try to get their name
and phone numbers. If you are physically unable to write this
information down, ask them to write it down and give it to you,
or if you have a recording option on your cell phone, just speak
this information into your phone where it can be recorded and
retrieved later.
Try to obtain the insurance information of the other vehicle.
Ask the investigating police ocer for the barracks they are from
and the incident report number. You can write this down or record
this information on your phone if you have that option.
Within a day or two thereafter, write down any details you recall
about how the accident occurred. If you are physically unable to
do this and if your cell phone has a recording option, make an
audio recording of this information.
As soon as you are physically able and every other day thereafter,
take photographs of your visible injuries with the highest quality
camera you have access to. Be sure and photograph lacerations
and cuts, bruises, abrasions, stitches, swelling, redness, or any
evidence of trauma.
13
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2. Whether you are transported to the emergency room or not, if you
are injured, it is very important to see an experienced doctor or return
to the emergency room to see a physician who can properly treat and
diagnose your accident-related injuries. Continue to obtain medical
treatment until your injuries are resolved. Your doctor will not only
help you get the medical care that you need, but may also provide
important information if you seek to recover compensation for your
pain and suering. This applies whether you are full tort or limited tort.
3. Finally, it is important to consult with an experienced Pennsylvania
limited tort lawyer. Limited tort is a complicated area of Pennsylvania
motor vehicle accident law and the potential limitations with limited
tort coverage are signicant for a car accident victim. A knowledgeable
limited tort attorney can provide you with a legal analysis of your
case and can help you understand how best to protect your legal and
nancial interests after you’ve been hurt or sustained damages as a
result of a motor vehicle accident in Pennsylvania.
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APPENDIX
(PENNSYLVANIA LIMITED TORT STATUTES CITED IN THIS BOOK)
75 Pa. Cons. Stat. § 1702
§ 1702. Denitions.
The following words and phrases when used in this chapter shall have the
meanings given to them in this section unless the context clearly indicates
otherwise:
Assigned Risk Plan.” A program for the equitable apportionment of
assigned risks and clean risks among insurers.
Automobile Insurance Policy Act.” The act of June 5, 1968 (P.L.140,
No.78), entitled “An act regulating the writing, cancellation of or refusal to
renew policies of automobile insurance; and imposing powers and duties
on the Insurance Commissioner therefor.”
“Benets” or “rst party benets.” Medical benets, income loss benets,
accidental death benets and funeral benets.
“Clean risk.” An insured or an applicant for insurance who, for the 36-
month period immediately preceding the date of application or renewal
date of the policy:
(1) has not been involved in an accident as a driver, provided that, for
purposes of this paragraph, an “accident” shall not include accidents
described in section 3 of the Automobile Insurance Policy Act or
section 1799.3 (relating to limit on cancellations, refusals to renew,
refusals to write, surcharges, rate penalties and point assignments);
(2) has not received more than three points for violations as set forth in
Chapter 15 (relating to licensing of drivers); and
(3) whose operator’s license has not been suspended or revoked except
under section 1533 (relating to suspension of operating privilege for
failure to respond to citation) and the insured is able to produce proof
that he or she has responded to all citations and paid all nes and
penalties imposed under that section and provided further that the
named insured has been a licensed operator in Pennsylvania or another
state for the immediately preceding three years.
“Commissioner.” The Insurance Commissioner of the Commonwealth.
“Department.” The Department of Transportation or Insurance
Department, as applicable.
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APPENDIX
“Financial responsibility.” The ability to respond in damages for liability
on account of accidents arising out of the maintenance or use of a
motor vehicle in the amount of $15,000 because of injury to one person
in any one accident, in the amount of $30,000 because of injury to
two or more persons in any one accident and in the amount of $5,000
because of damage to property of others in any one accident. The
nancial responsibility shall be in a form acceptable to the Department of
Transportation.
“Injury.” Accidentally sustained bodily harm to an individual and that
individual’s illness, disease or death resulting therefrom.
“Insured.” Any of the following:
(1) An individual identied by name as an insured in a policy of motor
vehicle liability insurance.
(2) If residing in the household of the named insured:
(i) a spouse or other relative of the named insured; or
(ii) a minor in the custody of either the named insured or relative of
the named insured.
“Insurer” or “insurance company.” A motor vehicle liability insurer subject
to the requirements of this chapter.
“Necessary medical treatment and rehabilitative services.” Treatment,
accommodations, products or services which are determined to be
necessary by a licensed health care provider unless they shall have been
found or determined to be unnecessary by a State-approved Peer Review
Organization (PRO).
“Noneconomic loss.” Pain and suering and other nonmonetary detriment.
“Peer Review Organization” or “PRO.” Any Peer Review Organization
with which the Federal Health Care Financing Administration or the
Commonwealth contracts for medical review of Medicare or medical
assistance services, or any health care review company, approved by the
commissioner, that engages in peer review for the purpose of determining
that medical and rehabilitation services are medically necessary and
economically provided. The membership of any PRO utilized in connection
with this chapter shall include representation from the profession whose
services are subject to the review.
“Private passenger motor vehicle.” A four-wheel motor vehicle, except
recreational vehicles not intended for highway use, which is insured by a
natural person and:
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APPENDIX
(1) is a passenger car neither used as a public or livery conveyance nor
rented to others; or
(2) has a gross weight not exceeding 9,000 pounds and is not principally
used for commercial purposes other than farming.
The term does not include any motor vehicle insured exclusively under a
policy covering garage, automobile sales agency repair shop, service station
or public parking place operation hazards.
“Self-insurer.” An entity providing benets and qualied in the manner set
forth in section 1787 (relating to self-insurance).
“Serious injury.” A personal injury resulting in death, serious impairment of
body function or permanent serious disgurement.
“Underinsured motor vehicle.” A motor vehicle for which the limits of
available liability insurance and self-insurance are insucient to pay losses
and damages.
“Uninsured motor vehicle.” Any of the following:
(1) A motor vehicle for which there is no liability insurance or self-
insurance applicable at the time of the accident.
(2) A motor vehicle for which the insurance company denies coverage
or the insurance company is or becomes involved in insolvency
proceedings in any jurisdiction.
(3) An unidentied motor vehicle that causes an accident resulting
in injury provided the accident is reported to the police or proper
governmental authority and the claimant noties his insurer within 30
days, or as soon as practicable thereafter, that the claimant or his legal
representative has a legal action arising out of the accident.
“Voluntary rate.” An insurer’s rating plan approved by the commissioner. In
the case of an insurer with multiple rating plans, the voluntary rate shall be
that rating plan applicable to the risk.
(Feb. 12, 1984, P.L.53, No.12, e. Oct. 1, 1984; Feb. 7, 1990, P.L.11, No.6, e.
imd.)
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APPENDIX
75 Pa. Cons. Stat. § 1705(a)
§ 1705. Election of tort options.
(a) Financial responsibility requirements.--
(1) Each insurer, not less than 45 days prior to the rst renewal of a private
passenger motor vehicle liability insurance policy on and after July 1,
1990, shall notify in writing each named insured of the availability of two
alternatives of full tort insurance and limited tort insurance described in
subsections (c) and (d). The notice shall be a standardized form adopted by
the commissioner and shall include the following language:
NOTICE TO NAMED INSUREDS
Additional coverages under this option are available at additional cost.
Additional coverages under this option are available at additional cost.
C. You may contact your insurance agent, broker or company to discuss the
cost of other coverages.
D. If you wish to choose the “limited tort” option described in paragraph A,
you must sign this notice where indicated below and return it. If you do not
sign and return this notice, you will be considered to have chosen the “full
tort” coverage as described in paragraph B and you will be charged the
“full tort” premium.
I wish to choose the “limited tort” option described in paragraph A:
Named Insured Date
E. If you wish to choose the “full tort” option described in paragraph B,
you may sign this notice where indicated below and return it. However,
if you do not sign and return this notice, you will be considered to have
chosen the “full tort” coverage as described in paragraph B and you will be
charged the “full tort” premium.
I wish to choose the “full tort” option described in paragraph B:
Named Insured Date
(2) Insurers shall print the above notice containing both options on one
sheet in prominent type and place in a prominent location. Any person
signing, or otherwise bound by, a document containing such terms is bound
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APPENDIX
by such election and is precluded from claiming liability of any person based
upon being inadequately informed in making the election between full tort
or limited tort alternatives. Where there are two or more named insureds
on a policy, any named insured may make the full or limited tort election
provided for in this section for all named insureds on the policy.
(3) If a named insured who receives a notice under paragraph (1) does not
indicate a choice within 20 days, the insurer shall send a second notice. The
second notice shall be in a form identical to the rst notice, except that it
shall be identied as a second and nal notice. If a named insured has not
responded to either notice ten days prior to the renewal date, the named
insured and those he is empowered by this section to bind by his choice
are conclusively presumed to have chosen the full tort alternative. All
notices required by this section shall advise that if no tort election is made,
the named insured and those he is empowered to bind by his choice are
conclusively presumed to have chosen the full tort alternative. Any person
subject to the limited tort option by virtue of this section shall be precluded
from claiming liability of any person based upon being inadequately
informed.
(4) Each insurer, prior to the rst issuance of a private passenger motor
vehicle liability insurance policy on and after July 1, 1990, shall provide each
applicant with the notice required by paragraph (1). A policy may not be
issued until the applicant has been provided an opportunity to elect a tort
option.
(5) An owner of a currently registered private passenger motor vehicle who
does not have nancial responsibility shall be deemed to have chosen the
limited tort alternative.
(6) Nothing in this section changes or modies the existing requirement
that owners of registered vehicles maintain bodily injury and property
damage liability insurance arising out of the ownership, maintenance or use
of a motor vehicle.
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APPENDIX
75 Pa. Cons. Stat. § 1705(b)
(b) Application of tort options.--
(1) The tort option elected by a named insured shall apply to all private
passenger motor vehicle policies of the named insured issued by the same
insurer and shall continue in force as to all subsequent renewal policies,
replacement policies and any other private passenger motor vehicle
policies under which the individual is a named insured until the insurer, or
its authorized representative, receives a properly executed form electing
the other tort option.
(2) The tort option elected by a named insured shall apply to all insureds
under the private passenger motor vehicle policy who are not named
insureds under another private passenger motor vehicle policy. In the case
where more than one private passenger motor vehicle policy is applicable
to an insured and the policies have conicting tort options, the insured
is bound by the tort option of the policy associated with the private
passenger motor vehicle in which the insured is an occupant at the time
of the accident if he is an insured on that policy and bound by the full tort
option otherwise.
(3) An individual who is not an owner of a currently registered private
passenger motor vehicle and who is not a named insured or insured under
any private passenger motor vehicle policy shall not be precluded from
maintaining an action for noneconomic loss or economic loss sustained in a
motor vehicle accident as the consequence of the fault of another person
pursuant to applicable tort law.
75 Pa. Cons. Stat. § 1705(c)
(c) Full tort alternative.--
Each person who is bound by the full tort election remains eligible to seek
compensation for noneconomic loss claimed and economic loss sustained
in a motor vehicle accident as the consequence of the fault of another
person pursuant to applicable tort law.
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APPENDIX
75 Pa. Cons. Stat. § 1705(d)
(d) Limited tort alternative.--
Each person who elects the limited tort alternative remains eligible to seek
compensation for economic loss sustained in a motor vehicle accident as
the consequence of the fault of another person pursuant to applicable
tort law. Unless the injury sustained is a serious injury, each person who is
bound by the limited tort election shall be precluded from maintaining an
action for any noneconomic loss, except that:
(1) An individual otherwise bound by the limited tort election who sustains
damages in a motor vehicle accident as the consequence of the fault of
another person may recover damages as if the individual damaged had
elected the full tort alternative whenever the person at fault:
(i) is convicted or accepts Accelerated Rehabilitative Disposition
(ARD) for driving under the inuence of alcohol or a controlled
substance in that accident;
(ii) is operating a motor vehicle registered in another state;
(iii) intends to injure himself or another person, provided that an
individual does not intentionally injure himself or another person
merely because his act or failure to act is intentional or done with
his realization that it creates a grave risk of causing injury or the
act or omission causing the injury is for the purpose of averting
bodily harm to himself or another person; or
(iv) has not maintained nancial responsibility as required by this
chapter, provided that nothing in this paragraph shall aect the
limitation of section 1731(d)(2) (relating to availability, scope and
amount of coverage).
(2) An individual otherwise bound by the limited tort election shall retain
full tort rights with respect to claims against a person in the business of
designing, manufacturing, repairing, servicing or otherwise maintaining
motor vehicles arising out of a defect in such motor vehicle which is caused
by or not corrected by an act or omission in the course of such business,
other than a defect in a motor vehicle which is operated by such business.
(3) An individual otherwise bound by the limited tort election shall retain
full tort rights if injured while an occupant of a motor vehicle other than a
private passenger motor vehicle.
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APPENDIX
75 Pa. Cons. Stat. § 1711
§ 1711. Required benets.
(a) Medical benet.--
An insurer issuing or delivering liability insurance policies covering any
motor vehicle of the type required to be registered under this title, except
recreational vehicles not intended for highway use, motorcycles, motor-
driven cycles or motorized pedalcycles or like type vehicles, registered and
operated in this Commonwealth, shall include coverage providing a medical
benet in the amount of $5,000.
(b) Minimum policy.--
All insurers subject to this chapter shall make available for purchase
a motor vehicle insurance policy which contains only the minimum
requirements of nancial responsibility and medical benets as provided
for in this chapter.
(Feb. 12, 1984, P.L.53, No.12, e. Oct. 1, 1984; Apr. 26, 1989, P.L.13, No.4, e.
June 1, 1989; Feb. 7, 1990, P.L.11, No.6, e. July 1, 1990)
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APPENDIX
75 Pa. Cons. Stat. § 1712(1)
§ 1712. Availability of benets.
An insurer issuing or delivering liability insurance policies covering any
motor vehicle of the type required to be registered under this title, except
recreational vehicles not intended for highway use, motorcycles, motor-
driven cycles or motorized pedalcycles or like type vehicles, registered and
operated in this Commonwealth, shall make available for purchase rst
party benets with respect to injury arising out of the maintenance or use
of a motor vehicle as follows:
(1) Medical benet.--
Subject to the limitations of section 1797 (relating to customary charges
for treatment), coverage to provide for reasonable and necessary medical
treatment and rehabilitative services, including, but not limited to, hospital,
dental, surgical, psychiatric, psychological, osteopathic, ambulance,
chiropractic, licensed physical therapy, nursing services, vocational
rehabilitation and occupational therapy, speech pathology and audiology,
optometric services, medications, medical supplies and prosthetic devices,
all without limitation as to time, provided that, within 18 months from
the date of the accident causing injury, it is ascertainable with reasonable
medical probability that further expenses may be incurred as a result of the
injury. Benets under this paragraph may include any nonmedical remedial
care and treatment rendered in accordance with a recognized religious
method of healing.
(2) Income loss benet.--
Includes the following:
(i) Eighty percent of actual loss of gross income.
(ii) Reasonable expenses actually incurred for hiring a substitute to perform
self-employment services thereby mitigating loss of gross income or for
hiring special help thereby enabling a person to work and mitigate loss of
gross income.
Income loss does not include loss of expected income for any period
following the death of an individual or expenses incurred for services
performed following the death of an individual. Income loss shall not
commence until ve working days have been lost after the date of the
accident.
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APPENDIX
(3) Accidental death benet.--
A death benet paid to the personal representative of the insured, should
injury resulting from a motor vehicle accident cause death within 24 months
from the date of the accident.
(4) Funeral benet.--
Expenses directly related to the funeral, burial, cremation or other form of
disposition of the remains of a deceased individual, incurred as a result of
the death of the individual as a result of the accident and within 24 months
from the date of the accident.
(5) Combination benet.--
A combination of benets described in paragraphs (1) through (4) as an
alternative to the separate purchase of those benets.
(6) Extraordinary medical benets.--
Medical benets, as dened in paragraph (1), which exceed $100,000.
(Feb. 12, 1984, P.L.53, No.12, e. Oct. 1, 1984; Feb. 7, 1990, P.L.11, No.6,
e. July 1, 1990; Oct. 4, 2002, P.L.845, No.123, e. 60 days; Dec. 23, 2002,
P.L.1982, No.229, e. Dec. 3, 2002)
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APPENDIX
75 Pa. Cons. Stat. § 1731
§ 1731. Availability, scope and amount of coverage.
(a) Mandatory oering.--
No motor vehicle liability insurance policy shall be delivered or issued
for delivery in this Commonwealth, with respect to any motor vehicle
registered or principally garaged in this Commonwealth, unless uninsured
motorist and underinsured motorist coverages are oered therein or
supplemental thereto in amounts as provided in section 1734 (relating to
request for lower limits of coverage). Purchase of uninsured motorist and
underinsured motorist coverages is optional.
(b) Uninsured motorist coverage.--
Uninsured motorist coverage shall provide protection for persons who
suer injury arising out of the maintenance or use of a motor vehicle and
are legally entitled to recover damages therefor from owners or operators
of uninsured motor vehicles. The named insured shall be informed that he
may reject uninsured motorist coverage by signing the following written
rejection form:
REJECTION OF UNINSURED MOTORIST PROTECTION
By signing this waiver I am rejecting uninsured motorist coverage under
this policy, for myself and all relatives residing in my household. Uninsured
coverage protects me and relatives living in my household for losses and
damages suered if injury is caused by the negligence of a driver who does
not have any insurance to pay for losses and damages. I knowingly and
voluntarily reject this coverage.
Signature of First Named Insured
Date
(b.1) Limitation of rejection.--
Uninsured motorist protection may be rejected for the driver and
passengers for rental or lease vehicles which are not otherwise
common carriers by motor vehicle, but such coverage may only be
rejected if the rental or lease agreement is signed by the person renting
or leasing the vehicle and contains the following rejection language:
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APPENDIX
Rejection of Uninsured Motorist Protection
I am rejecting uninsured motorist coverage under this rental or lease
agreement, and any policy of insurance or self-insurance issued under
this agreement, for myself and all other passengers of this vehicle.
Uninsured coverage protects me and other passengers in this vehicle
for losses and damages suered if injury is caused by the negligence
of a driver who does not have any insurance to pay for losses and
damages.
(b.2) Rejection language change.--
The rejection language of subsection (b.1) may only be changed
grammatically to reect a dierence in tense in the rental agreement
or lease agreement.
(b.3) Vehicle rental services.--
The requirements of subsection (b.1) may be met in connection with
an expedited vehicle rental service, which service by agreement of
the renter does not require the renter’s signature for each rental, if a
master enrollment or rental agreement contains the rejection language
of subsection (b.1) and such agreement is signed by the renter.
(c) Underinsured motorist coverage.--
Underinsured motorist coverage shall provide protection for persons who
suer injury arising out of the maintenance or use of a motor vehicle and
are legally entitled to recover damages therefor from owners or operators
of underinsured motor vehicles. The named insured shall be informed that
he may reject underinsured motorist coverage by signing the following
written rejection form:
REJECTION OF UNDERINSURED MOTORIST PROTECTION
By signing this waiver I am rejecting underinsured motorist coverage
under this policy, for myself and all relatives residing in my household.
Underinsured coverage protects me and relatives living in my household for
losses and damages suered if injury is caused by the negligence of a driver
who does not have enough insurance to pay for all losses and damages. I
knowingly and voluntarily reject this coverage.
Signature of First Named Insured
Date
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APPENDIX
(c.1) Form of waiver.--Insurers shall print the rejection forms required
by subsections (b) and (c) on separate sheets in prominent type and
location. The forms must be signed by the rst named insured and
dated to be valid. The signatures on the forms may be witnessed by an
insurance agent or broker. Any rejection form that does not specically
comply with this section is void. If the insurer fails to produce a valid
rejection form, uninsured or underinsured coverage, or both, as the
case may be, under that policy shall be equal to the bodily injury
liability limits. On policies in which either uninsured or underinsured
coverage has been rejected, the policy renewals must contain notice
in prominent type that the policy does not provide protection against
damages caused by uninsured or underinsured motorists. Any
person who executes a waiver under subsection (b) or (c) shall be
precluded from claiming liability of any person based upon inadequate
information.
(d) Limitation on recovery.--
(1) A person who recovers damages under uninsured motorist
coverage or coverages cannot recover damages under
underinsured motorist coverage or coverages for the same
accident.
(2) A person precluded from maintaining an action for noneconomic
damages under section 1705 (relating to election of tort
options) may not recover from uninsured motorist coverage or
underinsured motorist coverage for noneconomic damages.
(Feb. 12, 1984, P.L.53, No.12, e. Oct. 1, 1984; Feb. 7, 1990, P.L.11, No.6, e.
July 1, 1990; Dec. 28, 1994, P.L.1441, No.170, e. 60 days; Dec. 28, 1994,
P.L.1450, No.172, e. 60 days; July 6, 1995, P.L.246, No.30, e. 60 days)
1995 Amendment. Act 30 amended subsec. (b.1) and added subsecs. (b.2)
and (b.3), retroactive to December 28, 1994, as to subsec. (b.1).
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APPENDIX
75 Pa. Cons. Stat. § 3802
§ 3802. Driving under inuence of alcohol or controlled substance. (“DUI”)
(a) General impairment.--
(1) An individual may not drive, operate or be in actual physical
control of the movement of a vehicle after imbibing a sucient
amount of alcohol such that the individual is rendered incapable of
safely driving, operating or being in actual physical control of the
movement of the vehicle.
(2) An individual may not drive, operate or be in actual physical
control of the movement of a vehicle after imbibing a sucient
amount of alcohol such that the alcohol concentration in the
individual’s blood or breath is at least 0.08% but less than 0.10%
within two hours after the individual has driven, operated or been
in actual physical control of the movement of the vehicle.
(b) High rate of alcohol.--
An individual may not drive, operate or be in actual physical control of the
movement of a vehicle after imbibing a sucient amount of alcohol such
that the alcohol concentration in the individual’s blood or breath is at least
0.10% but less than 0.16% within two hours after the individual has driven,
operated or been in actual physical control of the movement of the vehicle.
(c) Highest rate of alcohol.--
An individual may not drive, operate or be in actual physical control of the
movement of a vehicle after imbibing a sucient amount of alcohol such
that the alcohol concentration in the individual’s blood or breath is 0.16% or
higher within two hours after the individual has driven, operated or been in
actual physical control of the movement of the vehicle.
(d) Controlled substances.--
An individual may not drive, operate or be in actual physical control of the
movement of a vehicle under any of the following circumstances:
(1) There is in the individual’s blood any amount of a:
(i) Schedule I controlled substance, as dened in the act of April 14,
1972 (P.L.233, No.64), known as The Controlled Substance, Drug,
Device and Cosmetic Act;
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APPENDIX
(ii) Schedule II or Schedule III controlled substance, as dened in The
Controlled Substance, Drug, Device and Cosmetic Act, which has
not been medically prescribed for the individual; or
(iii) metabolite of a substance under subparagraph (i) or (ii).
(2) The individual is under the inuence of a drug or combination of
drugs to a degree which impairs the individual’s ability to safely drive,
operate or be in actual physical control of the movement of the
vehicle.
(3) The individual is under the combined inuence of alcohol and a drug
or combination of drugs to a degree which impairs the individual’s
ability to safely drive, operate or be in actual physical control of the
movement of the vehicle.
(4) The individual is under the inuence of a solvent or noxious substance
in violation of 18 Pa.C.S. § 7303 (relating to sale or illegal use of certain
solvents and noxious substances).
(e) Minors.--
A minor may not drive, operate or be in actual physical control of the
movement of a vehicle after imbibing a sucient amount of alcohol such
that the alcohol concentration in the minor’s blood or breath is 0.02% or
higher within two hours after the minor has driven, operated or been in
actual physical control of the movement of the vehicle.
(f) Commercial or school vehicles.--
An individual may not drive, operate or be in actual physical control of the
movement of a commercial vehicle, school bus or school vehicle in any of
the following circumstances:
(1) After the individual has imbibed a sucient amount of alcohol such
that the alcohol concentration in the individual’s blood or breath is:
(i) 0.04% or greater within two hours after the individual has driven,
operated or been in actual physical control of the movement of a
commercial vehicle other than a school bus or a school vehicle.
(ii) 0.02% or greater within two hours after the individual has driven,
operated or been in actual physical control of the movement of a
school bus or a school vehicle.
(2) After the individual has imbibed a sucient amount of alcohol such
that the individual is rendered incapable of safely driving, operating or
being in actual physical control of the movement of the vehicle.
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APPENDIX
(3) While the individual is under the inuence of a controlled substance
or combination of controlled substances, as dened in section 1603
(relating to denitions).
(4) While the individual is under the combined inuence of alcohol and
a controlled substance or combination of controlled substances, as
dened in section 1603.
(g) Exception to two-hour rule.--Notwithstanding the provisions
of subsection (a), (b), (c), (e) or (f), where alcohol or controlled
substance concentration in an individual’s blood or breath is an
element of the oense, evidence of such alcohol or controlled
substance concentration more than two hours after the individual has
driven, operated or been in actual physical control of the movement of
the vehicle is sucient to establish that element of the oense under
the following circumstances:
(1) where the Commonwealth shows good cause explaining why the
chemical test sample could not be obtained within two hours; and
(2) where the Commonwealth establishes that the individual did not
imbibe any alcohol or utilize a controlled substance between the
time the individual was arrested and the time the sample was
obtained.
(May 11, 2006, P.L.155, No.36, e. imd.)
2006 Amendment. Act 36 amended subsec. (g)(1). See the preamble to Act
36 in the appendix to this title for special provisions relating to legislative
intent.
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39
APPENDIX
75 Pa. Cons. Stat. § 3807
§ 3807. Accelerated Rehabilitative Disposition. (“ARD”)
(a) Eligibility.--
(1) Except as set forth in paragraph (2), a defendant charged with a
violation of section 3802 (relating to driving under inuence of alcohol
or controlled substance) may be considered by the attorney for the
Commonwealth for participation in an Accelerated Rehabilitative
Disposition program in a county if the program includes the minimum
requirements contained in this section.
(2) The attorney for the Commonwealth shall not submit a charge brought
under this chapter for Accelerated Rehabilitative Disposition if any of the
following apply:
(i) The defendant has been found guilty of or accepted Accelerated
Rehabilitative Disposition of a charge brought under section 3802
within ten years of the date of the current oense unless the charge
was for an ungraded misdemeanor under section 3802(a)(2) and was
the defendant’s rst oense under section 3802.
(ii) An accident occurred in connection with the events surrounding the
current oense and an individual other than the defendant was killed
or suered serious bodily injury as a result of the accident.
(iii) There was a passenger under 14 years of age in the motor vehicle the
defendant was operating.
(b) Evaluation and treatment.--
(1) A defendant oered Accelerated Rehabilitative Disposition for a
violation of section 3802 is, as a condition of participation in the program,
subject to the following requirements in addition to any other conditions of
participation imposed by the court:
(i) The defendant must attend and successfully complete an alcohol
highway safety school established under section 1549 (relating to
establishment of schools). A participating defendant shall be given
both oral and written notice of the provisions of section 1543(b)
(relating to driving while operating privilege is suspended or revoked).
(ii) Prior to receiving Accelerated Rehabilitative Disposition or other
preliminary disposition, the defendant must be evaluated under
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40
APPENDIX
section 3816(a) (relating to requirements for driving under inuence
oenders) to determine the extent of the defendant’s involvement
with alcohol or other drug and to assist the court in determining what
conditions of Accelerated Rehabilitative Disposition would benet
the defendant and the public. If the evaluation indicates there is a
need for counseling or treatment, the defendant shall be subject to
a full assessment for alcohol and drug addiction in accordance with
the provisions of section 3814(3) and (4) (relating to drug and alcohol
assessments).
(iii) If the defendant is assessed under subparagraph (ii) to be in need
of treatment, the defendant must participate and cooperate
with a licensed alcohol or drug addiction treatment program. The
level and duration of treatment shall be in accordance with the
recommendations of the full assessment. Nothing in this subparagraph
shall prevent a treatment program from refusing to accept a defendant
if the program administrator deems the defendant to be inappropriate
for admission to the program. A treatment program shall retain the
right to immediately discharge into the custody of the probation ocer
an oender who fails to comply with program rules and treatment
expectations or refuses to constructively engage in the treatment
process.
(iv) The defendant must remain subject to court supervision for at least six
months, but not more than 12 months.
(v) The defendant must make restitution to any person that incurred
determinable nancial loss as a result of the defendant’s actions
which resulted in the oense. Restitution must be subject to court
supervision.
(vi) The defendant must pay the reasonable costs of a municipal
corporation in connection with the oense. Fees imposed under
this subparagraph shall be distributed to the aected municipal
corporation.
(vii) The defendant must pay any other fee, surcharge or cost required
by law. Except as set forth in subparagraph (vi), (viii) or (ix), a fee or
nancial condition imposed by a judge as a condition of Accelerated
Rehabilitative Disposition or any other preliminary disposition of any
charge under this chapter shall be distributed as provided for in 42
Pa.C.S. §§ 3571 (relating to Commonwealth portion of nes, etc.) and
3573 (relating to municipal corporation portion of nes, etc.).
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41
APPENDIX
(viii) The defendant must pay the costs of compliance with subparagraphs
(i), (ii) and (iii).
(ix) The defendant shall pay a cost of $25 which shall be forwarded to
the State Treasurer for deposit in the Emergency Medical Services
Operating Fund.
(2) The defendant shall be subject to a full assessment for alcohol and drug
addiction if any of the following apply:
(i) The evaluation under paragraph (1)(ii) indicates a likelihood that the
defendant is addicted to alcohol or other drugs.
(ii) The defendant’s blood alcohol content at the time of the oense was
at least 0.16%.
(3) The assessment under paragraph (2) shall be conducted by one of the
following:
(i) The Department of Health or its designee.
(ii) The county agency with responsibility for county drug and alcohol
programs or its designee.
(iii) The clinical personnel of a facility licensed by the Department of Health
for the conduct of drug and alcohol addiction treatment programs.
(4) The assessment under paragraph (2) shall consider issues of public
safety and shall include recommendations for all of the following:
(i) Length of stay.
(ii) Levels of care.
(iii) Follow-up care and monitoring.
(c) Insurance.--
(1) This subsection shall only apply to a health insurance, health
maintenance organization or other health plan required to provide benets
under section 602-A of the act of May 17, 1921 (P.L.682, No.284), known as
The Insurance Company Law of 1921.
(2) If an individual who is insured by a health insurance, a health
maintenance organization or other health plan, that is doing business in this
Commonwealth, the individual may not be deprived of alcohol and other
drug abuse and addiction treatment or coverage within the scope of that
plan due to the identication of an alcohol or other drug problem which
occurs as a result of an assessment under this section.
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42
APPENDIX
(d) Mandatory suspension of operating privileges.--
As a condition of participation in an Accelerated Rehabilitative Disposition
program, the court shall order the defendant’s license suspended as
follows:
(1) There shall be no license suspension if the defendant’s blood alcohol
concentration at the time of testing was less than 0.10%.
(2) For 30 days if the defendant’s blood alcohol concentration at the time
of testing was at least 0.10% but less than 0.16%.
(3) For 60 days if:
(i) the defendant’s blood alcohol concentration at the time of testing
was 0.16% or higher;
(ii) the defendant’s blood alcohol concentration is not known;
(iii) an accident which resulted in bodily injury or in damage to a vehicle
or other property occurred in connection with the events surrounding
the current oense; or
(iv) the defendant was charged pursuant to section 3802(d).
(4) For 90 days if the defendant was a minor at the time of the oense.
(e) Failure to comply.--
(1) A defendant who fails to complete any of the conditions of participation
contained in this section shall be deemed to have unsuccessfully
participated in an Accelerated Rehabilitative Disposition program, and
the criminal record underlying participation in the program shall not be
expunged.
(2) The court shall direct the attorney for the Commonwealth to proceed
on the charges as prescribed in the Rules of Criminal Procedure if the
defendant:
(i) fails to meet any of the requirements of this section;
(ii) is charged with or commits an oense under 18 Pa.C.S. (relating to
crimes and oenses); or
(iii) violates any other condition imposed by the court.
(Nov. 29, 2004, P.L.1369, No.177, e. imd.; Aug. 18, 2009, P.L.308,
No.37, e. 180 days)
2009 Amendment. Act 37 amended subsec. (b)(1)(vii) and added (ix).
2004 Amendment. Act 177 amended subsecs. (b)(1)(iv) and (d).
This book is solely intended to provide public legal information regarding personal injury claims and insurance.
None of the information on this site is intended to be formal legal advice, nor the formation of lawyer- or
attorney-client relationship.
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43
About Jon Ostroff, Esquire
Jon Ostro is the founder and lead attorney for Ostro Injury Law
in Plymouth Meeting, Pennsylvania. For the past quarter century,
Mr. Ostro has been at the forefront of ghting on behalf of
injured clients throughout Pennsylvania.
Over the past 25 years, Mr. Ostro and his talented, experienced
team has achieved an admirable record by helping over 20,000
Pennsylvania accident victims. He has helped his many clients
by obtaining signicant compensation through settlements,
litigation, arbitration awards and jury verdicts. His peers in the
legal community have awarded him the coveted Martindale-
Hubbell “AV” rating in recognition of his high ethical standards and skill as an attorney.
Despite the awards and honors he has received, Mr. Ostro’s motivation as a trial lawyer remains
the same as the day he was awarded his law degree: the prospect of facilitating a major impact
and positive change for his injured clients. Jon has worked tirelessly to preserve the rights of
accident victims across Pennsylvania. Jon has frequently been recognized for his charitable work
and volunteer eorts in his local community, across Pennsylvania, nationally and internationally.
In this book, Jon takes an obscure and dicult area of insurance law and explains in clear and
direct language how the limited tort law can aect the rights of Pennsylvania accident victims.
Shouldering the expense of producing this book is just another way that Jon Ostro shows his
commitment to the value of greater public understanding of this important area of law.
www.OstroffLaw.com
Pennsylvania’s Limited Tort Option
Ostro Injury Law, P.C.
527 Plymouth Road, Suite 413, Plymouth Meeting, PA 19422
Toll-Free (800) 818-8148
jostro@OstroLaw.com