ROBERT KATCHEN VS. GOVERNMENT EMPLOYEES INSURANCE COMPANY (L-2766-16, MORRIS COUNTY AND STATEWIDE) ( 2019 )


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  •                 NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-5685-16T4
    ROBERT KATCHEN,
    APPROVED FOR PUBLICATION
    Plaintiff-Respondent,
    January 22, 2019
    v.                                         APPELLATE DIVISION
    GOVERNMENT EMPLOYEES
    INSURANCE COMPANY ("GEICO"),
    Defendant-Appellant,
    and
    RIDER INSURANCE COMPANY
    ("RIDER"), and FARMERS INSURANCE
    COMPANY OF FLEMINGTON
    ("FARMERS"),
    Defendants-Respondents.
    _____________________________________
    Submitted November 27, 2018 – Decided January 22, 2019
    Before Judges Fisher, Hoffman and Suter
    (Judge Suter dissenting).
    On appeal from Superior Court of New Jersey, Law
    Division, Morris County, Docket No. L-2766-16.
    Rudolph & Kayal, PA, attorneys for appellant (Darren
    C. Kayal, on the briefs).
    Blume, Forte, Fried, Zerres & Molinari, PC, attorneys
    for respondent Robert Katchen (David M. Fried, on
    the brief).
    Kriney & Vaughan, attorneys for respondent Rider
    Insurance Company (William E. Vaughan, on the
    brief).
    Murray A. Klayman, PC, attorneys for respondent
    Farmers Insurance Company of Flemington (Murray
    A. Klayman, on the brief).
    The opinion of the court was delivered by
    HOFFMAN, J.A.D.
    In this appeal, we consider whether an auto insurer may combine
    uninsured (UM) and underinsured motorist (UIM) coverage in a single section
    and include exclusions not listed on the policy's declaration page. We also
    consider if an insurer may exclude UIM coverage for an accident involving a
    vehicle owned by the insured but not covered under the subject policy.
    Because we find the exclusion does not violate public policy or result in
    ambiguity, we reverse.
    I.
    In December 2015, plaintiff suffered injuries in a motor vehicle accident
    while operating his Harley Davidson motorcycle. Prior to settling with the
    other driver for his policy limit of $25,000, plaintiff submitted a UIM claim
    under three insurance policies he maintained: a motorcycle policy issued by
    A-5685-16T4
    2
    defendant Rider Insurance Company (Rider), a commercial auto policy issued
    by defendant Farmers Insurance Company of Flemington (Farmers), and a
    personal auto policy issued by defendant Government Employees Insurance
    Company (GEICO).1
    In response, GEICO "disclaim[ed] coverage" based on an exclusion in
    its policy.    In its disclaimer letter, GEICO identified the relevant policy
    language supporting its decision.
    Section IV of GEICO's policy, which addresses both UM and UIM
    coverages, provides, in relevant part:
    LOSSES WE PAY
    We will pay damages for bodily injury and property
    damage caused by an accident which the insured is
    legally entitled to recover from the owner or operator
    of an uninsured motor vehicle or underinsured motor
    vehicle arising out of the ownership, maintenance[,] or
    use of that vehicle.
    However, Section IV excludes coverage for "bodily injury sustained by an
    insured while occupying a motor vehicle owned by an insured and not
    described in the [d]eclarations and not covered by the Bodily Injury and
    Property Damage liability coverages of this policy." Because the motorcycle,
    1
    The Rider policy provided $100,000 of UIM coverage, the Farmers policy
    provided $1,000,000 in UIM coverage, and the GEICO policy provided UIM
    coverage of $250,000.
    A-5685-16T4
    3
    although owned by plaintiff, was not listed on the policy it issued, GEICO
    determined it did not constitute an "owned auto," which the policy defined as a
    "vehicle described in this policy for which a premium charge is shown for
    these coverages." Based upon this determination, GEICO denied plaintiff's
    claim.
    Upon receiving GEICO's disclaimer, plaintiff filed a complaint against
    all three defendant insurance carriers, seeking a declaratory judgment that t he
    UIM coverage of all three carriers applied to the subject accident. GEICO
    then filed a motion for a declaratory judgment, urging the court to find its
    owned-motor-vehicle exclusion "valid, unambiguous, and enforceable." The
    motion court denied GEICO's motion, viewing the language of GEICO's policy
    as ambiguous, and holding that GEICO failed "to comply with the statutory
    requirements [of] N.J.S.A. 17:28-1.1."
    The parties thereafter came to an agreement that Rider and Farmers
    would pay their pro-rata share of the $975,000 in UIM coverage owed to
    plaintiff, and GEICO would take this appeal; if GEICO does not prevail, it
    would pay its pro-rata share as well.           Plaintiff, Rider, and Farmers
    (respondents) all oppose GEICO's appeal and urge us to affirm.
    A-5685-16T4
    4
    II.
    We review the interpretation of a contract de novo. Manalapan Realty,
    L.P. v. Twp. Comm. of Manalapan, 
    140 N.J. 366
    , 378 (1995); Sealed Air Corp.
    v. Royal Indem. Co., 
    404 N.J. Super. 363
    , 375 (App. Div. 2008). When an
    insurance contract's terms are clear and unambiguous, we interpret the policy
    as written, using the "plain, ordinary meaning" of the words used. Zacarias v.
    Allstate Ins. Co., 
    168 N.J. 590
    , 595 (2001). But where an ambiguity arises, we
    interpret the policy in favor of the insured and against the insurer. President v.
    Jenkins, 
    180 N.J. 550
    , 562-63 (2004).
    An ambiguity exists when "the phrasing of the policy is so confusing
    that the average policyholder cannot make out the boundaries of coverage."
    Weedo v. Stone-E-Brick, Inc., 
    81 N.J. 233
    , 247 (1979). We consider the entire
    policy in determining if an ambiguity exists, but do not "engage in a strained
    construction to support the imposition of liability." Longobardi v. Chubb Ins.
    Co. of N.J., 
    121 N.J. 530
    , 537 (1990). Insurance policies are to be interpreted
    narrowly, but the provisions within are presumed valid and effective if
    "specific, plain, clear, prominent, and not contrary to public policy." Princeton
    Ins. Co. v. Chunmuang, 
    151 N.J. 80
    , 95 (1997) (citing Doto v. Russo, 
    140 N.J. 544
    , 559 (1995)).
    A-5685-16T4
    5
    On appeal, GEICO argues the motion judge incorrectly found the subject
    policy ambiguous and in violation of N.J.S.A. 17:28-1.1. GEICO asserts its
    exclusion unambiguously bars UIM coverage for a loss sustained by plaintiff
    while operating a motor vehicle he owned but did not insure under GEICO's
    policy. We agree.
    Respondents argue GEICO's policy, which addresses both UM and UIM
    coverage in the same section, violates the statutory mandate that all motor
    vehicle liability policies, except basic automobile insurance policies, shall
    include coverage "for payment of all or part of the sums which the insured or
    his legal representative shall be legally entitled to recover as damages from the
    operator or owner of an uninsured motor vehicle . . . ." N.J.S.A. 17:28-1.1.
    This violation of the statutory mandate regarding UM coverage, respondents
    assert, renders the entire section ambiguous.      See Rider Ins. Co. v. First
    Trenton Cos., 
    354 N.J. Super. 491
    , 498 (App. Div. 2002); N.J.S.A. 17:28-1.1.
    Respondents further argue the lack of a distinction between UM and UIM will
    either cause a policyholder to believe that UM coverage is not available , or
    will leave the policyholder confused as to when UM benefits apply.
    Respondents' arguments lack merit.      This case does not involve UM
    coverage.   Plaintiff did not present a claim for UM benefits, only UIM
    A-5685-16T4
    6
    benefits.   Whether the clause is ambiguous as to the UM benefits has no
    bearing on whether the clause is ambiguous in regards to UIM benefits.
    Additionally, we do not find the policy's definitions or lack of
    definitions of certain terms render it ambiguous. The policy excludes UIM
    coverage when an insured suffers injuries in a "motor vehicle" owned by the
    insured but not covered by the policy. Plaintiff asserts the failure to define
    "motor vehicle" results in an ambiguity as to the difference between "autos"
    and "motor vehicles," despite the fact that the exclusion only uses the term
    "motor vehicle." While GEICO could have included a definition of "mot or
    vehicle" in its policy, if the words used in an exclusionary clause are clear and
    unambiguous, "a court should not engage in a strained construction to support
    the imposition of liability." Longobardi, 
    121 N.J. at 537
    .
    The challenged exclusion explicitly states UIM coverage is not provided
    for an insured's injuries sustained in a motor vehicle owned by the insured but
    not covered by the policy.     Any ordinary reasonable person understands a
    motorcycle is a type of motor vehicle. Of note, the legal definition of motor
    vehicle includes a motorcycle. See N.J.S.A. 39:1-1 (defining "motor vehicle"
    to include "all vehicles propelled otherwise than by muscular power, excepting
    such vehicles as run only upon rails or tracks and motorized bicycles").
    A-5685-16T4
    7
    In addition, plaintiff would have specifically understood that his
    motorcycle constituted a motor vehicle when he registered it with the State
    since the registration application calls for "the name of the insurer of the
    vehicle and the policy number." N.J.S.A. 39:3-4 (requiring owners to register
    vehicles driven on public roadways, including motorcycles, and to obtain
    separate insurance).
    Respondents also argue the exclusion in the policy is inconsistent with
    the intent and underlying policy of the UIM statute because the policy's
    declaration page gave no warning of the exclusion and it improperly ties the
    UIM coverage to the insured vehicle rather than the insured person.
    Respondents further argue the insured's reasonable expectations cannot be
    defeated "unless the declaration page itself so warns the insured," citing
    Universal Underwriters Ins. Co. v. N.J. Mfrs. Ins. Co., 
    299 N.J. Super. 307
    ,
    319 (App. Div. 1997) (quoting Lehrhoff v. Aetna Cas. & Sur. Co., 
    271 N.J. Super. 340
    , 347 (App. Div. 1994)).        However, an insured's reasonable
    expectations only matter when the court finds the relevant language
    ambiguous. See Passaic Valley Sewerage Com'rs v. St. Paul Fire & Marine
    Ins. Co., 
    206 N.J. 596
    , 608 (2011). Because we do not find the language
    ambiguous, we need not consider plaintiff's claimed reasonable expectations.
    Regardless, the facts and circumstances of this case do not support an
    A-5685-16T4
    8
    argument that plaintiff had a reasonable expectation that the UIM coverage in
    his auto policy would apply to a claim involving his motorcycle, a vehicle not
    covered on his auto policy.
    Respondents also misplace reliance on Universal. In that case, as here,
    the insured maintained an auto policy covering his automobiles but not his
    motorcycle, which he separately insured with Universal Underwriters
    Insurance Company (Universal).      Universal, 299 N.J. Super. at 311.       The
    insured sustained injuries in an accident while operating his motorcycle, and
    Universal took the position that the UIM coverage of the insured's auto insurer,
    New Jersey Manufacturers Insurance Company (NJM), should "participate on
    a pro[-]rata basis in any potential award." Ibid. NJM rejected the claim, in
    part because the liability section of its policy excluded liability coverage for
    motorcycles, i.e., for motorized vehicles with fewer than four wheels. Id. at
    311-12. However, unlike the case under review, in Universal, the UIM section
    of NJM's policy contained no exclusion for injury to an insured while using an
    owned vehicle not insured under the NJM policy. Id. at 313-15.
    Under those circumstances, we rejected NJM's argument that either the
    coverage provisions of N.J.S.A. 17:28-1.1(b), or the motorcycle exclusion
    provision in the liability section of the policy, would operate to limit the
    A-5685-16T4
    9
    insured's right to UIM coverage for the motorcycle accident. Id. at 318, 322-
    23. We concluded:
    [S]ince NJM's policy provides UIM coverage for
    injuries sustained by an insured in an accident with an
    underinsured motorist, regardless of whether the
    vehicle the insured is occupying is insured under its
    policy, and NJM by its policy terms agrees to share in
    the loss if other insurance is applicable, NJM must
    participate in the loss.
    [Id. at 315.]
    Because the case involved the application of a liability provision to UIM
    coverage, in Universal we determined an ambiguity existed. Therefore, we
    proceeded to examine the insured's reasonable expectations to determine if the
    exclusion applied. We turned to the policy's declaration page, which made no
    mention of the UIM exclusion.       Id. at 319.   We noted that "boilerplate
    exclusions could not be used to defeat coverage implied from the express
    terms of the declaration page," that the reasonable expectations created by the
    declarations page are controlling, and "therefore, [they] cannot be defeated
    unless the declaration page itself so warns the insured."       Ibid. (quoting
    Lehrhoff, 
    271 N.J. Super. at 347
    ) (internal quotation marks omitted). Because
    the declaration page did not mention any exclusion, we rejected NJM's
    "technical argument that because its policy excludes from any liability
    coverage an accident arising from the use of a motorcycle, the insurance
    A-5685-16T4
    10
    statutes bar recovery under the underinsured motorist section of its policy."
    Id. at 316.
    Here, GEICO's declaration page does not list any exclusions.         Thus,
    respondents argue the subject UIM exclusion cannot be enforced. However,
    we find Universal readily distinguishable. Universal concerned the application
    of a liability provision to a UIM claim. Id. at 320. This case concerns the
    application of a clearly-worded UIM provision to a UIM claim.
    In Morrison v. American International Insurance Co. of America, 
    381 N.J. Super. 532
    , 540 (App. Div. 2005), we noted the well-established principal
    that clear language in the policy should be interpreted as written. 
    Id.
     at 538
    (citing Nav-Its, Inc. v. Selective Ins. Co., 
    183 N.J. 110
    , 118 (2005); President
    v. Jenkins, 
    180 N.J. 550
    , 562 (2004)). We further noted that our Supreme
    Court has "refused to endorse a per se rule that an insurance contract is
    ambiguous solely because its declaration[]s sheet, definitions section, and
    exclusion provisions are separately presented." Id. at 540 (discussing Zacarias
    v. Allstate Ins. Co., 
    330 N.J. Super. 231
     (App. Div. 2000), aff'd, 
    168 N.J. 590
    (2001)). A rule that would require exclusions to appear on the declaration
    page would result in even more fine print and "run the risk of making
    insurance policies more difficult for the average insured to understand." 
    Id.
     at
    540-41 (citing Zacarias, 
    168 N.J. at 603
    ). It would also eviscerate the rule that
    A-5685-16T4
    11
    a clause should be read in the context of the entire policy. 
    Id.
     at 541 (citing
    Zacarias, 
    168 N.J. at 603
    ).
    Applying Zacarias and Morrison, the declaration page here does not
    control. The failure to list the exclusion at issue on the declaration page does
    not automatically render the contract ambiguous. Reading the GEICO policy
    in its totality, we conclude the exclusion is clear and unambiguous. The fact
    that the exclusion is not mentioned on the declaration sheet does not bar its
    enforcement.
    Respondents also argue the exclusion cannot be enforced because UIM
    coverage must follow the driver – not the vehicle. In Universal, we held we
    could not impose the liability provision on UIM coverage because to do so
    would link UIM protection to the vehicle. Universal, 299 N.J. Super. at 322
    ("It is improper to incorporate a policy's liability exclusions, which are vehicle
    oriented, into the [UIM] provisions because the two sections provide entirely
    separate and distinct types of coverage.").        Unlike the NJM policy in
    Universal, the UIM exclusion at issue here appears in the section dealing with
    UIM coverage.2
    2
    Of note, in Universal, Judge Landau's concurring opinion addressed the
    prospect that a clearly worded UIM exclusion could lead to a different result:
    (continued)
    A-5685-16T4
    12
    Respondents further assert UIM insurance follows the insured and not
    the vehicle. Aubrey v. Harleysville Ins. Cos., 
    140 N.J. 397
    , 399 (1995). But
    GEICO's policy is not inconsistent with this mandate.          GEICO's exclusion
    states it will not cover losses occurring in an owned vehicle not insured under
    its policy. This does not mean the policy will only cover losses that occur in a
    covered vehicle. Had plaintiff suffered injuries while in a rental car or another
    vehicle he did not own, the exclusion would not apply. Likewise, had plaintiff
    been struck by a vehicle while walking down the street, the exclusion would
    not apply. Thus, GEICO's policy does not unlawfully link coverage to an
    insured's vehicle.
    Our dissenting colleague finds Section IV of GEICO's policy ambiguous
    because it "does not make clear there may be a difference between an insured
    auto and a motor vehicle for purposes of UM or UIM coverage." In addition,
    (continued)
    It is interesting to note that, prior to endorsement, the
    Universal policy contained a clause which expressly
    limited its UIM coverage to accidents involving the
    insured's motorcycle, i.e., to accidents for which
    liability coverage also exists. Subject to compliance
    with applicable law, a similar UIM limitation might
    have been clearly and unambiguously expressed in the
    NJM policy.
    [Universal, 299 N.J. Super. at 324-25.]
    A-5685-16T4
    13
    the dissent finds significant that "the Department of Banking and Insurance
    Auto Insurance Buyers Guide does not reference any such nuanced type of
    exclusion for UIM" for the circumstances presented here, i.e. "if the car is not
    covered[,] then the insured is not covered."      Because this case does not
    concern UM coverage, and because the Buyer's Guide3 provides only "general
    information," these arguments lack persuasion.
    In Magnifico v. Rutgers Casualty Insurance Co., 
    153 N.J. 406
    , 415
    (1998), our Supreme Court noted that its opinion in French v. New Jersey
    School Board Association Insurance Group, 
    149 N.J. 478
    , 493-95 (1997),
    "emphasized the significance of the clear language of applicable insurance
    policies in resolving cases of UIM coverage," and observed that "[p]olicy
    drafters have either anticipated or can anticipate most of the recurring
    problems in this area."   Significant to the matter under review, the Court
    3
    The last page of the Buyer's Guide includes the following cautionary note, in
    bold:
    This Buyer’s Guide is intended to provide
    general information to help you make
    coverage choices. It is not a substitute for
    the policy language, which governs.
    Additional       information     regarding
    coverages or premiums is available from
    the insurer or producer.
    A-5685-16T4
    14
    quoted with approval the rationale articulated by Judge Herman D. Michels in
    Royal Insurance Co. v. Rutgers Casualty Insurance Co.:
    [W]e recognize that [UIM] coverage has been
    characterized by some courts as being "personal to an
    insured." . . . . However, this characterization of
    [UIM] coverage cannot overcome the clear and
    unambiguous language of a policy and render the
    policy's "excess" clause void and unenforceable. It is
    fundamental that in the absence of a statutory
    prohibition to the contrary, an insurance company has
    a right to impose whatever conditions it desires prior
    to assuming its obligations, including providing
    whether its policy shall be primary to or excess over
    other collectible insurance, and how it will contribute
    with such other insurance. Such qualifying provisions
    should be construed in a common sense and logical
    fashion in accordance with the language used.
    [
    271 N.J. Super. 409
    , 419-20 (App. Div. 1994) (citing
    Kampf v. Franklin Life Ins. Co., 
    33 N.J. 36
    , 43
    (1960); Schneider v. New Amsterdam Cas. Co., 
    22 N.J. Super. 238
    , 243 (App. Div. 1952); Wilkinson &
    Son, Inc. v. Providence Washington Ins. Co., 
    124 N.J. Super. 466
    , 469 (1973)).]
    In defense of the challenged UIM exclusion, GEICO asserts the
    arguments advanced by the [r]espondents fail to
    consider how insurance companies write policies.
    Insurance is the business of risk evaluation.
    Companies issue policies to their customers based on
    the risks. There are numerous valuations to go into
    the issuance of a policy. However, one of the most
    significant in terms of the policy cost is the make,
    model, and year of the vehicles insured.
    A-5685-16T4
    15
    In this regard, we note that GEICO's declaration page does not list the
    2006 Harley Davidson as a vehicle insured under the GEICO policy; instead,
    the policy lists only one insured vehicle, the insured's 2007 Dodge Ram.
    Given the fact that motorcycle operators and passengers sustain trauma in
    accidents without the protection found in autos and trucks, such as airbags,
    seatbelts and the vehicles themselves, it is axiomatic that motorcycle usage
    presents a far greater risk of injury than other motor vehicles. 4
    Reversed.
    4
    According to the National Highway Traffic Safety Administration, in 2016,
    9.94 cars out of 100,000 ended up in fatal crashes, while the rate for
    motorcycles was 60.9 per 100,000 registered motorcycles; per vehicle mile
    traveled, motorcycles have a fatality rate twenty-six times greater than
    passenger cars. NAT'L HIGHWAY TRAFFIC & SAFETY ADMIN.'S NAT'L CTR. FOR
    STATISTICS & ANALYSIS , MOTORCYCLES: 2016 DATA (UPDATED, TRAFFIC
    SAFETY FACTS, REPORT NO. DOT HS 812 492) (2018).
    A-5685-16T4
    16
    _________________________________
    SUTER, J.A.D., dissenting.
    I most respectfully dissent. Section IV of the GEICO policy concerns
    uninsured motorist (UM) and underinsured motorist (UIM) coverages.            It
    provides coverage to the policy insured as follows:
    We will pay damages for bodily injury and property
    damage caused by an accident which the Insured is
    legally entitled to recover from the owner or operator
    of an uninsured motor vehicle or underinsured motor
    vehicle arising out of the ownership, maintenance or
    use of that vehicle.
    Section IV then includes fourteen exclusions that limit the scope of the
    coverage.   Exclusion five declares that Section IV does not apply
    [t]o bodily injury sustained by an insured while
    occupying a motor vehicle owned by an insured and
    not described in the Declarations and not covered by
    the Bodily Injury and Property Damage liability
    coverages of this policy.
    There is nothing "clear or unambiguous" here as the majority asserts.
    The Policy Index lists Section IV as pertaining to UM coverage, making no
    mention of UIM. It is only when Section IV is reviewed that it becomes clear
    the section addresses both UM and UIM. Section IV alternates between use of
    the term "insured," which is defined, and "you," which is defined in another
    section of the policy. It defines the term "insured auto" and then uses the term
    "motor vehicle" in the exclusions, which is not defined in the policy. This
    section does not make clear there may be a difference between an insured auto
    and a motor vehicle for purposes of UM or UIM coverage. The Declarations
    page does not reference that there are any exclusions from the UM or UIM
    coverages, requiring the policyholder to read through the policy, discover the
    exclusions and then interpret them without the aid of fully defined terms.
    The Supreme Court has said "[g]enerally speaking, courts construe
    insurance policies consistent with the objectively reasonable expectations of
    the insured." Aubrey v. Harleysville Ins. Cos., 
    140 N.J. 397
    , 404 (1995). We
    have said that ambiguities "found in the policy should be construed against the
    insurer and 'exclusionary clauses should be strictly construed.'"      Universal
    Underwriters Ins. Co. v. New Jersey Mfrs. Ins. Co., 
    299 N.J. Super. 307
    , 312
    (App. Div. 1997). My colleagues agree that when a policy is ambiguous, an
    insured's reasonable expectation then is considered. Passaic Valley Sewerage
    Comm'rs v. St. Paul Fire & Marine Ins. Co., 
    206 N.J. 596
    , 608 (2011).
    The reasonable expectation by an insured before this decision was that
    UIM coverage followed the insured and not the vehicle. Aubrey, 
    140 N.J. at
    403 (citing Fernandez v. Selected Risks Ins. Co., 
    82 N.J. 236
    , 241 (1980)).
    This is because UIM is:
    first-party coverage insuring the policyholder and
    others who have the status as "insureds" under the
    policy against the possibility that they will be injured
    or suffer property loss in an accident caused by a
    2                                     A-5685-16T4
    motor vehicle when the liability insurance covering
    that other vehicle is insufficient to pay their full
    losses.
    [Universal, 299 N.J. Super. at 320 (quoting Craig &
    Pomeroy, N.J. Auto Ins. Law § 26:1 (1997)).]
    The majority opinion agrees with that proposition and then proceeds to
    undercut it by agreeing with GEICO that if the vehicle is not listed in the
    Declarations page, there is no UIM coverage for the owner. According to the
    majority, therefore, if the car is not covered then the insured is not covered.
    The Department of Banking and Insurance Auto Insurance Buyers Guide does
    not reference any such nuanced type of exclusion for UIM.
    Underinsured Motorist Coverage pays you if you are
    in an auto accident caused by a driver who is insured,
    but who has less coverage than your underinsured
    motorist coverage. Damages greater than the limits of
    the other driver's policy are covered by your policy up
    to the difference between the limits of your
    underinsured motorist coverage and the other driver's
    policy limit.
    [New Jersey Auto Insurance Buyer's Guide 8
    https://www.state.nj.us/dobi/division_consumers/pdf/a
    utoguide02.pdf (last visited December 21, 2018)
    (emphasis added).]
    The Declarations page does not hint at an exclusion either.
    The majority attempts to provide examples to prove their point that UIM
    coverage will continue, after this opinion, to follow the person and not the
    vehicle. For instance, the majority implies coverage will still apply where the
    3                                  A-5685-16T4
    "plaintiff suffered injuries while in a rental car or another vehicle he did not
    own" or if plaintiff were "struck by a vehicle while walking down the street."
    We are not tasked with interpreting this policy for factual situations that are
    not before us, but the exclusion in paragraph six of Section IV should be
    considered before assuming that coverage will continue to follow the insured.
    Exclusion six provides that coverage does not apply "[t]o bodily injury
    sustained by an insured while occupying a motor vehicle not owned by, and
    furnished for the regular use of the insured when involved in an accident with
    an underinsured motor vehicle." This seems to exclude a plaintiff from UIM
    coverage in a vehicle he does not own.
    The majority opinion provides that "whether the clause is ambiguous as
    to the UM benefits has no bearing on whether the clause is ambiguous in
    regard to UIM benefits." This appears to concede that the policy exclusion in
    question would be construed as ambiguous if we were dealing with UM
    coverage, but is "clear and unambiguous" for UIM coverage. It is error to
    conclude that the very same sentence in an exclusion is clear for one type of
    coverage and not for another. Respectfully, it is the same policy, the same
    sentence, and the same ambiguities.
    This is not a question of which UIM policy is primary or excess as
    referenced by the majority in its citation to Royal Insurance Co. v. Rutgers
    4                                 A-5685-16T4
    Cas. Ins. Co., 
    271 N.J. Super. 409
    , 419-20 (App. Div. 1994); it is a matter of
    coverage. The question is whether the insured would understand from the
    Declarations page and policy provisions that UIM coverage was limited. As
    the Court stated in Kievit v. Loyal Protective Life Ins. Co.,
    [w]hen members of the public purchase policies of
    insurance they are entitled to the broad measure of
    protection necessary to fulfill their reasonable
    expectations.     They should not be subjected to
    technical encumbrances or to hidden pitfalls and their
    policies should be construed liberally in their favor to
    the end that coverage is afforded "to the full extent
    that any fair interpretation will allow."
    [
    34 N.J. 475
    , 482 (1961) (citations omitted).]
    I would affirm the trial court's order.
    5                              A-5685-16T4
    

Document Info

Docket Number: A-5685-16T4

Filed Date: 1/22/2019

Precedential Status: Precedential

Modified Date: 8/20/2019

Authorities (20)

Longobardi v. Chubb Ins. Co. of New Jersey , 121 N.J. 530 ( 1990 )

Morrison v. AMERICAN INTERN. INS. , 381 N.J. Super. 532 ( 2005 )

Kampf v. Franklin Life Insurance , 33 N.J. 36 ( 1960 )

Kievit v. Loyal Protective Life Insurance , 34 N.J. 475 ( 1961 )

Manalapan Realty v. Township Committee of the Township of ... , 140 N.J. 366 ( 1995 )

Aubrey v. Harleysville Insurance Companies , 140 N.J. 397 ( 1995 )

French v. New Jersey School Board Ass'n Insurance Group , 149 N.J. 478 ( 1997 )

Princeton Insurance v. Chunmuang , 151 N.J. 80 ( 1997 )

Magnifico v. Rutgers Casualty Insurance , 153 N.J. 406 ( 1998 )

Passaic Valley Sewerage Commissioners v. St. Paul Fire & ... , 206 N.J. 596 ( 2011 )

Zacarias v. Allstate Ins. Co. , 330 N.J. Super. 231 ( 2000 )

Schneider v. New Amsterdam Cas. Co. , 22 N.J. Super. 238 ( 1952 )

Sealed Air Corp. v. Royal Indem. Co. , 404 N.J. Super. 363 ( 2008 )

Lehrhoff v. Aetna Cas. and Sur. Co. , 271 N.J. Super. 340 ( 1994 )

Doto v. Russo , 140 N.J. 544 ( 1995 )

Wilkinson v. Providence Washington Ins. Co. , 124 N.J. Super. 466 ( 1973 )

Nav-Its, Inc. v. Selective Insurance Co. of America , 183 N.J. 110 ( 2005 )

Rider Ins. Co. v. First Trenton , 354 N.J. Super. 491 ( 2002 )

Fernandez v. Selected Risks Insurance Company , 82 N.J. 236 ( 1980 )

Royal Ins. Co. v. Rutgers Cas. , 271 N.J. Super. 409 ( 1994 )

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