Stuart Sackman v. New Jersey Manufacturers Insurance Company , 445 N.J. Super. 278 ( 2016 )


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  •                 NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-3230-13T4
    STUART SACKMAN and
    PATRICIA SACKMAN, His Wife,
    APPROVED FOR PUBLICATION
    Plaintiffs-Appellants,
    April 26, 2016
    v.                                      APPELLATE DIVISION
    NEW JERSEY MANUFACTURERS
    INSURANCE COMPANY,
    Defendant-Respondent.
    ___________________________________
    Argued October 7, 2015 - Decided April 26, 2016
    Before Judges Fuentes, Koblitz and Gilson.
    On appeal from Superior Court of New Jersey,
    Law Division, Middlesex County, Docket No.
    L-8522-11.
    Michael L. Pescatore argued the cause for
    appellants (Shamy, Shipers & Lonski, P.C.,
    attorneys; David P. Levine, on the brief).
    Susan A. Lawless argued the cause for
    respondent   (Purcell,    Mulcahy,  Hawkins,
    Flanagan & Lawless, L.L.C., attorneys; Ms.
    Lawless, of counsel and on the brief; Alyssa
    K. Weinstein, on the brief).
    The opinion of the court was delivered by
    FUENTES, P.J.A.D.
    On June 2, 2008, a car driven by Earl Smith rear-ended
    plaintiff1 Stuart Sackman's car while it was stopped on Route 22
    in     Bridgewater       Township.         Plaintiff      claims        he    sustained
    permanent injuries on the left side of his body, particularly
    his left shoulder.          Plaintiff settled his claims against Smith
    and    sought   underinsured       motorist      (UIM)   compensation         from   New
    Jersey Manufacturer Insurance Company (NJM), the carrier that
    issued his automobile insurance policy.2                   The policy issued by
    NJM contained a provision pursuant to the Automobile Insurance
    Cost Reduction Act (AICRA), N.J.S.A. 39:6A-1.1 to -35, requiring
    plaintiff to show he suffered a permanent injury, as defined in
    N.J.S.A. 39:6A-8(a), in order to recover compensatory damages.
    Unable to reach a resolution of his UIM claims, plaintiff
    filed    suit   against     NJM.     The       matter    was   tried     in    the   Law
    Division before a jury over a period of three days in January
    2014.     After deliberating for approximately twenty minutes, the
    jury    returned     a   unanimous   verdict         finding   plaintiff       did   not
    prove,    by    a   preponderance     of       the   evidence,     he    sustained      a
    permanent injury that was proximately related to the June 2,
    1
    Because Patricia Sackman's per quod claims derive from her
    status as Stuart Sackman's spouse, we will refer to "plaintiff"
    in the singular.
    2
    It is undisputed plaintiff provided NJM with timely notice of
    his intention to settle his claims against Smith. See Longworth
    v. Van Houten, 
    223 N.J. Super. 174
    , 194 (App. Div. 1988).
    2                                   A-3230-13T4
    2008 accident.        The trial court thereafter denied plaintiff's
    motion for a new trial.
    Plaintiff        now   appeals    arguing       the    trial    judge    erred    in
    denying his motion to preclude the jury from having to find he
    suffered a permanent injury that is proximately related to the
    June 2, 2008 accident.            Plaintiff claims the evidence presented
    at trial indisputably established this element of his cause of
    action as a matter of law.            Alternatively, plaintiff argues the
    brevity of the jury's deliberations is per se indicative of bias
    and constitutes a clear miscarriage of justice.                     Finally, in the
    course    of   her   opening      statement    to    the    jury,    NJM's    counsel
    referred to the tortfeasor as "defendant."                   Plaintiff argues the
    court's curative instructions to the jury in response to his
    counsel    objection       were   insufficient       to    cure    NJM's    counsel's
    misleading     characterization        of     the     trial        and   constitutes
    reversible error.
    We     reject     these    arguments      and    affirm.        We   derive      the
    following facts from the evidence presented at trial.
    I
    Plaintiff was forty-nine years old when the Subaru Tribeca
    SUV he was driving was struck from behind by a 1970 two-seater
    Volvo driven by Earl Smith, a retired New Brunswick firefighter.
    The parties were travelling westbound on Route 22 in Bridgewater
    3                                     A-3230-13T4
    Township.    According to Smith, as he attempted to stop his car,
    he inadvertently "caught the gas pedal and the break [sic] at
    the same time."      This caused his car "to literally [lift] itself
    up, but it wouldn't stop because the engine was pulling it."                 He
    "tapped" plaintiff's car going "somewhere between five and ten
    miles an hour."
    Plaintiff testified the Volvo was travelling approximately
    twenty miles per hour at the time it collided with his Subaru.
    Plaintiff also claimed he was wearing his seatbelt and had both
    of his hands on the steering wheel at the time of the accident.
    As a result of the collision, plaintiff's left elbow struck the
    closed    driver-side      car   window,   causing   a   "small    abrasion"
    visible as a "pinkish spot."           Plaintiff stepped out of his car
    and walked to the side of the road to speak with Smith.                  They
    each asked the other if he was "okay" and both responded they
    were not injured.
    An officer from the Bridgewater Township Police Department
    responded to the scene.          Plaintiff told the officer he was not
    injured and did      not need medical attention or             an ambulance.
    After    providing   the     officer   with   his    driving    credentials,
    plaintiff returned to his car and drove away.             At trial, NJM's
    counsel introduced into evidence two photographs depicting the
    4                             A-3230-13T4
    damage sustained by plaintiff's Subaru Tribeca as a result of
    the accident.
    Before      addressing         the   injuries     related     to   the     2008
    accident, plaintiff's counsel questioned him about his medical
    history.    Plaintiff testified he injured his left shoulder three
    years earlier in a 2005 car accident.                His treatment included a
    cortisone injection, which was effective in relieving his pain.
    In overcoming this injury, plaintiff particularly noted his high
    pain threshold:
    I have a really high pain tolerance, so I
    don't really like to address pain in my
    head. I like to think past it, which I did
    and worked out like a dog . . . to bring
    these muscles and that thing back, which I
    did.   So after a period of time, no, it
    didn't bother me at all.
    Plaintiff testified that on January 19, 1984, he "broke his
    neck" in a surfing accident on the island of Martinique.                     "I was
    body surfing and I caught by a wave [sic] and it slammed me head
    first   into    the       ground."       According    to    plaintiff,    he    was
    diagnosed    with     a    "C-7"     fracture,    which    is   located   in    the
    cervical    area    of    his   spinal    cord.      As    plaintiff   explained,
    "[t]here was a lateral fracture that ended up one millimeter
    5                               A-3230-13T4
    away from my spine."3                  In response to his attorney's question,
    plaintiff testified he recovered from this injury "absolutely."
    Plaintiff        credited        his     recovery            to    his    rigorous        exercise
    routine,     which     he     characterized             as    "extreme."           According     to
    plaintiff,       he    swam      twenty       to       thirty      miles     per    week.        He
    testified        his   body      "was     perfect"           before       the    June     2,   2008
    accident.
    In   addition        to    these       traumatic           injuries,      plaintiff      was
    diagnosed with diverticulitis and colitis approximately one year
    before the June 2008 accident.                             He had abdominal surgery to
    address     these      gastrointestinal                problems.          However,      plaintiff
    emphasized that none of the medical incidents he experienced
    before the June 2008 accident interfered with or affected his
    ability     to    perform        his    job    as      a     "legal      videographer."4          As
    plaintiff described to the jury, the physical demands of his job
    required him to carry up to 150 pounds of equipment and climb
    "under things" to run wires.
    Despite being asymptomatic immediately after the June 2,
    2008   accident,       plaintiff         testified           he    began    to     feel    "little
    3
    Despite the technical nature of plaintiff's testimony, defense
    counsel did not object. Cf. Berkowitz v. Soper, 
    443 N.J. Super. 391
    , 398-402 (App. Div. 2016).
    4
    As described by plaintiff, his job as a "legal videographer"
    consisted of videotaping discovery depositions for attorneys.
    6                                      A-3230-13T4
    twinges and stuff" the morning after the accident.                             However,
    because of his "high pain tolerance," he did not seek medical
    attention.         His    discomfort     intensified         two    days     after    the
    accident.     He felt pain only on the left side of his body, from
    the "scapula" to his left foot.                 He "knew then something was
    wrong, really wrong" when he was unable to get out of his bed.
    Plaintiff saw his general practitioner, Dr. Scott Yeager,
    on Monday June 9, 2008, a week after the accident.                      According to
    plaintiff, his "chest was on fire and my back was on fire."                            He
    consulted     an     orthopedist        and    received        treatment       from     a
    chiropractor       after    his    consultation        with    Dr.    Yeager.         The
    orthopedist    administered         a   cortisone       injection       in    his    left
    shoulder.     He did not recall whether he also received physical
    therapy during this time period.
    On    March     2,     2009,   plaintiff      consulted         with     orthopedic
    surgeon Dr. Jeffrey S. Abrams, who recommended physical therapy
    consisting    of    electrical      stimulation        and    heating      pads.      The
    therapy   improved       the   range    of    motion    of    his    left     shoulder.
    Despite this improvement in his physical condition, he was still
    unable to swim.          He told Dr. Abrams that "no matter how hard I
    tried to build my muscles again I thought my muscles would be
    strong enough where I could keep it in place, but it's not how
    it works."
    7                                    A-3230-13T4
    Dr.       Abrams    ordered    plaintiff         to   undergo     a    magnetic
    resonance imaging (MRI) test.              According to Dr. Abrams, the MRI
    test revealed plaintiff had "damage to his rotator cuff . . .
    not a tear."        Dr. Abrams diagnosed plaintiff as suffering from
    "a   rotator     cuff    tendinopathy,     which       means     inflamed   tendons."
    Following his standard practice, Dr. Abrams first recommended a
    conservative non-operative approach.                   In this case, he directed
    plaintiff receive therapy and resume exercising.
    Dr.    Abrams      saw   plaintiff       again    approximately       six   weeks
    later.      At that time, plaintiff reported constant pain without
    any improvement.         Under these circumstances, Dr. Abrams opted to
    perform     a    surgical      procedure   known       as   an   arthroscopy.         As
    explained by Dr. Abrams, this procedure involves drilling "a
    little hole in the bone;" the physician places a hollow screw
    into the bone, and stitches it through the screw.                            Once the
    screw is in place, the instrument is retrieved leaving the screw
    behind attached by the stiches.                  The stitches are then passed
    through the tissue.            On June 3, 2009, Dr. Abrams performed the
    surgery in an outpatient surgical center, commonly referred to
    as "same day surgery."              Dr. Abrams testified the surgery was
    performed as expected without complications.
    Plaintiff testified he was confined to a recliner chair for
    nine weeks after the surgery.              He also claimed the surgery did
    8                                  A-3230-13T4
    not   completely        restore     him    to     his       pre-accident       physical
    condition.       He    still   experiences        pain      and   feels    "absolutely
    damaged."    His left hand "trembles" and he does not have the
    same grip strength.         He feels "pain shooting down [his] arm in
    the   weirdest    ways,"       as   if    he    is    having      a    heart   attack.
    Comparing his physical condition before and after the accident,
    plaintiff testified:
    My chest hurts on the left side.    My -- my
    left breast, it looks like -- like my pec is
    hanging a little bit differently than the
    right.   I used to have a duck chest when I
    swam and I don't have it anymore. I used to
    have abdominal muscles that they're gone. I
    now have -- I'm fat -- I'm a fat guy now. I
    used to be -- I was a monster. I was a man
    that people would look at and go wow. And I
    would think yeah, man, you -- you've worked
    hard for this. You deserve this -- this --
    you deserve these people noticing how hard
    you've applied yourself.
    Plaintiff       testified     he   "can't      swim    anymore      because   [he]
    [doesn't] enjoy it anymore because between [his] shoulder blades
    there's this cracking and stopping sometimes that locks me up in
    a certain way and it's not smooth."                     Plaintiff also testified
    that the injury affected his relationship with his wife and
    daughters.    He does not share time with them as he did before
    the accident; he does not play with them anymore.                      Everything he
    used to do with his teenage daughters is now done by his wife
    "because they don't need me.              They just don't need me the same
    9                                    A-3230-13T4
    way."     He attributed this estrangement from his children to the
    injury he sustained in the June 2008 accident.                            Plaintiff gave
    this testimony on January 14, 2014.
    Finally, with respect to his job as a legal videographer,
    plaintiff    testified           on    direct       examination    that    he   has    been
    unable to resume the physical activities required to perform his
    job.    On cross-examination, plaintiff agreed with Dr. Abrams's
    medical     assessment          that    he    has    recovered    complete      range    of
    motion on his left shoulder.                    Plaintiff also conceded that his
    shoulder is completely stable and no longer falls out.                                As to
    his ability to work, plaintiff acknowledged that in a form he
    completed     for    his        chiropractor         dated   on   July    11,   2008,    he
    answered "yes" to the following question: "Have you been able to
    work since this injury?"
    Plaintiff         also     acknowledged          on   cross-examination         that
    between 2003 and the accident on June 2, 2008, he sought medical
    treatment for "an abnormal sensation" in his left arm.                           Defense
    counsel also presented plaintiff with documentation indicating
    that in the summer of 2003 he had seen his family physician
    "complaining        of    weakness       in     [his]    upper    left     extremity[.]"
    These records also showed plaintiff consulted his primary care
    physician in July 2003 for "left upper extremity pain for at
    least   a   year."         The        2003   report     also   stated     plaintiff     had
    10                                A-3230-13T4
    "chronic     upper     back     and    left      superior      shoulder         pain     with
    abduction."
    In addition to his role as plaintiff's treating physician,
    Dr. Abrams also testified as an expert witness in plaintiff's
    case in chief.         The jury heard his testimony in a de bene esse
    videotaped deposition taken on May 21, 2013.                      After he described
    the    surgery    he   performed      on    plaintiff     on      June    3,    2009,      Dr.
    Abrams opined, within a reasonable degree of medical certainty,
    that     "[t]he    most       symptomatic        injury   here      was        his     biceps
    symptoms, and his biceps symptoms were a direct result of a
    superior labrum tear.             A superior labrum tear is a traumatic
    event.     And the traumatic event in this particular case was a
    result of an accident because it's a traumatic etiology."
    When asked whether the surgery was successful, Dr. Abrams
    responded:
    [Yes], I think so. I think that it's one of
    these things where patients, this patient
    particularly, let's not do in general, this
    patient is improved. He couldn't do certain
    things, he can do them now. . . . That being
    said, there were things he couldn't do that
    he can do now. And so we would agree, both
    the patient and I, that he has been improved
    . . . . And so I think we're both pleased
    with where we are now from a structural part
    of his shoulder.
    Plaintiff       last     saw    Dr.       Abrams     for     a     post-surgical
    consultation      on    January       14,    2013,   approximately             six     months
    11                                       A-3230-13T4
    before Dr. Abrams's de bene esse deposition, and one year before
    the start of the trial.       Based on this examination, Dr. Abrams
    testified plaintiff "continue[d] to have some symptoms in his
    upper extremity."     Plaintiff also complained about "pain along
    the shoulder blade[,] . . . some pain radiating up and down his
    left upper extremity[, and] some weakness in his actual grip and
    side of the neck."    Plaintiff told Dr. Abrams his pain level was
    a two to three on a scale of one to ten.
    With respect to whether plaintiff's injuries or symptoms
    were   permanent,   Dr.   Abrams   expressed   the   following   opinion,
    within a reasonable degree of medical certainty:
    I do feel that there will be permanency. As
    I stated earlier, patients through multiple
    reasons will not be pain-free and back to
    full activities.   I think we improve their
    condition   by   repairing   these   damaged
    structures.
    He still has ongoing symptoms three or four
    years later, and I would not be surprised
    with that.   For now I don't think there's
    any other surgical intervention, but I do
    feel that his symptoms have some permanency,
    and I think that the two to three out of ten
    in pain is a reasonable expectation.
    However, Dr. Abrams also noted that plaintiff's "range of
    motion of his shoulder [had] improved.         It [was] very close to
    what his range of motion would be on his other shoulder.               His
    strength [was] better.       And he did not have any crepitus or
    grinding or area of concern."      According to Dr. Abrams,
    12                           A-3230-13T4
    I don't think -- he has a fairly normal
    range of motion. I don't think the range of
    motion is a big issue.     I think his big
    issue now is pain.    And so I don't think
    there is really anything else to offer the
    man . . . . So by fixing his cartilage or
    fixing the ring around the plate, we were
    repairing his ligaments.   We achieved that
    goal, but that doesn't necessarily take away
    all of the problems that go along with the
    surgery.
    Dr. Abrams admitted he had not reviewed certain records
    pertaining to plaintiff's medical history prior to arriving at
    his diagnosis.       Specifically, Dr. Abrams was not aware that: (1)
    a neurologist and chiropractor had examined plaintiff in 2003;
    (2) plaintiff received physical therapy in 2005 at the Kessler
    Institute for Rehabilitation; (3) plaintiff had an MRI test on
    his   shoulder      in   2003;   (4)    office    notes    and   medical    records
    pertaining to this medical consultation were available; and (5)
    plaintiff underwent "EMG/NCV testing of his upper extremities in
    2003."    Finally, Dr. Abrams testified plaintiff did not explain
    the "mechanics of the injury to him."               Plaintiff only told him a
    car rear-ended his car; he was wearing his seatbelt at the time.
    NJM called orthopedic surgeon Dr. Edward M. Decter as an
    expert witness.          He examined plaintiff on September 17, 2010,
    and   again    on   September     13,    2012.      Dr.    Decter     reviewed     the
    reports   describing       plaintiff's     previous       injuries,    as   well    as
    those relating to this accident.                 After examining plaintiff on
    13                                 A-3230-13T4
    September 17, 2010, Dr. Decter opined plaintiff's left shoulder
    was "symmetrical and equal" to his right shoulder.              He found
    plaintiff had a normal internal and external rotation with no
    evidence of instability.      According to Dr. Decter, the surgery
    was intended to address "some instability of his shoulder where
    the   labrum   was   torn."   Dr.   Decter   opined   that   "Dr.     Abrams
    corrected the shoulder instability by his operation."               He also
    found a causal relationship between the shoulder surgery and the
    torn labrum attributable to the June 2, 2008 accident.
    Dr. Decter gave the following testimony with respect to the
    issue of permanency:
    A. [Y]es, his shoulder has been altered and
    it wasn't what God gave him, but the whole
    purpose of what Dr. Abrams did was to
    reattach the labrum back to the glenoid
    socket and that's what he did.
    Q. And [Dr. Abrams] did it successfully in
    your opinion.
    A. Well, my exact words were he made an
    excellent functional recovery as it relates
    to his shoulder surgery.    He has regained
    full mobility without any focal findings. I
    said Dr. Abrams should be commended on an
    excellent     job     of    the     shoulder
    reconstruction.
    He also did some other things in the
    shoulder. He --
    Q. Well, before we get to that, Doctor, I
    just want to now ask you my question after
    we discussed your definition.     After your
    examination, review of all of the records,
    did you have an opinion as to whether or not
    14                              A-3230-13T4
    Mr. Sackman suffered a permanent injury as a
    result of -- to his shoulder as a result of
    the June 2nd, 2008 accident?
    A. He has made a good functional recovery
    with full motion and good strength.    There
    has been an alteration in the anatomy of his
    shoulder.
    Q. He has full range of motion?
    A. He regained his range of motion and he
    had a good functional outcome.
    NJM also called Dr. Eric L. Fremed, who testified via a
    videotaped de bene esse deposition as an expert in neurology.
    Based on an examination he performed on October 14, 2012, Dr.
    Fremed found plaintiff's motor function and range of motion in
    his left shoulder to be completely normal.    In fact, plaintiff
    had full functional use of both his arms.    However, Dr. Fremed
    noted atrophy of plaintiff's left arm.     He opined the atrophy
    was not related to the June 2008 accident because plaintiff had
    reported this same condition in 2003.   Dr. Fremed opined, within
    a reasonable degree of medical certainty, that plaintiff had not
    suffered any permanent neurological injury related to the June
    2, 2008 accident.
    After NJM concluded its presentation, plaintiff moved to
    "bar the defense from raising the verbal threshold defense in
    their summation as well as removing it [from] the jury charge
    and the jury verdict questionnaire."    Defense counsel objected,
    15                        A-3230-13T4
    arguing the evidence presented to the jury clearly established a
    disputed      issue    of   fact   as   to    the   permanency    of   plaintiff's
    injuries as defined in N.J.S.A. 39:6A-8(a).                      The trial judge
    agreed with defense counsel's argument and denied plaintiff's
    motion.
    II
    Against this record, plaintiff now argues the trial court
    erred in denying his motion to preclude the jury from deciding
    whether plaintiff proved, by a preponderance of the evidence,
    that he sustained a permanent injury proximately related to the
    June   2,     2008    accident.     Stated      differently,     relying    on   the
    Supreme Court's holding in Gilhooley v. County of Union, 
    164 N.J. 533
       (2000),      plaintiff    argues      the   orthopedic      hardware
    implanted by Dr. Abrams to surgically repair the injury to his
    left shoulder constituted sufficient evidence to satisfy, as a
    matter of law, the "permanent injury" threshold under N.J.S.A.
    39:6A-8(a).
    In response, NJM argues the evidence presented to the jury
    was not so one-sided that it precluded a reasonable juror from
    finding the injuries plaintiff sustained, proximately related to
    the June 2008 accident, have sufficiently healed to enable him
    to regain his normal function.               NJM also notes that plaintiff's
    own testimony conflicted at times, creating a clear issue of
    16                                A-3230-13T4
    credibility       for   the     jury.       Finally,    NJM    emphasizes       that
    plaintiff's reliance on Gilhooley is misplaced because the Court
    in that case addressed the plaintiff's injury in the context of
    the    Tort    Claims   Act     (TCA),    N.J.S.A.    59:1-1   to   59:12-3,     not
    AICRA.
    The     record   here    is   replete   with    evidence     from   which    a
    rational jury could find plaintiff did not present sufficient
    evidence to satisfy his statutory burden.                Under N.J.S.A. 39:6A-
    8(a), "[a]n injury shall be considered permanent when the body
    part or organ, or both, has not healed to function normally and
    will     not    heal    to     function    normally    with    further     medical
    treatment."       Although plaintiff did not discuss or even cite the
    relevant standard of review, the question before us is governed
    by Rule 4:40-1, which provides:
    A motion for judgment, stating specifically
    the grounds therefor, may be made by a party
    either at the close of all the evidence or
    at the close of the evidence offered by an
    opponent.   If the motion is made prior to
    the close of all the evidence and is denied,
    the moving party may then offer evidence
    without having reserved the right to do so.
    A motion for judgment which is denied is not
    a waiver of trial by jury even if all
    parties to the action have so moved.
    In reviewing a trial court's decision on a motion for a
    directed verdict, this court "appl[ies] the same standard that
    governs the trial courts."            Frugis v. Bracigliano, 
    177 N.J. 250
    ,
    17                               A-3230-13T4
    269 (2003).          The standard for a motion made pursuant to Rule
    4:40-1    is    akin     to       the    standard        applicable      to     a     motion   for
    summary       judgment    under          Rule    4:46-2(c).             We    must     determine
    "whether       the   evidence           presents     a    sufficient          disagreement      to
    require submission to a jury or whether it is so one-sided that
    one party must prevail as a matter of law."                                    
    Ibid. (quoting Brill v.
       Guardian       Life       Ins.   Co.      of     Am.,    
    142 N.J. 520
    ,   540
    (1995)).
    Indeed, "[a] motion for a directed verdict, made pursuant
    to   [Rule]     4:40-1        .    .    .   'shall       be    denied    if     the    evidence,
    together with the legitimate inferences therefrom, could sustain
    a judgment in [the non-movant]'s favor.'"                          Edwards v. Walsh, 
    397 N.J. Super. 567
    , 571 (App. Div. 2007) (quoting R. 4:37-2(b)).
    Otherwise, where "the evidence and uncontradicted testimony is
    'so plain and complete that disbelief of the story could not
    reasonably       arise    in       the      rational          process    of    an     ordinarily
    intelligent mind, then a question has been presented for the
    court to decide and not the jury.'"                           
    Frugis, supra
    , 177 N.J. at
    270 (quoting Ferdinand v. Agric. Ins. Co., 
    22 N.J. 482
    , 494
    (1956)).
    Here,      the   trial           judge    made      the    following          findings    in
    support of his decision to deny plaintiff's motion:
    In deciding this motion naturally the
    Court has to give all inferences in favor of
    18                                       A-3230-13T4
    the non-moving party in this case, the
    defendant.    Plaintiff contends that Dr.
    Abrams clearly testified that as the result
    of the labral tear which was repaired by the
    arthroscopic surgery in 2010 that there is
    going to be and will be into the future pain
    caused by this repair of the tear, caused by
    the injury that was caused by this accident
    continuing into the future.
    However, Dr. Decter -- it is not the
    defendant's    burden   to   prove    by   a
    preponderance of the evidence that there was
    not an injury and that's what plaintiff is
    asking.    The defense expert, Dr. Decter,
    clearly testified that in his opinion Dr.
    Abrams did a superlative job, I don't know
    if that's the word he used, but he was
    excellent, he would use Dr. Abrams to repair
    his own shoulder.
    He was effusive in his [praise] and
    what he also said was he completely -- he
    completely healed, that the body part in
    question now functions normally and he
    doesn't have to use those words, but his
    testimony was he has full range of motion,
    he has strength, his [sic] has suppleness,
    he has all of these various degrees of
    standards to determine whether or not the
    left shoulder has been restored to function
    normally and it -- that's the standard and I
    find   that  he   has  presented  sufficient
    testimony and credible medical evidence
    based upon his analysis of the credible
    medical evidence relied upon by plaintiff's
    expert to render that opinion.
    I find that [permanency] is a matter of
    fact that has to be determined by the jury
    and the motion is denied.
    [(Emphasis added).]
    19                       A-3230-13T4
    In cases where the question of permanency under N.J.S.A.
    39:6A-8(a) is hotly contested, such as it was in this case, the
    jury,     acting      within     its    fact-finding           role,       must   determine
    whether    plaintiff       has    satisfied         his    statutory         burden      by    a
    preponderance of the evidence.                  Ames v. Gopal, 
    404 N.J. Super. 82
    , 85-86 (App. Div. 2008), certif. denied, 
    198 N.J. 316
    (2009).
    Here,    the    trial    judge's       analysis      and   ultimate         conclusion        is
    amply supported by the evidence presented at trial and properly
    applied the statutory standard established by the Legislature in
    AICRA.
    Plaintiff           next     argues       the     fact      it     took       the      jury
    approximately         twenty     minutes       to    reach      a    unanimous        verdict
    finding    plaintiff       did    not    prove,      by    a   preponderance          of    the
    evidence, he sustained a permanent injury that is proximately
    related    to    the    June     2,    2008    accident        constitutes        a   per     se
    miscarriage of justice.                Plaintiff's appellate brief devotes a
    total of two and one half pages to this argument.                            A half of one
    page contains a verbatim recitation of the Model Civil Jury
    Charge, through which a trial judge admonishes jurors to decide
    the case impartially and not permit "sympathy, passion, bias, or
    prejudice,"      to     influence      their       decision.         Model    Jury      Charge
    (Civil),       1.12P,    "No     Prejudice,         Passion,        Bias     or   Sympathy"
    (2007).     Plaintiff does not cite any legal authority to support
    20                                      A-3230-13T4
    the extraordinary relief he seeks from this court.                                 Plaintiff
    merely     equates     the     brevity       of     the        deliberations         with     a
    miscarriage of justice.              Under these circumstances, plaintiff's
    argument     lacks     sufficient           merit        to    warrant       any     further
    discussion in a written opinion.                 R. 2:11-3(e)(1)(E).
    Finally,       plaintiff        argues      the         trial       judge    committed
    reversible    error     when     he    failed       to    give        a   proper     curative
    instruction to the jury in response to a remark made by defense
    counsel in the course of her opening statement to the jury.
    Plaintiff's counsel devoted a total of one and a quarter pages
    in   his    appellate        brief     to    this        argument.            Here    again,
    plaintiff's counsel did not cite any legal authority in support
    of   his   client's     legal     position          on    appeal.           Although      this
    argument is completely devoid of merit, we will nevertheless
    address it in some detail because it is predicated on an alleged
    misstatement of law or fact by defense counsel, compounded by an
    alleged erroneous or inadequate response by the trial judge.
    When defense counsel addressed the jury for the first time
    in her opening statement, she introduced herself as follows:
    I represent the defendant, Mr. Earl Smith,
    who is here with us today.    As you've just
    heard, in this case you're not going to have
    to determine who was at fault for an
    accident that happened now on June 2nd,
    2008.   Mr. Smith has taken responsibility
    for that accident, but your task this week
    21                                       A-3230-13T4
    is going to be no less difficult than if you
    had to have the full case in front of you.
    In this case . . . plaintiff must prove to
    your satisfaction as reasonable people, and
    by a preponderance of the evidence . . .
    that the June 2nd, 2008 accident and that
    accident alone, not past life experiences,
    not subsequent life experiences, but that
    accident alone cause Mr. Sackman to suffer a
    permanent injury. . . ."
    [(Emphasis added).]
    At the conclusion of defense counsel's opening statement,
    plaintiff's counsel requested to be heard outside the presence
    of the jury.   At this N.J.R.E. 104 hearing, plaintiff's counsel
    argued that since this suit was an UIM claim against NJM, it was
    improper and misleading for defense counsel to refer to the
    tortfeasor as "defendant."     To cure this mischaracterization,
    plaintiff's counsel requested the trial judge give the jury a
    curative    instruction   that  Mr.  Smith's
    personal assets are not in play at all, and
    quite    frankly    I   think   it  requires
    instruction to the jury there's sufficient
    insurance coverage in this matter.
    I know I'm not allowed to mention NJM and
    I'm   not  allowed   to   mention  insurance
    coverage and I did not.         I constantly
    referred to the defense or defendant in this
    case.   And quite frankly, I'm not even so
    sure it's appropriate for Mr. Smith to be
    constantly referred to as the defendant when
    he is not the defendant in this case and
    there is no actually pending law suit or
    pending action against him as a named
    defendant.
    22                       A-3230-13T4
    [(Emphasis added).]
    The trial judge denied plaintiff's application and instead
    instructed the jury as follows:
    Your only function in this case is to
    determine, number one, whether the injuries
    reached a level where the plaintiff is
    entitled to sue for damages and if so, based
    upon the evidence and jury instruction I
    give you on damages at the conclusion of the
    case,   what   amount    of   damages   would
    compensate the plaintiff for his injuries.
    Plaintiff     argues    the    judge's   rejection       of   his    trial
    counsel's proposed curative instruction constituted reversible
    error.     Specifically, plaintiff's appellate counsel states in
    the brief before us: "When one combines this element of the
    trial with the fact that the jury rendered a no cause verdict on
    the threshold in only twenty-one minutes, one must seriously
    question   the   validity   of    the   jury's   verdict."        Here   again
    plaintiff's appellate counsel did not cite any legal authority
    to support this position.
    Had plaintiff's appellate counsel taken the time and effort
    to conduct even a modicum of research of this legal issue, he
    would have discovered our Supreme Court addressed this precise
    contentious question in Bardis v. First Trenton Ins. Co., 
    199 N.J. 265
    (2009), an opinion released by the Court five years
    before the start of this trial.          As framed by Justice Hoens on
    23                               A-3230-13T4
    behalf of a majority of the Court in Bardis, "[W]e are called
    upon to answer . . . whether, in a jury trial arising out of
    Underinsured   Motorist     (UIM)   coverage,   the    insurer   should    be
    identified as the defendant."5       
    Id. at 269.
         Citing with approval
    our holding in Krohn v. New Jersey Full Ins. Underwriters Ass'n,
    
    316 N.J. Super. 477
    , 483 (App. Div. 1998), certif. denied, 
    158 N.J. 74
    (1999), the Bardis Court emphasized that "[a] UIM action
    is essentially a contract-based substitute for a tort action
    against the tortfeasor."       
    Bardis, supra
    , 199 N.J. at 279.            The
    Court nevertheless rejected
    the request for a rule compelling the
    insurer in a UIM trial to be identified as
    the defendant . . . . Instead, in the
    context of a UIM trial, in which the
    circumstances of the underlying accident are
    the focus, we are persuaded that the
    insurer's identity is ordinarily irrelevant.
    Nonetheless, we leave it to the sound
    discretion of the trial judge to conclude,
    and to act accordingly, if circumstances in
    a particular trial suggest otherwise.
    [Id. at 277.]
    We acknowledge that reasonable minds can differ on this
    question.    Indeed, in Bardis, Justice Albin wrote a passionate
    and compelling concurrence expressing his belief
    that the jury can handle the truth, that the
    jury can be trusted to be fair to the true
    5
    The Bardis Court also addressed two other issues that are not
    relevant to this discussion.
    24                             A-3230-13T4
    parties   in  interest,   and  that   feeding
    fictions to the jury is an unacceptable way
    to run a transparent court system.     I also
    believe that a properly instructed jury--
    even in an insurance coverage case--is
    capable of rendering a fair verdict.       In
    courtrooms throughout this State, juries
    hear sensational cases widely reported in
    the press, sometimes involving notorious
    defendants or plaintiffs, but we have faith
    that carefully selected jurors given proper
    legal guidance will do justice.     I see no
    reason to depart from that paradigm for an
    insurance company in a UIM coverage case.
    [Id. at 282-83 (Albin, J., concurring).]
    III
    We     cannot,    in   good     conscience,        conclude    this   opinion
    without finding that the brief submitted by plaintiff's counsel
    in this appeal warrants the imposition of monetary sanctions
    pursuant to Rule 2:9-9.             Because we are keenly aware of the
    extraordinary nature of this action, we want to clearly explain
    the reasons underpinning our decision.                   Our reproach      is not
    based on counsel's failure to adhere to the format requirements
    delineated   in     Rule   2:6-2.      Plaintiff's       appellate     brief    was
    neatly printed and the point headings clearly identified the
    legal   issues    raised   therein.         Furthermore,     although     we   have
    rejected   plaintiff's      arguments,      we   do    not   claim    plaintiff's
    counsel    raised    frivolous      arguments,        completely     lacking    any
    reasonable basis in law or equity.
    25                                 A-3230-13T4
    The attorney's failings here are not based on the type of
    conduct proscribed pursuant to Rule 1:4-8(a) and N.J.S.A. 2A:15-
    59.1 as "frivolous litigation."              As our colleague Judge Lyons
    made clear in Alpert, Goldberg, Butler, Norton & Weiss, P.C. v.
    Quinn,   410   N.J.   Super.    510,    545    (App.   Div.    2009),     certif.
    denied, 
    203 N.J. 93
    (2010), while "Rule 1:4-8 has a punitive
    purpose in seeking to deter frivolous litigation, it also seeks
    to compensate a party that has been victimized by another party
    bringing frivolous litigation."             (Citing Deutch & Shur, P.C. v.
    Roth, 
    284 N.J. Super. 133
    , 141 (Law Div. 1995)).               By contrast, a
    sanction   imposed    under    Rule    2:9-9   is   intended     to    deter    the
    improper prosecution or defense of an appeal and prevent the
    misuse of judicial resources that result from such derelictions.
    In re Tenure Hearing of Cowan, 
    224 N.J. Super. 737
    , 752-53 (App.
    Div. 1988), Judge Brody explained how an attorney's failure to
    adhere to Rule 2:6-2(a)(4) (which requires an appellant's brief
    to include "[a] concise statement of the facts material to the
    issues on appeal supported by references to the appendix and
    transcript")    profoundly      undermined      the    court's        ability   to
    comprehend the material facts in the case.
    The limitation on the number of pages in a
    brief has a wholesome purpose.   It requires
    the brief writer to recount the facts and to
    argue the law with economy. That constraint
    is designed to produce a brief that is well-
    26                                A-3230-13T4
    organized, thoughtful, comprehensible and to
    the point.
    . . . .
    Appellant's expansiveness infected the legal
    arguments   in    his   brief   with   similar
    unproductive results.      Over 20 pages are
    devoted     to     single-spaced     extensive
    quotations from published opinions and from
    the record.    At one point two opinions are
    quoted in three and a half continuous pages
    without regard to the relevancy of the
    quoted material.
    [Id. at 752-53.]
    Here, the brief submitted by plaintiff's counsel must be
    censured      and        sanctioned        because       it       displayed      an      utter
    indifference        to    the    standards        of    professional        competence         a
    tribunal is entitled to expect from an attorney admitted to
    practice      law    in     this     State.            Even   a     cursory     review        of
    plaintiff's     appellate          brief    reveals       a   complete        lack    of    any
    effort   by    counsel      to     cite    and    discuss,        in   a   professionally
    reasonable manner, relevant legal authority in support of the
    three arguments raised therein.
    The first argument in plaintiff's appellate brief states
    the trial court erred in denying plaintiff's motion to preclude
    the jury from considering the question of permanency.                                 We have
    stated the reasons for rejecting this argument in Part II of
    this   opinion.          However,     it    bears       repeating      that    plaintiff's
    brief cited only Gilhooley v. County of 
    Union, supra
    , as support
    27                                       A-3230-13T4
    for this argument.          The brief did not discuss or even identify
    the    relevant   standard       we     must    apply    in     reviewing     the    trial
    judge's decision, nor did it include an analysis of how the
    Court's reasoning in Gilhooley applied to the facts of this
    case, or to the verbal threshold requirements in AICRA.
    Plaintiff's second argument sought to overturn the jury's
    verdict.     Counsel again failed to cite any legal authority in
    support of this argument; he did not articulate the relevant
    standard    of    review,    or       identify     the        specific     incidents     of
    impropriety that irreparably tainted the jury's verdict.                                The
    only legal reference included as support for vacating the jury's
    verdict consisted of a verbatim recitation of the standard model
    jury    charge    the    trial    judge        gave     the    jury    describing       its
    obligation to decide the case without bias or prejudice.
    Plaintiff's      third     and    final     argument        point     sought     the
    reversal of the jury verdict based on defense counsel's alleged
    misrepresentation in her opening statement before the jury.                               As
    part of this argument, plaintiff's counsel also questioned the
    efficacy    of     the    trial       judge's         response        to   the    alleged
    misstatement by defense counsel.                  Plaintiff's counsel did not
    cite any legal authority to support this argument.                               Counsel's
    unsupported assertions covered a total of one and one quarter
    pages.
    28                                     A-3230-13T4
    Thirty-nine years ago, this court repudiated the same type
    of   shoddy,     unprofessional          submission,    and    in   the        process
    endorsed the following standards of professionalism that must be
    followed    in   the    presentation       of   legal   analysis    in    appellate
    briefs:
    Despite the fact that independent research
    by the court is, to a greater or lesser
    extent, the invariable rule, the parties may
    not escape their initial obligation to
    justify   their    positions    by    specific
    reference to legal authority.      Paucity of
    such reference suggests a like paucity of
    authority helpful to the party. The absence
    of any reference to the law, as here,
    suggests   as   well    a   regrettable    and
    reprehensible indifference on the part of
    the brief writer not only to the rules but
    to the interest of the client as well.
    [State v. Hild, 
    148 N.J. Super. 294
    ,                    296
    (App. Div. 1977). (Emphasis added).]6
    We now reaffirm our commitment to the enforcement of the
    professional      standards        our    colleagues     expressed        in      Hild.
    Lawyers    who   take   on   the    responsibility      to    represent        clients
    6
    We emphasize that at the time our colleagues endorsed this
    standard of professional responsibility, legal research was
    performed by the attorney through a labor-intensive process that
    often consumed hours of an attorney's time.          It required
    personally reviewing the various legal digests to identify a
    line of possibly relevant cases. If a case seemed relevant, the
    attorney had to examine the Shepard's volumes, one by one, to
    ensure the case had not been reversed or distinguished in a
    manner adverse to the legal argument at issue. Today, far more
    comprehensive research can be completed in a matter of minutes.
    29                                   A-3230-13T4
    before this court are expected to: (1) familiarize themselves
    with the record developed in the forum of origin; (2) research
    and analyze the competent legal authority related to the salient
    facts of the case; and (3) submit briefs in support of the
    arguments     identified     therein   which      reflect    that     the   lawyers
    conducted these tasks in a diligent and professional manner.
    This is the kind of effort a tribunal in this State is entitled
    to expect from an attorney admitted to practice in this State.
    Most importantly, as we noted in Hild, this is the kind of
    professional    effort      an   attorney    owes    to    his   or   her   client.
    
    Ibid. As appellate judges,
    we review hundreds of briefs every
    year.7   The quality of the legal analysis presented to us varies
    in   every    case   from    excellent      to    poor.      However,       a   large
    percentage of the briefs we review fall within the middle to
    upper range of this spectrum.            We accept this as an unavoidable
    aspect   of    any    human      endeavor,       knowing    that      facility      of
    expression, advocacy skills, and intellectual abilities are not
    equally distributed.         What we cannot accept, however, is a lack
    7
    As reported by the Administrative Office of the Courts, "[t]he
    Appellate Division decides approximately 6,500 appeals and
    10,000    motions   each    year."       New    Jersey   Courts,
    http://www.judiciary.state.nj.us/appdiv/index.html (last visited
    Apr. 18, 2016).
    30                                   A-3230-13T4
    of effort.    That is what occurred here.            That is the basis for
    our decision to sanction plaintiff's appellate counsel.
    Plaintiff's       appellate    counsel    failed    to    conduct   even     a
    modicum of legal research or attempt to present any reasonably
    competent analysis of the law as it related to the facts of this
    case.   By     submitting     a   shoddy,    professionally       unacceptable
    brief, plaintiff's appellate counsel displayed a disrespect for
    the work of this court and for the legal profession itself.                   The
    indifference to the fundamental tenets of the legal profession
    displayed    here    by   plaintiff's    appellate   counsel     warrants     the
    imposition of a monetary sanction under Rule 2:9-9.
    Rule     2:9-9    authorizes    this     court     to    impose   sanctions
    against an attorney who fails "properly to prosecute or defend
    an appeal."     These sanctions may include, but are not limited
    to, dismissal of the appeal, "imposition of costs or attorney's
    fees[,] or such other penalty as may be assessed personally
    against the attorney."         In this respect, our Supreme Court has
    admonished that "if it is at all possible, the litigant should
    not be burdened with his attorney's derelictions."                    Paxton v.
    Misiuk, 
    34 N.J. 453
    , 458 (1961).
    Plaintiff's appellate counsel is ordered to issue a check
    from the firm's business account payable to the Treasurer of the
    State of New Jersey in the sum of $200.                 The check shall be
    31                              A-3230-13T4
    remitted to the Clerk of the Superior Court, Appellate Division
    within ten calendar days of the release of this opinion.
    Affirmed.
    32                          A-3230-13T4
    _____________________________________________________
    GILSON, J.S.C. (temporarily assigned) concurring.
    I concur in the well-reasoned opinion of the court, except
    for section III.         I agree with my colleagues in encouraging
    professional standards of advocacy.             Attorneys should strive to
    make reasoned arguments based on the facts and law and should
    candidly     cite    supporting     or   opposing   precedent.       I    write
    separately     because    I    believe    a   monetary   sanction    is      not
    warranted here.       Admittedly, plaintiffs' appellate counsel could
    have done more, but I do not find their brief so lacking in
    thought    and      preparation     as   to   manifest   a   disrespect       to
    professional standards. I take this position because I believe
    that    sanctions     should   be    reserved    for   appropriate       limited
    situations.      In my opinion, this is not such a situation.