Allstate Ins. v. Universal Underwriters

750 A.2d 223, 330 N.J. Super. 628
CourtNew Jersey Superior Court Appellate Division
DecidedMay 11, 2000
StatusPublished
Cited by4 cases

This text of 750 A.2d 223 (Allstate Ins. v. Universal Underwriters) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allstate Ins. v. Universal Underwriters, 750 A.2d 223, 330 N.J. Super. 628 (N.J. Ct. App. 2000).

Opinion

750 A.2d 223 (2000)
330 N.J. Super. 628

ALLSTATE INSURANCE COMPANY, Plaintiff-Appellant,
v.
UNIVERSAL UNDERWRITERS INSURANCE COMPANY, Defendant-Respondent.

Superior Court of New Jersey, Appellate Division.

Argued April 19, 2000
Decided May 11, 2000

*224 Robert P. Clark, Sea Girt, for plaintiff-appellant.

Mark E. Margiotta, for defendant-respondent (Pollock, Montgomery & Chapin, attorneys; John S. Fetten, on the brief).

Before Judges KING, LEFELT and LINTNER.

The opinion of the court was delivered by LEFELT, J.S.C., (temporarily assigned).

This appeal arises from a 1993 automobile accident between Joseph Herstek, an insured of plaintiff Allstate Insurance Company, and a commercial vehicle operated by Sean Borchers, owned by Woodbury Automotive, and insured by defendant Universal Underwriters Insurance Company. Allstate's insured requested and recovered personal injury protection ("PIP") benefits from Allstate. Allstate then sought reimbursement for these payments from Universal. N.J.S.A. 39:6A-9.1. After making an initial reimbursement payment in 1993, Universal asserted the applicable statute of limitations and refused additional reimbursement in 1996.

After agreeing that the statute of limitations issue would be appealable to the Law Division, Allstate and Universal submitted the dispute to arbitration. The arbitrators found in favor of Allstate, and Universal appealed. The Law Division judge stated that "[i]n the absence of a waiver of the applicability of the statute of limitations by Universal, Allstate was obliged to make a formal demand for arbitration within two years of [the] claim having been made for P.I.P. benefits by its insured." Thus, the judge vacated the arbitration award because he believed Universal had not "waived" its right to assert the statute. Allstate appealed from that determination, and we reverse.

I.

Allstate paid initial PIP benefits to its insured shortly after the July 28, 1993 automobile accident. Allstate then sought reimbursement from Universal. Michelle Ertle, a pre-litigation manager for the Robert P. Clark law firm stated on behalf of their client Allstate, "I enclose herein our proofs of loss and request upon completion of your review you contact me so that an amicable settlement may be reached." In response to this request, Universal paid Allstate $6,411.22, which represented Allstate's total PIP payments *225 to its insured at that time. Universal's check, however, indicated that the payment was "full and final settlement." On November 15, 1993, Ertle wrote to Paul Sitkus, the claim's examiner handling this matter for Universal. Ertle noted, "[a]s you are aware the within matter has been amicably resolved relative to Allstate's direct right of claim representing payments for PIP on behalf of Joseph Herstek. As you are also aware this claim is presently ongoing." She therefore requested a check without the full and final settlement language. Consequently, on November 30, 1993, Universal issued another check in the same amount, but without the "full and final settlement" notation.

Allstate and Universal had no further contact until Allstate's counsel wrote Universal on November 12, 1996, in pertinent part, as follows:

Our client has advised that this claim [is] presently ongoing.
Accordingly, I enclose herein additional proofs in the amount of $20,432.56 and request upon completion of your review you contact this office so that an amicable resolution may be obtained or in the alternative, forward your company's draft in the amount of $20,432.56[.]
In the event that the within matter may not be amicably resolved, this office is formerly [sic] demanding arbitration.

Apparently, the medical bills for which Allstate was now seeking reimbursement had been paid in 1994 and 1995.

On December 12, 1996, Universal refused Allstate's request for additional PIP reimbursement because, according to Universal, Allstate failed to satisfy the N.J.S.A. 39:6A-9.1 two-year statute of limitations. Allstate then demanded arbitration. After some procedural wrangling, the parties agreed to arbitrate before a panel of three arbitrators. As to the issues to be submitted to the arbitrators, the only dispute focused on whether the arbitrators would be permitted to decide the statute of limitations issue. Ultimately, the parties agreed that the limitations issue would be presented to the panel. In a June 4, 1997 letter, however, Universal indicated that it did not agree that the statute of limitations issue would be "binding," and "[i]n the event either party feels that they have an appealable issue they can do so by appealing the matter to the Law Division." Allstate agreed, "as long as the matter is decided in accordance with New Jersey law."

The arbitrators, by a two to one vote, awarded Allstate 100% reimbursement of its PIP payments. Aside from a one-page memorialization of the award, no transcript or record of the proceeding was made.

Thereafter, in April 1998, Allstate filed a verified complaint and order to show cause seeking confirmation of the arbitration award. In May 1998, Universal answered, counterclaimed and cross-moved for summary judgment seeking dismissal of Allstate's complaint and vacation of the arbitration award. On June 12, 1998, the Law Division judge heard oral argument on Allstate's order to show cause and Universal's cross-motion for summary judgment. The judge requested additional briefs and argument. Eventually, the Law Division judge rendered a written decision and order vacating the arbitration award and granting Universal's cross-motion for summary judgment because he determined that Allstate failed to comply with the statute of limitations. Allstate then appealed.

II.

In Habick v. Liberty Mutual Fire Insurance Co., 320 N.J.Super. 244, 253, 727 A.2d 51 (App.Div.), certif. denied, 161 N.J. 149, 735 A.2d 574 (1999), we held that the review standard announced in Tretina Printing, Inc. v. Fitzpatrick & Assocs., Inc., 135 N.J. 349, 640 A.2d 788 (1994), applied to review PIP arbitrations. Under Tretina, the review standard is as follows:

Basically, arbitration awards may be vacated only for fraud, corruption, or similar *226 wrongdoing on the part of the arbitrators. [They] can be corrected or modified only for very specifically defined mistakes as set forth in [N.J.S.A. 2A:24-9]. If the arbitrators decide a matter not even submitted to them, that matter can be excluded from the award.
[Tretina, supra, 135 N.J. at 358, 640 A.2d 788 (quoting Perini Corp. v. Greate Bay Hotel & Casino, Inc., 129 N.J. 479, 548-49, 610 A.2d 364 (1992)).]

Pursuant to this standard, only in rare circumstances may a court vacate an arbitration award for public-policy reasons, and errors of law or fact made by the arbitrators are not correctable. Id. at 357-58, 364, 640 A.2d 788; Ukrainian Nat'l Urban Renewal Corp. v. Joseph L. Muscarelle, 151 N.J.Super. 386, 396, 376 A.2d 1299 (App.Div.), certif. denied, 75 N.J. 529, 384 A.2d 509 (1977).

Habick rejected the broader standard of review utilized in public sector arbitration, and distinguished PIP arbitration from mandatory public sector "interest arbitration," e.g., Division 540, Amalgamated Transit Union, AFL-CIO v. Mercer County Improvement Authority, 76 N.J.

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750 A.2d 223, 330 N.J. Super. 628, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allstate-ins-v-universal-underwriters-njsuperctappdiv-2000.