DAWN K. COOPER v. UNITED SPECIALTY INSURANCE COMPANY (L-9271-19 AND L-3506-21, ESSEX COUNTY AND STATEWIDE) (CONSOLIDATED)

CourtNew Jersey Superior Court Appellate Division
DecidedJuly 5, 2022
DocketA-0189-21/A-1002-21
StatusUnpublished

This text of DAWN K. COOPER v. UNITED SPECIALTY INSURANCE COMPANY (L-9271-19 AND L-3506-21, ESSEX COUNTY AND STATEWIDE) (CONSOLIDATED) (DAWN K. COOPER v. UNITED SPECIALTY INSURANCE COMPANY (L-9271-19 AND L-3506-21, ESSEX COUNTY AND STATEWIDE) (CONSOLIDATED)) 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
DAWN K. COOPER v. UNITED SPECIALTY INSURANCE COMPANY (L-9271-19 AND L-3506-21, ESSEX COUNTY AND STATEWIDE) (CONSOLIDATED), (N.J. Ct. App. 2022).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R. 1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NOS. A-0189-21 A-1002-21

DAWN K. COOPER,

Plaintiff-Appellant,

v.

UNITED SPECIALTY INSURANCE COMPANY and NATIONAL CLAIM SERVICES, LLC,

Defendants-Respondents. ___________________________

FOREST HILLS 1, LLC, C. FUSARI & SON LANDSCAPE & DESIGN, INC. d/b/a ESSEX DESIGN CONTRACTORS OF NJ, LLC, FOREST HILLS URBAN RENEWAL ASSOCIATION, A LIMITED PARTNERSHIP, FOREST HILL TERRACE ASSOCIATION, INC. d/b/a FOREST HILL TERRACE, A CONDOMINIUM, and FOREST HILLS GROUP, LLC,

Argued June 10, 2022 – Decided July 5, 2022

Before Judges Vernoia and Firko.

On appeal from an order in A-0189-21 and an interlocutory order in A-1002-21 of the Superior Court of New Jersey, Law Division, Essex County, Docket Nos. L-3506-21 and L-9271-19.

Cory J. Rothbort argued the cause for appellant (Mazie Slater Katz & Freeman, LLC, attorneys; David M. Freeman, Cory J. Rothbort and Trevor D. Dickson, on the briefs).

Sherri Pavloff (Stonberg Morgan, LLP) of the New York bar, admitted pro hac vice, argued the cause for respondents United Specialty Insurance Company and National Claim Services, LLC (Michael S. Stonberg (Stonberg Morgan, LLP) and Sherri Pavloff, attorneys; Michael S. Stonberg, on the brief).

Jonathan R. Mehl argued the cause for respondent Forest Hill Terrace Association, Inc.

PER CURIAM

In these appeals that were calendared back-to-back and consolidated for

the purpose of a single opinion, we address insurance-related claims. The issues

A-0189-21 2 presented arise from defendant Forest Hill Terrace Association, Inc.'s (Forest

Hill) decision not to request indemnification, under a general liability policy

issued by defendant United Specialty Insurance Co. (United), for plaintiff Dawn

K. Cooper's claim she suffered personal and economic injuries when she

allegedly slipped and fell in a laundry room in the condominium complex for

which Forest Hill serves as the condominium association.

Plaintiff argues the decision not to tender the claim may allow United to

later deny coverage and, as a result, she will be deprived of her interest in the

proceeds of the policy if she recovers a judgment against Forest Hill. In Forest

Hill's view, plaintiff's personal injury claim is devoid of merit, and it therefore

decided to defend itself in plaintiff's personal injury suit and pay any putative

damage award without recourse to its rights under the policy to avoid what it

anticipates would be increased future insurance premiums if it tendered a claim

to United.

In A-1002-21, plaintiff appeals from an order in her personal injury

lawsuit denying her motion to compel Forest Hill to tender an indemnification

claim to United. In A-0189-21, plaintiff appeals from an order dismissing her

complaint against United seeking a declaratory judgment United is obligated to

provide indemnification to Forest Hill under the policy for any damages plaintiff

A-0189-21 3 recovers against Forest Hill, and United is required "to provide medical expense

benefits" under the policy.

Based on our review of the record and the parties' arguments, in A-1002-

21 we vacate the order denying plaintiff's motion to compel Forest Hill to tender

a claim to United and we remand for further proceedings. In A-0189-21 we

affirm the court's order granting United's motion to dismiss plaintiff's

declaratory judgment complaint without prejudice.

I.

The genesis of the two lawsuits from which the pending appeals are taken

is plaintiff's claim she suffered personal injuries when she slipped and fell in the

laundry room of a condominium complex. At the time of the alleged accident,

Forest Hill had a general liability insurance policy with United providing

$1,000,000 of liability coverage, and $5,000 in medical expense coverage with

a $5,000 deductible.

Plaintiff filed a personal injury suit against Forest Hill alleging her

injuries were caused by its negligence. 1 In response to a motion filed on

plaintiff's behalf, the court ordered Forest Hill to provide plaintiff with insurance

1 Plaintiff's personal injury complaint asserted claims against other defendants as well. We do not address those claims or discuss the other defendants because they are not relevant to the issues presented on appeal. A-0189-21 4 information and permitted plaintiff to contact Forest Hill's liability carrier,

United, concerning her claim. On January 15, 2021, plaintiff provided notice of

her claim directly to United, and United does not dispute it has notice of

plaintiff's claim against Forest Hill. Forest Hill did not request a defense or

indemnification coverage under the policy from United and, although it

acknowledges receipt of notice of plaintiff's personal injury lawsuit, United has

not made any coverage determinations under the policy in the absence of a

request for coverage from Forest Hill.

Plaintiff later filed a separate lawsuit pursuant to the Uniform Declaratory

Judgments Act, N.J.S.A. § 2A:16-50 to -62. She sought a judgment directing

United "provide liability benefits, including indemnification to" Forest Hill

pursuant to the "COVERAGE A BODILY INJURY AND PROPERTY

DAMAGE LIABILITY" provision (the bodily injury liability provision) of the

Forest Hill insurance policy. Plaintiff also sought a judgment directing United

"provide medical expense benefits to plaintiff" for her injuries sustained in the

laundry room accident pursuant to the "COVERAGE C MEDICAL

PAYMENTS" provision (the "medical payments provision") of the policy. In

response to the complaint, United filed a Rule 4:6-2(e) motion to dismiss for

failure to state a claim upon which relief may be granted.

A-0189-21 5 On September 10, 2021, the court granted United's motion, dismissing

plaintiff's complaint without prejudice. The court reasoned that plaintiff did not

have "third-party beneficiary status to enforce" Forest Hill's rights under the

policy and plaintiff did not possess an "actionable interest in the policy" at that

time sufficient to require that United take a position concerning indemnification

coverage. The court also found plaintiff's claim for medical expense benefits

was premature and not yet ripe.

The court explained that although the Condominium Act, N.J.S.A. 46:8B-

1 to -38, and specifically N.J.S.A. 46:8B-14(e), requires condominium

associations "purchase and maintain liability insurance for injuries that occur

within the common areas of the [c]ondominium," and Forest Hill's by-laws

similarly state it shall maintain a liability policy, those requirements do not

mandate that Forest Hill seek coverage under its liability policy when presented

with a claim. The court also determined it could not grant the requested relief—

a declaratory judgment Forest Hill is entitled to indemnification coverage and

medical expense benefits coverage under the policy—because Forest Hill, as the

insured, did not tender a claim and request coverage. The court entered an order

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DAWN K. COOPER v. UNITED SPECIALTY INSURANCE COMPANY (L-9271-19 AND L-3506-21, ESSEX COUNTY AND STATEWIDE) (CONSOLIDATED), Counsel Stack Legal Research, https://law.counselstack.com/opinion/dawn-k-cooper-v-united-specialty-insurance-company-l-9271-19-and-njsuperctappdiv-2022.