DiFrancisco v. Chubb Ins. Co.

662 A.2d 1027, 283 N.J. Super. 601, 1995 N.J. Super. LEXIS 282
CourtNew Jersey Superior Court Appellate Division
DecidedAugust 16, 1995
StatusPublished
Cited by15 cases

This text of 662 A.2d 1027 (DiFrancisco v. Chubb Ins. Co.) 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
DiFrancisco v. Chubb Ins. Co., 662 A.2d 1027, 283 N.J. Super. 601, 1995 N.J. Super. LEXIS 282 (N.J. Ct. App. 1995).

Opinion

283 N.J. Super. 601 (1995)
662 A.2d 1027

ROBERT DiFRANCISCO, PLAINTIFF-APPELLANT,
v.
CHUBB INSURANCE COMPANY, DEFENDANT-RESPONDENT.

Superior Court of New Jersey, Appellate Division.

Argued February 16, 1995.
Decided August 16, 1995.

*603 Before Judges KING, D'ANNUNZIO and EICHEN.

Blake S. Davis argued the cause for appellant (Waters, McPherson, McNeill, P.C., attorneys; William J. Ward, of counsel; Mr. Davis, on the brief).

Robert H. Tell argued the cause for respondent (Tell, Chester & Breitbart, attorneys; Mr. Tell, on the brief).

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

Plaintiff Robert DiFrancisco commenced this action against his insurance company, defendant Chubb Insurance Company, seeking coverage under his homeowner's policy for loss of furnishings, clothing, and jewelry allegedly valued at $87,253. The complaint alleges these items were stolen from his single-family home in Livingston during two burglaries in March and May 1991. The judge granted defendant's motion for summary judgment dismissing the complaint because of plaintiff's refusal to produce the *604 income tax returns and books and records of two closely held corporations he controlled. The judge found that by refusing to cooperate, plaintiff had breached a material condition of the policy justifying denial of coverage. The judge did not reach the issue of plaintiff's alleged concealment or misrepresentation of facts as an alternative reason for defendant's denial of coverage although part of the basis for the motion. The judge also denied plaintiff's cross-motion for partial summary judgment seeking to require defendant to cover the losses.

On the motion, as here, plaintiff argued that he had made a good faith effort to comply with the conditions of the policy, claiming that he had furnished all existing relevant records except the corporate records. As to these, he claimed the law was unclear as to his obligations, and, in any event, in the absence of any objective evidence to support even a reasonable suspicion that he was involved in the alleged thefts, the corporate books and records and related financial information are immaterial to defendant's right to investigate the claim. Finally, he argued that an insurer should not be permitted to exercise unbridled discretion to demand these records on penalty of forfeiture of the insured's rights under the policy.

Defendant countered that reasonable suspicion exists to support its right to demand plaintiff's full compliance with its document requests. Defendant argued that the corporate books and records are highly relevant to plaintiff's financial ability to have acquired the items claimed stolen, to his motive for participating in the fraud, and to his gross exaggeration of the magnitude of the claimed loss. Defendant also contended that an order requiring plaintiff to produce the documents during litigation as part of discovery, three years after the burglaries, comes "too late" and would dilute its right to pursue a prompt investigation of the claim under the policy. Finally, defendant argued that, as a matter of law, plaintiff's "willful breach of the policy" by his failure to produce the requested records automatically voided the claim, *605 preventing him from seeking any legal redress in the courts as provided in the policy.

We affirm the grant of summary judgment in favor of defendant. Plaintiff's refusal to produce the corporate books and records constitutes a material breach of the policy given the substantial suspicious circumstances existing in this case. We add, however, that for future guidance, an insured who is uncertain as to whether it must comply with the document production demands of its insurer under its policy must promptly file a declaratory judgment action seeking judicial clarification of its obligations under the policy.

I.

We now review the background of the case based on the facts obtained during defendant's investigation of the claim through "examinations under oath" and from documents plaintiff produced. In May 1990, plaintiff obtained a homeowner's insurance policy from defendant for his residence located at 224 Hobart Gap Road, Livingston. The policy was effective from May 25, 1990 through May 25, 1991 and provided for "deluxe contents coverage" in the amount of $217,000 with a $250 deductible.

The relevant provisions "explain[ing] the conditions that apply to [the] policy" are as follows:

We do not provide coverage if you or any covered person has intentionally concealed or misrepresented any material fact relating to this policy before or after a loss.
You must prepare an inventory of damaged personal property, describing the property in full. It should show in detail the amount insured under this policy and actual amount of the loss. Attach bills, receipts, and other documents to support your inventory.
We have the right to examine under oath, as often as we may reasonably require, you, family members and other members of your household. We may also ask you to give us a signed description of the circumstances surrounding a loss and your interest in it, and to produce all records and documents we request and permit us to make copies.
You agree not to bring legal action against us unless you have first complied with all conditions of this policy....

*606 The record reflects plaintiff purchased the residence on November 30, 1988 shortly after his judgment of divorce on November 1, 1988. He contends that he retained interior decorators to decorate and furnish the home, claiming that he paid them $130,000, mostly in cash.

For sixteen years, plaintiff was the owner and operator of "Italian Touch," a pizzeria in the Livingston Mall. In September 1989, plaintiff started a new restaurant business in Phillipsburg, New Jersey known as "Rollie's Grill." In order to be near his new restaurant, plaintiff rented an apartment in Easton, Pennsylvania. After he opened Rollie's Grill, he left the Italian Touch to be managed by two employees. At the time of the alleged burglaries, plaintiff was commuting between Phillipsburg, Easton and Livingston trying to oversee both businesses.

Plaintiff alleged that he stayed in Easton between March 9 and March 23, 1991 and that sometime during his absence, the house in Livingston was burglarized and almost all of his possessions were stolen. Plaintiff reported the March burglary to the Livingston Police Department, who prepared an incident report dated March 23, 1991. A substantial number of household items are listed on the report which indicates the value of the stolen items to be $10,020.

Plaintiff contended that on May 15, 1991 his home was again burglarized. This time the police arrived while the burglary was in progress. They apprehended plaintiff's former wife who allegedly admitted removing bedroom furniture from the house claiming it was her furniture. Plaintiff did not file criminal charges against his former wife stating that he did not wish to pursue the matter because of his children.

During this same period, plaintiff was having serious financial problems. The record reflects plaintiff's businesses were failing. Between November 1990 and March 1991 the managers of Italian Touch had pilfered $100,000 from the pizzeria and were also under criminal investigation for an unrelated matter.

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Bluebook (online)
662 A.2d 1027, 283 N.J. Super. 601, 1995 N.J. Super. LEXIS 282, Counsel Stack Legal Research, https://law.counselstack.com/opinion/difrancisco-v-chubb-ins-co-njsuperctappdiv-1995.