Esdaile v. Hartsfield

586 A.2d 334, 245 N.J. Super. 591
CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 8, 1991
StatusPublished
Cited by8 cases

This text of 586 A.2d 334 (Esdaile v. Hartsfield) 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
Esdaile v. Hartsfield, 586 A.2d 334, 245 N.J. Super. 591 (N.J. Ct. App. 1991).

Opinion

245 N.J. Super. 591 (1991)
586 A.2d 334

LAVERNE ESDAILE, PLAINTIFF-RESPONDENT AND CROSS-APPELLANT,
v.
WINZEL HARTSFIELD, DEFENDANT, AND HAZEL FRANK GLUCK, ON BEHALF OF THE UNSATISFIED CLAIM AND JUDGMENT FUND BOARD, DEFENDANT-APPELLANT AND CROSS-RESPONDENT.

Superior Court of New Jersey, Appellate Division.

Argued October 23, 1990.
Decided February 8, 1991.

*593 Before Judges MICHELS, GRUCCIO and D'ANNUNZIO.

Richard J. Mirra argued the cause for appellant and cross-respondent (Boglioli & O'Mara, attorneys; William Pfister, Jr., of counsel and on the brief).

Stanley S. Spector argued the cause for respondent and cross-appellant (Shechet & Spector, attorneys; Stanley S. Spector, of counsel and on the brief).

The opinion of the court was delivered by MICHELS, P.J.A.D.

Defendant Hazel Frank Gluck, on behalf of the Unsatisfied Claim and Judgment Fund Board ("Fund"), appeals from a *594 judgment of the Law Division that awarded plaintiff Laverne Esdaile attorneys' fees and costs of $13,362.05. Plaintiff cross-appeals from that portion of the judgment which ordered her to reimburse the Fund the $26,724.11 that she received in settlement of the personal injury claim.

Briefly, an intoxicated, uninsured motorist struck and seriously injured plaintiff as she stood next to a parked car. Neither plaintiff nor anyone else in her household owned a motor vehicle, nor did plaintiff have any insurance to pay her medical expenses. Because plaintiff lacked insurance coverage, she sought relief from the Fund. The Law Division ordered the Fund to pay plaintiff $40,086.16 as personal injury protection benefits ("PIP benefits").

Plaintiff's attorney discovered thereafter that a $300,000 insurance policy covered the tavern where the uninsured motorist drank before the accident. Plaintiff, thereupon, entered into a settlement with the tavern, releasing the tavern and the tavern owner's estate from "any and all claims for personal injuries as a result of [the] automobile accident ..." in exchange for $275,000.

Plaintiff moved for a determination as to whether the Fund was entitled to reimbursement from the proceeds of the settlement, and if so, whether she was entitled to counsel fees and costs. The trial court ordered plaintiff to reimburse the Fund $40,086.16 less counsel fees and costs of $13,362.05. This appeal followed.

Contrary to plaintiff's claim, the trial court properly required plaintiff to reimburse the Fund the $26,724.11 that she received in settlement with the tavern. There is nothing in this record to show or even suggest that plaintiff's settlement with the tavern's insurance carrier excluded the special damages included in the PIP benefits paid to plaintiff by the Fund. Clearly, plaintiff is not entitled to recover PIP benefits from the Fund and at the same time, recover these same damages in her personal injury damage action against the tavern. Allowing *595 plaintiff to retain the money received from the Fund for PIP benefits, as well as the money obtained from the tavern in settlement, sanctions a double recovery, defeats the important public policies underlying the Fund and undermines the financial integrity and stability of the Fund.

Enacted in 1952, the Unsatisfied Claim and Judgment Fund Law, N.J.S.A. 39:6-61 et seq., "establishes a fund, supported by insurers, to provide damage relief for persons who sustain losses or injury inflicted by financially irresponsible or unidentified operators of motor vehicles when such persons would otherwise be remediless." Ross v. Transport of N.J., 114 N.J. 132, 137, 553 A.2d 12 (1989) (citing Tiger v. American Legion Post No. 43, 125 N.J. Super. 361, 371, 311 A.2d 179 (App.Div. 1973); McKenna v. Wiskowski, 181 N.J. Super. 482, 489, 438 A.2d 355 (Ch.Div. 1981)). The Legislature created the Fund to "provide the kind of protection a liability insurance policy would provide." 25 New Jersey Practice § 1151 (1987). However, the Fund is not obligated to "make every claimant completely whole, but merely to provide some basic measure of relief to persons entitled thereto under its terms in order to forestall the possible hardship attendant on a claimant's absorption of the entire economic loss occasioned by the accident...." Id. A strong public policy favors the protection of the Fund's financial integrity, Ross v. Transport of N.J., 114 N.J. at 146, 553 A.2d 12, and thus, the Fund must "be administered in a fashion to assure that only those persons legitimately entitled to participate in its benefits are paid therefrom." Douglas v. Harris, 35 N.J. 270, 279, 173 A.2d 1 (1961).

In 1972, the Legislature amended the original Fund statute to allow the payment of PIP benefits in addition to traditional damages. N.J.S.A. 39:6-86.1-.6. To qualify for PIP benefits, the claimant must meet the eligibility requirements of the original Fund statute. N.J.S.A. 39:6-86.1e. Specifically, the claimant must show that she is "not covered with respect to such injury ... by any compensation law," N.J.S.A. 39:6-70(a), *596 and that at the time of the accident she was not operating a stolen vehicle or driving the vehicle without the owner's permission. N.J.S.A. 39:6-70(c). The PIP provisions of the Fund law, unlike the original law, do not require that amounts received from the Fund be reduced by money received from other sources. N.J.S.A. 39:6-70(m); N.J.S.A. 39:6-71(b).

In Wilson v. Unsatisfied Claim & Judgment Fund Bd., 109 N.J. 271, 536 A.2d 752 (1988), the Supreme Court discussed the payment of PIP benefits by the Fund where the claimant has an action against a third party for damages. In Wilson, plaintiff, a five-year old, suffered injuries when his uncle's uninsured car collided with a school bus operated by the Township of Moorestown Board of Education. Plaintiff filed claims against both the Fund and the Township. Plaintiff settled with the Township for $20,000. The Fund resisted the payment of PIP benefits to plaintiff arguing that plaintiff failed to first collect the expenses from the other parties in the case. Recognizing that the Legislature created PIP benefits to provide injured persons with ready access to medical and other important benefits, the Court concluded that "the presence of a responsible third party tortfeasor does not of itself make the claimant in an uninsured motor vehicle ineligible to recover PIP benefits from the Fund." Id. at 279, 536 A.2d 752.

Despite the availability of the third party claim, the Court allowed plaintiff to recover PIP benefits. However, the Court expressly disallowed a double recovery of PIP benefits and held, that in an appropriate case, the Fund may seek reimbursement for sums that plaintiff receives from the insured third party. In the Court's words:

[The trial court] directed the Fund to pay the plaintiff's PIP claims upon presentation of proper proofs. In another case, the Fund might wish to seek reimbursement or subrogation if the settlement was exclusive of "PIP-type" damages, or to disallow recovery if the settlement duplicates recovery for items such as lost wages or medical specials. If there is one definite principle that emerges from our PIP law, policy, and precedent, it is that there shall be no double recovery of PIP benefits. [Id. at 281, 536 A.2d 752].

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Bluebook (online)
586 A.2d 334, 245 N.J. Super. 591, Counsel Stack Legal Research, https://law.counselstack.com/opinion/esdaile-v-hartsfield-njsuperctappdiv-1991.