Gambino v. State Farm Ins. Co.

791 A.2d 1044, 348 N.J. Super. 204
CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 27, 2002
StatusPublished
Cited by4 cases

This text of 791 A.2d 1044 (Gambino v. State Farm 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
Gambino v. State Farm Ins. Co., 791 A.2d 1044, 348 N.J. Super. 204 (N.J. Ct. App. 2002).

Opinion

791 A.2d 1044 (2002)
348 N.J. Super. 204

Natalie GAMBINO, Executrix of the Estate of Carol Gambino, and Jerry Varrone, Guardian Ad Litem of Thomas Gambino, Jr., and Anthony Gambino, Plaintiffs-Appellants,
v.
STATE FARM INSURANCE CO., Defendant-Respondent.

Superior Court of New Jersey, Appellate Division.

Argued January 24, 2002.
Decided February 27, 2002.

*1045 John F. Marshall, argued the cause for appellants.

John A. Camassa, Manasquan, argued the cause for respondent (Connell & Connell, attorneys; Mr. Camassa, of counsel; Ronald S. Yuro, on the brief).

Before Judges CUFF,[1] WECKER and WINKELSTEIN.

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

On June 7, 1998, Thomas Gambino, Sr., was operating his automobile when it struck a tree. In the vehicle at the time of the accident were his wife, Carol Gambino, their two sons, Thomas, Jr. and Anthony, and an unrelated minor passenger. Carol Gambino was killed, and their two sons and the unrelated minor passenger were injured.

Thomas Gambino's vehicle was insured by State Farm Insurance Company (State Farm) under policy # B073553-E18-30, which provided split limit liability coverage in the amount of $100,000 per person, and $300,000 per accident. By way of settlement, State Farm paid $100,000 to the Estate of Carol Gambino (the Estate), $50,000 each on behalf of Thomas, Jr. and Anthony, and $100,000 to the unrelated passenger, exhausting the total liability limits. Thomas Gambino had a second State Farm policy in effect, # Y43-5107-E17-30,[2] which provided split limit underinsured motorist (UIM) benefits of $250,000 per person and $500,000 per accident.

In this appeal we are asked to decide whether defendant should receive a $200,000 aggregate credit against the $500,000 UIM per accident UIM limit, leaving only $300,000 available to satisfy all of plaintiffs' claims, or whether the credit is computed by separately deducting the amount of liability insurance proceeds received by each injured party from the $250,000 UIM per person limitation.[3] The *1046 latter method would leave the Estate with $150,000 in available UIM coverage ($250,-000 less $100,000 received under the liability policy) and each child with $200,000 available UIM coverage ($250,000 less $50,000 received under the liability policy). Although this calculation would make the aggregate UIM recovery $550,000, plaintiffs concede that their aggregate recovery is capped at $500,000. The Law Division applied an aggregate credit of $200,000 against the $500,000 per accident policy limit. We conclude that N.J.S.A. 17:28-1.1e, which defines underinsured automobile insurance coverage, and case law which has interpreted the statute, require a different result. Under the statute, when, as here, there are multiple claimants who have exhausted the tortfeasor's liability insurance, and UIM coverage is available through a split limit policy, the appropriate credit is determined by applying each injured party's recovery of liability insurance against that party's per person UIM coverage, subject only to the total per accident UIM cap set forth in the policy. Accordingly, we reverse.

I

Plaintiffs demanded arbitration under the UIM policy. State Farm refused to arbitrate until a declaratory ruling was obtained determining the amount of UIM benefits at stake. As a result, on March 24, 2000, plaintiffs filed a complaint and order to show cause seeking to compel State Farm to arbitrate the UIM claims and to provide UIM coverage of $250,000 per person, with a cap of $500,000 for the accident. On the return day of the order to show cause, May 26, 2000, the Law Division heard oral argument. No testimony was taken since the question presented was purely a matter of law. On November 22, 2000, the judge placed an oral decision on the record and issued a written decision. Considering the issue as one of first impression, the court phrased the question as "whether claimants may recover $500,000 from a split limit UIM policy when they've already received settlement monies from the tortfeasor's liability policy for a total of $200,000." The judge found in favor of State Farm. The court, after reading various provisions of the insurance policy into the record, concluded that the "language of the policy is clear that State Farm is obligated to pay the [$]500,000 per accident and is not obligated to pay more than that aggregate sum to satisfy claims arising from a single accident regardless of the number of claimants." Given this conclusion, the judge decided "to subtract the $200,000 previously recovered from the $500,000 per accident limit under the UIM policy, leaving $300,000. Then the parties can either divide evenly the $300,000 or can seek arbitration if State Farm is not willing to pay the total amount of the remaining UIM policy."

II

The purpose of UIM coverage "is to provide as much coverage as an insured is willing to purchase, up to the available limits, against the risk of an underinsured claim." Nikiper v. Motor Club of America Cos., 232 N.J.Super. 393, 399, 557 A.2d 332 (App.Div.), certif. denied, 117 N.J. 139, 564 A.2d 863 (1989). A UIM provision allows an insured to receive "benefits up to the amount contracted for, whether these come from the tortfeasor's policy or from that policy coupled with his own." Clegg v. New Jersey Auto. Full Underwriting Assoc., 254 N.J.Super. 634, 638, 604 A.2d 179 (App.Div.1992) (citation omitted). The principle behind UIM coverage was recently described by Judge Shebell in Calabrese v. Selective Ins. Co., 297 N.J.Super. 423, 431, 688 A.2d 606 (App.Div.1997), overruled on other grounds, Magnifico v. Rutgers Cas. Ins. Co., 153 N.J. 406, 710 A.2d 412 (1998), as follows:

*1047 The principle of UIM coverage is not to make the injured party whole, but to put that person in as good a position as if the tortfeasor possessed an amount of liability insurance equal to the UIM coverage of an `insured' under the policy in question.

[citations omitted.]

As Judge Pressler explained in Longworth v. Van Houten, 223 N.J.Super. 174, 177-78, 538 A.2d 414 (App.Div.1988):

The effect of the coverage is to require the insurer, as a matter of contractual agreement, to pay its insured, to the extent of the coverage purchased, the liability damages which the insured is entitled to from the negligent uninsured or underinsured tortfeasor less, in the case of the underinsured tortfeasor, the amount of the tortfeasor's coverage.... If an underinsured tortfeasor is involved, however, his victim may not pursue his contractual UIM right against his own liability insurer until he has first recovered the tortfeasor's liability by settlement or judgment. That recovery is then offset against the maximum UIM coverage provided for by the policy. Thus, the UIM, but not the UM, coverage has essential attributes of excess rather than primary protection.

III

Our decision is guided by an interpretation of N.J.S.A. 17:28-1.1e, which reads:

e. For the purpose of this section, (1) `underinsured motorist coverage' means insurance for damages because of bodily injury and property damage resulting from an accident arising out of the ownership, maintenance, operation or use of an underinsured motor vehicle....

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Nationwide General Insurance v. Heresi
859 F. Supp. 2d 805 (E.D. Virginia, 2012)
McShane v. New Jersey Manufacturers Insurance
867 A.2d 1207 (New Jersey Superior Court App Division, 2005)
Selective Insurance Co. of America v. Thomas
847 A.2d 578 (Supreme Court of New Jersey, 2004)
Vassiliu v. Daimler Chrysler Corp.
813 A.2d 547 (New Jersey Superior Court App Division, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
791 A.2d 1044, 348 N.J. Super. 204, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gambino-v-state-farm-ins-co-njsuperctappdiv-2002.