Gazis v. Miller

892 A.2d 1277, 186 N.J. 224, 2006 N.J. LEXIS 367
CourtSupreme Court of New Jersey
DecidedMarch 20, 2006
StatusPublished
Cited by15 cases

This text of 892 A.2d 1277 (Gazis v. Miller) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gazis v. Miller, 892 A.2d 1277, 186 N.J. 224, 2006 N.J. LEXIS 367 (N.J. 2006).

Opinions

Justice LaVECCHIA

delivered the opinion of the Court.

In this appeal we must determine whether an occurrence-based excess liability policy of insurance is unavailable to an accident victim because the tortfeasor failed to give timely notice to its excess carrier. The Appellate Division held that, in the absence of prejudice, the excess insurer could not decline coverage based on the insured’s failure to comply with the policy’s 120 day notice provision. Gazis v. Miller, 378 N.J.Super. 59, 874 A.2d 591 (App.Div.2005). We agree with the conclusion reached by the panel and, therefore, affirm.

I.

On January 9, 2000, an automobile driven by Father Fred Miller struck and injured a pedestrian, plaintiff John Gazis. Miller was [226]*226driving a car owned by his employer, the Archdiocese of Newark. At the time of the accident the Archdiocese had a primary automobile insurance policy issued by Lumberman’s Mutual Casualty (Lumberman’s), which provided liability protection of 1250,000.1 In addition, the Archdiocese augmented its coverage with a $750,000 excess policy (for indemnification, but not defense) issued by The National Catholic Risk Retention Group, Inc. (National).

National is a risk retention group operating pursuant to the Liability Risk Retention Act of 1986, 15 U.S.CA § 3901 to -3906, which allows it to provide liability insurance to entities engaged in similar or related activities. National’s owners and insureds are Roman Catholic organizations throughout the United States. Its board of directors consists of representatives from those groups. National’s policy contains the following provision:

Notification of Claims—[the insured] shall give written notice to the Company as soon as practicable but no more than 120 days after receiving notice of any event which gives rise to or may give rise to a covered Loss irrespective of any apparent liability____
In the event the Insured fails to provide such notice within a 120 day period after receiving notice of any event, this Policy will not apply to any such injury.

The day after the accident, Miller reported the accident to Kemper. By April 2000, Kemper had learned that Gazis had retained counsel in respect of the accident. And, by October 2, 2000, Kemper knew enough about the extent of Gazis’s injuries that it set its reserve at $275,000. It also was plainly aware by then that it should give notice to National, but did not do so until June 21, 2001, apparently without excuse. National denied cover[227]*227age on the Archdiocese’s indemnification claim solely because it did not receive notice of the claim within the 120 day period required by the policy.

Gazis filed his complaint against the Archdiocese in January 2002 and the Archdiocese impleaded National as a third-party defendant to obtain indemnification. The matter went to arbitration and resulted in an award to Gazis that exceeded $1 million. The Archdiocese obtained a trial de novo and ultimately settled with Gazis for $500,000. In settlement, Gazis accepted payment of the Lumberman’s policy limit of $250,000 and an assignment of the Archdiocese’s rights, if any, to recover the remaining $250,000 from National.

Thereafter, cross-motions for summary judgment were filed by the remaining parties, National and Gazis. The trial court determined that although National had suffered no prejudice as a result of the late notification, prejudice did not have to be present for National to deny coverage when an insured violated the 120-day notice requirement for claims. The court noted that the contracting parties in this risk retention arrangement were sophisticated and that the excess policy negotiated with National was not a contract of adhesion. Furthermore, the court found the policy’s requirement of notice within 120 days to be unambiguous. Accordingly, the trial court denied the motion filed by Gazis and granted summary judgment to National based on the late notice. Gazis appealed.

The Appellate Division reversed and remanded for entry of judgment against National, holding that under this occurrence-based liability policy the excess carrier could not forfeit coverage unless it proved both “a breach of the notice provision and a likelihood of appreciable prejudice.” Gazis, supra, 378 N.J.Super. at 60, 64, 874 A.2d 591. The panel relied on the rationale of Cooper v. Gov’t Employees Ins. Co., 51 N.J. 86, 237 A.2d 870 (1968), for imposing an “appreciable prejudice” requirement before late notice of a claim could justify a forfeiture of coverage. Gazis, supra, 378 N.J.Super. at 64, 874 A.2d 591. The panel [228]*228explained that whether this policy, issued as part of a risk-pooling arrangement, could be called a contract of adhesion was not determinative of application of Cooper’s prejudice requirement. Id. at 67, 874 A.2d 591. Rather, the panel found the Cooper Court’s concern with “affording compensation for tort victims” to be the more compelling justification for adhering to Cooper’s prejudice requirement in this excess insurance setting. Ibid. The Appellate Division further found “unassailable” the trial court’s finding that National failed to prove that it suffered any prejudice as a result of the delay in notice because National had no duty to defend the case and was aware of the circumstances of the case six months before suit was filed. Id. at 67-68, 874 A.2d 591.

We granted National’s petition for certification seeking review of the Appellate Division’s judgment. 185 N.J. 265, 888 A.2d 1062 (2005).

II.

In Cooper v. Gov’t Employees Ins. Co., supra, an insured was denied coverage under an automobile liability policy because neither he nor his wife notified the insurer of a car accident until two years after it occurred. 51 N.J. at 88-89, 237 A.2d 870. The insurer claimed that that was a breach of the policy because it required notification of an “accident, occurrence, or loss” to be provided “as soon as practicable.” Id. at 89-90, 237 A.2d 870. The policy also stated that no action would lie against the insurer unless “as a condition precedent” the insured complied with all terms of the policy, including the notice provision. Id. at 91, 237 A.2d 870.

This Court held that an insurance carrier may not forfeit coverage unless the carrier proves both “a breach of the notice provision and a likelihood of appreciable prejudice.” Id. at 94, 237 A.2d 870.

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892 A.2d 1277 (Supreme Court of New Jersey, 2006)

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Bluebook (online)
892 A.2d 1277, 186 N.J. 224, 2006 N.J. LEXIS 367, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gazis-v-miller-nj-2006.