Grayson v. National Fire Insurance

313 F. Supp. 1002, 1970 U.S. Dist. LEXIS 11430
CourtDistrict Court, D. Puerto Rico
DecidedJune 8, 1970
DocketCiv. No. 754-68
StatusPublished
Cited by9 cases

This text of 313 F. Supp. 1002 (Grayson v. National Fire Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Grayson v. National Fire Insurance, 313 F. Supp. 1002, 1970 U.S. Dist. LEXIS 11430 (prd 1970).

Opinion

OPINION and ORDER

CANCIO, Chief Judge.

This action was submitted to the Court on stipulations and upon a motion for Judgment on the Pleadings.

The uncontroverted facts are that on January 2, 1968 Mr. and Mrs. Grayson, domiciliaries of New Jersey were vacationing at the Holiday Inn Hotel in San Juan, Puerto Rico. At about 5:00 P.M. on that day, while riding in a Star Taxi cab operated by Agustín Rodriguez, cab operator’s license number 2376, and while approaching said hotel they were involved in an accident. The accident occurred as they were turning on the Boca de Cangrejos road in order to enter the Holiday Inn Hotel. Although [1004]*1004the Graysons stated that they might have been struck in the rear, after recovering from the daze they saw no other vehicle and were immediately taken to Presbyterian Hospital for emergency treatment. Since treatment was then prescribed on a daily basis, they moved to the Howard Johnson Hotel in order to be near the doctors. Mr. Grayson had an insurance policy that included “non-insured motorist coverage” issued by American Casualty Company of Reading. Under the non-insured coverage Mr. Grayson was entitled to medical payments and to all damages if the liable party in an out of state (i. e. out of New Jersey) accident was either a hit and run driver or uninsured for liability coverage.

Both National Fire Insurance Company and American Casualty Company of Reading are part of the same insurance group, and are commonly owned and the claims departments are jointly run with a single banking account through the Harris Trust & Savings Bank in Chicago, Illinois. This group is known as the Continental National American Group (CNA). The medical payments were made by CNA and charged to policy number AS 2959574, which was the policy issued by American Casualty Company of Reading to the Graysons. Several checks were issued for the last of the medical payments marked “In payment of any and all claims.” These cheeks were refused by Grayson’s counsel until a check was received marked for “medical payments.”

After suit was instituted, a deposition was held of the Puerto Rican Claims Manager of CNA. That deposition, along with the exhibits was made part of the stipulation. At the deposition, for the first time it was learned that the “unknown” car involved in the accident was in fact a “público”, a special kind of franchise for carrying passengers for hire as permitted in Puerto Rico.

The defendants then filed a suit against the owner and driver of the público. There has been no appearance from the third party defendant, nor any assurance that it had a público policy in effect. Nevertheless, plaintiffs have assumed and stipulated that such a policy existed and was in effect.

On January 26, 1970 the above entitled action was called for trial. At that time both parties advised the Court they were willing to waive jury trial and stipulate the facts. In the opinion of both counsel there was but one controlling question of law which determined the entire outcome of the litigation, save the issue of damages. The parties further agreed to stipulate the damages,' but that if damages could not be stipulated and the decision were in favor of the plaintiffs, a trial would be held on the issue of damages, only.

The case thus narrows to the issue of the liability of CNA through American Casualty Company o.f Reading under its “non-insured motorist coverage.” Plaintiffs stipulated that as the accident is described in the police accident report, there is no liability on the part of Star Taxi or its insurer. Likewise, there is no longer any issue of a “hit and run” as described in the policy. The only issue, and it is a question of law, is whether the third party defendant is a non-insured motorist, within the meaning of the New Jersey statutes and the policy endorsement.

Under Part IV of said policy (Protection Against Uninsured Motorists), the term “uninsured automobile” is defined as

“an automobile or trailer with respect to the ownership, maintenance or use of which there is, in at least the amounts specified by the financial responsibility law of the state in which the insured automobile is principally garaged, no bodily injury liability bond or insurance policy applicable at the time of the accident with respect to any person or organization legally responsible for the use of such automobile, or with respect to which there is a bodily injury liability bond or insurance policy applicable at the time of the accident but the company writ[1005]*1005ing the same denies coverage thereunder.”

Under the financial responsibility laws of New Jersey, New Jersey Statutes Annotation 39 :6-46, self-insurance bonds or insurance policies in an amount not less than “$10,000.00, exclusive of interest and costs, on account of injury to or death of one person, and, subject to the same limit with respect to injury or death of one person of $20,000.00, exclusive of interest and costs, on account of one accident resulting in injury or death of more than one person * *

New Jersey also requires by law that all policies carry noninsured motorist protection for New Jersey insureds injured outside of New Jersey [N.J.S.A. 39:6-25. The insurance policy complies with this provision as well, by contáining on page 18 a provision that reads:

“NEW JERSEY — The insurance afforded by the Protection Against Uninsured Motorists Coverage with an automobile principally garaged in New Jersey does not apply to an accident occurring in New Jersey.”

In the definitions contained in NJSA 39:6-62 an insured vehicle is defined as follows:

“ ‘Uninsured motor vehicle’ means a motor vehicle as to which there is not in force a policy meeting the requirements of sections 3, 24, 25, or 26 of the Motor Vehicle Security-Responsibility Law of this State, established pursuant to the provisions of chapter 173 of the laws of 1952,2 as amended and
supplemented, and which is not owned by a holder of a certificate of self-insurance under said law.”

Finally, New Jersey has a fund to pay New Jersey residents injured or killed in New Jersey by non-registered and non-insured vehicles (principally out-of-state drivers).

This statutory scheme is widespread in the United States and is remedial in nature, designed to afford the maximum protection to a state’s resident. White v. Nationwide Mutual Insurance Company, 4 Cir. 1966, 361 F.2d 785; Nationwide Mutual Insurance Company v. Sours, 205 Va. 602, 139 S.E.2d 51 (1964); Pattani v. Keystone Insurance Company, 1966, 209 Pa.Super. 15, 223 A.2d 899; Andeen v. Country Mutual Insurance Company, 1966, 70 Ill.App.2d 357, 217 N.E.2d 814; Long, The Law of Liability Insurance, Vol. 2 § 24.09; Indemnity Ins. Company of North America v. Metropolitan Casualty Insurance Co. of New York, 53 N.J.Super. 90, 146 A.2d 692 (1958).

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Bluebook (online)
313 F. Supp. 1002, 1970 U.S. Dist. LEXIS 11430, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grayson-v-national-fire-insurance-prd-1970.