Hanover Ins. Co. v. Lewis

616 A.2d 963, 260 N.J. Super. 380
CourtNew Jersey Superior Court Appellate Division
DecidedAugust 31, 1992
StatusPublished
Cited by8 cases

This text of 616 A.2d 963 (Hanover Ins. Co. v. Lewis) 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
Hanover Ins. Co. v. Lewis, 616 A.2d 963, 260 N.J. Super. 380 (N.J. Ct. App. 1992).

Opinion

260 N.J. Super. 380 (1992)
616 A.2d 963

THE HANOVER INSURANCE COMPANY, AS SERVICING CARRIER FOR NEW JERSEY FULL AUTOMOBILE UNDERWRITING ASSOCIATION, AND KRISHNADAS MEHTA, PLAINTIFFS,
v.
LESTER LEWIS AND THE HARTFORD INSURANCE COMPANY, DEFENDANTS.

Superior Court of New Jersey, Law Division Union County.

Decided August 31, 1992.

*381 Harold Seide, for plaintiffs (Keane, Brady, & Burns, attorneys).

Mary Breslin, for defendants (Purcell, Ries, Shannon, Mulcahy & O'Neill, attorneys).

MENZA, J.S.C.

Plaintiffs move for summary judgment.

The question presented in this case is whether personal injury protection (PIP) reimbursement recovery is limited to the amount of the tortfeasor's liability policy.

The plaintiff Krishnadas Mehta (Mehta) was injured as a result of an automobile accident involving the defendant Lester Lewis (Lewis), who was operating a commercial vehicle at the time.

*382 The plaintiff, Hanover Insurance Company (Hanover), insured the Mehta vehicle.

The defendant, Hartford Insurance Company (Hartford), insured the Lewis vehicle and has paid to the plaintiff the sum of $35,000.00 — the full amount of Lewis liability policy. Since the Lewis vehicle was a commercial vehicle, it did not have PIP coverage.

Hanover now seeks reimbursement from Hartford, Lewis' insurance company[1], for the PIP benefits that it paid to Mehta ($13,702.87), pursuant to N.J.S.A. 39:6A-9.1, Recovery of Personal Injury Protection Benefits from Tortfeasors.

Hartford objects, contending that it has paid to Mehta the limits of its liability policy and it is therefore not liable for any further payments. Hartford's policy provides:

Coverage
We will pay all sums an "insured" legally must pay as damage because of "bodily injury" or "property damage" to which this insurance applied, caused by an "accident" and resulting from the ownership, maintenance or use of a covered "auto."
Limit of Insurance
Regardless of the number of covered "autos," "insureds," premiums paid, claims made or vehicles involved in the "accident," the most we will pay for all coverage resulting from any one "accident" is the unit of insurance for liability coverage shown in the declarations.

The original reimbursement statute, N.J.S.A. 39:6A-9, was stated in terms of subrogation and provided:

Any insurer paying benefits in accordance with the provisions of section 4 and section 10, personal injury protection coverage, regardless of fault, shall be subrogated to the rights of any party to whom it makes such payments, to the extent of such payments. Such subrogated insurer may only by intercompany arbitration or by intercompany agreement exercise its subrogation rights against only the insurer of any person liable for such damages in tort provided, however, that such insurer may exercise its subrogation rights directly against any person required to have in effect the coverage required by this act and who failed to have such coverage in effect at the time of the accident. The *383 exemption from tort liability provided in section 8 does not apply to the insurers' subrogation rights. On and after 2 years from the effective date of this act the provisions of this section shall be inoperative. (emphasis added).

In the case of Pa. Mfgrs. Assn. Ins. Co. v. Govt. Emp. Ins. Co., 136 N.J. Super. 491, 347 A.2d 5 (App.Div. 1975), the court concluded that the statute, in providing for subrogation, granted to the insurer only those rights which the PIP recipient would have had against the tortfeasor's insurer. The court said:

We find no indication in the No Fault Law evidencing a legislative intent to tamper with the existing law of normal subrogation.... The rights of ... [the plaintiff] ... are therefore controlled by existing subrogation principles, with the right and quantum of recovery equated with that of the injured person to whom the PIP payments were made.
........
Since under the PIP provision of the No Fault Law she is reimbursed on a first-party basis by her host's insurance carrier, she is required to forego her right to recover for these reimbursed expenses and Pennsylvania is subrogated to recover from GEICO in an amount limited by the coverage of the liability feature of its policy. (Id. at 498, 347 A.2d 5).

The statute expired on January 1, 1975, two years after it was enacted.

In 1981, after the expiration of the first statute and prior to the enactment of the current statute, the Supreme Court, in the case of Aetna Ins. Co. v. Gilchrist Bros. Inc., 85 N.J. 550, 428 A.2d 1254 (1981), held that an insurer seeking subrogation had only those rights which its insured had. It stated:

The underpinning of subrogation is its derivative nature. The insurer obtains only the right of the insured against the tortfeasor subject to defenses of the wrongdoer against the insured ...
........
Therefore, the rights of the insured beneficiary, the subrogor, become the rights of the subrogated insurer. No additional rights are created. No new cause of action comes into existence ...
........
The issue then is what rights ... [the decedent] .. . had which would have entitled him to recover from... [defendants] ... those expenses incurred as a result of the automobile accident and paid as part of the PIP coverage under the Aetna policy. The answer is none. It is none because the New Jersey *384 Automobile Reparation Reform Act, N.J.S.A. 39:6A-1 et seq., which mandates that every automobile liability insurance policy must provide PIP coverage, has eliminated the ability of the insured in an action in this State to recover damages from the tortfeasor for the amounts collectible or paid under PIP ... (Id. at 560-562 [428 A.2d 1254]).
........
In the absence of a clearly expressed legislative intent to the contrary, we regard the language in . .. [N.J.S.A. 39:6A-12] ... as conclusive, irrespective of the nature of the tortfeasor's insurance coverage. The rights of plaintiff's insurance carrier as subrogee cannot exceed those of its insured. Since the injured plaintiff could not recover PIP damages from the tortfeasor, neither could plaintiff's insurance carrier.
........
The arguments marshalled by the dissent should more properly be directed to the Legislature. The Legislature decided injured plaintiffs may not recover PIP payments from the tortfeasor who thereby benefits from a collateral source. It is not for us to rewrite the statute to comport with our judgment of what we may consider to be a wiser course. (Id. at 566, 428 A.2d 1254).

The Legislature responded in 1983 by enacting the current statute N.J.S.A. 39:6A-9.1. This statute makes no mention of a subrogation right as did the prior statute. Instead, it explicitly states that an insurer who makes PIP payments shall have the right to recover the amount of payments from the tortfeasor. The statute provides:

Any insurer ... paying personal injury protection benefits ... as a result of an accident occurring within this State, shall, within two years of filing of the claim,

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Bluebook (online)
616 A.2d 963, 260 N.J. Super. 380, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hanover-ins-co-v-lewis-njsuperctappdiv-1992.