Horesh v. State Farm Fire & Cas. Co.

625 A.2d 541, 265 N.J. Super. 32, 1993 N.J. Super. LEXIS 219
CourtNew Jersey Superior Court Appellate Division
DecidedMay 27, 1993
StatusPublished
Cited by14 cases

This text of 625 A.2d 541 (Horesh v. State Farm Fire & Cas. 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
Horesh v. State Farm Fire & Cas. Co., 625 A.2d 541, 265 N.J. Super. 32, 1993 N.J. Super. LEXIS 219 (N.J. Ct. App. 1993).

Opinion

265 N.J. Super. 32 (1993)
625 A.2d 541

ESTA HORESH, PLAINTIFF-RESPONDENT, CROSS-APPELLANT,
v.
STATE FARM FIRE & CASUALTY COMPANY, DEFENDANT-APPELLANT, CROSS-RESPONDENT.

Superior Court of New Jersey, Appellate Division.

Argued March 30, 1993.
Decided May 27, 1993.

*34 Before Judges PRESSLER, R.S. COHEN and KESTIN.

Craig M. Terkowitz argued the cause for appellant, cross-respondent (Vitiello, Seltzer, Terkowitz & Vitiello, attorneys, Kenneth A. Seltzer of counsel and on the brief).

David L. Ploshnick argued the cause for respondent, cross-appellant (Baer, Arbeiter & Ploshnick, attorneys, Mr. Ploshnick of counsel and on the brief).

The opinion of the court was delivered by R.S. COHEN, J.A.D.

Plaintiff's husband started an action to recover for an injury to their infant son. Defendants filed a third-party complaint against plaintiff for contribution and indemnification. State Farm was the family's homeowners' insurer. Plaintiff requested State Farm to defend her, but it declined to do so. State Farm took the position that the claim was excluded by the terms of the insurance policy. Plaintiff then sought a declaratory judgment that State Farm both covered the third-party claim and was obliged to defend it. The Law Division ruled that the claim was *35 not covered, but that State Farm nevertheless had the duty to defend plaintiff against it.[1] State Farm appealed the ruling that it had to defend; as to it, we reverse. Plaintiff cross-appealed the ruling that there was no coverage; as to it, we affirm.

Plaintiff was walking with her son through a store. According to the complaint filed against the owner and operator of the store, defendants negligently "allowed a free standing display to fall and strike the infant plaintiff." Defendants denied negligence and filed a third-party complaint against the mother (plaintiff here) for indemnification and contribution. They first alleged that plaintiff breached her duty to exercise reasonable care for the safety of her son. Then, defendants charged that plaintiff breached her duty to supervise her son "in that she wilfully and with wanton carelessness failed to watch over and supervise her child." The harsh allegations against plaintiff were doubtless designed to satisfy the rule of Foldi v. Jeffries, 93 N.J. 533, 461 A.2d 1145 (1983), which limits the tort liability of a parent for failure to supervise his or her child to cases in which the parent "has willfully or wantonly failed to watch over [the] child." Id. at 547, 461 A.2d 1145.

When plaintiff sought coverage and a defense, State Farm's position was that, although plaintiff was an insured for liability, so was her infant son, and the policy excluded liability claims of one insured against another insured. In other words, State Farm said there was no coverage for intra-family tort claims.

Coverage L of the policy states:

If a claim is made or a suit is brought against an insured for damages because of bodily injury or property damage to which this coverage applies, we will
1. pay up to our limit of liability for the damages for which the insured is legally liable; and
2. provide a defense at our expense by counsel of our choice.

*36 Immediately following the quoted provision is a list of exclusions, which includes:

Coverage L and Coverage M[2] do not apply to:
* * * * * * * *
h. bodily injury to you or any insured within the meaning of part a. or b. of the definition of insured.

In pertinent part, the definition of "insured" includes:

"you and if residents of your household:
a. your relatives;
b. any other person under the age of 21 who is in the care of a person described above."

Homeowners' insurance policies commonly exclude bodily injury claims by resident relatives. The reason is that insurers fear collusive intra-family claims they believe put them at a serious disadvantage. It is a hard job to defend a claim when plaintiff and defendant agree that defendant was very negligent and plaintiff was terribly injured.

Recognizing this problem, we validated a policy exclusion just like the present one in Foley v. Foley, 173 N.J. Super. 256, 414 A.2d 34 (App.Div. 1980). There, a wife sued her husband for injuries resulting from his negligence and assault. The homeowners' insurer disclaimed on the basis of an exclusion for "bodily injury to any insured." The wife argued that the exclusion violated public policy because Merenoff v. Merenoff, 76 N.J. 535, 388 A.2d 951 (1978), had recently ended interspousal tort immunity for personal injuries arising from a domestic or household accident.

We disagreed. We said that there is no legal requirement that a homeowners' policy have a particular range of coverages,[3] or, *37 indeed, that a homeowner carry any insurance. On that basis, we distinguished cases which invalidated automobile liability policy exclusions of claims for injuries to an insured. Auto policies are mandated, are heavily regulated and are required by law to contain particular coverages. The exclusion of auto injuries to an insured is not permitted by law. Kish v. Motor Club of Am. Ins. Co., 108 N.J. Super. 405, 261 A.2d 662 (App.Div.), certif. denied, 55 N.J. 595, 264 A.2d 68 (1970).

In the absence of any statutory or substantial public policy requirement to cover liability for an insured's injury, a homeowners' insurance policy may exclude such liability from coverage, and courts have to enforce the exclusion. Plaintiff argues, however, that a claim for indemnification and contribution is something different, and is not what the policy excludes.

We disagree. Coverage for liability claims under the State Farm policy attaches when "a claim is made ... against an insured because of bodily injury ..." but it "does not apply to ... bodily injury to you or any insured." A demand for indemnification and contribution by a party sued by an injured insured is the equivalent of a liability claim against one insured for the injuries to the other insured. That was our holding in Knoblock v. Prudential Prop. & Cas. Ins. Co., 260 N.J. Super. 127, 615 A.2d 644 (App.Div. 1992). We said there:

In a personal injury action, indemnity claims of someone only vicariously liable and contribution claims of a joint tortfeasor are derived solely from the "bodily injury" claim of the injured person. Where that bodily injury is allegedly sustained by "any insured," the exclusion withdraws coverage. [Id. at 130, 615 A.2d 644].

We recognized in Knoblock that the purpose of excluding intra-family tort claims was to diminish the risk to the insurer of collusive claims. That risk exists even where there is no direct claim between family members. Where a claimant and one of the possibly responsible people have a common purpose to do so, they can manipulate a lawsuit to produce a distorted outcome.

Plaintiff also argues that, although the exclusion for claims by insured persons may be clear, the extension of that exclusion to third-party claims is unclear and contrary to the reasonable *38

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

Related

Estate of Miles C. Brackin v. Phillip Snowden Brackin, III
New Jersey Superior Court App Division, 2025
Wear v. Selective Ins. Co.
190 A.3d 519 (New Jersey Superior Court App Division, 2018)
Khandelwal v. Zurich Insurance
50 A.3d 52 (New Jersey Superior Court App Division, 2012)
Hebela v. Healthcare Ins. Co.
851 A.2d 75 (New Jersey Superior Court App Division, 2004)
Buono v. Scalia
817 A.2d 400 (New Jersey Superior Court App Division, 2003)
Zacarias v. Allstate Insurance
775 A.2d 1262 (Supreme Court of New Jersey, 2001)
Zacarias v. Allstate Ins. Co.
749 A.2d 394 (New Jersey Superior Court App Division, 2000)
GRAND COVE II CONDO. v. Ginsberg
676 A.2d 1123 (New Jersey Superior Court App Division, 1996)
Wickner v. American Reliance Ins. Co.
642 A.2d 1046 (New Jersey Superior Court App Division, 1994)
Weitz v. Allstate Ins. Co.
642 A.2d 1040 (New Jersey Superior Court App Division, 1994)

Cite This Page — Counsel Stack

Bluebook (online)
625 A.2d 541, 265 N.J. Super. 32, 1993 N.J. Super. LEXIS 219, Counsel Stack Legal Research, https://law.counselstack.com/opinion/horesh-v-state-farm-fire-cas-co-njsuperctappdiv-1993.