Hutnick v. ARI Mut. Ins. Co.

918 A.2d 729, 391 N.J. Super. 524, 2007 N.J. Super. LEXIS 96
CourtNew Jersey Superior Court Appellate Division
DecidedApril 4, 2007
StatusPublished
Cited by8 cases

This text of 918 A.2d 729 (Hutnick v. ARI Mut. 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
Hutnick v. ARI Mut. Ins. Co., 918 A.2d 729, 391 N.J. Super. 524, 2007 N.J. Super. LEXIS 96 (N.J. Ct. App. 2007).

Opinion

918 A.2d 729 (2007)
391 N.J. Super. 524

Michael HUTNICK, Plaintiff-Respondent,
v.
ARI MUTUAL INSURANCE COMPANY, Defendant-Appellant.

Superior Court of New Jersey, Appellate Division.

Argued February 15, 2007.
Decided April 4, 2007.

*730 John J. Welch, Manasquan, argued the cause for appellant.

Jason E. Shamy, New Brunswick, argued the cause for respondent (Shamy, Shipers & Lonski, attorneys; Mr. Shamy, on the brief).

Before Judges LEFELT, PARRILLO and SAPP-PETERSON.

The opinion of the court was delivered by

PARRILLO, J.A.D.

Underinsured motorist (UIM) insurer, ARI Mutual Insurance Company (ARI or defendant), appeals from a December 13, 2005 order of the Law Division allowing the UIM claim of insured Michael Hutnick (plaintiff or Hutnick) to proceed to arbitration and rejecting ARI's contention that its insured's Longworth notification[1] was insufficient and therefore excused the insurer from UIM liability. We affirm.

The essential facts are not really in dispute. Plaintiff was injured in an automobile accident on July 2, 2004, while operating a van owned by his company and insured by ARI under a business auto policy with $500,000 in UIM coverage. The vehicle that hit plaintiff was insured by American International Companies (AIG) with policy limits of $15,000.

Plaintiff's policy, effective January 1, 2004, contained an endorsement providing:

2. With respect to damages resulting from an "accident" with an "underinsured motor vehicle", we will pay under this coverage only if a. or b. below applies:
a. The limit of any applicable liability bonds or policies have been exhausted by judgments or payments; or
b. A tentative settlement has been made between an "insured" and the insurer of an "underinsured motor vehicle" and we:
(1) Have been given prompt written notice of such tentative settlement; and
(2) Advance payment to the "insured" in an amount equal to the tentative settlement within 30 days after receipt of notification.

Another section, entitled "Changes In Conditions" provides:

The Conditions are changed for Uninsured and Underinsured Motorists Coverage as follows:
....
2. Duties In The Event Of Accident, Claim, Suit Or Loss is changed by adding the following:
a. Promptly notify the police if a hit-and-run driver is involved; and
b. Promptly send us copies of the legal papers if a "suit" is brought.
c. A person seeking coverage under this endorsement must also promptly notify us, in writing, of a tentative settlement between the "insured" and the Insurer of an "underinsured motor vehicle", and allow us to advance payment to that "insured" in an amount equal to the tentative settlement within 30 days after receipt of notification to preserve our rights against the insurer, owner or operator of such "underinsured motor vehicle".

Accordingly, plaintiff promptly advised ARI in writing on August 19, 2004 that the tortfeasor had a limited policy of $15,000 and therefore was "notifying [defendant] of an underinsured claim for injuries and damages sustained by [plaintiff]". The letter *731 requested that defendant "turn [the] matter over to [its] attorney and have [the] attorney select an arbitrator". In subsequent correspondence of September 7, 2004, plaintiff forwarded a copy of the police report to defendant, naming the identity and address of the tortfeasor, and later, by letter of October 20, 2004, plaintiff requested of Kristin Mayes, an employee of defendant, confirmation that plaintiff had UIM coverage of $500,000.

On October 26, 2004, plaintiff's counsel had a conversation with Mayes wherein he advised her of a written settlement offer from AIG dated the day before — October 25, 2004 — offering plaintiff the tortfeasor's $15,000 policy limit.[2] This was confirmed by letter of October 27, 2004, formally advising defendant that AIG had offered plaintiff $15,000 conditioned upon receipt of medical bills and records, and enclosing AIG's letter of August 3, 2004, indicating that the liability limit was $15,000. The October 27, 2004 letter from plaintiff's counsel reads:

This will confirm our telephone conversation on October 26, 2004. I am advising you that the underinsured carrier has agreed to offer their limits of $15,000.00 upon receipt of medical bills and medical records.
Additionally, this is [sic] will acknowledge that you have confirmed that the UIM benefits is [sic] $500,000.00. Likewise, all medical bills must be paid by PIP. There is no provision for medical payment in either of the commercial policies.
I am enclosing herewith a letter from AIG Insurance Company dated August 3, 2004, indicating that the liability limit is $15,000.00.

After waiting thirty-three days from the transmission of the October 27, 2004 letter, and having received no response from ARI — neither any objection to settlement nor request for additional information or time — on November 29, 2004, plaintiff tendered a general release from liability to AIG's insured in exchange for $15,000.

Next, by letter of December 17, 2004 to ARI, plaintiff made a formal demand for arbitration, and reiterated that demand in a follow-up letter of February 17, 2005, enclosing an updated medical report. When ARI responded that it needed proof of the tortfeasor's limited policy and a complete medical package, plaintiff's counsel replied in a June 1, 2005 letter that the requested information had already been supplied and that if defendant did not name an arbitrator within fifteen days, plaintiff would file a declaratory judgment action to compel arbitration.

Receiving no response, on September 1, 2005, plaintiff filed an order to show cause and verified complaint seeking to compel defendant to arbitrate his claim for UIM benefits. Defendant cross-moved to dismiss, alleging that plaintiff failed to provide notice of his intent to accept the settlement offer, which prejudiced ARI's subrogation rights. Rejecting this argument, the Law Division, on December 13, 2005, ordered ARI to submit to arbitration. The judge concluded:

[Plaintiff counsel's] October 27, 2004 letter to defendant stated:
"I am advising you that the underinsured carrier has agreed to offer their *732 limits of $15,000 upon receipt of medical bills and medical records."
This statement, although it may be deemed ambiguous as it states a condition upon which the offer is contingent; however, it's the Court's position that the statement appears to provide sufficient notice to defendant.

On appeal, defendant reiterates the argument made below, namely that plaintiff's failure to provide written notification of its intent to accept AIG's settlement offer violated both the terms of the insurance contract (Condition (E)(2)(c)) and Longworth, and that ARI's subrogation rights were prejudiced by the release because an asset check of the tortfeasor had not previously been conducted. We disagree.

Preliminarily, we note that since the issues involve contract interpretation and the application of Longworth to the facts of this case, our standard of review is de novo. Fastenberg v. Prudential Ins. Co. of Am., 309 N.J.Super. 415, 420, 707 A.2d 209 (App.Div.1998); Young v.

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Bluebook (online)
918 A.2d 729, 391 N.J. Super. 524, 2007 N.J. Super. LEXIS 96, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hutnick-v-ari-mut-ins-co-njsuperctappdiv-2007.