Pizzullo v. NJ Mfrs. Ins. Co.

917 A.2d 276, 391 N.J. Super. 113
CourtNew Jersey Superior Court Appellate Division
DecidedMarch 8, 2007
StatusPublished
Cited by3 cases

This text of 917 A.2d 276 (Pizzullo v. NJ Mfrs. 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
Pizzullo v. NJ Mfrs. Ins. Co., 917 A.2d 276, 391 N.J. Super. 113 (N.J. Ct. App. 2007).

Opinion

917 A.2d 276 (2007)
391 N.J. Super. 113

Michael PIZZULLO and Dorothea Pizzullo, Plaintiffs-Respondents,
v.
NEW JERSEY MANUFACTURERS INSURANCE COMPANY, Defendant-Appellant.

Superior Court of New Jersey, Appellate Division.

Argued November 9, 2006.
Decided March 8, 2007.

*277 Kevin M. Shanahan, Pennington, argued the cause for appellant.

Anthony J. Monaco, Freehold, argued the cause for respondents (Gerald R. Stockman, attorney, West Trenton; Mr. Monaco, on the brief).

*278 Before Judges CUFF, WINKELSTEIN and FUENTES.

The opinion of the court was delivered by

FUENTES, J.A.D.

Plaintiffs, Michael and Dorothea Pizzullo, filed this declaratory judgment action seeking a determination from the Law Division that they were each entitled to $500,000 in underinsured motorist (UIM) benefits, under a single policy of insurance issued by defendant New Jersey Manufacturers Insurance Company (NJM). Plaintiffs' claim for damages arose out of a 1998 accident in which they were both severely injured while riding Michael's[1] motorcycle. In their suit, plaintiffs allege that ten years before the accident, in 1988, an NJM customer service representative had orally assured them that the policy's UIM coverage limit of $500,000 applied to each of them individually, thus providing a combined maximum benefit of $1,000,000.

NJM rejected plaintiffs' claim, arguing that the policy renewal forms executed by plaintiff over the ten-year period prior to the accident, the information contained in the accompanying Buyer's Guide, and the policy document itself, all indicated that the policy's maximum UIM benefit was $500,000 per accident, not per named insured. NJM also argued that, even if its customer service representative had given plaintiffs erroneous information as to the maximum UIM benefits provided by the policy, in the absence of evidence showing willful, wanton, or grossly negligent acts on its part, plaintiffs' action was barred by the provisions of N.J.S.A. 17:28-1.9a.

These issues came before the trial court by way of NJM's motion for summary judgment. The motion judge rejected NJM's position. The court held that, despite NJM's compliance with the provisions of N.J.S.A. 17:28-1.9b, and the regulations promulgated thereunder by the Commissioner of Banking and Insurance, NJM was not entitled to the immunity granted by the statute because it made affirmative misrepresentations as to the scope of the policy's UIM coverage.

The matter was then tried before a different Law Division judge as a bench trial. After considering the evidence presented, the trial judge reaffirmed the earlier ruling made by the judge who heard and denied NJM's motion for summary judgment. Relying, in part, on our opinion in Botti v. CNA Ins. Co., 361 N.J.Super. 217, 225, 824 A.2d 1120 (App.Div.2003), the trial court rejected plaintiffs' claim for reformation.[2] The trial court held, however, that NJM was equitably estopped from denying the UIM coverage sought by plaintiffs, and entered judgment in their favor in the amount $800,000, together with $75,060 in prejudgment interest.

NJM now appeals from this judgment. After carefully reviewing the record, and in light of prevailing legal standards, we reverse. We hold that equitable considerations cannot trump the public policy enunciated by the Legislature in N.J.S.A. 17:28-1.9, conferring immunity to insurance carriers in actions brought by the named insured to recover damages based on the election of a given motor vehicle insurance coverage.

An insurance carrier seeking the immunity protections under N.J.S.A. 17:29-1.9a, *279 must prove that: (1) the coverage limits provided to the named insured were at least the minimum coverage required by law; (2) the damages alleged by the named insured were not caused from a willful, wanton or grossly negligent act of commission or omission; and (3) the carrier satisfied the special coverage selection requirements of N.J.S.A. 17:28-1.9b.

We emphasize that when, as here, the carrier's compliance with the requirements (1) and (3) is not disputed, a reviewing court must then determine whether the carrier's actions amount to more than simple negligence. Stated differently, absent a judicial finding that its actions were willful, wanton, or grossly negligent, an insurance carrier is immune from law suits based on allegations that it provided its insured with erroneous information as to the scope of the policy's coverage.

Here, NJM is entitled to the immunity provided in N.J.S.A. 17:28-1.9a because: (1) the UIM coverage provided to plaintiffs was in excess of the minimum amount required by law; (2) it complied with the requirements of N.J.S.A. 17:28-1.9b, by supplying plaintiffs with the Buyer's Guide approved by the Department of Insurance, and it obtained from plaintiffs fully executed coverage selection forms, as prescribed by N.J.S.A. 39:6A-23; and (3) providing erroneous information to plaintiffs as to the scope of their policy's UIM coverage, ten years before the accident that triggered the policy's UIM provisions, does not rise to the level of a willful, wanton, or grossly negligent act. Thus, plaintiffs' suit is barred by the immunity provisions of N.J.S.A. 17:28-1.9a.

I

The trial judge's factual findings were set out in a comprehensive oral opinion delivered from the bench.[3] These findings are well supported by the evidence, and are thus binding upon us here. Vergopia v. Shaker, 383 N.J.Super. 256, 262, 891 A.2d 664 (App.Div.) (quoting Rova Farms Resort, Inc. v. Investors Ins. Co. of Am., 65 N.J. 474, 484, 323 A.2d 495 (1974)), certif. granted, 187 N.J. 83, 899 A.2d 305 (2006).

A

NJM's Erroneous Coverage Advice

The trial judge specifically found that, in 1988, Michael telephoned NJM and spoke to Customer Service Representative Linda Middleton about purchasing a policy of insurance for his wife Dorothea.[4] He asked Middleton for a policy in Dorothea's name, to cover a car the couple had recently acquired in Dorothea's name.

The court found that Michael had "a practice of requesting high amounts of coverage, often the highest available." Thus, in requesting a policy in his wife's name, Michael "wanted to make sure that his wife had the same good protections that he had." In response to this inquiry, Middleton told Michael that a separate policy was not necessary because his wife could obtain the "identical" or "similar" coverage by adding her new car to Michael's existing family policy.

*280 Relying on Middleton's representation, Michael added his wife's new car to his existing auto policy. Thereafter, the declaration page for the policies issued by NJM to the Pizzullos from 1988 to 1998 (the latter being the coverage year when the accident occurred), showed $500,000 for liability coverage, per car, per accident; and $500,000 per car for UM/UIM coverage. The declaration page did not contain an explicit notation that the UM/UIM coverage was provided on a per accident basis. The policy document itself, however, contained a separate UM/UIM provision, stating that the UM/UIM benefits could not exceed the maximum liability coverage described in the declaration page.

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917 A.2d 276, 391 N.J. Super. 113, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pizzullo-v-nj-mfrs-ins-co-njsuperctappdiv-2007.