RAYMOND C. ELLINGTON VS. CURE AUTO INSURANCE, ETC. (L-3293-16, MIDDLESEX COUNTY AND STATEWIDE)

CourtNew Jersey Superior Court Appellate Division
DecidedJuly 20, 2017
DocketA-2470-16T4
StatusUnpublished

This text of RAYMOND C. ELLINGTON VS. CURE AUTO INSURANCE, ETC. (L-3293-16, MIDDLESEX COUNTY AND STATEWIDE) (RAYMOND C. ELLINGTON VS. CURE AUTO INSURANCE, ETC. (L-3293-16, MIDDLESEX COUNTY AND STATEWIDE)) 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
RAYMOND C. ELLINGTON VS. CURE AUTO INSURANCE, ETC. (L-3293-16, MIDDLESEX COUNTY AND STATEWIDE), (N.J. Ct. App. 2017).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court." Although it is posted on the internet, this opinion is binding only on the parties in the case and its use in other cases is limited. R.1:36-3.

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-2470-16T4

RAYMOND C. ELLINGTON, SUNIDA RODRIGUEZ, GREGORIO RODRIGUEZ, SUNIRLIZA RODRIGUEZ and FRANKLIN CRUZ,

Plaintiffs-Respondents,

v.

CURE AUTO INSURANCE a/k/a CITIZENS UNITED RECIPROCAL EXCHANGE,

Defendant-Appellant.

__________________________________

Argued May 15, 2017 – Decided July 20, 2017

Before Judges Nugent, Currier and Geiger.

On appeal from Superior Court of New Jersey, Law Division, Middlesex County, Docket No. L- 3293-16.

Scott J. Tredwell argued the cause for appellant (McCormick & Priore, P.C., attorneys; Mr. Tredwell and Robert J. Cahall, of counsel and on the brief).

Alex Lyubarsky argued the cause for respondents (Wilentz, Goldman & Spitzer, attorneys; Randall J. Richards, of counsel; Mr. Lyubarsky, on the brief). Richard J. Williams, Jr., argued the cause for amicus curiae Insurance Council of New Jersey and Property Casualty Insurers Association of America (McElroy, Deutsch, Mulvaney & Carpenter, LLP, attorneys; Mr. Williams, of counsel; Eric Siegel, on the brief).

PER CURIAM

This is a bad faith action. Plaintiffs are the insured,

Raymond C. Ellington, and the four people he injured (the personal

injury plaintiffs) when the car he owned and operated crashed into

the rear of the sport utility vehicle they occupied. Defendant

CURE Auto Insurance a/k/a Citizens United Reciprocal Exchange

(CURE) issued the personal automobile insurance policy that

insured Ellington's automobile. The personal injury plaintiffs

sued Ellington in the underlying action. Those parties settled

the case by entering into a consent judgment for an amount in

excess of CURE's policy limits. They settled after CURE initially

failed to respond to a demand to settle the case within its policy

limits.

On leave granted, CURE appeals from a Law Division order

denying its motion to dismiss plaintiffs' complaint for failure

to state a claim upon which relief can be granted. The Law

Division judge also denied CURE's motion for reconsideration.

Applying the standards that narrowly circumscribe the scope of

appellate review, and viewing the complaint with the liberality

2 A-2470-16T4 required by those standards, we can glean from the complaint and

documents on which it is based a cause of action for bad faith.

For that reason, we affirm the Law Division orders.

I.

A.

Because we are reviewing an order denying CURE's motion to

dismiss plaintiffs' complaint, we recount the material facts

alleged in the complaint as well as the material facts contained

in the documents on which the complaint is based. Banco Popular

N. Am. v. Gandi, 184 N.J. 161, 183 (2005).

Plaintiffs' complaint alleges that on September 4, 2011,

Ellington owned a motor vehicle that he operated "in such a manner

so as to cause it to strike the rear of the [personal injury

plaintiffs'] automobile." The complaint further alleges Ellington

and his vehicle were insured under a CURE automobile liability

policy with "bodily injury liability limits of only

$25,000/$50,000."1 The policy's liability coverage provides: "We

will pay damages for 'bodily injury' . . . for which any 'insured'

becomes legally responsible because of an auto accident. . . . We

1 The policy's declaration page confirms the policy limits were $25,000 per person, $50,000 per accident. The personal injury plaintiffs commenced a personal injury action against Ellington on April 26, 2013.

3 A-2470-16T4 will settle or defend, as we consider appropriate, any claim or

suit asking for these damages."

According to the bad faith complaint, on February 7, 2014,

ten months after filing the personal injury action, counsel for

the personal injury plaintiffs wrote a demand letter to Ellington's

attorney. The letter is the cornerstone of plaintiffs' bad faith

claim. It states in relevant part:

This letter will serve as confirmation of our recent telephone conversation, wherein you advised that at the time of the subject accident your client, Raymond Ellington, was insured by an automobile policy . . . which contained policy limits of only $25,000/$50,000. Unfortunately, in view of the severity of the injuries suffered by the numerous plaintiffs involved in this action, I believe that any good-faith evaluation of this matter will result in recognition of the fact that those policy limits are clearly insufficient to compensate the victims for the injuries suffered as a result of the subject accident. The claims of the various plaintiffs are outlined below:

A. Sunirliza Rodriguez. Suny Rodriguez is a 26-year-old female who suffered splenic lacerations, left-sided rib fractures of ribs 6, 7, and 8 with resultant left pneumothorax, and cervical and thoracic sprains and strains which have failed to respond to trigger point injections. In order to assist in your evaluation of her claim, I am enclosing herewith the following records:

. . . .

B. Sunida Rodriguez. Sunida is a 51-year- old female who suffered significant

4 A-2470-16T4 orthopaedic injuries including a central disc herniation at L4-5 with L5 nerve root impingement and generalized disc bulging at L3-4 and L5-S1. She was initially seen in the emergency room at UMDNJ Medical Center with complaints of low back pain and thereafter . . . underwent a course of physical therapy and thereafter injections . . ., which failed to provide relief of her pain. Lumbar discography was performed on December 14, 2012, which produced concordant pain at L4-5 and L5-S1. Surgical consult was obtained with [a doctor], who recommended lumbar fusion at L4-5. That surgery was performed on December 12, 2013, and the operative report is enclosed herewith. We have enclosed herewith the following records regarding the claim of Sunida Rodriguez for your review and evaluation:

C. Franklin Cruz. Franklin is a 31-year- old machine operator who suffered disc herniations at L4-5 and L5-S1. He was initially seen in the emergency room of UMDNJ . . . . An MRI performed on January 6, 2012, confirmed the presence of disc herniations at L4-5 and L5-S1. When a conservative course of physical therapy failed to provide relief of his symptoms, he was referred to [a doctor] who performed epidural injections which provided only temporary relief of his symptoms. With respect to Franklin, I have enclosed herewith the following medical records:

D. Gregorio Rodriguez. Gregorio is a 51- year-old machine operator who suffered a large laceration of his scalp requiring multiple stitches to repair, as well as significant orthopaedic injuries including a dorsal annual fissure at C4-5 with resultant spondylosis,

5 A-2470-16T4 as well as a disc herniation at C5-6. He has undergone extensive orthopaedic treatment, including conservative therapy and interventional pain management without relief of his symptoms. Cervical fusion has been recommended and is presently under consideration. With respect to Gregorio I have enclosed herewith the following records:

I trust that after review of the enclosed records, you will recognize that the combined values of the subject claim far exceed your client's available policy limits.

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RAYMOND C. ELLINGTON VS. CURE AUTO INSURANCE, ETC. (L-3293-16, MIDDLESEX COUNTY AND STATEWIDE), Counsel Stack Legal Research, https://law.counselstack.com/opinion/raymond-c-ellington-vs-cure-auto-insurance-etc-l-3293-16-middlesex-njsuperctappdiv-2017.