Rivers v. Allstate Insurance

711 A.2d 974, 312 N.J. Super. 379, 1998 N.J. Super. LEXIS 303
CourtNew Jersey Superior Court Appellate Division
DecidedJune 25, 1998
StatusPublished
Cited by11 cases

This text of 711 A.2d 974 (Rivers v. Allstate Insurance) 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
Rivers v. Allstate Insurance, 711 A.2d 974, 312 N.J. Super. 379, 1998 N.J. Super. LEXIS 303 (N.J. Ct. App. 1998).

Opinion

The opinion of the court was delivered by

KEEFE, J.A.D.

Plaintiff, Ann Marie Rivers, appeals from the entry of summary judgment in favor of defendant Allstate Insurance Company (Allstate). The judgment under review has the effect of denying plaintiff underinsured motorist (UIM) benefits under an Allstate Automobile Insurance Policy issued to plaintiffs husband.

The undisputed facts are as follows. Plaintiff was involved in an automobile accident on September 5, 1995. The alleged tortfea[381]*381sor, Edward G. Krelein, was insured by Royal Insurance Company (Royal), who issued a policy to the alleged tortfeasor with bodily injury limits of $15,000/$30,000.

On June 23, 1996, plaintiffs attorney wrote a letter to Allstate stating that Royal would “in all likelihood” be offering the full single limit of its policy to settle plaintiffs claim. The letter expressed an intention to pursue a UIM claim and asked Allstate to respond whether it wanted its subrogation rights to be protected. There was no response to that letter.

On July 8, 1996, plaintiff executed a general release in favor of Edward G. Krelein releasing him from “any and all claims resulting from motor vehicle accident on or about September 5, 1995.” The release was forwarded to Royal by letter dated July 10, 1996.

On September 9, 1996, plaintiff received a settlement check from Royal. On September 12, 1996, plaintiffs attorney forwarded what counsel describes as “a Longworth letter” to Allstate.1

Allstate responded to counsel’s Longvjorth letter within thirty days. In its response, Allstate said it was unable to act upon plaintiffs request because it did not have proof of the tortfeasor’s underinsurance and did not have a copy of the police report to evaluate liability. Further, Allstate indicated that it did not have access to plaintiffs PIP file and therefore asked for medical reports so that Allstate could evaluate plaintiffs claim. Lastly, Allstate requested a copy of the summons and complaint if suit had been filed against Krelein.

Apparently, between the receipt of the Allstate letter and October 25, 1996, plaintiff furnished the information requested by Allstate, including a copy of the release from Rivers to the Royal insured. On October 25, 1996, Allstate informed plaintiffs attorney that it was declining plaintiffs request for UIM benefits. In denying benefits to plaintiff, Allstate pointed out that plaintiff had given a general release to the Royal insured and “irrevocably [382]*382nullified [Allstate’s] subrogation rights” before plaintiff even issued the Longworth letter of September 12.

When Allstate persisted in its refusal to honor plaintiffs request for UIM benefits or the appointment of an arbitrator, plaintiff filed a complaint and order to show cause against Allstate seeking a declaration of coverage for her UIM claim. The parties exchanged letter briefs. On the return day of the order to show cause, plaintiff essentially contended that the letter of June 23, 1996, from plaintiffs counsel to Allstate was a proper Longworth notice.2 Plaintiff contended that, although she settled her claim with the Royal insured before the thirty day period expired, Allstate failed to reply to the June 23, 1996, notice within the thirty day period presumptively permitted by Longworth. Plaintiff relied on this court’s opinion in Breitenbach v. Motor Club of America Ins. Co., 295 N.J.Super. 328, 685 A.2d 36 (App.Div.1996).

Judge Longhi found as a matter of law that the June 23, 1996, letter from plaintiffs counsel to Allstate was not a proper Long-worth notice, but that the September 12, 1996, was the type of notice contemplated by Longworth. Judge Longhi found that Breitenbaeh was distinguishable on the facts, and entered summary judgment in favor of Allstate. This appeal followed. We agree with Judge Longhi’s conclusion and affirm.

The procedure by which insureds are to perfect claims for UIM benefits when a settlement has been offered by the tortfeasor in the underlying personal injury matter was first set forth by this court in Longworth v. Van Houten, supra. That procedure was “essentially endorse[d]” in Rutgers Cas. Ins. Co. v. Vassas, 139 N.J. 163, 174, 652 A.2d 162 (1995). By the time Vassas was decided, the Court observed that the Longworth procedure had been followed “almost universally by the bar and insurance industry.” Ibid, (quoting Craig & Pomeroy, N.J. Auto Insurance Law § 28:3, at 332 (1994)).

[383]*383In recognition of the well-established practice, the Court contemplated a three-step procedure to be followed “when an insured under an automobile insurance policy providing UIM benefits is involved in an accident and undertakes legal action against the tortfeasor.” Ibid. In such instances, the insured should first notify the UIM insurer of the action.3 Ibid. Secondly, “[i]f, during the pendency of the claim, the tortfeasor’s insurance coverage proves insufficient to satisfy the insured’s damages, then the insured should again notify the UIM insurer of that fact.” Ibid, (emphasis in original). In our view, the letter from plaintiffs counsel to Allstate on June 23, 1995, constituted that notice. In that letter, plaintiffs counsel simply informed Allstate that he had determined that the Royal insured’s coverage was insufficient to satisfy plaintiffs claim, and that he would seek UIM benefits from Allstate. At that point in time, Royal had not extended the $15,000 coverage available to satisfy plaintiffs claim. Vassas does not require the insurer to respond to this second notice.

The Vassas Court then articulated the third step in the procedure. It said:

If the insured receives a settlement offer or arbitration award that does not completely satisfy the claim, because the tortfeasor is underinsured, the UIM insurer then has two options: offer to pay the insured the amount of the tortfeasor’s settlement offer or the arbitration award, usually the tortfeasor’s policy limit, in exchange for subrogation of the insured’s rights against the tortfeasor; or, allow the insured to settle. In either case, the UIM insurer must further allow the insured the benefit of the UIM coverage. If the insured does not respond within the time allotted for rejection of the award or settlement offer, the insured victim may, consistent with Longworth, supra, move for a declaratory ruling on order to show cause concerning the parties’ rights and responsibilities. In this manner, the insured victim is afforded the protection and benefits of the tortfeasor’s insurance coverage in addition to the insured’s own UIM coverage. As well, the UIM carrier is able to weigh the relative merits of allowing its insured to settle and paying the difference in UIM benefits compared with paying its insured the settlement offer plus UIM benefits and itself maintaining a subrogation action against the tortfeasor.
[Id. at 174-75, 652 A.2d 162].

[384]

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Bluebook (online)
711 A.2d 974, 312 N.J. Super. 379, 1998 N.J. Super. LEXIS 303, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rivers-v-allstate-insurance-njsuperctappdiv-1998.