ROBERT KATCHEN VS. GOVERNMENT EMPLOYEES INSURANCE COMPANY (L-2766-16, MORRIS COUNTY AND STATEWIDE)

CourtNew Jersey Superior Court Appellate Division
DecidedJanuary 22, 2019
DocketA-5685-16T4
StatusPublished

This text of ROBERT KATCHEN VS. GOVERNMENT EMPLOYEES INSURANCE COMPANY (L-2766-16, MORRIS COUNTY AND STATEWIDE) (ROBERT KATCHEN VS. GOVERNMENT EMPLOYEES INSURANCE COMPANY (L-2766-16, MORRIS 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
ROBERT KATCHEN VS. GOVERNMENT EMPLOYEES INSURANCE COMPANY (L-2766-16, MORRIS COUNTY AND STATEWIDE), (N.J. Ct. App. 2019).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY APPELLATE DIVISION DOCKET NO. A-5685-16T4

ROBERT KATCHEN, APPROVED FOR PUBLICATION Plaintiff-Respondent, January 22, 2019

v. APPELLATE DIVISION

GOVERNMENT EMPLOYEES INSURANCE COMPANY ("GEICO"),

Defendant-Appellant,

and

RIDER INSURANCE COMPANY ("RIDER"), and FARMERS INSURANCE COMPANY OF FLEMINGTON ("FARMERS"),

Defendants-Respondents. _____________________________________

Submitted November 27, 2018 – Decided January 22, 2019

Before Judges Fisher, Hoffman and Suter (Judge Suter dissenting).

On appeal from Superior Court of New Jersey, Law Division, Morris County, Docket No. L-2766-16.

Rudolph & Kayal, PA, attorneys for appellant (Darren C. Kayal, on the briefs). Blume, Forte, Fried, Zerres & Molinari, PC, attorneys for respondent Robert Katchen (David M. Fried, on the brief).

Kriney & Vaughan, attorneys for respondent Rider Insurance Company (William E. Vaughan, on the brief).

Murray A. Klayman, PC, attorneys for respondent Farmers Insurance Company of Flemington (Murray A. Klayman, on the brief).

The opinion of the court was delivered by

HOFFMAN, J.A.D.

In this appeal, we consider whether an auto insurer may combine

uninsured (UM) and underinsured motorist (UIM) coverage in a single section

and include exclusions not listed on the policy's declaration page. We also

consider if an insurer may exclude UIM coverage for an accident involving a

vehicle owned by the insured but not covered under the subject policy.

Because we find the exclusion does not violate public policy or result in

ambiguity, we reverse.

I.

In December 2015, plaintiff suffered injuries in a motor vehicle accident

while operating his Harley Davidson motorcycle. Prior to settling with the

other driver for his policy limit of $25,000, plaintiff submitted a UIM claim

under three insurance policies he maintained: a motorcycle policy issued by

A-5685-16T4 2 defendant Rider Insurance Company (Rider), a commercial auto policy issued

by defendant Farmers Insurance Company of Flemington (Farmers), and a

personal auto policy issued by defendant Government Employees Insurance

Company (GEICO).1

In response, GEICO "disclaim[ed] coverage" based on an exclusion in

its policy. In its disclaimer letter, GEICO identified the relevant policy

language supporting its decision.

Section IV of GEICO's policy, which addresses both UM and UIM

coverages, provides, in relevant part:

LOSSES WE PAY

We will pay damages for bodily injury and property damage caused by an accident which the insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle or underinsured motor vehicle arising out of the ownership, maintenance[,] or use of that vehicle.

However, Section IV excludes coverage for "bodily injury sustained by an

insured while occupying a motor vehicle owned by an insured and not

described in the [d]eclarations and not covered by the Bodily Injury and

Property Damage liability coverages of this policy." Because the motorcycle,

1 The Rider policy provided $100,000 of UIM coverage, the Farmers policy provided $1,000,000 in UIM coverage, and the GEICO policy provided UIM coverage of $250,000.

A-5685-16T4 3 although owned by plaintiff, was not listed on the policy it issued, GEICO

determined it did not constitute an "owned auto," which the policy defined as a

"vehicle described in this policy for which a premium charge is shown for

these coverages." Based upon this determination, GEICO denied plaintiff's

claim.

Upon receiving GEICO's disclaimer, plaintiff filed a complaint against

all three defendant insurance carriers, seeking a declaratory judgment that t he

UIM coverage of all three carriers applied to the subject accident. GEICO

then filed a motion for a declaratory judgment, urging the court to find its

owned-motor-vehicle exclusion "valid, unambiguous, and enforceable." The

motion court denied GEICO's motion, viewing the language of GEICO's policy

as ambiguous, and holding that GEICO failed "to comply with the statutory

requirements [of] N.J.S.A. 17:28-1.1."

The parties thereafter came to an agreement that Rider and Farmers

would pay their pro-rata share of the $975,000 in UIM coverage owed to

plaintiff, and GEICO would take this appeal; if GEICO does not prevail, it

would pay its pro-rata share as well. Plaintiff, Rider, and Farmers

(respondents) all oppose GEICO's appeal and urge us to affirm.

A-5685-16T4 4 II.

We review the interpretation of a contract de novo. Manalapan Realty,

L.P. v. Twp. Comm. of Manalapan, 140 N.J. 366, 378 (1995); Sealed Air Corp.

v. Royal Indem. Co., 404 N.J. Super. 363, 375 (App. Div. 2008). When an

insurance contract's terms are clear and unambiguous, we interpret the policy

as written, using the "plain, ordinary meaning" of the words used. Zacarias v.

Allstate Ins. Co., 168 N.J. 590, 595 (2001). But where an ambiguity arises, we

interpret the policy in favor of the insured and against the insurer. President v.

Jenkins, 180 N.J. 550, 562-63 (2004).

An ambiguity exists when "the phrasing of the policy is so confusing

that the average policyholder cannot make out the boundaries of coverage."

Weedo v. Stone-E-Brick, Inc., 81 N.J. 233, 247 (1979). We consider the entire

policy in determining if an ambiguity exists, but do not "engage in a strained

construction to support the imposition of liability." Longobardi v. Chubb Ins.

Co. of N.J., 121 N.J. 530, 537 (1990). Insurance policies are to be interpreted

narrowly, but the provisions within are presumed valid and effective if

"specific, plain, clear, prominent, and not contrary to public policy." Princeton

Ins. Co. v. Chunmuang, 151 N.J. 80, 95 (1997) (citing Doto v. Russo, 140 N.J.

544, 559 (1995)).

A-5685-16T4 5 On appeal, GEICO argues the motion judge incorrectly found the subject

policy ambiguous and in violation of N.J.S.A. 17:28-1.1. GEICO asserts its

exclusion unambiguously bars UIM coverage for a loss sustained by plaintiff

while operating a motor vehicle he owned but did not insure under GEICO's

policy. We agree.

Respondents argue GEICO's policy, which addresses both UM and UIM

coverage in the same section, violates the statutory mandate that all motor

vehicle liability policies, except basic automobile insurance policies, shall

include coverage "for payment of all or part of the sums which the insured or

his legal representative shall be legally entitled to recover as damages from the

operator or owner of an uninsured motor vehicle . . . ." N.J.S.A. 17:28-1.1.

This violation of the statutory mandate regarding UM coverage, respondents

assert, renders the entire section ambiguous. See Rider Ins. Co. v. First

Trenton Cos., 354 N.J. Super. 491, 498 (App. Div. 2002); N.J.S.A. 17:28-1.1.

Respondents further argue the lack of a distinction between UM and UIM will

either cause a policyholder to believe that UM coverage is not available , or

will leave the policyholder confused as to when UM benefits apply.

Respondents' arguments lack merit. This case does not involve UM

coverage. Plaintiff did not present a claim for UM benefits, only UIM

A-5685-16T4 6 benefits. Whether the clause is ambiguous as to the UM benefits has no

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ROBERT KATCHEN VS. GOVERNMENT EMPLOYEES INSURANCE COMPANY (L-2766-16, MORRIS COUNTY AND STATEWIDE), Counsel Stack Legal Research, https://law.counselstack.com/opinion/robert-katchen-vs-government-employees-insurance-company-l-2766-16-njsuperctappdiv-2019.