Rutgers Cas. Ins. Co. v. LaCroix

915 A.2d 89, 390 N.J. Super. 277
CourtNew Jersey Superior Court Appellate Division
DecidedFebruary 5, 2007
StatusPublished
Cited by1 cases

This text of 915 A.2d 89 (Rutgers Cas. Ins. Co. v. LaCroix) 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
Rutgers Cas. Ins. Co. v. LaCroix, 915 A.2d 89, 390 N.J. Super. 277 (N.J. Ct. App. 2007).

Opinion

915 A.2d 89 (2007)
390 N.J. Super. 277

RUTGERS CASUALTY INSURANCE COMPANY, Plaintiff-Respondent,
v.
Robert LaCROIX and Chrissy LaCroix, Defendants-Appellants.

Superior Court of New Jersey, Appellate Division.

Argued December 12, 2006.
Decided February 5, 2007.

*90 Bridget Saro argued the cause for appellants (Frank J. Zazzaro, Montclair, attorneys; Ms. Saro, on the brief).

Susan L. Moreinis, Collingswood, argued the cause for respondent.

Before Judges LISA, HOLSTON, JR. and GRALL.

The opinion of the court was delivered by

HOLSTON, JR., J.A.D.

This is an insurance coverage case. Defendant, Chrissy LaCroix (Chrissy), sustained serious personal injuries in a July 10, 2003 automobile accident. She was driving a vehicle owned by her father, Robert LaCroix (Robert), and insured by plaintiff, Rutgers Casualty Insurance Company (Rutgers). She had her father's permission to drive the car. Chrissy appeals from the Law Division's March 1, 2006 order, entered after a bench trial, denying her the right to receive Personal Injury Protection (PIP) benefits under the personal automobile policy issued by Rutgers to Robert. We reverse.

The facts, which were established in the bench trial, are not in dispute. On August 8, 2002, Robert completed and signed a Rutgers personal automobile insurance application for liability, PIP, medical payments, and uninsured motorist insurance coverage. Robert listed himself as the applicant and 15 B Pacific Drive, Winfield, as his residence. Page one of the application contained a block for the applicant to list "ALL LICENSED and UNLICENSED individuals permanently and/or temporarily residing with applicant." Robert listed two of his daughters, Glenda and Maria. However, Robert failed to list Chrissy as a licensed driver permanently residing with him. Chrissy, who was age eighteen and Robert's youngest daughter, was living with him at the time of the application. The insurance application also contained a section highlighted in red, titled "Applicant's Statement," which in applicable part confirmed that Robert had listed all permanent residents of his household and acknowledged Robert's understanding that this information was a material representation relied upon by Rutgers in determining whether to insure him. On the same date, Robert signed and furnished to Rutgers a document entitled "Confirmation," in which he acknowledged his understanding that the insurance application required him to list all permanent residents of his household. Relying on Robert's representations in the application and confirmation, Rutgers issued a personal automobile policy for one year, effective August 16, 2002 to August 16, 2003.

In 2003, Chrissy drove Robert's car two to three times a week. It is undisputed that Chrissy had no part in or knowledge of her father's failure to name her in the application as a licensed driver permanently residing in his household.

After Chrissy's July 10, 2003 accident, a claim for PIP benefits was filed on her behalf with Rutgers. During Rutgers' investigation of Chrissy's claim, Robert admitted in a statement he gave to an insurance company investigator that he did not list Chrissy on the policy application "to keep the cost down." According to the *91 testimony of a Rutgers' senior underwriter, the policy premium would have increased by approximately $500 if Chrissy's name had been disclosed.

As a result of Robert's misrepresentation, Rutgers filed a complaint seeking that the policy be declared void ab initio, thereby negating any liability of Rutgers to pay PIP benefits on behalf of Chrissy. Chrissy, contending that she was an innocent third party entitled to benefits under Robert's policy, counterclaimed for payment of her medical bills pursuant to the PIP coverage contained in her father's policy.

N.J.S.A. 39:6A-4 mandates that

Every standard automobile liability insurance policy . . . shall contain personal injury protection benefits for the payment of benefits without regard to . . . fault of any kind, to the named insured and members of his family residing in his household who sustain bodily injury as a result of an accident while occupying . . . or using an automobile . . . and to other persons sustaining bodily injury while occupying . . . or using the automobile of the named insured, with permission of the named insured.

In Palisades Safety & Insurance Association v. Bastien, 175 N.J. 144, 147-48, 814 A.2d 619 (2003), the Supreme Court stated the legislative underpinnings of N.J.S.A. 39:6A-4:

The Legislature provided for PIP benefits as part of New Jersey's no-fault compulsory automobile-insurance system in the New Jersey Automobile Reparation Reform Act, N.J.S.A. 39:6A-1 to -35 (the Act). Since their enactment in 1972, PIP statutory benefits are a required component of every standard automobile insurance policy, and provide an efficient system of "recovery for losses sustained in automobile accidents." Stated generally, the benefits include payment of medical expenses, without regard to fault, for the named insured and resident members of his or her family, others occupying a vehicle of the named insured, or pedestrians injured in an automobile accident. N.J.S.A. 39:6A-4.
As remedial legislation that is protective of automobile accident victims, the PIP statute is given liberal construction to provide such victims with the "broadest possible coverage."
[(internal citations omitted).]

Nevertheless, the Court pointed out that "such coverage is unavailable when it is sought as part of an insured's first-party claim for benefits under his or her own policy of insurance declared void because of material misrepresentations made to the insurer." Id. at 148, 814 A.2d 619. Chrissy concedes that Robert's intentional omission of her name from the insurance application constituted a material misrepresentation. See Longobardi v. Chubb Ins. Co. of N.J., 121 N.J. 530, 542, 582 A.2d 1257 (1990).

In a series of cases, we have imposed coverage in favor of innocent third parties, while at the same time voiding coverage to the first-party insured as a result of the insured's material misrepresentations to his insurer. See Dillard v. Hertz Claim Mgmt., 277 N.J.Super. 448, 650 A.2d 1 (App.Div.1994), aff'd o.b., 144 N.J. 326, 676 A.2d 1065 (1996); Mannion v. Bell, 380 N.J.Super. 259, 262-63, 881 A.2d 810 (Law Div.2005); Fisher v. N.J. Auto. Full Ins. Underwriting Ass'n., 224 N.J.Super. 552, 556, 540 A.2d 1344 (App.Div.1988).

The trial judge, relying on this court's opinion in Lovett v. Alan Lazaroff & Company, 244 N.J.Super. 510, 513, 582 A.2d 1274 (App.Div.1990), and the Supreme Court's decision in Palisades, supra, 175 N.J. at 147-48, 814 A.2d 619, determined *92 that Chrissy was not an innocent third party and could not recover PIP benefits under her father's policy. The court declared the policy void ab initio and entered judgment in Rutgers' favor.[1]

In Lovett, supra, the son of the owner of a personal automobile insurance policy was injured while a passenger in an uninsured vehicle involved in an accident in New York. The son sought to obtain PIP benefits as an additional insured under the policy issued to his mother.

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Related

Rutgers Casualty Insurance v. Lacroix
946 A.2d 1027 (Supreme Court of New Jersey, 2008)

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915 A.2d 89, 390 N.J. Super. 277, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rutgers-cas-ins-co-v-lacroix-njsuperctappdiv-2007.