Rutgers Casualty Insurance v. Ohio Casualty Insurance

690 A.2d 1074, 299 N.J. Super. 249
CourtNew Jersey Superior Court Appellate Division
DecidedApril 1, 1997
StatusPublished
Cited by9 cases

This text of 690 A.2d 1074 (Rutgers Casualty Insurance v. Ohio Casualty 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
Rutgers Casualty Insurance v. Ohio Casualty Insurance, 690 A.2d 1074, 299 N.J. Super. 249 (N.J. Ct. App. 1997).

Opinion

The opinion of the court was delivered by

KING, P.J.A.D.

I.

These ten consolidated cases atúse from similar factual situations. The legal issue is the right of contribution between automobile insurance carriers paying Personal Injury Protection (PIP) benefits. In each case the person injured in an automobile accident was either the named insured or a resident relative of a named insured under a Rutgers Casualty Insurance Company (Rutgers) policy. Each Rutgers insured was injured while a pedestrian or while a passenger in a vehicle not owned by the Rutgers’ insured. The defendant automobile insurance companies — Ohio Casualty, West American, Keystone, Prudential and HCM Claim Management Corporation — insured the vehicles actually involved in the accident. Each of Rutgers’ insureds were also “other insureds” under defendants’ automobile policies. N.J.S.A. 39:6A-4.

Rutgers paid its insureds PIP benefits and then sought “contribution” from the defendant insurance carriers under N.J.S.A 39-.6A-11 which states:

If two or more insurers are liable to pay benefits under sections 4 and 10 of this act for the same bodily injury, or death, of any one person, the maximum amount payable shall be as specified in sections 4 and 10 if additional first party coverage applies and any insurer paying the benefits shall be entitled to recover from each of the other insurers, only by inter-company arbitration or inter-company agreement, an equitable pro-rata share of the benefits paid.

The defendant carriers refused to contribute under N.J.S.A. 39:6A-11 because of an “exclusion” in each of their policies. Adopting the parties’ expression, we refer to these as the “follow-the-family” exclusion provisions. The Keystone exclusion is typi[252]*252cal of the exclusions used by Ohio Casualty, West American, Allstate and HCM. The Keystone policy provides:

Exclusions
The insurance under this endorsement does not apply to bodily injury:
(h) to any person other than the named insured or relative if that person is entitled to New Jersey personal injury protection coverage as a named insured or relative under the terms of another policy;
(i) to any relative if that person is entitled to New Jersey personal injury protection coverage as a named insured under the terms of another policy.

The Prudential policy did not contain a typical “follow-the-family” exclusion but relied upon the following provision to deny contribution:

Conditions
3. Multiple Policies Applicable to One Accident; Non-duplication of Benefits; Priority of Complying Policies.
This insurance applies on a primary basis to bodily injury to the named insured and any relative who is not named insured in another policy, and on a secondary basis to all other eligible injured persons. Similarly, the basic personal injury protection coverage provided by other complying policies applies on a primary basis to bodily injury to those persons who are named insureds under such policies and their relatives. If an eligible injured person to whom this insurance applies on a secondary basis has other basic personal injury protection coverage under another complying policy applicable to bodily injury on a primary basis, all claims for basic personal injury protection benefits shall first be made against the insurer issuing the other complying policy. No basic personal injury protection benefits shall be due and payable under this insurance unless the other insurer fails to pay such benefits by reason of insolvency and the Company has been given written notice by the claimant of such failure, (emphasis added).

We construe this clause as identical in impact to the typical “follow-the-family” exclusion.

Interestingly, Rutgers’ policy also contains a similar “follow-the-family” exclusion:

EXCLUSIONS:
The insurance under this endorsement does not apply to bodily injury:
[253]*2538. To any person other than the named insured or relative if that person is entitled to New Jersey personal injury protection coverage as a named insured or relative under the terms of another policy.
9. To any relative if that person is entitled to New Jersey personal injury protection coverage as a named insured under the terms of another policy.

The Rutgers’ policy also contains a provision regarding contribution:

3. Multiple Policies Applicable to One Accident — Non-duplication of Benefits; Priority of Complying Policies:
If an eligible injured person under this insurance policy is also an eligible injured person under other complying policies, the Company paying benefits to such person shall be entitled to recover from each of the other insurers an equitable prorata share of the benefits it has paid. The pro-rata share is the proportion that the Company’s liability bears to the total of all applicable limits.

The Ohio Casualty, West American, Keystone, HCM and Allstate policies have almost identical contribution provisions. The Prudential policy apparently does not have a contribution provision.

After the defendants denied Rutgers’ requests for contribution, Rutgers instituted these actions in March 1994 seeking a declaratory judgment of entitlement to contribution and an order to compel arbitration. On cross-motions for summary judgment the Law Division judge ruled in favor of Rutgers and ordered “prorata share” contribution from defendants on these PIP claims.

II.

In 1972 the Legislature enacted the New Jersey Automobile Reparation Reform Act, N.J.SA 39:6A-1 to -35(Act), also commonly referred to as the “No Fault Act.” See, e.g., Hermann v. Rutgers Casualty Ins. Co., 221 N.J.Super. 162, 166, 534 A.2d 51 (App.Div.1987). “The purpose and intent of this act is to establish an informal system of settling tort claims arising out of automobile accidents in an expeditious and least costly manner, and to ease the burden and congestion of the State’s courts.” N.J.S.A 39:6A-24. The “act shall be liberally construed so as to effect the purpose thereof.” N.J.SA. 39.-6A-16. Amiano v. Ohio Cas. Ins. Co., 85 N.J. 85, 90, 424 A.2d 1179 (1981).

[254]*254The Act mandates compulsory automobile insurance coverage and every policy must include PIP coverage for medical expenses (up to $250,000 per person), income continuation, and death benefits, regardless of fault. The Act mandates that:

Every automobile liability insurance policy ... shall provide personal injury protection coverage, ...

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Cite This Page — Counsel Stack

Bluebook (online)
690 A.2d 1074, 299 N.J. Super. 249, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rutgers-casualty-insurance-v-ohio-casualty-insurance-njsuperctappdiv-1997.