Simon v. CNA Ins. Co.

543 A.2d 110, 225 N.J. Super. 606
CourtNew Jersey Superior Court Appellate Division
DecidedJune 20, 1988
StatusPublished
Cited by11 cases

This text of 543 A.2d 110 (Simon v. CNA Ins. Co.) 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
Simon v. CNA Ins. Co., 543 A.2d 110, 225 N.J. Super. 606 (N.J. Ct. App. 1988).

Opinion

225 N.J. Super. 606 (1988)
543 A.2d 110

KATHLEEN SIMON, EXECUTRIX OF THE ESTATE OF ALBERT J. CARINO, DECEASED, AND DOROTHY CARINO, PLAINTIFFS-APPELLANTS,
v.
CNA INSURANCE COMPANY AND CONTINENTAL INSURANCE CASUALTY COMPANY, DEFENDANTS-RESPONDENTS.

Superior Court of New Jersey, Appellate Division.

Submitted April 12, 1988.
Decided June 20, 1988.

*607 Before Judges ANTELL and DEIGHAN.

Joseph F. Lisa, attorney for appellants (Joseph F. Lisa on the brief).

LaBrum and Doak, attorneys for respondents (Ronald J. Uzdavinis on the brief).

The opinion of the court was delivered by DEIGHAN, J.A.D.

Plaintiffs Kathleen Simon, Executrix of the Estate of Albert J. Carino, Deceased, and Dorothy Carino appeal from a judgment entered June 22, 1987 which, although granting other relief, dismissed their claim for income continuation benefits pursuant to N.J.S.A. 39:6A-4b and 10 of the New Jersey Automobile Reparation Reform Act, N.J.S.A. 39:6A-1 et seq. (No-Fault Act). Plaintiffs maintained they were entitled to *608 additional income continuation benefits pursuant to N.J.S.A. 39:6A-10 upon death of the decedent arising out of an automobile accident. Although the Court granted plaintiffs' judgment for $14,600 for essential service benefits, plaintiffs assert that the interest on the award should have been computed as compound interest as of October 4, 1983. Consequently they also appeal from that part of the order allowing only simple interest.

The facts are not in dispute. On August 4, 1982, Albert J. Carino died as a result of injuries sustained in a motor vehicle accident. Decedent was employed by the State of New Jersey as a special agent by the Department of the Treasury and was driving a vehicle owned by the State at the time of the accident. He was earning $25,136.09 per year, or approximately $481.55 per week. His wife has been awarded dependency benefits under the Workers' Compensation Benefits Act, N.J.S.A. 34:15-1 et seq., consisting of $217 per week payable for 450 weeks pursuant to N.J.S.A. 34:15-12 and -13. As of April 15, 1987, she had received approximately $52,080 in dependency benefits, representing payments for 240 weeks.

At the time of the accident, decedent was insured under an automobile liability policy for personal injury protection (PIP) issued by defendants. Pursuant to N.J.S.A. 39:6A-10, the decedent exercised option 3 for additional PIP benefits which provides for maximum income continuation benefits of $18,200 and maximum essential service benefits of $14,600.

On plaintiffs' motion for summary judgment, the trial judge ruled that income continuation benefits were offset by the workers' compensation benefits received, but granted summary judgment in favor of plaintiffs for $14,600, the maximum amount of essential service benefits.

Although defendants CNA Insurance Company and Continental Casualty Company have not filed a cross-appeal, they seek to support the trial court's partial dismissal of plaintiffs' claim by arguing that the state-owned vehicle decedent was driving at *609 the time of the accident was not a "private passenger automobile" and that therefore no PIP benefits were payable.

I

Plaintiffs contend the maximum income continuation benefits are payable upon the death of decedent without offset for the workers' compensation dependency benefits being paid to decedent's widow.

Since the policy was issued prior to January 12, 1982, the rights of plaintiff are determined by Muschette v. The Gateway Insurance Co., 149 N.J. Super. 89 (App.Div. 1977), aff'd 76 N.J. 560 (1978). In Muschette this court held that essential service benefits and income continuation benefits payable under N.J.S.A. 39:6A-4b. and c. were payable without the necessity of proving the actual amount of loss. 149 N.J. Super. at 94-99; see also Maros v. Transamerica Insurance Company, 76 N.J. 572, 576-579 (1978).[1] The issue here is whether income continuation benefits payable under the Workers' Compensation Act must be offset pursuant to N.J.S.A. 39:6A-6, the collateral source rule which provided in part:

The benefits provided in section 4a., b., c., d., and e. [N.J.S.A. 39:6A-4a through e] and section 10 [N.J.S.A. 39:6A-10], shall be payable as loss accrues, upon written notice of such loss and without regard to collateral sources, except that benefits collectible under workmen's compensation insurance .. . shall be deducted from the benefits collectible under section 4a., b., c., d., and section 10.

Relying on Skryha v. Pennsylvania Nat. Mut. Cas., 206 N.J. Super. 66 (App.Div. 1985), Judge Wallace properly concluded that N.J.S.A. 39:6A-6 does not bar recovery of essential service benefits because "[n]o provision is made in the Workers' *610 Compensation Law for compensating a surviving dependent for the loss of the uncompensated services which the decedent rendered to his family." 206 N.J. Super. at 70. We therefore held that since essential service benefits were not collectible under the Workers' Compensation Act, there was no collateral estoppel pursuant to N.J.S.A. 39:6A-6 and those benefits were payable under the No-Fault Act.

On the other hand, in Skryha we held that since the maximum workers' compensation benefits payable exceeded the maximum amount of income continuation benefits, no income continuation benefits were payable. Id. at 70. Under this holding, the trial judge again properly disallowed the claim for income continuation benefits payable under N.J.S.A. 39:6a-4b. and 10.

The purpose of N.J.S.A. 39:6A-6 is to prevent a double recovery of income benefits. Zoller v. Transamerica Ins. Co., 215 N.J. Super. 552, 558 (App.Div. 1987), certif. den. 108 N.J. 214 (1987); Smith v. Allstate Ins. Co., 203 N.J. Super. 610, 615 (Law Div. 1985). As stated in Aetna Ins. Co. v. Gilchrist Brothers, Inc., 85 N.J. 550, 566 (1981):

When the Legislature desired to modify the impact of having the automobile liability insurance company pay PIP benefits, it has done so in unmistakable fashion. Thus the Legislature has expressly provided that PIP payments shall be reduced by the amount of workers' compensation benefits collectible under the Workers' Compensation Act. N.J.S.A. 39:6A-6. In that event, the automobile liability carrier will receive the benefit of workers' compensation because of the express legislative intent. [Emphasis supplied.]

Obviously decedent's widow will be receiving a double recovery if she is paid income continuation benefits in addition to dependency benefits pursuant to the Workers' Compensation Act.

The Workers' Compensation Act and the No-Fault Act treat coextensively in some instances with the same benefits. Wagner v. Transamerica Insurance Company, 167 N.J. Super. 25, 34 (App.Div. 1979). "N.J.S.A. 39:6A-6, in requiring the deduction of collectible PIP benefits, is a clear legislative mandate that workers' compensation should be the ultimate source for recovery...." Id.

*611 In their brief, plaintiffs interchange the income continuation benefits under N.J.S.A. 39:6A-4b. and survivor benefits under 39:6A-4d.[2] In their issues, plaintiffs refer to the "maximum ICB [income continuation benefits] survivor

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543 A.2d 110, 225 N.J. Super. 606, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simon-v-cna-ins-co-njsuperctappdiv-1988.