Wood v. New Jersey Manufacturers Insurance

21 A.3d 1131, 206 N.J. 562, 2011 N.J. LEXIS 679
CourtSupreme Court of New Jersey
DecidedJune 14, 2011
Docket066643
StatusPublished
Cited by32 cases

This text of 21 A.3d 1131 (Wood v. New Jersey Manufacturers Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wood v. New Jersey Manufacturers Insurance, 21 A.3d 1131, 206 N.J. 562, 2011 N.J. LEXIS 679 (N.J. 2011).

Opinion

Justice RIVERA-SOTO

delivered the opinion of the Court.

Rova Farms Resort, Inc. v. Investors Insurance Co. of America, 65 N.J. 474, 323 A.2d 495 (1974), recognized a cause of action against an insurer in those instances where certain circumstances coalesce: where there is a settlement demand within the policy limits, the insurer in bad faith refuses to settle the claim, and the verdict above the policy limits is returned. In that defined setting, the carrier’s bad faith failure to settle the claim within the policy limits may render the carrier liable for the entire judgment, including the excess above the policy limits. See Fireman’s Fund Ins. Co. v. Sec. Ins. Co., 72 N.J. 63, 70-71, 367 A.2d 864 (1976) (explaining that “Rova did not eliminate ‘bad faith’ as one of the factors to be proven where an action is instituted by an insured against his insurer based on its refusal to settle[, ... n]or did [it] adopt a rule making the insurer automatically liable to the insured for the over the limit judgment[, ... ] concluding] that it is unnecessary ... to embrace such an extended rule and such a rule has never been adopted” (citation and internal quotation marks omitted)).

*565 Although Rova Farms was decided almost forty years ago, this appeal presents the first opportunity for this Court to determine “whether an insured’s claims of bad faith against its insurer under [Rova Farms ] are to be decided by a judge or jury.” Wood v. N.J. Mfrs. Ins. Co., 205 N.J. 13, 11 A.3d 372 (2010). We conclude that a Rova Farms claim that an insurer in bad faith failed to settle a claim within the policy limits, thereby in fact exposing its insured to liability for any excess, represents a traditional contract claim that the insurer breached the implied covenant of good faith and fair dealing and to which the right to trial by jury attaches.

I.

On March 1, 2001, plaintiff Karen Wood, 1 a United States Postal Service letter carrier, was delivering mail at a condominium complex in Shrewsbury when she was attacked by a dog owned by John Critelli and kept by Alfonzia Caruso, Critelli’s grandmother, in her condo unit. As a result of the attack, plaintiff was seriously injured, requiring at least two separate spinal surgeries.

The Personal Injury Action: Wood v. Caruso

Plaintiff filed suit in the Law Division against Critelli, the dog owner, his grandmother Caruso, who lodged the dog, and Alfred Vail Mutual Association, the condominium association where Caruso’s unit was located, seeking damages for the injuries plaintiff sustained from the attack; plaintiff demanded trial by jury on that complaint. Caruso, who maintained a $500,000 liability policy with defendant New Jersey Manufacturers Insurance Co., tendered the complaint to defendant for a defense and indemnity; defendant responded on behalf of both Caruso and her grandson, providing *566 joint representation through a single counsel for its named insured, Caruso, and for its additional insured, Critelli.

The parties submitted the matter to non-binding arbitration, see R. 4:21A-1(a)(2), and the arbitrator determined that plaintiffs economic and non-economic damages totaled $600,000. The arbitrator apportioned liability as follows: ninety percent, or $540,000, to Caruso and ten percent, or $60,000, to the condominium association. The amount of the arbitration award against Caruso obviously exceeded the limits of liability of Caruso’s liability policy with defendant. As permitted by Rule 4:21A-6(b)(1) and (c), defendant, on behalf of its insureds Caruso and Critelli, rejected the arbitrator’s award and demanded a jury trial de novo.

Prior to the start of the jury trial, defendant conducted an internal evaluation of plaintiffs claims. As part of that process, the counsel assigned by defendant to represent Caruso and Critel-li recommended that defendant authorize him to settle the case for the full $500,000 limit of the policy; he foresaw that “the non-compromisable workers’ compensation lien [will be] well into the $400,000.00 [range] and the value of the ease will exceed your insured’s policy.” Likewise, defendant’s claims adjuster also recommended that “[t]he value of [plaintiffs] case would be in the neighborhood of [defendant’s] policy[.]” In contrast, defendant’s Major Claims Committee conducted its own review and concluded that the value of plaintiffs case would not exceed the $500,000 policy limits; it therefore authorized a $300,000 settlement. That offer of settlement was communicated to, and rejected by, plaintiff.

Although plaintiff had rejected defendant’s $300,000 settlement offer, her counsel repeatedly asserted to Caruso’s and Critelli’s assigned counsel that she would accept a settlement at or near the $500,000 policy limits, albeit at a sum greater than the $300,000 rejected offer of settlement. When those efforts were rebuffed and invoking Rova Farms, plaintiff placed defendant on notice that, in her view of the aggregate of the circumstances presented, defendant’s $300,000 settlement offer had been made in bad faith, *567 advising that, if she recovered a verdict in excess of the $500,000 policy limits, she would look to defendant for the excess. 2

Defendant remained steadfast in its view that the most it would be willing to pay in settlement of plaintiffs claim was $300,000 even though, before the jury began its deliberations, plaintiff offered to settle the case for $450,000—$50,000 less than the policy limits.

The jury returned a verdict finding both Caruso and the condominium association negligent in failing to prevent the dog attack on plaintiff. The jury allocated liability as follows: fifty-one percent fault to Caruso, and forty-nine percent fault to the condominium association. The jury assessed damages in favor of plaintiff in the aggregate amount of $2,422,000, consisting of $1,400,000 in pain and suffering, $782,000 in economic damages, and $240,000 on plaintiffs husband’s per quod claim. Given the jury’s allocation of liability, the trial court molded the verdict and added prejudgment interest. As a result, a molded judgment was entered in plaintiffs favor and against Caruso in the amount of $1,408,320.33, a sum well in excess of her $500,000 policy limits. 3 Defendant filed a motion for a new trial or for remittitur on behalf of Caruso and Critelli, which was denied; defendant did not file a direct appeal therefrom on Caruso’s or Critelli’s behalf, and neither Caruso nor Critelli pursued their own appeal. Instead, defendant, on behalf of its insureds Caruso and Critelli, tendered and paid the full amount of its $500,000 policy limits to plaintiff; that *568

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Cite This Page — Counsel Stack

Bluebook (online)
21 A.3d 1131, 206 N.J. 562, 2011 N.J. LEXIS 679, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wood-v-new-jersey-manufacturers-insurance-nj-2011.