State Farm Mutual Automobile Insurance Company v. Licensed Beverage Insurance Exchange
Case Date: 07/31/1996
Docket No: SYLLABUS
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(This syllabus is not part of the opinion of the Court. It has been prepared by the Office of the Clerk for
the convenience of the reader. It has been neither reviewed nor approved by the Supreme Court. Please
note that, in the interests of brevity, portions of any opinion may not have been summarized).
State Farm Mutual Automobile Insurance Company v. Licensed Beverage Insurance Exchange (A-90-95)
Argued February 14, 1996 -- Decided July 31, 1996
COLEMAN, J., writing for a unanimous Court.
The issue on appeal is whether, pursuant to the reimbursement provision, N.J.S.A. 39:6A-9.1 of the
New Jersey Automobile Reparation Reform Act, a tavern is a "tortfeasor" who is potentially responsible for
reimbursing personal injury protection (PIP) benefits paid by a private passenger automobile carrier to one
of its insureds because of the tavern's negligence.
On March 1, 1992, George Schrope and Peter Zoon were patrons of the Boulevard Pub in
Hackensack, New Jersey. Both men were served alcoholic beverages while they were visibly intoxicated.
Later that evening, Zoon drove with Schrope to their home in Hopatcong. Because Zoon was unable to
maneuver his car into the garage, Schrope exited the vehicle, stood in front of it, and attempted to direct
Zoon into the garage. Zoon drove the car directly into Schrope, pinning him between the car bumper and
the garage entrance. Schrope suffered severe leg injuries.
As a result of the accident, State Farm Mutual Automobile Insurance Company (State Farm) paid
$35,330.72 in PIP benefits on behalf of its insured, Schrope. State Farm instituted suit against the Licensed
Beverage Insurance Exchange (LBIE), the reinsurer of the Boulevard Pub, to recover those payments
pursuant to the PIP reimbursement provision.
On March 18, 1994, the trial court granted summary judgment in favor of State Farm, requiring
LBIE to submit the reimbursement claim to arbitration, as required by the reimbursement provision. The
court, relying on All State Insurance Co. v. Coven, reasoned that the provision applies to "any tortfeasor" who
may be liable, without limitation.
The order requiring arbitration was appealed. LBIE argued that the "any and all tortfeasor" phrase
applied only to those tortfeasors who owned commercial vehicles. State Farm countered that the language of
the reimbursement provision was broad enough to encompass "any and all tortfeasors." The Appellate
Division affirmed the decision of the lower court.
The Supreme Court granted certification.
HELD: The reimbursement right conferred by N.J.S.A. 39:6A-9.1 encompasses all tortfeasors that are not
subject to the No-Fault Law.
1. Because the "any tortfeasor..." phrase is not unambiguous, the Court must consider other rules of
statutory interpretation, including the determination of the Legislature's intent. (pp. 3-5). 2. The legislative intent behind the reimbursement provision was to alleviate the imbalance between automobile insurers and commercial-vehicle insurers by reducing the cost of insurance for automobile insurers and allowing automobile insurers to recover PIP payments through reimbursement. Since the enactment of the reimbursement provision, this Court, as well as others, have acknowledged that the reimbursement provision confers a primary reimbursement right on the injured party's insurer. That right may be exercised against: 1) the insurer of a tortfeasor who was not required to maintain PIP coverage; or 2) a tortfeasor who willfully fails to carry the requisite PIP coverage. LBIE is an insurer of the Boulevard Pub,
a tortfeasor that is not required to carry PIP coverage. Therefore, it falls into one of the two classes of
tortfeasors from which an automobile insurer may seek reimbursement. (pp. 5-12)
3. N.J.S.A. 17:28-1.3 (section 1.3), which requires commercial vehicles to provide PIP coverage for
pedestrians injured in accidents, was enacted at the same time the reimbursement provision. Because section
1.3 and the reimbursement provision were enacted together as part of the same Act, they must be
interpreted together. Both provisions were intended to remedy the problems discussed in Justice Sullivan's
dissent in Aetna Insurance Company v. Gilchrist Brothers, Inc.. The Legislature intended the phrase "any
tortfeasor..." to have a broad meaning. The reimbursement provision was enacted to alleviate the imbalance
between commercial insurers and private automobile insurers by reducing the cost of insurance for
automobile owners and allowing automobile insurers to recover PIP through reimbursement. Thus, the
"other than pedestrians" phrase used in the reimbursement provision was intended to ensure the inclusion of
owners and operators of commercial vehicles under the statute, not to exclude all otherwise eligible
tortfeasors. If the intent of the Legislature was otherwise, it would not have used language intended to
ensure such a broad scope of coverage. (pp. 12-16)
4. The more expansive interpretation of the reimbursement provision accords with its legislative history and
is consistent with the legislative objective of reducing insurance premiums for owners of private-passenger
vehicles. Permitting PIP carriers to assert such reimbursement claims would not be inconsistent with the No-Fault Law's primary goal of providing quick compensation to injured motorists. Such reimbursement suits
are generally resolved through arbitration, and are relatively rare; therefore, there is no threat of that courts
will be overrun with litigation by insurance companies seeking PIP reimbursement. If the Court has misread
the intent of the Legislature, it may readily clarify its intent to limit the reimbursement right as LBIE
contends. (p. 17)
Judgment of the Appellate Division is AFFIRMED.
JUSTICES HANDLER, POLLOCK, O'HERN, GARIBALDI and STEIN join in JUSTICE
COLEMAN's opinion.
SUPREME COURT OF NEW JERSEY
STATE FARM MUTUAL AUTOMOBILE
Plaintiff-Respondent,
v.
LICENSED BEVERAGE INSURANCE
Defendant-Appellant.
Argued February 14, 1996 -- Decided July 31, 1996
On certification to the Superior Court,
Appellate Division.
Daniel S. Jahnsen argued the cause for
appellant (Grossman & Kruttschnitt,
attorneys; Anthony M. Tracy, on the brief).
Brian P. Fleming argued the cause for
respondent (Maloof, Lebowitz, Connahan &
Oleske, attorneys).
The opinion of the Court was delivered by
The issue raised in this appeal is whether a tavern is a
"tortfeasor" under the New Jersey Automobile Reparation Reform
Act's reimbursement provision, N.J.S.A. 39:6A-9.1, who is
potentially responsible for reimbursing personal injury
protection (PIP) benefits paid by a private passenger automobile
carrier to one of its insureds because of the tavern's
negligence.
The trial court, relying on Allstate Ins. Co. v. Coven,
264 N.J. Super. 240 (App. Div. 1993), submitted the issue of
reimbursement, pursuant to N.J.S.A. 39:6A-9.1, to arbitration.
The order requiring arbitration was appealed, and in an
unpublished opinion, the Appellate Division affirmed. We granted
certification,
142 N.J. 516 (1995), and now affirm.
On March 1, 1992, George Schrope and Peter Zoon were patrons
of the Boulevard Pub in Hackensack, New Jersey. Both men were
served alcoholic beverages while they were visibly intoxicated.
Later that evening, Zoon drove himself and Schrope to their
mutual residence in Hopatcong. Upon arriving home, Zoon was
unable to maneuver his automobile into the garage. In an attempt
to be of assistance, Schrope exited the vehicle, and stood in
front of it in an effort to direct Zoon into the garage. In the
process, Zoon drove the vehicle directly into Schrope, pinning
him between the car bumper and the garage entrance, causing
severe leg injuries.
On March 18, 1994, the trial court heard arguments on an
order to show cause why the LBIE should not be required to submit
the reimbursement claim to arbitration as required by the
reimbursement statute. Summary judgment was granted in favor of
State Farm, requiring the LBIE to submit to arbitration. The
trial court reasoned, relying on Coven, that the statute applies
to "any tortfeasor" who may be liable, without limitation.
This appeal focuses on the scope of the phrase "any
tortfeasor . . ." set forth in the reimbursement statute. That
statute provides:
accident occurring in this State involving an
insured tortfeasor, the determination as to
whether an insurer . . . is legally entitled
to recover the amount of payments and the
amount of recovery . . . shall be made
against the insurer of the tortfeasor, and
shall be by agreement of the involved parties
or, upon failing to agree, by arbitration.
[N.J.S.A. 39:6A-9.1 (emphasis added).]
The LBIE argues that its insured, the Boulevard Pub, is not
subject to the requirements of the reimbursement statute because
the Legislature intended the "any tortfeasor . . ." phrase to
encompass only those tortfeasors who own commercial vehicles, as
set forth in N.J.S.A. 17:28-1.3. That interpretation, the LBIE
maintains, becomes manifest when N.J.S.A. 17:28-1.3 and N.J.S.A.
39:6A-9.1 are read together. State Farm, on the contrary,
contends that the "any tortfeasor . . ." phrase is not limited to
those tortfeasors who own commercial vehicles, but rather applies
to any and all tortfeasors.
When a court is called upon to interpret a statute, certain rules of statutory interpretation may be of assistance. State Farm contends that the "any tortfeasor . . ." phrase is unambiguous and should be accorded its plain meaning. Kimmelman v. Henkels & McCoy, Inc., 108 N.J. 123, 128 (1987); Renz v. Penn Cent. Corp., 87 N.J. 437, 440 (1981). Because we are satisfied that the "any tortfeasor . . ." phrase is not unambiguous, we must consider other rules of statutory interpretation. Young v.
Schering Corp.,
141 N.J. 16, 25 (1995). "In the interpretation
of a statute our overriding goal has consistently been to
determine the Legislature's intent." Roig v. Kelsey,
135 N.J. 500, 515 (1994) (citing Lesniak v. Budzash,
133 N.J. 1, 8
(1993)). To make that decision, a court should consider the
"legislative policy underlying the statute and any history which
may be of aid." Lesniak, supra, 133 N.J. at 8.
An understanding of the history of the reimbursement statute
is important in defining its scope. In 1972, the State
Legislature enacted the New Jersey Automobile Reparation Reform
Act, N.J.S.A. 39:6A-1 to -35, commonly known as the "No-Fault"
law. The Act "encompasse[d] the recommendations of the
Automobile Insurance Study Commission created under Joint
Resolution 4 of 1970." Gambino v. Royal Globe Ins. Co.,
86 N.J. 100, 105 (1981) (quoting Sponsor's Statement to L. 1972, c. 70).
An interpretation of the purpose of the No-Fault law in a
later case is informative:
* * *
The intent of the No Fault law is that each automobile
insurer should pay the medical expenses of its insured.
It is the primary coverage. Substantial savings to
insurers and the public were expected to result from
the elimination of intercompany litigation.
[Garden State Fire & Casualty Co. v. Commercial Union
Ins. Co.,
176 N.J. Super. 301, 305 (App. Div. 1980).]
Prior to the enactment of the No-Fault law, insurers were
free to file suit against other insurers to recover payments for
medical expenses based on the common-law right of subrogation.
The No-Fault Act was intended to eliminate this type of
litigation; however, it did allow for a two-year transition
period between 1973 and December 31, 1974, during which time
insurers paying PIP benefits were able to recover the PIP costs
from the tortfeasor's insured. Unsatisfied Claim & Judgment Fund
Bd. v. New Jersey Mfrs. Ins. Co.,
138 N.J. 185, 197 (1994).
arbitration.See footnote 1 It was suggested that this two-year period
allowing intercompany arbitration was necessary to compile
information for the rate-setting process. Pennsylvania Mfrs.
Ass'n Ins. Co. v. Government Employees Ins. Co.,
136 N.J. Super. 491, 499 (App. Div. 1975) (citing Mario A. Iavicoli, No Fault &
Comparative Negligence in New Jersey § 50, at 117 (1973)), aff'd,
72 N.J. 348 (1977). Subrogation was disfavored eventually
because "it merely shifted money and paper among insurance
companies at additional administrative expense." James W.
Kerwin, Survey of Insurance Law,
31 Rutgers L. Rev. 519, 542
(1978).
seeking to recover as part of his damages the PIP payments. His
insurance policy, however, contained a right of subrogation for
PIP payments. The accident occurred on March 1, 1974, and the
two-year statutory right of subrogation did not expire until
December 31, 1974. Id. at 383, 385. Cirelli sought a judgment
declaring that the right of subrogation in the policy was
invalid. Id. at 384. Although the statutory procedure for
resolving the issue was intercompany arbitration, the Court
concluded that the intercompany arbitration requirement was not
enforceable because the Legislature did not have the "power to
compel an out-of-state insurer covering an out-of-state motor
vehicle for tort liability to arbitrate." Id. at 386. The Court
nonetheless enforced the subrogation right included in the policy
pursuant to N.J.S.A. 39:6A-9 to prevent Cirelli from obtaining a
double recovery for his PIP benefits and to prevent out-of-state
insurance carriers from receiving a windfall. Id. at 387-88.
the owner and operator of the commercial truck that caused the
accident seeking reimbursement of the PIP benefits paid. Ibid.
insured in New Jersey; (3) an uninsured motorist who is required
by law to carry no-fault coverage but culpably fails to do so; or
(4) a person who does not own an automobile but who causes an
accident, such as by throwing a brick through a no-fault
insured's windshield. Id. at 568 n.2.
Super. 621, 627 (App. Div.), certif. denied,
136 N.J. 295 (1994);
Tyberg v. Kokinidis,
283 N.J. Super. 84, 92 (Law Div. 1995).
tortfeasor where tortfeasor causing accident operated commercial
vehicle).
Simultaneous with the enactment of N.J.S.A. 39:6A-9.1 was
the enactment of N.J.S.A. 17:28-1.3, which supplements N.J.S.A.
17:28-1.1. The new provision provides:
bicycle shall provide personal injury protection
coverage benefits, in accordance with [N.J.S.A. 39:6A-4], to pedestrians who sustain bodily injury in this
State caused by the named insured's motor vehicle or
motorized bicycle by being struck by an object
propelled by or from the motor vehicle or motorized
bicycle.
[N.J.S.A. 17:28-1.3.] The LBIE argues that the simultaneous enactment of N.J.S.A. 17:28-1.3, which requires commercial vehicles and other previously non-covered vehicles to carry PIP coverage for pedestrians, indicates that N.J.S.A. 39:6A-9.1 was intended to correct insurance irregularities with regard to commercial vehicles. The LBIE also relies on the following language in N.J.S.A. 39:6A-9.1: "[a]n insurer . . . paying . . . personal injury protection benefits . . . shall, within two years of the filing of the claim, have the right to recover the amount of payments from any tortfeasor who was not, at the time of the accident, required to maintain personal injury protection . . . coverage, other than for pedestrians." N.J.S.A. 39:6A-9.1 (emphasis added). The LBIE argues that "by including the phrase `other than for pedestrians,' the Legislature undoubtedly intended to limit the class of tortfeasors responsible for PIP reimbursement to commercial motor vehicle owners and operators (and to other motor vehicles references in section 1.3) who have insurance coverage." The LBIE relies on Key Agency v. Continental Casualty Co., 31 N.J. 98 (1959) in which this Court stated, "[i]n attempting to discover legislative intention in any law, it is proper to consider other laws which pertain to a
similar subject matter and especially those which were enacted
during the same legislative session as the law in question." Id.
at 103.
vehicle and school bus); Rowell v. Sluzak,
206 N.J. Super. 210,
211-12 (App. Div. 1985) (dealing with nonresident motorist); New
Jersey Auto. Full Ins. Underwriting Ass'n v. Independent Fire
Ins. Co.,
253 N.J. Super. 75, 77-78 (Ch. Div. 1991) (same).
used in section 9.1 was intended merely to ensure the inclusion
of owners and operators of commercial vehicles under the statute,
not to exclude all otherwise eligible tortfeasors. If the intent
of the Legislature was to limit the application of section 9.1 to
cases involving commercial-vehicle tortfeasors, it could have
done so with much greater clarity and simplicity than with the
language used in the statute, which apparently was intended to
ensure a broad scope of coverage.
the tortfeasor is not subject to the No-Fault law would reduce
automobile-insurance premiums and would ensure that the cost of
PIP benefits "will be borne by . . . the individuals responsible
for the injury who, in good conscience, ought to pay them."
Aetna, supra, 85 N.J. at 568 n.2 (Sullivan, J., dissenting).
Moreover, permitting PIP carriers to assert such reimbursement
claims would not be inconsistent with the No-Fault law's primary
goal of providing quick compensation to injured motorists. See
Garden State Fire & Casualty Co. v. Commercial Union Ins. Co.,
176 N.J. Super. 301, 305 (App. Div. 1980). Allowing PIP-reimbursement suits to go forward would not delay injured
parties' receipt of PIP benefits, but would enable PIP carriers
to pass on PIP costs to the parties responsible for the injuries.
Also, because such reimbursement suits generally are resolved
through arbitration, see N.J.S.A. 39:6A-9.1, and are relatively
rare (as revealed by the dearth of reported opinions on point),
there is no threat of courts being overrun with litigation by
insurance companies seeking PIP reimbursement. JUSTICES HANDLER, POLLOCK, O'HERN, GARIBALDI and STEIN join in JUSTICE COLEMAN's opinion.
NO. A-90 SEPTEMBER TERM 1995
STATE FARM MUTUAL AUTOMOBILE
Plaintiff-Respondent,
v.
LICENSED BEVERAGE INSURANCE
Defendant-Appellant.
DECIDED July 31, 1996
Footnote: 1 The full text of N.J.S.A. 39:6A-9 provided: Any insurer paying benefits in accordance with the provisions of section 4 and section 10, [PIP] coverage, regardless of fault, shall be subrogated to the rights of any party to whom it makes such payments, to the extent of such payments. Such subrogated insurer may only by intercompany arbitration or by intercompany agreement exercise its subrogation rights against only the insurer of any person liable for such damages in tort provided, however, that such insurer may exercise its subrogation rights directly against any person required to have in effect the coverage required by this act and who failed to have such coverage in effect at the time of the accident. The exemption from tort liability provided in section 8 does not apply to the insurers' subrogation rights. On and after 2 years from the effective date of this act the provisions of this section shall be inoperative.
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