Original
Wordprocessor Version (NOTE: This decision was approved by the court for publication.)
This case can also be found at 363 N.J. Super. 344, 833 A.2d 66.
NOT FOR PUBLICATION WITHOUT THE
APPROVAL OF THE APPELLATE DIVISION
SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO.
JOHN F. DICKSON,
Plaintiff-Respondent,
v.
SELECTIVE INSURANCE GROUP,
INC.,
Defendant-Appellant,
and
MOTEN ASSOCIATES,
Defendant/Third Party Plaintiff,
and
AIR DISTRIBUTION SYSTEMS,
INC., and CHRISTOPHER C.
POYATT,
Argued September 16, 2003 - Decided October 20, 2003
Before Judges Stern, A. A. Rodríguez and Lefelt.
On appeal from the Superior Court of New
Jersey, Law Division, Camden County,
Indictment No. 3181-00.
Daniel J. Pomeroy argued the cause for appellant
(Mortenson and Pomeroy, attorneys; Mr. Pomeroy and
Karen E. Heller, on the brief).
Murray S. Issadore argued the cause for respondent.
The opinion of the court was delivered by
STERN, P.J.A.D.
Defendant Selective Insurance Group appeals from an order of September 27, 2002, which
"rescinded" an order of April 4, 2002, granting summary judgment to defendant. The
September 27, 2002, order also granted summary judgment to plaintiff, John F. Dickson,
against Selective. The appeal involves a claim for underinsured motorist ("UIM") coverage by
a shareholder of an insured corporation whose business vehicle was not involved in
the accident occurring when the vehicle plaintiff was riding in was hit by
a third party. Selective contends that the Law Division's "reconsideration of the summary
judgment order that dismissed the action against Selective was erroneous and should be
reversed and summary judgment in Selective's favor reinstated." We agree with Selective that
plaintiff is not entitled to UIM protection under its policy.
The material facts are undisputed. According to the complaint, on May 17, 1998,
plaintiff "was a rear seat passenger in a vehicle owned and operated by
Douglas Campbell when said vehicle was struck hard from behind by a vehicle
owned and operated by Aldo Caccianmani and propelled into another vehicle directly in
front." As a result of the accident, plaintiff alleges that he sustained serious
injuries.
After exhausting the available coverage under the Campbell and Caccianmani policies, plaintiff sought
UIM coverage under the policy issued by Selective to Air Distribution Systems, Inc.
("ADS"), a corporation of which plaintiff was one of four equal shareholders. The
four ADS shareholders each drove vehicles that were listed on ADS' automobile insurance
policy. The ADS-insured vehicle Mr. Dickson drove was "personally" leased by him for
both his personal and business use, but the lease was paid by ADS.
Mr. Dickson did not have any personally owned vehicle at the time of
the accident. The ADS policy provides up to $1,000,000.00 of UIM coverage.
The insurance policy issued to ADS was purchased through defendant Moten Associates.
See footnote 1 Prior
to purchasing that policy, ADS shareholder Christopher Poyatt discussed with Moten representatives the
insurance coverages it required. No other shareholders were involved in the discussions. At
the time of contracting for insurance, Poyatt did not give Moten Associates any
indication that any shareholder was to receive more coverage than any other shareholder.
According to Moten's Stanley Szczurek, Poyatt did not indicate that plaintiff should be
listed as a "named insured" or that plaintiff wanted individual UM-UIM coverage.
The insurance policy provided ADS with commercial insurance for the liability and property
damage including automobile insurance for its business vehicles for the period from July
1, 1997 to July 1, 1998. The policy's "Common Declaration" indicates that the
named insured is "Air Distribution Systems, Inc.," and notes that the insured is
a "corporation." The policy's "Declaration Page"See footnote 2 listed each of the owned vehicles driven
by the shareholders as "covered autos." A fifth vehicle was also insured and
used by the corporation "for delivery purposes." According to Susan Jones, an account
manager with Moten Associates, Selective does not allow brokers "to name people individually
on [a corporate] policy."
Shortly after ADS obtained a quote for the insurance from Moten Associates, Poyatt
sought additional personal coverage for his wife's personal vehicle. Poyatt explained that he
was the only shareholder who needed coverage for a personal vehicle. Accordingly, a
"Drive Other Car Coverage" endorsement which provides an individual with coverage where he
or she does not have a personal automobile policy, was added with respect
to Poyatt and his wife only. No other shareholders were given that coverage.
Poyatt did not have a "personal auto policy" for the vehicle his wife
drove, and he was unaware that the other shareholders were not fully covered
under the policy. Poyatt stated in his deposition that at the time of
contracting for insurance he had no knowledge of the laws regarding uninsured/underinsured motorist
coverage or how they worked. Moreover, he stated that nobody from Moten or
Selective Insurance "has ever explained to me drive other car coverage or uninsured/underinsured
motorists."
The policy issued to ADS contained the following provisions concerning UM and UIM
coverage:
A. COVERAGE
1. We will pay all sums the "insured"
is legally entitled to recover as compensatory damages from the owner or driver
of an "uninsured motor vehicle" or an "underinsured motor vehicle." The damages must
result from "bodily injury" sustained by the "insured," or "property damage" caused by
an "accident." The owner's or driver's liability for these damages must result from
the ownership, maintenance or use of an "uninsured motor vehicle" or an "underinsured
motor vehicle."
2. Any judgment for damages arising out of a "suit" brought without our
written consent is not binding on us.
B. WHO IS AN INSURED
1. You.
2. If you are an individual, any "family member."
3. Any one else "occupying" a covered "auto" or a temporary substitute for
a covered "auto." The covered "auto" must be out of service because of
its breakdown, repair, servicing, loss or destruction.
4. Anyone for damages he or she is entitled to recover because of
"bodily injury" sustained by another "insured."
. . . .
F. ADDITIONAL DEFINITIONS
As used in this endorsement:
. . . .
5. "Underinsured motor vehicle" means the following:
a. With respect to an "insured" who is:
(1) is not the individual named insured under this policy; and
(2) is an individual named insured under one or more other policies providing
similar coverage.
"underinsured motor vehicle" means a land motor vehicle or trailer of any type
to which a liability bond or policy applies at the time of an
"accident" but its limit of liability is less than the highest applicable limit
of liability under any coverage form or policy providing coverage to that "insured"
as an individual named insured.
b. With respect to an "insured" who:
(1) is not the individual named insured under this policy or any other
policy; and
(2) is insured as a "family member" under one or more other policies
providing similar coverage.
"underinsured motor vehicle" means a land motor vehicle or trailer or any type
to which a liability bond or policy applies at the time of an
"accident" but its limit for liability is less than the highest applicable limit
of liability under any coverage form or policy providing coverage to that "insured"
as a "family member."
c. With respect to any other "insured" who is not described in Paragraph a.
or b. above, "underinsured motor vehicle" means a land motor vehicle or trailer
of any type to which a liability bond or policy applies at the
time of an "accident" but its limit of liability is less than the
Limit of Insurance for this Coverage.
However, an "underinsured motor vehicle" does not include any vehicle:
(1) Owned or operated by a self-insurer under any applicable motor vehicle law;
(2) Owned by any governmental unit or agency;
(3) Operated on rails or crawler treads;
(4) Designed for use mainly off public roads while not on public roads;
or
(5) While located for use as a residence or premises.
In ultimately granting summary judgment to plaintiff based on these facts, the motion
judge concluded that "[t]he fact that [plaintiff] had only one vehicle, that vehicle
that he had for his company use and personal use was a listed
vehicle on the policy, I find that there would be [UIM] coverage" under
the business auto policy. The judge added that he personally "disagree[d] with [his]
decision" but felt bound by the recent decisions of this court in Araya
v. Farm Family Casualty Ins. Co.,
353 N.J. Super. 203 (App. Div.), certif.
denied,
175 N.J. 77 (2002), and Macchi v. Connecticut Gen. Ins. Co.,
354 N.J. Super. 64 (App. Div.), certif. denied,
175 N.J. 79 (2002), on which
plaintiff relied.
Before us, Selective argues that it is not obligated to provide plaintiff with
UIM coverage for the accident. It contends that the trial court's decision was
erroneous because plaintiff was not in a covered vehicle at the time of
the accident.
See footnote 3
We commence our analysis by referring to the oft-cited case of
Cook-Sauvageau v.
PMA Group,
295 N.J. Super. 620 (App. Div. 1996), certif. denied,
150 N.J. 29 (1997), in which we held that an employee injured while operating a
business-owned vehicle during the course of his or her employment was entitled to
UIM coverage under the employer's business automobile insurance policy. As Judge Skillman wrote:
[I]t would be manifestly inconsistent with the plain language of the UIM endorsement
of [the defendant's] business automobile policy and with the reasonable expectations of both
the employer and employee to deny the benefits of UIM coverage to an
employee injured while operating one of the employer's vehicles during the course of
employment.
. . . .
When as in this case a business automobile policy is issued to a
corporate employer, the actual purchaser of the policy cannot itself suffer bodily injury
and thus could not maintain a claim for UIM benefits except perhaps in
the rather unusual situation where its collision coverage was insufficient to cover the
full damages to its vehicle. On the other hand, if the UIM endorsement
is construed to extend coverage to the business' employees, it provides a financial
benefit not only to the employees but also to the employer.
[Id. at 627-28.]
As in this case, the plaintiff in Araya sought UIM coverage under his
employer's business automobile policy. We found "that the named insured . . .
was [the business entity]" and applied our holding in Cook-Sauvageau "to hold that
[Araya] is entitled to UIM coverage under the employer's business auto policy." Araya
v. Farm Family Casualty Ins. Co., supra, 353 N.J. Super. at 207. Araya
had been named as a covered driver, and the sole proprietor of his
employer "testified that by naming [him and another one of his 'main guys']
as covered drivers he intended to include both employees as insured under the
policy." Id. at 208-09. We noted the importance of the declaration page, "the
one page of the policy tailored to the particular insured and not merely
boilerplate, which must be deemed to define coverage and the insured's expectation of
coverage." Id. at 210 (quoting Lehrhoff v. Aetna Casualty & Surety Co.,
271 N.J. Super. 340, 346-47 (App. Div. 1994)). See alsoBotti v. CNA Insurance
Co.,
361 N.J. Super. 217, 225-27 (App. Div. 2003) (relying on the declaration
page to determine insureds and coverage). In Araya we held:
that when a business auto policy fails to designate the insured business entity's
human agent or agents entitled to receive UIM benefits, we will look to
the Declarations Page as the best indicator of the insured's reasonable expectations of
coverage. Any ambiguity created by boilerplate provisions found elsewhere in the policy will
be resolved against the drafters of the policy and in favor of coverage.
In this case, the covered drivers listed in the Declarations Page provide the
best indication of who is to receive UIM benefits.
There is no question under this analysis that plaintiff is entitled to UIM
benefits as if he were a named insured. His rights derive from the
issuing of the policy to a business entity and his designation as a
covered driver. Therefore, plaintiff is entitled to recover UIM benefits under this policy.
[Araya v. Farm Family Casualty Ins. Co., supra, 353 N.J. Super. at 211.]
In Macchi v. Connecticut Gen. Ins. Co.,
354 N.J. Super. 79 (App. Div.),
certif. denied,
175 N.J. 64 (2002), the plaintiff sought uninsured ("UM") as well
as UIM benefits under the policy of the employer of her estranged husband.
She "was operating, with permission, a vehicle owned by her estranged husband's business"
when she exited the car to give assistance to the driver of an
overturned vehicle involved in an accident, which she observed. She was struck by
a third vehicle "[w]hile standing alongside the roadway, near the disabled vehicle .
. . ." Id. at 68. The car which plaintiff was found to
have been "occupying," when she was struck and severely injured (id. at 71-72),
was owned by the business of which her husband was "the principal owner,"
id. at 73, and insured under a business auto policy which covered four
vehicles, including the one she was driving. Her husband was also a named
insured in a separate "personal auto policy" which covered "another vehicle owned personally"
by him.
Applying the rationale of Cook-Sauvageau, plaintiff was found "to be covered as a
named insured" of the business auto policy as "the designated primary user of
the insured vehicle . . . ." Id. at 75. She was therefore
entitled to UIM coverage "undiminished by the unmet conditions of the policy's 'step
down' provisions." Id. at 76. In so holding, we noted the importance of
the declaration page of the policy, as developed in Araya, supra, and said:
Our experience suggests that it is not uncommon for businesses to include the
personal vehicles of company principals and their families within the coverage of business
auto insurance policies. Thus, it is fair to consider the carrier to be
on sufficient notice to be required to express any limitations in coverage with
greater precision than was employed here, especially where it is clear on the
face of the policy that the vehicle at issue, here a Corvette, is
a personal-use automobile and is garaged at a location other than the place
where the other vehicles insured under the business auto insurance policy are kept.
Cf.Progressive Cas. Ins. Co. v. Hurley,
166 N.J. 260, 278-79,
765 A.2d 195 (2001).
[Macchi v. Connecticut Gen. Ins. Co., supra, 354 N.J. Super. at 75.]
Subsequently, in Botti v. CNA, supra, we held that plaintiff who was injured
while driving a jeep owned by his employer was an "insured," but not
a "named insured," under his employer's CNA policy even though he contributed to
the cost of the insurance. 361 N.J. Super. at 222. He was also
a named insured in a personal automobile policy. Thus, while entitled to uninsured
("UM") coverage as insured under the employer's CNA business policy, the "step down"
provisions of that policy applied because he was not a "named insured" under
the business policy. Id. at 223-24. We rejected an argument that "by not
naming any individuals on the UM endorsement, [the employer] must have intended for
all employees to be 'named insureds,'" id. at 223, and concluded plaintiff was
not a "named insured" because "the declaration page clearly indicates that the only
'named insureds' are [the corporation] and its two corporate affiliates," and no individuals
were named, id. at 226, although two other employees were added as "additional
insureds" under the PIP and "drive other car" endorsements. In enforcing the "step
down" limitation against Botti, we recognized that "our holding differ[ed] from" the holdings
in Macchi and Araya. Id. at 221.
We need not take issue with Macchi or Araya in reversing the judgment
for plaintiff in this case because plaintiff was admittedly neither specifically named in
the policy nor personally listed in any endorsement, although his co-shareholder was, and
he was not riding in a business owned or covered vehicle. This case
simply has no relation to the Selective policy or the business its policy
insured.
In contrast to shareholder Poyatt, plaintiff was not named in the "drive other"
endorsement, and plaintiff is not entitled to UIM coverage even though he is
a shareholder of the insured corporation and an authorized or principal driver of
a covered vehicle. Plaintiff was riding in a vehicle neither owned by the
insured corporation nor covered by the policy. Nor was he in the course
of doing the insured's business at the time of the accident. Because he
was neither a specifically named or covered driver, nor a person listed as
insured or covered in the "drive other" endorsement, he was not entitled to
UIM protection under the employer's policy for an accident occurring in a vehicle
not owned and insured by his employer, and having no relation to his
business. Araya dealt with UIM for a named "covered driver" listed on the
declaration page of the insured corporation's policy, doing the insured's business, although plaintiff
was not in the insured vehicle when the accident occurred, and the plaintiff
in Macchi was found to be "occupying" or using a covered vehicle.
The judgment declaring coverage is reversed.
Footnote: 1
In his deposition, Moten's Stanley Szczurek stated that Moten was acting as
a broker. Although the matter remained pending against Moten at the time the
September 27, 2002 order was entered, the action against Moten was subsequently dismissed
without prejudice, thereby making this matter final for purposes of appeal. Footnote: 2 The "Declaration Page" is not included within either party's appendix. However, the
information contained therein is undisputed. According to plaintiff's counsel at the September 27th
hearing, "[o]n the declaration sheet . . . ADS is named as the
insured, and the vehicles covered under the policy are listed beneath that on
the declaration page. One of those vehicles is the truck that John Dickson
used. It's the only vehicle he owned for both his business and his
personal use." Footnote: 3 Defendant also argues that pursuant to
R. 4:49-2, the motion for reconsideration
was untimely because it was filed well after the allowable twenty-day period. However,
at the time the motion was initially denied the order was interlocutory as
defendant Moten Associates remained in the case and a motion to amend or
reconsider interlocutory orders may be made at any time until final judgment is
entered. SeeJohnson v. Cyklop Strapping Corp.,
220 N.J. Super. 250, 257 (App.
Div. 1987); Pressler, Current N.J. Court Rules, comment on R. 4:49-2 (2003). The
court's inherent power "does not prevent a trial court from granting relief from
its interlocutory orders upon a change in the governing law [or in its
discretion] before litigation ends." Cyklop Strapping Corp., supra, 220 N.J. Super. at 263.