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Case Law - save on Lexis / WestLaw. Original MSWord Version This case can also be found at 185 N.J. 406, 887 A.2d 146.
SYLLABUS
(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). Argued September 12, 2005 -- Decided December 22, 2005 WALLACE, J., writing for a unanimous Court. This case implicates the initial permission rule and the business pursuits exclusion of an insureds automobile insurance policy. Charmaine Panichi was insured by the Proformance Insurance Company. She loaned her pickup truck to Henry Ward with the instructions that he was not to use the truck in his moving business and that he was not to let anyone else drive it. Ward let his employee, Adam Rosario, use the truck to deliver furniture. Rosario fell asleep at the wheel and injured his passenger, Shawn Whelan, and a pedestrian, Stacey Jones. In May of 2001, Jones filed a personal injury action against Panichi, Ward, and Rosario. In July of 2001, Ward brought a similar action in New Jersey against the same defendants. Proformance filed a complaint seeking a declaration that Panichi, Ward and Rosario were not covered under its policy. In the meantime, the New Jersey court confirmed a $50,000 arbitration award in favor of Whelan and against Rosario and Ward. Jones filed a motion to compel Proformance to provide coverage. Whelan joined in the motion. The trial court granted the motion. Proformance appealed. The Appellate Division affirmed. This Court granted Proformances petition for certification limited solely to the issue of whether a business pursuits exclusion in an automobile insurance policy is enforceable when the person who is given permission by the insured to operate the vehicle permits another to use it. The question is whether a permittee user is entitled to liability coverage if he or she uses a vehicle in violation of a business pursuits exclusion in the insurance policy and in disregard of the insurers direction not to let anyone else drive the vehicle. HELD: The grant of initial permission requires the insurer to provide coverage for third-party claims; the insurance policy should be construed to provide coverage up to the minimum limits required by statute. 1. The New Jersey statute in effect at the time of the accident required every owner of a registered vehicle to maintain insurance against loss resulting from liability imposed by law for bodily injury sustained by any person arising out of the use of a motor vehicle. The statute mandated minimum limits of $15,000 for one person and $30,000 if more than one person was injured in the accident. Our courts have held that a nearly unlimited range of conduct on the part of the driver or passenger, short of outright theft of the vehicle, is within the scope of the insureds permission. Underlying the initial permission rule is the intent to assure that all persons wrongfully injured have financially responsible persons to look to for damages because a liability contract is for the benefit of the public as well as for the benefit of the insured. (pp. 5-8)
2. It is undisputed that Panichi gave Ward permission to use the pickup
truck. Thus, Wards disregard of Panichis instruction not to let anyone else drive
has no impact on the coverage issue. Coverage should be afforded unless the
subsequent use constituted theft. The initial and subsequent permittees use of the vehicle
did not constitute theft. (p. 9)
3. Proformance argues that its business pursuits exclusion is clear and must be
enforced. We assume for the purposes of this appeal that the policy provisions
are clear. (p. 9)
6. We turn to the question of whether the stated policy limit of
$100,000 applies or whether the minimum required statutory limits should be read into
the policy. The business pursuits exclusion is contrary to public policy to the
extent it denies an injured party the minimum coverage required by law. The
Proformance policy must provide the statutorily required minimum limits of coverage for the
accident. (19-20)
CHIEF JUSTICE PORITZ and J USTICES LONG, LaVECCHIA, ZAZZALI, ALBIN, and RIVERA-S OTO join in
JUSTICE WALLACEs opinion
SUPREME COURT OF NEW JERSEY
Plaintiff-Appellant,
v.
Defendants-Respondents,
and
ADAM ROSARIO, CHARMAINE PANICHI, AUTO ADVANTAGE, HENRY WARD and HANK'S MOVING COMPANY,
Defendants.
Argued September 12, 2005 Decided December 22, 2005
On certification to the Superior Court, Appellate Division.
Aldo J. Russo argued the cause for appellant (Russo & Della Badia, attorneys).
Chad A. Rutkowski argued the cause for respondent Stacey Jones (White and Williams,
attorneys; Mr. Rutkowski, Noreen P. Kemether and Stephen Trzcinski, on the brief).
Jeffrey S. Craig argued the cause for respondent Shaw Whelan (Kelley, Wardell &
Craig, attorneys).
Justice WALLACE delivered the opinion of the Court.
This case implicates the initial permission rule and the business pursuits exclusion of
an insureds automobile insurance policy. The question is whether a permissive user is
entitled to liability coverage if he or she uses a vehicle in violation
of a business pursuits exclusion in the insurance policy and in disregard of
the insureds direction not to let anyone else drive the vehicle. We hold
that the grant of initial permission requires the insurer to provide coverage for
third-party claims because the public policy underlying our mandatory insurance statute trumps the
business exclusion clause. We also hold that the insurance policy should be construed
to provide coverage up to the minimum limits required by statute. Charmaine Panichi owned a 1997 Ford pickup truck that she loaned to her relative Henry Ward. That was not the first time that Panichi had loaned her truck to Ward. On this occasion, she instructed him not to use the truck in his furniture moving business and not to let anyone else drive it. Ward disregarded those instructions and authorized his employee, Adam Rosario, to use the truck to deliver furniture. While driving the truck with passenger Shawn Whelan, Rosario fell asleep at the wheel, struck a parked car, and injured a pedestrian, Stacy Jones. Whelan also was injured in the accident. In May 2001, Jones filed a personal injury action in the Court of Common Pleas, Philadelphia County, Pennsylvania. She named Panichi, Ward, and Rosario as defendants. On July 16, 2001, Whelan brought a similar action in New Jersey Superior Court against the same defendants. Ward and Rosario failed to answer and defaulted in both actions. Panichi was insured by The Proformance Insurance Company. On July 2, 2002, Proformance filed a complaint for declaratory judgment, seeking a declaration that Panichi, Ward, and Rosario were not covered under its policy insuring Panichis pickup truck. The Superior Court consolidated Whelans personal injury action with Proformances declaratory judgment action and scheduled the consolidated matters for arbitration. Only the Whelan matter was arbitrated. The arbitrator found Rosario and Ward 100% liable and awarded Whelan $50,000. Proformance did not defend either Rosario or Ward in that proceeding. After Whelan filed a motion to confirm the award, the court entered judgment against Rosario and Ward, jointly and severally. Jones filed a motion for summary judgment to compel Proformance to provide coverage. See footnote 1 Whelan subsequently joined in that motion. Proformance filed a cross-motion for summary judgment. The trial court granted summary judgment in favor of Whelan and Jones, finding that coverage existed pursuant to the initial permission rule. Proformance appealed. In an unpublished opinion, the Appellate Division held that the initial permission rule applied to a subsequent permittee and that coverage was compelled under the omnibus clause of the policy. Consistent with its view of the relevant case law, the panel concluded that the legislative policy requires coverage under the initial permission rule, notwithstanding the business exclusion. We granted certification limited solely to the issue of whether a business pursuits exclusion in an automobile insurance policy is enforceable when the person given permission by the insured to operate the vehicle permits another to use it. The Proformance Ins. Co. v. Jones, 183 N.J. 214 (2005). Proformance contends that the initial permittee, Henry Ward, did not obtain the status of a permissive user because he violated the owners instructions not to use the vehicle for business and not to allow anyone else to drive the vehicle. Proformance argues that because Ward was not a permissive user, he had no authority to allow Rosario to use the vehicle. Further, Proformance claims that Rosarios status as a permissive user is irrelevant because the business pursuits exclusion in the policy limits coverage. Proformance theorizes that if the policy exclusion is rendered ineffective because the insured gave permission to someone else to operate the vehicle, insurers will be forced to cover risks they did not anticipate in rating premiums. Proformance adds that invalidating its business exclusion will promote rate evasion and will give a subsequent permittee more rights than the named insured. In contrast, Whelan and Jones argue that once a person is given permission to use a vehicle, any subsequent use short of theft or the like is a permissive use within the terms of the standard omnibus clause in the policy. They contend that the initial permission extends to a second permittee and that Proformance cannot exclude coverage through a business pursuits exclusion when such coverage exists by virtue of the initial permission rule arising out of the standard omnibus clause of every automobile policy mandated by N.J.S.A. 39:6B-1. The New Jersey omnibus statute in effect at the time of the accident herein required every owner of a registered vehicle to maintain liability insurance, insuring against loss resulting from liability imposed by law for bodily injury, . . . sustained by any person arising out of the . . . operation or use of a motor vehicle. N.J.S.A. 39:6B-1(a). The statute mandated coverage of at least $15,000 for one person and $30,000 if more than one person was injured in the accident. Ibid. We first adopted the initial permission rule in Matits v. Nationwide Mutual Insurance Co., 33 N.J. 488 (1960). We held that if a person is given permission to use a motor vehicle in the first instance, any subsequent use short of theft or the like while it remains in his possession, though not within the contemplation of the parties, is a permissive use within the terms of a standard omnibus clause in an automobile liability insurance policy.
[Id. at 496-97.] We turn now to Proformances contention that notwithstanding the application of the initial permission rule, the business pursuits exclusion in its policy bars coverage of Whelans and Joness claims. Proformance argues that its business pursuits exclusion is clear and must be enforced. Whelan and Jones dispute the clarity of the business exclusion and argue that it is ambiguous. Because we did not grant certification on that issue, we will not decide it. We assume for the purpose of this appeal that the policy provisions were clear. The Proformance policy provided liability coverage for any covered person legally liable except as excluded by the provisions listed in the Liability, Uninsured/Underinsured Motorists and Medical Expense Losses We Do Not Cover and the Things We Do Not Cover sections of this policy. In the first section of losses not covered, the policy states: We do not provide coverage for (4) Anyone while employed or otherwise engaged in the business or occupation of: a. Selling, Renting or Leasing; b. Repairing; c. Servicing; d. Storing; or e. Parking; motor vehicles or boats designed for use mainly on public highways or waterways. . . . (5) Anyone while maintaining or using any vehicle while that person is employed or otherwise engaged in any business (other than farming or ranching) not described in exclusion 4. This exclusion (5.) does not apply to the maintenance or use of: a. A private passenger automobile; b. A pickup or van that you own; or c. A trailer used with a vehicle described in a. or b. above. In the second exclusion section, the policy states: We do not provide coverage for . . . 2. Business Pursuits. Liability for personal injury, bodily injury or property damage arising out of business pursuits of you or any covered person. This exclusion does not apply to: a. Activities which are usual to non-business pursuits; . . . . 6. Livery. Any person or property for personal injury; bodily injury, property damage or medical expenses occurring while your motor vehicle or boat is being used to carry persons or property for a fee. This exclusion does not apply to a share-the-expense car pool. Pursuant to the omnibus liability coverage statute, every owner of a motor vehicle registered in New Jersey must have liability insurance coverage. N.J.S.A. 39:6B. Our comprehensive insurance scheme of mandating automobile insurance evinces a strong legislative policy of assuring at least some financial protection for innocent accident victims. Home State Ins. Co. v. Contl Ins. Co., 313 N.J. Super. 584, 589 (App. Div. 1998), affd, 158 N.J. 104 (1999). An insurer must afford liability coverage in at least the amount mandated by the legislature. See State Farm Mut. Auto. Ins. Co. v. Zurick Am. Ins. Co., 62 N.J. 155, 170 (1973). We have often stated that an insurance policy is not an ordinary contract but a contract of adhesion between parties who are not equally situated. Doto v. Russo, 140 N.J. 544, 555 (1995)(quoting Mercer v. New Jersey Life Ins. Co., 101 N.J. 597, 611 (1986)). Further, when the language of the policy will support more than one meaning, courts should interpret the contract to comport with the reasonable expectations of the insured. Zacarias v. Allstate Ins. Co., 168 N.J. 590, 595 (2001). Consistent with that approach, policy exclusions must be narrowly construed; [and] the burden is on the insurer to bring the case within the exclusion. Princeton Ins. Co. v. Chunmuang, 151 N.J. 80, 95 (1998). A policy provision that conflicts with statutorily mandated coverage will not be enforced. Zurick, supra, 62 N.J. at 170. Our courts have long interpreted insurance policies to exclude provisions that are contrary to the public policy of mandating coverage on every vehicle for the benefit of injured parties. In Selected Risks Insurance Co. v. Nationwide Mutual Insurance Co., 133 N.J. Super. 205 (App. Div. 1975), See footnote 2 our Appellate Division considered the validity of a clause that excluded coverage for injuries arising out of the operation of an automobile repair shop. The operator of a service station was injured when the insureds vehicle suddenly lurched forward and struck him. Id. at 209. It was not disputed that the operator was excluded from coverage if the exclusions were valid. The panel found coverage, concluding that [t]o the extent that an exclusionary clause conflicts with the statutorily required omnibus clause, the language of the exclusionary clause must be deemed inapplicable. Id. at 211. In Ryder P.I.E. Nationwide v. Harbor Bay, 119 N.J. 402, 407 (1990), we addressed the obligation to provide coverage to an additional insured in a loading and unloading case. Id. at 406-07. We held that [b]ecause of statutorily-imposed omnibus requirements, any contractual attempt to exclude coverage for an additional insured will be held invalid. Id. at 408. In Parkway Iron & Metal Co. v. New Jersey Manufacturers Insurance Co., 266 N.J. Super. 386 (App. Div. 1993), cert. denied, 135 N.J. 302 (1994), the plaintiffs agent was injured when the driver of a vehicle insured by the defendant negligently unloaded cargo from his vehicle. Id. at 388. The exclusionary clause provided that the policy did not cover [b]odily injury or property damage resulting from the movement of property by a mechanical device . . . not attached to the covered auto. Id. at 389. The panel reviewed our language in Harbor Bay, supra, 119 N.J. at 402, and concluded that the policy exclusion was invalid and against the public policy of this State. Parkway, supra, 266 N.J. Super. at 390; see also Scott v. Salerno, 297 N.J. Super. 437, 445 (App. Div. 1997) (holding that public policy to provide coverage to anyone using an automobile with the owners permission requires invalidation of exclusion for anyone using the automobile while parking or storing); Harleysville Ins. Co. v. Crum & Forster Pers. Ins., 246 N.J. Super. 503, 507 (App. Div. 1990) (declaring that exclusions for persons engaged in duties for automobile business violates the clear public policy of this State and is void) (citations omitted); Am. Home Assurance Co. v. Hartford Ins. Co., 190 N.J. Super. 477, 486 (App. Div. 1987) (declaring that attempt to limit scope of statutorily mandated omnibus provisions by excluding as an additional insured thereunder any person employed . . . in connection with an automobile business . . . violates the clear public policy of this State and any policy provision containing such exclusion is void); Unsatisfied Claim & Judgment Fund Bd. v. Clifton, 117 N.J. Super. 5, 8 (App. Div. 1971) (concluding that the exclusionary clause was an invalid attempt to limit the scope of protection intended to be afforded to persons using the vehicle with the permission of the named insured). Recently, in Palisades Safety & Insurance Association v. Bastien, 175 N.J. 144, 146 (2003), we addressed the availability of personal injury protection benefits when the insured made a material misrepresentation to the insurer on the application. In that case, the insured falsely represented that he was single and the sole driver of two vehicles. Ibid. The policy expressly excluded coverage for any person misrepresenting a material fact in the application. Ibid. Subsequently, the insureds wife and her mother were injured in an automobile accident while driving a covered vehicle. Id. at 147. After both filed for benefits under the policy, Palisades filed an action to declare the policy void as to the wife and to limit the benefits to the mother to the statutory minimum. Ibid. The trial court and the Appellate Division ruled in favor of Palisades. In affirming that judgment, we made clear that although the company may rescind the policy, thereby disentitling Leonel to any PIP coverage as the named insured, that does not mean that it escapes liability in respect of innocent, third-party members of the public whose protection is a paramount concern of the PIP, no-fault system. Compare Lovett, supra, 244 N.J. Super. at 513, 582 A.2d 1274 (denying to resident son, injured while driving his own uninsured vehicle, PIP coverage as additional insured under mothers void policy), with Fisher v. N.J. Automobile Full Ins. Underwriting Assn, 224 N.J. Super. 552, 557-58, 540 A.2d 1344 (App. Div. 1988) (requiring insurer to provide minimal third-party PIP benefits to passenger, injured in insured vehicle, notwithstanding that policy on vehicle was declared void ab initio). The narrow question here is how to treat a resident spouse, whom we assume was innocent of the intentional misrepresentations of her spouse, under her households voided automobile insurance policy.
[Id. at 149-50.]
[Ibid.] We turn now to the question whether the stated policy limit of $100,000 in the Proformance policy applies or whether the minimum required statutory limits should be read into the policy. In Marotta v. New Jersey Automobile Full Insurance Underwriting Assn., 280 N.J. Super. 525, affd, 144 N.J. 325 (1996), we approved our Appellate Divisions conclusion that in an equivalent setting, the policy was required to provide the minimum coverage mandated by our compulsory liability insurance law. There, the insured misrepresented himself as a New Jersey resident when he applied for a $500,000 single-limit automobile policy. Id. at 526. The insured was involved in an accident in Philadelphia, Pennsylvania, and a personal injury complaint was filed against him as a result. Id. at 526-27. After investigation, the insureds insurance carrier concluded that the insured had misrepresented facts that rendered the policy void. Id. at 527. The insurance company filed a complaint seeking a declaration that it had no financial obligation under its liability policy or, alternatively, that the policy should be limited to the statutorily-mandated insurance of $15,000 per person to $30,000 per accident. Ibid. The trial court held that the policy limit of $500,000 was required, but the Appellate Division reversed. Id. at 532. The panel reasoned that an injured third party has the right to expect that all other drivers will be insured to the extent required by compulsory insurance, and that additional protection may be covered by a vehicle owners ability to purchase uninsured/underinsured coverage through the owners own insurance company. Ibid. We affirmed that judgment substantially for the reasons expressed in the opinion of the Appellate Division. Marotta, supra, 144 N.J. at 326; see also Palisades, supra, 175 N.J. at 149-50. We find no justification to reach a different result here. The business pursuits exclusion is contrary to public policy to the extent that it denies to an injured third party the minimum coverage required by law. Other states also have also adopted this approach. See 29 A.L.R.2d 817 (listing cases adopting this approach); see also Marcus, supra, 740 So. 2d at 610-11 (holding limits of statute rather than policy apply); Tapp, supra, ___ P.3d ____ at 12. We hold that the Proformance policy must provide the statutorily required minimum limits of coverage for the accident. The judgment of the Appellate Division as modified is affirmed. CHIEF JUSTICE PORITZ and JUSTICES LONG, LaVECCHIA, ZAZZALI, ALBIN, and RIVERA-SOTO join in JUSTICE WALLACEs opinion.
SUPREME COURT OF NEW JERSEY
THE PROFORMANCE INSURANCE
Plaintiff-Appellant,
v.
STACEY JONES and SHAWN
Defendants-Respondents,
and
ADAM ROSARIO, CHARMAINE
Defendants.
DECIDED December 22, 2005
Footnote: 1 The record does not reflect when Jones was permitted to join the declaratory judgment action. Footnote: 2 That case involved compulsory automobile insurance pursuant to N.J.S.A. 39:6-46, which was repealed and replaced by N.J.S.A. 39:6B-1.
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