SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-2174-96T1
ALICIA MENA and AYDEE
GUEVERA by her G/A/L
ALICIA MENA,
Plaintiffs-Respondents,
v.
UNSATISFIED CLAIM AND
JUDGMENT FUND,
Defendant-Respondent,
and
NESTAR MENA, MARCO VILLACIS,
THE MARKET TRANSITION FACILITY
OF NEW JERSEY by POLICY
MANAGEMENT CORPORATION, JOHN
DOES 1-10, ABC CORPORATION &
XYZ CORPORATION,
Defendants.
Submitted November 4, 1998 - Decided
December 30, 1998
Before Judges Pressler, Brochin, and Kleiner.
On appeal from the Superior Court of
New Jersey, Law Division, Essex County.
Hahn & Howarth, attorneys for appellant
(Scott M. Noonan, on the brief).
Goodman & Lustgarten, attorneys for
respondent (Alex Casale, on the brief).
The opinion of the court was delivered by
KLEINER, J.A.D.
Defendant Unsatisfied Claim and Judgment Fund Board ("UCJF")
appeals from a judgmentSee footnote 1 following a bench trial that permitted
plaintiffs Alicia Mena ("Alicia"), individually and as guardian
ad litem of her daughter, Aydee Guevera ("Aydee"), to recover
personal injury protection ("PIP") benefits for injuries
sustained in an automobile collision on April 26, 1992. The
judge concluded that plaintiffs were entitled to a judgment
despite the facts that: (1) plaintiffs were passengers in an
uninsured motor vehicle operated by defendant Nestar Mena
("Nestar"), the husband of Alicia and father of Aydee;See footnote 2 (2)
Alicia's Notice of Intention to Make a Claim against the UCJF,
though timely filed, failed to assert a potential claim for PIP
benefits; (3) Aydee's Notice of Intention to Make a Claim against
the UCJF was untimely filed; and (4) plaintiffs' claims for PIP
benefits were asserted in an amended complaint filed after the
two-year statute of limitations. Although we do not agree
entirely with the trial judge's reasoning as articulated in a
written opinion, we agree with the ultimate conclusion. Since
appeals are taken from judgments and not from opinions, see R.
2:2-3a(1), we affirm.
[Nestar's counsel] has made it clear
that they intend to pursue the Cordona [sic]
Agency for misrepresentations made to their
client. In the event that [Nestar's counsel]
is not successful, the UCJF would then pay
PIP bills for your clients. If however,
Cordona [sic] Agency is found liable, the
UCJF would pay nothing.
Nestar's complaint was then consolidated with Alicia's
amended complaint. A non-jury trial on the consolidated
complaints commenced October 24, 1996, resulting in a liability
judgment on behalf of Nestar against Cardona and its principals
for $32,932. Nestar withdrew his complaint as to the UCJF. On
Alicia's and Aydee's claims for PIP benefits, the judge ordered
the UCJF to pay both of the PIP claims. The judge thereafter
denied the UCJF's motion for a new trial.See footnote 12
(b) He is not a spouse, parent or child
of the judgment debtor, or the personal
representative of such spouse, parent or
child.
Defendant's argument ignores the fact that plaintiffs'
claims for PIP benefits were presented only in the context of a
trial on plaintiffs' amended complaint for PIP benefits payable
from the fund. N.J.S.A. 39:6-70 pertains to the eligibility of a
claimant seeking to satisfy a judgment from the UCJF where the
claimant has asserted a claim and thereafter recovered a judgment
against an uninsured defendant.
Although Nestar, the husband of Alicia and the father of
Aydee, was named as a party defendant, as of the date of this
trial Nestar was not then a judgment debtor, and plaintiffs were
not attempting to satisfy a judgment obtained against Nestar.
N.J.S.A. 36:6-70. Plaintiffs were merely attempting to assert a
claim for PIP benefits payable from UCJF. As such, plaintiffs'
claim is governed by N.J.S.A. 39:6-86.1.
The original version of N.J.S.A. 39:6-86.1, L. 1972, c. 198,
§ 7 (effective Jan. 1, 1973), included a subsection entitled
"Exceptions." A claimant was required to prove that she was not
operating or riding in a stolen vehicle or without the permission
of the owner, was not an insurer, was "not a spouse, parent or
child of the uninsured motorist . . . ," and was "not, at the
time of the accident, operating or riding in an uninsured motor
vehicle owned by him or his spouse, parent or child, and was not
operating a motor vehicle in violation of an order of suspension
or revocation." Ibid. (emphasis added).
However, as the Supreme Court has noted,
[I]n the 1983 amendments to N.J.S.A. 39:6-86.1, the Legislature has slightly reworded
these disqualifications to incorporate again
only certain of the general qualifications of
the Fund Law. The provision now stipulates
that a claimant for PIP benefits is
disqualified only by reason of the provisions
of sub-sections (a), (c), (d), or (l) of
N.J.S.A. 39:6-70. Those disqualifications
correspond to the specific disqualifications
of the 1972 version of the Fund's PIP
counterpart, i.e., that it is not a
compensation case; there is no revocation
involved; and there is no ownership by the
claimants of an uninsured vehicle.
[Wilson v. Unsatisfied Claim and Judgment
Fund Board,
109 N.J. 271, 277 n.2 (1988).]
The Court also noted that when the amendments were adopted in
1983, which referred PIP exclusions back to specifically
enumerated subsections of N.J.S.A. 39:6-70, one of those
subsections, (d), was likewise amended. The amended subsection
eliminated the disqualification of the owner or registrant of the
vehicle, whereas the pre-amendment subsection excluded the
owner's or registrant's family. Wilson, 109 N.J. at 272. The
term "judgment debtor" was never used in connection with the
exclusions for PIP benefits although that provision had always
existed as N.J.S.A. 39:6-70(b). Had the Legislature intended to
include that subsection as an exclusion, it could easily have
done so. We therefore conclude, as did the trial judge, that
plaintiffs were not excluded from recovering PIP benefits from
the UCJF simply because they were both passengers in a motor
vehicle operated by an uninsured driver who was also a spouse or
parent. Defendant's legal argument is the same argument
unsuccessfully raised by the defendant in Wilson, 109 N.J. at
276-77. The trial judge, relying upon Wilson, rejected
defendant's contention. We see no reason to intervene in the
trial judge's decision.
[Emphasis added.]
In considering Alicia's claim for PIP benefits, the judge
identified two reasons to permit that claim: (1) the purposes
underlying the enforcement of the statute of limitations were not
present as to Alicia's claim; and (2) pursuant to R. 4:9-3, the
doctrine of relation back would permit the amended complaint
seeking compensatory damages and PIP benefits to relate back to
the date of plaintiffs' original complaint that only sought
compensatory damages.
The judge explained that the purpose of the statute of
limitations is two-fold: (1) "to stimulate litigants to pursue a
right of action within a reasonable time so that the opposing
party may have a fair opportunity to defend, thus preventing the
litigation of stale claims"; and (2) [to] "penalize dilatoriness
and serve as a measure of repose." (Citing Rivera v. Prudential
Property and Casualty Ins. Co.,
104 N.J. 32, 39 (1986); Ochs v.
Federal Ins. Co.,
90 N.J. 108, 112 (1982); Danilla v. Leatherby
Ins. Co.,
168 N.J. Super. 515, 518 (App. Div. 1979).
Citing W.V. Pangborne & Co. v. New Jersey Dept. of
Transportation,
116 N.J. 543, 563 (1989), the judge further
explained that "the policy reasons for upholding a strict statute
of limitations recede where defendant is on notice of the claims,
and no significant prejudice results." The judge concluded that
UCJF was on notice of the PIP claim against it from the time
Alicia filed her notice in May 1992. Additionally, UCJF was a
named party in the original complaint filed in March 1994.
The judge reasoned that Alicia's counsel promptly requested
payment of PIP benefits after the conclusion of Nestar's complex
insurance litigation in July 1996. Thus, under the circumstances
presented by the history of this case, the judge concluded that
Alicia was not at all dilatory in her prosecution of the matter
and therefore deserved an equitable exemption from the formal
requirements of the statute.
In discussing R. 4:9-3,See footnote 13 the judge reasoned:
R. 4:9-3 allows relation back of an amended
complaint to the date on which the original
complaint was filed. Harr v. Allstate Ins.
Co.,
54 N.J. 287, 299-300 (1969). Amendments
for PIP claims have also been allowed,
subject to certain restrictions. Smelkinson
v. Ethel & Mac Corp.,
178 N.J. Super. 465,
470-73 (App. Div. 1981). In Smelkinson, the
Appellate Division outlined the following
test: (1) the amendment must satisfy the
transactional test established by R. 4:9-3;
(2) the added party must have had notice of
the action, prior to the expiration of the
statute, as to enable him to defend the
action on the merits without substantial
prejudice; and (3) the new party must have
known, or should have known, that the action
would have been brought against him but for
the error of plaintiff in identifying the
party. Smelkinson, supra, 178 N.J. Super. at
471.
We note, Alicia's amended complaint sought to add a claim for PIP
benefits, but did not seek to add a new party. Thus, she was
required to meet only the transactional test requirement of R.
4:9-3.
We conclude the judge properly found that Alicia had filed a
timely Notice of Intent to Make a Claim against the UCJF, thus
giving UCJF sufficient notice of the commencement of the action
prior to the time the statute of limitations expired. Although
her notice did not specifically delineate the nature of her
claim, it included a copy of the police report which disclosed
injuries. Within ninety days of this accident, the UCJF was
fully aware that Alicia was injured and intended to make a claim
against the UCJF.
Although the judge focused his analysis on Alicia's claim,
his reasoning was equally applicable to Aydee's claim. We note
that upon receipt of Alicia's original Notice of Intention to
Make a Claim she attached a copy of the police report which
identified Aydee, a minor, as an injured passenger. Thus UCJF
was also then on notice that Aydee, a minor passenger, was
injured. Thereafter, when Alicia timely filed her initial
complaint, although only seeking compensatory damages, she sought
damages individually and as guardian ad litem on behalf of Aydee.
Moreover, in correspondence with plaintiffs' counsel dated July
26, 1996, before plaintiffs filed their amended complaint seeking
PIP benefits, the UCJF admitted liability for plaintiffs' PIP
claims, but indicated, "[T]he UCJF will not process payments of
PIP bills in the above until all avenues of recovery are
exhausted; namely the Cardona agency."
Although the judge's initial conclusions were articulated
with reference to Alicia's PIP claim, it seems clear that his
conclusions were intended to encompass Aydee's PIP claim, as the
the judge properly concluded that plaintiffs satisfied the
requirements of R. 4:9-3. As noted, R. 4:9-3 is to be liberally
construed so as to achieve substantial justice on the merits.
Smelkinson, supra, 178 N.J. Super. at 471; see also Harr, supra,
54 N.J. at 299-300. Here, the amended complaint for PIP benefits
arose out of the transaction upon which plaintiffs' timely
complaint for compensatory damages had been filed. The police
report, the original complaint, the notice of intention forms,
and the communication from counsel, when read as a whole, fully
notified the UCJF that each plaintiff had been injured and each
was incurring and would continue to incur medical expenses. Each
plaintiff in the initial complaint asserted that each had
suffered "personal injuries causing permanent disability,
permanent significant disfigurement," and "permanent loss of
bodily function."
Defendant UCJF failed to demonstrate any particularized
prejudice and, as noted, admitted its responsibility for the
payment of PIP benefits, although it declined to process
plaintiffs' PIP claims pending Nestar's pursuit of his coverage
claim against Cardona. Equitable principles, judicial precedent,
and R. 4:9-3 support the judge's decision. See Lusby v.
Hitchner,
273 N.J. Super. 578 (App. Div. 1994).
[Brookins, supra, 131 N.J. at 146.]
The Court also explained the difference between the
statutory time constraints of the notice provisions, N.J.S.A.
39:6-65, and the statute of limitations:
The notice requirement that is a condition
precedent affects the right of a party to
obtain administrative relief. It differs
from a general statute of limitations, which
is a restriction on the time within which a
party must institute judicial proceedings
after the accrual of a cause of action. The
statutory notice requirement, however, "goes
to the validity of the claim itself: absent
the required notice, the injured party has no
right under the statute to receive
compensation." United States v. Studivant,
529 F.2d 673, 675 (3rd Cir. 1976) (construing
UCJF statute and holding that United States
was precluded from recovering against Fund
because statutory notice requirement was
condition precedent rather than state statute
of limitations and was binding on the United
States).
[131 N.J. at 152.]
Despite the underlying reasons for time requirements within
the notice statute, the Court recognized that those requirements
are liberally construed, id. at 148, and are often waived for
exceptional circumstances, id. at 148-49. The Court also
recognized that one exception involved minors' claims, citing
with approval Moore v. Truesdale,
48 N.J. Super. 257 (App. Div.
1958), and Wilkins v. Smith,
181 N.J. Super. 121 (App. Div.
1981).
In Moore, the court found that the statutory period to give
notice is tolled until an infant's guardian ad litem is
appointed. Moore, supra, 48 N.J. Super. at 261; see Wilkins,
supra, 181 N.J. Super. at 125-26.
In Wilkins, we noted:
[W]e perceive no reason to bar a claim for
Gregory WilkinsSee footnote 16 against the Fund whether
we decide the case from the viewpoint of
prejudice to the Fund from the passage of
time or from considerations of the importance
of diligence for its own sake. Surely we
ought not hold that the infant plaintiff, who
even now is only 14 years old, should be
barred because of any dilatory or neglectful
conduct on his part. Thus, we rule that the
notice on behalf of Gregory Wilkins was
timely.
We note that the result we reach in
providing for liberal treatment of an
infant's claim is consistent with the
treatment of such claims by the New Jersey
Tort Claims Act, N.J.S.A. 59:1-1 et seq.
That statute allows an infant's notice of
claim to be made anytime within his minority
and perhaps within 90 days after he reaches
majority. See N.J.S.A. 59:8-8; Vedutis v.
Tesi,
135 N.J. Super. 337 (Law Div. 1975),
aff'd o.b.
142 N.J. Super. 492 (App. Div.
1976). Practically, the result we have
reached is similar. As a policy matter
within the context of infants' claims, such
consistent results seem appropriate.
[Id. at 127.]
Alicia's Notice of Intention was timely filed, yet her
notice was incomplete. She did not answer the question on the
form claiming PIP benefits. However, in reviewing the record on
appeal, we note that certain deficiencies in Aydee's Notice of
Intention were immediately brought to the attention of Aydee's
counsel by the letter from UCJF dated December 23, 1992. Alicia
never received any communication from the UCJF that her Notice of
Intention to Make a Claim was deficient. Viewed from an
equitable perspective, Alicia had the right to assume that her
Notice of Intention to Make a Claim when filed fully protected
her right to assert any cognizable claim against defendant for
PIP benefits. See Watford v. Unsatisfied Claim and Judgment Fund
Board,
113 N.J. Super. 495, 508-09 (Law Div. 1971).
On the other hand, Aydee filed an untimely Notice of
Intention. Aydee was a minor, so the guiding principles
discussed in Moore and Wilkins are applicable. The UCJF was
fully aware from the police report that Aydee, a minor, was an
injured passenger, and Aydee had, through her guardian ad litem,
filed a timely complaint seeking compensatory damages for a
permanent injury. Additionally, defendant admitted
responsibility for Aydee's PIP benefits but refused to process
her claim pending Nestar's pursuit of his coverage claim against
Cardona.
We therefore conclude that plaintiffs should be deemed to
have equitably complied with the notice provisions of N.J.S.A.
39:6-65.
Affirmed.
Footnote: 1 On the date scheduled for this non-jury trial, counsel
for each party offered a preliminary statement of the facts.
Without any formal application, but clearly with the assent of
all counsel, the trial judge permitted each counsel to argue the
merits of each party's legal position. In essence, the judge
converted the trial into a summary judgment proceeding.
Following the entry of judgment for plaintiffs, defendant UCJF
filed a motion seeking reconsideration. Defendant's motion was
denied.
Footnote: 2 We note that defendant Nestar is identified in the record
as the father of the infant plaintiff Aydee Guevera. The record
does not explain the discrepancy in the child's surname.
Additionally the record offers alternative spellings of the minor
plaintiff's surname: "Guevara" and "Guevera."
Footnote: 3 Ultimately, it was determined that the operator of
defendant Marco Villacis' vehicle was his son. In the ensuing
litigation, discussed infra, plaintiffs sued several fictitious
defendants, one of whom was described as the operator of the
Villacis vehicle. Once the true identification of the driver was
determined, the pleadings as originally filed were amended.
Footnote: 4 Although the record on appeal does not explain why Alicia
filed a Notice of Intent to Make a Claim four days after this
accident, we presume she filed this form to protect her claim in
the event that any of the vehicles involved in the collision were
uninsured. The record is clear that prior to April 30, 1992,
Alicia did not know that her husband's insurer would disclaim
coverage.
Footnote: 5 On both forms Alicia did not provide an answer to the
following question: "Do you claim personal injury protection
benefits?"
Footnote: 6 We may also infer that Alicia forwarded the second Notice
to PMC as HMC forwarded to Alicia's counsel in December 1992
another, but exact, duplicate response as it had mailed on July
1, 1992.
Footnote: 7 On the Notice of Intention to Make a Claim Form submitted
on behalf of Aydee, dated December 8, 1992, the form inquired:
"7. Are your medical bills payable under any medical payment
plan? Blue Cross, HMO, private, etc. N.J.S.A. 39:6-86.2." Aydee
answered, "No."
Aydee's form also inquired: "3. Were you the spouse,
parent or child of the uninsured motorist against whom the claim
was made? N.J.S.A. 39:6-70." Aydee answered, "No." These
questions did not appear on either Notice submitted by Alicia.
The record on appeal does not explain the differences in the
questions asked on the Notice submitted by Alicia and on the
Notice submitted on behalf of Aydee.
On December 10, 1992, Aydee was then age fifteen. The
signature of the "claimant" cannot be deciphered. We presume
Aydee did not file this form herself and presume it was either
signed by her mother, Alicia, or by her counsel.
Footnote: 8 The same attorney represented both Alicia and Aydee.
Footnote: 9 As noted, supra, the "John Doe" was described as the
driver of the vehicle owned by defendant Marco Villacis.
Footnote: 10 Although the amended complaint added additional "John
Doe" defendants and fictitious defendants ABC Corporation and XYZ
Corporation, those references are irrelevant to the disposition
of this appeal.
Footnote: 11 The record on appeal does not fully reflect all aspects
of Nestar's claim.
Footnote: 12 Defendant's post-judgment motion was denominated a
motion for a new trial or reconsideration. See supra, note 1.
The record does not specifically reflect the disposition of
plaintiffs' claims for compensatory damages. However, since the
trial focused solely on plaintiffs' claims for PIP benefits and
on the consolidated damage claim asserted by Nestar as to
Cardona, we may infer that plaintiffs' compensatory damage claims
were resolved as to defendant Villacis and were withdrawn as to
defendant Nestar.
Footnote: 13 R. 4:9-3, "When Amendments Relate Back," provides:
Whenever the claim or defense asserted
in the amended pleading arose out of the
conduct, transaction or occurrence set forth
or attempted to be set forth in the original
pleading, the amendment relates back to the
date of the original pleading; but the court,
in addition to its power to allow amendments
may, upon terms, permit the statement of a
new or different claim or defense in the
pleading. An amendment changing the party
against whom a claim is asserted relates back
if the foregoing provision is satisfied and,
within the period provided by law for
commencing the action against the party to be
brought in by amendment, that party (1) has
received such notice of the institution of
the action that the party will not be
prejudiced in maintaining a defense on the
merits, and (2) knew or should have known
that, but for a mistake concerning the
identity of the proper party, the action
would have been brought against the party to
be brought in by amendment.
[Emphasis added.]
Footnote: 14 N.J.S.A. 39:6-65 provides in pertinent part:
Any qualified person . . . who suffers
damages resulting from bodily injury . . .
arising out of the ownership, maintenance or
use of a motor vehicle in this State . . .
and whose damages may be satisfied in whole
or in part from the fund, shall, except in
cases in which the claim is asserted by
actions brought under section 18 of this act
pursuant to section 19 of this act, within 90
days after the accident, as a condition
precedent to the right thereafter to apply
for payment from the fund, give notice to the
board, the form and contents of which shall
be prescribed by the board, of his intention
to make a claim thereon for damages if
otherwise uncollectible; provided, any such
qualified person may, in lieu of giving said
notice within said time, make proof to the
court on the hearing of an application for
the payment of a judgment (a) that he was
physically incapable of giving said notice
within 90 days after he became physically
incapable to do so or in the event he did not
become so capable, that a notice was given on
his behalf within a reasonable period, or (b)
that he gave notice to the board within 15
days of receiving notice that an insurer had
disclaimed on a policy of insurance so as to
remove or withdraw liability insurance
coverage for his claim against a person or
persons who allegedly caused him to suffer
damages.
[Emphasis added.]
Footnote: 15 The judge's failure to discuss this component of
defendant's argument is the primary basis for our rejection of
the judge's articulated conclusions of law. Yet, as we initially
indicated, we agree with the judge's ultimate conclusion.
Footnote: 16 Wilkins' notice was filed later in time from the accrual
of his cause of action than the notice filed on behalf of Aydee
following the accrual of her cause of action.