SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-2927-98T3
BARTHOLOMEW R. D'ASCOLI,
Plaintiff-Respondent,
v.
CAROLYN STIEH,
Defendant-Appellant.
Submitted November 16, 1999 - Decided December 10, 1999
Before Judges Pressler, Landau and Ciancia.
On appeal from the Superior Court of New Jersey,
Law Division, Special Civil Part, Sussex County.
John T. Stieh and Matthew D. Blumberg, attorneys
for appellant (Mr. Stieh, on the brief).
Ferrara Rizzo & Bauer, attorneys for respondent
(Daniel L. French, on the brief).
The opinion of the court was delivered by
PRESSLER, P.J.A.D.
Plaintiff Bartholomew R. D'Ascoli, a Sussex County physician,
brought this action against defendant Carolyn Stieh to recover his
fee for medical services he rendered to her. The trial judge
denied defendant's motion for summary judgment and granted
plaintiff's cross-motion, entering judgment in his favor in the
amount of $2,589.32. Defendant appeals, and we affirm, agreeing
that New Jersey law applies to the enforcement of this medical
service agreement.
The relevant facts are not in dispute. Defendant is a
Pennsylvania resident employed by a Pennsylvania employer, who on
November 12, 1995, injured her ankle at her Pennsylvania work site
during the course of her employment. There is no question that her
workers' compensation claim is governed by Pennsylvania's workers'
compensation law. There is also no question that a component of
Pennsylvania's workers' compensation law is 77 Pa. Cons. Stat. Ann.
§531(7), which bars a medical provider from seeking to hold the
employee liable for all or any portion of the medical costs
incurred in treating a compensable injury, the provider's exclusive
payment remedy being against the insurer. 77 Pa. Cons. Stat. Ann.
§531(7) (1999). New Jersey's workers' compensation law contains no
such prohibition. It is thus clear that had defendant obtained
medical treatment for her ankle injury in Pennsylvania, she would
have been immune to a claim for a medical fee. Nevertheless, and
for reasons that do not appear in the record, she sought out
plaintiff's services on November 16, 1995, four days after the
accident. Plaintiff, as we have noted, practices in Sussex County,
New Jersey, and is a licensed physician of this State. Plaintiff,
insofar as the record indicates, determined upon examination that
defendant required arthroscopic surgery of her ankle, which he
eventually performed successfully in this State. She returned to
work the following April.
On defendant's first visit to plaintiff, she was given a
patient information form which she completed, providing the
requested personal information. She had also made clear that her
injury was compensable and provided the name and address of her
employer and insurance carrier and her claim number. Just above
the signature line on the form was the advisory, in capital
letters, that the patient was directly responsible for payment of
the fee irrespective of insurance coverage, it being the patient's
responsibility, not the physician's, to deal with the insurance
company. Prior to the actual performance of the surgery in January
1995, defendant signed another document in which the surgical fee
was estimated at $3,500 and the additional anesthesia charge
estimated at between $500 and $1,000. The record suggests that
plaintiff thereafter did submit a claim to defendant's compensation
carrier and was apparently paid some portion of his fee by it. It
appears that the amount sued for represents the difference between
the total fee and the carrier's partial payment. Since defendant
thereafter refused to honor plaintiff's demand for the balance due,
he instituted this action.
Defendant's defense may be simply stated. She argues that
because the injury for which plaintiff treated her was a
compensable injury under Pennsylvania's workers' compensation law,
the immunization afforded her by that law from personal
responsibility for payment of treatment costs renders her agreement
with plaintiff unenforceable. In other words, she contends that
New Jersey must afford extraterritoriality to Pennsylvania's
workers' compensation law. We regard that theory, which rests upon
wholly inapposite predicates, as clearly untenable.
To begin with, defendant assumes that the issue is one of
choice of law between the workers' compensation laws of New Jersey
and those of Pennsylvania. That is clearly not so. We agree that
if the issue before us had implicated the question of whether New
Jersey's or Pennsylvania's workers' compensation law governed the
legal consequences of a particular compensable accident with which
each state has some relevant nexus, then such a conflicts-of-law
issue would arise. Compare, e.g., Eger v. E.I. DuPont DeNemours
Co.,
110 N.J. 133 (1988); Wilson v. Faull,
27 N.J. 105 (1958). But
the action before us is not a workers' compensation action and does
not implicate any direct issue involving the extent of a worker's
remedy under workers' compensation laws or the extent of their
exclusivity. The action before us is a simple contract action to
enforce a contract entirely legal and enforceable where made. Thus
New Jersey's workers' compensation laws are inapposite and do not
require comparison with Pennsylvania's.
As we view the matter, the relevant choice of law issue is
which state's law governs the interpretation and enforcement of the
contract defendant made with plaintiff by which she agreed to pay
for his medical services. If Pennsylvania law controls, then
clearly the contract, which is in direct violation of statutory
provision, would be unenforceable. If New Jersey law controls,
there would be no impediment to enforcement. We are persuaded that
under modern conflict of laws analysis, requiring identification of
the state with the most significant relationship to the parties and
the transaction, there can be little doubt as to New Jersey's
paramount interest. The agreement was made in this State. The
medical services were both anticipated to be and were actually
performed in this State by a practitioner practicing in and
licensed by this State. Under these circumstances, the one
disparate element, namely defendant's out-of-state residence, is
inconsequential to the analysis. See, e.g., State Farm, etc., Ins.
Co. v. Simmons' Estate,
84 N.J. 28, 34-35 (1980); Caribe Hilton
Hotel v. Toland,
63 N.J. 301, 303 (1973); Restatement (Second) of
Conflict of Laws, § 188 (1971).
As we understand the essence of defendant's argument, she is
urging what is, in effect, a public policy defense to the
enforcement of this New Jersey contract. That is to say, plaintiff
apparently contends that the public policy of Pennsylvania,
expressed by its statutory immunization of employees from direct
action by providers of medical treatment for compensable injuries,
provides a defense to a contract for medical services both legal in
New Jersey and enforceable under its law. We reject that
contention.
We recognize that violation of public policy may be a
thoroughly effective defense to enforcement of a contract otherwise
legal. See, e.g., Jacob v. Norris, McLaughlin & Marcus,
128 N.J. 10 (1992) (enforcement denied to contract interfering with client's
freedom to choose legal representation); Accountemps v. Birch Tree
Group,
115 N.J. 614 (1989) (enforcement denied to contract
providing for commission to unlicenced employment agency); Vasquez
v. Glassboro Service Ass'n, Inc.,
83 N.J. 86 (1980) (enforcement
denied to contract permitting self-help dispossession of migrant
workers). These cases are, of course, illustrative of the Court's
refusal to enforce contracts violative of this State's public
policy. We also recognize that a contract made in this State will
be denied enforcement here if it violates federal public policy.
See, e.g., Cooper Medical Center v. Boyd,
179 N.J. Super. 53 (App.
Div. 1981) (medical indigent may not be sued for hospital bills
where hospital failed to comply with its Hill-Burton obligations).
And we are also aware that this State may withhold enforcement of
a contract that is legal in the jurisdiction where made, but whose
enforcement in New Jersey would seriously offend this State's
public policy. See, e.g., Caribe Hilton Hotel v. Toland, supra,
63 N.J. 301 (recognizing the authority of the Court to refuse to
enforce a gaming contract legal in Puerto Rico where made because
of its offense to New Jersey's anti-gaming public policy, but
nevertheless concluding that a gaming contract is not so offensive
to New Jersey public policy as to warrant unenforceability here).
We have not, however, found any reported decision in which our
courts have withheld enforcement of a valid contract made and
performed in this State and with which it has the primary nexus
simply because it violates another state's public policy. Nor have
we found expression of any such rule of law elsewhere. To the
contrary the proposition that another state's public policy is
persuasive if contrary to one's own has been expressly rejected.
See In re Marriage of Chapman,
697 N.E.2d 365, 369 (Ill. App.
1998); State Farm Mutual Automobile Insurance Company v. Collins,
629 N.E.2d 762, 764 (Ill. App.), appeal denied,
638 N.E.2d 1126
(Ill. 1994).
There are other good reasons in common sense as well as equity
supporting our determination. A New Jersey licensed physician who
renders medical services in this State should be able to rely on
the contract laws of this State in seeking payment. It is also
arguable that by deciding to have her treatment outside of
Pennsylvania, defendant waived the benefit of this aspect of the
Pennsylvania workers' compensation law. We are satisfied that the
reasonable expectations of both parties in respect of the rendering
of medical treatment here were or should have been consistent with
defendant's agreement to pay for the medical services rendered by
plaintiff.
We have considered defendant's remaining objections to the
grant of summary judgment to plaintiff and conclude that none of
them has sufficient merit to warrant discussion in a written
opinion. R. 2:11-3(e)(1)(E).
The summary judgment appealed from is affirmed.