SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-366-99T5
COUNTRY-WIDE INSURANCE COMPANY,
Plaintiff/Appellant,
v.
ALLSTATE INSURANCE COMPANY,
Defendant/Respondent.
_______________________________
Argued: December 18, 2000 Decided: January 23, 2001
Before Judges Newman, Braithwaite and Wells.
On appeal from Superior Court of New Jersey,
Law Division, Union County, L-2908-98.
Amirali Y. Haidri argued the cause for appellant.
Lindsay K. O'Shaughnessy argued the cause for
respondent (McDermott & McGee attorneys; David J.
Dickinson on the brief).
This opinion of the court was delivered by
WELLS, J.A.D.
On leave granted, plaintiff Country-Wide Insurance Company
appeals nunc pro tunc from an order denying its application to
enjoin arbitration. The same order directed arbitration to proceed
between it and defendant Allstate Insurance Company on Allstate's
claim for reimbursement of personal injury protection (PIP)
benefits. Those benefits were paid to James Donohue, a pedestrian,
insured by Allstate.
The underlying facts and procedural history are undisputed.
On January 30, 1997, a motor vehicle accident occurred when
Zhang Yuan Gao, a New York resident, struck the pedestrian, James
Donohue. Gao was insured by Country-Wide, a New York based
insurance company licensed to do business in New Jersey. Country-
Wide acknowledges that it is subject to the insurance laws of this
state, because it is licensed to do business in this state, and
that it is required under N.J.S.A. 17:28-1.4, the so called "deemer
statute"See footnote 11, to provide PIP benefits pursuant to N.J.S.A. 39:6A-4.
As a result of the accident, Donohue sustained bodily injuries and
incurred medical expenses allegedly exceeding $75,000, which were
paid by Allstate pursuant to N.J.S.A. 39:6A-4. Allstate sought
contribution from Country-Wide for its PIP outlay pursuant to
N.J.S.A. 39:6A-11. Country-Wide refused payment, claiming that it
was not required to participate in inter-company arbitration.
On May 14, 1998, Country-Wide filed a complaint and order to
show cause seeking a declaration that it was not required to
contribute to PIP benefits paid by Allstate. Country-Wide also
sought to permanently enjoin Allstate from instituting arbitration
for any claim for contribution of such benefits.
On June 12, 1998, a hearing was held on the order to show
cause. At the conclusion of the hearing, Country-Wide's
application for a permanent injunction was denied and an order was
entered compelling the parties to proceed with arbitration,
pursuant to N.J.S.A. 39:6A-11. The trial court reasoned that
because Country-Wide is required to carry PIP coverage payable to
an injured pedestrian under N.J.S.A. 39:6A-4, it would also be
required, under N.J.S.A. 17:28-1.4, to pay pro rata contribution to
a carrier who under its policy paid PIP benefits.
On August 6, 1999, Country-Wide filed a motion to supplement
the record and for reconsideration. After Allstate submitted
opposition, the court issued an order denying reconsideration and
allowing Country-Wide to supplement the record with discovery
documents showing that Allstate includes in its automobile
insurance policies a "follow-the-family" exclusion in substantially
the form recited in Rutgers Cas. Ins. Co. v. The Ohio Cas. Ins.
Co.,
299 N.J. Super. 249, 252 (App. Div. 1997), aff'd,
153 N.J. 205
(1998).
To better understand Country-Wide's defense against Allstate's
claim, we trace the history of inter-company PIP contribution
claims. The statutory requirement set forth in N.J.S.A. 39:6A-11
that there be equitable pro rata reimbursement between carriers for
PIP benefits is one of long standing. For many years, however,
Allstate resisted payment of such contribution under this
provision. Its early efforts failed. See, e.g. Selected Risks
Ins. Co. v. Allstate Ins. Co.,
179 N.J. Super. 444 (App. Div.
1981), cert. denied,
88 N.J. 489 (1981). Nonetheless, it
persevered, and ultimately, based on an informal "gentlemen's
agreement" among New Jersey carriers acknowledged in Rutgers Cas.
Ins. Co., supra, 299 N.J. Super. at 256, and backed by a clause in
their respective policies, such contribution generally became
obsolete. That clause, which became known as the "follow-the-
family" exclusion, provides:
[T]he insurance under this endorsement does
not apply to bodily injury:
. . . .
(h) to any person other than the named
insured or relative if that person is entitled
to New Jersey personal injury protection
coverage as a named insured or relative under
the terms of another policy;
(i) to any relative if that person is
entitled to New Jersey personal injury
protection coverage as a named insured under
the terms of another policy.
Indeed, within eight months after the Rutgers decision in 1997, the
Legislature also amended the Automobile Reparation Act by adding
the clause. N.J.S.A. 39:6A-7b(3). The following year the Supreme
Court affirmed, per curiam, the Rutgers decision. Rutgers Cas.
Ins. v. Ohio Cas. Ins.,
153 N.J. 205 (1998).
Based on this history Country-Wide urges that it would be
inequitable for this court to permit Allstate to seek contribution
when Allstate would not be required to pay contribution under
Rutgers, had Country-Wide paid Donohue under its PIP coverage.See footnote 22
Country-Wide asserts that it is a New York carrier and could not,
under New York law, write a "follow-the-family" exclusion into its
policies. It posits its situation as one where, under N.J.S.A.
17:28-1.4, it must, as the trial court held, pay PIP to the same
extent as a New Jersey carrier but it is unable to join the
"gentlemen's agreement" or to escape pro rata contribution where a
New Jersey carrier could do so.
Country-Wide's position is grounded upon the language of
N.J.S.A. 39:6A-11 requiring "equitable" pro rata contribution and
upon judicial estoppel. The statute provides:
If two or more insurers are liable to pay
benefits under section 4 and 10 of this act
for the same bodily injury, or death of any
one person, ... any insurer paying the
benefits shall be entitled to recover from
each of the other insurers, only by inter-
company arbitration or inter-company agree-
ment, an equitable pro-rata share of the
benefits paid.
It claims that there can be no equity where there is no mutuality
of obligation. Whereas Allstate could avoid pro rata contribution
had Country-Wide paid Donohue, it is asserted there is no
mutuality. It further urges that Allstate's persistent resistance
before the courts to PIP contribution precludes it from now
asserting a right to contribution relief in those same courts
against a small competitor from a foreign state.
We disagree with these arguments. First, Country-Wide reads
the word "equitable" in Section 11 overbroadly. In context, the
word simply means that the amount of contribution of the carriers
liable for PIP under the facts of a particular case shall be
apportioned fairly among those carriers. USF&G v. Industrial
Indem.Co., 264 N.J. Super. at 379, 384, cert. denied,
134 N.J. 484
(1993). It does not mandate a mutuality of obligation in the sense
that if a carrier is not liable to pay contribution in one case it
may not be able to collect it in another.
Second, the argument ignores the continuing unambiguous
legislative declaration of N.J.S.A. 39:6A-11 requiring contri-
bution. In Rutgers Cas. Ins Co., supra, 299 N.J. Super. at 263,
we quoted two examples of Section 11's continuing viability. There
are doubtless other examples. We held there that "the follow-the-
family" exclusion does not textually violate Section 11, which only
applies when two or more insurers are liable to pay benefits under
Sections 4 and 10 of the act." Id. at 262. In this case, in the
absence of a "follow-the-family" exclusion it its policy, Country
wide simply remains liable for pro rata contribution toward the PIP
benefits Allstate paid. The fact that Country-Wide's policy does
not include a "follow-the-family" exclusion and could not include
one under New York law is of no consequence in New Jersey, where
the accident happened. Mutuality of obligation among competing
insurance carriers is not the touchstone of public policy in the
arena of providing immediate and prompt compensation to the victims
of automobile injury.
N.J.S.A. 39:6A-4.2 (declaring the primacy of carriers
obligated to pay PIP), together with Section 11, implements the
legislative policy of insuring prompt payment of PIP claims without
the delays incident to squabbles between companies as to which
should first pay the injured person while preserving the basic
right of reimbursement via contribution. USF&G v. Industrial Indem.
Co., 264 N.J. Super. at 384. On the other hand, the "follow-the-
family" exclusion and its statutory embodiment, N.J.S.A. 39:6A-
7b(3), furthers the policy of eliminating or reducing the
transactional costs of contribution in most cases. The two
provisions are not mutually exclusive, nor are they contradictory.
Country-Wide points to certain observations we made in IFA
Ins. Co. v. Atlantic Mut. Ins. Co.,
331 N.J. Super. 217, 221 (App.
Div. 2000), as supporting its reasoning that to compel contribution
in this case would be inequitable. In IFA, an employee was injured
while driving a company car with PIP coverage issued by Atlantic
Mutual. That employee was, however, paid PIP by IFA, the insurer
of his own personal vehicle. When IFA sought contribution under
Section 11, Atlantic Mutual asserted the follow-the-family
exclusion in its policy. The trial court dismissed the claim
citing Rutgers and we affirmed. We stated:
In this case, the person was injured while
driving his employer's vehicle. The named
insured on the policy covering the vehicle is
a corporation (EMCO). Theoretically, the
named insured cannot sustain injuries, nor can
it have any "resident relatives" capable of
sustaining injuries while traveling in another
person's automobile. In that sense, the PIP
coverage appears somewhat illusory. In
addition, it does not appear economically
rational to charge the cost of PIP benefits to
DiNicola's personal policy when as an
employee, he uses his corporate vehicle for
most of his driving needs. Under such
circumstances, EMCO's carrier should expect to
be obligated for PIP benefits. Arguably, it
would seem more rational for a corporate
policy to be interpreted to mean that the
terms "named insured" and "resident family
members" included "employees."
[IFA Ins. Co., 321 N.J. Super. at 221].
But that observation goes to the definition of who should be
included in the definition of "family" and not to a claim of
inequity arising from a duty to pay contribution to a carrier
which, itself, may never have to pay it. Accordingly, we do not
concur that our comment advances Country-Wide's position in this
case.
Nor does the law of judicial estoppel help Country Wide. Its
brief characterizes Allstate's position with respect to inter-
company contribution claims for PIP benefits since the decision in
Selected Risks, supra,
179 N.J. Super. 444 in 1981 as a "decades
long crusade" against such claims. Whether that characterization
is correct or not, it is clear that Allstate historically resisted
paying such claims. Inferably, its status as one of the largest
automobile insurers doing business in New Jersey was not without
influence in putting a virtual end to such contribution. Allstate
joined the gentlemen's agreement. It defended vigorously in court.
Its purpose, however, a valid and lawful one, was plain enough: to
reduce transactional costs incident to the pursuit of such claims.
We have no doubt that Allstate, along with other carriers, has lost
untold dollars in PIP reimbursement as the result of the
gentlemen's agreement and the eventual fading of PIP reimbursement
as an expression of public policy. But, presumably, these same
carriers have also saved significant and mounting transactional
costs. To that extent, the increased efficiency in the system of
automobile reparations serves the public interest.
Judicial estoppel is a doctrine which prevents a party from
asserting a position in one judicial forum and a contrary one in
another. See generally Cummings v. Bahr,
295 N.J. Super. 374 (App.
Div. 1996). It is designed to eliminate "playing fast and loose"
with the judiciary. Id. at 387, quoting Ryan Operations G.P. v.
Santiam-Midwest Lumber Co., 81 F.3rd 355 (3rd Cir. 1996). Allstate
has not played fast and loose here. It has consistently been
against PIP reimbursement. That it fought PIP contribution as a
matter of strategic position over the years does not mean, however,
in a particular case, it cannot collect PIP where the surviving
statute expressly gives it a right to do so. Judicial estoppel has
never been held to preclude a party from taking advantage of extant
and applicable statutory provisions which in other forums it has
questioned or lawfully sought to change. Country-Wide's remedy
lies in the legislature.
Affirmed.
Footnote: 1 1The statute provides: Any insurer authorized to transact ... automobile or motor vehicle insurance business in this state ... which sells a policy providing automobile or motor vehicle insurance coverage ... in any other state ... shall include in each policy coverage to satisfy at least the ... personal injury protection benefits coverage pursuant to section 4 of P.L. 1972,c. 70 (C.39:6A-4) ... whenever the automobile or motor vehicle insured under the policy is used or operated in this State. Footnote: 2 2The situation Country-Wide posits is hypothetical. It is clear that under N.J.S.A. 39:6A-4.2, Allstate is the "primary" carrier on the facts of this case in the sense that it is first called upon to pay the injured pedestrian. USF&G v. Industrial Indem.Co., 264 N.J. Super 379, 384, certif. denied, 134 N.J. 484 (1993). There is thus no real circumstance here under which Country-Wide would have been called upon to pay PIP. However, we acknowledge that had Donohue owned a car principally garaged in New York covered by a Country-Wide policy and Country-Wide had paid him PIP under Section 4 as the primary carrier, it would not be able to recover contribution therefor from Allstate under Rutgers and N.J.S.A. 39:6A-7b(3).