SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-1771-99T5
FRANCIS HRESHKO,
Plaintiff-Appellant,
v.
THE HARLEYSVILLE INSURANCE
COMPANY,
Defendant-Respondent.
___________________________________
Submitted: December 13, 2000 - Decided:
February 1, 2001
Before Judges Keefe, Eichen, and Steinberg.
On appeal from the Superior Court of New
Jersey, Law Division, Middlesex County,
L-7885-98.
Gill & Chamas, attorneys for appellant
(William P. Mikita, Jr., of counsel and on
the brief).
McElroy, Deutsch & Mulvaney, attorneys for
respondent (H. George Avery, on the brief).
The opinion of the court was delivered by
KEEFE, J.A.D.
Plaintiff, Francis Hreshko, appeals from the entry of
summary judgment in favor of defendant, Harleysville Insurance
Company (Harleysville). The practical effect of the summary
judgment was the dismissal of plaintiff's underinsured motorist
(UIM) claim against Harleysville. The Law Division judge found
that plaintiff's conduct prejudiced Harleysville's subrogation
rights, thereby disentitling plaintiff from recovering under the
UIM endorsement of his insurance policy. We reverse and remand
the matter for further proceedings in accord with this opinion.
Because the judgment under review results from a summary
judgment motion, we are required to consider the facts in a light
most favorable to plaintiff. Brill v. Guardian Life Ins. Co. of
Am.,
142 N.J. 520, 540 (1995). On July 15, 1988, plaintiff was
involved in a motor vehicle accident. The police report reflects
that plaintiff was stopped in traffic when his vehicle was struck
in the rear by a vehicle operated by Peter Pasterlak and owned by
his sister Barbara. Fernando Coelho, who was operating the motor
vehicle behind Peter Pasterlak, informed the investigating police
officer that he saw the Pasterlak vehicle strike plaintiff's
vehicle. Coelho said that he then attempted to stop his vehicle,
but failed and struck the Pasterlak vehicle in the rear.
Plaintiff has always maintained that he felt only one impact to
the rear of his vehicle, which he attributed to Pasterlak.
On September 22, 1988, plaintiff engaged Louis Ippolito to
represent him in connection with a potential claim. Ippolito
instituted suit against the Pasterlaks on July 12, 1990, three
days before the statute of limitations expired. The Pasterlaks
were insured by N.J.A.F.I.U.A. The policy was serviced by
Liberty Mutual Insurance company, who assigned attorney John
Strichek to represent the Pasterlaks. An answer was not filed on
their behalf until July 9, 1991, almost one year after suit was
instituted. The reason for the delay does not appear in the
record.
On September 11, 1991, Ippolito learned that the Pasterlaks'
policy limit was $100,000 per person. On April 19, 1993,
Strichek informed Ippolito that there was additional insurance
covering the Pasterlaks in the amount of $15,000 per person
issued by Continental Insurance. Ippolito thus believed that
there would be $115,000 insurance coverage available to satisfy
plaintiff's claim against the Pasterlaks.
On August 26, 1993, Ippolito informed Harleysville that
plaintiff intended to make a claim against it under the UIM
endorsement of the policy. He requested that a representative
contact him because he "need[ed] the consent of Harleysville to
settle the main liability action."
In preparation for trial, Ippolito determined that the cost
of expert witness fees would total $30,000. In November 1993,
Strichek extended an offer of $85,000 to settle plaintiff's claim
against the Pasterlaks. Plaintiff decided to accept the offer in
light of the cost of prosecuting the matter to judgment and with
the understanding that he could pursue a UIM claim against
Harleysville. According to Ippolito, the case was marked settled
with the Middlesex County Assignment Clerk's office, subject to
approval of the settlement by Harleysville. However, an Order of
Dismissal with prejudice was entered by the Assignment Judge on
January 10, 1994. The form order recites that it was being
entered because "[c]ounsel ... represented to the Court that the
... cause has been settled."
A letter from Ippolito to Harleysville, dated June 3, 1994,
stated that plaintiff had settled his claim with the Pasterlaks
for $85,000, subject to Harleysville's approval, and asked the
representative to inform him if Harleysville approved the
settlement or intended to pursue subrogation. The letter
reflects that there had been prior communications between
Ippolito and Harleysville concerning plaintiff's UIM claim.
Ippolito informed Harleysville that he was "still preparing the
financial package," but believed plaintiff's claim would
"approach $200,000." The Harelysville policy provided $300,000
per person UIM coverage.
The following month, Harleysville replied that it could not
approve the settlement until it more fully understood plaintiff's
claim. It listed the missing information it required for that
purpose. Ippolito supplied information to Harleysville in
February 1995, demanded the UIM limits in settlement, and asked
Harleysville to approve the settlement with the Pasterlaks.
After additional demands and exchanges of correspondence and
information, Harleysville informed Ippolito on August 3, 1995,
that it approved plaintiff's settlement with the Pasterlaks. It
informed Ippolito, however, that the approval was not to be
considered as "a waiver of any defense Harleysville has to
Francis Hreshko's claim for underinsured motorist benefits."
It was not until Harleysville approved the settlement that
plaintiff executed a release. The release, dated August 7, 1995,
inexplicably ran only in favor of Barbara Pasterlak.
Additionally, it was not until the release was forwarded to
Strichek that a stipulation of dismissal with prejudice was
signed by Strichek and Ippolito and filed with the court.
Plaintiff engaged his current attorney in June 1998. When
Harleysville refused to settle or arbitrate plaintifff's UIM
claim, the current suit was instituted. Plaintiff's only claim
for relief was an order seeking arbitration. The parties engaged
in discovery which included the deposition of Peter Pasterlak.
In that deposition, Pasterlak stated that, after he struck
plaintiff in the rear, his car was struck by Coelho, which again
forced his car into plaintiff. This was the first time Pasterlak
mentioned two impacts with plaintiff.
Harleysville moved for summary judgment. In its motion
brief, Harleysville advanced several theories to defeat its
insured's UIM claim. Its arguments were developed on two factual
scenarios which it claimed "dovetailed" and required a dismissal
of plaintiff's complaint. The first scenario was premised on its
claim that, with respect to Pasterlak, plaintiff failed to comply
with the requirements set forth in Longworth v. Van Houten,
223 N.J. Super. 174 (App. Div. 1988), and Rutgers Cas. Ins. Co. v.
Vassas,
139 N.J. 163 (1995) (hereinafter collectively referred to
as "Longworth/Vassas"). Specifically, Harleysville contended
that plaintiff prejudiced its right of subrogation against the
Pasterlaks by settling the claim and allowing the dismissal of
the complaint with prejudice in January 1994, prior to receiving
Harleysville's approval of the settlement. In the second
scenario, Harleysville pointed to plaintiff's failure to join
Coelho in his Law Division suit. It argued that plaintiff did
not qualify for UIM benefits because he failed to seek a
settlement or judgment against all potential tortfeasors.
Harleysville asserted that, irrespective of plaintiff's belief
that there was only one impact, Pasterlak's deposition supported
the contention that Coelho's $300,000 insurance coverage would
have been available to satisfy plaintiff's claim. It claimed
that plaintiff had an obligation to sue Coelho, and it was
prejudiced by reason of plaintiff's failure to do so.
After entertaining oral argument, the motion judge granted
Harleysville's motion and dismissed plaintiff's complaint. The
judge granted the motion solely on plaintiff's failure to join
Coelho in the underlying tort action. The judge found it was
plaintiff's "obligation" to sue Coelho, despite the fact that
plaintiff believed there was only one impact, and his failure to
do so exhibited his "bad faith." The judge did not address
Harleysville's argument that, with respect to the claim against
the Pasterlaks, plaintiff prejudiced its right of subrogation.
We first address the issue the trial judge found
determinative of plaintiff's UIM claim; that is, the claimed duty
of a UIM claimant to join a party in a third-party liability
action who the UIM claimant believes is not a tortfeasor, the
consequences of his failure to do so, and where that issue is to
be decided. The resolution of this issue is best explained in
the context of the facts of the case.
Plaintiff sued the Pasterlaks, claiming that Peter Pasterlak
was the sole cause of his damages. The Pasterlaks, despite Peter
Pasterlak's apparent belief that there were two impacts, did not
join Coelho as a third-party defendant seeking contribution from
him as a joint tortfeasor. There was $115,000 in liability
insurance under two separate insurance policies available to the
Pasterlaks to settle plaintiff's claim. Plaintiff's UIM
endorsement under the Harleysville policy afforded him $300,000
in per person benefits. Accordingly, the Pasterlaks were
underinsured as to plaintiff. N.J.S.A. 17:28-1.1(e)(1).
Plaintiff's acceptance of $85,000 in settlement of his claim
against the Pasterlaks did not destroy his right to seek UIM
benefits from Harleysville simply because plaintiff did not
exhaust the entire coverage available to him under the
Pasterlaks' two policies. Rather, Harleysville would be entitled
to a credit of $115,000 against its $300,000 UIM coverage. See
Longworth, supra, 223 N.J. Super. at 192. Contrary to
Harleysville's argument on appeal, Ainsworth v. State Farm Mut.
Ins. Co.,
284 N.J. Super. 117, (App. Div. 1995), certif. denied,
143 N.J. 328 (1996), does not hold to the contrary. Rather,
Ainsworth, which followed Longworth, simply stands for the
proposition that a UIM insurer cannot be compelled to arbitrate a
UIM claim in a vacuum. See Id. at 131-32. There must be a
settlement with a third-party defendant, or an award in favor of
a putative UIM claimant against a tortfeasor before arbitration
can be compelled. See CNA Ins. v. Cave,
332 N.J. Super. 185, 194
(App. Div. 2000).
Therefore, the settlement of the claim against the
Pasterlaks was the necessary prelude for plaintiff's UIM claim
against Harleysville. It is true that Coelho was not
underinsured with respect to plaintiff. That is so, because
Coelho's liability coverage of $300,000 per person was not less
than plaintiff's UIM coverage. N.J.S.A. 17:28-1.1(e)(1). The
important question, however, in the context of the statute and
the facts of this case is whether Coelho's liability coverage was
"available" to plaintiff. The answer to that question depends on
whether Coelho was a tortfeasor.
[W]hen the statute, N.J.S.A. 17:28-1.1(e),
speaks of 'available' insurance coverage it
plainly refers to that of persons who are
actual responsible tortfeasors and not that
of those who may have been 'involved' in the
accident without being liable under the law.
To rule otherwise would lead to the result
that underinsured coverage would be
eliminated whenever entirely blameless
persons involved in an accident happen to be
heavily insured.
[Gold v. Aetna Life & Cas. Ins. Co.,
233 N.J.
Super. 271, 276 (App. Div. 1989).]
This principle of law was later accepted by our Supreme Court in
Green v. Selective Ins. Co. of America,
144 N.J. 344, 352 (1996).
Thus, hypothetically, if plaintiff had joined Coelho in the
litigation and accepted a settlement from him, plaintiff would
not be barred from presenting a UIM claim against Harleysville if
the settlement was less than $300,000. In such a case,
arbitration would have been the appropriate forum for determining
whether Coelho was a tortfeasor. Gold, supra, 233 N.J. Super. at
277; Prudential Prop & Cas. v. Kress,
241 N.J. Super. 81, 86-87
(App. Div. 1990). In terms of plaintiff's UIM claim, the
consequences of settling the claim for less than the policy limit
and an arbitration determination that Coelho was a tortfeasor
might very well depend upon the percentage of fault attributed to
him and the value of plaintiff's claim as determined by the
arbitrators. CNA v. Cave, supra, 332 N.J. Super. at 193-94;
Craig & Pomeroy, New Jersey Auto Insurance Law, §28:3, at 424-28
(2001). On the other hand, if Coelho was found not to have been
a tortfeasor, his insurance was not "available" to plaintiff in
the context of the UIM statute, and plaintiff suffers no
consequence except for a pro tanto reduction in any UIM award
that he might have received. Gold, supra, 233 N.J. Super. at
277-78.
The principles of law remain the same, and, therefore, the
result should be no different where, as here, plaintiff has not
named Coelho as a defendant in the underlying action because he
did not believe Coelho was a tortfeasor. The UIM endorsement
does not require an insured to join all persons involved in the
accident in the third-party suit, irrespective of fault, in order
to protect the insurer's subrogation rights. Nor has
Harleysville cited any case law that mandates such action.
Indeed, such a requirement would run afoul of the principle that
a claim must be filed in good faith and have an evidentiary and
legal basis. R. 1:4-8(a)(2) and (3); see also N.J.S.A. 2A:15-
59.1.
Rather, the UIM endorsement in the subject Harleysville
policy provides:
If we and an "insured" do not agree:
1. Whether that person is legally
entitled to recover damages under
this endorsement; or
2. As to the amount of damages;
either party may make a written
demand for arbitration.
Harleysville's position in this case is that plaintiff is not
legally entitled to UIM benefits for several reasons. One of
them is that Coelho was a tortfeasor, and, therefore, his
insurance coverage was "available" to plaintiff, who failed to
take advantage of that coverage. That issue falls within the
arbitration clause of the policy. Regardless of whether
plaintiff was correct or incorrect in his assessment of Coelho's
involvement, the consequences of that decision can by the terms
of the endorsement be resolved through arbitration. If the
arbitrators determine that Coelho was not a tortfeasor,
Harleysville has not been prejudiced by plaintiff's failure to
join him. If the arbitrators determine that Coelho was a
tortfeasor, they must assess his percentage of fault and fix the
total value of plaintiff's claim. Clearly, if Coelho's coverage
would have been sufficient to satisfy his percentage of fault
under applicable comparative fault principles at the time of the
accident, Coelho is not underinsured as to plaintiff and
plaintiff suffers the consequences of failing to join him in the
third-party action. If, on the other hand, Coelho's comparative
fault contribution somehow makes his available insurance coverage
insufficient to satisfy plaintiff's claim, an unlikely event
under the facts as we know them, Harleysville would be entitled
to full credit for Coelho's $300,000 coverage, just as if Coelho
had been joined in the third-party action and was dismissed
without payment. Under that scenario, Coelho is still not
underinsured as to plaintiff because his insurance coverage is
not less than plaintiff's UIM coverage. N.J.S.A. 17:28-1.1(e)(1).
Thus, Harleysville is again not prejudiced by the failure to join
Coelho. Accordingly, the trial judge erred in finding that
plaintiff prejudiced Harleysville by not suing Coelho.
Related to the first issue is the question of whether
plaintiff's conduct in some way prejudiced Harleysville's
subrogation rights against the Pasterlaks. The trial judge did
not address this issue. With respect to this claim, Harleysville
argues that plaintiff did not follow the required
Longworth/Vassas procedures. Its argument is premised on the
assumption that the January 10, 1994, order of dismissal is
binding on the parties and barred any subrogation rights that
Harleysville may have wanted to pursue against the Pasterlaks.
Harleysville claims that it was induced to approve the settlement
between plaintiff and the Pasterlaks when, in fact, plaintiff had
already destroyed its subrogation rights against them. If that
contention is correct, plaintiff is not entitled to receive UIM
benefits. See Rutgers Cas. v. Vassas, supra, 139 N.J. at 175-76;
Rivers v. Allstate Ins. Co.,
312 N.J. Super. 379, 386 (App. Div.
1998).
This argument, however, ignores the certification filed by
plaintiff's first attorney, Ippolito, that he and the Pasterlaks'
attorney marked the case settled on condition that Harleysville
approved the settlement. In essence, plaintiff contends that he
preserved Harleysville's right to determine if it wished to
pursue the Pasterlaks, and the dismissal order was entered by
mistake. The fact that neither the release nor the stipulation
of dismissal with prejudice was signed until after Harleysville
approved the settlement facially supports plaintiff's contention.
While we take no position on the merits of this issue, we note
that an otherwise final order is subject to being vacated for
sufficient reasons pursuant to R. 4:50-1. The question of
whether the January order should be vacated under the
circumstances was properly before the trial court but not
decided. Since Harleysville's claim of prejudice was based upon
the destruction of its subrogation right against the Pasterlaks
further inquiry into the facts and circumstances surrounding the
entry of the order is imperative. Clearly, Strichek's
recollection of the terms of the settlement is relevant.
We, therefore, remand the matter to the Law Division for a
determination as to whether the order of January 10, 1994, should
be vacated. The trial court may undertake whatever additional
proceedings it deems necessary to achieve a proper disposition of
that issue. If the order is vacated, the trial court should
direct the parties to proceed to arbitration. If the order is
not vacated, the plaintiff's complaint should be dismissed. We
do not retain jurisdiction.