SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-0667-01T5
LEONARD STRULOWITZ, O.D.
and LEONARD STRULOWITZ,
O.D., P.A.,
Plaintiffs-Appellants,
and
JODI BRUDNO, O.D.,
Plaintiff,
v.
PROVIDENT LIFE AND CASUALTY
INSURANCE COMPANY,
Defendant-Respondent,
and
UNION CENTRAL LIFE INSURANCE
COMPANY, UNUM LIFE INSURANCE
COMPANY OF AMERICA, MUTUAL
BENEFIT LIFE INSURANCE COMPANY
AND/OR ITS SUCCESSORS IN INTEREST,
PAUL REVERE LIFE INSURANCE COMPANY,
HARVEY GELLER, SCOTT SMALL, and
LARRY STRULOWITZ,
Defendants.
______________________________________
Argued January 22, 2003 -- Decided
February 10, 2003
Before Judges Pressler, Ciancia and Hoens.
On appeal from the Superior Court of New
Jersey, Law Division, Morris County, MRS-L-
2522-99.
H. Curtis Meanor argued the cause for
appellants (Podvey, Sachs, Meanor, Catenacci,
Hildner & Cocoziello, attorneys; Mr. Meanor,
of counsel and with Lisa J. Trembly, on the
brief).
Louis P. DiGiaimo argued the cause for
respondent (Del Mauro, DiGiaimo & Knepper,
attorneys; Steven P. Del Mauro, of counsel
and with Robert P. Lesko, on the brief).
The opinion of the court was delivered by
CIANCIA, J.A.D.
The gravamen of this appeal is a dispute over insurance
coverage. On cross-motions for summary judgment, the trial court
concluded essentially that plaintiff Leonard Strulowitz did not
have standing to seek enforcement of the policy issued by
defendant Provident Life and Casualty Insurance Company
(Provident). In so doing, the court focused on the well known
tenets often applied to the interpretation of insurance
contracts. It did not, but should have, considered the law of
standing as an element of justiciability. N.J. Citizen Action v.
Riviera Motel,
296 N.J. Super. 402, 411 (App. Div. 1997). Viewed
from that perspective, we believe it to be clear that Strulowitz
is a real party in interest who should be allowed to litigate his
claim. R. 4:26-1.
At all relevant times, Strulowitz was an optometrist and
sole shareholder of Leonard Strulowitz, O.D., P.A. (the
Association). Dr. Jodi Brudno was an optometrist employed by the
Association.
In May 1990 Strulowitz applied to Provident for a business
buy-out expense disability insurance policy. The policy issued
on October 3, 1990, although it was effective retroactive to
August 1, 1990. As we understand it, this type of policy is a
variation of "key-man" insurance.See footnote 11 In simple terms, the carrier
agrees to pay a designated sum to a payee when the insured
becomes disabled in order to facilitate the buy-out of the
insured from the business by the payee. In the present instance,
Strulowitz was the insured and paid the premiums on the policy.
Brudno was designated as the payee in apparent anticipation of
the buy-out agreement that she entered into with Strulowitz after
the policy issued. Although the Association would typically be
designated the owner of such a policy, for reasons not entirely
clear Brudno was so designated.
On August 24, 1990, before the policy issued, Strulowitz
wrote to Catherine M. Phillips, CLU, an executive brokerage
consultant with Provident, and asked several questions about the
policy. By letter of October 15, 1990, Phillips responded,
stating in part:
In the event of total disability, the
benefits of this policy are paid as
reimbursement to an individual or entity for
the purchase of your ownership interest
(stock) in Leonard Strulowotz [sic], P.A. As
stated in the application, Dr. Jodi Brudno is
the loss payee. However, this may be changed
at any time, by requesting the change in a
letter under your signature.
It is not necessary for Provident Life to see
the agreement until the claim is made. No
approval of this agreement is necessary, as
Provident is not a party to this agreement.
The agreement is between you and Dr. Brudno,
or whomever else may be named at a later
point. The agreement may be changed at any
time prior to disability, subject to approval
by the parties to the agreement. At time of
claim our company pays the benefits of this
policy based on the most recent signed and
dated Buy-Sell Agreement for Leonard
Strulowitz, P.A.
A buy-sell agreement between Strulowitz and the Association
on one hand, and Brudno on the other hand, was executed on
November 1, 1991. It is a nineteen page document which, in part,
states that Strulowitz will cause the Association to purchase
insurance to help fund the purchase of Strulowitz's stock shares
in the Association should he become disabled. The agreement also
provided that the Association, referred to as the Corporation,
"shall be the sole owner of the policy and the beneficiary of the
policy will be Dr. Brudno." The proceeds of the policy were to
be paid to a trustee and then used toward the purchase of stock
from Strulowitz. As part of the agreement, Brudno agreed to buy
all of the stock in the Association for a specified sum in excess
of $1,500,000. The buy-sell agreement was binding on the parties
for three years.
On April 30, 1993, while the buy-sell agreement was still in
effect, Strulowitz made a claim under the policy asserting he was
disabled. For reasons we need not now detail, the claim was
denied and Strulowitz initiated suit in January 1995. Brudno was
named as a plaintiff, although the circumstances concerning how
she became a party to the suit are disputed. Provident answered
and subsequently counterclaimed against all plaintiffs, including
Brudno. The counterclaim in part alleged insurance fraud and
sought damages, fees, and expenses pursuant to N.J.S.A. 17:33A-7.
At the urging of Provident, Brudno in 1999 withdrew from the
litigation, settled with Provident, and terminated the buy-sell
agreement. As part of that settlement, Provident's counterclaim
against Brudno was dismissed. Thereafter, Provident filed a
summary judgment motion alleging that only Brudno had the right
to seek benefits under the policy, and that neither Strulowitz
nor the Association had standing to do so. Provident also
asserted Brudno had "voluntarily rescinded the policy" effective
January 31, 1999. Provident alleged other grounds as a basis for
summary judgment, but we need not address them in light of the
trial court's disposition on the standing issue.
The trial court characterized Provident's summary judgment
motion as seeking dismissal of the complaint "primarily on the
issues that relate to Dr. Strulowitz's role and lack of standing
to sue for benefits directly to him under the policy." The court
went on to find that the insurance policy "is a contract between
Provident and Brudno. And although Dr. Strulowitz is a named
insured, he is not a party. And this court finds he has no claim
or authority with respect to the rights or obligations therein
under the facts of this case." Toward the end of the opinion the
court stated, "[s]o, in summary, I'm satisfied that because Dr.
Brudno is the policy owner and the loss payee, she alone had the
rightly [sic] authority to affect that policy and to receive
proceeds under it."
As previously indicated, R. 4:26-1 permits an action to be
prosecuted by the real party in interest. Our courts have
liberally construed this provision. See Triffin v. Somerset
Valley Bank,
343 N.J. Super. 73, 80-81 (App. Div. 2001). Indeed,
it has been said that "[t]he New Jersey cases have historically
taken a much more liberal approach on the issue of standing than
have the federal cases." Crescent Park Tenants Ass'n v. Realty
Equities Corp. of N.Y.,
58 N.J. 98, 101 (1971). A sufficient
stake in the matter and a genuine adverseness are the basic
requirements of standing. N.J. Chamber of Commerce v. N.J. Elec.
Law Enforcement Comm'n,
82 N.J. 57, 67 (1980). A party need show
only a "substantial likelihood" that he or she will experience
"some harm" in the event of an unfavorable decision. In re the
Adoption of Baby T.,
160 N.J. 332, 340 (1999). A financial
interest in the outcome ordinarily is sufficient to confer
standing. See In re Camden County,
170 N.J. 439, 448 (2002);
Essex County Welfare Bd. v. Dep't of Insts. & Agencies,
75 N.J. 232, 236-237, cert. denied,
437 U.S. 910,
98 S. Ct. 3103,
52 L.
Ed.2d 1141 (1978); Assocs. Commercial Corp. v. Langston, 236
N.J. Super. 236, 242 (App. Div.) certif. denied,
118 N.J. 229
(1989).
Under these tests, plaintiff unquestionably had standing to
assert this action against defendant. His financial interest in
the matter is indisputable. He purchased the policy and each
year paid an annual premium of almost $11,000. Although he is
not the payee, the purpose of the policy is to finance the buy-
out of Strulowitz's interest in the business. The correspondence
from Phillips indicates Strulowitz had the discretion to change
the payee. Clearly, he was confronted with the prospect of
serious financial harm based on defendant's refusal to pay the
benefits under the policy.
Alternatively, plaintiff has a claim as a third-party
beneficiary of the agreement. The test is "whether the
contracting parties intended that a third party should receive a
benefit which might be enforced in the courts. . . ." Rieder
Communities, Inc. v. N. Brunswick,
227 N.J. Super. 214, 222 (App.
Div.), certif. denied,
113 N.J. 638 (1988) (quoting Brooklawn v.
Brooklawn Housing Corp.,
124 N.J.L. 73, 77 (E. & A. 1940)); see
also N.J.S.A. 2A:15-2 ("a person for whose benefit a contract is
made . . . may sue thereon in any court . . ."). Although not
every incidental benefit flowing from a contract will be
sufficient to render a person a third-party beneficiary, here,
the benefit to Strulowitz is well beyond incidental. He was not
designted as the ownerSee footnote 22 or payee of the policy but he sought the
policy, paid for the policy, was the insured under the policy,
and would be the ultimate recipient of the policy's funds after
they passed through Brudno's hands or, perhaps, the hands of
someone else who bought the business. It was clearly foreseeable
that Strulowitz would be damaged in the event Provident did not
carry out its duty of good faith and fair dealing. See Sons of
Thunder, Inc. v. Borden, Inc.,
148 N.J. 396, 420 (1997); Sears
Mortgage Corp. v. Rose,
134 N.J. 326, 347 (1993).
As we have said, the trial court analyzed the standing
question in terms of traditional insurance contract law. Within
that analysis the trial court, in our view, did not sufficiently
consider the expectations of the insured and the circumstances
under which the policy was written. An insurance policy should
be construed to fulfill the parties' objectively reasonable
expectations. Werner Indus. v. First State Ins. Co.,
112 N.J. 30, 35 (1988). The court, instead, relied on the literal
language of the policy. Our case law has had occasion to point
out that literal interpretations of insurance contracts can lead
to incorrect and inequitable results. Doto v. Russo,
140 N.J. 544, 556-557 (1995); see Harr v. Allstate Ins. Co.,
54 N.J. 287,
306-307 (1969).
Beyond the standing question were numerous factual issues
asserted on both sides. For example, plaintiff contends that
Provident negligently or fraudulently induced Strulowitz and the
Association to enter into the policy and then breached its duty
of good faith and fair dealing. Provident, in turn, contends
that Strulowitz was not disabled and, by way of counterclaim for
rescission, that Strulowitz made fraudulent misrepresentations on
the policy application.
In light of the test for summary judgment set out in Brill
v. Guardian Life Ins. Co. of America,
142 N.J. 520, 540 (1995),
and the reluctance of courts to decide fraud claims on summary
judgment, see, e.g., Shebar v. Sanyo Bus. Sys. Corp.,
111 N.J. 276, 292 (1988), we see little basis for resolution of the
present litigation on motions for summary judgment.
For the reasons stated, summary judgment in favor of
Provident is reversed. The matter is remanded for further
proceedings consistent with this opinion.
Footnote: 1 1 "Key-man" insurance reimburses an employer upon the death of a key employee. The policy is usually applied for and owned by the employer and the employer is the beneficiary. Mitzner v. Lights 18 Inc., 282 N.J. Super. 355, 359 (App. Div. 1994). Footnote: 2 2 On remand, Strulowitz may seek reformation of the policy to designate himself or the Association as "owner."