SYLLABUS
(This syllabus is not part of the opinion of the Court. It has
been prepared by the Office of the Clerk for the convenience of the
reader. It has been neither reviewed nor approved by the Supreme Court. Please
note that, in the interests of brevity, portions of any opinion may not
have been summarized).
Liberty Mutual Insurance Co. v. Land (A-125-2004)
Argued October 24, 2005 -- Decided March 14, 2006
ZAZZALI, J., writing for the Court.
In this appeal, the Court must determine the appropriate standard of proof under
the Insurance Fraud Prevention Act (IFPA),
N.J.S.A. 17:33A-1 to -30.
Rose Land owns a small cabin in Highland Lakes that she and her
husband Frank use as a vacation home. At the time the dispute arose,
Liberty Mutual insured the cabin for property damage. On December 12, 2000, a
tree located on the property of Joseph Rizzo, the Lands next-door neighbor, fell
onto the roof of the Lands cabin. Land telephoned his nephew, Steven Budge,
a licensed public adjuster in the State of New Jersey, to assess the
damage and secure the structure.
After Rizzos wife reported that there were men on Lands roof doing additional
damage, Rizzo videotaped Budge and his associates working on the cabins roof. The
videotape depicts the three men taking a portion of the fallen tree and
slamming it against the roof, creating further damage and shattering a skylight. The
videotape also shows Frank Land on the ground gesturing to Budge and his
associates and climbing a ladder to provide a jacket to one of the
workers.
Budge assisted the Lands in preparing and filing an insurance claim on their
behalf with Liberty Mutual for $69,338. Joseph Balinski, a builder employed by Liberty
Mutual, inspected the cabin ten days after the incident. Balinski prepared a damage
estimate concluding it would cost only $9,921 to make the necessary repairs. At
trial, Balinski also testified that he had previously inspected the property in connection
with a prior damage claim by the Lands, and found that some of
the prior damage was included in the estimate submitted in support of the
December 2000 claim. Balinski also stated that many of the repairs in Budges
estimate were unnecessary.
Liberty Mutual denied coverage and filed suit against the Lands and Budge, alleging
IFPA violations. The Lands and Budge counterclaimed against Liberty Mutual alleging, among other
claims, bad faith in denying the claim. After a six-day trial, the jury
returned a verdict in favor of Liberty Mutual, finding that it had proven
by clear and convincing evidence that all three defendants knowingly misrepresented, concealed, or
failed to disclose any material fact concerning the property loss. The jury further
concluded that Budge intentionally cause[d] or contribute[d] to the loss. The trial court
awarded Liberty Mutual treble damages, counsel fees, and investigative costs totaling $82,413 and
denied Budges motion for reconsideration.
The Lands and Budge appealed, asserting that the trial court committed prejudicial errors
during the trial. Liberty Mutual cross-appealed, claiming that the trial court erred in
charging the jury that an IFPA violation must be proven by clear and
convincing evidence. In an unpublished opinion, the Appellate Division reversed and remanded for
a new trial for various reasons, including prejudicial statements made by Liberty Mutuals
counsel during summation. The panel also concluded, without analysis, that the proper burden
of proof under IFPA is clear and convincing evidence.
The Supreme Court granted certification limited solely to determining the appropriate standard of
proof. The Court also allowed the Attorney General and the New Jersey State
Bar Association to participate as amici curiae.
HELD: The standard of proof required under the New Jersey Insurance Fraud Prevention
Act is a preponderance of the evidence.
1. The New Jersey Rules of Evidence set forth three standards of proof:
preponderance of the evidence, clear and convincing evidence, and proof beyond a reasonable
doubt. As a general rule, the preponderance of the evidence standard applies in
civil actions. Under the preponderance standard, a litigant must establish that a desired
inference is more probable than not. If the evidence is in equipoise, the
burden has not been met. The clear and convincing standard is a higher
standard that should produce in the mind of the trier of fact a
firm belief or conviction as to the truth of the allegations sought to
be established. Courts have called for clear and convincing evidence in civil cases
when more is at stake than the loss of money. Such cases would
involve a loss of liberty or deprivation of interests that are fundamental or
significant to personal welfare. The highest standard, proof beyond a reasonable doubt, is
applied primarily in criminal cases. (pp. 6-9)
2. Because the language of the IFPA and its legislative history are silent
concerning the applicable standard of proof, the Court must attempt to discern the
Legislatures intent from its purpose in promulgating the Act and its context. The
IFPA is a comprehensive statute designed to help remedy high insurance premiums, which
the Legislature deemed to be a significant problem. A person or practitioner violates
the Act by making a knowingly false statement in support of or in
opposition to a claim for payment under an insurance policy. Other violations include
presenting any knowingly false or misleading information in an insurance application, and knowingly
assisting or conspiring with another to violate the Act. There are a broad
range of enforcement mechanisms and penalties available under the Act. The Commissioner of
the Department of Banking and Insurance can bring a civil action, as can
an insurance company that has been damaged by a violation. Damages can be
trebled if the defendant engaged in a pattern of violations. The penalties authorized
by IFPA are remedial in nature, and the Court is required to construe
the Acts provisions liberally to accomplish the Legislatures broad remedial goals. (pp. 9-14)
3. In the only published opinion addressing the standard of proof under the
IFPA, a Law Division court held that a party seeking relief must prove
a violation by clear and convincing evidence.
Harleysville Insurance Co. v. Diamond,
359 N.J. Super. 34 (Law Div. 2002). The court relied almost exclusively on the
fact that the clear and convincing standard applies in common law fraud actions.
Liberty Mutual asserts that
Harleysville was wrongly decided because common law fraud is
distinguishable from statutory fraud. The Court agrees. In enacting the IFPA, the Legislature
did not codify common law fraud but rather supplemented it because, standing alone,
common law fraud had proven insufficient in combating and deterring insurance fraud. Proof
of common law fraud requires satisfaction of five elements, including reliance and damages.
The IFPA does not require proof of reliance or resultant damages. Because of
those distinctions, the Court finds that the standard of proof applied in a
common law fraud case is not dispositive of the standard of proof applicable
under IFPA. (pp. 14-16)
4. A review of analogous fraud statutes, rules of statutory construction, and related
considerations persuades the Court that the proper standard of proof is a preponderance
of the evidence. The closest statutory analogue is the Consumer Fraud Act (CFA).
In discussing the standard of proof under the CFA, courts have found no
indication that the Legislature intended to impose any greater burden of proof than
that usually required in a civil action. The federal counterpart to the IFPA,
the False Claims Act, similarly requires proof by a preponderance of the evidence.
This standard also applies in proceedings to enforce anti-fraud provisions of the federal
securities laws. (pp. 16-19)
5. Additional considerations reinforce the Courts conclusion that application of the preponderance standard
is both sensible and fair. The Court finds it persuasive that the preponderance
standard is applied to violations of other statutes in New Jersey that provide
for substantial monetary penalties. The Court also notes that the Legislature is well
aware of its ability to impose a higher standard of proof when it
so desires. (pp. 19-24)
The judgment of the Appellate Division is
REVERSED in part and the matter
is
REMANDED to the trial court for further proceedings consistent with this opinion.
JUSTICE ALBIN has filed a separate,
dissenting opinion, expressing the view that the
significant consequences that flow from a judicial determination of IFPA liability warrant a
heightened burden of proof.
CHIEF JUSTICE PORITZ and JUSTICES LaVECCHIA and RIVERA-SOTO join in JUSTICE ZAZZALIs opinion.
JUSTICE WALLACE concurs in the result. JUSTICE ALBIN has filed a separate, dissenting
opinion, in which JUSTICE LONG joins.
SUPREME COURT OF NEW JERSEY
A-
125 September Term 2004
LIBERTY MUTUAL INSURANCE COMPANY,
Plaintiff-Appellant,
v.
ROSE LAND and FRANK LAND,
Defendants,
and
STEVEN BUDGE,
Defendant-Respondent.
Argued October 24, 2005 Decided March 14, 2006
On certification to the Superior Court, Appellate Division.
Mauro C. Casci argued the cause for appellant (Mr. Casci, attorney; Russell Macnow,
on the brief).
Steven A. Budge argued the cause for respondent, pro se.
John C. Grady, Deputy Attorney General, argued the cause for amicus curiae Attorney
General of New Jersey (Peter C. Harvey, Attorney General, attorney; Patrick DeAlmeida, Assistant
Attorney General, of counsel; Mr. Grady and Jeffrey R. Caccese, Deputy Attorney General,
on the brief).
Robert B. Hille argued the cause for amicus curiae New Jersey State Bar
Association (Stuart A. Hoberman, President and Mr. Hille, attorneys; Mr. Hoberman, of counsel;
Mr. Hille, Mr. Hoberman, James A. McFaul and Megan M. Roberts, on the
brief).
JUSTICE ZAZZALI delivered the opinion of the Court.
In this appeal, we must determine the appropriate standard of proof under the
Insurance Fraud Prevention Act (IFPA), N.J.S.A. 17:33A-1 to -30. In December 2000, a
tree fell onto the cabin of defendants Rose and Frank Land. Following the
accident, the Lands and co-defendant Steven Budge, who is the Lands nephew and
a licensed public adjuster, submitted a claim of loss to plaintiff Liberty Mutual
Insurance Company (Liberty Mutual). Based on evidence suggesting fraudulent activity on the part
of defendants, including a videotape depicting Budge and two other men repeatedly slamming
a 600-pound portion of the fallen tree against the cabins roof, Liberty Mutual
filed suit against defendants asserting IFPA violations. At the conclusion of trial, a
jury ruled in favor of Liberty Mutual, concluding that it had proven its
claims by clear and convincing evidence. Defendants appealed, and Liberty Mutual cross-appealed, asserting
that the trial court should have applied a preponderance of the evidence standard.
The Appellate Division reversed and remanded for a new trial, finding that Liberty
Mutuals counsel committed prejudicial errors. The panel, however, agreed with the trial court
that IFPA violations must be proven by clear and convincing evidence.
We granted Liberty Mutuals petition for certification, limiting our review solely to the
proper standard of proof. For the reasons set forth below, we hold that
the standard of proof under the Insurance Fraud Prevention Act is a preponderance
of the evidence.
I.
Rose Land owns a small cabin at 32 Cohocton Road in Highland Lakes
that she and her husband Frank use as a vacation home. At the
time that the dispute arose, Liberty Mutual insured the cabin for property damage.
On the morning of December 12, 2000, a tree located on the property
of Joseph Rizzo, the Lands next-door neighbor at 30 Cohocton Road, fell onto
the roof of the Lands cabin. After Rizzo personally informed Frank Land of
the accident, Land telephoned his nephew, Steven Budge, a licensed public adjuster in
the State of New Jersey, to assess the damage and secure the structure.
In addition to informing Land, Rizzo also called his insurance company, which sent
an agent to inspect the damage later that day. During the inspection, Rizzo
and the insurance representative observed that the tree significant[ly] damage[d] a portion of
the Lands roof.
Shortly thereafter, Rizzos wife informed him that she saw Budge and two other
men on the top of the cabin doing some additional damage. To protect
[him]self against increased damage claims, Rizzo then videotaped Budge and his associates working
on the cabins roof. The videotape depicts the three men taking a portion
of the fallen tree, estimated to be about 600 pounds, and slamming it
at least ten times against the roof, creating further damage to the roof
and shattering a skylight. The videotape also shows Frank Land on the ground
gesturing to Budge and his associates and climbing a ladder to provide a
jacket to one of the workers. At trial, Budge explained his conduct on
the videotape as perform[ing] emergency service on the home.
Budge subsequently assisted the Lands in preparing and filing an insurance claim on
their behalf with Liberty Mutual for $69,338. In connection with that claim, the
Lands and Budge agreed that, if there was a recovery, Budge would receive
fifteen percent of the insurance settlement proceeds. At Liberty Mutuals request, the Lands
submitted four separate proofs of loss. Each proof of loss was submitted on
Budges letterhead, bore his signature, and included a provision in which the insured
swore that there was no attempt to deceive Liberty Mutual. Rose Land and
her husband also appeared for an examination under oath as part of the
claims process.
Anne Hamtil, Liberty Mutuals insurance adjuster, and Joseph Balinski, a builder employed by
the company, inspected the cabin ten days after the incident. Based on that
inspection, Balinski prepared a damage estimate for the December 2000 loss, concluding that
it would cost only $9,291.23 to make the necessary repairs. At trial, Balinski
testified that he had previously prepared a damage estimate in connection with a
1999 insurance claim filed by Rose Land that also involved a tree falling
on the cabin. In comparing the two estimates, Balinski found that some of
the damage documented in the 1999 claim had not been repaired and was
included in the estimate submitted in support of the December 2000 claim. Balinski
also stated that, in his opinion, many of the repairs in the 2000
estimate were unnecessary.
Because of the suspect nature of the Lands claim, Liberty Mutual denied coverage
and filed suit against the Lands and Budge, alleging IFPA violations. The Lands
counterclaimed against Liberty Mutual seeking to enforce their homeowners insurance policy claim and
asserting that Liberty Mutual acted in bad faith in denying that claim. Budge
also counterclaimed, alleging bad faith on the part of Liberty Mutual. After a
six-day trial, the jury returned a verdict in favor of Liberty Mutual, finding
that it had proven by clear and convincing evidence that all three defendants
knowingly misrepresented, concealed, or failed to disclose any material fact concerning the property
loss. The jury further concluded that Budge intentionally cause[d] or contribute[d] to the
loss. The trial court awarded Liberty Mutual treble damages, counsel fees, and investigative
costs totaling $82,412.64 and denied Budges motion for reconsideration.
Defendants appealed, asserting that the trial court committed prejudicial errors during trial. Liberty
Mutual cross-appealed, claiming that the trial court erred in charging the jury that
an IFPA violation must be proven by clear and convincing evidence. In an
unpublished opinion, the Appellate Division reversed and remanded for a new trial for
various reasons, including prejudicial statements made by Liberty Mutuals counsel during summation. The
panel also concluded, without analysis, that it was satisfied that the proper burden
of proof [under IFPA] is clear and convincing evidence. We granted certification, limited
solely to determining the appropriate standard of proof.
183 N.J. 587 (2005). We
also allowed the Attorney General and the New Jersey State Bar Association to
participate as amici curiae.
II.
We commence our analysis with a review of the standards of proof at
issue in this appeal. We then look to IFPAs plain language, statutory purpose,
and penalties to determine whether the Legislature addressed the question. Finally, we examine
prior case law addressing the issue.
A.
The New Jersey Rules of Evidence set forth three standards of proof: a
preponderance of the evidence, clear and convincing evidence, and proof beyond a reasonable
doubt.
N.J.R.E. 101(b)(1). As a general rule, the preponderance of the evidence standard
applies in civil actions.
State v. Seven Thousand Dollars,
136 N.J. 223, 238
(1994) (In
civil cases,
the standard of proof is a
preponderance
of evidence.);
see also 2
McCormick on Evidence § 339 (Strong ed., 5th ed. 1999) (stating
that, except in certain exceptional controversies, preponderance of evidence standard typically applies in
civil cases); 9
Wigmore on Evidence § 2498 (3d ed. 1940) (same). A preponderance
of the evidence is also the usual burden of proof for establishing claims
before state agencies in contested administrative adjudications.
In re Polk License Revocation,
90 N.J. 550, 560 (1982).
Under the preponderance standard, a litigant must establish that a desired inference is
more probable than not. If the evidence is in equipoise, the burden has
not been met. Biunno,
Current N.J. Rules of Evidence, comment 5a on
N.J.R.E.
101(b)(1) (2005);
see also McCormick on Evidence,
supra, § 339 (The most acceptable meaning
to be given to the expression, proof by a preponderance, seems to be
proof which leads the jury to find that the existence of the contested
fact is more probable than its nonexistence.). Application of the preponderance standard reflects
a societal judgment that both parties should share the risk of error in
roughly equal fashion.
Addington v. Texas,
441 U.S. 418, 423,
99 S. Ct. 1804, 1808,
60 L. Ed.2d 323, 329 (1979). The decision to apply
any other standard of proof expresses a preference for one sides interests.
Herman
& MacLean v. Huddleston,
459 U.S. 375, 390,
103 S. Ct. 638, 691,
74 L. Ed.2d 548, 561 (1983).
The second standard, clear and convincing evidence, is a higher standard of proof
than proof by a preponderance of the evidence but a lower standard than
proof beyond a reasonable doubt.
Aiello v. Knoll Golf Club,
64 N.J. Super. 156, 162 (App. Div. 1960). The clear and convincing standard should produce in
the mind of the trier of fact a firm belief or conviction as
to the truth of the allegations sought to be established.
In re Purrazzella,
134 N.J. 228, 240 (1993) (internal quotation marks and citation omitted). Courts have
called for clear and convincing evidence in civil cases when more is at
stake than loss of money.
See, e.g.,
Santosky v. Kramer,
455 U.S. 745,
747-48,
102 S. Ct. 1388, 1391-92,
71 L. Ed.2d 599, 603 (1982)
(termination of parental rights);
Addington,
supra, 441
U.S. at 433, 99
S. Ct.
at 1813, 60
L. Ed.
2d at 335 (involuntary civil commitment to mental
hospital);
Woodby v. INS,
385 U.S. 276, 277,
87 S. Ct. 483, 484,
17 L. Ed.2d 362, 364 (1966) (deportation);
Chaunt v. United States,
364 U.S. 350, 353,
81 S. Ct. 147, 149,
5 L. Ed.2d 120,
123 (1960) (denaturalization). In such cases, the threatened loss resulting from civil proceedings
is comparable to the consequences of a criminal proceeding in the sense that
it takes away liberty or permanently deprives individuals of interests that are clearly
fundamental or significant to personal welfare.
Polk,
supra, 90
N.J. at 563.
This Court also applies a heightened standard of proof in cases in which
evidentiary matters are intrinsically complex or prone to abuse.
See, e.g.,
Morton v.
4 Orchard Land Trust,
180 N.J. 118, 129-30 (2004) (oral agreements implicating interests
in land);
Haynes v. First Natl Bank of New Jersey,
87 N.J. 163,
182-83 (1981) (undue influence on testator). Clear and convincing evidence is necessary because
those cases involve circumstances or issues that are so unusual or difficult, that
proof by a lower standard will not serve to generate confidence in the
ultimate factual determination.
Polk,
supra, 90
N.J. at 568. Finally, the highest standard,
proof beyond a reasonable doubt, is primarily applied in criminal cases. Biunno,
supra,
comment 7 on
N.J.R.E. 101(b)(1).
B.
With those considerations in mind, we first examine the plain language of the
statute and its legislative history. Because both the language of the statute and
its legislative history are silent concerning the applicable standard of proof, we attempt
to discern the Legislatures intent.
Burns v. Belafsky,
166 N.J. 466, 473 (2001)
(When a statute is silent or ambiguous . . . the Court must
interpret the statute in light of the Legislatures intent. (internal quotation marks and
citation omitted)). To do so, we begin by considering the Legislatures purpose in
promulgating the Act.
State v. Tischio,
107 N.J. 504, 511 (1987),
appeal dismissed,
484 U.S. 1038,
108 S. Ct. 768,
98 L. Ed.2d 855 (1988).
We then review the violations and penalties prescribed by the Act to gain
further insight into the standard of proof the Legislature intended to apply.
See
Merin v. Maglaki,
126 N.J. 430, 435 (1992). (The Court fulfills its role
by construing a statute in a fashion consistent with the statutory context in
which it appears.).
See footnote 1
The Legislatures stated purpose in enacting IFPA was
to confront aggressively the problem of insurance fraud in New Jersey by facilitating
the detection of insurance fraud, eliminating the occurrence of such fraud through the
development of fraud prevention programs, requiring the restitution of fraudulently obtained insurance benefits,
and reducing the amount of premium dollars used to pay fraudulent claims.
[N.J.S.A. 17:33A-2.]
As Justice Garibaldi acknowledged in 1992, [i]nsurance fraud is a problem of massive
proportions that currently results in substantial and unnecessary costs to the general public
in the form of increased rates. Merin, supra, 126 N.J. at 436. As
such, the Act is a comprehensive statute designed to help remedy high insurance
premiums which the Legislature deemed to be a significant problem. State v. Sailor,
355 N.J. Super. 315, 319 (App. Div. 2001).
To that end, IFPA interdicts a broad range of fraudulent conduct. For example,
a person or practitioner violates the Act if he or she
[p]resents or causes to be presented any written or oral statement as part
of, or in support of or opposition to, a claim for payment or
other benefit pursuant to an insurance policy . . . knowing that the
statement contains any false or misleading information concerning any fact or thing material
to the claim.
[N.J.S.A. 17:33A-4(a)(1).]
Other violations of the Act include but are not limited to concealing or
knowingly failing to disclose information concerning a persons initial or continued right or
entitlement to a benefit, N.J.S.A. 17:33A-4(a)(3); presenting any knowingly false or misleading statement
in an insurance application, N.J.S.A. 17:33A-4(a)(4)(b); or knowingly assisting, conspiring with, or urging
any person or practitioner to violate any of the Acts provisions, N.J.S.A. 17:33A-4(a)(5)(b).
To
deter and punish such violations, the Legislature created a number of enforcement mechanisms
and penalties. First, N.J.S.A. 17:33A-5a(1) authorizes the Commissioner of the Department of Banking
and Insurance to bring a civil action seeking monetary penalties. Those penalties range
from not more than $5,000 for the first violation, $10,000 for the second
violation, and $15,000 for each subsequent violation, plus court costs and reasonable attorneys
fees. N.J.S.A. 17:33A-5b. Alternatively, IFPA authorizes the Commissioner to levy identical civil administrative
penalties. N.J.S.A. 17:33A-5c. A party assessed with administrative penalties is entitled to seek
a hearing. N.J.S.A. 17:33A-5c. After a hearing and upon a finding that a
violation occurred, the Commissioner may impose the statutory penalties as well as attorneys
fees and the costs of prosecution. N.J.S.A. 17:33A-5c. The Commissioner also may order
the payment of restitution to any insurance company or person who has suffered
a loss as a result of an IFPA violation. N.J.S.A. 17:33A-5c.
The Act further allows any insurance company that has been damaged as a
result of a statutory violation to bring a civil action to recover compensatory
damages, including reasonable investigation costs and attorneys fees. N.J.S.A. 17:33A-7a. A successful insurance
company shall recover treble damages if the court determines that the defendant engaged
in a pattern of violations under the Act. N.J.S.A. 17:33A-7b. In addition, the
Act permits the Commissioner to join in such an action to recover civil
penalties. N.J.S.A. 17:33A-7d. If the commissioner prevails, the court may also award court
costs and reasonable attorney[s] fees actually incurred by the commissioner. N.J.S.A. 17:33A-7d. Finally,
any person who is found to have committed insurance fraud must pay a
$1,000 surcharge. N.J.S.A. 17:33A-5.1. And, in the context of automobile insurance fraud --
a context not present here, see note 4, infra, ___ N.J. ___ (slip
op. at 24), -- a violator of IFPA is subject to a mandatory
one-year loss of driving privileges. N.J.S.A. 39:6A-15.
In reviewing IFPAs statutory sanctions, this Court has held that the civil penalties
authorized by the Act are remedial in nature, Merin, supra, 126 N.J. at
432-33, and serve to compensate the State for the costs incurred as a
result of investigating and prosecuting insurance fraud, id. at 445. Consequently, we must
construe the Acts provisions liberally to accomplish the Legislatures broad remedial goals. See,
e.g., Young v. Schering Corp.,
141 N.J. 16, 25 (1995) (Where the Legislatures
intent is remedial, a court should construe a statute liberally.).
C.
The only reported decision addressing the standard of proof that a litigant must
satisfy to establish a violation of IFPA is
Harleysville Insurance Co. v. Diamond,
359 N.J. Super. 34 (Law Div. 2002). In that case, the Law Division
held that a party seeking relief under the Act must satisfy the burden
of proof by clear and convincing evidence.
Id. at 40. The court relied
almost exclusively on the fact that the clear and convincing standard applies in
common law fraud actions.
Id. at 38-39. Defendants and amicus curiae, the New
Jersey State Bar Association, assert that this Court should follow the reasoning espoused
in
Harleysville, claiming that no material distinctions are noted between IFPA and [common
law] fraud. In contrast, Liberty Mutual maintains that
Harleysville was wrongly decided because
common law fraud is distinguishable from statutory fraud.
See footnote 2
We agree with Liberty Mutual that the standard of proof for common law
fraud does not necessarily apply under IFPA. As noted by the United States
Supreme Court in
Huddleston,
supra, comparing statutory fraud to common law fraud can
be misleading. 459
U.S. at 388, 103
S. Ct. at 690, 74
L.
Ed.
2d at 559. In this matter, the Legislature in enacting IFPA did
not codify common law fraud but rather supplemented that action because, standing alone,
it had proven to be insufficient in combating and deterring insurance fraud.
See
N.J.S.A. 17:33A-2 (enacting IFPA to confront aggressively the problem of insurance fraud in
New Jersey). In furtherance of that purpose, the Act requires plaintiffs alleging IFPA
violations to prove fewer elements than required for common law fraud. Indeed, proof
of common law fraud requires the satisfaction of five elements: a material misrepresentation
by the defendant of a presently existing fact or past fact; knowledge or
belief by the defendant of its falsity; an intent that the plaintiff rely
on the statement; reasonable reliance by the plaintiff; and resulting damages to the
plaintiff.
Gennari,
supra, 148
N.J. at 610.
In contrast, the statutory language of IFPA does not require proof of reliance
on a false statement or resultant damages.
See Merin,
supra, 126
N.J. at
445 (Nor do we find decisive the fact that [the defendant] was not
successful in securing insurance proceeds. The penalties permitted by the Act are not
designed to remedy direct monetary damage to the insurer.);
Sailor,
supra, 355
N.J.
Super. at 324 (stating that under IFPA the State is not seeking damages,
as in a common law fraud action, but rather is seeking a statutory
penalty designed to reduce the incidence of insurance fraud). Because of those distinctions,
we find that the standard of proof applied in a common law fraud
case is not dispositive of the standard of proof applicable under IFPA.
III.
Although reference to IFPAs statutory language and prior case law does not resolve
the issue, a review of analogous fraud statutes, rules of statutory construction, and
related considerations persuade us that the proper standard of proof is a preponderance
of the evidence.
A.
For assistance in interpreting the statute in question, we review the standard of
proof applied under similar statutes. By referring to similar legislation, the court not
only is able to give effect to the probable intent of the legislature,
but also to establish a more uniform and harmonious system of law. Norman
J. Singer, 2B
Sutherland Statutory
Construction § 53:03, at 328-29 (
6th ed.
2000).
The closest statutory analogue to IFPA in New Jersey is the Consumer Fraud
Act (CFA),
N.J.S.A. 56:8-1 to -20, which also is remedial legislation that warrants
liberal construction.
Lettenmaier v. Lube Connection, Inc.,
162 N.J. 134, 139 (1999). Like
IFPA, the CFA provides that [i]n any action . . . the court
shall, in addition to any other appropriate legal or equitable relief, award threefold
the damages sustained by any person in interest.
N.J.S.A. 56:8-19. The statute further
provides for the award of reasonable attorneys fees, filing fees and reasonable costs
of suit.
N.J.S.A. 56:8-19. As we have explained, those provisions serve to compensate
the victim for his or her actual loss; to punish the wrongdoer through
the award of treble damages; and by way of the counsel fee provision,
to attract competent counsel to counteract the community scourge of fraud.
Lettenmaier,
supra,
162
N.J. at 139 (internal citation omitted). In discussing the requisite standard of
proof under the CFA, the Appellate Division has stated: We find no indication
that the Legislature intended to impose any greater burden of proof [under the
CFA] than that usually required in a civil action.
Gennari,
supra, 288
N.J.
Super. at 541;
see also Hyland v. Aquarian Age 2,000, Inc.,
148 N.J.
Super. 186, 191 (Ch. Div. 1977) ([S]ince [the CFA] is a civil action,
preponderance of the evidence, the usual civil standard of proof, should be the
applicable standard.).
The federal statutory counterpart to IFPA, the False Claims Act (FCA), 31
U.S.C.
§ 3729(a)(2), similarly requires proof by a preponderance of the evidence.
31 U.S.C. §3731(c).
As with IFPA, the FCA provides for civil penalties, and in some cases
treble damages, against any person who knowingly makes, uses, or causes to be
made or used, a false record or statement to get a false or
fraudulent claim paid or approved by the Government.
31 U.S.C. §3729(a)(2). Although the
federal courts initially held that the standard in such actions was that of
clear and convincing evidence,
see, e.g.,
United States v. Ekelman & Associates Inc.,
532 F.2d 545, 548 (6th Cir. 1976), Congress overruled that line of cases
in 1986 by amending the FCA to require only the preponderance standard, 31
U.S.C. § 3731(c). The preponderance standard also applies in civil and administrative proceedings to
enforce the anti-fraud provisions of the federal securities laws.
Huddleston,
supra, 459
U.S.
at 388-90, 103
S. Ct. at 691, 74
L. Ed.
2d at 560
(§ 10(b) of Securities Act of 1934);
Steadman v. SEC,
450 U.S. 91,
102,
101 S. Ct. 999, 1008,
67 L. Ed.2d 69, 79,
reh.
denied,
451 U.S. 933,
101 S. Ct. 2008,
68 L. Ed.2d 318
(1981) (§ 9(b) of Investment Company Act of 1940);
SEC v. C.M. Joiner
Leasing Corp.,
320 U.S. 344, 355,
64 S. Ct. 120, 125,
88 L.
Ed. 88, 95 (1934) (§ 17(a) of Securities Act of 1933).
B.
Additional considerations reinforce our conclusion that application of the preponderance standard is both
sensible and fair. Although not fraud statutes, we find it persuasive that the
preponderance standard is applied to violations of other statutes in New Jersey that
provide for substantial monetary penalties. We routinely require a preponderance of the evidence
in civil proceedings in which the Attorney General seeks to enforce the New
Jersey Law Against Discrimination,
N.J.S.A. 10:5-1 to -42, which prescribes penalties ranging from
$10,000 to $50,000 for violations of the Act.
See Shepherd v. Hunterdon Developmental
Ctr.,
174 N.J. 1, 24 (2002). Our courts also use the preponderance standard
in civil proceedings brought by the State to recover a statutory penalty.
See,
e.g.,
Department of Health v. Concrete Specialties, Inc.,
112 N.J. Super. 407, 411
(App. Div. 1970).
Moreover, a requirement that IFPA violations must be proven by clear and convincing
evidence may lead to inconsistent results. Under our common law, courts have long
held that when an insurance company is defending against payment of an insurance
claim that it deems to be fraudulent, the company need only prove the
affirmative defenses of arson and that of fraud and false swearing by a
preponderance of the evidence.
Italian Fisherman v. Commercial Union Assurance Co.,
215 N.J.
Super. 278, 282 (App. Div.),
certif. denied,
107 N.J. 152 (1987). As the
Attorney General argues, it is doubtful that the Legislature envisioned that an affirmative
defense of fraud would be governed by a preponderance of the evidence but
that a counterclaim based on the same fraudulent conduct would require a heightened
standard of proof.
See State v. Lewis,
185 N.J. 365, 369 (2005) ([A]
court should strive to avoid statutory
interpretations
that lead to absurd or unreasonable
results.) (internal quotation marks and citation omitted).
Finally, we note that the Legislature is well aware of its ability to
impose a higher standard of proof when it so desires.
See, e.g.,
N.J.S.A.
2A:15-5.12 (requiring plaintiffs to prove punitive damages by clear and convincing evidence). As
this Court stated in discussing the standard of proof applied in agency adjudications
under the Administrative Procedure Act,
N.J.S.A. 52:14B-1 to -24:
Given the long history of the preponderance standard, together with the total lack
of any indication in the language of the statute or in its legislative
history of an intent to alter that standard, it is reasonable to infer
that the Legislature was content to continue the traditional preponderance-of-the-evidence standard . .
. .
[Polk, supra, 90 N.J. at 561 n.1 (quoting Steadman, supra, 450 U.S. at
102, 101 S. Ct. at 1008,
67 L. Ed 2d at 79).]
See also Grogan, supra, 498 U.S. at 286, 111 S. Ct. at 659,
112 L. Ed.
2d at 764 (noting that congressional silence on standard of
proof issue is inconsistent with the view that Congress intended to require a
special, heightened standard of proof); State by Humphrey v. Alpine Air Prods., Inc.,
500 N.W.2d 788, 790 (Minn. 1993) (When the legislature says nothing about the
standard of proof to be used, this is regarded as a signal that
the legislature intended the preponderance of the evidence standard.); Allstate Ins. Co., supra,
5 Cal. Rptr.
3d at 496 (Clearly, if the Legislature had wished to
impose [a] higher evidentiary standard on an action to recover damages under [the
California Insurance Frauds Prevention Act], it would have so stated.). We therefore decline
to interpret the Legislatures silence as an indication that it intended to depart
from the customary standard of proof in civil cases. Rather, the more reasonable
conclusion is that absence of an evidentiary standard indicates that a preponderance of
the evidence -- the traditional, default standard -- applies.
C.
Despite substantial authority to the contrary, the dissent argues that the combination of
treble damages and attorneys fees warrants application of clear and convincing evidence. Although
we do not minimize the effect that such monetary sanctions can have on
a defendant, civil proceedings ordinarily do involve the risk of monetary damages. Indeed,
the damages sought in certain civil actions may exceed the penalties prescribed by
IFPA. As such, we are not persuaded that the presence of a treble
damages or counsel fees provision mandates proof by clear and convincing evidence. As
explained above, a preponderance of the evidence is applied to proceedings under the
CFA, which, like IFPA, provides for the recovery of both types of sanctions.
See Gennari,
supra, 288
N.J. Super. at 541. The federal FCA also allows
for treble damages and yet applies a preponderance standard.
31 U.S.C. §3731(c).See footnote 3
Moreover, research reveals that the United States Supreme Court has rejected application of
the clear and convincing standard to civil anti-trust actions for treble damages.
Ramsey
v. United Mine Workers,
401 U.S. 302, 311,
91 S. Ct. 658, 664,
28 L. Ed.2d 64, 71 (1971). Courts also have held that proof
by a preponderance of the evidence is sufficient for an award of treble
damages under both federal and state Racketeer Influenced and Corrupt Organizations (RICO) statutes.
See, e.g.,
Fleischhauer v. Feltner,
879 F.2d 1290, 1296 (6th Cir. 1989);
Liquid
Air Corp. v. Rogers,
834 F.2d 1297, 1303 (7th Cir. 1987);
Williams Gen.
Corp. v. Stone,
614 S.E.2d 758, 761 (Ga. 2005). In addition, courts in
other jurisdictions have rejected application of clear and convincing evidence to statutory provisions
with treble damages.
See, e.g.,
Farmers Group, Inc. v. Williams,
805 P.2d 419,
427 (Colo. 1991) (applying preponderance of evidence standard to treble damages provision under
Colorado No Fault Act,
Colo. Rev. Stat. § 10-4-708(1));
Carlson & Erickson Builders,
supra,
529
N.W.
2d at 912 (applying preponderance of evidence standard to treble damages provision
under Wisconsin anti-trust laws);
Rorrer v. P.J. Club, Inc.,
556 S.E.2d 726, 731
(S.C. Ct. App. 2001) (applying preponderance of evidence standard to treble damages provision
under
S.C. Code Ann. § 32-1-20). Although the dissent labels the penalties imposable under
IFPA as severe,
post at ___ (slip op. at 7), it fails to
recognize that the application of the clear and convincing evidence standard typically is
reserved for the protection of particularly important individual interests that are more substantial
than mere loss of money.
Addington,
supra, 441
U.S. at 424, 99
S.
Ct. at 1808, 60
L. Ed.
2d at 330.
See footnote 4
IV.
We reverse the Appellate Division on the evidentiary issue in this appeal and
hold that the standard of proof under the New Jersey Insurance Fraud Prevention
Act is a preponderance of the evidence. To the extent that the Law
Division reached a contrary holding in
Harleysville, we
overrule
that decision. The matter
is reversed in part and remanded to the trial court for further proceedings
consistent with this opinion.
CHIEF JUSTICE PORTIZ and JUSTICES LaVECCHIA and RIVERA-SOTO join in JUSTICE ZAZZALIs opinion.
JUSTICE WALLACE concurs in the result. JUSTICE ALBIN filed a separate, dissenting opinion,
in which JUSTICE LONG joins.
SUPREME COURT OF NEW JERSEY
A-
125 September Term 2004
LIBERTY MUTUAL INSURANCE COMPANY,
Plaintiff-Appellant,
v.
ROSE LAND and FRANK LAND,
Defendants,
and
STEVEN BUDGE,
Defendant-Respondent.
JUSTICE ALBIN, dissenting.
The majority has determined that the lowest burden of proof - the preponderance
of evidence standard -- should apply in cases prosecuted by insurance companies under
the Insurance Fraud Prevention Act (IFPA), N.J.S.A. 17:33A-1 to -30, despite the lack
of any language in the IFPA that suggests such a standard. The majority
divines that standard by unnecessarily and vainly searching for a legislative intent when,
apparently, the Legislature did not give a second thought to the subject. Because
both the language of the statute and its legislative history are silent concerning
the applicable standard of proof in cases prosecuted under the IFPA, ante at
(slip op. at 10), this Court has not only the constitutional and equitable
power, but the duty to set the standard. A defendant who is found
liable under the IFPA is subject to compensatory damages, treble damages, mandatory assessment
of investigation expenses, attorneys fees and costs, and, if the case involves automobile
insurance fraud, a mandatory one-year drivers license suspension. Those penalties in their totality
are more than the equivalent of punitive damages, which by statute must be
proved by clear and convincing evidence. The significant consequences that flow from a
judicial determination of IFPA liability should warrant a heightened degree of accuracy. The
preponderance of evidence standard sets the bar too low. There is no sound
reason why insurance companies should not bear the burden of proving an IFPA
violation by clear and convincing evidence. I therefore respectfully dissent.
I.
When the Legislature has enacted a law that requires factfinding but has not
expressed a preference for a particular burden of proof, our courts have not
hesitated to establish the required burden by looking to other statutes and decisional
law, rather than engaging in the enigmatic search for legislative intent.
Watkins v.
Nelson,
163 N.J. 235, 244 (2000) (Because the [child-custody] statute does not provide
a standard [of proof], we must look to our statutory and decisional law
concerning custody to decipher the appropriate standard to be applied in this case.).
See, e.g.,
N.J. Div. of Youth & Family Servs. v. V.K.,
236 N.J.
Super. 243, 261-62 (App. Div. 1989) (applying clear and convincing standard to parental-rights
termination under
N.J.S.A. 30:4C-20),
certif. denied,
121 N.J. 614 (1990);
State v. Cestone,
38 N.J. Super. 139, 142-43, 147-48 (App. Div. 1955) (applying beyond a reasonable
doubt standard to violation of motor vehicle statute prohibiting crossing center line, currently
codified at
N.J.S.A. 39:4-86);
State v. Kinsley,
103 N.J. Super. 190, 191-92 (Law
Div. 1968) (holding that preponderance of evidence was proper standard under environmental protection
statute,
N.J.S.A. 23:5-28),
affd,
105 N.J. Super. 347 (App. Div. 1969) (per curiam).
Courts in other jurisdictions also determine the appropriate burden of proof to apply
to a statutory scheme when the legislature has not spoken on the subject.
See, e.g.,
County Attorney v. Kaplan,
605 P.2d 912, 913 (Ariz. Ct. App.
1980) (applying clear and convincing standard to provision in mental health statute defining
gravely disabled);
Swanson v. State,
358 P.2d 387, 391 (Idaho 1960) (applying clear
and satisfactory standard under adverse possession statute);
In re Welfare of Rosenbloom,
266 N.W.2d 888, 889-90 (Minn. 1978) (per curiam) (imposing clear and convincing standard to
termination of parental rights in face of statutory silence on burden of proof).
The judicial power to fashion and allocate evidentiary burdens of proof is a
familiar one and is derived from this Courts constitutional rule-making authority over the
practice and procedure of our courts.
See footnote 5
See N.J. Const. art. VI, § 2, ¶ 3.
It is a power that is routinely exercised.
See, e.g.,
Haynes v. First
Natl State Bank of N.J.,
87 N.J. 163, 182 (1981) (requiring clear and
convincing evidence to rebut presumption of undue influence in respect of will);
State
v. Hurd,
86 N.J. 525, 546 (1981) (setting standard of clear and convincing
evidence for admission of hypnotically refreshed testimony);
State ex rel. B.F.,
230 N.J.
Super. 153, 158-59 (App. Div. 1989) (setting standards of proof for admissibility of
closed-circuit-television testimony in certain criminal prosecutions under
N.J.S.A. 2A:84A-32.4).
That is not to say that the Legislature cannot create a civil cause
of action and assign a burden of proof to the prosecution of the
matter. Many civil statutes specifically provide for the standard of proof that must
be met by the plaintiff.
See, e.g.,
N.J.S.A. 2A:15-5.12(a) (requiring clear and convincing
evidence for award of punitive damages);
N.J.S.A. 2A:81-2 (requiring clear and convincing evidence
under dead mans statute);
N.J.S.A. 3B:3-15(b) (requiring clear and convincing evidence to revive
revoked will);
N.J.S.A. 25:1-13(b) (requiring clear and convincing evidence under statute of frauds);
N.J.S.A. 37:2-38 (requiring clear and convincing evidence before setting aside premarital agreement). We
only interfere with a legislative determination concerning the burden of proof if the
burden established by the Legislature does not satisfy principles of due process.
See,
e.g.,
State v. Cummings,
184 N.J. 84, 95-96 (2005) (holding that violation under
civil breathalyzer refusal statute was quasi-criminal in nature and therefore due process required
proof beyond reasonable doubt, not merely preponderance of evidence as provided by statute).
Thus, ordinarily we would defer to an expression of legislative authority in the
spirit of comity and out of respect for a coequal branch of government.
See In re Civil Commitment of G.G.N.,
372 N.J. Super. 42, 46 (App.
Div. 2004) (finding no basis to alter the burden of proof from that
which is set out in the statute and which was approved by our
Supreme Court). But when the Legislature has not spoken to the subject, as
in this case, we can as readily conclude that it expected the courts,
which have the experience and expertise, to set the appropriate burden of proof.
In the absence of a legislative directive enunciating the burden of persuasion to
be applied to a statutorily created cause of action, I see no need
for this Court to ascribe to the Legislature an imaginary intention. Nothing in
the text or history of the IFPA intimates that the Legislature gave any
thought to the burden of proof that should apply to the prosecution of
matters arising under the Act. Accordingly, this Court should exercise its constitutional and
equitable powers and determine the burden of proof that applies to IFPA cases.
II.
In determining the appropriate burden of proof, the Court must look at the
consequences that follow from a finding of liability. Our system of justice is
imperfect and erroneous judgments are inevitable. The burden of proof that we set
for a plaintiff to meet in proving a cause of action is an
expression of the degree of error that we are willing to tolerate in
our system of justice.
See Addington v. Texas,
441 U.S. 418, 423,
99 S. Ct. 1804, 1808,
60 L. Ed.2d 323, 329 (1979) (observing that
burdens of proof serve to instruct the factfinder concerning the degree of confidence
our society thinks he should have in the correctness of factual conclusions for
a particular type of adjudication (quoting
In re Winship,
397 U.S. 358, 370,
90 S. Ct. 1068, 1076,
25 L. Ed.2d 368, 379 (1970) (Harlan,
J., concurring)));
State v. Oliver,
162 N.J. 580, 590 (2000) (stating same). In
criminal cases, where the stakes are the greatest, our judicial system demands a
high degree of confidence in a correct outcome, and therefore the burden on
the State is to prove guilt beyond a reasonable doubt.
See Addington,
supra,
441
U.S. at 423-24, 99
S. Ct. at 1808,
60 L. Ed 2d
at 329;
Winship,
supra, 397
U.S. at 369-72, 90
S. Ct. at 1075-77,
25
L. Ed.
2d at 378-81 (Harlan, J., concurring).
The stakes in an IFPA case are far greater than in a typical
civil case in which compensatory damages are the only form of relief. Those
determined to have violated the IFPA face severe consequences. An insurance company damaged
as the result of a violation of the IFPA may recover compensatory damages,
which shall include reasonable investigation expenses, costs of suit and attorneys fees.
N.J.S.A.
17:33A-7(a). In addition, a successful insurance company shall recover treble damages if the
court determines that the defendant has engaged in a pattern of violating [the]
act.
N.J.S.A. 17:33A-7(b).
Moreover, if a violation of the act involves automobile insurance fraud, then the
violator is subject to a mandatory one-year drivers license suspension.
N.J.S.A. 39:6A-15.
Treble damages are intended to punish, and only partly to compensate, and therefore
have all the hallmarks of punitive damages.
See ante at ___ (slip op.
at 18) (stating that Consumer Fraud Acts treble damages provision serve[s] to .
. . punish the wrongdoer (internal quotation marks omitted));
Furst v. Einstein Moomjy,
Inc.,
182 N.J. 1, 12 (2004) (Among the equitable and legal remedies available
against violators of the [Consumer Fraud] Act are treble damages, reasonable attorneys fees,
and costs of suit. The purpose of those remedies is not only to
make whole the victims loss, but also to punish the wrongdoer and to
deter others from engaging in similar fraudulent practices. (citation omitted));
In re Cohen,
114 N.J. 51, 65 (1989) (alluding to punitive nature of an award for
treble damages);
see also D.C. Code § 22-3225.05(b) (providing for mandatory award of treble
damages upon clear and convincing showing of established pattern or practice of violation
of insurance fraud act);
Fla. Stat. § 772.104 (requiring clear and convincing evidence before
award for treble damages in civil action under deceptive practices statute);
Buddy Lee
Attractions, Inc. v. William Morris Agency, Inc.,
13 S.W.3d 343, 359-60 (Tenn. Ct.
App. 1999) (holding that under trebling statute, treble damages are automatic on showing
by clear and convincing evidence).
If we are to make statutory comparisons, the closest analogue to the IFPA
is the Punitive Damages Act,
N.J.S.A. 2A:15-5.9 to -5.17. Under the Punitive Damages
Act, the plaintiff must prove by clear and convincing evidence that the defendant
acted with actual malice or in willful and wanton disregard of the harm
that might be caused to others.
N.J.S.A. 2A:15-5.12(a). In most cases that fall
under that statute, punitive damages are capped at five times the liability of
[the] defendant for compensatory damages or $350,000, whichever is greater.
N.J.S.A. 2A:15-5.14(b)-(c).
The Punitive Damages Act defines compensatory damages as damages intended to make good
the loss of an injured party, and no more, and punitive damages as
damages intended to penalize and to provide additional deterrence against a defendant to
discourage similar conduct in the future.
N.J.S.A. 2A:15-5.10. By that definition, only one
part of a treble damages award covers compensatory damages whereas the other two
parts comprise punitive damages. Under the majoritys ruling, an insurance company that suffers
a $1,000,000 loss will be awarded trebled damages of $3,000,000 -- $1,000,000 of
which is compensatory and $2,000,000 of which is punitive. In such circumstances, the
majority opinion allows an insurance company a $2,000,000 punitive damages award by merely
satisfying the preponderance of the evidence standard. On the other hand, in a
non-IFPA case, a plaintiff must satisfy the clear and convincing evidence standard for
the same $2,000,000 punitive damages award under the Punitive Damages Act. Significantly, absent
from the treble damages scheme of the IFPA is any mechanism to safeguard
a defendant from an excessive award of punitive damages. For example, in determining
an award of punitive damages under the Punitive Damages Act, the factfinder must
consider [t]he profitability of the misconduct to the defendant and [t]he financial condition
of the defendant.
N.J.S.A. 2A:15-5.12(c)(2), (4). There is no similar provision in the
IFPA that allows the factfinder to award trebled damages only proportionate to a
defendants financial means.
See footnote 6
For those reasons, it is difficult to imagine that the Legislature would intend
a clear and convincing standard for punitive damages, but only a preponderance of
the evidence standard for trebled damages, particularly when those damages are on top
of requiring the defendant to pay an insurance companys investigation expenses, costs of
suit and attorneys fees, and an automatic one-year suspension of the defendants drivers
license in an automobile insurance fraud case.
In that latter regard, it is important to note that in the prosecution
of a Title 39 motor vehicle violation, including those involving potential license suspensions,
the State must prove guilt beyond a reasonable doubt.
Cummings,
supra, 184
N.J.
at 92-93, 98;
State v. Dively,
92 N.J. 573, 576, 577, 585 (1983);
see also Rodriguez v. Rosenblatt,
58 N.J. 281, 295 (1971) (describing substantial loss
of driving privileges as serious consequence). Although the present case does not involve
automobile insurance fraud, clearly a heightened standard of proof is required when license
suspension is added to the list of penalties that attach to an IFPA
violation.
Viewed in their totality, the sanctions available under the IFPA -- treble damages,
N.J.S.A. 17:33A-7(b); mandatory assessment of investigation costs, court costs, and attorneys fees,
N.J.S.A.
17:33A-7(a); and mandatory drivers license revocation for automobile insurance fraud,
N.J.S.A. 39:6A-15 --
are sufficiently punitive, and involve consequences of sufficient magnitude, to require a burden
of proof higher than the typical preponderance standard in civil cases. There is
no good reason why insurance companies should not be held to the clear
and convincing evidence standard of the Punitive Damages Act,
N.J.S.A. 2A:15-5.12(a).
III.
Because I would require insurance companies in IFPA cases to prove liability by
the standard of clear and convincing evidence, I respectfully dissent.
Justice Long joins in this opinion.
SUPREME COURT OF NEW JERSEY
NO. A-125 SEPTEMBER TERM 2004
ON CERTIFICATION TO Appellate Division, Superior Court
LIBERTY MUTUAL INSURANCE
COMPANY,
Plaintiff-Appellant,
v.
ROSE LAND and FRANK LAND,
Defendants,
And
STEVEN BUDGE,
Defendant-Respondent.
DECIDED March 14, 2006
Chief Justice Poritz PRESIDING
OPINION BY Justice Zazzali
CONCURRING IN RESULT Justice Wallace
DISSENTING OPINION BY Justice Albin
CHECKLIST
REVERSE in part & REMAND
CONCUR IN RESULT
DISSENT
CHIEF JUSTICE PORITZ
X
JUSTICE LONG
X
JUSTICE LaVECCHIA
X
JUSTICE ZAZZALI
X
JUSTICE
ALBIN
X
JUSTICE WALLACE
(X)
X
JUSTICE RIVERA-SOTO
X
TOTALS
5
2
Footnote: 1
The dissent seeks to establish a bright-line rule that this Court must
prescribe an evidentiary standard of proof when a statute does not set one
forth, rather than seek to discern the Legislatures intent. Post at ___ (slip
op. at 5-6). We do not disagree that it is the province of
this Court to determine the evidentiary standard in this matter. In so doing,
however, courts often look to legislative intent. See, e.g., Grogan v. Garner,
498 U.S. 279, 286,
111 S. Ct. 624, 659,
112 L. Ed.2d 755,
764 (1991) (beginning inquiry into appropriate standard of proof under
11 U.S.C. §523
by examining legislative intent); Carlson & Erickson Builders v. Lampert Yards,
529 N.W.2d 905, 908 (Wis. 1995) (The statute is silent about the burden of proof
in antitrust cases. . . . We must therefore look to other indicia
of legislative intent.); People ex rel. Allstate Ins. Co. v. Muhyeldin,
5 Cal.
Rptr.3d 492, 496 (Cal. Ct. App. 2003) (discussing legislative intent concerning appropriate
standard of proof under California Insurance Frauds Prevention Act, Cal. Ins. Code § 1871.7);
Gennari v. Weichert Co. Realtors,
288 N.J. Super. 504, 541 (App. Div. 1996),
affd,
148 N.J. 582 (1997) (discussing legislative intent concerning appropriate standard of proof
under New Jersey Consumer Fraud Act, N.J.S.A. 56:8-1 to -20).
Our analysis is not limited to an either/or approach. We do not interpret
the Legislatures intent in a vacuum without exercising judgment and applying interpretive rules.
Nor do we impose our view on the matter without regard to the
drafters design. In that process, we undertake reasonable efforts to determine what the
Legislature intended. That is what we have done in this appeal. Accordingly, even
though a statute may not speak directly to the issue, canons of construction,
common sense, and public policy enable us to determine probable legislative intent.
Footnote: 2
The author of Harleysville has since expressed a different view in two subsequent
unpublished opinions, and has concluded, as we do here, that the proper standard
of proof under IFPA is a preponderance of the evidence, not clear and
convincing evidence.
Footnote: 3
The dissent submits that [n]ot until today has this Court suggested that
the burden of proof in cases prosecuted under the Consumer Fraud Act is
by a preponderance of evidence. Post at ___ (slip op. at 10 n.2).
However, in the years since the Appellate Divisions ruling in Gennari, supra,