NOT FOR PUBLICATION WITHOUT THE
APPROVAL OF THE APPELLATE DIVISION
SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-6669-99T5
MARK S. SHAW,
Plaintiff-Appellant,
v.
CITY OF JERSEY CITY, a municipal
corporation of the State of New
Jersey; JOHN DOE A (fictitious name
for the driver of the Jeep Cherokee
Motor vehicle); ELIOPOULOS KONSTANTI;
MICHELE CASCETTA; ELIZABETH E.
RANDALL, Commissioner of Insurance
on behalf of the UNSATISFIED CLAIM
AND JUDGMENT FUND BOARD,
Defendants,
and
NEW JERSEY MANUFACTURERS INSURANCE
COMPANY,
Defendant-Respondent.
___________________________________
NEW JERSEY MANUFACTURERS INSURANCE
COMPANY,
Plaintiff-Respondent,
v.
MARK S. SHAW,
Defendant-Appellant.
_____________________________________
Argued October 23, 2001 - Decided January 3,
2002
Before Judges Stern, Collester and Lintner.
On appeal from the Superior Court of New
Jersey, Law Division, Hudson County, L-648-98
and L-2586-99.
John Molinari argued the cause for appellant
(Blume, Goldfaden, Berkowitz, Donnelly, Fried
and Forte, attorneys; Joseph P. Perfilio, on
the brief).
Daniel J. Pomeroy argued the cause for
respondent (Mortenson and Pomeroy, attorneys;
Mr. Pomeroy and Karen E. Heller, on the
brief).
The opinion of the court was delivered by
LINTNER, J.A.D.
Plaintiff, Mark Shaw,See footnote 11 an undercover police officer employed
by the City of Jersey City (the City), was injured on the job
when he was struck by a vehicle which had been stolen. He filed
a verified complaint against the City for Uninsured Motorist
coverage (UM) and an order to show cause seeking to require
Jersey City to appoint a UM arbitrator. The complaint also
sought recovery from the owners of the vehicle and the
Unsatisfied Claim and Judgment Fund (UCJF).See footnote 22 In a subsequent
separate declaratory judgment action, New Jersey Manufacturers
Insurance Company (NJM) sought a determination that it was not
obligated to provide coverage under a policy of insurance issued
to Shaw covering his personal automobile and providing UM
benefits. Following the consolidation of both actions, a bench
trial was held before Judge Gallipoli based, in part, upon
stipulated facts. Judge Gallipoli found that UM coverage was not
triggered because the event giving rise to plaintiff's injuries
was not an accident.
The central issue raised in this appeal is whose
perspective, the tortfeasor's or the insured victim's, must be
used in determining whether an "accident" involving a motor
vehicle occurred for the purposes of affording coverage under UM
insurance. We hold that the language found in Lindstrom v.
Hanover Insurance Company,
138 N.J. 242, 249 (1994), is
controlling and Judge Gallipoli correctly concluded that the
determination of whether an accident occurred must be viewed from
the standpoint of the tortfeasor to trigger UM coverage. We also
overrule Gregory v. Allstate Insurance Company,
315 N.J. Super. 78 (Law Div. 1997), and hold that, absent an express provision in
an insurance policy to the contrary, UM protection does not
extend to injuries resulting from the intentional use of an
uninsured vehicle as an instrument of harm. Accordingly, we
affirm.
The parties stipulated that plaintiff was in the course of
his employment when he was involved in an incident arising from
the use of an uninsured vehicle causing him to sustain a
trimalleolar fracture of the left ankle. They further stipulated
that plaintiff's damages were in excess of NJM's $35,000 policy
limits; that, as between the City and NJM, NJM had the greater
policy limits; and that any judgment entered in favor of
plaintiff would be equal to the greater of the two policy limits.
As a result, both NJM and the City agreed to its respective pro-
rata share in the event of a judgment in favor of plaintiff.See footnote 33
The facts are not substantially in dispute. Plaintiff was
the only witness to testify. On March 18, 1997, at approximately
12:30 a.m., plaintiff and his partner, Officer Edwin Nazario,
were on plain-clothes patrol, looking for stolen vehicles. At
the time, they occupied a parked, unmarked van when they observed
a Jeep and Honda traveling south on Jersey Avenue at excessively
high rates of speed. Realizing that the vehicles were heading
toward a dark secluded area at the end of a dead-end street
frequented by people who strip cars, they proceeded to a point
near the dead end and parked. They waited a short time. When
neither of the two vehicles came out, plaintiff exited the van
and began to walk toward the location where the vehicles had
traveled. He was halfway to the dead end when he saw the Jeep
moving toward him. When he realized that the Jeep was "coming
right at [him]," he drew his gun. The headlights were
illuminated on the Jeep and it was traveling in excess of forty
miles per hour. Plaintiff was wearing his badge on a chain
around his neck. The Jeep continued to move toward him and, just
at the moment that it would have made direct contact with him, he
jumped to the left and the Jeep swerved to the right.
The Jeep hit his left leg. He acknowledged that the only
reason that he had not been killed was because they both went in
different directions. He further admitted that the police report
of the incident failed to mention that the vehicle swerved out of
the way. He conceded that it appeared to him to be a deliberate
act. However, plaintiff did not believe that the driver
intentionally tried to hit him but instead was attempting to get
away with the stolen vehicle. Although he could see the driver's
face as the incident unfolded, the driver was never found nor
identified.
Judge Gallipoli found from plaintiff's testimony and the
narrative of the events contained in the police report that
plaintiff's injuries were caused by the "clearly intentional
conduct of the uninsured tortfeasor who tried to run [plaintiff]
down so as to escape arrest." He concluded, therefore, that
plaintiff's injuries were not caused by an "accident," when
viewed from the standpoint of the uninsured driver, but rather
from the driver's intentional acts. Finding no accident, the
judge found that UM coverage was not triggered, and entered
judgment in favor of defendants, dismissing plaintiff's
complaint.
Plaintiff essentially argues that he was involved in an
accident under the terms of his UM insurance policy. He argues
that the primary purpose of UM coverage is to replace claims that
would have been made against the UCJF and that our case law
supports the view that intentional torts which arise from the use
of a motor vehicle are accidents under the terms of UM policies.
We disagree.
I
We first consider plaintiff's claim that our decision in
Kenny v. New Jersey Manufacturers Ins. Co.,
328 N.J. Super. 403,
408 (App. Div. 2000) and the opinion in
Proskurnja v. Elder,
73 N.J. Super. 466, 476 (Law Div. 1962), when read together, stand
for the proposition that the statutory provisions establishing
mandatory UM coverage are intended to provide the same remedial
scope as found in the provisions creating the UCJF.
We begin our analysis with the provisions of
N.J.S.A. 17:28-
1.1, mandating UM coverage.
a. No motor vehicle liability policy . . .
shall be issued . . . unless it includes
coverage in limits for bodily injury or death
as follows: . . . for payment of all or part
of the sums which the insured or his legal
representative shall be legally entitled to
recover as damages from the operator or owner
of an uninsured motor vehicle, or hit and run
motor vehicle, as defined in section 18 of
P.L. 1952, c. 174 (C. 39:6-78), because of
bodily injury . . . sustained by the insured,
caused by
accident and arising out of the
ownership, maintenance or use of such
uninsured or hit and run motor vehicle. . . .
(Emphasis added).
[
N.J.S.A. 17:28-1.1a]
N.J.S.A. 39:6-78, which establishes a person's right to proceed
against the UCJF when injured by a hit-and-run or uninsured
vehicle, is not limited in scope to injuries caused by an
"accident." Furthermore, it precludes any person who is "the
owner or registrant of an uninsured motor vehicle" from asserting
a claim, as well as those who are properly covered.
N.J.S.A.
39:6-78(c);
N.J.S.A. 39:6-62. It was recognized in
Proskurnja,
supra, 73
N.J. Super. at 476, that the statutory definition of a
qualified person entitled to seek benefits from the UCJF did not
limit recovery based upon the nature of conduct of the uninsured
operator. Instead, the statute expressly provides that any
"person, who suffers damages resulting from bodily injury . . .
arising out of the ownership, maintenance or use of a motor
vehicle in this State," may qualify.
N.J.S.A. 39:6-65.
The word "accident," which appears by way of limitation in
the statutory provision defining the scope of mandatory UM
coverage, does not appear in the statutory provision that creates
the remedial scope of the UCJF. Although the statute creating
mandatory UM coverage (
N.J.S.A. 17:28-1.1) mirrored the claim-
eligibility requirements for proceeding against the UCJF for a
hit-and-run occurrence (
N.J.S.A. 39:8-78), both statutes are
subject to distinct and separate remedial scopes.
Kenny,
supra,
328
N.J. Super. at 408 (holding that because the UM statute
incorporates the hit-and-run definition of the UCJF, its claim-
eligibility requirements should not be read more restrictively
than its analogous UCJF counterpart). The remedial scope
intended by the Legislature for UCJF claims is not identical to
that envisioned for UM coverage. The statutory protection
mandating UM coverage provides a remedy for those who carry or
are required to carry mandatory automobile insurance, while the
statutory protection afforded by the UCJF serves those who are
not required to be so covered and have no other source of
compensation.
Proskurnja,
supra, at 473-74;
N.J.S.A. 39:6-62.
Unlike the claims against the UCJF, claims for which UM coverage
applies are limited to those arising from accidental injury or
damage. Plaintiff's contentions to the contrary are misplaced.
II
We move on to consider plaintiff's contention that the term
"accident," as used in the context of establishing the existence
of UM coverage, must be viewed from the standpoint of the
insured. NJM concedes that the facts here establish a
substantial nexus between the accident and the use of an
uninsured vehicle. It maintains, however, that the term
"accident" must be viewed from the perspective of the tortfeasor,
not the insured, and does not include intentional conduct.
Lindstrom,
supra,
138 N.J. 242, held that a random, drive-by
shooting that caused gunshot injuries to a member of a crowd had
a sufficient nexus to the operation of a motor vehicle and was an
accident within the meaning of the statutory scheme creating PIP
benefits, which mandated coverage for intentional wrongdoing.
Justice Clifford, writing for the majority in
Lindstrom,
expressly adopted our reasoning in
Cerullo v. Allstate Ins. Co.,
236 N.J. Super. 372, 375-77 (App. Div. 1989) and
Pennsylvania
National Mutual Casualty Ins. Co. v. Estate of Miller,
185 N.J.
Super. 183, 188 (App. Div. 1982), concerning the different needs
satisfied by PIP and UM coverage and the applicability of the
term "accident."
Lindstrom,
supra, 138
N.J. at 249-50. Although
there is a "superficial similarity" in the use of the term
"accident" in statutory authority mandating both PIP (
N.J.S.A.
39:6A-4) and UM (
N.J.S.A. 17:28-1.1) coverages, we recognized in
Cerullo that the function and purpose of each coverage is
significantly different, transcending any similarities in
language.
UM coverage requires an injury "arising out
of the ownership, maintenance, or use" of the
uninsured vehicle. Benefits are available
only if the covered party, the plaintiff in
this case, establishes that he is "legally
entitled to recover damages from the operator
or owner" of the uninsured or hit and run
vehicle. PIP benefits, on the other hand,
more closely resemble accident, disability
and medical coverages in which fault is
irrelevant. This distinction is significant
because UM coverage is mandated as a
substitute for the liability insurance which
should have been covering the uninsured
vehicle.
[
Cerullo,
supra, 236
N.J. Super. at 375
(citations omitted).]
Justice Clifford noted that "[i]n
Pennsylvania National [we]
ruled that under PIP claims, 'whether an event constitutes an
accident must be determined from the perspective of the victim.'"
Lindstrom,
supra, 138
N.J. at 249 (citation omitted). Applying
the different purposes and needs, Justice Clifford distinguished
UM coverage from that afforded by PIP:
PIP coverage differs from both automobile-
liability and uninsured-motorist coverage,
neither of which applies to injuries caused
by an act that is an accident from the
victim's perspective but that is intended by
the actor. (Emphasis added).
[Ibid.]
Lindstrom expressly overruled Sciascia v. American Ins. Co.,
183 N.J. Super. 352 (Law Div. 1982), aff'd o.b.,
189 N.J. Super. 236
(App. Div. 1983), to the extent it held that the determination of
an accident, in the context of UM coverage, must be viewed from
the perspective of the covered victim rather than that of the
uninsured tortfeasor.
Justice Clifford, writing for the Court eight years earlier
in Allstate Ins. Co. v. Malec,
104 N.J. 1, 10 (1986), which
validated a specific exclusion against liability for intentional
wrongful acts in an automobile liability policy as not being
violative of either public policy or the No-Fault Act, recognized
that the decisions pertaining to first-party PIP coverage do not
purport to apply to liability coverage designed to protect an
insured and that "'all or virtually all' of the policies written
for [liability coverage] contain exclusions . . . for harm
intentionally caused by the insured." Id. at 11.
Two opinions decided after Lindstrom, Abraham v. Raso,
183 F.3d 279 (3rd Cir. 1999) and Gregory, supra,
315 N.J. Super. 78,
depart from Lindstrom and hold that UM coverage must be
determined by viewing the circumstances from the perspective of
the insured victim. The Third Circuit rejected Lindstrom as
"ill-considered [dicta], poorly supported and . . . [not]
accurately reflect[ing] the position of the New Jersey Supreme
Court." Abraham, supra, 183 F.
2d at 298. In reaching its
determination that UM coverage should be viewed from the
perspective of the insured victim, the Third Circuit relied on
Lindstrom's failure to mention Malec.
The discussion in Malec relied on by the Third Circuit
concerned the exception to the general public policy prohibiting
an insured from obtaining insurance that provides indemnity
against the civil consequences of the insured's own intentional
wrongful acts. See Ambassador Ins. Co. v. Montes,
76 N.J. 477
(1978) (holding coverage indemnifying for intentional wrong was
valid where the policy provided (1) coverage on its face; (2) no
exclusionary language; (3) payment under the policy would protect
innocent third persons without benefitting wrongdoer; and (4)
insurer could subrogate against wrongdoer). The Third Circuit
concluded that, if revisited, our Supreme Court would not follow
its own dicta in Lindstrom, reasoning that, unlike liability
insurance, UM coverage does not encourage the insured to commit
an intentional wrong, but instead protects an otherwise blameless
and surprised insured against the acts of a third person. We
agree with the Third Circuit's conclusion that the public policy
bar against insuring oneself for intentional wrongful conduct
does not apply to UM coverage and that, therefore, an insurer can
offer, if it desires, express coverage for injuries to an
innocent insured resulting from the intentional wrong of a third-
party uninsured tortfeasor. However, we do not agree that our
Supreme Court would utilize that reasoning to disavow what it
subsequently said in Lindstrom concerning the perspective from
which UM coverage must be viewed.
A determination by the Third Circuit Court as to what law
would be followed by the New Jersey Supreme Court is not binding
on us. See Dewey v. R.J. Reynolds Tobacco Co.,
121 N.J. 69, 80
(1990); Small v. Department of Corrections,
243 N.J. Super. 439,
444 (App. Div. 1990). As an intermediate court we are bound to
the Supreme Court's carefully considered dictum in the same
manner as if it were an outright holding. Barreiro v. Morais,
318 N.J. Super. 461, 468-69 (App. Div. 1999). We note that in
Malec, supra, 104 N.J. at 10, Justice Clifford made it clear, as
he did in Lindstrom, that our decision in Pennsylvania National,
finding benefits were afforded for intentional occurrences,
pertained "only to first-party PIP coverage." Furthermore, Malec
recognized that Ambassador was decided by a sharply divided Court
and, therefore, gave it a "narrow" reading relating it only to
the specific circumstances presented. Malec, supra, 104 N.J. at
12-13. We are bound by the dictum in Lindstrom, notwithstanding
the Third Circuit's conclusions to the contrary.
III
We next focus on plaintiff's contention that the statutory
scheme establishing UM benefits mandates coverage for injuries to
an insured resulting from an intentional collision by an
uninsured motorist. Two months prior to the decision in
Lindstrom, a published Law Division opinion in
Continental Ins.
Co. v. Miller,
280 N.J. Super. 85 (Law Div. 1994), held that UM
coverage is available to an insured who is injured by an
uninsured motorist's intentional use of an automobile as an
instrument of harm. In
Continental, a stolen vehicle driven by
an uninsured motorist intentionally went across the centerline of
a highway, striking and injuring two police officers occupying an
insured vehicle. Similarly, in
Gregory,
supra,
315 N.J. Super. 78, the defendant, driver of an uninsured vehicle, intentionally
struck plaintiff's vehicle in the rear. Judge Menza concluded in
Gregory that the reference in
Lindstrom that UM coverage applies
to an accident as viewed from the actor's perspective was
confined to the factual circumstances found in
Cerullo. In
Cerullo, the defendant, driver of an unidentified motor vehicle,
cut plaintiff's vehicle off. At the next intersection, while
both vehicles were stopped, a passenger emerged from the
unidentified vehicle, approached plaintiff's window and punched
plaintiff, causing a serious eye injury. Judge Menza determined
that
Lindstrom's adoption of the reasoning in
Cerullo, like its
specific rejection of the holding in
Sciascia, was confined to
circumstances where the insured's injuries resulted from a direct
physical assault by a third person. He therefore concluded that
an intentional collision with an automobile resulting in injuries
to an insured was to be viewed from the perspective of the
insured, instead of from the perspective of the actor, when
determining UM coverage.
Our expression of agreement in
Cerullo with the holding in
Sciascia specifically dealt with its conclusion that death caused
by a gunshot fired from a moving automobile did not provide a
sufficient nexus to trigger UM coverage. We held that there was
no UM coverage because the accident did not arise out of the use
of an automobile.
Cerullo,
supra, 236
N.J. Super. at 377-78.
Cerullo did not address that portion of the opinion in
Sciascia,
later renounced in
Lindstrom, concerning from whose perspective,
for UM purposes, an accidental injury should be viewed. The
distinction we drew in
Cerullo between a non-automobile and an
automobile instrumentality was limited to our determination that
there was not a sufficient nexus to find coverage. Judge Menza
mistakenly relied on our opinion in
Cerullo to conclude that
coverage is dependant on the instrumentality used by an
intentional tortfeasor. His conclusion that coverage attaches to
assaultive use of an automobile ignores the expressed statement
in
Lindstrom that neither automobile liability nor uninsured-
motorist coverage applies "to injuries caused by . . . an act
intended by the actor."
Lindstrom,
supra, 138
N.J. at 249. It
matters not whether an assault is carried out by striking someone
with a motor vehicle, a fist, or a bullet propelled from a gun,
all qualify as intentional wrongdoing.
Applying the rationale in
Lindstrom and its adoption of our
reasoning in
Cerullo and
Pennsylvania National, we are convinced
that UM benefits are to be treated significantly different from
PIP coverage, even though both are directly paid for by the
insured as first-party coverage. Because UM benefits replace
liability insurance, which is otherwise mandated but not carried
by a third-party tortfeasor, the determination of whether an
event constitutes an "accident," as prescribed by
N.J.S.A. 17:28-
1.1a, must be made from the perspective of the tortfeasor rather
than the insured victim.
See Grabowski v. Liberty Mutual Ins.
Co., __
N.J. Super. ___, ___ (2001) (slip op. at 6). It is the
third-party tortfeasor's conduct which is determinative of
whether UM benefits are to be paid. Unlike PIP, UM coverage
affords benefits akin to those provided by liability insurance.
The term "accident," when viewed in the context of liability
coverage, does not afford protection for intentional harm.
Therefore, absent an express provision in a policy to the
contrary, UM protection does not extend to injuries resulting
from the intentional acts of the tortfeasor, no matter what
instrumentality is used.
IV
At oral argument, plaintiff asserted for the first time that
there was insufficient credible evidence to establish that the
hit-and-run driver intended to use the stolen vehicle that he was
driving to injure plaintiff. Ordinarily, we need not consider an
issue not briefed before us.
Makray v. McCullough,
103 N.J.L. 346, 348 (E & A 1927);
Emmis Broadcasting Corp. of N.Y. v.
Borough of East Rutherford,
16 N.J. Tax 29, 39 (App. Div. 1996),
Ferraro v. Demetrakis,
167 N.J. Super. 429, 431-432 (App. Div.),
certif. denied,
81 N.J. 290 (1979). We, nevertheless, address
the issue as it was raised before the trial judge. Generally, we
must defer to a trial court's fact-findings when the evidence is
largely testimonial and involves questions of credibility. We
are not permitted to disturb a finding which "could reasonably
have been reached on sufficient credible evidence presented in
the record," considering the proofs as a whole.
State v.
Locurto,
157 N.J 463, 471 (1999). We may only interfere when a
trial court's fact-findings would work an injustice.
Rova Farms
Resort v. Investors Ins. Co.,
65 N.J. 474, 483-84 (1974).
Consequently, "an appellate court should exercise its original
fact finding jurisdiction sparingly and in none but a clear case
where there is no doubt about the matter."
Id. at 484. The same
level of deference is not required when we are reviewing a legal
conclusion.
Manalapan Realty v. Township Comm.,
140 N.J. 366,
378 (1995). Applying these principles, we are satisfied from our
review of the evidence that Judge Gallipoli's finding, that
plaintiff's injuries were caused by intentional conduct when an
uninsured hit-and-run driver tried to run him down in order to
effectuate his escape, is unassailable.
Affirmed.
Footnote: 1 1We refer to Shaw as "plaintiff" even though he was also
named as a defendant in a subsequently filed consolidated
declaratory judgment action brought by his Uninsured Motorist
insurer.
Footnote: 2 2The complaint against the owners of the vehicle was
ultimately dismissed by plaintiff due to a valid disclaimer by
the owners' liability insurance company because the vehicle had
been stolen, thereby triggering plaintiff's UM insurance and
necessitating the dismissal of the complaint against the UCJF.
Footnote: 3 3 The City, which was self-insured and had minimum $15,000
UM coverage, would be responsible for 15/50 (3/10) of $35,000,
while NJM's obligation would be 35/50 (7/10) of its policy
limits.