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).
Defendant-claimant Kayson Cheeks was on duty as a police officer in Newark when
he was involved in a motor vehicle accident. Cheeks suffered injuries and was
treated by defendant Haveron Total Health, P.A.. Cheeks, who lived with his father
Bernie J. Hardy at the time of the accident, was insured as a
resident relative under his fathers policy, issued by plaintiff New Jersey Manufacturers Insurance
Co. (NJM). Cheeks filed for workers compensation benefits and also sought PIP coverage
from NJM, but NJM denied coverage, claiming that the police cruiser was not
a private passenger automobile under the No Fault Act and that his workers
compensation provider was responsible for his work-related automobile accident. NJM filed a declaratory
judgment action.
The parties filed cross-motions for summary judgment and the trial judge granted judgment
to defendants. The court held: 1) A vehicle owned by a governmental entity,
in this case a police cruiser, was a private vehicle under the No
Fault Act; and, 2) the availability of workers compensation did not preclude PIP
coverage.
A divided Appellate Division panel reversed. The majority ruled that a police cruiser
was not a private passenger automobile under the No Fault Act because police
vehicles are modified for the hazards they routinely encounter. N.J. Mfrs. Ins. Co.
v. Hardy,
357 N.J. Super. 19 (2003). In addition, the Appellate Division held
that Cheeks should not be permitted to circumvent the workers compensation statutory framework
by transferring the cost of his work-related injuries to NJM. Judge Lisa, dissenting,
construed the No Fault Act as excluding from PIP coverage only automobiles used
for public livery or rented with a driver. Moreover, Judge Lisa disagreed with
the majority that Cheeks was circumventing the workers compensation system, adding that NJM
may seek contribution from Cheeks workers compensation provider.
This appeal is before us as of right as a result of the
dissent by Judge Lisa.
HELD: First-party PIP coverage is available to an employee who is injured while
driving a government-owned automobile of a private passenger type.
1. The present dispute concerning construction of the term automobile arises in the
context of our statutory and regulatory system of mandatory automobile insurance, which includes
liability, PIP, and optional uninsured motorist (UM) and underinsured motorist (UIM) coverage. The
coverage applies to three categories of injured persons: (1) a named insured and
resident relatives of that named insured injured in an accident involving any automobile;
(2) other persons sustaining injuries in incidents involving an automobile of a named
insured, who are permissive occupants or users of a named insureds automobile; and
(3) pedestrians injured by an automobile of a named insured. The No Fault
Act is given liberal construction in favor of its intended remedial purpose of
effecting broad protection for accident victims. (Pp. 5-8)
2. Nothing about the operation of our no-fault system of insurance coverage suggests
that an accident victims access to his or her own first-person PIP insurance
coverage is premised on whether the automobile involved in the accident is owned
by a governmental entity or a private person: If the legislature had intended
to exclude all government-owned vehicles from the No Fault Acts coverage, it would
have expressed that intent. Simon v. CAN Insurance Co.,
225 N.J. Super 606,
614-615 (App. Div.), certif.. denied,
113 N.J. 350 (1988). We find that the
Legislature used the term private passenger automobile as a term of art to
distinguish such vehicles from public passenger automobiles (such as taxicabs), and from private
freight automobiles (such as trucks). (Pp. 8-12)
3. Government ownership of a vehicle involved in an accident does not prevent
a victim from pursuing No Fault or other compulsory insurance protections, including UM
protection, from various sources. We perceive no express or implied public policy that
would support a per se exclusion from PIP coverage for victims of accidents
that involve government-owned automobiles. Accordingly, we conclude that first-party PIP coverage is available
to an employee who is injured while driving a government-owned automobile of a
private passenger type. Moreover, as explained by Judge Lisa, a PIP exclusion for
police cruisers based on a vehicle-modification theory is not consistent with the statutory
exclusions crafted by the Legislature in N.J.S.A. 39:6A-2a. (Pp. 12-16)
4. A PIP carrier may seek reimbursement from the workers compensation provider, N.J.S.A.
39:6A-6, and even may be the initiator of a workers compensation proceeding if
the injured person has not filed for such benefits. The availability of workers
compensation does not preclude an insured (or his assignee) from seeking the range
of remedies available pursuant to PIP. (Pp. 16-17)
The judgment of the Appellate Division is REVERSED.
CHIEF JUSTICE PORITZ and JUSTICES LONG, VERNIERO, ZAZZALI, ALBIN and WALLACE join in
Justice LAVECCHIAs opinion.
SUPREME COURT OF NEW JERSEY
NEW JERSEY MANUFACTURERS
INSURANCE COMPANY,
Plaintiff-Respondent,
v.
BERNIE J. HARDY, KASON CHEEKS
and HAVERON TOTAL HEALTH,
P.A.,
Defendants-Appellants.
Argued October 20, 2003 Decided January 27, 2004
On appeal from the Superior Court, Appellate Division, whose opinion is reported at
357 N.J. Super. 19 (2003).
Douglass D. Burgess argued the cause for appellants (Cary & Icaza, attorneys; Robert
R. Cary, on the brief).`
Robert F. Cox argued the cause for respondent (McCreedy and Cox, attorneys).
JUSTICE LaVECCHIA delivered the opinion of the Court.
This appeal is from an insurance-coverage declaratory judgment action. We must address whether
an individual is entitled to claim Personal Injury Protection (PIP) coverage pursuant to
N.J.S.A. 39:6A-1 to 35 (No Fault Act) under a personal automobile insurance policy
when the precipitating accident occurred during work and involved the employers motor vehicle.
The defendant-claimant, Kayson Cheeks, was serving as a police officer in the City
of Newark when he was injured while on patrol in a police cruiser.
A divided Appellate Division panel determined that a specially equipped police car is
not a private passenger automobile within the meaning of the No Fault Acts
definition of automobile and held, therefore, that Cheeks was not entitled to PIP
coverage. N.J. Mfrs. Ins. Co. v. Hardy,
357 N.J. Super. 19, 21-24 (2003).
This appeal is before us as of right as a result of the
dissent by Judge Lisa. R. 2:2-1(a)(2). We reverse.
[N.J.S.A. 39:6A-2a.]
The narrow question presented by this case is whether a police cruiser fits
within that definition for purposes of Cheekss entitlement to PIP coverage under his
own policy of insurance. In answering that question, we must construe the language
of the definition in a manner that sensibly applies the No Fault Act
and fulfills its policy objectives. See Cesare v. Cesare,
154 N.J. 394, 405
(1998) (noting central principle of statutory construction dictates that statutes are to be
read sensibly, to permit reason and purpose of legislation to control).
A.
According to Cheeks, he should not be ineligible for PIP coverage under his
personal automobile insurance policy because he was operating a police cruiser in the
course of his employment at the time of his accident. NJM, however, argues
that by use of the term private passenger automobile, the Legislature meant to
distinguish a non-private vehicle, such as a governmental vehicle, from a privately owned
vehicle for purposes of determining eligibility for PIP coverage. In our view, NJM
mistakes the meaning of the word private in private passenger automobile and, as
a result, reaches a conclusion that is at odds with the overall purpose
of the No Fault Act.
Nothing about the operation of our no-fault system of insurance coverage suggests
that an accident victims access to his or her own first-person PIP insurance
coverage is premised on whether the automobile involved in the accident is owned
by a governmental entity or a private person. Rather, the statute refers to
a type of vehicle, and then excludes specific vehicles based on their use.
The first clause of N.J.S.A. 39:6A-2a uses the insurance rating classification term private
passenger automobile and includes two types of that classification: private passenger or station
wagon type automobiles. The definition then exempts certain private-passenger-type and station-wagon-type automobiles based
on their specific use: those that are used as a public livery or
conveyance for passengers or rented to others with a driver are excepted from
the definition. The second clause of the definition addresses the broader category of
motor vehicle[s]. It establishes that certain identified types of motor vehicles are considered
automobiles for the purpose of the No Fault Act provided that they are
not used for business purposes. Again, the statute begins with a type of
vehicle and then exempts some vehicles based on specific uses.
That same understanding of the statutory language can be found in
Simon, supra,
225 N.J. Super. at 613,
wherein the trial court rejected an insurance companys
argument that a government-owned automobile was not a
private passenger automobile within the
meaning of N.J.S.A. 39:6A-2a. The trial court reasoned that the private passenger distinction
goes to the use of the vehicle and not the ownership of the
vehicle, ibid., and the Appellate Division agreed, concluding that there is no indication
that the Legislature used the term private automobile in N.J.S.A. 39:6A-2a as being
the opposite to government ownership of an automobile. If the Legislature had intended
to exclude all government-owned vehicles from the No-Fault
Acts coverage, it would have
expressed that intent. Id. at 614-15 (emphasis added). Similarly, numerous New Jersey Department
of Banking and Insurance regulations employ the rating classification term private passenger automobile
and distinguish government- and entity-owned vehicles from individually- or personally-owned vehicles by using
the word personal as an additional modifier. See, e.g., N.J.A.C. 11:3-2.2 (defining personal
private passenger automobile as a private passenger automobile owned individually, or jointly by
individuals who are residents of the same household, and used for personal, family
or household needs) (emphasis added); N.J.A.C. 11:3-44.2 (using same definition in regulations designed
to implement N.J.S.A. 17:29A-46.1 by establishing standards to rate policies properly and adequately).
We find that the Legislature used the term private passenger automobile as a
term of art to distinguish such vehicles from public passenger automobiles (such as
taxicabs), and from private freight automobiles (such as trucks). See Poncino v. Sierra
Nevada Life & Cas. Co.,
286 P. 729, 730-31 (Cal. Dist. Ct. App.
1930) (observing that historic distinction between freight and passenger automobiles appears to have
originated with use of similar differentiating terms for railroad cars and elevators). We
note that our understanding of the meaning of automobile in N.J.S.A. 39:6A-2a, which
focuses first on the type of vehicle and then examines its use, has
been applied consistently in decisions that pre-date and post-date Simon. See Giordano v.
Allstate Ins. Co.,
260 N.J. Super. 329, 330-33 (App. Div. 1992) (holding that
minivan used as demonstration vehicle and equipped for transporting up to seven passengers
was private passenger automobile, and not a cargo-transporting van); Wagner v. Transamerica Ins.
Co.,
167 N.J. Super. 25, 30-34 (App. Div.) (holding that car used by
dealership salesman as demonstration vehicle was automobile for purposes of PIP coverage under
personal insurance policy because of vehicles type, not its use in commercial or
business activities), certif. denied,
81 N.J. 60 (1979). In our view, that longstanding
construction gives meaning to all of the words employed in the statute and
furthers the legislative intent to achieve broad protection of accident victims.
B.
We add, for completeness, that examination of
the Motor Vehicles Security-Responsibility Law, N.J.S.A.
39:623 to 91 (the Act), reinforces our holding in this case. That Act
establishes guidelines by which individuals or entities having motor vehicle fleets of twenty-five
or more vehicles may self-insure with the approval of regulators. Ibid. Importantly, the
statutory scheme contains a carve-out applicable to governmental entities, exempting them from submission
to a regulatory review and approval process otherwise imposed as a condition of
being a lawful self-insurer.
N.J.S.A. 39:6-54 provides:
a. This act shall not apply with respect to any motor vehicle owned
by the United States, this State or any political subdivision of this State
or any municipality therein; nor with respect to any motor vehicle which is
subject to the requirements of law requiring insurance or other security on certain
types of vehicles, other than the requirements of P.L.1972, c. 70 (C. 39:6A-1
et seq.) [the No Fault Act] or P.L.1972, c. 197 (C. 39:6B-1 et
seq.) [the Compulsory Motor Vehicle Insurance Act].
[(emphasis added).]
N.J.S.A. 39:6-54a excepts governmental entities from the regulatory requirements for self-insurance status, allowing
such entities to go bare. See Ross, supra, 114 N.J. at 139 (holding
that government entity was not required to purchase insurance or to self-insure).
See footnote 2 Importantly,
however,
N.J.S.A. 39:6-54a itself does not create an exemption from the requirements of
the No Fault Act or the Compulsory Motor Vehicle Insurance Act.
Government ownership of a vehicle involved in an accident does not prevent a
victim from pursuing No Fault or other compulsory insurance protections, including UM protection,
from various sources. See Ross, supra, 114 N.J. at 146-47 (recognizing various means
by which UM coverage may be available to victims of automobile accidents involving
governmental vehicles, such as (1) a policy of insurance procured by the governmental
entity; (2) self-insurance coverage; or (3) the UCJF).
See footnote 3 See also
Christy v. Newark,
102 N.J. 598, 605-12 (1986), in which we held that a Newark police
officer, injured by a hit-and-run driver while operating a police car in the
course of his duties, was entitled to UM coverage. We noted in Christy
that the Appellate Division had rejected an argument, identical to the one now
made, that a police car is not an automobile under N.J.S.A. 39:6A-2a, id.
at 604, and accepted that courts determination that the inclusion of the word
private in the definition was for the purpose of distinguishing normal passenger-type cars
from those used as a public livery or conveyance of passengers or rented
to others with a driver. Ibid. The issue that is before us in
the present appeal was not squarely before us in Christy, id. at 605;
however, our holding today follows the Appellate Divisions understanding of the term automobile
in that matter. See also Wagner, supra, 167 N.J. Super. at 32 (perceiving
no total personal/commercial dichotomy for coverage purposes and declining to superimpose such limiting
design on statute governing PIP coverage).
We perceive no express or implied public policy that would support a per
se exclusion from PIP coverage for victims of accidents that involve government-owned automobiles.
Indeed, it would be inequitable to deprive an entire class of worker, employees
of State and local government, from access to mandatory PIP coverage available through
their own personal automobile insurance policy. Accordingly, we conclude that first-party PIP coverage
is available to an employee who is injured while driving a government-owned automobile
of a private passenger type.
We add that we are unpersuaded that a specially equipped police cruiser is
no longer an automobile by virtue of its modifications. Countless automobiles have modifications.
The modifications identified by the Appellate Division majority a larger engine, better steering,
better handling can be found in many sports cars covered by PIP. But
cf. Wilno v. N.J. Mfrs. Ins. Co.,
180 N.J. Super. 146, 148-49, 153-54
(App. Div. 1981), revd on dissent,
89 N.J. 252 (1982), (noting obvious off-road
use of modified vehicle, which had no body[,] no sides, no roof and
no windshield, and that lacked required safety equipment [such] as directional signals, bumpers
and a full set of lights). Moreover, as explained by Judge Lisa, a
PIP exclusion for police cruisers based on a vehicle modification theory is not
consistent with the statutory exclusions crafted by the Legislature in N.J.S.A. 39:6A-2a.
IV.
NJM also argues that the availability of workers compensation to Cheeks should preclude
PIP coverage under the Policy. However, the Legislature included a collateral source provision
in the No Fault Act. See N.J.S.A. 39:6A-6 (referencing workers compensation benefits specifically);
s
ee, e.g., Olivero v. N.J. Mfrs. Ins. Co.,
199 N.J. Super. 191, 200-01
(App. Div. 1985) (holding that availability of workers compensation benefits to injured person
does not preclude injured person from seeking PIP benefits). Clearly, a PIP carrier
may seek reimbursement from the workers compensation provider, N.J.S.A. 39:6A-6, and even may
be the initiator of a workers compensation proceeding if the injured person has
not filed for such benefits. See Speiser v. Harleysville Ins. Co.,
237 N.J.
Super. 507, 511 (App. Div.), certif. denied,
121 N.J. 647 (1990). The availability
of workers compensation does not preclude an insured (or his assignee) from seeking
the range of remedies available pursuant to PIP. See N.J.S.A. 39:6A-4b to -4e.
NO. A-79 SEPTEMBER TERM 2002
ON APPEAL FROM Appellate Division, Superior Court
NEW JERSEY MANUFACTURERS
INSURANCE COMPANY,
Plaintiff-Respondent,
v.
BERNIE J. HARDY, KASON CHEEKS
and HAVERON TOTAL HEALTH,
P.A.,
Defendants-Appellants.
DECIDED January 27, 2004
Chief Justice Poritz PRESIDING
OPINION BY Justice LaVecchia
CONCURRING OPINION BY
DISSENTING OPINION BY
CHECKLIST
Footnote: 1
Because this appeal does not implicate a basic policy of insurance, further
reference to that statutory alternative is unnecessary.
Footnote: 2
In Ross, NJM participated as amicus curiae, and apparently argued that, under the
then revised (now current) version of N.J.S.A. 39:6-54, public entities must purchase compulsory
insurance. Ross, supra, 114 N.J. at 141 n.6.
Footnote: 3
A public entity may purchase insurance under a commercial policy. Commercial policies provide
for PIP benefits where the law mandates such coverage. See generally N.J.S.A. 39:6A-4
(referencing named insured, which term includes business organizations as well as natural persons);
N.J.A.C. 11:3-4.4(f) (requiring provision of PIP medical benefits of $250,000, consistent with N.J.S.A.
39:6B-4a, in commercial automobile insurance policies purchased for non-natural-person, named insureds).