SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-1214-01T5
NEW JERSEY MANUFACTURERS
INSURANCE COMPANY,
Plaintiff-Appellant,
v.
BERNIE J. HARDY, KASON CHEEKS
and HAVERON TOTAL HEALTH,
Defendants-Respondents.
__________________________________
Argued October 9, 2002 - Decided January 17, 2003
Before Judges King, Wefing and Lisa.
On appeal from Superior Court of New
Jersey, Law Division, Union County,
UNN-L-3838-01.
Robert F. Cox argued the cause for
appellant (McCreedy and Cox, attorneys;
Mr. Cox, on the brief).
Scott J. Marum argued the cause for
respondents (Andrew H. Graulich, attorney
and on the brief).
The opinion of the court was delivered by
WEFING, J.A.D.
Kason Cheeks is employed as a police officer by the City of
Newark. At approximately 3:40 a.m. on February 10, 2001, while
on duty, Cheeks was injured in an automobile accident. He and
his partner were on patrol. His partner was driving the marked
police cruiser when it was struck in the rear by an intoxicated
driver. Cheeks sustained injuries to his neck and his back.
Cheeks' father, Bernie J. Hardy, held an automobile
insurance policy issued by New Jersey Manufacturers Insurance
Company ("Manufacturers") that was in effect on the date of the
accident. Although not entirely clear on the record before us,
for purposes of this appeal, Manufacturers does not dispute that
Cheeks qualifies as a resident relative under the terms of that
policy.
In addition to filing a claim for workers' compensation
benefits, Cheeks also sought Personal Injury Protection (PIP)
benefits under his father's policy with Manufacturers,
specifically, the cost of the chiropractic care he received at a
chiropractic facility known as Haveron Total Health ("Haveron").
Manufacturers declined PIP coverage on the ground that the Newark
police cruiser was not a "private passenger automobile."
Cheeks then assigned his claim against Manufacturers to
Haveron, which sought arbitration of its outstanding bills.
Manufacturers, in turn, filed a declaratory judgment action
seeking a determination that Cheeks was not entitled to PIP
benefits under his father's policy. It named as defendants
Hardy, Cheeks and Haveron. The matter was presented to the trial
court on cross motions for summary judgment. The trial court
found for defendants. Manufacturers appeals and we reverse.
N.J.S.A. 39:6A-4 mandates PIP coverage for covered
individuals "who sustain bodily injury as a result of an accident
while occupying, entering into, alighting from or using an
automobile." N.J.S.A. 39:6A-2 defines an automobile in the
following manner:
[A] private passenger automobile of a private passenger
or station wagon type that is owned or hired and is neither
used as a public or livery conveyance for passengers nor
rented to others with a driver; and a motor vehicle with
a pickup body, a delivery sedan, a van, or a panel truck or
camper type vehicle used for recreational purposes owned by
an individual or by husband and wife who are residents of
the same household, not customarily used in the occupation,
profession or business of the insured other than farming
or ranching.
What constitutes a "private passenger automobile" has been
litigated in a variety of contexts. Wilno v. N.J. Mfrs. Ins.
Co.,
180 N.J. Super. 146 (App. Div. 1981), rev'd on dissent,
89 N.J. 252 (1982) (finding a dune buggy, which had been modified
for off-road use, not to be a private passenger automobile and
passenger injured when the vehicle overturned not entitled to PIP
benefits under her own policy); Wagner v. Transamerica Ins. Co.,
167 N.J. Super. 25 (App. Div.), certif. denied,
81 N.J. 60 (1979)
(finding an automobile owned by a dealership and being
demonstrated by a salesman to customer at time of accident to be
a private passenger automobile, but injured salesman's claim for
PIP benefits barred by the collateral source rule, N.J.S.A.
39:6A-6).
No one factor is determinative. The manner in which the
title is held is not dispositive. Simon v. CNA Insurance Co.,
225 N.J. Super. 606 (App. Div.), certif. denied,
113 N.J. 350
(1988) (finding that a government-owned vehicle can be a private
passenger automobile). Nor is the manner of use at the time of
the incident controlling. CSC Ins. Services v. Graves,
293 N.J.
Super. 244 (Law Div. 1996) (finding a passenger van used for day
care center transportation to be a private passenger automobile
for purposes of PIP, since it was not used as public or livery
conveyance or rented to others with a driver).
Research has not disclosed a reported New Jersey case that
has analyzed whether a police cruiser can be considered a private
passenger automobile. Other courts have concluded, however, that
police cars are not private passenger automobiles. See Couch on
Insurance 3d, § 116.3 (2002) ("Police cars have not been included
in the definition of 'private passenger automobiles' generally on
the ground that such vehicles are publicly owned, and specially
designed and built"); Annotation, What Constitutes "Private
Passenger Automobile" in Insurance Policy Provisions Defining
Risks Covered or Excepted,
11 A.L.R.4th 475, § 6 (1982).
In Christy v. City of Newark,
102 N.J. 598 (1986), the
Supreme Court held that a Newark police officer, injured by a
hit-and-run driver who hit the police car he was driving while on
duty, was entitled to collect uninsured motorist benefits under
N.J.S.A. 39:6A-14. That statute, however, making uninsured
motorist coverage compulsory, refers simply to "automobile,"
without the modifying restriction of "private passenger."
Although the nature of the modifications involved in this
particular instance are not set forth in the record before us, we
consider it clear that police cruisers are modified to make them
suitable for the hazards they routinely encounter. Closter Serv.
Stat. Inc. v. Ridgefield Pk. Comm'rs.,
99 N.J. Super. 69 (App.
Div. 1968). The use to which police patrol cars are put by
police officers is inherently risky. Fielder v. Stonack,
141 N.J. 101, 115 (1995) (noting that police motor vehicle chases
involve inherent risk of injury); Tice v. Cramer,
133 N.J. 347,
383 (1993) (O'Hern, J., concurring) (recognizing that high-speed
vehicle pursuits are possibly the most dangerous of all ordinary
police activities). Because of the "increased demands of police
service," independent organizations test different vehicles to
assist different agencies with their buying decisions. Bulletin,
National Law Enforcement and Corrections Technology Center,
November 2001, available at http://www.justnet.org/pdffiles/
msp2002bulletin.pdf. They note that "regular production
passenger vehicles not specifically designed for police service"
can provide "inadequate performance." Ibid.
In determining whether this Newark police cruiser should be
considered a private passenger automobile, thereby triggering PIP
coverage for Officer Cheeks under his father's policy, the
underlying purposes of PIP coverage should be kept firmly in
mind. "The No Fault Act is social legislation intended to
provide insureds with the prompt payment of medical bills, lost
wages and other such expenses without making them await the
outcome of protracted litigation." Amiano v. Ohio Casualty Ins.
Co.,
85 N.J. 85, 90 (1981); Stevenson v. State Farm Indem. Co.,
311 N.J. Super. 363 (App. Div. 1998).
Those same laudable purposes, however, are fully achieved by
the workers' compensation benefits available to Cheeks. We
perceive no reason in logic or policy why Cheeks should be able
to transfer the cost of his work-related injuries to
Manufacturers, thus, entirely circumventing the statutory forum
available to him.
The judgment under review is reversed.
LISA, J.A.D., dissenting.
In my view, the 1999 Ford Crown Victoria owned and used by the
City of Newark as a marked police car is an "automobile" within the
meaning of N.J.S.A. 39:6A-2a. Because Kason Cheeks was injured
while occupying that vehicle, he is entitled to pursue collection
of personal injury protection (PIP) benefits from New Jersey
Manufacturers Insurance Company (NJM) under its policy issued to
Cheeks' father, with whom Cheeks resided at the time of the
accident. N.J.S.A. 39:6A-4. Therefore, I dissent.
PIP benefits are payable to covered individuals "who sustain
bodily injury as a result of an accident while occupying . . . an
automobile . . . ." N.J.S.A. 39:6A-4. An "automobile," for these
purposes, is defined as "a private passenger automobile of a
private passenger or station wagon type that is owned or hired and
is neither used as a public or livery conveyance for passengers nor
rented to others with a driver; . . . ." N.J.S.A. 39:6A-2a.
Of course a Ford Crown Victoria is a typical sedan which fits
within this definition. The question here is whether because of
its ownership and use by a public entity as a marked police car, or
because of some modifications it may possess, it is divested of
that status for PIP purposes.
Ownership by a public entity does not detract from the
vehicle's status as a private passenger automobile. Simon v. CNA
Ins. Co.,
225 N.J. Super. 606, 613-15 (App. Div.), certif. denied,
113 N.J. 350 (1988). We reasoned that the word "private" pertains
to the type of vehicle, not its ownership, id. at 614, and
concluded that if the Legislature intended to exclude all
government-owned vehicles from the No-Fault Act's coverage, it
would have expressly done so. Id. at 614-15. In our analysis, we
relied upon our earlier holding in Wagner v. Transamerica Ins. Co.,
167 N.J. Super. 25 (App. Div.) certif. denied,
81 N.J. 60 (1979),
that a vehicle that otherwise fits the "private passenger
automobile" definition is not outside the definition because it is
used for commercial purposes in an occupation or business. Simon
v. CNA Ins. Co., supra, 225 N.J. Super. at 613-14.
The statutory definition excludes only those passenger type
automobiles that are used as a public livery conveyance for
passengers or rented with a driver. Thus, for example, taxicabs
are excluded. Truppa v. Prudential Property and Cas. Co.,
237 N.J.
Super. 269, 272 (Law Div. 1989). So too are limousines. Bello v.
Hurley Limousines, Inc.,
249 N.J. Super. 31, 37-38 (App. Div.
1991). The vehicle in Bello was registered as a limousine and bore
omnibus livery license plates. Id. at 33. It was used to
transport passengers for consideration and rented with a driver.
Id. at 33-34. On the occasion of the accident for which PIP
benefits were sought, it was being driven for personal use. We
deemed that circumstance irrelevant to the vehicle's status under
the "private passenger automobile" definition:
This principle [enforcing an unambiguous
statute according to its terms] applied here
leaves no room for judicial interpretation.
The plain language of N.J.S.A. 39:6A-2a
clearly eliminates the Hurley motor vehicle as
an automobile for purposes of the Act . . . .
Although the Hurley motor vehicle was a
private passenger type automobile, it was
registered and used as a public or livery
conveyance for passengers and rented to others
with a driver. Its status was a limousine,
not an automobile.
The motor vehicle's classification as a
public or livery conveyance for passengers
does not change by its temporary or transitory
use for some other purpose. Rather, the motor
vehicle's general status controls its
classification. Had the Legislature intended
that the motor vehicle's use at the precise
time of the accident controlled its
classification, it is reasonable to conclude
that the Legislature would have included
language to that effect in the Act.
. . . .
Moreover, classifying vehicles by their
use at the precise time of the accident would
create chaos and undermine the purposes of the
Act [to insure prompt payment of benefits
without the need for lengthy and costly
litigation].
[Id. at 37.]
The majority departs from the clear and unambiguous language
of the statute and relies on a non-statutory characteristic of the
vehicle involved in this case to exclude it from the "private
passenger automobile" definition - namely that the use of police
patrol cars is inherently risky and they are modified to make them
suitable for the hazards they routinely encounter. Slip op. at 5.
The majority further supports its conclusion by noting that the
underlying purpose of PIP coverage (to insure prompt payment of
benefits without the need for lengthy and costly litigation) is
achieved by the workers' compensation benefits available to the
injured police officer in this case. Slip op. at 5-6.
It cannot be denied that police cars are occasionally used in
high-risk situations such as high-speed pursuits. However, most of
the time police cars are driven in a normal manner on public
streets. Indeed, the accident in this case was a garden-variety
fender bender, in which the police car proceeded through an
intersection in Newark after the traffic light changed from red to
green, and was rear-ended by another car.
If the Legislature intended exclusion of police cars, it could
easily have expressed such intent in the definitional section. In
a statute whose clarity "leaves no room for judicial
interpretation," the judicial establishment of a blanket exception
for police cars because they are sometimes used in high-risk
situations is contrary to the Bello rationale and is unwarranted.
There is no dispute that the car Cheeks occupied was a marked
police car. Beyond that, however, the record reveals nothing of
any modifications. The majority assumes the car contains a "police
package." Slip op. at 5. I make the same assumption for purposes
of analysis. Not all marked police cars, however, are equipped
with a police package. The Bulletin, National Law Enforcement and
Corrections Technology Center, November 2001, cited by the
majority, ibid., points out that "[m]any [police] agencies are
painfully aware of the consequences [of higher maintenance costs in
the long run] that result from being 'penny wise and pound
foolish,' where vehicles with inadequate performance, such as
regular production passenger vehicles not specifically designed for
police service, are selected because they cost less than police-
package vehicles." (Emphasis added.) Therefore, marked police
cars may or may not be equipped with a police package. Any
classification of police cars based on modifications is illusory.
Typically, a police package includes performance items, such
as a high horsepower engine and upgraded steering, handling and
braking systems, and specialty items specific to police use, such
as spot lights, a roof light bar and radio equipment. There is
nothing to indicate that similar performance items are not
available to the general public. Many vehicles driven by our
civilian population are equipped with various sport and high
performance packages. As for the specialty items, when police
vehicles outlive their usefulness to the police agency, they are
typically disposed of by removing appropriate specialty items and
being sold as "used cars" to the members of the general public.
See, e.g., N.J.S.A. 40A:11-36.
Such modifications, if they were made to the police car in
this case, are inconsequential and do not alter the character of
this Ford Crown Victoria as a passenger type automobile. These are
not comparable to the drastic modifications that converted a
Volkswagen Beetle to a dune buggy in Wilno v. New Jersey Mfrs. Ins.
Co.,
180 N.J. Super. 146 (App. Div. 1981), rev'd on dissent,
89 N.J. 252 (1982). "Among other modifications, the entire body was
removed from the chassis and the frame was shortened . . . . [T]he
dune buggy had no body - no sides, no roof and no windshield." Id.
at 153 (Allcorn, P.J.A.D., dissenting). It also lacked such safety
equipment as directional signals, bumpers and a full set of lights.
Id. at 148-49. As such, the dune buggy was unregistered and
unregisterable. It was uninsured. It was intended for use and was
used for recreational off-road purposes. The accident for which
PIP benefits were claimed occurred when it flipped over on an off-
road dirt track in the Pinelands. Id. at 148.
In his dissent, adopted by a four-justice majority of the
Supreme Court, Judge Allcorn noted that the ordinary and common
meaning of "automobile" is a "4-wheeled automotive vehicle designed
for passenger transportation on streets and roadways . . . ." Id.
at 152 (Allcorn, P.J.A.D., dissenting)(emphasis added). "A dune
buggy, on the other hand, patently is not a private passenger
automobile designed and used solely and principally for the
transportation of passengers on the public streets and highways.
Concededly, it is instead a specifically designed and constructed
vehicle, intended and used solely or principally for off-road
recreational purposes." Id. at 152-53. Therefore, a dune buggy
and a private passenger automobile are "two classes of vehicles
[that] are mutually exclusive." Id. at 153.
Two judges of this court and three Supreme Court justices
deemed the dune buggy to be within the private passenger automobile
definition. Thus that vehicle, with its extreme modifications,
which rendered it unuseable on public streets and highways, was
determined only by the narrowest of margins to fall outside the
boundaries of the statutory definition. The relatively minor
police-package modifications do not deprive a production model
sedan of its designed purpose and use solely and principally for
the transportation of passengers on the public streets and
highways. The sedan occupied by Cheeks and other non-police sedans
on the roadways are not two mutually-exclusive classes of vehicles.
They are both designed and used for passenger transportation on the
public streets and highways. Any police package modifications do
not cause the vehicle in this case to lose its character as a
private passenger automobile.
Next, I address the interplay of PIP and workers' compensation
benefits. Cheeks was injured on February 10, 2001. He promptly
submitted a PIP claim to NJM, which denied the claim on March 2,
2001 because"[t]his is a Worker's Compensation matter." On April
5, 2001, NJM supplemented its denial on the additional basis that
Cheeks was "not a passenger in a private passenger vehicle." NJM
again informed Cheeks that his exclusive source of recovery for
medical expenses was workers' compensation. Cheeks filed a
workers' compensation claim. The compensation carrier did not
dispute the compensability of Cheeks' injury, but did not authorize
treatment by Haveron Total Health (Haveron). At the time the cross
motions of the parties were made and decided in the trial court in
September and October 2001, Cheeks' workers' compensation action
was pending.
PIP benefits are payable as the loss accrues, but are reduced
under the collateral source rule by benefits "collectible under
workers' compensation insurance." N.J.S.A. 39:6A-6. The PIP
carrier, however, does not have the authority to unilaterally
determine what is "collectible" in compensation. Speiser v.
Harleysville Ins. Co.,
237 N.J. Super. 507, 510 (App. Div.),
certif. denied,
121 N.J. 647 (1990); Olivero by Olivero v. New
Jersey Mfr. Ins. Co.,
199 N.J. Super. 191, 198 (App. Div. 1985),
certif. denied,
115 N.J. 76 (1989); Solimano v. Consolidated Mut.
Ins. Co.,
146 N.J. Super. 393, 396-97 (Law Div. 1977). That
determination can only be made by the Workers' Compensation Court.
Speiser v. Harleysville Ins. Co., supra, 237 N.J. Super. at 510;
Olivero by Olivero v. New Jersey Mfr. Ins. Co., supra, 199 N.J.
Super. at 198; Aetna Cas. & Sur. Co. v. Para Mfg. Co.,
176 N.J.
Super. 532, 536 (App. Div. 1980).
This is not a situation where a claimant, injured in a work-
related accident, is barred from PIP recovery for medical expenses
because he never sought authorization from his employer for that
medical treatment, never attempted to claim the expenses in his
workers' compensation action, allowed the compensation action to
proceed to final judgment, and then, for the first time, presented
the bills to his PIP carrier. Wagner v. Transamerica Ins. Co.,
167 N.J. Super. 25, 32-34 (App. Div.), certif. denied,
81 N.J. 60
(1979). To allow a PIP claim under those circumstances would, in
effect, allow the claimant impermissibly to choose his source of
recovery (PIP or comp) and would circumvent the statutory scheme
which requires payment by the PIP carrier of reasonable and
necessary medical expenses as they become due, but places the
ultimate responsibility for such expenses on the compensation
carrier. Id. at 34.
Cheeks did not withhold his PIP claim for Haveron's treatment,
nor did he refrain from seeking authorization from his employer.
His compensation claim was open when he demanded PIP arbitration,
seeking enforcement of his PIP coverage from NJM. We do not know
whether NJM disputes the necessity and reasonableness of Haveron's
treatment and bill. NJM's denial is based on its asserted lack of
coverage under the circumstances presented. However, if it is
determined that NJM must provide PIP coverage, and it pays all or
any part of the bills, either voluntarily or as a result of PIP
arbitration, it is not prejudiced in its right to seek
reimbursement from the compensation carrier. It has the well-
established right to intervene in the pending compensation action
to assert that right. Olivero by Olivero v. New Jersey Mfr. Ins.
Co., supra, 199 N.J. Super. at 200; Aetna Cas. & Sur. Co. v. Para
Mfg. Co., supra, 176 N.J. Super. at 535-36.
Under the circumstances of this case there has been no attempt
by the injured party to circumvent the system. We should not
speculate on the potential outcome of any effort NJM may make to
recover from the compensation carrier, in the compensation
proceeding, any medical expense PIP benefits it may pay. Speiser
v. Harleysville Ins. Co., supra, 237 N.J. Super. at 511. That is
not now before us. Ibid.
Finally, I address the public policy issue implicated by this
case. The public policy underlying the No Fault Act has been
clearly stated:
Moreover, the Act itself requires us to
construe its provisions liberally in order to
effect the legislative purpose to the fullest
extent possible. N.J.S.A. 39:6A-16. The No
Fault Act is social legislation intended to
provide insureds with the prompt payment of
medical bills, lost wages and other such
expenses without making them await the outcome
of protracted litigation. Mandated as a
social necessity, PIP coverage should be given
the broadest application consistent with the
statutory language.
[Amiano v. Ohio Cas. Ins. Co.,
85 N.J. 85, 90
(1981)(emphasis added).]
Citing Rybeck v. Rybeck,
141 N.J. Super. 481, 504 (Law Div. 1976)
app. dism.,
150 N.J. Super. 151 (App. Div. 1977), the Court noted
that the Act contains anomalies resulting from "'vehicle-oriented
classifications' utilized by the Legislature." Amiano v. Ohio Cas.
Ins. Co., supra, 85 N.J. at 90-91. In making such classifications,
for example, the Legislature excluded motorcycles because available
information showed a higher risk of injuries which would push up
no-fault premiums. Rybeck v. Rybeck, supra, 141 N.J. Super. at
503. While the same argument could be made for police cars, there
is no indication that the Legislature possessed information
demonstrating a higher injury rate for police car occupants. More
significantly, the Legislature chose not to create an exclusion for
police cars.
Likewise, the Legislature excluded trucks and other commercial
vehicles because their occupants are normally covered by workers'
compensation. Ibid. This is so with respect to government-owned
automobiles, such as that operated in Simon, but the Legislature
did not exclude such vehicles. Taxis, buses and livery vehicles
were excluded because their drivers typically are covered by
workers' compensation and for the additional reason that providing
PIP coverage for their passengers would push up no-fault premiums.
Id. at 503-04. The Legislature could have applied this rationale
to police cars because the drivers are typically covered by
workers' compensation and they often carry civilian passengers.
See, e.g., Christy v. City of Newark,
102 N.J. 598, 603 (1986),
noting that civilian passengers are frequently carried by police
cars in emergency situations. Again, however, the Legislature
chose not to exclude police cars.
The vehicle-oriented classifications that the Legislature has
established have been approved by the Court as "a reasonable way
for the Legislature to approach the subject." Amiano v. Ohio Cas.
Ins. Co., supra, 85 N.J. at 91. Thus it is permissible, for
example, that the statutory definition provides PIP coverage for a
pedestrian if struck by a family sedan but not if struck by a taxi.
Creating such vehicle-oriented classifications is the prerogative
of the Legislature. However, in our liberal construction of the
definition, directed at the goal of effecting the broadest
application the statutory language will allow, our interpretation
should be expansive, not restrictive. We should not create an
anomaly to exclude coverage which the Legislature has chosen to
omit.
I would affirm.