SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-5054-00T2
RIDER INSURANCE COMPANY,
Plaintiff-Respondent,
v.
FIRST TRENTON COMPANIES,
Defendant-Appellant,
and
NEW JERSEY CITIZENS RECIPROCAL
EXCHANGE (NJ CURE) and ROY J.
JONES,
Defendants-Respondents.
_________________________________________________________________
Argued September 24, 2002 - Decided October 25, 2002
Before Judges Cuff, Lefelt and
Winkelstein.
On appeal from the Superior Court of
New Jersey, Law Division, Union
County, Docket No. L-1524-00.
Thomas P. Weidner argued the cause for
appellant (Windels, Marx, Lane &
Mittendorf, attorneys; Mr. Weidner,
of counsel, and Mr. Weidner and
Antonio J. Casas, on the brief).
Warren Usdin argued the cause for
respondent Rider Insurance Company
(Morgan, Melhuish, Monaghan, Arvidson,
Abrutyn & Lisowski, attorneys; Mr.
Usdin, of counsel and on the brief).
Jacob A. Papay, Jr. argued the
cause for respondent New Jersey
Citizens Reciprocal Exchange
(Gebhardt & Kiefer, attorneys;
Mr. Papay, on the brief).
Respondent, Roy J. Jones, submitted
no brief.
The opinion of the court was delivered by
LEFELT, J.A.D.
This appeal arises out of Roy Jones's motorcycle accident
with an unidentified vehicle. Three automobile insurance
companies were potentially available to compensate Jones for his
injuries caused by the uninsured motorist (UM). One of the
potential insurers, First Trenton Indemnity Company, denied
coverage based on a UM policy exclusion. In a declaratory
judgment action, Judge William Wertheimer invalidated the UM
exclusion as contrary to the statutory requirement that all
standard automobile insurance policies must contain UM coverage.
This action was taken despite the fact that the Commissioner of
Banking and Insurance had approved the First Trenton policy
containing the UM exclusion. First Trenton appeals, and we
affirm.
I.
The facts and pertinent procedural history are relatively
straightforward. At the time of his accident, Jones was the
named insured on two separate motor vehicle insurance policies.
Rider Insurance Company insured Jones's motorcycle, providing UM
coverage of $15,000 per person and $30,000 per accident. New
Jersey Citizens Reciprocal Exchange (CURE) provided UM coverage
for Jones's 1
980 Chevrolet and 1983 Cadillac of $100,000 per
person and $300,000 per accident. At the time of the accident,
Jones was living in his mother's home and was also insured for
$50,000 per person and $100,000 per accident as a named driver
under his mother's automobile policy with First Trenton.
Rider and Cure eventually agreed to supply pro rata UM
coverage for Jones up to $100,000, the maximum on the two
policies, and sought additional coverage from First Trenton.
Jones's mother's policy with First Trenton, however, contained an
exclusion providing the insurer "does not cover bodily injury
suffered or property damage incurred by any insured other than
you while occupying any vehicle insured by another motor vehicle
policy in which that insured was a named insured or relative."
First Trenton denied Jones UM coverage under this exclusion.
A declaratory judgment action was brought and eventually
summary judgment motions by all three insurance companies came
before Judge Wertheimer. The judge granted summary judgment to
CURE and Rider and denied summary judgment to First Trenton. The
judge found the exclusion inconsistent with the statutory
requirement of N.J.S.A. 17:28-1.1 that all motor vehicle
insurance policies, except basic policies, must include UM
coverage. Consequently, the judge found that First Trenton owed
Jones pro rata UM coverage as a resident relative and named
driver on his mother's policy. It is from this determination
that First Trenton appeals.
II.
The terms of an automobile insurance policy govern the
insured's rights to UM coverage so long as the terms do not
conflict with the UM statute or its underlying policy. Brown v.
Selective Ins. Co.,
311 N.J. Super. 210, 213 (App. Div. 1998).
In relevant part, the current UM statute provides that "[e]xcept
for a basic automobile insurance policy, no motor vehicle
liability policy . . . shall be issued in this State . . .
unless it includes coverage . . . for the payment of all or part
of the sums which persons insured thereunder shall be legally
entitled to recover as damages from owners or operators of
uninsured motor vehicles. . . ." N.J.S.A. 17:28-1.1(a).
The UM statute was amended in 1983 and 1998. Before the
1983 amendment, the UM statute was different from the current
statute in two ways. First, the statute before 1983 permitted
"stacking," or the adding together of available UM policy limits,
to afford greater coverage for injured persons. The statute now
states that where UM coverage is available under more than one
policy, "any recovery shall not exceed the higher of the
applicable limits of the respective coverages as the limits of
each coverage bear to the total of the limits." N.J.S.A. 17:28-
1.1(c).
The second way the 1983 amendment changed the previous law
was to describe more specifically the Commissioner of Banking and
Insurance's powers to approve UM policies. The amendment
specified that the Commissioner could approve "terms conditions
and exclusions," including those dealing with "unauthorized
settlements, nonduplication of coverage, subrogation and
arbitration." Id. at 1.1(d). Thus, the 1983 amendment
prohibited stacking and gave the Commissioner more specific
powers to review UM contract language.
In 1998, the UM statute was again amended to its current
form, under a bill known as the Automobile Insurance Cost
Reduction Act (AICRA), L. 1998, c. 21, § 71. As one device to
reduce the high cost of New Jersey motor vehicle insurance
policies, the 1998 legislation provided "for the creation of two
insurance coverage options, a basic policy and a standard
policy." N.J.S.A. 39:6A-1.1. The basic policy offers minimum
coverage options to insureds and need not include UM coverage.
The current legislation as amended in 1983 and 1998 does not
provide any indication that the Legislature intended to permit
policies to exclude UM coverage, except when an insured
voluntarily selects and purchases a basic policy. The cases
before and after the statutory amendments support this
conclusion.
In Motor Club of Am. Ins. Co. v. Phillips,
66 N.J. 277, 292
(1974), the Supreme Court found an exclusion clause in violation
of the statutory intent of N.J.S.A. 17:28-1.1 and thus
unenforceable. Phillips was a passenger who was injured in his
host's vehicle, which was involved in an accident with an
uninsured motorist. Id. at 280. Phillips's damages exceeded the
policy limits of his host's vehicle and he sought UM recovery
under his own policy. This policy, however, contained a
provision that applied his policy "only as excess insurance" over
any other similar available insurance. Id. at 281. The Court
invalidated this provision, noting that the statute "contains no
suggestion of relief from its undertaking in favor of an issuing
insurer merely because another insurer had assumed the obligation
in favor of the same accident victim." Id. at 292. The Court
concluded that the "statute unambiguously grants the victim prima
facie recourse to any and all policies applicable . . . " Ibid.
In Beek v. Ohio Cas. Ins. Co.,
135 N.J. Super. 1, 4-5 (App.
Div. 1975), aff'd,
73 N.J. 185 (1977), we relied on Phillips, and
struck down another provision that attempted to exclude UM
coverage. This exclusion applied when a named insured was
operating an owned vehicle that was insured under a different
policy. Id. at 3. We found no distinction between the "excess-
escape" clause in Phillips and the second-policy exclusion in
Beek, as both were contrary to the statutory intent. Id. at 5.
The Supreme Court has recognized that "N.J.S.A. 17:28-1.1
serves two important functions, namely, to ease the financial
burden on the Unsatisfied Claim and Judgment Fund and to provide
insured motorists with protection from uninsured, financially
irresponsible motorists." Fernandez v. Selected Risks Ins. Co.,
82 N.J. 236, 240 (1980). Policy exclusions that aim to limit the
members of the UM statutory class violate these purposes. Id. at
242. Moreover, N.J.S.A. 17:28-1.1 must be construed liberally to
foster the protection UM affords automobile accident victims.
See State Farm v. Zurich Amer. Ins. Co.,
62 N.J. 155, 168 (1973).
Phillips and Beek also permitted stacking of UM policies,
and therefore, those portions of the decisions were overruled by
the 1983 statutory amendment. See Longo v. Mkt. Transition
Facility of N.J.,
326 N.J. Super. 316, 325 (App. Div. 1999). It
is no longer possible to "stack" or add together all available UM
coverages and recover the amount of those stacked coverages.
Nevertheless, the conclusion of Phillips and Beek that
invalidates policy provisions attempting to limit the situations
in which UM coverage is available remains intact. Indeed, we
continue to apply this principle.
For example, in Berger v. First Trenton Indem. Co.,
339 N.J.
Super. 402, 412 (App. Div. 2001), we declined to uphold a "for
fee" exclusion in First Trenton's UM policy with a plaintiff who
fractured his ribs when the taxi cab in which he was riding
stopped suddenly. Plaintiff sought UM coverage, which was denied
by First Trenton based on the exclusion. We found that First
Trenton's "'for fee' exclusion restricts the coverage otherwise
mandated by statute. As such, it is unenforceable." Ibid.
Furthermore, the declaration page of Jones's mother's First
Trenton policy names Jones as a driver. There were no
indications or warnings on the declaration page that would lead
Jones to conclude that he would not be eligible for UM coverage
by First Trenton. This reasonable expectation by Jones cannot be
contradicted by the policy's boilerplate unless the declaration
page itself clearly warns the insured. Lehroff v. Aetna,
271 N.J. Super. 340, 347 (App. Div. 1994).
III.
Despite the absence of case law supporting First Trenton's
position and a lack of specific statutory authority, First
Trenton nevertheless argues that its exclusion was approved by
the Commissioner, fosters legislative intent, and must be
enforced by this court.
Preliminarily, we question whether the record clearly
reflects that the Commissioner has approved this particular
exclusion. The Attorney General has not participated in the
appeal, and we do not know the Department of Banking and
Insurance's specific position on this exclusion. Except for (1)
a certification by First Trenton's Compliance and Fraud
Prevention Manager stating that the Commissioner approved its
automobile insurance policy and (2) a March 19, 1999 letter
indicating that the Commissioner approved First Trenton's "Forms
Revision," we have no evidence that the Commissioner approved the
specific exclusion in issue.
In any event, even if we assume the Commissioner has in fact
approved the particular exclusion, First Trenton's argument still
must be rejected. It is elementary that an administrative agency
derives its powers from legislation, Silverman v. Berkson,
141 N.J. 412, 416-17 (1995), cert. denied,
516 U.S. 975,
116 S. Ct. 476,
133 L. Ed.2d 405 (1995), and may not take any actions that
violate statutory requirements. In re Unif. Admin. Procedure
Rules,
90 N.J. 85, 94 (1982). The Commissioner may not approve
any insurance policy that would violate the governing statute.
Hoglin v. Nationwide Mut. Ins. Co.,
144 N.J. Super. 475, 482
(App. Div. 1976). Also, the interpretation of statutes is a
judicial, not administrative, function and a court is not bound
by an agency's interpretation. Mayflower Sec. Co., Inc. v.
Bureau of Sec.,
64 N.J. 85, 93 (1973).
First Trenton, nevertheless, claims that the Legislature
gave the Commissioner responsibility to "balance the competing
interests -- e.g., to fairly compensate accident victims,
eliminate duplicative coverage and reduce premiums" by exercising
its policy approval functions. We question the breadth of First
Trenton's argument.
Even though the Legislature intended the Commissioner to
play a role in approving policy language, the Legislature would
not have authorized the Commissioner to misapply a statute. Were
we to construe the statute as permitting the exclusion of UM
coverage when multiple policies are available to the insured,
then subparagraph (c) of the pertinent statute requiring pro rata
payments when there are additional UM coverages would be
surplusage. State v. Thomas,
322 N.J. Super. 512, 519 (1999),
aff'd,
166 N.J. 560 (2001) (such an interpretation would be
disfavored); see also Norman J. Singer, Sutherland Statutory
Construction § 46.06 (5th ed. 1992).
In addition, the exclusion itself conflicts with the plain
language of N.J.S.A. 17:28-1.1(a) that requires all insurance
policies except basic policies to cover "all or part" of the
damages to be recovered from an uninsured motor vehicle. If the
Legislature wanted to limit the number of policies required to
provide pro rata contribution or allow standard policies to
eliminate UM coverage in certain situations, it could easily have
done so. It did not. Consequently, because First Trenton's
exclusion violates the statutory intent of N.J.S.A. 17:28-1.1, it
must be invalidated.
Affirmed.