ROBERT J. CONNELLY,
Plaintiff-Respondent,
v.
DAVID K. McVEIGH,
Defendant-Respondent,
and
NEW JERSEY MANUFACTURERS
INSURANCE COMPANY,
Defendant/Intervenor-
Appellant,
and
THERESA JACKSON,
Defendant.
__________________________________
Argued October 5, 2004 - Decided January 7, 2005
Before Judges Stern, Coburn and Wecker.
On appeal from the Superior Court of New
Jersey, Law Division, Morris County,
L-1473-99.
Donald S. McCord, Jr. argued the cause
for appellant (O'Donnell, McCord &
DeMarzo, attorneys; Mr. McCord of
counsel, David N. Heleniak, and Mr.
McCord, on the brief).
Robert D. Kobin argued the cause for
respondent Robert J. Connelly (Nusbaum,
Stein, Goldstein, Bronstein & Kron,
attorneys; Mr. Kobin, on the brief).
Brian R. O'Toole argued the cause for
respondent David K. McVeigh (O'Toole
& Couch, attorneys; Mr. O'Toole, on the
brief).
The opinion of the court was delivered by
WECKER, J.A.D.
This appeal presents a new issue arising out of the relationship between an
injured party's auto negligence suit and his claim for underinsured motorist (UIM) benefits.
Defendant/Intervenor, New Jersey Manufacturers Insurance Company (NJM), appeals from two orders. One order
denied NJM's motion either to require its insured, plaintiff Robert Connelly, to return
$100,000 which NJM was ordered to pay him under Longworth v. Van Houten,
223 N.J. Super. 174 (App. Div. 1988), or to impress a constructive trust
upon that payment. The other order denied NJM's motion to impress a constructive
trust upon $100,000, the sum previously deposited with the Superior Court by Allstate
Insurance Co. as an offer of settlement on behalf of its insured, defendant
David McVeigh.
See footnote 1
These are the salient background facts. Connelly was injured when the car in
which he was a passenger was involved in an accident with a car
driven by McVeigh. McVeigh had $100,000 coverage under a liability policy issued by
Allstate, whereas plaintiff Connelly had $300,000 underinsured motorist (UIM) coverage under his own
policy issued by NJM. When Allstate offered its policy limit to Connelly to
settle his claim against McVeigh, Connelly notified NJM in accordance with the
Longworth
procedure approved by the Supreme Court in Rutgers Cas. Ins. Co. v. Vassas,
139 N.J. 163 (1995). But NJM's investigation revealed that McVeigh had substantial assets,
such that a verdict in excess of $100,000 likely would be collectible against
him personally without resort to Connelly's UIM coverage. NJM therefore refused to consent
to the settlement with Allstate, instead choosing to preserve its subrogation rights against
McVeigh. As a result, the Law Division ordered NJM to pay Connelly $100,000,
the sum that he was required to forego because NJM refused consent to
the Allstate settlement. The same order allowed NJM to intervene as a defendant
in Connelly's negligence suit against McVeigh. During the pendency of Connelly's suit against
McVeigh, Allstate was allowed to deposit its $100,000 policy into court, thereby protecting
itself against an assessment of pre-judgment interest on any verdict Connelly might obtain.
The Law Division judge expressly left it to plaintiff and NJM to "work
out" the procedural issues: whether UIM arbitration or a trial of Connelly's negligence
complaint against McVeigh should proceed first.
See footnote 2 Considerations included the potential for a trial
de novo on Connelly's UIM claim against NJM if UIM arbitration were to
precede the negligence trial, as well as the potential conflict arising from NJM's
participation in the negligence suit.
See footnote 3
After numerous communications between counsel over procedure, the details of which are no
longer relevant, Connelly and NJM eventually entered into a "Release and Trust Agreement"
(the Agreement), whose relevant provisions are set forth below:
WHEREAS, Allstate has offered to pay $100,000.00 of the limits of the Allstate
Policy in settlement of the claims made by Connelly against David McVeigh; and
WHEREAS, Connelly in the belief that his damages are greater than $100,000.00 has
elected to make a claim under the terms of the underinsured motorist coverage
provided in the NJM Policy and to assign to NJM all rights of
recovery which he has against David McVeigh, except as herein noted; and
. . . .
NOW, THEREFORE, the parties agree as follows:
1. NJM shall pay to Connelly the sum of One Hundred Thousand ($100,000.00) Dollars.
2. In consideration for the payment of One Hundred Thousand ($100,000.00) Dollars, Connelly hereby
assigns to NJM all rights of recovery up to any amount paid to
Connelly by NJM which he shall have against David McVeigh or any person
or organization legally liable for the personal injuries sustained by Connelly in the
accident of September 9, 1998 and assigns to NJM the proceeds of any
settlement with or judgment against David McVeigh or such other person or organization
up to any amount paid to Connelly by NJM.
3. NJM and Connelly will cooperate and attempt to expedite the completion of discovery
in this matter by the discovery end date of May 9, 2002 as
well as the scheduling of an arbitration as soon thereafter as the parties
can agree.
4. If the arbitration can not be accomplished prior to the scheduled trial date,
NJM and Connelly shall join in an application to dismiss the underlying matter
of
Connelly v. McVeigh, et.al. Docket No. - MRS L-1473-99 without prejudice pending
the outcome of an arbitration.
5. Pursuant to the policy, if the UIM award exceeds $15,000.00 either NJM or
Connelly may demand a Trial by Jury on all issues. [If] either party
exercises the right to a Jury Trial, Plaintiff Connelly shall apply to the
court to restore the underlying matter to the active trial calendar.
6. NJM and Connelly agree that Plaintiff's counsel shall try this action on behalf
of Connelly if either NJM or Connelly does not agree to the outcome
of the arbitration and Connelly agrees to assign to NJM the judgment that
results from said trial up to the amount of $300,000.00. If the underlying
matter is restored to the trial calendar as a result of a demand
for a jury trial by NJM or Plaintiff Connelly, NJM shall have the
right to intervene in the trial pursuant to Zirger v. General Acc. Ins.
Co.
144 N.J. 327 (1996) and to actively participate in the defense of
the underlying matter.
7. If NJM and Connelly are satisfied with the outcome of the arbitration or
otherwise resolve the underinsured claim, then Connelly will assign any and all rights
that he has against McVeigh, and authorizes NJM to take any action which
may be necessary, either in law or in equity in its discretion, in
the name of Connelly against David McVeigh or such other person or organization
legally liable for the personal injuries sustained by Connelly in the accident of
September 9, 1998 and Connelly covenants and agrees to cooperate fully with NJM
in the presentation of such claims and to furnish all papers and documents
necessary in such proceedings and to attend court and testify if NJM deems
such to be necessary.
8. If NJM shall recover from David McVeigh or any person or organization legally
liable for the personal injuries sustained by Connelly an amount in excess of
that paid to Connelly by NJM, then Connelly shall be entitled to the
excess less Connelly's pro rata share of attorney's fees and costs associated in
prosecuting the case and collecting the judgment.
9. Connelly warrants that he has made no settlement with, given any release to
or prosecuted any claim to judgment against David McVeigh or such other person
or organization legally liable for the personal injuries sustained by Connelly in the
accident of September 9, 1998, and that no such settlement will be made,
no such release will be given, and no such claim will be prosecuted
to judgment without the written consent of NJM.
10. NJM and Connelly hereto agree that notwithstanding the Agreement as set forth herein,
Connelly has the right to pursue a claim against NJM under the terms
of the NJM Policy Number F959552 to the three Hundred Thousand ($300,000.00) Dollar
limits of the underinsured motorist coverage provided in said NJM Policy, subject only
to NJM's credit in the amount of coverage available under the McVeigh policy,
or One Hundred Thousand ($100,000.00) Dollars.
Paragraph 2 of the Agreement provided for NJM to pay Connelly $100,000 in
exchange for his assignment of "all rights of recovery" against McVeigh.
See footnote 4 The Agreement,
however, did not allow NJM to control Connelly's negligence suit for damages unless
he received a UIM arbitration award that satisfied him prior to his trial
against McVeigh. In that event, Paragraph 7 provided that NJM would have the
right to try Connelly's case against McVeigh.See footnote 5
Neither party moved to enforce its right to arbitrate Connelly's UIM claim prior
to trial, a right which Paragraphs 3 and 4 of the Agreement together
had preserved. Paragraph 5 preserved the right of both NJM and Connelly to
a trial
de novo if a UIM arbitration award exceeded $15,000. Paragraph 6
provided that if UIM arbitration did not produce an outcome acceptable to both
parties, Connelly's counsel would try the case against McVeigh, and NJM would intervene
on the side of the defense in that action. In fact, that is
what occurred. Because neither party sought arbitration, NJM intervened as a defendant in
Connelly's negligence suit against McVeigh. The result was a single trial of Connelly's
damages claims against both McVeigh and NJM. Significantly, the Agreement provided, without condition,
that NJM would be obligated to Connelly for at least $100,000 (the amount
of the Allstate offer to settle), an obligation consistent with Vassas and Longworth.
Both parties to the Agreement obviously contemplated that Connelly's injuries would result in
a recovery in excess of $100,000, whether by trial or settlement, and whether
against McVeigh or NJM or both. The Agreement did not explicitly recognize the
possibility that Connelly could recover nothing in a trial against McVeigh. At trial,
however, that is what happened when the jury found that Connelly failed to
meet the verbal threshold. After the jury verdict, Allstate was permitted to withdraw
the $100,000 it had deposited into court. NJM's motion to recover the $100,000
it had paid to Connelly was denied.
On appeal, NJM makes these arguments:
POINT I
WHEN THE INSURANCE COMPANY FOR A DEFENDANT IN A PERSONAL INJURY ACTION DEPOSITS
ITS APPLICABLE POLICY LIMIT PURSUANT TO R. 4:57, DOING SO MUST BE REGARDED
AS THE MEMORIALIZATION OF AN OFFER WHICH, UPON DEPOSIT, BECOMES IRREVOCABLE, AND ONLY
SUBJECT TO WITHDRAWAL IN ACCORDANCE WITH THE PROCEDURES SET FORTH THEREIN (THIS POINT
MIGHT BE REGARDED AS AN ISSUE NOT RAISED BELOW).
POINT II
THE TRIAL COURT ERRED BY NOT IMPRESSING A CONSTRUCTIVE TRUST UPON THE $100,000.00
NJM WAS DIRECTED TO PAY THE PLAINTIFF PURSUANT TO [THE] DECEMBER 11, 2001
ORDER.
After careful review of the record, the briefs, and the arguments of counsel,
we are convinced that NJM's arguments are without merit. See R. 2:11-3(e)(1)(E). We
affirm. Nonetheless, some discussion is appropriate.
NJM takes the position in Point I that "once a tortfeasor's carrier offers
its policy limit" and deposits its policy with the court, its offer is
irrevocable and can be withdrawn only in accordance with the procedures set forth
in Rule 4:57. We disagree, finding no support for NJM's position. Rule 4:57
does not govern the substantive rights of the parties. NJM's argument in effect
would turn a rejected settlement offer into a guaranteed minimum recovery, available as
a safety net to a plaintiff (and its UIM carrier) right up until
the jury announces that it has reached a verdict. Moreover, the September 29,
2003 Law Division order, which allowed Allstate to withdraw its previously deposited $100,000,
met the procedural safeguards of the court rule.
We also find no support for NJM's contention that a constructive trust should
have been imposed on the $100,000 it was required to pay to plaintiff,
because "plaintiff was unjustly enriched thereby." NJM got exactly what it bargained for
in its Agreement with Connelly: preservation of its subrogation claim against McVeigh, in
exchange for guaranteeing Connelly the settlement he was forced to turn down. Connelly
did not get a windfall; he would have accepted and received $100,000 from
Allstate and been free of the risks of trial against McVeigh but for
NJM's refusal to consent to the settlement offer.
NJM admits that "because [McVeigh] had substantial assets and income, NJM objected to
the plaintiff, its insured, accepting the offer and giving a release." But NJM
argues that "plaintiff and his attorneys [] opted to pursue the case to
conclusion by trial in accordance with Zirger [v. Gen. Accident Ins. Co.,
144 N.J. 327 (1996)], while at the same time insisting on plaintiff's right to
'prepayment' of $100,000 pursuant to Longworth." Elsewhere in its brief NJM admits that
Connelly sought less than his $300,000 UIM policy limit to resolve his damages
claim. There is no dispute that plaintiff's settlement demand was never more than
$200,000 and was reduced further during the course of the trial. Logically, then,
there was no advantage and no motivation for plaintiff to reject the Allstate
settlement offer in favor of a trial against both McVeigh and NJM.
See footnote 6 The
only rational basis for a plaintiff in Connelly's position to reject the offered
policy limit is if his anticipated damages exceed his available UIM coverage. To
the contrary, plaintiff here was forced to try his case against McVeigh only
because NJM refused to consent to the Allstate settlement offer.
Longworth established procedures to address the interrelationship between conflicting provisions contained in typical
underinsured motorist policies, specifically, the exhaustion, consent-to-settle, and subrogation clauses. Longworth, supra, 223
N.J. Super. at 176. After detailing the history of statutory underinsured insurance protection,
this court noted the impediment to settlement of the underlying negligence action arising
from the conflict between the duty of a tortfeasor's liability insurer to obtain
a general release as a condition for settlement, and the injured party's duty
to preserve its own UIM carrier's subrogation rights where a general release would
impair those rights. Id. at 190. See generally Craig & Pomeroy, New Jersey
Auto Insurance Law, §28:3 (2005).
In Vassas, supra, the Supreme Court held that the insured was barred from
pursuing UIM coverage because it had failed to protect its UIM carrier's subrogation
rights by settling its claim against the tortfeasor without notice to the UIM
carrier. Nonetheless, the Court took the opportunity to "essentially" adopt the Longworth procedures.
139 N.J. at 171.
Under Longworth and Vassas, an injured party who anticipates that his damages may
exceed the tortfeasor's coverage, and who also anticipates a claim against its own
UIM carrier, has a duty to notify that carrier of the happening of
the accident and his injuries, of any claim against an alleged tortfeasor, of
the nature and extent of the tortfeasor's insurance coverage, and of the progress
of any proceeding against the tortfeasor. If a settlement offer is received on
behalf of the tortfeasor, the injured party must notify his UIM carrier and
obtain its consent before accepting a settlement that would bar subrogation by providing
a general release to the tortfeasor. See Rivers v. Allstate Ins. Co.,
312 N.J. Super. 379, 383-84 (App. Div. 1998) (summarizing the "three-step procedure" required of
the injured party by Vassas and Longworth to protect a UIM claim). In
other words, the injured party must preserve his UIM carrier's subrogation rights. A
UIM carrier that does not respond to a request for consent to settle
within a reasonable time may have waived its right to withhold consent and
thus forfeit its potential subrogation claim. See Vassas, 139 N.J. at 174-75.
Zirger involved a somewhat different but related issue concerning the potential for duplicative
legal proceedings engendered by the co-existence of contractual UIM arbitration and auto negligence
litigation. In Zirger, the Court emphasized that duplicative, expensive, and delaying proceedings are
contrary to the legislative intent and the rationale behind statutorily mandated UM/UIM coverage.
144 N.J. at 342-44. The Court held that a UIM carrier has no
right to UIM arbitration after a trial of its insured's claim against the
tortfeasor, as long as the carrier had notice and the opportunity to intervene
as a defendant in that action. 144 N.J. at 342; see also Wylie
v. Hamilton,
365 N.J. Super. 153, 155 (App. Div. 2004) (holding that the
UIM carrier was bound by an auto arbitration award when the carrier fully
participated and failed to seek a trial de novo; the UIM arbitration clause
was unenforceable under Zirger). Cf. Scheer v. DiBenedetto,
346 N.J. Super. 550 (App.
Div. 2002) (holding that the UIM carrier should have been permitted to remain
as a defendant at trial after its insured settled with one of the
two named defendants with the carrier's consent).
NJM's reliance upon Zirger is misplaced, and its contention that Zirger and Longworth
are mutually exclusive is mistaken.
See footnote 7 In
Zirger, the Court held that a UIM
carrier's acquiescence in its insured's intention to try its damage claim against the
underinsured tortfeasor, without first seeking contractual arbitration of the UIM claim, constituted a
waiver of its right to arbitration, with the result that it was bound
by the jury's verdict on damages under principles of collateral estoppel. 144 N.J.
at 342. NJM would have us conclude that plaintiff here is equally bound
by the jury's no-cause verdict. Such a conclusion is neither logical nor fair
on these facts, in light of Vassas and Longworth.
In this case, NJM refused to allow plaintiff to accept the $100,000 Allstate
policy limit, thereby obligating itself to pay that sum to plaintiff in order
to preserve its subrogation claim. Neither NJM nor plaintiff demanded arbitration of the
UIM claim before the trial against the tortfeasor, as Paragraphs 3 and 4
of the Resolution and Trust Agreement allowed, and NJM was permitted to intervene
as a defendant in the negligence action against McVeigh. Thus each accepted the
risk of being bound by the damages award in that action.
The question presented by this appeal is the effect of that decision. NJM
argues in effect that the collateral estoppel effect of Zirger bars Connelly from
retaining the $100,000 he received from NJM. That position is based on a
misunderstanding of the nature of NJM's obligation to Connelly. NJM owed $100,000 to
Connelly as the price of preserving its own subrogation rights against McVeigh, and
not as a measure of Connelly's damages. While plaintiff obviously cannot recover any
additional sum from NJM, having failed to prove damages in excess of the
tortfeasor's policy limits, NJM nonetheless remains obligated for the payment it made to
preserve its own right of subrogration. That payment was due as a consequence
of its refusal to allow plaintiff to accept the Allstate settlement.
Finally, we derive these principles from the Court's opinion in Zirger: (1) that
trial courts have discretion to deal with "specific motions for intervention" and to
address and resolve case management issues involving UM/UIM carriers; (2) by inference, that
trial judges must deal with the procedural issues raised by varying facts and
circumstances involving UIM claims; and (3) that contractual rights to arbitrate UM/UIM claims
must not result in duplicative dispute resolution proceedings or an unreasonable delay in
paying intended UM/UIM benefits. Id. at 341-44. As the Court said in Green
v. Selective Ins. Co. of Am.,
144 N.J. 344, 353 (1996):
One of the themes that we have stressed in our approach to the
handling of UIM issues is that, to the greatest extent possible, we should
attempt to tie up in one package all of the loose ends that
are attendant to automobile-accident claims. In [Parks v. Colonial Penn Ins. Co.,
98 N.J. 42, 49 (1984)], we applauded the aim of a "one-stop" proceeding whenever
the interests of the parties were procedurally protected.
See also Craig & Pomeroy, New Jersey Auto Insurance Law, § 23:2 at 379
(2005).
Affirmed.
Footnote: 1
NJM also appeals from earlier orders requiring it to pay $100,000 to
Connelly and allowing Allstate to withdraw the $100,000 it had previously deposited with
the court.
Footnote: 2 As we noted in
Ainsworth v. State Farm Mut. Ins. Co.,
284 N.J. Super. 117, 131 (App. Div. 1995) (citing Longworth, 223 N.J. Super. at
195), certif. denied,
143 N.J. 328 (1996), a UIM carrier is not required
by statute to arbitrate prior to final disposition of the case against the
tortfeasor.
Footnote: 3
A UIM carrier which is permitted to intervene as a defendant in
its insured's negligence case against the alleged tortfeasor is representing its own interest
in minimizing the UIM claim, whereas its subrogation right (to stand in the
shoes of its own insured as a plaintiff in the negligence action) can
proceed without a conflict of interest only after the UIM claim has been
resolved.
Footnote: 4 McVeigh conceded liability for the accident, and the trial was limited to
Connelly's damages claim.
Footnote: 5
Much of the delay and dispute between NJM and Connelly prior to
execution of the Release and Trust Agreement had to do with NJM's demand
to take control of the negligence action
before resolving the UIM claim and
Connelly's refusal to agree to that demand.
Footnote: 6
We do not face a situation where a tort plaintiff does
not
wish to accept the tortfeasor's settlement offer, but prefers to try the negligence
action in the belief, perhaps, that the tortfeasor's personal assets and the extent
of the plaintiff's provable damages are likely to produce a larger recovery for
the injured plaintiff than he could receive from a combination of the tortfeasor's
insurance and his own UIM coverage.
Footnote: 7 NJM argues in part that Zirger applies only when a plaintiff is unwilling
to settle his claim against the tortfeasor, whereas Longworth applies only when a
plaintiff is willing to settle and agrees to give control of the action
against the tortfeasor to the UIM carrier.