SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-2940-99T1
SCOTT LIEBLING,
Plaintiff-Appellant,
v.
GARDEN STATE INDEMNITY,
Defendant-Respondent.
Argued January 24, 2001 - Decided March 1, 2001
Before Judges King, Coburn and Landau.
On appeal from Superior Court of New Jersey,
Law Division, Camden County, L-3028-99.
Bruce A. Wallace, III, argued the cause for
appellant (Wallace, Legome & Pietras,
attorneys; Steven S. Maletzky, on the brief).
Andrew L. Indeck argued the cause for
respondent (Scarinci & Hollenbeck, attorneys;
Mr. Indeck, of counsel; Mr. Indeck and
Kathleen J. Devlin, on the brief).
The opinion of the court was delivered by
COBURN, J.A.D.
Defendant, Garden State Indemnity Company ("Garden State"),
issued a claims-made malpractice insurance policy to plaintiff,
Scott Liebling, an attorney. When Liebling was sued by a former
client for conduct occurring before he applied for the policy,
Garden State denied coverage. Liebling filed an action for
declaratory judgment. Garden State answered, asserting equitable
fraud as an affirmative defense, and demanding rescission of the
policy. Its primary allegation was that one of Liebling's answers
to a subjective question posed in the insurance application was a
material misrepresentation. Both sides filed motions for summary
judgment. Garden State prevailed on the ground that although the
question was subjective, the answer was false. Garden State had
argued that the answer was false in the sense that no reasonable
attorney would have so replied based on the facts known to the
applicant. The judge's ruling was ambiguous: either he agreed with
Garden State or he ruled for Garden State on the ground that
Liebling had made a knowingly false misrepresentation. Liebling
appeals, arguing that summary judgment was inappropriate because
his answer could be found to be a truthful representation of the
opinion he held. Although we agree that the question was
subjective, and that the issue of rescission turns on Liebling's
state of mind and good faith, we are nonetheless satisfied that no
reasonable fact-finder could conclude that his answer truly
reflected his actual opinion. Therefore, we affirm on that ground
and on the additional ground that a related exclusion justified the
denial of coverage.
In an earlier opinion, Chief Justice Weintraub expressed
essentially the same view when he observed for the Court,
"Representations with respect to matters of opinion certify to the
truthfulness with which the opinion is held rather than to the
validity of the opinion itself." Merchants Indem. Corp. v.
Eggleston,
37 N.J. 114, 123 (1962).
Given the principles enunciated by our Supreme Court in
Eggleston and Ledley and Garden State's concession that the
application-question is subjective, there is obviously no legal
foundation for the contention that it is entitled to rescission on
the ground that no reasonable attorney would have replied as
Liebling did. When the question is subjective, as here, equitable
fraud is present only if the answer was knowingly false.
In an effort to salvage its legal position, Garden State
argues that we should be guided by three federal district court
cases: Home Indemnity Co. Manchester, New Hampshire v. Toombs,
910 F. Supp. 1569 (N.D. Ga. 1995); FDIC v. Moskowitz,
946 F. Supp. 322
(D. N.J. 1996); and Esoldi v. Esoldi,
930 F. Supp. 1015 (D. N.J.
1996). But none of these cases carries the day for Garden State.
In Toombs, the application-question answered "no" by the
attorney was the same as the one which concerns us. The
malpractice claim arose because the attorney had voluntarily
dismissed his client's complaint and had thereafter re-filed it
beyond the time allowed by the statute of limitations. He applied
for the insurance while he was appealing from dismissal of the
action. Applying Georgia law, the court held that the answer was
objectively false. 910 F. Supp. at 1574. There was no discussion
of the distinction we draw between objective and subjective
questions. However, the result in Toombs is not necessarily
inconsistent with that distinction. The case can be understood
best as holding no more than that summary judgment was appropriate
because, in light of the obviousness of the malpractice, the
attorney had not answered the question honestly. If the case is
read as holding that the answer constituted equitable fraud because
a reasonable attorney would not have so answered, then it is simply
inconsistent with the law of New Jersey.
Moskowitz involved a bank's answer to a subjective question.
The court, applying New Jersey law, held that in that circumstance
the insurer must "'demonstrate not only that an answer was false,
but also that the insured knew that it was false.'" 946 F. Supp.
at 330 (quoting Fidelity & Deposit Co. of Maryland v. Hudson United
Bank,
653 F.2d 766, 773 (3rd. Cir. 1981)). Although the court
described the answer as objectively false, it reached that
conclusion because in its view a response to a subjective question
is objectively false when based on the circumstances known to the
applicant the question has only one honest answer. Ibid. In other
words, applying a summary judgment model, the court, in essence,
determined that no reasonable fact-finder could conclude anything
other than that the bank knew its answer was false. Thus, this
case provides no support for Garden State apart from its underlying
thesis that summary judgment may at times be applied even where
state of mind is in issue, a subject to which we will turn later.
Esoldi, which concerned an attorney who answered "no" to the
same question as Liebling, required the application of New Jersey
law, but the opinion fails to cite either Ledley or Eggleston or
discuss the distinction between subjective and objective questions.
Although the court described the question as clear, it did so only
in the sense that it required a positive response even if the
client had not made a claim against the lawyer, provided the lawyer
was "objectively aware" that the events could give rise to a claim.
930 F. Supp. at 1022. The use of the phrase "objectively aware" is
ambiguous. It could mean that on the facts known to the attorney
he must have believed that a claim might be filed against him, and
therefore he did not answer the question honestly; or it could mean
that a reasonable attorney, aware of the facts and applicable legal
principles, would have had that knowledge even if this attorney did
not. Since the attorney in Esoldi admitted that he knew a claim
might be filed when he applied for the insurance but felt he was
entitled to answer the question "no" because he had not yet
received a claim letter from his client, it would appear that the
court was using the phrase "objectively aware" in the first sense.
Thus, the case is nothing more than an application of the summary
judgment model to a state of mind case where the facts allow for
only one conclusion respecting the attorney's true state of mind.
Other jurisdictions have clearly endorsed a subjective
standard when the insured has been asked a subjective question.
For example, in Shaheen & Gordon v. Home Ins. Co.,
719 A.2d 562
(N.H. 1998), the application for attorney malpractice insurance
asked, "is any lawyer aware of . . . any incident, act or omission
which might reasonably be expected to be the basis of a claim . .
. ." Id. at 564. Despite the arguably objective phrasing of the
question, arising from the phrase "might reasonably be expected,"
the court held that the question was ambiguous, id. at 566, and
observed:
By using the phrase "reasonably be expected,"
Home Insurance apparently requires that its
insureds exercise professional judgment at
several critical junctures. First, Home
Insurance requires insureds to exercise their
judgment before triggering the reporting
requirement for potential claims. A similar
ambiguity arises upon renewal, when Home
Insurance requires its insureds to disclose
"any incident, act or omission which might
reasonably be expected to be the basis of a
claim or suit arising out of the performance
of professional services for others." * * * If
Home Insurance wishes to require reporting in
every instance of an actual or a potential
claim in order to guarantee coverage, it must
use clear policy language to do so.
The court concluded that the provision "does not indicate
whether notice to the insurer is required when all elements of a
malpractice claim are present, or when, based on the parties and
circumstances, a malpractice claim on the merits is likely." Id.
at 566. Consequently, the court applied the latter view. Ibid.
In essence, the court determined that the application-question
would not permit a denial of coverage so long as the insured had
made a good faith professional judgment.
At least three other courts have endorsed the subjective
standard in insurance application cases that did not involve
attorneys.
In Citizens Bank of Jonesboro v. Western Emp. Ins.,
865 F.2d 964 (8th Cir. 1989), the application asked if the applicant was
"aware of any fact, circumstance or situation . . . which he has
reason to believe might result in any future claim which would fall
within the scope of the proposed insurance?" Id. at 465. The
court rejected the insurance company's contention that the question
was objective, saying this:
The language [of the question] calls for the
applicant's belief about whether any known
fact or circumstance might give rise to a
future claim. The question thus contains a
judgmental component and implicitly
acknowledges the lack of absolute certainty in
the answer.
In Enserch Corp. v. Shand Morahan & Co., Inc.,
952 F.2d 1485
(5th Cir. 1992), the application for insurance asked the applicant
"to state if it knew of any circumstances that might give rise to
claims" against it. Id. at 1490. Again, the insurance company
urged that the court apply an objective standard, namely whether
the applicant knew or should have known of the pertinent
circumstances. The court declined on the ground that the question
was subjective. Id. at 1496.
In American Guar. and Liab. Ins. Co. v. Fojanini,
90 F. Supp.2d 615 (E.D. Pa. 2000), the application asked if any "director has
any 'knowledge or information' of acts errors or omissions 'that
he/she believes either will give rise or could give rise' to a
claim or lawsuit." Id. at 620. The court determined that the
question "calls for a purely subjective inquiry into the actual
beliefs of [the applicant]." Ibid.
One court has gone even further in the context of an attorney
malpractice policy. In General Accident Ins. Co. of America v.
Trefts,
657 F. Supp. 164 (E.D. Mo. 1987), the question asked was
whether any applicant "know[s] of any circumstances, act, error or
omission that could result in a professional liability claim
against him or his predecessors in business?" Id. at 165. The
court interpreted the question as requiring disclosure "only in
those circumstances when a client has given to the lawyer some
indication through a complaint or expression of dissatisfaction
with his services that a claim might or would be made." Id. at
167. The court reached this conclusion because of its recognition
that "virtually any circumstance, act, error or omission in the
course of legal representation could result in a professional
liability claim being made against the lawyer by a disappointed
client, but that not all do." Ibid. However, the court was
applying the law of Missouri, and the case it relied on held that
coverage would be denied if the applicant "could have reasonably
foreseen" that a claim would be made. Fremont Indem. Co. v.
Lawton-Byrne-Bruner Ins.,
701 S.W.2d 737, 742 (Mo. App. 1985).
Thus, although the Trefts conclusion might be welcome by attorneys,
it is an incorrect statement of the state law it was purporting to
apply. Furthermore, its result is unsound; it would unfairly
expose insurance companies to claims that the attorney knew would
in all likelihood be made even though no claim letter had been
received before the application for insurance was made.
Under a claims-made legal malpractice insurance policy, the
insured's protection is typically limited to claims made and
reported to the insurer during the twelve months following issuance
of the policy. Although the statute of limitations for legal
malpractice actions is six years after the action has accrued,
N.J.S.A. 2A:14-1, Carney v. Finn,
145 N.J. Super. 234, 235-36 (App.
Div. 1976), by application of the discovery rule a lawyer, and his
claims-made insurer, can easily be confronted by a claim involving
malpractice that occurred far more than six years before the suit
was filed. Grunwald v. Bronkesh,
131 N.J. 483, 494 (1993).
Consequently, a question of the kind involved in this case imposes
a substantial burden on the attorney with respect to his
recollection and, depending on the circumstances, his judgment as
to whether his conduct may result in a malpractice claim. On the
other hand, from the insurer's point of view, an accurate answer is
important to its assessment of the risk. The insurer would like to
avoid coverage when an attorney applies for a policy because he
knows that a malpractice claim is likely to be filed and when a
reasonable attorney would have so concluded. Although the
balancing of these interests has not been specifically addressed in
this state, under Ledley and Eggleston, it is clear that since the
question was subjective the answer is to be judged on the
attorney's state of mind. If he honestly believed that a
malpractice claim was unlikely, his negative answer to the question
posed in this case is not a misrepresentation.
On the other hand, the exclusion referred to any claim as to which
the Insured had no basis to believe that the
Insured had breached a professional duty . . .
.
Although the insurance company had relied on both the
application and the exclusion, the court limited its discussion to
the exclusion. It found that the "no basis to believe" language
created an unambiguous and objective standard, requiring, however,
a two-stage analysis:
First, it must be shown that the insured knew
of certain facts. Second, in order to
determine whether the knowledge actually
possessed by the insured was sufficient to
create a "basis to believe," it must be
determined that a reasonable lawyer in
possession of such facts would have had a
basis to believe that the insured had breached
a professional duty.
Although the court did not specifically analyze the phrasing
of the application, since the application spoke in terms of what
the attorney knew, and since the court relied only on the
exclusion, we may infer that the application, standing alone, would
not have provided a basis for the avoidance of coverage. That
interpretation is supported by the discussion of Selko in another
case predicting Pennsylvania law, American Guar. and Liab. Ins. Co.
v. Fojanini, 90 F. Supp. at 620.
Returning to the language of the exclusion discussed in Selko,
we acknowledge that the court's interpretation is sound as a matter
of logic. Nevertheless, we reject it because it does not meet the
reasonable expectations of an attorney seeking the protection
afforded by malpractice insurance. That view was eloquently
articulated in Estate of Logan v. Northwestern Na. Cas. Co.,
424 N.W.2d 179 (Wis. 1988), an opinion with which we entirely agree.
Logan's exclusion, like Selko's, provided that coverage would
be denied if the insured attorney "had a 'basis to believe' that
the insured had committed a breach of a professional duty." Id. at
185-86. The insurance company argued that under that exclusion a
claim should be excepted from coverage "if the insured knew or
should have known that the insured had breached a professional
duty." Id. at 186. The court disagreed and analyzed the problem
in the following manner:
However, we reject the objective standard
because the use of an objective standard is
inconsistent with the purpose of the policy
and what an insured would have understood the
exception to provide. Accordingly, whether
the policy excepts coverage for a claim based
on a breach of a professional duty occurring
prior to the effective date of the policy must
be determined by analyzing whether the insured
(Dowling) knew or believed, prior to the
effective date of the policy, that he had
breached a professional duty.
The difficulty with applying an objective
standard is apparent when examined in the
context of a hypothetical error or omission by
an attorney. For example, an attorney commits
a breach of his or her professional duty by
not filing a suit within the one year statute
of limitations. The attorney did not file
within the year because he or she believed
erroneously that the statute of limitations
was three years. The statute was specific,
and the attorney should have known that the
statute of limitations was one year. Under an
objective standard, any subsequent policy
would except coverage for a claim based on
failing to file the suit within one year
because, prior to the effective date of the
subsequent policy, the attorney should have
known that he or she had breached a
professional duty by failing to file the suit
within the one year statute of limitations.
Thus, because the attorney did not know the
correct statute of limitations, but should
have known the correct statute, the attorney
not only committed a breach of his or her
professional duty, but he or she is also
denied insurance coverage. Because we
conclude that the parties could not have
intended the policy to except coverage in such
a situation, and because an exception of
coverage in such a situation is contrary to
the purpose of professional liability
insurance, we hold that whether an insured had
a "basis to believe" must be treated by
whether the insured knew or believed that the
insured had committed a breach of his or her
professional duty.
In Werner Indus., Inc. v. First State Ins. Co.,
112 N.J. 30
(1988), our Supreme Court reiterated that the "fundamental
principle of insurance law is to fulfill the objectively reasonable
expectations of the parties." Id. at 35. Thus, "[a]t times, even
an unambiguous [insurance] contract has been interpreted contrary
to its plain meaning so as to fulfill the reasonable expectations
of the insured[.]" Id. at 35-36. Based on that settled principle
and the reasoning of the Supreme Court of Wisconsin in Logan, we
hold that the "reasonably could have foreseen" exclusion in Garden
State's policy shall be deemed to mean that coverage may be denied
only if the insured knew or believed that there had been a
deviation from professional standards and that based on all the
known circumstances it was likely that a malpractice claim would be
made.
Footnote: 1 1At oral argument, Garden State represented that if granted rescission it would return the premium with interest, a course we consider mandated by Eggleston, 37 N.J. at 130.