SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-6246-94T5
STEVEN HARBOLD,
Plaintiff-Respondent,
v.
GERRI OLIN,
Defendant-Appellant,
___________________________________________
Submitted January 18, 1996 - Decided January 31, 1996
Before Judges Shebell, Stern and Wallace.
On appeal from the Superior Court of New
Jersey, Law Division, Cumberland County.
Moss, Powers & Posternock, attorneys for
appellant (William R. Powers, Jr., on the
brief).
Mazzoni, Marcolongo & Hughes, attorneys for
respondent (Henry J. Kowalski, III, on the
brief).
The opinion of the court was delivered by
SHEBELL, P.J.A.D.
On January 12, 1995, plaintiff, Steven Harbold, brought an action in the Law Division against defendant, Gerri Olin, alleging negligent operation of defendant's automobile resulting in personal injuries to plaintiff, a bicyclist. Defendant answered, asserting among other defenses, that plaintiff was not entitled to recover non-economic losses pursuant to the verbal
threshold statute, N.J.S.A. 39:6A-8.
On March 17, 1995 defendant moved for summary judgment on
the verbal threshold issue. Plaintiff, in response, cross-moved
for an order that he was not subject to the verbal threshold or,
alternatively, had met the requirements of the verbal threshold.
On May 3, 1995, the Law Division judge denied defendant's motion.
Plaintiff's cross-motion was listed for argument June 9, 1995.
Defendant, in the interim, filed a motion for reconsideration of
the ruling that the verbal threshold did not apply.
On June 9, 1995, after oral argument, the motion judge
denied defendant's motion for reconsideration, and held that:
This is a pedestrian; this is a bicyclist.
For that purpose they are the same. A
pedestrian, nor a bicyclist is not required
to maintain PIP coverage and although the
bicyclist may have been eligible for PIP
under [] the mother's policy, the 1990
amendment to the statutes that you've cited
would seem to indicate that although PIP may
be applicable to pedestrians and bicyclists,
that the verbal threshold is not.
Admittedly, there is not much case law
on the subject that gives us guidance. But
under the theory that the
pedestrian/bicyclist is not required to
maintain PIP coverage, then accordingly, the
pedestrian/bicyclist, either one, in this
case it's a bicyclist, is not required to -
is not subject to the verbal threshold.
In light of his ruling, he did not reach the issue of
satisfaction of the verbal threshold. See Oswin v. Shaw,
129 N.J. 290, 294 (1992). We granted leave to appeal and now hold
that this plaintiff is covered by the verbal threshold.
Plaintiff, while riding a bicycle, was struck by defendant's
automobile on August 15, 1994. Then a minor, plaintiff resided
in Vineland with his mother who elected a verbal tort-threshold
on her automobile insurance policy. Plaintiff was paid PIP
benefits through his mother's policy. Defendant, a State
resident, operating a New Jersey registered vehicle, carried
personal injury protection ("PIP coverage"), pursuant to N.J.S.A.
39:6A-4.
N.J.S.A. 39:6A-8, entitled "Tort exemption; limitation on
the right to noneconomic loss," provides that there shall be
elected, by any named insured required to maintain PIP coverage,
one of two tort options. The first option is the verbal
threshold. N.J.S.A. 39:6A-8a. The second is a non-threshold
option. N.J.S.A. 39:6A-8b. N.J.S.A. 39:6A-8 states the
consequences of the options as follows:
a. Every owner, registrant, operator or
occupant of an automobile to which [no-fault
PIP coverage] applies, and every person or
organization legally responsible for his acts
or omissions, is hereby exempted from tort
liability for noneconomic loss to a person
who is subject to this subsection and who is
either a person who is required to maintain
the coverage mandated by this act, or is a
person who has a right to receive benefits
under section 4 of P.L.1972, c. 70 (C.
39:6A-4), as a result of bodily injury,
arising out of the ownership, operation,
maintenance or use of such automobile in this
State, unless that person has sustained a
personal injury which [falls within one of
nine categories]; or
b. As an alternative to the basic tort option specified in subsection a. of this section, every owner, registrant, operator, or occupant of an automobile to which [no-fault PIP coverage] applies, and every person or organization legally responsible for his acts or omissions, shall be liable for noneconomic loss to a person who is subject
to this subsection and who is either a person
who is required to maintain the coverage
mandated by P.L.1972, c. 70 (C. 39:6A-1 et
seq.) or is a person who has a right to
receive benefits under section 4 of that act
(C. 39:6A-4), as a result of bodily injury,
arising out of the ownership, operation,
maintenance or use of such automobile in this
State.
[Emphasis Added.]
The statute further provides that option b, the non-verbal
threshold, shall apply to any person who is entitled to PIP
benefits under the PIP statute "but who is not required to
maintain personal injury protection coverage and is not an
immediate family member" of a named insured under an automobile
insurance policy. N.J.S.A. 39:6A-8 (emphasis added).
The PIP Statute states that:
Every automobile liability insurance policy,
issued or renewed on or after January 1,
1991, insuring an automobile as defined in
section 2 of P.L.1972, c. 70 (C. 39:6A-2)
against loss resulting from liability imposed
by law for bodily injury, death and property
damage sustained by any person arising out of
ownership, operation, maintenance or use of
an automobile shall provide personal injury
protection coverage, as defined hereinbelow,
under provisions approved by the Commissioner
of Insurance, for the payment of benefits
without regard to negligence, liability or
fault of any kind, to the named insured and
members of his family residing in his
household who sustained bodily injury as a
result of an accident while occupying,
entering into, alighting from or using an
automobile, or as a pedestrian, caused by an
automobile or by an object propelled by or
from an automobile, to other persons
sustaining bodily injury while occupying,
entering into, alighting from or using the
automobile of the named insured, with the
permission of the named insured, and to
pedestrians, sustaining bodily injury caused
by the named insured's automobile or struck
by an object propelled by or from such
automobile.
[N.J.S.A. 39:6A-4; Emphasis Added.]
Under N.J.S.A. 39:6A-4.2, a named insured's own PIP coverage
is primarily liable to pay medical expenses, and in the case of a
person who is not a named insured, but is the immediate family
member of a named insured, that named insured's PIP coverage is
responsible for the medical expenses.
A person riding a bicycle is considered a pedestrian for
purposes of our State automobile insurance laws. See N.J.S.A.
39:6A-2(h); Nuang v. Pennsylvania Nat. Mut. Cas. Ins. Co.,
224 N.J. Super. 753, 756 (App. Div. 1988). Thus, plaintiff was
eligible for PIP coverage in two ways. He was eligible through
his mother's automobile insurance PIP coverage because he was a
members of her family residing in her household who sustained
bodily injury as a result of an accident, while a pedestrian,
caused by an automobile. See N.J.S.A. 39:6A-4. He was also
eligible for PIP coverage under defendant's automobile insurance
PIP coverage because he was a pedestrian, who sustained bodily
injury caused by the defendant's automobile. N.J.S.A. 39:6A-4.
As the primary policy, plaintiff's mother's PIP coverage provided
plaintiff's medical expenses. N.J.S.A. 39:6A-4.2.
Significantly, N.J.S.A. 39:6A-8.1, entitled "Election of
tort option," sets forth the requirements with regard to electing
a lawsuit threshold option and the applicability of that
election. The relevant provisions state the following:
a. Election of a tort option ... shall be in writing and signed by the named insured [on the required form].... The tort option elected shall apply to the named insured and any immediate family member residing in the named insured's household. "Immediate family
member" means the spouse of the named insured
and any child of the named insured or spouse
residing in the named insured's household,
who is not a named insured under another
automobile insurance policy.
d. The tort option elected by the named
insured shall apply to all automobiles owned
by the named insured and to any immediate
family member who is not a named insured
under another automobile insurance policy,
except that in the case where more than one
policy is applicable to the named insured or
immediate family member, and the policies
have different tort options, the tort option
elected by the injured named insured shall
apply or, in the case of an immediate family
member who is not a named insured and is
injured in an accident involving an
automobile to which a policy issued to a
named insured in the household of the injured
immediate family member applies, the tort
option elected by that named insured shall
apply.
[N.J.S.A. 39:6A-8.1 (emphasis added).]
Plaintiff is by this statute's clear language subject to the
verbal threshold elected by his mother, as he is an immediate
family member residing in her household. N.J.S.A. 39:6A-8.1a;
Beaugard v. Johnson,
281 N.J. Super. 162, 168 (App. Div. 1995);
accord Weiss v. Thomas,
274 N.J. Super. 37, 43 (App. Div. 1992).
Nonetheless, plaintiff argues that, under N.J.S.A. 39:6A-8.1
subsections a and d, while the tort option elected shall apply to
the named insured and any immediate family members residing in
the named insured's household, there are exceptions to the rule,
and he argues that, under subsection d, his injuries must arise
out of an accident involving his mother's vehicle before he is
subject to her threshold election. Plaintiff misinterprets this
provision.
Subsection d mandates that the tort option elected by the
named insured shall apply to all automobiles owned by the named
insured and to any immediate family member who is not a named
insured under another automobile insurance policy. N.J.S.A.
39:6A-8.1(d). An exception arises if there is more than one
policy applicable and those policies have different tort options.
Then, if the claimant is a named insured, the tort option elected
in the named insured's own policy dictates the right to sue for
non-economic loss. N.J.S.A. 39:6A-8.1(d); accord N.J.S.A. 39:6A-4.2. Additionally, if the claimant is an immediate family member
who is not a named insured, "and is injured in an accident
involving an automobile to which a policy issued to a named
insured in the household of the immediate family member applies,
the tort option of the named insured shall apply." N.J.S.A.
39:6A-8.1(d). Plaintiff does not meet this criteria.
The election of a named insured generally binds immediate
family members to the tort option threshold elected by the named
insured. See N.J.S.A. 39:6A-8.1a. The scheme of holding the
immediate family members to the tort option selected by their
named insured, whose PIP premiums cover their medical expenses,
is compatible with and carries out the main goals of the PIP and
tort threshold statutes. See Beaugard, supra, 281 N.J. Super. at
169. "Automobile owners may elect the no-threshold option of
subsection N.J.S.A. 39:6A-8b for themselves and their immediate
families living at home and pay an extra premium for that
additional coverage." Murphy v. Allstate Insurance Co.,
252 N.J.
Super. 280, 284 (App. Div. 1991). In this case, neither
plaintiff, nor his mother, paid the extra premium for the
unlimited right to sue, and therefore plaintiff is not provided
with such a benefit.
In summary, because there was only one policy which covered
plaintiff in his household, and he was an "immediate" family
member of the named insured, he is bound by his mother's
election. She elected a verbal tort threshold exempting a
defendant, required to maintain PIP coverage, from liability for
non-economic damages. N.J.S.A. 39:6A-8.1(d) mandates that this
tort option elected by plaintiff's mother, the named insured,
applies to her son, the plaintiff, an immediate family member who
is not a named insured under another automobile insurance policy.
The issue of the severity of plaintiff's injuries was not
considered by the motion judge because of his finding that the
plaintiff was not subject to the verbal threshold. Although the
record contains some of plaintiff's medical records, we choose to
remand the issue of the verbal threshold to the Law Division for
determination on a fresh record. We reverse and remand for
reconsideration of whether plaintiff meets the verbal threshold
requirements.
Reversed and remanded.