Opinion

ROBERT KATCHEN VS. GOVERNMENT EMPLOYEES INSURANCE COMPANY (L-2766-16, MORRIS COUNTY AND STATEWIDE)

Court
New Jersey Superior Court Appellate Division
Filed
Jan 22, 2019
Status
Published
Cited by
0 cases
Authority
More cited than 8.7%

"It is improper to incorporate a policy's liability exclusions, which are vehicle oriented, into the [UIM] provisions because the two sections provide entirely separate and distinct types of coverage."

How later courts described this case

  • "It is improper to incorporate a policy's liability exclusions, which are vehicle oriented, into the [UIM] provisions because the two sections provide entirely separate and distinct types of coverage."

Written by the judges who cited it.

The opinion

NOT FOR PUBLICATION WITHOUT THE

APPROVAL OF THE APPELLATE DIVISION

SUPERIOR COURT OF NEW JERSEY

APPELLATE DIVISION

DOCKET NO. A-5685-16T4

ROBERT KATCHEN,

APPROVED FOR PUBLICATION

Plaintiff-Respondent,

January 22, 2019

v. APPELLATE DIVISION

GOVERNMENT EMPLOYEES

INSURANCE COMPANY ("GEICO"),

Defendant-Appellant,

and

RIDER INSURANCE COMPANY

("RIDER"), and FARMERS INSURANCE

COMPANY OF FLEMINGTON

("FARMERS"),

Defendants-Respondents.

_____________________________________

Submitted November 27, 2018 – Decided January 22, 2019

Before Judges Fisher, Hoffman and Suter

(Judge Suter dissenting).

On appeal from Superior Court of New Jersey, Law

Division, Morris County, Docket No. L-2766-16.

Rudolph & Kayal, PA, attorneys for appellant (Darren

C. Kayal, on the briefs).

Blume, Forte, Fried, Zerres & Molinari, PC, attorneys

for respondent Robert Katchen (David M. Fried, on

the brief).

Kriney & Vaughan, attorneys for respondent Rider

Insurance Company (William E. Vaughan, on the

brief).

Murray A. Klayman, PC, attorneys for respondent

Farmers Insurance Company of Flemington (Murray

A. Klayman, on the brief).

The opinion of the court was delivered by

HOFFMAN, J.A.D.

In this appeal, we consider whether an auto insurer may combine

uninsured (UM) and underinsured motorist (UIM) coverage in a single section

and include exclusions not listed on the policy's declaration page. We also

consider if an insurer may exclude UIM coverage for an accident involving a

vehicle owned by the insured but not covered under the subject policy.

Because we find the exclusion does not violate public policy or result in

ambiguity, we reverse.

I.

In December 2015, plaintiff suffered injuries in a motor vehicle accident

while operating his Harley Davidson motorcycle. Prior to settling with the

other driver for his policy limit of $25,000, plaintiff submitted a UIM claim

under three insurance policies he maintained: a motorcycle policy issued by

A-5685-16T4

2

defendant Rider Insurance Company (Rider), a commercial auto policy issued

by defendant Farmers Insurance Company of Flemington (Farmers), and a

personal auto policy issued by defendant Government Employees Insurance

Company (GEICO).1

In response, GEICO "disclaim[ed] coverage" based on an exclusion in

its policy. In its disclaimer letter, GEICO identified the relevant policy

language supporting its decision.

Section IV of GEICO's policy, which addresses both UM and UIM

coverages, provides, in relevant part:

LOSSES WE PAY

We will pay damages for bodily injury and property

damage caused by an accident which the insured is

legally entitled to recover from the owner or operator

of an uninsured motor vehicle or underinsured motor

vehicle arising out of the ownership, maintenance[,] or

use of that vehicle.

However, Section IV excludes coverage for "bodily injury sustained by an

insured while occupying a motor vehicle owned by an insured and not

described in the [d]eclarations and not covered by the Bodily Injury and

Property Damage liability coverages of this policy." Because the motorcycle,

1

The Rider policy provided $100,000 of UIM coverage, the Farmers policy

provided $1,000,000 in UIM coverage, and the GEICO policy provided UIM

coverage of $250,000.

A-5685-16T4

3

although owned by plaintiff, was not listed on the policy it issued, GEICO

determined it did not constitute an "owned auto," which the policy defined as a

"vehicle described in this policy for which a premium charge is shown for

these coverages." Based upon this determination, GEICO denied plaintiff's

claim.

Upon receiving GEICO's disclaimer, plaintiff filed a complaint against

all three defendant insurance carriers, seeking a declaratory judgment that t he

UIM coverage of all three carriers applied to the subject accident. GEICO

then filed a motion for a declaratory judgment, urging the court to find its

owned-motor-vehicle exclusion "valid, unambiguous, and enforceable." The

motion court denied GEICO's motion, viewing the language of GEICO's policy

as ambiguous, and holding that GEICO failed "to comply with the statutory

requirements [of] N.J.S.A. 17:28-1.1."

The parties thereafter came to an agreement that Rider and Farmers

would pay their pro-rata share of the $975,000 in UIM coverage owed to

plaintiff, and GEICO would take this appeal; if GEICO does not prevail, it

would pay its pro-rata share as well. Plaintiff, Rider, and Farmers

(respondents) all oppose GEICO's appeal and urge us to affirm.

A-5685-16T4

4

II.

We review the interpretation of a contract de novo. Manalapan Realty,

L.P. v. Twp. Comm. of Manalapan, 140 N.J. 366, 378 (1995); Sealed Air Corp.

v. Royal Indem. Co., 404 N.J. Super. 363, 375 (App. Div. 2008). When an

insurance contract's terms are clear and unambiguous, we interpret the policy

as written, using the "plain, ordinary meaning" of the words used. Zacarias v.

Allstate Ins. Co., 168 N.J. 590, 595 (2001). But where an ambiguity arises, we

interpret the policy in favor of the insured and against the insurer. President v.

Jenkins, 180 N.J. 550, 562-63 (2004).

An ambiguity exists when "the phrasing of the policy is so confusing

that the average policyholder cannot make out the boundaries of coverage."

Weedo v. Stone-E-Brick, Inc., 81 N.J. 233, 247 (1979). We consider the entire

policy in determining if an ambiguity exists, but do not "engage in a strained

construction to support the imposition of liability." Longobardi v. Chubb Ins.

Co. of N.J., 121 N.J. 530, 537 (1990). Insurance policies are to be interpreted

narrowly, but the provisions within are presumed valid and effective if

"specific, plain, clear, prominent, and not contrary to public policy." Princeton

Ins. Co. v. Chunmuang, 151 N.J. 80, 95 (1997) (citing Doto v. Russo, 140 N.J.

544, 559 (1995)).

A-5685-16T4

5

On appeal, GEICO argues the motion judge incorrectly found the subject

policy ambiguous and in violation of N.J.S.A. 17:28-1.1. GEICO asserts its

exclusion unambiguously bars UIM coverage for a loss sustained by plaintiff

while operating a motor vehicle he owned but did not insure under GEICO's

policy. We agree.

Respondents argue GEICO's policy, which addresses both UM and UIM

coverage in the same section, violates the statutory mandate that all motor

vehicle liability policies, except basic automobile insurance policies, shall

include coverage "for payment of all or part of the sums which the insured or

his legal representative shall be legally entitled to recover as damages from the

operator or owner of an uninsured motor vehicle . . . ." N.J.S.A. 17:28-1.1.

This violation of the statutory mandate regarding UM coverage, respondents

assert, renders the entire section ambiguous. See Rider Ins. Co. v. First

Trenton Cos., 354 N.J. Super. 491, 498 (App. Div. 2002); N.J.S.A. 17:28-1.1.

Respondents further argue the lack of a distinction between UM and UIM will

either cause a policyholder to believe that UM coverage is not available , or

will leave the policyholder confused as to when UM benefits apply.

Respondents' arguments lack merit. This case does not involve UM

coverage. Plaintiff did not present a claim for UM benefits, only UIM

A-5685-16T4

6

benefits. Whether the clause is ambiguous as to the UM benefits has no

bearing on whether the clause is ambiguous in regards to UIM benefits.

Additionally, we do not find the policy's definitions or lack of

definitions of certain terms render it ambiguous. The policy excludes UIM

coverage when an insured suffers injuries in a "motor vehicle" owned by the

insured but not covered by the policy. Plaintiff asserts the failure to define

"motor vehicle" results in an ambiguity as to the difference between "autos"

and "motor vehicles," despite the fact that the exclusion only uses the term

"motor vehicle." While GEICO could have included a definition of "mot or

vehicle" in its policy, if the words used in an exclusionary clause are clear and

unambiguous, "a court should not engage in a strained construction to support

the imposition of liability." Longobardi, 121 N.J. at 537.

The challenged exclusion explicitly states UIM coverage is not provided

for an insured's injuries sustained in a motor vehicle owned by the insured but

not covered by the policy. Any ordinary reasonable person understands a

motorcycle is a type of motor vehicle. Of note, the legal definition of motor

vehicle includes a motorcycle. See N.J.S.A. 39:1-1 (defining "motor vehicle"

to include "all vehicles propelled otherwise than by muscular power, excepting

such vehicles as run only upon rails or tracks and motorized bicycles").

A-5685-16T4

7

In addition, plaintiff would have specifically understood that his

motorcycle constituted a motor vehicle when he registered it with the State

since the registration application calls for "the name of the insurer of the

vehicle and the policy number." N.J.S.A. 39:3-4 (requiring owners to register

vehicles driven on public roadways, including motorcycles, and to obtain

separate insurance).

Respondents also argue the exclusion in the policy is inconsistent with

the intent and underlying policy of the UIM statute because the policy's

declaration page gave no warning of the exclusion and it improperly ties the

UIM coverage to the insured vehicle rather than the insured person.

Respondents further argue the insured's reasonable expectations cannot be

defeated "unless the declaration page itself so warns the insured," citing

Universal Underwriters Ins. Co. v. N.J. Mfrs. Ins. Co., 299 N.J. Super. 307,

319 (App. Div. 1997) (quoting Lehrhoff v. Aetna Cas. & Sur. Co., 271 N.J.

Super. 340, 347 (App. Div. 1994)). However, an insured's reasonable

expectations only matter when the court finds the relevant language

ambiguous. See Passaic Valley Sewerage Com'rs v. St. Paul Fire & Marine

Ins. Co., 206 N.J. 596, 608 (2011). Because we do not find the language

ambiguous, we need not consider plaintiff's claimed reasonable expectations.

Regardless, the facts and circumstances of this case do not support an

A-5685-16T4

8

argument that plaintiff had a reasonable expectation that the UIM coverage in

his auto policy would apply to a claim involving his motorcycle, a vehicle not

covered on his auto policy.

Respondents also misplace reliance on Universal. In that case, as here,

the insured maintained an auto policy covering his automobiles but not his

motorcycle, which he separately insured with Universal Underwriters

Insurance Company (Universal). Universal, 299 N.J. Super. at 311. The

insured sustained injuries in an accident while operating his motorcycle, and

Universal took the position that the UIM coverage of the insured's auto insurer,

New Jersey Manufacturers Insurance Company (NJM), should "participate on

a pro[-]rata basis in any potential award." Ibid. NJM rejected the claim, in

part because the liability section of its policy excluded liability coverage for

motorcycles, i.e., for motorized vehicles with fewer than four wheels. Id. at

311-12. However, unlike the case under review, in Universal, the UIM section

of NJM's policy contained no exclusion for injury to an insured while using an

owned vehicle not insured under the NJM policy. Id. at 313-15.

Under those circumstances, we rejected NJM's argument that either the

coverage provisions of N.J.S.A. 17:28-1.1(b), or the motorcycle exclusion

provision in the liability section of the policy, would operate to limit the

A-5685-16T4

9

insured's right to UIM coverage for the motorcycle accident. Id. at 318, 322-

23. We concluded:

[S]ince NJM's policy provides UIM coverage for

injuries sustained by an insured in an accident with an

underinsured motorist, regardless of whether the

vehicle the insured is occupying is insured under its

policy, and NJM by its policy terms agrees to share in

the loss if other insurance is applicable, NJM must

participate in the loss.

[Id. at 315.]

Because the case involved the application of a liability provision to UIM

coverage, in Universal we determined an ambiguity existed. Therefore, we

proceeded to examine the insured's reasonable expectations to determine if the

exclusion applied. We turned to the policy's declaration page, which made no

mention of the UIM exclusion. Id. at 319. We noted that "boilerplate

exclusions could not be used to defeat coverage implied from the express

terms of the declaration page," that the reasonable expectations created by the

declarations page are controlling, and "therefore, [they] cannot be defeated

unless the declaration page itself so warns the insured." Ibid. (quoting

Lehrhoff, 271 N.J. Super. at 347) (internal quotation marks omitted). Because

the declaration page did not mention any exclusion, we rejected NJM's

"technical argument that because its policy excludes from any liability

coverage an accident arising from the use of a motorcycle, the insurance

A-5685-16T4

10

statutes bar recovery under the underinsured motorist section of its policy."

Id. at 316.

Here, GEICO's declaration page does not list any exclusions. Thus,

respondents argue the subject UIM exclusion cannot be enforced. However,

we find Universal readily distinguishable. Universal concerned the application

of a liability provision to a UIM claim. Id. at 320. This case concerns the

application of a clearly-worded UIM provision to a UIM claim.

In Morrison v. American International Insurance Co. of America, 381

N.J. Super. 532, 540 (App. Div. 2005), we noted the well-established principal

that clear language in the policy should be interpreted as written. Id. at 538

(citing Nav-Its, Inc. v. Selective Ins. Co., 183 N.J. 110, 118 (2005); President

v. Jenkins, 180 N.J. 550, 562 (2004)). We further noted that our Supreme

Court has "refused to endorse a per se rule that an insurance contract is

ambiguous solely because its declaration[]s sheet, definitions section, and

exclusion provisions are separately presented." Id. at 540 (discussing Zacarias

v. Allstate Ins. Co., 330 N.J. Super. 231 (App. Div. 2000), aff'd, 168 N.J. 590

(2001)). A rule that would require exclusions to appear on the declaration

page would result in even more fine print and "run the risk of making

insurance policies more difficult for the average insured to understand." Id. at

540-41 (citing Zacarias, 168 N.J. at 603). It would also eviscerate the rule that

A-5685-16T4

11

a clause should be read in the context of the entire policy. Id. at 541 (citing

Zacarias, 168 N.J. at 603).

Applying Zacarias and Morrison, the declaration page here does not

control. The failure to list the exclusion at issue on the declaration page does

not automatically render the contract ambiguous. Reading the GEICO policy

in its totality, we conclude the exclusion is clear and unambiguous. The fact

that the exclusion is not mentioned on the declaration sheet does not bar its

enforcement.

Respondents also argue the exclusion cannot be enforced because UIM

coverage must follow the driver – not the vehicle. In Universal, we held we

could not impose the liability provision on UIM coverage because to do so

would link UIM protection to the vehicle. Universal, 299 N.J. Super. at 322

("It is improper to incorporate a policy's liability exclusions, which are vehicle

oriented, into the [UIM] provisions because the two sections provide entirely

separate and distinct types of coverage."). Unlike the NJM policy in

Universal, the UIM exclusion at issue here appears in the section dealing with

UIM coverage.2

2

Of note, in Universal, Judge Landau's concurring opinion addressed the

prospect that a clearly worded UIM exclusion could lead to a different result:

(continued)

A-5685-16T4

12

Respondents further assert UIM insurance follows the insured and not

the vehicle. Aubrey v. Harleysville Ins. Cos., 140 N.J. 397, 399 (1995). But

GEICO's policy is not inconsistent with this mandate. GEICO's exclusion

states it will not cover losses occurring in an owned vehicle not insured under

its policy. This does not mean the policy will only cover losses that occur in a

covered vehicle. Had plaintiff suffered injuries while in a rental car or another

vehicle he did not own, the exclusion would not apply. Likewise, had plaintiff

been struck by a vehicle while walking down the street, the exclusion would

not apply. Thus, GEICO's policy does not unlawfully link coverage to an

insured's vehicle.

Our dissenting colleague finds Section IV of GEICO's policy ambiguous

because it "does not make clear there may be a difference between an insured

auto and a motor vehicle for purposes of UM or UIM coverage." In addition,

(continued)

It is interesting to note that, prior to endorsement, the

Universal policy contained a clause which expressly

limited its UIM coverage to accidents involving the

insured's motorcycle, i.e., to accidents for which

liability coverage also exists. Subject to compliance

with applicable law, a similar UIM limitation might

have been clearly and unambiguously expressed in the

NJM policy.

[Universal, 299 N.J. Super. at 324-25.]

A-5685-16T4

13

the dissent finds significant that "the Department of Banking and Insurance

Auto Insurance Buyers Guide does not reference any such nuanced type of

exclusion for UIM" for the circumstances presented here, i.e. "if the car is not

covered[,] then the insured is not covered." Because this case does not

concern UM coverage, and because the Buyer's Guide3 provides only "general

information," these arguments lack persuasion.

In Magnifico v. Rutgers Casualty Insurance Co., 153 N.J. 406, 415

(1998), our Supreme Court noted that its opinion in French v. New Jersey

School Board Association Insurance Group, 149 N.J. 478, 493-95 (1997),

"emphasized the significance of the clear language of applicable insurance

policies in resolving cases of UIM coverage," and observed that "[p]olicy

drafters have either anticipated or can anticipate most of the recurring

problems in this area." Significant to the matter under review, the Court

3

The last page of the Buyer's Guide includes the following cautionary note, in

bold:

This Buyer’s Guide is intended to provide

general information to help you make

coverage choices. It is not a substitute for

the policy language, which governs.

Additional information regarding

coverages or premiums is available from

the insurer or producer.

A-5685-16T4

14

quoted with approval the rationale articulated by Judge Herman D. Michels in

Royal Insurance Co. v. Rutgers Casualty Insurance Co.:

[W]e recognize that [UIM] coverage has been

characterized by some courts as being "personal to an

insured." . . . . However, this characterization of

[UIM] coverage cannot overcome the clear and

unambiguous language of a policy and render the

policy's "excess" clause void and unenforceable. It is

fundamental that in the absence of a statutory

prohibition to the contrary, an insurance company has

a right to impose whatever conditions it desires prior

to assuming its obligations, including providing

whether its policy shall be primary to or excess over

other collectible insurance, and how it will contribute

with such other insurance. Such qualifying provisions

should be construed in a common sense and logical

fashion in accordance with the language used.

[271 N.J. Super. 409, 419-20 (App. Div. 1994) (citing

Kampf v. Franklin Life Ins. Co., 33 N.J. 36, 43

(1960); Schneider v. New Amsterdam Cas. Co., 22

N.J. Super. 238, 243 (App. Div. 1952); Wilkinson &

Son, Inc. v. Providence Washington Ins. Co., 124 N.J.

Super. 466, 469 (1973)).]

In defense of the challenged UIM exclusion, GEICO asserts the

arguments advanced by the [r]espondents fail to

consider how insurance companies write policies.

Insurance is the business of risk evaluation.

Companies issue policies to their customers based on

the risks. There are numerous valuations to go into

the issuance of a policy. However, one of the most

significant in terms of the policy cost is the make,

model, and year of the vehicles insured.

A-5685-16T4

15

In this regard, we note that GEICO's declaration page does not list the

2006 Harley Davidson as a vehicle insured under the GEICO policy; instead,

the policy lists only one insured vehicle, the insured's 2007 Dodge Ram.

Given the fact that motorcycle operators and passengers sustain trauma in

accidents without the protection found in autos and trucks, such as airbags,

seatbelts and the vehicles themselves, it is axiomatic that motorcycle usage

presents a far greater risk of injury than other motor vehicles. 4

Reversed.

4

According to the National Highway Traffic Safety Administration, in 2016,

9.94 cars out of 100,000 ended up in fatal crashes, while the rate for

motorcycles was 60.9 per 100,000 registered motorcycles; per vehicle mile

traveled, motorcycles have a fatality rate twenty-six times greater than

passenger cars. NAT'L HIGHWAY TRAFFIC & SAFETY ADMIN.'S NAT'L CTR. FOR

STATISTICS & ANALYSIS , MOTORCYCLES: 2016 DATA (UPDATED, TRAFFIC

SAFETY FACTS, REPORT NO. DOT HS 812 492) (2018).

A-5685-16T4

16

_________________________________

SUTER, J.A.D., dissenting.

I most respectfully dissent. Section IV of the GEICO policy concerns

uninsured motorist (UM) and underinsured motorist (UIM) coverages. It

provides coverage to the policy insured as follows:

We will pay damages for bodily injury and property

damage caused by an accident which the Insured is

legally entitled to recover from the owner or operator

of an uninsured motor vehicle or underinsured motor

vehicle arising out of the ownership, maintenance or

use of that vehicle.

Section IV then includes fourteen exclusions that limit the scope of the

coverage. Exclusion five declares that Section IV does not apply

[t]o bodily injury sustained by an insured while

occupying a motor vehicle owned by an insured and

not described in the Declarations and not covered by

the Bodily Injury and Property Damage liability

coverages of this policy.

There is nothing "clear or unambiguous" here as the majority asserts.

The Policy Index lists Section IV as pertaining to UM coverage, making no

mention of UIM. It is only when Section IV is reviewed that it becomes clear

the section addresses both UM and UIM. Section IV alternates between use of

the term "insured," which is defined, and "you," which is defined in another

section of the policy. It defines the term "insured auto" and then uses the term

"motor vehicle" in the exclusions, which is not defined in the policy. This

section does not make clear there may be a difference between an insured auto

and a motor vehicle for purposes of UM or UIM coverage. The Declarations

page does not reference that there are any exclusions from the UM or UIM

coverages, requiring the policyholder to read through the policy, discover the

exclusions and then interpret them without the aid of fully defined terms.

The Supreme Court has said "[g]enerally speaking, courts construe

insurance policies consistent with the objectively reasonable expectations of

the insured." Aubrey v. Harleysville Ins. Cos., 140 N.J. 397, 404 (1995). We

have said that ambiguities "found in the policy should be construed against the

insurer and 'exclusionary clauses should be strictly construed.'" Universal

Underwriters Ins. Co. v. New Jersey Mfrs. Ins. Co., 299 N.J. Super. 307, 312

(App. Div. 1997). My colleagues agree that when a policy is ambiguous, an

insured's reasonable expectation then is considered. Passaic Valley Sewerage

Comm'rs v. St. Paul Fire & Marine Ins. Co., 206 N.J. 596, 608 (2011).

The reasonable expectation by an insured before this decision was that

UIM coverage followed the insured and not the vehicle. Aubrey, 140 N.J. at

403 (citing Fernandez v. Selected Risks Ins. Co., 82 N.J. 236, 241 (1980)).

This is because UIM is:

first-party coverage insuring the policyholder and

others who have the status as "insureds" under the

policy against the possibility that they will be injured

or suffer property loss in an accident caused by a

2 A-5685-16T4

motor vehicle when the liability insurance covering

that other vehicle is insufficient to pay their full

losses.

[Universal, 299 N.J. Super. at 320 (quoting Craig &

Pomeroy, N.J. Auto Ins. Law § 26:1 (1997)).]

The majority opinion agrees with that proposition and then proceeds to

undercut it by agreeing with GEICO that if the vehicle is not listed in the

Declarations page, there is no UIM coverage for the owner. According to the

majority, therefore, if the car is not covered then the insured is not covered.

The Department of Banking and Insurance Auto Insurance Buyers Guide does

not reference any such nuanced type of exclusion for UIM.

Underinsured Motorist Coverage pays you if you are

in an auto accident caused by a driver who is insured,

but who has less coverage than your underinsured

motorist coverage. Damages greater than the limits of

the other driver's policy are covered by your policy up

to the difference between the limits of your

underinsured motorist coverage and the other driver's

policy limit.

[New Jersey Auto Insurance Buyer's Guide 8

https://www.state.nj.us/dobi/division_consumers/pdf/a

utoguide02.pdf (last visited December 21, 2018)

(emphasis added).]

The Declarations page does not hint at an exclusion either.

The majority attempts to provide examples to prove their point that UIM

coverage will continue, after this opinion, to follow the person and not the

vehicle. For instance, the majority implies coverage will still apply where the

3 A-5685-16T4

"plaintiff suffered injuries while in a rental car or another vehicle he did not

own" or if plaintiff were "struck by a vehicle while walking down the street."

We are not tasked with interpreting this policy for factual situations that are

not before us, but the exclusion in paragraph six of Section IV should be

considered before assuming that coverage will continue to follow the insured.

Exclusion six provides that coverage does not apply "[t]o bodily injury

sustained by an insured while occupying a motor vehicle not owned by, and

furnished for the regular use of the insured when involved in an accident with

an underinsured motor vehicle." This seems to exclude a plaintiff from UIM

coverage in a vehicle he does not own.

The majority opinion provides that "whether the clause is ambiguous as

to the UM benefits has no bearing on whether the clause is ambiguous in

regard to UIM benefits." This appears to concede that the policy exclusion in

question would be construed as ambiguous if we were dealing with UM

coverage, but is "clear and unambiguous" for UIM coverage. It is error to

conclude that the very same sentence in an exclusion is clear for one type of

coverage and not for another. Respectfully, it is the same policy, the same

sentence, and the same ambiguities.

This is not a question of which UIM policy is primary or excess as

referenced by the majority in its citation to Royal Insurance Co. v. Rutgers

4 A-5685-16T4

Cas. Ins. Co., 271 N.J. Super. 409, 419-20 (App. Div. 1994); it is a matter of

coverage. The question is whether the insured would understand from the

Declarations page and policy provisions that UIM coverage was limited. As

the Court stated in Kievit v. Loyal Protective Life Ins. Co.,

[w]hen members of the public purchase policies of

insurance they are entitled to the broad measure of

protection necessary to fulfill their reasonable

expectations. They should not be subjected to

technical encumbrances or to hidden pitfalls and their

policies should be construed liberally in their favor to

the end that coverage is afforded "to the full extent

that any fair interpretation will allow."

[34 N.J. 475, 482 (1961) (citations omitted).]

I would affirm the trial court's order.

5 A-5685-16T4

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.