Gerald Baker New Jersey Opinion - Olkusz v. Brown

New Jersey Opinion - Olkusz v. Brown - Gerald Baker

UM Stepdown Clauses Olkusz v. Brown

New Jersey Opinion - Olkusz v. Brown

NOT TO BE PUBLISHED WITHOUT THE APPROVAL OF THE COMMITTEE ON OPINIONS

SUSAN OLKUSZ and RICHARD OLKUSZ, Plaintiffs, vs. LAKINGY BROWN, HACKENSACK MEDICAL CENTER, HACKENSACK UNIVERSITY MEDICAL CENTER, ATLANIC MUTUAL INSURANCE COMPANY, CHUBB GROUP OF INSURANCE COMPANIES, A. DOE INDIVIDUALS,B. DOE INDIVIDUALS, BCORPORATIONS,C.DOE INDIVIDUALS, C CORPORATIONS, D DOEINDIVIDUALS, D CORPORATIONS, E.DOEINDIVIDUALS, E CORPORATIONS, the latter nine being fictitious designations, Defendants.       SUPERIOR COURT OF NEW JERSEY LAW DIVISION: BERGENCOUNTY DOCKET NO. BER-L-2771-06 Civil Action OPINION

Decided: November 28, 2007 Glenn M. Gerlanc appearing on behalf of the Plaintiffs, Susan and Richard Olkusz (Parisi & Gerlanc, P.A.). Gerard H. Hanson appearing on behalf of the Defendant, Federal Insurance Company (Hill Wallack, LLP). Joseph J. Michalowski appearing on behalf of the Defendant, Atlantic Mutual Insurance Company (Chase Kurshan Herzfeld & Rubin, LLC).   MENELAOS W. TOSKOS, J.S.C. This is Defendant, Atlantic’s motion for reconsideration of a March 12, 2007 Interlocutory Order signed by this court entering partial summary judgment in favor of Federal declaring its obligation to afford UM coverage to Plaintiff was limited to $100,000 because of a ‘step down’ clause in its policy. Plaintiffs, Susan Olkusz and Richard Olkusz (“Olkusz”), have filed a cross-motion requesting that the March 12, 2007 Order be vacated and declaring that the UM coverage under the policy of Federal be $1,000,000 instead of the step-down provision reducing the amount to $100,000. The basis for the relief Atlantic and Olkusz are seeking is an amendment to N.J.S.A. 17:28-1.1, which became effective on September 11, 2007, and prohibits limitations of UM coverage for employees through step-down provisions in business auto policies. All parties agree that the amendment clearly changes the law regarding step-down provisions. The parties disagree over the application of the statute. The moving parties, Olkusz and Atlantic, argue it should be applied retroactively to the case at hand. Federal has opposed both motions alleging that the statutory amendment should be applied prospectively and at the very least only to claims filed on or after September 11, 2007.

Reconsideration under R. 4:49-2 is a matter within the sound discretion of the court and is to be exercised “for good cause shown and in the service of the ultimate goal of substantial justice.” Casino Reinvestment Development Authority v. Teller, 384 N.J. Super. 408, 413 (App. Div. 2006) quoting Johnson v. Cyklop Strapping Corp. , 220 N.J. Super. 250, 264 (App. Div. 1987), certif. denied, 110 N.J. 196 (1988). A litigant should not seek reconsideration because of dissatisfaction with a decision. D'Atria v. D'Atri, 242 N.J. Super. 392 (Ch. Div. 1990). In this case, because the March 12, 2007 Order did not adjudicate all the claims as to all parties, it is reviewable at the discretion of the Court. R. 4:42-2. Since the recent statutory amendment to N.J.S.A. 17:28-1.1 changes the uninsured motorist statute, a full and fair resolution of this declaratory judgment suit requires a review of the current law available to the parties at this time.

Specifically, the statutory amendment to N.J.S.A. 17:28-1.1, N.J. Senate Bill No. 1666, P.L. 2007, c. 163 (“S1666”), prohibits the use of UM and step-down clauses in employer motor vehicle policies. It further reforms all employer policies to eliminate any existing step-down clauses. This legislation was specifically enacted in response to the New Jersey Supreme Court case, Pinto v. New Jersey Manufacturers Insurance Co., 183 N.J. 405 (2005) (allowed liability policies to lower the uninsured or underinsured motorist coverage for employees to the coverage limits available to employees under their personal policies).

S1666 amends N.J.S.A. 17:28-1.1 to add subsection (f) which states as follows:

Notwithstanding the provisions of this section or any other law to the contrary, a motor vehicle liability policy or renewal of such policy of insurance, insuring against loss resulting from liability imposed by law for bodily injury or death, sustained by any person arising out of the ownership, maintenance or use of a motor vehicle, issued in this State to a corporate or business entity with respect to any motor vehicle registered or principally garaged in this State, shall not provide less uninsured or underinsured motorist coverage for an individual employed by the corporate or business entity than the coverage provided to the named insured under the policy. A policy that names a corporate or business entity as a named insured shall be deemed to provide the maximum uninsured or underinsured motorist coverage available under the policy to an individual employed by the corporate or business entity, regardless of whether the individual is an additional named insured under that policy or is a named insured or is covered under any other policy providing uninsured or underinsured motorist coverage.

The threshold question this court must decide is whether Pinto or S1666 governs Plaintiff’s claim. In so doing: “[w]hen considering whether a statute should be applied prospectively or retroactively, our quest is to ascertain the intention of the Legislature.” State, Dep't of Envtl. Protection v. Ventron Corp., 94 N.J. 473, 498 (1983). Our courts have recognized that fundamental fairness suggests that prospective application of statues be favored. Gibbons v. Gibbons, 86 N.J. 515, 522 (1981). Nonetheless, this ‘rule of thumb’ is not dispositive of the issue. The rule favoring prospective application, however, is one only of statutory interpretation. Its purpose is to aid the court in the search for legislative intent. Rothman v. Rothman, 65 N.J. 219, 224 (1974). Courts should not apply the rule mechanistically. Id.Rather, where supervening considerations clearly compel a contrary determination, this, like all other rules of statutory construction, must give way. Twiss v. State, 124 N.J. 461, 467 (N.J. 1991).

In enacting S1666, the legislature indicated that: “[t]his act shall take effect immediately”. Id.Our courts have held that the phrase “shall take effect immediately” gives “no clear indication” of the legislature’s intention with respect to claims arising prior to its effective date. Cruz v. Central Jersey Landscaping, Inc., 393 N.J. Super. 34, 40 (App. Div. 2007). Since the legislature did not explicitly state that S1666 be given prospective application, this court must determine whether to apply the statute retroactively. Twiss v. State, 124 N.J. 461, 467 (N.J. 1991). In determining whether to apply S1666 to claims that arose prior to the amendment’s adoption, our courts apply the two-part test articulated by the Supreme Court in Twiss. The first question is whether the legislature intended to give the amendment retroactive application. Id. The second question is whether retroactive application is an unconstitutional interference with ‘vested rights’ or will result in a ‘manifest injustice.’ Id.

In order to apply retroactive application to S1666 under the first part of the Twiss test, the court must find that one of three exceptions is met: (1) legislature has expressed that the statute be applied retroactively; (2) the statute is ameliorative or curative; or (3) there is an absence of clear expression of legislative intent of prospective application and equitable considerations, such as expectations of the parties, warrant retroactive application. Gibbons v. Gibbons, 86 N.J. 515, 523 (N.J. 1981).

In this instance, the legislation does not contain any express language with respect to either prospective or retrospective application. Concerning the second part of the Gibbons test, the statute cannot be considered ameliorative since it does not affect criminal legislation. The court therefore must focus on whether S1666 qualifies under the curative exception for retroactive application. The purpose of S1666 is to provide uniform and non-discriminatory access to UM/UIM benefits provided by employers to employees. This statutory amendment was enacted in direct response to the Supreme Court’s Pinto decision to remedy what the legislature perceived as a misapplication of an existing statute. See 2nd Roc-Jersey Assocs. v. Town of Morristown, 158 N.J. 581, 605 (N.J. 1999) (held that statute is deemed curative when enacted in response to a particular case to remedy what legislature perceives as a misapplication of the law). As such, S1666 is considered curative. The Senate Commerce Committee and Assembly Financial Institutions and Insurance Committee state the purpose of S1666 “is in response to the New Jersey Supreme Court’s decision in Pinto v. New Jersey Manufacturers Insurance Co., 183 N.J. 405 (2005).” Like the statute in Gibbons and Twiss and 2nd Roc-Jersey Assocs., the statute in issue here is curative. S1666 reflects the legislature’s attempt to improve an existing statutory scheme by reversing the effect of the 2005 Pinto

Retroactive application of the statute to pending UM and UIM cases is also necessary to achieve the three remedial purposes of S1666: prohibition, reformation, and reversal. S1666 prohibits the use of UM and UIM step-down clauses in employer motor vehicle policies, reforms all such employer policies to eliminate such step-down clauses, and declares a reversal of the common law established by the New Jersey Supreme Court in Pinto. “An amendment which falls within the curative exception can be retroactively applied consistent with the general rule of prospectivity because its purpose is to remedy a perceived imperfection in or misapplication of a statute and not to alter the intended scope or purposes of the original act.” Kendall v. Snedeker, 219 N.J. Super. 283, 287 (App. Div. 1987). Based upon the above reasons, S1666 falls within the curative exception and is a supervening consideration that compels this court to apply retroactive application to S1666 since it meets the first prong of the Twiss test.

In addition, S1666 also falls within the third exception in Gibbons since there is an absence of clear expression of legislative intent of prospective application and equitable considerations warrant retroactive application. Gibbons, supra, 86 N.J. at 523. Regarding equitable considerations, S1666 clearly warrants retroactive application. S1666 provides uniform and non-discriminatory access to UM and UIM benefits provided by employers to employees in contrast to the step-down provision which is irrational and inequitable because access to such benefits is determined solely by an employee’s private motor vehicle policy. Therefore an insurer’s private contractual right can not trump the overriding public interests in the remedies provided in S1666. Where supervening equitable considerations clearly compel a contrary determination, the rule favoring prospective application, like all other rules of statutory construction, must give way. Twiss, supra, 124 N.J. at 467. Based on these reasons, S1666 falls within the third exception outlined in Gibbons.

Since this court has found that Olkusz and Atlantic have met their burden of proving the first part of the Twiss test, the second question this court must resolve is whether retroactive application is an unconstitutional interference with ‘vested rights’ or will result in a ‘manifest injustice.’ Id. All statutes with retroactive elements are subject to scrutiny under the Due Process Clause of the Fourteenth Amendment to the U.S. Constitution and the parallel provision of the New Jersey Constitution. U.S. Const. amend. XIV, § 1; N.J. Const. art. 1, P 1. “The essence of this inquiry is whether the affected party relied, to his or her prejudice, on the law that is now to be changed as a result of the retroactive application of the statute, and whether the consequences of this reliance are so deleterious and irrevocable that it would be unfair to apply the statute retroactively.” Gibbons, 86 N.J. at 523-24. “Retroactive civil litigation, however, generally does not violate due process unless it results in ‘particularly harsh and oppressive’ consequences.” Twiss, 124 N.J. at 469-70. The test to determine whether applying S1666 retroactively will survive a due process challenge is if the legislation “is supported by a legitimate legislative purpose furthered by rational means.” Nobrega v. Edison Glen Assoc., 167 N.J. 520, 543 (N.J. 2001). Our Supreme Court has recognized the use of this rational basis standard: “in place of the “vested rights” inquiry”. Id. at 544. The burden rests on Defendant, Federal, to establish that the legislature “has acted in an arbitrary and irrational way.” Id. In this instance, Federal argues that insurers, in reliance on the Pinto decision, have negotiated policies which include step-down provisions. These provisions were factored into the premium paid and risk bargained for by the insured and insurer.

In this case, the legislature intended S1666 to treat all employees rationally and uniformally with no discrimination based on an employee’s car ownership, income for insurance payments, or living arrangements. S1666 provides uniform and non-discriminatory access to UM and UIM benefits provided by employers to employees. In contrast, the step-down clause is capricious and inequitable because access to UM and UIM benefits is determined by an employee’s private motor vehicle policy. Based upon these facts, S1666 is supported by a legitimate legislative purpose furthered by rational means and therefore it will withstand a due process challenge with respect to the vest rights inquiry.

In regard to the manifest injustice prong of the retroactivity inquiry, the test “does not flow from constitutional requirements, but instead is based on equitable concerns”. Id. at 545 (N.J. 2001). The manifest injustice analysis requires “a weighing of the public interest in the retroactive application of the statute against the affected party’s reliance on previous law, and the consequences of that reliance.” Id. at 547. The court perceives no unfairness in applying S1666 retroactively to Plaintiff’s claims.

This court found most compelling the hypothetical given by Olkusz in their legal memorandum of three co-employees suffering identical injuries worth $250,000 as a result of an accident on an employer’s shuttle bus. Assume employee 1, like Plaintiff, has a $100,000 limit under her private policy. Assume employee 2 lives alone, has no car, and car pools to work with employee 3. Assume employee 3 can barely afford her car and has minimum standard insurance limits, including $15,000/$30,000 UM/UIM. Assume employees 1, 2, and 3 are not named in their employer’s policy which provides $1,000,000 UM/UIM coverage but has the step-down clause. Since employee 1 (i.e. Plaintiff) has a $100,000 UM limit under her private policy, her right to compensation caps out at $100,000. Employee 3 caps out at $15,000. Employee 2, who pays no insurance and carpools with employee 3, gets a full recovery of $250,000. Although employees 1, 2, and 3 have a common employer, accident, and damages, they receive different results because of the step-down provision in the employer’s policy. Therefore, since the step-down clause unilaterally creates inequities, forfeitures, and cost shifting without legislative or administrative approval, there is no entitlement to or rational expectation for protection under a manifest injustice claim.

In addition, in April 2003 when Federal’s policy was issued to HUMC for the period August 1, 2003 to August 1, 2004, the law regarding step-down provisions was at best unsettled. At that time, the New Jersey trial court in Pinto declared step-down provisions to be invalid. In 2004, the Appellate Division then reversed the trial court’s decision holding step-down provisions to be valid. After granting certification, the New Jersey Supreme Court in 2005 affirmed the Appellate Division’s decision. Since the law on the validity of a step-down provision was unclear at the time Federal issued its policy in April 2003, Federal had no reason to rely on its contractual right to enforce a step-down provision in its policy. Furthermore, Plaintiff was injured on April 13, 2004 prior to the June 6, 2004 Supreme Court Pinto decision declaring step-down provisions valid. Therefore, Federal’s claims of private contractual rights do not trump the overriding public interests remedied by S1666. Thus, retroactive application of S1666 would not be a manifest injustice to Federal, the insurer.

In the present case, this court views these factors in favor of finding pipeline retroactivity. The amended statute reverses the 2005 Pinto decision. Olkusz and Atlantic both filed a motion for relief before the time in which to file an appeal had passed and both parties ask the court to extend “pipeline retroactivity” to this case. The March 12, 2007 Order is interlocutory and reviewable under R. 4:42-2. There has been no order or final judgment. In this litigation, there has been no trial of the UM claims. Hence, there is a strong basis for granting full retroactivity to cases, like the present one, that fall within the “pipeline.”

The Court therefore reconsiders and vacates its March 12, 2007 Order enforcing the step-down clause and declares Federal’s applicable UM coverage is $1,000,000.

 

This cause of action arises out of a motor vehicle accident where Plaintiff, Susan Olkusz, an employee of HackensackUniversityMedicalCenter (“HUMC”), was injured while a passenger on a shuttle bus owned and operated by HUMC. Plaintiff presented a demand for Uninsured Motorist (“UM”) coverage from her personal insurer, Atlantic Mutual Insurance Company (“Atlantic”), and her employer’s insurer, Federal Insurance Company (“Federal”). Atlantic’s policy has UM limitation of $100,000 while Federal provides UM coverage of $1,000,000.