TYRONE S. HENRY, SR v. SANTOSH S. BHOWMIK

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                                       SUPERIOR COURT OF NEW JERSEY
                                       APPELLATE DIVISION
                                       DOCKET NO. A-3331-15T4

TYRONE S. HENRY, SR.,
INDIVIDUALLY AND AS THE
ADMINISTRATOR OF THE ESTATE
OF TYRONE S. HENRY, JR.,

        Plaintiff,

v.

SANTOSH S. BHOWMIK,

        Defendant,

and

CURE AUTO INSURANCE,

        Defendant-Appellant,

and

THE NEW JERSEY PROPERTY
LIABILITY INSURANCE
GUARANTY ASSOCIATION,

     Defendant-Respondent.
————————————————————————————————

              Argued October 24, 2017 – Decided February 8, 2018

              Before Judges Hoffman and Mayer.
           On appeal from Superior Court of New Jersey,
           Law Division, Atlantic County, Docket No.
           L-6636-14.

           Chad B. Sponder argued the cause for appellant
           (Eric S. Poe, of counsel and on the brief;
           Abbey True Harris, on the briefs).

           Mark M. Tallmadge argued the cause for
           respondent (Bressler, Amery & Ross, PC,
           attorneys; Mark M. Tallmadge, on the brief).

           Matthew R. Major argued the cause for
           intervenor-respondent AtlantiCare Regional
           Medical Center (Wilson, Elser, Moskowitz,
           Edelman & Dicker, LLP, attorneys; Matthew R.
           Major, of counsel and on the brief).

PER CURIAM

     Defendant CURE Auto Insurance (CURE) appeals from an October

26, 2015 Law Division order granting plaintiff's motion for summary

judgment, requiring CURE to provide personal injury protection

(PIP) benefits, as a matter of law, to plaintiff, administrator

of the estate of his late son, Tyrone S. Henry Jr. (Tyrone).    CURE

argues the trial court erred in its application of the law by

finding CURE liable for PIP benefits for an unnamed additional

insured under the terms of a voided insurance contract.

     At the outset, we note this appeal is interlocutory because

CURE filed this appeal before the trial court made findings on

damages.   Nevertheless, because dismissal of this appeal, at this

juncture, would cause further     undue delay in the payment of



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substantial unpaid medical bills,1 we therefore sua sponte grant

leave to appeal nunc pro tunc the issue of CURE's liability for

PIP benefits.      R. 2:4-4(b)(2); see also Medcor, Inc. v. Finley,


179 N.J. Super. 142, 144-45 (App. Div. 1981) (holding this court

has   discretion    on    whether   to   grant    leave   to    appeal      from    an

interlocutory order).          For the reasons that follow, we affirm and

remand for the Law Division to determine damages.

                                             I

       On January 31, 2014, Tyrone sustained serious injuries after

an automobile driven by defendant Santosh Bhowmik struck him as

he    walked   across     an   intersection      in   Pleasantville.         Tyrone

ultimately died from his injuries on February 8, 2014, after first

incurring      substantial     medical   treatment      bills   at    AtlantiCare

Regional    Medical      Center   (AtlantiCare).2       At   the     time   of     the

accident, Tyrone lived in Ocean City with his cousin, Chanel Pitt,

who owned an automobile that CURE insured.

       On December 8, 2014, plaintiff filed a complaint in the Law

Division, Atlantic County, against defendants, Bhowmik, CURE, and


1
   "The prompt distribution of PIP benefits to accident victims
has remained a staple of the no-fault system since that system was
first developed." Rutgers Cas. Ins. Co. v. LaCroix, 
194 N.J. 515,
523 (2008).
2
   According to AtlantiCare's brief, Tyrone spent eight days in
intensive care before expiring, resulting in an unpaid treatment
bill of $378,042.70.

                                         3                                  A-3331-15T4
The New Jersey Property Liability Insurance Guaranty Association

(PLIGA).   In relevant part, the complaint sought to recover PIP

benefits from CURE, or alternatively, from PLIGA, for the injuries

and subsequent death of Tyrone.

     On January 8, 2015, PLIGA filed an answer with cross-claims

denying the material allegations of the complaint.   On January 28,

2015, CURE filed an answer with counterclaims and cross-claims,

denying the complaint's allegations and seeking a declaration that

the CURE insurance policy at issue was void, and thus, PLIGA was

liable to plaintiff for PIP benefits.      At that time, CURE had

already filed a separate declaratory judgment action against Pitt

in Cape May County in November 2014, seeking to void her insurance

policy for material misrepresentations in failing to disclose all

household members as of her March 2, 2012 policy renewal.3

     On July 6, 2015, plaintiff moved for summary judgment seeking

a declaration obligating either CURE or PLIGA to pay PIP benefits,

and to consolidate the proceeding with the declaratory judgment

action filed by CURE in Cape May County.    CURE and PLIGA opposed

the summary judgment motion, which the Atlantic County judge

initially denied without prejudice on August 26, 2015, finding




3 On March 2, 2010, Pitt first obtained automobile insurance from
CURE; the policy renewed annually.


                                  4                          A-3331-15T4
that a "dispute of fact" remained.                     The judge also denied the

consolidation motion.

       In   early     September      2015,        plaintiff    filed   a   motion    for

reconsideration of the denial of his summary judgment motion,

which CURE again opposed.            In his motion, plaintiff cited Citizens

United Reciprocal Exch. v. Perez, 
223 N.J. 143, 151-52 (2015),

decided by our Supreme Court the previous month for the proposition

that   innocent       third    parties      remain      eligible   to      collect   PIP

benefits,      even    when    a     policy       is   rescinded   for     a   material

misrepresentation made by the insured at the inception of the

policy.

       Meanwhile, CURE requested a proof hearing in its declaratory

judgment action after Pitt failed to answer its complaint.                             On

September 16, 2015, a Cape May County judge held a proof hearing

and then entered a final judgment declaring the Pitt policy void

ab   initio,    finding       Pitt   made     "material       misrepresentations       in

failing to disclose all household members" at the time of her

March 2012 policy renewal.

       Thus, CURE agreed with plaintiff that reconsideration of the

motion was appropriate, but on a different basis; namely that its

insurance policy had been officially declared void ab initio by

the Cape May County judge.             CURE further asserted that Perez did



                                              5                                 A-3331-15T4
not apply, arguing instead that Lovett v. Alan Lazaroff & Co., 
244 N.J. Super. 510 (App. Div. 1990) governed this dispute.

      On   reconsideration,   the    Atlantic       County    judge   concluded

plaintiff was an innocent third party and thus entitled to PIP

benefits from CURE for three reasons: (1) Tyrone was unaware of

the   misrepresentations   Pitt     made      to   CURE;   (2)   there    was    no

assertion that Tyrone benefitted from the misrepresentations; and

(3) Tyrone did not have input in the policy's procurement.

      Following the grant of summary judgment, on February 22,

2016, a different judge entered an order confirming a settlement

between plaintiff and Bhowmik. On March 4, 2016, the court entered

an order dismissing plaintiff’s claims against PLIGA.                    On April

1, 2016, the court entered an order permitting AtlantiCare to

intervene to pursue its claim for payment of medical expenses

arising out of treatment provided to Tyrone.                 On April 6, 2016,

CURE filed a notice of appeal from the October 26, 2015 summary

judgment order.

                                         II

      We review the trial court's grant of summary judgment de

novo, applying the same standard as the trial court.                  Abboud v.

Nat'l Union Fire Ins. Co. of Pittsburgh, 
450 N.J. Super. 400, 406

(App. Div. 2017).   We should affirm summary judgment if the record

shows "no genuine issue as to any material fact challenged and

                                     6                                    A-3331-15T4
. . . the moving party is entitled to a judgment or order as a

matter of law."       Ibid. (quoting Templo Fuente de Vida Corp. v.

Nat'l Union Fire Ins. Co. of Pittsburgh, 
224 N.J. 189, 199 (2016));

see also Brill v. Guardian Life Ins. Co. of Am., 
142 N.J. 520, 540

(1995); R. 4:46.       We afford no special deference to the legal

conclusions of the trial court.         Templo Fuente, 
224 N.J. at 199.

Therefore, because no genuine issue of material fact exists in the

record, we review de novo the trial court's legal determination

that Tyrone, an "additional insured" under the policy under review,

is entitled to PIP benefits from CURE as an innocent third party.

Ibid.

     Our Supreme Court has described the remedy of rescission as

follows:

           Rescission remains a form of equitable relief
           in whatever setting its need arises, and
           courts wielding that remedy retain the
           discretion and judgment required to ensure
           that equity is done. In furtherance of that
           objective, a court may shape the rescission
           remedy in order to serve substantial justice.
           . . . The power to mold the rescission remedy
           to do justice under the circumstances is
           perforce available when rescission is employed
           in the insurance context.

           [LaCroix, 
194 N.J. at 528-29.]

     New   Jersey’s    no-fault   scheme   imposes   a   requirement   that

insurers promptly pay PIP benefits to reimburse those injured in



                                    7                             A-3331-15T4
automobile accidents regardless of fault.     
N.J.S.A. 39:6A-4 in

relevant part states:

          [E]very    standard   automobile    liability
          insurance policy . . . shall contain [PIP]
          benefits for the payment of benefits without
          regard to . . . fault of any kind, to the
          named insured and members of his [or her]
          family residing in his [or her] household who
          sustain bodily injury as a result of an
          accident while occupying, entering into,
          alighting from or using an automobile, or as
          a pedestrian . . . and to other persons
          sustaining bodily injury while occupying,
          entering into, alighting from or using the
          automobile   of   the  named  insured,   with
          permission of the named insured.

          [(emphasis added).]

More simply stated, there are two main coverage classes for PIP

benefits under the statute: (1) the named insured (first-party

insured) and family members residing in the household (additional

insureds), and (2) other persons injured while occupying, entering

into, alighting from or using the vehicle of the named insured

with that person’s permission.   LaCroix, 
194 N.J. at 523.

     The law in New Jersey is well-settled that when a factual

misrepresentation is made in an insurance application, rescission

may be justified if the insurer relied on the misrepresentation

in determining whether to issue the policy.   See, e.g., Perez, 
223 N.J. at 150-51; Palisades Safety & Ins. Ass'n v. Bastien, 
175 N.J.
 144, 148-49, 151 (2003) (affirming the denial of a claim for PIP


                                 8                           A-3331-15T4
benefits by the innocent wife of an insured, when the insured

intentionally failed to place his wife's name on the policy to

reduce his premium, citing the resident's spouse "unique position

to be aware of the other spouse's interactions with the insurer

of the household's vehicles.").

     However,    even   if   a   policy   is   voided,   PIP   benefits   may

nevertheless be awarded to innocent third parties.             LaCroix, 
194 N.J. at 524.     In LaCroix, the court affirmed an equitable remedy

fashioned by this court that required payment of PIP benefits to

an additional insured even though the underlying policy was voided.

Id. at 519.     There, the question before the court was "whether a

dependent child, newly licensed, only recently of driving age, and

living with her parent, stands on different footing when the

equities are considered in connection with her claim for PIP

benefits under her father's void automobile insurance policy."

Id. at 526.     Distinguishing its decision from Bastien, where the

Court found that awarding PIP benefits "would have served to

encourage insurance fraud[,]" the LaCroix court found "room for

some consideration of innocence . . . when the fraud is due to the

action of the parent of a young driver."           Id. at 526-27 (citing

Bastien, 
175 N.J. at 149,151-52). Noting that it has "never turned

a deaf ear to the equities when plainly innocent parties cry out

for relief," the Court found "no abuse in the Appellate Division's

                                     9                               A-3331-15T4
molding of the rescission remedy" that entitled the plaintiff to

PIP benefits from her father's voided policy.        Id. at 530, 532.

                                  III

     CURE does not contest the factual findings made by the motion

judge in granting summary judgment for plaintiff.              Thus, the

following facts are undisputed.         Tyrone sustained injures in an

automobile accident that led to his death on February 8, 2014.            At

the time, Tyrone, twenty-three years old, resided with his cousin,

Pitt, who owned a New Jersey registered motor vehicle that CURE

insured.    Plaintiff sought PIP benefits under Pitt's policy as an

additional insured resident relative.       CURE declined PIP benefits

and filed an action against Pitt to void the policy ab initio for

various reasons, including failing to "provide her true household

members."

     In the Cape May County action — a suit involving only CURE

and Pitt — the judge voided the policy ab initio "for material

misrepresentations in failing to disclose all household members

as of the renewal of March 2, 2012."       If Tyrone were listed on the

policy, and the policy was not otherwise voided, he would have

been entitled to PIP benefits as an additional insured.            Neither

party contends that Tyrone was aware of Pitt's misrepresentation,

benefitted   from   the   misrepresentation,    or   had   input   in   the

procurement of the policy.

                                  10                               A-3331-15T4
     The declaratory judgment action CURE filed in Cape May County

named Pitt as the only defendant, even though the New Jersey

Declaratory Judgment Act (the Act), 
N.J.S.A. 2A:16-56, mandates

that "all persons having or claiming any interest which would be

affected    by     the   declaration    shall    be    made    parties    to   the

proceeding."       On April 3, 2014, CURE sent a letter to plaintiff's

attorney denying plaintiff's claim for PIP benefits under Pitt's

policy.     This letter clearly established CURE's knowledge that

plaintiff    had    an   "interest     which   would   be     affected"   by   the

declaratory judgment action.           The record contains no explanation

for CURE's failure to make plaintiff, PLIGA, and AtlantiCare

parties to the declaratory judgment action.

     CURE's declaratory judgment complaint alleged that Pitt made

misrepresentations concerning her address and household residents

with respect to CURE's policy and its renewals.                Following Pitt's

default, and a proof hearing, the Cape May County judge entered

judgment by default, declaring "the policy issued by [CURE] to

Chanel Pitt is void ab initio for material misrepresentations in

failing to disclose all household members as of the renewal of

March 2, 2012." The court's order does not identify the particular

misrepresentations.       Nor does the record before this court contain

any evidence concerning such misrepresentations.



                                       11                                 A-3331-15T4
      In its responsive pleading in the matter under review, CURE

alleged that Pitt obtained insurance from CURE on March 2, 2010,

and the policy renewed annually through the time of Tyrone's fatal

accident, January 31, 2014.        However, the only evidence in the

record concerning CURE's policy is a two-page "Summary of Coverage"

for   the   renewal   effective   March    2,   2014,   the   policy    period

following the subject accident.           The record does not contain a

copy of the CURE policy, the application for the initial policy

in 2010, or any of the renewal applications.            Nor does the record

contain any evidence of Pitt's alleged misrepresentations, only

the allegations contained in CURE's unverified pleadings.

      The record does include an affidavit from plaintiff that

Tyrone moved in with Pitt in June 2013.            Because CURE's policy

renewed on March 2, 2013 and the subject accident occurred on

January 31, 2014, Tyrone did not reside with Pitt at the time when

CURE's policy renewed.     In addition, because the judge in Cape May

County voided the policy for "failing to disclose all household

members as of the renewal of March 2, 2012," and Tyrone did not

move in with Pitt until June 2013, Tyrone's residence with Pitt

could not have constituted the misrepresentation that resulted in

the voiding of CURE's policy.

      CURE's primary argument on appeal is that an insurer has no

liability "to an additional unnamed insured seeking to recover

                                   12                                  A-3331-15T4
under the terms of a voided insurance contract," thereby implicitly

asserting that it has established "a voided insurance contract"

through the declaratory judgment action.       However, our cases

construing the Act "hold that recourse to the [Act] . . . will

settle the policy dispute as to the parties in court.            The

declaration when granted will not prejudice nonparties."   Constant

v. Pac. Nat'l Ins. Co., 
84 N.J. Super. 211, 221 (Law Div. 1964);

see also Condenser Serv. & Eng'g Co. v. Am. Mutual Liab. Ins. Co.,


45 N.J. Super. 31, 42 (App. Div. 1957); Weissbard v. Potter Drug

& Chem. Corp., 
6 N.J. Super. 451, 455 (Ch. Div. 1949), aff'd, 
4 N.J. 115 (1949). Moreover, CURE's position ignores 
N.J.S.A. 2A:16-

57, which specifically provides, "No declaratory judgment shall

prejudice the rights of persons not parties to the proceeding."

     The record on appeal fails to reflect what evidence CURE

submitted to the Cape May County judge to support the entry of the

order voiding Pitt's 2012 policy — the year before the relevant

policy period in the matter under review.     Nor does the record

contain any evidence that supports voiding Pitt's policy for any

policy period.   We are constrained to conclude the record lacks

any basis for this court to consider that the insurance policy




                               13                           A-3331-15T4
CURE issued to Pitt was or should be voided vis-à-vis plaintiff,

PLIGA, or AtlantiCare.4   We therefore affirm on that basis.

     Nevertheless, the motion judge addressed CURE's voided policy

argument and determined that CURE's rescission of its policy issued

to Pitt would not preclude plaintiff's recovery of PIP benefits.

We therefore add the following comments concerning CURE's argument

that the trial judge abused her discretion when she concluded

Tyrone was entitled to PIP benefits from CURE.

     The record indicates the motion judge carefully reviewed and

analyzed the equities and concluded they support molding the

rescission remedy to allow plaintiff to collect PIP benefits on

behalf of Tyrone's estate under CURE's voided policy.    The judge

found sufficient similarities to Lacroix to warrant a similar

outcome, noting it significant that Tyrone did not know of the

misrepresentations Pitt made to CURE, did not benefit from the

misrepresentations, and did not have input in procuring the policy.

We also cannot conclude that awarding PIP benefits here would


4
  In contrast, the record in LaCroix included an admission by the
named insured that he did not list his daughter on the policy
application "to secure lower premium payments." LaCroix, 
194 N.J.
at 519. The record also indicated the policy premium would have
increased by approximately $500 if the daughter's name had been
disclosed, making the "misrepresentation plainly material to the
insurer." Id. at 520.




                                14                          A-3331-15T4
encourage insurance fraud.     See LaCroix, 
194 N.J. at 526.     Thus,

even if the record had established a valid basis for voiding the

subject policy vis-à-vis plaintiff, PLIGA, or AtlantiCare, we

discern no basis to conclude the trial judge mistakenly exercised

her discretion in finding that "equity and precedent requires"

CURE to pay plaintiff PIP benefits.    See Perez, 
223 N.J. 151-52.

     Affirmed, and remanded.    We do not retain jurisdiction.




                                 15                            A-3331-15T4


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