Citizens United Reciprocal Exchange v. Perez
121 A.3d 374
N.J.2015Background
- In March 2010 Sabrina Perez applied for a basic New Jersey auto policy from Citizens United Reciprocal Exchange (CURE) and elected the optional $10,000 third‑party bodily injury liability limit. She failed to disclose household resident Luis Machuca, whose driving record would have caused CURE to decline issuance.
- CURE issued a policy effective March 23, 2010. On April 21, 2010 Machuca drove Perez’s car and injured Dexter Green in an accident; Green filed a claim under Perez’s policy.
- CURE rescinded the policy for material misrepresentation (failure to list Machuca) and denied Green’s claim, then sued for a declaratory judgment that it had no obligation to cover any claims arising from the accident.
- The trial court found rescission proper as to Perez and Machuca, but held an innocent third party (Green) was entitled to coverage and awarded $15,000 per person / $30,000 per accident, relying on Varjabedian and Marotta.
- The Appellate Division affirmed in a split decision (majority awarding $15,000; dissent would have awarded $10,000, the contract limit). The Supreme Court granted certification.
- The New Jersey Supreme Court reversed the Appellate Division and held CURE liable to Green only for the $10,000 optional limit Perez purchased; if an insured did not elect the optional $10,000, innocent third parties receive nothing under a voided basic policy.
Issues
| Issue | Plaintiff's Argument (CURE) | Defendant's Argument (Green/Progressive) | Held |
|---|---|---|---|
| 1) May insurer rescind a policy for materially fraudulent application answers? | Yes — Perez’s omission of Machuca was material and justified rescission. | No meaningful dispute — third parties may still claim despite rescission. | Rescission for material misrepresentation permitted; insurer may revoke policy as to insured. |
| 2) If policy is rescinded, are innocent third parties entitled to recover? | Insurer argued it should not be liable for third parties if basic policy mandates no minimum liability. | Third parties argued precedent requires protection of innocent claimants despite rescission. | Innocent third parties remain entitled to recover under established NJ precedent. |
| 3) If entitled, what is the correct recovery amount under a voided basic policy? | CURE: either nothing (because AICRA basic policy mandates no minimum) or at most the contract limit ($10,000). | Green: $15,000/$30,000 statutory minimum should apply despite AICRA. | Where insured purchased the optional $10,000, insurer owes that $10,000; Varjabedian’s $15,000 rule for standard policies does not apply to basic policies. |
| 4) If insured did not elect optional coverage, does insurer owe any third‑party bodily injury coverage after rescission? | Insurer: owe nothing. | Third party: argued compulsory minimum still applies. | If insured did not elect the optional $10,000 under the basic policy, insurer is not liable to innocent third parties under that contract. |
Key Cases Cited
- New Jersey Mfrs. Ins. Co. v. Varjabedian, 391 N.J. Super. 253 (App. Div.) (held rescinded standard policies should be molded to $15,000/$30,000 compulsory limits)
- Marotta v. N.J. Auto. Full Ins. Underwriting Ass’n, 280 N.J. Super. 525 (App. Div.), aff’d, 144 N.J. 325 (1996) (third parties protected despite insurer’s rescission under pre‑AICRA law)
- LaCroix v. Rutgers Cas. Ins. Co., 194 N.J. 515 (2008) (innocent third‑party claims evaluated as if application had been honest; fraud should not enhance recovery)
- Bastien v. Palisades Safety & Ins. Ass’n, 175 N.J. 144 (2003) (policy rescission permitted for material misrepresentation; protects incentive to be truthful)
- Proformance Ins. Co. v. Jones, 185 N.J. 406 (2005) (reinforces that rescission does not automatically eliminate third‑party PIP/coverage claims)
