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Ferrante v. N.J. Mfrs. Ins. Grp.
180 A.3d 1133
| N.J. | 2018
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Background

  • In 2006 Ferrante was injured in an accident caused by a tortfeasor whose liability policy limit was $100,000; Ferrante had $300,000 UIM coverage with NJM.
  • Ferrante sued the tortfeasor in 2008, proceeded to arbitration (award ~ $100,000), rejected the award, and demanded a trial de novo — all without notifying NJM or giving NJM a chance to exercise subrogation.
  • Ferrante rejected a $50,000 settlement offer, accepted a high–low agreement (floor $25,000; ceiling $100,000), and went to jury trial; jury returned larger awards but judgment was molded to $100,000 under the high–low agreement.
  • Ferrante waited until 2011 to send NJM a Longworth-type notice seeking UIM benefits and omitted the arbitration, the high–low agreement, and the completed trial; NJM only learned the full history in discovery years later.
  • The Law Division dismissed Ferrante’s UIM claim for failure to comply with notice rules; the Appellate Division reversed and remanded to determine whether NJM suffered prejudice; the Supreme Court granted review.
  • The Supreme Court reversed the Appellate Division and reinstated dismissal, holding Ferrante’s total failure to notify NJM (which extinguished NJM’s subrogation/intervention rights) precluded UIM recovery.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Does an insured’s complete failure to notify the UIM carrier of litigation against a tortfeasor bar UIM recovery? Ferrante: court should remand; carrier must prove prejudice before denial. NJM: total nondisclosure nullified carrier’s subrogation rights and bars coverage. Held: Complete nondisclosure that irretrievably destroys subrogation/intervention rights forfeits UIM coverage.
Is a prejudice inquiry required before denying UIM benefits for deficient notice? Ferrante: yes; prejudice must be shown and should be determined by trial court. NJM: where notice was completely withheld and subrogation rights destroyed, no prejudice inquiry is needed. Held: No prejudice inquiry necessary where insured never gave carrier any notice and carrier never had an opportunity to act; forfeiture is appropriate.
Does entering a high–low agreement or rejecting arbitration/settlement without notice waive or reduce UIM recovery? Ferrante: high–low was a legitimate risk-management device and did not waive UIM; insurer authorized settlement later. NJM: the high–low/agreement and secret litigation prevented NJM from intervening and exercising subrogation. Held: Ferrante’s secret high–low agreement and litigation eliminated NJM’s subrogation option and supports forfeiture.
Can insurer’s late invocation of Longworth/Vassas defenses be deemed waived? Ferrante: NJM waited to raise the defense until late and thus waived it. NJM: prejudice and loss of rights are clear despite timing of assertion. Held: Timing did not preclude NJM’s defense; the merits control where insurer’s subrogation/intervention rights were irretrievably lost.

Key Cases Cited

  • Zirger v. General Accident Ins. Co., 144 N.J. 327 (1996) (insured must notify carrier of suit against tortfeasor so carrier can intervene and preserve subrogation)
  • Rutgers Cas. Ins. Co. v. Vassas, 139 N.J. 163 (1995) (failure to notify carrier of suit and arbitration can bar UIM recovery)
  • Longworth v. Van Houten, 223 N.J. Super. 174 (App. Div. 1988) (insured must notify carrier of acceptable settlement offers so carrier may elect to pay and obtain subrogation)
  • Longobardi v. Chubb Ins. Co. of N.J., 121 N.J. 530 (1990) (insured’s post-loss duty of candor and prohibition on misrepresenting material facts)
Read the full case

Case Details

Case Name: Ferrante v. N.J. Mfrs. Ins. Grp.
Court Name: Supreme Court of New Jersey
Date Published: Apr 11, 2018
Citation: 180 A.3d 1133
Docket Number: A–87 September Term 2016; 078496
Court Abbreviation: N.J.