VINCENT LAROSA VS. ALLSTATE NEW JERSEY INSURANCE COMPANY (L-1201-18, OCEAN COUNTY AND STATEWIDE)
A-1192-18
| N.J. Super. Ct. App. Div. | Jul 30, 2021Background
- On September 5, 2015 LaRosa suffered a motorboat loss and filed a claim on September 8, 2015.
- Allstate denied coverage on October 30, 2015 and explained an internal appeals process that would yield a panel decision within 10 business days.
- LaRosa says he submitted an internal appeal by letter dated November 18, 2015; Allstate has no record of receiving any appeal.
- LaRosa filed suit on May 15, 2018 (983 days after the loss), well beyond the policy's one‑year suit‑limitation clause.
- Allstate moved to dismiss based on the policy's one‑year limitation; the trial court dismissed with prejudice and denied reconsideration; the Appellate Division affirmed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Enforceability of one‑year suit limitation (contract of adhesion) | LaRosa: policy is a contract of adhesion; one‑year cutdown from six years is unconscionable and unenforceable | Allstate: suit‑limitation clauses are common, reasonable, and enforceable | Court: clause is reasonable and enforceable; not an unconscionable adhesion contract |
| Reasonable expectations / notice | LaRosa: ordinary insured would expect six‑year statute; he was not aware the policy shortened it | Allstate: insured is bound by clear, unambiguous policy language; failure to read it is not excusable | Court: policy unambiguously required suit within one year; reasonable‑expectations doctrine does not override clear terms |
| Tolling by internal appeal | LaRosa: internal appeal (filed Nov. 18, 2015) tolled the one‑year filing period because Allstate never issued a decision | Allstate: has no record of receipt; even if appeal was filed, internal appeal does not toll the policy period | Court: pendency of internal appeal does not toll the policy's suit‑limitation period; claim time still expired |
Key Cases Cited
- Peloso v. Hartford Fire Ins. Co., 56 N.J. 514 (1970) (upheld enforcement of insurance policy suit‑limitation clause)
- Kievit v. Loyal Protective Life Ins. Co., 34 N.J. 475 (1961) (articulated reasonable‑expectations doctrine for insurance policy interpretation)
- Matos v. Farmers Mut. Fire Ins. Co., 399 N.J. Super. 219 (App. Div. 2008) (internal appeal does not toll policy suit‑limitation period)
- Stelluti v. Casapenn Enters., LLC, 203 N.J. 286 (2010) (signed written contracts presumed understood and binding)
- Wear v. Selective Ins. Co., 455 N.J. Super. 440 (App. Div. 2018) (insurance‑policy interpretation reviewed de novo; plain meaning controls)
- Nav‑Its, Inc. v. Selective Ins. Co., 183 N.J. 110 (2005) (courts construe policy language according to ordinary meaning)
