Weinisch v. Sawyer

Decision Date06 December 1989
Citation567 A.2d 259,237 N.J.Super. 195
PartiesBibi WEINISCH, a/k/a Bob Wayne, Plaintiff-Appellant, v. Thomas E. SAWYER and Allstate Insurance Co., Inc., Defendants-Respondents.
CourtNew Jersey Superior Court — Appellate Division

Christopher J. Hanlon, for appellant (Gross & Hanlon, attorneys; Christopher J. Hanlon, Freehold and Gary S. Bernstein, on the brief).

Robin Horn, for respondents (Saiber, Schlesinger, Satz & Goldstein, Newark, attorneys; James H. Aibel, on the brief).

Before Judges KING, SHEBELL and BAIME.

The opinion of the court was delivered by

SHEBELL, J.A.D.

We are called upon to review the propriety of a Law Division ruling, in a damage action requesting reformation of an insurance contract, that plaintiff was not entitled to a jury trial on any issue other than punitive damages. In his complaint, plaintiff Bibi Weinisch alleged that defendants Allstate Insurance Co., Inc. (Allstate) and its agent Thomas E. Sawyer (Sawyer) breached their duty to him by failing to advise him of the availability of higher underinsured motorist (UIM) coverage under his insurance contract. Plaintiff sought to reform the contract and also compensatory and punitive damages. The action against Allstate and its agent Sawyer alleged negligence breach of contract and breach of statutory duty. Defendants' answer denied the allegations and asserted that plaintiff had no right to a trial by jury.

Both parties filed motions for summary judgment and for in limine determinations. Defendant sought to strike plaintiff's jury demand on the one hand, and plaintiff attempted to limit defendants' introduction of plaintiff's failure to read informational material on the other. The motions for summary judgment were denied. The court struck plaintiff's request for a jury trial, except as to punitive damages. All other requests for in limine relief were denied. We denied plaintiff's motion for leave to appeal. A bench trial was held, after which the judge rendered an oral decision dismissing plaintiff's complaint. Plaintiff now appeals.

On May 25, 1984, plaintiff sustained injuries when his car was struck from the rear in Marlboro Township, New Jersey. Plaintiff filed suit against the negligent driver and settled with her insurance company for the policy limits of $100,000.

At the time of the accident, plaintiff had automobile liability coverage of $250,000/$500,000, with a $1,000,000 liability umbrella, but uninsured/underinsured motorist coverage (UM/UIM) of only $15,000/$30,000. Plaintiff alleged that defendants failed to advise him of the availability of optional UIM coverage of $250,000/$500,000 and that such failure was breach of a duty owed to him by defendants.

Plaintiff first purchased automobile insurance from Allstate in 1966, when New Jersey statutes and insurance regulations did not require carriers to offer uninsured or underinsured motorist coverage. See N.J.S.A. 17:28-1.1. In 1969, plaintiff instructed Sawyer to increase his bodily injury liability coverage to the highest available amount, $250,000/$500,000. From 1966 to 1983, plaintiff's policy was automatically renewed on a yearly basis. During that period, New Jersey law changed to require that every automobile liability policy issued or renewed in New Jersey contain a minimum statutory limit of uninsured motorist coverage, and in 1973 that coverage was included in all Allstate automobile policies. Underinsured motorist coverage became available to Allstate customers in 1980 when Allstate became a subscriber to the Insurance Services Office.

The primary factual dispute between the parties involved conflicting versions of what transpired in May 1984, after plaintiff had received a packet of documents sent to him by Allstate. Plaintiff asserted that he had contacted Sawyer by phone concerning the information in the documents and was told that if he did not want to reduce his coverages or lower his premiums, he could ignore the documents. Sawyer, he maintained, advised him to throw away the form and not worry about it, that Sawyer would take care of it. Plaintiff claimed he threw away the package of Allstate documents based upon Sawyer's advice.

Plaintiff made this call to Sawyer from his home in the presence of his wife. She testified that she witnessed her husband's phone call to Sawyer in May 1984. She knew plaintiff had phoned Sawyer to talk about the documents he had received in the mail. Plaintiff claimed he did not read the brochures provided by Allstate because he felt that he was paying high premiums for a lot of insurance coverage and felt that his agent would take care of his needs if there was any additional coverage that he needed.

Sawyer had no recollection of the May 1984 conversation with plaintiff. He testified that his usual and ordinary business practice at that time, when he was receiving 25-30 calls a day about the Allstate information packets, was that when a policyholder telephoned him he would answer any specific questions. When callers indicated that they did not understand a form, Sawyer would go over the entire form and explain the coverages or changes one by one. Sawyer asserted that had he received a call from plaintiff about the materials, he never would have advised him that the forms did not need to be filled out and returned, as Sawyer was aware that the documents informed insureds that they could buy increased limits of coverage, including bodily injury, liability and UIM coverage, as well as a variety of personal injury protection options.

Sawyer further stated that if a policyholder had uninsured or underinsured motorist limits that were less than the policyholder's liability coverage, he would recommend an increase to that level. Sawyer stated that had plaintiff called him he would have advised plaintiff to purchase higher limits: "I am certain he would have purchased it, had he called me and asked me about it." Plaintiff testified that he did not specifically ask Sawyer about increased limits of UIM coverage, because he assumed that he did not have to ask about any specific coverage since Sawyer would provide him with the best coverage available.

Effective January 1, 1984, New Jersey insurers were required to provide to all policyholders "a written notice identifying and containing a buyer's guide and coverage selection form." N.J.S.A. 39:6A-23. The purpose of the guide was to inform insureds about changes in the New Jersey automobile insurance laws and to describe mandatory and optional limits for all available coverages including the availability of higher limits of UM/UIM coverage. N.J.A.C. 11:3-15.1 to 11:3-15.8.

Roslyn Oliva testified for defendants as to Allstate's customary practice in mailing communications with their renewal packages to their insureds. Oliva testified that by May 1984 Allstate had assembled and mailed a written notice containing a Buyer's Guide and a coverage selection form to each of its insureds. Similar written notices regarding UM/UIM coverage were included in a May 1984 letter, a September 1984 renewal package and an April 1985 renewal package. Plaintiff purchased the higher limits of the UM/UIM coverage in April 1985.

The trial judge found that information concerning changes in coverage were made available to plaintiff on September 29, 1980. In 1982, plaintiff was mailed information describing the uninsured and underinsured motorist coverage, and was again notified on September 29, 1983, that additional underinsured motorist coverage was available. The trial judge also found as fact that Allstate complied with the legal requirements of informing insureds that they could increase the limits of their underinsured motorist coverage up to the bodily injury liability limits that they carried.

The judge noted that plaintiff did not deny receipt from Allstate of the informational material relating to the availability of underinsured motorist coverage, and characterized plaintiff as attempting to avoid the significance of the receipt of this information by alleging that Sawyer advised him to disregard it. He found plaintiff's testimony contrived, stating: "I do not believe plaintiff's testimony that he relied in any way on Sawyer as his insurance consultant to arrange for the best and highest coverage." He did not believe plaintiff's testimony that he thought Sawyer was taking care of his insurance needs or that plaintiff called Sawyer with respect to the mailings that he had received from Allstate in May 1984 and that Sawyer told him not to mail them back. The judge also found incredible plaintiff's wife's testimony.

The judge adopted as fact Sawyer's description of his usual practice of running up his client's name on a computer and advising the client as to the need for available coverage. He also found credible Sawyer's testimony that he would not choose limits of coverage for a client.

Since plaintiff failed to produce any testimony regarding Allstate's negligence as to the sufficiency of the mailings, the judge refused to find that the material was inadequate. The judge found the Allstate material mailed to insureds to be sufficient to alert them to the availability of increased underinsured motorist coverage. The judge concluded that plaintiff failed to prove by a preponderance of credible evidence that either Sawyer or Allstate itself was negligent. Thus, he dismissed the complaint and assessed costs of the suit against plaintiff.

I.

Plaintiff alleges that he was erroneously denied his right to a trial by jury in his action against defendants. We agree.

Under the New Jersey Constitution (1947), Art. I, par. 9, a litigant has the "right of trial by jury [which] shall remain inviolate...." This has been held to guarantee the right to a trial by jury as it existed at common law at the time the New Jersey Constitution was adopted. In re LiVolsi, 85 N.J. 576, 428 A.2d 1268 (1981); Manetti v. Prudential Property & Cas. Ins. Co., 196...

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    ...may be afforded by the Law Division judge if appropriate under the principles previously discussed. In Weinisch v. Sawyer, 237 N.J.Super. 195, 567 A.2d 259 (App.Div.1989), certif. granted --- N.J. ----, (1990), the court determined that plaintiff was entitled to a jury trial in an action ag......
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    ...remanded, holding that reformation was not plaintiff's sole remedy and that the underlying issues justified a jury trial. 237 N.J.Super. 195, 567 A.2d 259 (1989). We granted certification, 121 N.J. 658, 583 A.2d 345 (1990), and now reverse the judgment of the Appellate Division and reinstat......
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