PIP reimbursement trumps
recovery for injured party
Wednesday, August 13, 2008 Filed in:
Personal
Injury|
Insurance|
New
Jersey
In a case decided August 12, 2008, the Appellate
Division held that where a personal injury protection
benefits insurer has paid benefits to its inured, it
is entitled to reimbursement of those benefits from
the insurance proceeds of a third-party tortfeasor
pursuant to N.J.S.A. 39:6A-9.1, even if the limits of
the tortfeasor's insurance policy are insufficient to
make the insured whole. In Fernandez v. Nationwide
Mutual Fire Insurance Company, which is approved for
publication, the court resolved a perceived conflict
between two prior opinions on this topic.
Specifically, the court found that IFA Ins. Co. v.
Waitt -- often relied upon by injured parties for the
proposition that their recovery preempts a PIP
carrier's reimbursement action -- holds only that
recovery cannot be had against the tortfeasor's
liability insurer for more than its policy limits.
The court further held that Knox v. Lincoln General
Ins. Co. controlled and requires that the PIP carrier
take priority over the injured party in recovering
from the tortfeasor.
As a practical matter, this case should be cited by
any PIP carrier seeking reimbursement for payments,
especially when there is resistance on the basis that
there is a pending personal injury case. The
Appellate Division has made clear that there is no
reason for a PIP reimbursement arbitration to await
the outcome of the underlying tort case.