Summary
The Supreme Court of New Jersey held that future medical expenses falling within a claimant’s personal injury protection coverage limits are “collectible” under N.J.S.A. 39:6A-12 and therefore inadmissible in a personal injury action against a tortfeasor. The Court concluded that N.J.S.A. 39:6A-12 applies to PIP benefits available through the Unsatisfied Claim and Judgment Fund. Because the future expenses should have been excluded, the related damages and offer-of-judgment award were also properly removed.
Holdings
- N.J.S.A. 39:6A-12 applies to PIP benefits available through the Unsatisfied Claim and Judgment Fund because the UCJF statute uses 'personal injury protection' as a general term encompassing PIP benefits under the No-Fault Act.
- Future medical expense benefits that do not exceed a claimant's applicable PIP coverage limits are 'collectible' under N.J.S.A. 39:6A-12 and are inadmissible as damages in a personal-injury action against a tortfeasor.
- Because the projected future medical expenses were inadmissible, they had to be excluded from the damages award, and the additional costs and fees awarded under the offer-of-judgment rule also had to be excluded.
- The PIP statute of limitations does not strictly bar claims for reasonably expected future medical treatment when the insurer knew the injury would probably require that treatment; such claims must be brought within a reasonable time after rejection of a prompt claim for payment.
Questions Presented
- Whether N.J.S.A. 39:6A-12 applies to PIP benefits available through the Unsatisfied Claim and Judgment Fund.
- Whether projected future medical expenses that do not exceed the claimant's remaining PIP coverage limits are 'collectible' and therefore inadmissible in a personal-injury action against a tortfeasor.
- Whether the judgment and the additional costs and fees awarded under the offer-of-judgment rule had to be reduced or eliminated because the future-medical-expense award was based on inadmissible evidence.
- Whether the statute of limitations for PIP claims prevents a claimant from pursuing PIP benefits for reasonably expected future medical treatment.
Disposition
affirmed
Cases Cited (16)
- Wiggins v. Hackensack Meridian Health, 259 N.J. 562 (2025)(followed)
- DiProspero v. Penn, 183 N.J. 477 (2005)(followed)
- Savage v. Township of Neptune, 257 N.J. 204 (2024)(followed)
- Cherry Hill Manor Associates v. Faugno, 182 N.J. 64 (2004)(followed)
- Sanders v. Langemeier, 199 N.J. 366 (2009)(followed)
- Jimenez v. Baglieri, 152 N.J. 337 (1998)(followed)
- Unsatisfied Claim & Judgment Fund Board v. New Jersey Manufacturers Insurance Co., 138 N.J. 185 (1994)(followed)
- Caballero v. Martinez, 186 N.J. 548 (2006)(followed)
- Gambino v. Royal Globe Insurance Cos., 86 N.J. 100 (1981)(followed)
- Adams v. Cooper Hospital, 295 N.J. Super. 5 (App. Div. 1996)(followed)
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Cited In (0)
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Court Document
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