Search Rutgers Law Library N.J. Court Opinions

31 Edward Zabilowicz v. Roslyne Kelsey -- rank: 749

... 28-1.1, and personal injury protection benefits pursuant to N.J.S.A. 39:6A-4 or N.J.S.A. 17:28-1.3. In ... the defendant/tortfeasor presumably was insured for PIP benefits under N.J.S.A. 39:6A-4. We medical bills will be paid to the extent of ... owner, registrant, operator or occupant of an automobile to which [N.J.S.A. 39:6A-4], personal injury protection coverage, [N.J.S.A. 39:6A ... is required to maintain personal injury protection coverage pursuant to [N.J.S.A. 39:6A-4], medical expense benefits pursuant to [N.J.S.A. 39 ... a person who has a right to receive benefits under [N.J.S.A. 39:6A-4], [ N.J.S.A. 39:6A-3.1, -3.3 ... injury within one of the six categories set forth in N.J.S.A. 39:6A-4, 'basic,' N.J.S.A. 39:6A-3.3, ...

docket:	a-87-08
court:	supreme
decided:	2009-12-17
status:
citation:	200 N.J. 507 984 A.2d 872
Document Size:	25378

32 GERARD NORTESANO v. DAVID TORRES-ROMERO -- rank: 735

... fault law exempts holders of PIP policies, as required by N.J.S.A. 39:6A-4, from tort liability for non-economic harm unless the verbal ... or disfigurement. [ N.J.S.A. 39:6A-8.] Together N.J.S.A. 39:6A-4 and N.J.S.A. 39:6A-8 assure prompt ... owner, registrant, operator or occupant of an automobile" who, under N.J.S.A. 39:6A-4, is entitled to receive no-fault PIP benefits. Id. at ... plaintiff must be a person who is: (a) "subject to" N.J.S.A. 39:6A-4, or (ii) has a right to receive PIP benefits under N.J.S.A. 39:6A-4. Ibid. As to the former, a plaintiff is "subject to ... of an automobile registered or principally garaged" in New Jersey. N.J.S.A. 39:6A-4. See also Beaugard , supra , 281 N.J. Super. at ...

docket:	A0521-05
court:	NJ Superior Court Appellate Division
decided:	2006-12-04
status:	unpublished
citation:
Document Size:	43924

33 ANGELA BURLEY v. ERIK LARSEN -- rank: 735

... see also Agha , supra , 198 N.J. at 60-61; N.J.S.A. 39:6A-4.7; N.J.A.C. 11:3-4.5. The ... a level of general acceptance by the relevant provider community."   N.J.S.A. 39:6A-4.7. All testing must be "rendered in accordance with commonly ... protocols and professional standards and practices which are commonly accepted."   N.J.S.A. 39:6A-4. Injections are not on the list of valid diagnostic tests ...

docket:	a1864-15
court:	NJ Superior Court Appellate Division
decided:	2017-04-24
status:	unpublished
citation:
Document Size:	36491

34 Sofia T. Torres v. Javier Pabon -- rank: 730

... or paid under a standard automobile insurance policy pursuant to [ N.J.S.A. 39:6A-4, -10] . . . to an injured person, including the amounts of any deductibles, copayments or exclusions, including exclusions pursuant to [ N.J.S.A. 39:6A-4.3], otherwise compensated.ā€¯ N.J.S.A. 39:6A ... coverage payable under a standard automobile insurance policy pursuant to [ N.J.S.A. 39:6A-4, -10]. . . . Nothing in this section shall be construed to limit ...

docket:	A-116-13
court:	NJ Supreme Court
decided:	2016-06-01
status:
citation:	225 N.J. 167 137 A.3d 502
Document Size:	92686

35 DANA M. WARNIG v. ATLANTIC COUNTY SPECIAL SERVICES, et al. -- rank: 726

... an automobile policy do not fall within the purview of N.J.S.A. 39:6A-4 or N.J.S.A. 39:6A-10. Ingersoll , supra ... of PIP benefits subject to the anti-stacking provision of N.J.S.A. 39:6A-4.2. Id. at 238.          The Court rejected Aetna's argument ... medical expense, or med-pay benefits, are not subject to N.J.S.A. 39:6A-4.2, the anti-stacking provision. The Court explained the system ... an automobile policy does not fall within the purview of N.J.S.A. 39:6A-4 or 351 N.J. Super. 160, 175 (App. Div. 2002 ...

docket:	a6671-01
court:	njappellate
decided:	2003-10-27
status:	published
citation:	363 N.J. Super. 563
Document Size:	26522

36 DAVID GOYCO v. PROGRESSIVE INSURANCE COMPANY -- rank: 723

... The policy provided No-Fault Benefits Coverage ('NFBC') pursuant to N.J.S.A. 39:6A-4.2 On November 22, 2021, plaintiff filed a claim with ... Law. Therefore, New Jersey No-Fault benefits are denied. 2 N.J.S.A. 39:6A-4, 'Personal injury protection coverage, regardless of fault,' provides the following ... an automobile, or as a pedestrian, caused by an automobile. . . . [N.J.S.A. 39:6A-4.] A-3471-21 3 Furthermore, pursuant to N.J.S ... 6A-2(h), et. seq. Further, the No-Fault Statute, N.J.S.A. 39:6A- 4 contains zero reference to 'bicycles,' but rather defines what constitutes ... nature of the definition of a 'pedestrian' in accordance with N.J.S.A. 39:6A-4 clearly has no application to [an LSES]. Further, as noted ... Plaintiff is not entitled to recovery of PIP benefits under N.J.S.A. 39:6A-4 since he does not qualify under any of the ...

docket:	a3471-21
court:	NJ Superior Court Appellate Division
decided:	2023-07-05
status:	Unpublished
citation:
Document Size:	17580

37 STATE FARM INDEMNITY COMPANY v. NATIONAL LIABILITY & FIRE INSURANCE COMPANY -- rank: 721

... person, the maximum amount payable shall be as specified in [ N.J.S.A. 39:6A-4 and 39:6A-10], [ N.J.S.A. 39:6A ... of a family member with whom he resided. 2 See N.J.S.A. 39:6A-4, -4.2. According to State Farm, William was a resident ...

docket:	a5972-13
court:	NJ Superior Court Appellate Division
decided:	2015-03-04
status:	published
citation:	439 N.J.Super. 532 110 A.3d 132
Document Size:	24604

38 ASHOK A. MODY v. GERALDINE BROOKS et al. -- rank: 721

... 1 to -35. (No Fault Act or "Act"), in particular N.J.S.A. 39:6A-4.5, which provides:         Failure to maintain required medical expense coverage ... Law , supra , at § 4:3-8. In particular, AICRA amended N.J.S.A. 39:6A-4.5. Monroe v. City of Paterson , 318 N.J. Super ... expense benefits, and recoveries for bodily injuries. The language of N.J.S.A. 39:6A-4.5 is to impose a disability on those persons who did not maintain PIP benefits as required by N.J.S.A. 39:6A-4, namely, a bar to their being compensated for their bodily ... accidents") (emphasis added); Hoglin , supra , 144 N.J. at 481 (" N.J.S.A. 39:6A-4 requires that all PIP endorsements provide personal injury protection coverage ... an uninsured motorist claim for her alleged personal injuries under N.J.S.A. 39:6A-4.5).     The trial court focused on the definition of " ...

docket:	a5002-99
court:	njappellate
decided:	2001-04-16
status:	published
citation:	339 N.J. Super. 392
Document Size:	23199

39 ELIZABETH LOPEZ-NEGRON v. PROGRESSIVE CASUALTY INSURANCE COMPANY -- rank: 716

... the primary payer of Personal Injury Protection ("PIP") benefits. See N.J.S.A. 39:6A-4.3(d). This option is commonly referred to as a ... payers for injuries sustained by policyholders in motor vehicle accidents. N.J.S.A. 39:6A-4.3(d). As the Law Division motion judge correctly noted ... plaintiff's Coverage Selection Form ("CSF"), a form required by N.J.S.A. 39:6A-4.3(f) and N.J.A.C. 11:3-15 ... the pop-up. The motion judge found it significant that N.J.S.A. 39:6A-4.3(f) provides a remedy for a situation when a ... law and additional deductible in the amount of $750." (quoting N.J.S.A. 39:6A-4.3(f)). The judge disagreed with plaintiff's contention that ... insurance before issuing a health-first policy. He ruled that N.J.S.A. 39:6A-4.3(f) places the burden on the applicant, not ...

docket:	a1632-15
court:	NJ Superior Court Appellate Division
decided:	2017-03-06
status:	unpublished
citation:
Document Size:	103021

40 Rutgers Casualty Insurance Company v. The Ohio Casualty Insurance Company -- rank: 714

... to contribution from other insurance carriers that are required by N.J.S.A. 39:6A-4 to provide coverage.     This appeal is based on ten consolidated ... judgment. Rutgers maintained that it was entitled to contribution under N.J.S.A. 39:6A-4, the company that pays the victim is entitled to recover ... HELD: Once an injured party is paid PIP benefits under N.J.S.A. 39:6A-4.2, a “follow-the-family” exclusion operates to preclude contribution ... to contribution from other insurance carriers that are required by N.J.S.A. 39:6A-4 to provide coverage. The appeal is based on ten consolidated ... person was eligible to receive PIP benefits from Rutgers. See N.J.S.A. 39:6A-4. In addition, because each victim was injured while he or ... receive PIP benefits from the company that insured the automobile. N.J.S.A. 39:6A-4. Because named insureds and their resident relatives, i.e. , ...

docket:	a-89-97
court:	njsupreme
decided:	1998-04-20
status:
citation:	153 N.J. 205
Document Size:	28218

41 STATE FARM MUTUAL AUTOMOBILE INSURANCE CO. VS EILEEN CROCKER -- rank: 711

... 17:28-1.1], and [PIP] benefits coverage pursuant to [ N.J.S.A. 39:6A-4 or 17:28-1.3], whenever the automobile or motor ... in New Jersey to provide "[PIP] benefits coverage pursuant to [ N.J.S.A. 39:6A-4]." N.J.S.A. 39:6A-4 contains a menu of specific, compulsory payments to be made ... e.g. , N.J.S.A. 39:6A-2 (definitions); N.J.S.A. 39:6A-4.6 (medical fee schedules); N.J.S.A. 39:6A ...

docket:	a3686-94
court:	njappellate
decided:	1996-03-08
status:	published
citation:	288 N.J.Super. 250
Document Size:	18572

42 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 709

... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its ...

docket:	a1038-12
court:	NJ Superior Court Appellate Division
decided:	2015-03-31
status:	published
citation:
Document Size:	53853

43 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 709

... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its ...

docket:	a1636-12
court:	NJ Superior Court Appellate Division
decided:	2015-03-31
status:	published
citation:
Document Size:	53853

44 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE -- rank: 709

... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its ...

docket:	a1445-12
court:	NJ Superior Court Appellate Division
decided:	2015-03-31
status:	published
citation:
Document Size:	53853

45 NEW JERSEY HEALTHCARE COALITION v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE NEW JERSEY COALITION FOR QUALITY HEALTHCARE v. NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE NEW JERSEY ASSOCIATION FOR JUSTICE v. NEW JERSEY DEPARTMENT OF BA -- rank: 709

... revised regulations. The most enduring subject of dispute has been N.J.S.A. 39:6A-4.6, which authorizes the Department to adopt, for providers of ... authorizes the Department to use proprietary databases in setting rates. N.J.S.A. 39:6A-4.6(a); In re Adoption of N.J.A.C ... and proportional reductions in the cost of the additional procedures. [ N.J.S.A. 39:6A-4.6(b).] The Department adopted that approach based on its ...

docket:	a1792-12
court:	NJ Superior Court Appellate Division
decided:	2015-03-31
status:	published
citation:	440 N.J.Super. 129 111 A.3d 716
Document Size:	54194