Mahima Joishy v. Chubb Insurance Company of New Jersey - Insurance Coverage Dispute
Summary
The New Jersey Superior Court Appellate Division affirmed a jury's finding of no cause of action for Mahima Joishy against Chubb Insurance Company of New Jersey. The court also affirmed prior orders denying summary judgment and reconsideration motions for both parties.
What changed
The New Jersey Superior Court Appellate Division has affirmed a lower court's decision in the case of Mahima Joishy v. Chubb Insurance Company of New Jersey, docket number A-1843-24. The appellate court upheld the jury's verdict of no cause of action for the plaintiff regarding her insurance coverage claims and affirmed the denial of various summary judgment and reconsideration motions filed by both parties. The decision also addressed a motion in limine concerning the plaintiff's failure to secure an expert witness for additional living expenses.
This ruling means the original judgment in favor of Chubb Insurance Company stands. For legal professionals and insurers, this case highlights the importance of proper expert witness engagement in insurance coverage disputes and the appellate court's deference to lower court decisions when not clearly erroneous. No new compliance actions are required for regulated entities based on this specific appellate decision, as it pertains to a concluded case.
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March 18, 2026 Get Citation Alerts Download PDF Add Note
Mahima Joishy v. Chubb Insurance Company of New Jersey
New Jersey Superior Court Appellate Division
- Citations: None known
- Docket Number: A-1843-24
Precedential Status: Non-Precedential
Combined Opinion
NOT FOR PUBLICATION WITHOUT THE
APPROVAL OF THE APPELLATE DIVISION
This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the
internet, this opinion is binding only on the parties in the case and its use in other cases is limited . R. 1:36-3.
SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-1843-24
MAHIMA JOISHY,
Plaintiff-Appellant/
Cross-Respondent,
v.
CHUBB INSURANCE COMPANY
OF NEW JERSEY,
Defendant-Respondent/
Cross-Appellant,
and
FEDERAL INSURANCE
COMPANY, INC., CHUBB INA
HOLDINGS INC., CHUBB GROUP
HOLDINGS INC., CHUBB
LIMITED, PETRA
CONSTRUCTION &
MANAGEMENT LLC, and
ALEXANDER DUQUE, a/k/a
ALEXANDER DUQUE-SALAZAR,
Defendants-Respondents.
Argued March 5, 2026 – Decided March 18, 2026
Before Judges Mawla, Marczyk, and Bishop-
Thompson.
On appeal from the Superior Court of New Jersey, Law
Division, Hudson County, Docket No. L-0597-20.
Gene Markin argued the cause for appellant/cross-
respondent (Stark & Stark PC, attorneys; Gene Markin,
of counsel and on the briefs).
Thomas A. Morrone argued the cause for
respondent/cross-appellant (Chasan Lamparello
Mallon & Cappuzzo, PC, attorneys; Thomas A.
Morrone and John V. Mallon, of counsel and on the
briefs; Thomas R. Lloyd, on the briefs).
PER CURIAM
A jury found plaintiff Mahima Joishy had no cause of action against
defendant Chubb Insurance Company of New Jersey regarding her insurance
coverage claims, resulting in the entry of judgment in defendant's favor on
February 7, 2025. Plaintiff appeals from March 17, 2022 orders, which denied
her cross-motion for summary judgment, and a May 2, 2022 order denying her
subsequent motion for reconsideration. Defendant cross-appeals from: a March
17, 2022 order denying its motion for summary judgment; a May 2, 2022 order
denying its motion for reconsideration; and a November 9, 2023 order denying
its motion in limine related to plaintiff's failure to secure an expert to prove her
claim for additional living expenses. We affirm.
A-1843-24
2
Around 2011, plaintiff purchased a homeowner's insurance policy from
defendant to insure her condominium, which she renewed in subsequent years.
Her 2014-2015 policy had various coverage limits, including $56,000 for
replacement of her home's contents; $10,000 for mold remediation; and
$229,700 for additions and alterations. The additions and alterations provision
was explained under a section entitled "Extra Coverages," and reads, in part, as
follows:
Additions and alterations
This coverage is in effect only if an amount of coverage
greater than zero is shown in the [c]overage [s]ummary
for your [a]dditions and alterations.
We cover your building additions, alterations, fixtures,
improvements, installations or items of real property
that are part of your unit as defined in the [m]aster
[d]eed. This includes breakage of glass or safety
glazing material in the building, or a storm door or
window. We also cover any other structure on the
condominium property that is:
• owned by you; or
• available for your exclusive use and which you are
required to insure.
For a covered loss to these items, we will pay up to the
amount of coverage shown in the [c]overage [s]ummary
for [a]dditions and alterations.
Also located under Extra Coverages was a provision entitled "Additional
living expenses," which, in part, provides:
A-1843-24
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As described below, under certain conditions when
your condominium unit cannot be lived in because of a
covered loss to your condominium unit or, if
applicable, its contents, we provide coverage for
additional living expenses which consists of extra
living expenses, loss of fair rental value and forced
evacuation expenses. There is no deductible for this
coverage.
Extra living expenses. If a covered loss makes your
condominium unit uninhabitable, we cover the
reasonable increase in your normal living expenses that
is necessary to maintain your household's usual
standard of living, including the kenneling of domestic
animals not primarily owned or kept for business use.
We cover this increase for the reasonable amount of
time required to restore your condominium unit to a
habitable condition, or if you or members of your
household permanently relocate, the shortest amount of
time required to settle elsewhere. However, if you are
constructing additions, alterations, or renovations to
your condominium unit at the time of a covered loss,
we only cover the increase in your normal living
expenses incurred by you for the reasonable amount of
time required to restore the condominium unit to the
condition it was in prior to the covered loss. This
period of time is not limited by the expiration of this
policy.
Plaintiff's 2015-2016 renewal contained the same extra living expenses
provision, but also stated a covered loss is covered up to the earlier of "the
reasonable amount of time required to restore the condominium unit to a
habitable condition" or "two years from the date of loss, or a later date if agreed
to by us."
A-1843-24
4
The policy contained a "Rebuilding to code" provision, also listed under
Extra Coverages, which, in part, read:
After a covered loss to covered property, we cover the
necessary cost of conforming to any law or ordinance
that requires or regulates:
• the repair, replacement, or rebuilding of the damaged
portion of your additions and alterations made
necessary by the covered loss;
• the demolition, replacement, or rebuilding of the
undamaged portion of your additions and alterations
necessary to complete the repair, replacement, or
rebuilding of the damaged portion of your additions
and alterations; or
• the demolition of the undamaged portion of your
additions and alterations when your condominium
unit must be totally demolished.
On June 15, 2015, a broken pipe caused water damage to plaintiff's
condominium, which rendered it uninhabitable. Defendant concluded the loss
was covered under plaintiff's 2014-2015 renewal policy but also honored the
modified extra living expenses language contained in the 2015-2016 renewal.
During the summer of 2015, defendant paid for rental furniture for
plaintiff since some of her furniture was damaged. Plaintiff also hired a mold
remediation company in September 2015, which defendant agreed to pay for in
November 2015.
Plaintiff contacted construction companies in early 2016. In April 2016,
the condominium association passed a resolution requiring all units to "replace
A-1843-24
5
the plastic toilet supply lines." During this time, the mold remediation company
discovered asbestos. In June 2016, defendant contacted the condominium
association requesting clearance to begin work on the rebuild. Defendant
declined to renew plaintiff's policy around October 2016. On December 16,
2016, defendant agreed to extend the extra living expenses coverage to June
2017.
In early 2017, plaintiff met with at least two construction contractors.
Defendant notified plaintiff that its estimate of $39,486.36 for the reconstruction
was sufficient, but it would have a claims adjuster meet with plaintiff's
contractor to review issues pertaining to the scope of the rebuild.
Plaintiff retained an architect approved by defendant to draft and submit
rebuild plans to the condominium association in February 2017, as required by
the association's bylaws. On February 24, 2017, defendant notified plaintiff the
full scope of damages was estimated at $82,451, and the architect's proposal
recommended many alterations unrelated to the loss, which were not covered.
The architect submitted his plans to the association and began to solicit
contractors' bids between March and May 2017. He recommended Petra
Construction & Management for the reconstruction. Petra agreed to a scope of
work with defendant in June 2017. Following an inspection with defendant 's
A-1843-24
6
representative, Petra claimed defendant agreed additional work was needed
because of "code compliance and current site conditions."
Plaintiff and the association argued over certain aspects of the design. In
January 2018, the association approved the rebuild plans, and Petra began
construction. The work was to be completed by May 9, 2018.
In February 2018, Petra paused work because it found asbestos. The
association refused to cover the asbestos remediation. In June 2018, defendant
approved an asbestos remediator, who completed the remediation in August
- Afterwards, Petra informed defendant it needed additional funds due to
wall damage caused by the asbestos remediator.
Plaintiff and Petra signed an amended contract in September 2018.
Defendant disbursed some funds but found the remainder of the amounts sought
were excessive and beyond plaintiff's policy coverage limit. In October 2018,
defendant notified plaintiff her additions and alterations coverage limit was
exhausted and issued her a final payment. Around December 2018, defendant
advised plaintiff it would stop paying her extra living expenses because the
rebuild should have been completed by then. Defendant inspected the work
done between October and December 2018, and informed plaintiff that Petra
A-1843-24
7
was not completing the work as required by the contract. As a result, defendant
refused to pay Petra additional funds, and Petra halted work.
In early 2019, defendant's representative met with the architect and Petra
to discuss the reasons for the reconstruction delay, which Petra blamed on cost
increases. Defendant also made two past-due rent payments for plaintiff's
temporary housing. In January 2019, defendant hired its own construction
expert who prepared a report showing the rebuild should have been completed
within four months of its initiation. As a result, defendant refused to provide
further coverage. It noted plaintiff's coverage limits were exhausted and the
extra living expenses coverage was met since it voluntarily paid them for two
years after plaintiff's loss. Plaintiff constructed her own timeline to highlight
what she perceived as defendant's delays and to show her efforts to ensure the
condominium was rebuilt. In August 2019, defendant provided a statement of
loss, showing it paid $580,343.06 on the claim.
In February 2020, plaintiff sued defendant alleging: breach of contract;
breach of the implied covenant of good faith and fair dealing; bad faith; and
breach of fiduciary duty. During discovery, plaintiff, two of defendant's claims
adjusters, and the architect were deposed.
A-1843-24
8
Each party moved for summary judgment. Their motions were denied on
October 30, 2020. The court found there were genuine issues of material fact
regarding "whether . . . [p]laintiff [wa]s entitled to further payments."
In June 2021, the architect provided a letter to plaintiff detailing the
deficiencies in Petra's work. The letter indicated while the demolition and
framing job were seventy percent complete, the overall job was incomplete.
Plaintiff was deposed in August 2021. She explained the condition of the
condominium had not substantially changed since January 2019. The mold
remediation company she hired demolished all the walls and removed any mold
it discovered. Plaintiff met with several contractors to determine what the
rebuild would cost. She noted, initially, defendant and one of the contractors
could not agree on the scope or cost of the rebuild.
Plaintiff testified mold was found in a wall cavity, which was a problem
throughout the condominium complex and resulted in the association hiring a
contractor to clean out those areas. The association notified defendant the issue
was unrelated to the loss.
Plaintiff acknowledged defendant had disbursed $37,000 to her in 2015.
Although she had no construction experience, she learned from a friend who was
a contractor the sums defendant offered to pay for the loss were inadequate.
A-1843-24
9
Plaintiff testified defendant's refusal to renew the policy in 2016 was
improper and created a hardship. Although she believed a contractor other than
the one approved by defendant would have successfully completed the job, she
acknowledged defendant did not limit her choice of contractors she could hire.
She also acknowledged defendant continued to cover her living expenses
following the non-renewal.
Plaintiff delegated the hiring of the contractor to her architect and later
met with Petra's owner once defendant and Petra had agreed on a scope of work.
She testified although Petra was hired in the summer of 2017, it did not begin
the rebuild until January 2018. Plaintiff blamed the condominium association
for the delay. She conceded defendant agreed to pay for the asbestos removal.
Although defendant alerted plaintiff she had exhausted her additions and
alterations coverage after it paid her an additional $11,000 for Petra's work,
plaintiff disputed the coverage was exhausted and claimed other coverage
clauses should have been applied. She claimed she never agreed to an extension
of the living expenses provision in 2018 because there was no mutual assent.
In January 2019, plaintiff met with a contractor who said it would
complete the work for $200,000. Plaintiff claimed the policy did not have firm
limits on the amount of coverage and defendant could transfer coverage limits
A-1843-24
10
between the provisions. Therefore, it did not matter that the additions and
alterations coverage limit was $229,700. Although plaintiff agreed the policy
contained monetary limits, she contended, "the reasonable expectation [of an
insured] would be that . . . [defendant would] cover [her] damaged [property]
fully for the true value."
Plaintiff testified the rebuilding-to-code provision meant all
reconstruction had to be to code, and since the condominium was not rebuilt,
defendant had not satisfied the policy requirements. The amount of time
required for payment under the additional living expenses coverage was
however long it took to rebuild her condominium. Plaintiff had no personal
knowledge of the work performed by Petra.
As noted, two claims adjusters were also deposed. The first adjuster had
thirty years of experience and took over the claim in 2019 from another adjuster
who had retired, to help resolve it. He believed the twenty-one months allocated
for reconstruction were beyond what was necessary. Plaintiff's policy contained
limits based on the terms of the coverages, and even those that did not have a
monetary limit were limited based on the period of restoration. He testified
defendant worked hard to resolve the claim, but plaintiff's contractors "hindered
the possibility of completing the project."
A-1843-24
11
The second adjuster testified plaintiff's property was not habitable when
he visited it. He explained plaintiff's policy did not contain an aggregate
monetary limit and once the limit on a specific policy provision was reached
there could be no further payouts. The policy did not define what a reasonable
amount of time to complete the rebuild was, but in practice it would be an
amount of time decided on between the contractor and defendant. Plaintiff's
additional living expenses coverage was terminated based on defendant's
estimation of the reasonable amount of time it should have taken to complete
the rebuild. The adjuster testified defendant acted reasonably as evidenced by
its efforts to work with contractors and the extensions it granted plaintiff after
various delays occurred.
The architect was deposed in October 2021. He explained the decision to
hire Petra was his and plaintiff's. He recounted his meeting with defendant and
Petra in 2019 to discuss the "progress or lack of progress" on the project. During
this time, he was "brought on as a consultant architect . . . to advise and
determine what[ wa]s going on." He did not independently determine what the
work would cost and based his opinion on plaintiff's contract with Petra and the
amount of work left to be paid for. The architect conceded he did not review
the contract in 2018 or 2019.
A-1843-24
12
The architect explained there was a change in the building code regarding
electrical issues since the condominium was originally built. He did not know
if any electrical work had been performed on the condominium when he
inspected it in 2021. There were also changes made to the lighting and HVAC
during the rebuilding process, but he was unsure whether they related to the
broken pipe. He opined Petra's work did not comply with the code because the
repair work had not yet been completed. The architect conceded he was not a
professional estimator of construction projects.
Defendant retained an expert who prepared a report on what a reasonable
amount of time for additional living expenses would be as of October 5, 2021.
He opined a twenty-one-month timeframe was sufficient to remediate the mold,
complete the rebuild, and pay plaintiff's additional expenses. The expert stated
the asbestos would have easily been identified by an experienced contractor, and
Petra's two-and-one-half-year delay in noticing the asbestos was "inexplicable."
Defendant's extension of coverage for forty-three months "vastly exceed[ed] any
reasonable timeframe to repair th[e] single bedroom condo[minium]."
Discovery concluded in January 2022. Each party again moved for
summary judgment.
A-1843-24
13
Defendant argued the policy language regarding the coverage limits was
clear and it had fully compensated plaintiff. The coverage under the additional
living expenses provision was not indefinite and was intended to last for a
reasonable amount of time. Also, plaintiff failed to retain an expert to opine on
this issue while defendant had retained an expert who opined twenty-one months
of coverage was reasonable. Defendant noted it paid forty-three months of
additional living expenses.
Plaintiff asserted the policy was clear defendant had to restore her
condominium to a habitable state, and its failure to do so was a breach of contract
and fiduciary duty. The building codes had changed since the loss, and
defendant was required to pay to rebuild pursuant to the new standards. She
contended defendant was responsible for the increased costs, which were not
limited by the rebuilding-to-code provision, because insurance policies are
contracts of adhesion. Plaintiff argued the additional living expenses coverage
was not limited in amount, but rather, whether the period of payment was
reasonable.
The trial court issued a written decision on March 17, 2022. It found the
rebuilding-to-code provision was "ambiguous and that a reasonable factfinder
could conclude that this provision is not limited, as [defendant] suggests, to only
A-1843-24
14
covering the 'increased' costs associated with bringing . . . the [u]nit [up] to
code." It was unclear how much work was performed to date but clear that
plaintiff's condominium needed more work to be code compliant. "[R]easonable
minds could differ regarding whether the [p]olicy's provision for costs
associated with rebuilding the [u]nit to code allows for more coverage than what
[p]laintiff has already been provided."
The court also declined to grant summary judgment regarding the
additional living expenses provision because there were "genuine issues of
material fact . . . regarding what constitutes a 'reasonable amount of time' taking
into account the totality of the circumstances surrounding the efforts to rebuild
the [u]nit." It found "[t]he true cause of the delays in the [u]nit's repair is very
much in dispute . . . along with whether [p]laintiff is entitled to addi tional
coverage under the [p]olicy's terms."
In April 2022, each party moved for reconsideration. Plaintiff contended
the rebuilding-to-code provision was a part of the extra coverage clauses of the
policy, and defendant's own construction standards acknowledged an obligation
to rebuild up to the latest code standards. This meant defendant's obligation to
pay until the rebuild was up to code was not limited.
A-1843-24
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Defendant argued each policy provision, except the contents clause, was
an extra coverage. The rebuilding-to-code coverage only applied to the costs of
a damaged item that did not comply with existing code. Expert testimony was
required to conclude whether an item had been adequately paid for to rebuild to
code. Petra's rebuild work did not involve code issues. The issue of additional
living expenses also required expert testimony, which plaintiff lacked.
Defendant argued summary judgment in its favor was appropriate because
plaintiff could not meet the burden of proof at trial.
The trial court made oral findings. It denied plaintiff's motion for
reconsideration, noting although it initial finding of ambiguity in the rebuilding-
to-code provision was not "dispositive with regard to a jury's determination."
The jury would consider the parties' evidence regarding how they interpreted the
policy and draw its own conclusions as to whether defendant complied with the
policy terms. The court denied defendant summary judgment because it
continued to find the rebuilding-to-code provision ambiguous and the matter
was "best left to . . . a jury to hear and . . . consider." This was also the case for
the additional living expenses provision because there was a dispute whether it
was defendant's fault or Petra's, "who refuses to proceed with the finalization of
completing the work on [plaintiff]'s condo[minium]."
A-1843-24
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In May 2023, defendant filed a motion in limine to bar the additional
living expenses claim because plaintiff failed to retain an expert to prove the
claim. On May 26, 2023, the trial court granted the motion and dismissed
plaintiff's claim for additional living expense coverage with prejudice. The
court's order noted it did not consider plaintiff's opposition because her
certification exceeded the page limits under Rule 1:6-5. Plaintiff sought
interlocutory review, and we granted her motion, directing the court to consider
plaintiff's opposition.
On November 9, 2023, the trial court denied the motion in limine. It found
although plaintiff had not retained an expert to address "the objective coverage
issue and what the reasonable period of time" was to rebuild her condominium,
her strategy was "to challenge defendant's expert and present and argue other
factors that might have contributed to the delay." Although the strategy had its
risks because plaintiff was not an expert and could not opine on the coverage
issue, "N.J.R.E. 702 does not compel the use of an expert, it permits the use of
an expert." The court declined to rule prospectively on what plaintiff or a
contractor might testify to at trial, leaving the matter to the judge trying the case.
Following a five-day trial in January 2025, a jury found plaintiff did not
prove defendant breached the insurance contract by not providing additional
A-1843-24
17
coverage under the rebuilding-to-code provision of the policy. On February 7,
2025, the trial court entered an order for judgment of no cause of action based
on the verdict and dismissed plaintiff's complaint with prejudice.
I.
On appeal, plaintiff argues, as a matter of law, the ambiguity in the policy
required the trial court to interpret the policy as extending coverage to her under
the rebuilding-to-code provision and grant her summary judgment on this issue
rather than submit it to the jury. This is because insurance contracts are
contracts of adhesion and should be construed in favor of the non-drafting party.
She contends where an insurance contract is ambiguous, the insured's reasonable
expectations should prevail, and all ambiguities should be resolved against the
insurer.
Plaintiff alleges the rebuilding-to-code provision had no monetary limit
and provided coverage to the extent necessary to make the repairs conform to
laws or ordinances. The additional living expenses provision also contained no
pre-determined monetary limitation because it promised defendant would pay
for "extra living expenses such as secondary housing 'for the reasonable amount
of time required to restore your condominium unit to a habitable condition .'"
Plaintiff asserts we must reverse because the trial court found a genuine issue of
A-1843-24
18
fact regarding the "reasonable amount of time," but the jury did not reach the
issue because it determined the rebuilding-to-code provision afforded plaintiff
no coverage.
On the cross-appeal, defendant argues we should reverse the March 17,
2022 order because the trial court erred when it found the rebuilding-to-code
provision was ambiguous. The court also erred when it concluded plaintiff did
not need an expert to prove her claim for additional living expenses beyond the
forty-three months defendant already paid on plaintiff's behalf.
II.
On appeal, we review a contract, such as an insurance policy, de novo.
Pickett ex rel. Est. of Pickett v. Moore's Lounge, 464 N.J. Super. 549, 554-55
(App. Div. 2020). "[A] trial court's interpretation of the law and the legal
consequences that flow from established facts are not entitled to any special
deference." Rowe v. Bell & Gossett Co., 239 N.J. 531, 552 (2019) (quoting
Manalapan Realty, L.P. v. Twp. Comm. of Manalapan, 140 N.J. 366, 378
(1995)). A trial court's grant or denial of a motion for summary judgment is
subject to a de novo review as well, applying the same standard used by the trial
court. Samolyk v. Berthe, 251 N.J. 73, 78 (2022).
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Rule 4:46-2(c) states a motion for summary judgment must be granted "if
the pleadings, depositions, answers to interrogatories and admissions on file,
together with the affidavits, if any, show that there is no genuine issue as to any
material fact challenged and that the moving party is entitled to a judgment or
order as a matter of law." The court must "consider whether the competent
evidential materials presented, when viewed in the light most favorable to the
non-moving party, are sufficient to permit a rational factfinder to resolve the
alleged disputed issue in favor of the non-moving party." Brill v. Guardian Life
Ins. Co. of Am., 142 N.J. 520, 540 (1995).
"To decide whether a genuine issue of material fact exists, the trial court
must 'draw[] all legitimate inferences from the facts in favor of the non-moving
party.'" Friedman v. Martinez, 242 N.J. 449, 472 (2020) (alteration in original)
(quoting Globe Motor Co. v. Igdalev, 225 N.J. 469, 480 (2016)). "The court's
function is not 'to weigh the evidence and determine the truth of the matter but
to determine whether there is a genuine issue for trial.'" Rios v. Meda Pharm.,
Inc., 247 N.J. 1, 13 (2021) (quoting Brill, 142 N.J. at 540).
Insurance policies "will be enforced as written when [the] terms are clear
in order that the expectations of the parties will be fulfilled." Flomerfelt v.
Cardiello, 202 N.J. 432, 441 (2010). A policy's terms and meanings are
A-1843-24
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reviewed "according to its plain and ordinary meaning." Ibid. (quoting
Voorhees v. Preferred Mut. Ins. Co., 128 N.J. 165, 175 (1992)). If an ambiguity
exists, a policy is "construed against the insurer and in favor of the insured, in
order to give effect to the insured's reasonable expectations ." Ibid. This is
because policies are drafted by insurers. See Kampf v. Franklin Life Ins. Co.,
33 N.J. 36, 41 (1960).
Ambiguity does not arise merely "because two conflicting interpretations
have been offered" but because "the 'phrasing of the policy is so confusing . . .
the average policyholder cannot make out the boundaries of coverage.'"
Simonetti v. Selective Ins. Co., 372 N.J. Super. 421, 428-29 (App. Div. 2004)
(quoting Lee v. Gen. Accident Ins. Co., 337 N.J. Super. 509, 513 (App. Div.
2001)). It does not matter if a closer reading of the policy would have yielded
a different result or alerted an insured about a lack of coverage. Flomerfelt, 202
N.J. at 441. In analyzing a policy, a court cannot "write for the insured a better
policy of insurance than the one purchased." Ibid. (quoting Walker Rogge, Inc.
v. Chelsea Title & Guar. Co., 116 N.J. 517, 529 (1989)).
While consumer contracts, like insurance policies, must "be written in a
simple, clear, understandable[,] and easily readable way," they still must be read
"as a whole." N.J.S.A. 56:12-2. Reasonable expectations must be considered
A-1843-24
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objectively. Voorhees, 128 N.J. at 175. "[T]he judicial interpretive function is
to consider what was written in the context of the circumstances under which it
was written, and accord to the language a rational meaning in keeping with the
expressed general purpose." Owens v. Press Publ'g Co., 20 N.J. 537, 543 (1956).
When interpreting insurance policies, courts consider "the contractual terms, the
surrounding circumstances, and the purpose of the contract." Marchak v.
Claridge Commons, Inc., 134 N.J. 275, 282 (1993).
Pursuant to these principles, we discern no error in the trial court's
conclusion the rebuilding-to-code provision was ambiguous. Under the 2014-
2015 policy, a covered loss to plaintiff's property is covered by the additions
and alterations provision. The clause covers "additions, alterations, fixtures,
improvements, installations or items of real property." The rebuilding-to-code
provision covers "the necessary cost of conforming to any law or ordinance that
requires or regulates" repairs or the demolition of parts of a condominium.
Nothing in the rebuilding-to-code provision denoted its limit or how the
provision related to or should be applied vis-à-vis other provisions of the policy,
including the additions and alterations coverage limit. For these reasons, the
court properly denied defendant summary judgment.
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However, the ambiguity of the provision was not the end of the inquiry
because a court must examine the reasonable, objective expectations of the
policy, Voorhees, 128 N.J. at 175, and apply "a rational meaning in keeping with
the expressed general purpose" of the policy, Owens, 20 N.J. at 543. In this
regard, summary judgment was properly denied to plaintiff because the policy
language does not conclusively support the notion she had unlimited coverage.
The policy's main provisions—such as the contents and the additions and
alterations—had definitive limits, and defendant made payments in accordance
with those limits. On the other hand, defendant also paid for other expenses,
which did not have a monetary cap in the policy for several years. Therefore, it
fell to the jury to decide whether defendant breached the policy by ceasing
payment under the rebuilding-to-code provision pursuant to the facts presented.
Put another way, the jury was not tasked with interpreting what the insurance
policy meant, but instead whether defendant was required to continue making
payments.
Although we lack the trial transcripts, including the transcript of the
charge conference, the appellate record contains the jury questionnaire, which
shows the jury was asked to decide whether plaintiff proved defendant breached
the insurance policy by not providing additional coverage under the rebuilding -
A-1843-24
23
to-code provision. "Additional coverage" clearly meant the dollar amount paid
out and requested to be paid out. If the jury answered "no," it was instructed to
return its verdict and not reach the secondary question of whether defendant
breached the policy by not providing additional coverage under the additional
living expenses provision. At oral argument, plaintiff conceded if there was no
breach of contract under the rebuilding-to-code provision, no further funds were
owed. Clearly, the jury was answering a monetary question, not a legal one.
The jury returned a unanimous verdict in the negative on the first question,
and so it did not reach the additional living expenses claim. For these reasons,
we affirm on the appeal and need not reach defendant's cross-appeal argument
the trial court erred when it denied the motion in limine to dismiss the additional
living expenses claim for plaintiff's failure to produce an expert to prove this
claim.
Regardless, defendant's brief on cross-appeal notes its expert testified
about the reasonableness of the additional living expenses and was subject to
cross-examination. Plaintiff does not dispute this assertion. Therefore, as the
trial court correctly predicted when it decided the in limine motion, plaintiff did
not need an expert of her own and could gamble on whether she could prove the
additional living expenses claim by cross-examining defendant's expert.
A-1843-24
24
Affirmed.
A-1843-24
25
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