Supporting the Right to Obtain a Disability Carrier's Underwriting Manuals

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Shore Orthopaedic v. The Equitable is an important case in a policyholder’s arsenal - supporting the right to obtain a disability carrier’s underwriting manuals to challenge a claim denial.

The Appellate Court decided on January 24, 2008 that a $50,000 counsel fee award by the trial judge in favor of plaintiff was the proper sanction, after the disability carrier, Equitable, delayed producing its underwriting manual.  One of Shore Orthopaedic’s practitioners became disabled and unable to pay his share of the overhead expenses of the medical group.  The practice owned a disability policy through Equitable intended to pay the practice benefits to reimburse for overhead expenses the doctor, insured under the policy, was unable to pay.  The policy provided that the benefits would be paid directly to the medical practice as the owner of the policy.

During discovery, Shore demanded a copy of Equitable’s underwriting manuals.  The trial judge determined that Equitable intentionally obfuscated plaintiff’s request for the manuals which were eventually produced after they “surfaced.”  Plaintiff was awarded attorney’s fees from the time of the first discovery request through its motion for summary judgment.

The decision to award counsel fees was within the trial court’s discretion under R. 4:42-9, even though the court rejected plaintiff’s request for counsel fees under the Frivolous Lawsuit statute or under the statute providing for reimbursement of attorney’s fees in an action upon a liability or indemnity insurance policy, traditionally limited to “third party” claims in New Jersey as a matter of policy.

Thus, the importance of the opinion is that while the court did not award counsel fees under what would have been a significant modification to the rule, by allowing attorney’s fees in what the court determined was a “first party” insurance claim, the case affirms a plaintiff’s right to obtain underwriting manuals from a defendant disability insurance carrier.  An issue in the case was whether the insurance carrier acted properly in denying the claim.  The court agreed that the carrier’s handling of the claim, i.e. disputing the insured’s medical condition, warranted an examination of the carrier’s claims handling procedure, as revealed in its underwriting manuals.

Halting Employee Theft

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Kevin M. Hart, Shareholder and member of Stark & Stark's Litigation group, recently authored the article Halting Employee Theft for Biz 4 NJ. The article discusses various options an employer can take to prevent employee theft within an organization, during a time when more than $600 million annually is being stolen from companies.

You can read the full article here.

Correcting Mistakes in Tax Assessments

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The average property owner in the Garden State pays about $6,000 a year in property taxes, twice the national average.  To make matters worse, New Jersey is facing a projected $3 billion budget deficit for 2008, which will only complicate the legislature’s effort to provide property owners with any meaningful type of property tax reform.  One of the few ways to reduce property taxes is to correct errors in the annual tax assessment, which may be improperly increasing one’s tax burden.   This article will summarize the steps to correct assessment errors.
   

As a preliminary matter, property owners must understand how property is assessed in New Jersey. Tax assessors are required to mail to each property owner an annual tax assessment notice, which is generally done in late January or early February of each year.  The tax assessment is on a small green card and provides an assessed value for both land and improvements. The assessed value is determined as of October 1 of the pre-tax year.  For example, the tax assessment date for 2008 is October 1, 2007.
   

The assessment for any particular property must be converted to its imputed true value by dividing the assessment by the average ratio for the municipality where the property is located. For example, the average ratio for Princeton Township in 2008 is 47.45%.  If a home in Princeton Township has an assessment of $600,000, the property owner must divide the assessment by the ratio of 47.45% to determine the “true value” of his or her property (ie., what the town believes your property is worth).  In our example, the imputed true value is $1,264,488.
   

The municipal assessor is also required to maintain a property record card.  The property record card contains information about the property, including size of the lot, square footage of the improvements, number of rooms, etc.  Most tax assessors will give a property owner a copy of his or her property record card upon request.  It is not uncommon for property record cards to contain errors, and once spotted, need be brought to the tax assessor’s attention immediately for correction.
   

Tax appeals must be filed by April 1 of the tax year in question. If an error is discovered in a 2008 tax assessment, the property owner’s first step is to file a tax appeal and seek to have the error corrected for that year. Any error can be challenged in the year in question if a complaint is filed by the appeal deadline. However, if the error has been in place for several years and a property owner wants retroactive relief, the property owner must look to the Correction of Errors statute for relief - a law that is very restrictive.
   

The Correction of Errors law allows a property owner to seek to correct “typographical errors, errors in transposing, and mistakes in tax assessments,” providing that the mistake does not relate to “matters of valuation involving an assessor’s opinion or judgment.”  If an error falls within this definition, a property owner can go back four years to correct an error.
   

Initially, the New Jersey Tax Court limited the types of errors that could be corrected under the Correction of Errors statute and denied most requests.  However, in 1994 the New Jersey Supreme Court loosened the standard and held that any error that (1) is indisputable and cannot plausibly be explained on the exercise of judgment or discretion by the assessor, and (2) its correction is also self-evident and non-discretionary, can be remedied by the court.  For example, if a parcel of vacant property is assessed with a building on it, both the error and correction are self-evident and, therefore, the error can be corrected.
    

However, in a recent case, the court denied a request to correct an error where the tax assessor lost an application for farmland assessment  and assessed the property as if it was not a farm.  Although the error was self-evident because losing a farmland application cannot possibly involve an exercise of the assessor’s judgment, the court found that the “correction” was not self-evident based upon the mistake made by the assessor.  This decision is difficult to understand since the correction (ie. reduce the value to the standard farmland assessment) also seems self-evident.
   

Although the case law interpreting the Correction of Errors statute is ambiguous, it is clear that most types of errors will involve some level of judgment or discretion by the tax assessor and cannot be corrected by the Tax Court.  Once value is determined by the assessor, the exercise of judgment is generally involved taking the issue outside the Correction of Errors statute.  As a result, it is very important for property owners to review their assessments each year and file an appeal by the April 1 deadline.  If there is no plausible explanation for the error, a property owner can look to the Correction of Errors statute for relief providing the relief sought is also self-evident based upon the information placed before the court.

New Jersey Legal Update - Podcast # 72

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This week's Franchise Law podcast is an interview with the President of MFV Expositions, Tom Portesy. The interview discusses the growing rate of franchises in and outside of the United States and what this means for the future of the franchise industry. The interview took place at the 2008 Franchise Expo South, held earlier this month in Miami Beach, Florida.

This week's Franchise Law Podcast is presented by Shareholder of Stark & Stark's Franchise Law Group, Adam J. Siegelheim.

You can download the New Jersey Legal Update podcast #72 here. (3.6 MB)

New Jersey Legal Update - Podcast # 71

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This week's Franchise Law podcast is an interview with Chief Franchising Officer of Hollywood Tans, Steve Beagelman. The interview took place at the 2008 Franchise Expo South, held earlier this month in Miami Beach, Florida.

This week's Franchis Law Podcast is presented by Shareholder of Stark & Stark's Franchise Law Group, Adam J. Siegelheim.

You can download the New Jersey Legal Update Podcast # 71 here. (6.8 MB)

Enforcing Liens on Real Estate Projects

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Jeffrey S. Posta, Shareholder and member of Stark & Stark's Bankruptcy & Creditor's Rights Group authored the article, Enforcing Liens on Real Estate Projects: Creditors must be diligent to protect their rights, for the January 14, 2008 edition of the New Jersey Law Journal.

The article discusses the dramatic decrease in home sales over the past few years and the consequential downturn in homebuilding. The increased number of companies subsequently filing for bankruptcy, slashing prices, and selling assets only indicates that those still in the business need to be more aware of what the short, or possibly, long-term effects of a decrease in homebuilding can mean for their business.

You can read the full article here.

Stark & Stark Attorneys to Present at Atlantic Builders Convention

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Gary S. Forshner, and Vincent J. Mangini, Shareholders in Stark & Stark's Real Estate, Zoning and Land Use group, will speak at the 59th annual Atlantic Builders Convention. This year's convention will take place April 16-18, 2008 in Atlantic City, New Jersey.

Gary Forshner will present Legal Trends - Part 1, Land Use Law on Wednesday April 16, 2008 at 1:00 PM. The presentation will include a discussion on legislation, regulations and court decisions relating to the land development review process and how these issues continue to modify the legal framework within which real estate is developed. In Part 1 of this two -part seminar, Mr. Forshner, along with a panel of additional presenters, will examine the most recent and significant changes in land use law and discuss their implications for the future.

Vincent Mangini will present Redevelopment: Problems on the New Frontier? on Thursday April 17, 2007 at 1:00 PM. The presentation will focus on new regulatory proposals and court decisions that could pose potential problems for residential construction. The program will give insight on the latest issues facing the redevelopment industry, including: court decisions limiting definition of blight, utility problems and concerns, public notice requirements for site remediation, and guaranties for engineering and institutional controls.

Damages For An Alleged Violation of A Non-Solicit Agreement

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The New Jersey Supreme Court in the case of Totaro, Duffy, Cannova & Company, LLC vs. Lane, Middleton & Company, LLC gave some insight for a Court to award damages for violations of a non-solicit agreement.

The facts of the case are as follows:  In 1997, Merritt Lane and David Middleton formed an accounting firm known as Lane, Middleton & Company, LLC.  In connection with his employment, Lane signed a restrictive covenant barring him from soliciting clients of the Company for a period of four years should he depart from the Company.  In 2001, Lane started his own accounting practice.  Lane sent solicitation packages to clients for whom he had previously performed services, including clients of Lane, Middleton & Company.  Numerous clients left to join Lane in his new accounting practice. 

During trial, several clients testified that they had a relationship with Lane and they were dissatisfied with the Company, and they would not have remained clients of the Company following Mr. Lane’s departure regardless of any solicitation.

The Trial Court found that Lane breached the non-solicitation agreement and calculated losses to the Plaintiff for loss of business following the first year after the departure of Lane.  The Trial Court then multiplied the first year’s losses by three to account for the remaining three years on the four-year restrictive covenant.  The majority of the Appellate Division affirmed the Trial Court’s Decision.

The New Jersey Supreme Court considered the appeal and reversed the judgment on the amount awarded.  The Supreme Court agreed that the Plaintiff’s loss of compliance work for the first year following Lane’s breach was a reasonable consequence of his action.  According to the Court, his breach of the agreement precipitated the clients’ departure. 

However, the Supreme Court disagreed with the Trial Court’s quantification attributable to the breach and reasoned that the damages must also reflect that Lane’s clients would have eventually left the Plaintiff.  The New Jersey Supreme Court found that the evidence did not support the Trial Court’s Decision to triple the damages to account for the three remaining years left on the restrictive covenant.

Conclusion.

If there is a breach of a non-solicitation covenant for a term in excess of one year, the Court will scrutinize the potential damages and may limit damages to a reasonable time period immediately following the employee’s departure. 

Upon Abandonment, Condemnor Must Pay Legal Fees and Expenses

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N.J.S.A. 20:3-26(b), part of the Eminent Domain Act of 1971, provides:

       
“If the court renders final judgment that the condemnor cannot acquire the real property by condemnation or, if the condemnation action is abandoned by the condemnor, then the court shall award the owner of any right, or title to, or interest in such real property, such sum as will reimbursed such owner for his reasonable costs, disbursements and expenses actually incurred, including reasonable attorney, appraisal and engineering fees.”

   
Despite the clear language in the statute, not all courts have allowed property owners to recover legal fees when a condemning authority decides to abandoned a condemnation case.  For example, a case decided in 1999 denied a request for allowance of legal fees and expenses in a condemnation action where Essex County filed a condemnation complaint, but abandoned the lawsuit before the commissioners held their hearing.  Essex County v. RAR Development, 323 N.J.Super. 505 (Law Div. 1999).  The Essex County court relied upon a case from 1941 which held that a property owner’s right to receive attorneys was “conditioned” upon the public entity abandoning the condemnation action within 20 days after the filing of the commissioners’ report or jury’s verdict.  Since the case in question did not reach the commissioners’ hearing stage, the court denied the request for legal fees and expenses.

   
On December 24, 2007, the Appellate Division of the Superior Court of New Jersey decided a case which rejected the Essex County decision.  West Orange Township v. 769 Associates, LLC, ___ N.J.Super. ___, 2007 WL 4472101 (N.J.Super.A.D. 2007).   In 769 Associates, the Appellate Division found that the entitlement to reimbursement of legal fees and expenses is triggered upon the filing of the condemnation action.  Once the complaint is filed, any abandoned entitles the property owner to reimbursement of legal fees and expenses.  In rejecting the Essex County decision, the Appellate Division found that the trial court in Essex County erred when it relied upon a decision interpreting a statute which had been repealed.  The Appellate Division continued by declaring:

      
 “Here, by contrast, there is simply not textual support in N.J.S.A. 20:3-26(b) for such a limitation.  Under our current law, the only condition that must be satisfied to trigger the right of reimbursement is the abandonment of a condemnation action by the public entity.  The point in time in which this occurs is not a relevant consideration in determining whether reimbursement is warranted.”

   
The Appellate Division also held that legal fees and expenses incurred prior to the filing of the condemnation complaint cannot be recovered by the property owner.  This is somewhat problematic because often times a property owner retains counsel to negotiate with the condemning authority before the condemnation complaint is filed.
  
   
769 Associates is an important case for two reasons.  First, is it seems to over-rule Essex County, although there is an argument that the Appellate Division’s discussion of the Essex County case is dicta and not binding on lower courts.  Second, as set forth in the blog posting discussing the Township of Pemberton v. Berardi decision,  a condemnor does not have to commit to the taking until many months into the case.  Now, as a result of the 769 Associates case, property owners have some recourse if a condemnation case is abandoned by the condemning authority late in the case.

Collecting Prejudgement Interest on Debts

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I am often asked by clients whether prejudgment interest can be obtained from debtors on unpaid claims. Prejudgment interest is usually awarded by the courts in New Jersey only when a written contract exists between the creditor and the debtor which includes a provision for the assessment of interest if payment is not received by the creditor in a timely manner. The written contract can be a simple as a purchase order or an invoice. However, some counties will not award prejudgment interest unless the contract is actually signed by the debtor.
 
Prejudgment interest may run on contract claims not as a matter of right but rather in accordance with equitable principles. Absent, however, unusual circumstances the prejudgment rate should be the same as that provided for by the rule governing post-judgment interest. The current post-judgment rate of interest for 2008 is 5.5%. This rate is adjusted on a yearly basis. Equitable principles do not apply to the same extent where the parties have obligated themselves to a certain interest rate by contract. See Pressler, Current N.J. Court Rules, Comment R. 4:42-11, (Gain).
 
Creditors should seek to protect themselves from debtors who fail to pay their obligations in a timely manner, and additionally should commit their agreements to writing with an appropriate interest provision whenever possible. Creditors should insist that their clients execute such agreements so that misunderstandings are avoided and creditors are protected in the event invoices are not paid in accordance with the agreement between the parties.   

Lasting Family Practice: Lawrence Law Firm Celebrates 75 Years

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Stark & Stark was featured in the Wednesday January 9, 2008 edition of The Trenton Times in the article Lasting Family Practice: Lawrence Law Firm Celebrates 75 Years. 

The article highlights Stark & Stark and its members as it begins to celebrate its 75th anniversary this year. The article features a history of the firm, and interviews with Albert M. Stark, and managing partners Lewis J. Pepperman and John A. Sakson.

You can read the full article here.

New Bill Will Add Additional Burden To Employers

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A Bill has now passed in the Senate, 38 – 0 (S-2488/A-3451) on December 19, 2007 that will make it unlawful for an employer to discriminate against employees because of “religious practices.” 

The importance of this bill is that it goes beyond protecting an employee from being discriminated against because of their religion, and specifically protects them from discrimination based on “religious practice.”  Given the lack of opposition to this Bill, it is likely that the Governor will sign it into law shortly. 

New Jersey Legal Update - Podcast # 70

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This week's New Jersey Legal Update podcast will discuss the necessary insurance coverage needed for franchisors in order to protect your franchise system against claims. This podcast will address good practices to follow when determining your level of insurance, as well as a discussion on industry standards and the various types of coverage available to you and your business.

This week's New Jersey Legal Update is presented by Adam J. Siegelheim, a member of Stark & Stark's Franchise Group.

You can download the New Jersey Legal Update Podcast # 70 here. (6 MB)

Landlord's Beware: Commercial Tenant Failure to Obtain Municipal Permits Not Grounds For Eviction

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The New Jersey Appellate Division in an unpublished decision, Cesar S. Arredondo v. Nersy Pujols, Docket No. A-5459-05T25459-05T2, ruled that breaches of both of a lease provision and a New Jersey statute for failing to obtain municipal permits before commencing construction work were NOT grounds for evicting a commercial tenant.  Although very fact specific to a landlord with apparently “unclean hands”, this decision highlights pitfalls that can beset a landlord in the New Jersey eviction process.


Background - Landlord Tries to Evict on 3 Non-Payment Grounds
In Cesar S. Arredondo v. Nersy Pujols, the tenant operated a bodega in Jersey City pursuant to a written lease with a 15 year term.  The landlord, who purchased the property from a prior owner, claimed not to have known of the tenant’s lease.  Subsequently, the landlord filed an eviction complaint based on three (3) non-payment defaults, failure to: 1) provide insurance; 2) obtain municipal electrical permits for the relocation of refrigeration compressors and an exhaust fan (the “Electrical Work”); and 3) get the landlord’s written approval on the Electrical Work.


At trial, testimony included the landlord, the tenant, and the tenant’s two witnesses, an electrical inspector of the City of Jersey City and a close friend of the defendant.  The inspector testified that a physical inspection did not disclose any dangerous conditions and the work appeared to be in a workman-like manner.  More importantly, the inspector advised that the permits could be obtained post-completion to correct deficiencies.


The trial court concluded the failure to obtain permits for the Electrical Work breached the lease, but denied the landlord’s judgment on the other two allegations.  Essentially, finding the landlord’s testimony inconsistent on the approvals and because the defendant provided insurance prior to the trial (no harm no foul). The tenant appealed the judge’s ruling that failure to obtain an electrical permit was a “material” breach of the lease.


Cannot Evict for “Minor” Breaches (No Permits, No Insurance, Sidewalk Sales, Etc.)
The Appellate Division agreed with the trial court on the insurance issue and the landlord’s inconsistent testimony.  However, the Appellate Division held that the breach was “not material” to warrant the tenant’s forfeiture of his leasehold interest. The Appellate Division noted that the New Jersey statute specifically provides grounds for an eviction where there is a “...violation of such covenants or agreements” of the lease. See N.J.S.A. 2A:18-53.  However, before a judgment may be entered, the landlord must establish the breach. 


Citing New Jersey case law, the Appellate Division held an eviction based on a “forfeiture” is deemed a penalty for failing to do a particular thing.  In New Jersey, the law does not favor forfeitures and requires a trial court to strictly review the provisions of the lease that a landlord seeks to forfeit the tenant’s interest, resolving any ambiguous language in favor of the tenant.


Based on the testimony and review of the lease, the Appellate Division held the breach was a minor deviation of the lease terms.  The court held that the work was undertaken under the direct order of the plaintiff and done by an independent contractor.  Further, all work was done in a workman-like fashion and that pursuant to the Jersey City inspector, the defendant could retroactively cure any of the code violations by obtaining a permit. 


In discussing such minor violations, the court noted that other actions that could be deemed minor violations of a lease that would not be grounds for an eviction could include sidewalk sales, citing the prior Appellate Division case of Johnson v. City of Hackensack, 200 N.J. Super. 185 (App. Div. 1985).


Concerns When Instituting Eviction Action for Non-Payment Defaults
This unpublished decision raises a number of pitfalls for commercial landlords when deciding to institute an eviction based on non-payment issues. In this case, the landlord clearly failed to submit the proper proofs that there really was a “material” non-payment ground to evict.  Before instituting an action to evict a tenant, landlords should consider a number is issues including:


1)     What proofs do I have?  In this case, the landlord had serious inconsistent statement, whereas the tenant’s testimony was not questioned.  Further, the tenant had two additional witnesses to prove his case, one being a city electrical inspector; and


2)     Is the Breach “Material”?  Here, failure to obtain permits was not “material”.  However, would that have changed if what the landlord was cited for resulted in a fine or penalty from the municipality?


3)     Can the Breach be Remedied before Trial?  Here, the lack of insurance became a non-issue because it was remedied prior to trial. What other breaches can be remedied?


Strategic Use of Eviction Proceedings
This and other recent decisions by the Appellate Division raise pitfalls for commercial landlords in eviction proceedings. Landlords may think to strategically use the eviction process as a way in which to make the tenants become compliant with the lease.  To lessen the legal costs, landlords should take care to place in their lease that the tenant is required to pay the landlord’s attorney fees. 


In the case discussed, although an eviction did not occur, the act of taking the case to trial precipitated the tenant to obtain the proper permits and get insurance.  However, if a landlord wishes to actually evict the tenant due to a non-payment issue, it is extremely important to sit down with your attorney ascertain “minor” or technical breaches.


For more information on evictions or other commercial lease issues, please feel free to contact Tomas S. Onder or Vincent J. Mangini in Stark & Stark’s Commercial Real Estate Litigation Group.  Mr. Onder can be reached at (609) 219-7458 or via email a tonder@stark-stark.com and Mr. Mangini can be reached at (609) 219-7437 or vmangini@stark-stark.com.

Congress Adds FMLA Rights

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In somewhat of a surprise move, on December 14, 2007, Congress amended the Family Medical Leave Act (FMLA) to add two additional reasons for applying for FMLA leave.  One provision adds that FMLA can be taken for a “qualifying exigency” arising from active duty in the armed services. 

Additionally, time off can be taken under the FMLA to care for a wounded service member for up to 26 weeks paid leave (which must be taken within a single 12-month period).  It is anticipated that President Bush will sign the Bill into law within the next few weeks.  Once the Bill is signed, employers will need to notify their employees of this change in their FMLA rights.