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Innocent Spouse Can Be Denied Coverage, Says NJ

By Thomas L. Mulvihill
October 02, 2003

Can an insured's resident spouse be precluded from receiving no-fault coverage if the insured has commited fraud? On January 29, 2003, the New Jersey Supreme Court decided the case of Palisades Safety & Insurance Association v. Leonel Bastien and Paule Bastien, 814 A.2d 619 (2003) and decided for the first time 'whether an insured's resident spouse is precluded from receiving no-fault coverage when the insured lies to the insurer about his marital status and represents that there were no other persons of driving age residing in his household.' Id. at 620. The court affirmed a prior decision by the Appellate Division of the New Jersey Superior Court.

In this case, Leonel Bastien applied to obtain an automobile liability insurance policy from Palisades Safety & Insurance Association. In his application, Leonel falsely represented that he was single and that he was the sole driver of the two vehicles for which he sought coverage. Based upon the information provided in the policy application, Palisades issued a policy of automobile insurance with an annual premium of $2201.00. Over the following 8 months, Bastien submitted documents to Palisades in which he again represented that he was the sole licensed driver in his household, and that there were no other residents who were over the age of 16. In July of 1997, he added a third automobile to his policy and, in doing so, repeated his prior misrepresentations.

On October 3, 1997, Bastien's wife, Paule, was involved in an automobile accident while driving the Mazda that was added to the carrier's policy in July of 1997. Mrs. Bastien's mother, Mary LaRoche, was a passenger in the vehicle at the time of the accident. Both Paule Bastien and Mary LaRoche filed a claim for no-fault benefits under the Palisades policy.

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