In June, 2023, Plaintiff Michael Scott was injured in a car accident. At the time, he was driving a Jeep owned by his live-in girlfriend, Katie Opfer. Opfer was the lone named insured, Scott was listed as a driver, but not as a named insured. The driver at fault for the accident had a liability insurance policy carrying limits of $50,000. Opfer’s policy included uninsured and underinsured motorists (UM and UIM) coverage which provided $100,000 for each person, but contained explicit policy language that advised policy holders that the coverages in the policy may be limited by other provisions in the policy. One such provision in the UM endorsement of the policy applied a “step-down” for UM/UIM coverage that narrowed the higher $100,000 UIM limits applying to only the named insured, resident spouse/civil union partner, and resident relatives; all others, specifically “any other person,” were only entitled to receive statutory minimum limits; $25,000 in New Jersey.
After filing suit against the at-fault party for his injuries and against Allstate for UIM benefits arising for his injuries out of the policy, Scott settled with the at-fault party for her full $50,000 policy limits. Allstate, claiming Scott, a listed driver but not a named insured, spouse, or relative, was not entitled to UIM benefits under the policy and asked the court to dismiss the suit. The trial court agreed and dismissed the suit against Allstate, causing Scott to appeal. The issue before the Appellate Division in Scott v. Snyder, 2026 N.J. Super. Unpub. LEXIS 177 (App. Div. Feb. 3, 2026) was whether Scott was in fact entitled to UIM coverage for his damages.
The Appellate Division looked at the policy and agreed with the trial court, affirming its decision in Allstate’s favor. Despite applicable law that requires courts to look at insurance contracts with “special scrutiny” due to the imbalance between insurer and their insureds in their understanding of insurance policies, the Court determined that the clear and unambiguous language of the policy did not provide UIM coverage for Scott. The Court specifically pointed to the language identifying who was entitled to UIM insurance, finding that Scott was neither a named insured, spouse/partner, or resident relative. As a result, he fell into the “step-down” category of “any other person,” to whom New Jersey’s minimum UIM coverage of $25,000 applied. More importantly, because the policy was limited by New Jersey statute, Scott would only be able to recover UIM benefits from Allstate if the UIM limits were in excess of his liability recovery from the at-fault driver. As a result, because the Court determined his UIM limits were $25,000, which is less than his liability recovery of $50,000, he was not entitled to UIM benefits from Allstate. If the Court had found he was entitled to the $100,000 UIM limits as a named insured, he would have been entitled to up to $50,000 of UIM coverage.
