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Fraudulent procurement of insurance has serious consequences
Jurisdiction

Fraudulent procurement of insurance has serious consequences

By Jason Tenenbaum 8 min read

Key Takeaway

New Jersey's strict insurance compliance requirements bar claims when drivers fail to maintain state-approved coverage, highlighting jurisdictional challenges in auto accident cases.

This article is part of our ongoing jurisdiction coverage, with 12 published articles analyzing jurisdiction issues across New York State. Attorney Jason Tenenbaum brings 24+ years of hands-on experience to this analysis, drawing from his work on more than 1,000 appeals, over 100,000 no-fault cases, and recovery of over $100 million for clients throughout Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, and the Bronx. For personalized legal advice about how these principles apply to your specific situation, contact our Long Island office at (516) 750-0595 for a free consultation.

Auto insurance requirements vary significantly from state to state, creating complex jurisdictional challenges for drivers and attorneys alike. New Jersey maintains particularly strict standards for automobile liability insurance, requiring specific coverage amounts and state-approved policies. When drivers fail to comply with these requirements, the consequences can be severe—including complete bars to recovery even after suffering injuries in an accident.

A recent New Jersey appellate case illustrates just how unforgiving these insurance compliance rules can be, particularly for drivers who attempt to use out-of-state policies that don’t meet New Jersey’s standards. The case serves as a stark reminder that insurance fraud or non-compliance doesn’t just risk policy cancellation—it can eliminate legal remedies entirely. This type of jurisdictional issue demonstrates why understanding state-specific insurance requirements is crucial for both drivers and their legal counsel.

New Jersey’s automobile insurance regulatory scheme differs fundamentally from New York’s no-fault system in its enforcement mechanisms. While New York imposes penalties and potential criminal liability for insurance fraud, New Jersey goes further by statutorily barring recovery for violations of its insurance mandates. This creates what amounts to a strict liability regime where technical non-compliance with insurance requirements eliminates substantive legal rights, regardless of fault in the underlying accident.

Case Background

Jeffrey E. Scholes was injured in a motor vehicle accident in New Jersey and sought to recover damages from the other driver. During litigation, it emerged that Scholes primarily garaged his vehicle in New Jersey but maintained a Florida automobile insurance policy that did not comply with New Jersey’s regulatory requirements. Specifically, the Florida policy lacked the mandatory $15,000 per person medical expense benefits coverage required under New Jersey law for vehicles principally garaged in that state.

The defendant moved to dismiss Scholes’ complaint on the grounds that he was barred from recovery under N.J.S.A. 39:6A-4.5(a), which prohibits drivers who fail to maintain required insurance from pursuing damages claims. Scholes argued that New Jersey’s “Deemer Statute”—which treats certain out-of-state policies as compliant under specified circumstances—should save his claim. The trial court disagreed and dismissed the action. Scholes appealed, leading to the appellate division’s published decision clarifying the scope and application of the insurance compliance bar.

Jason Tenenbaum’s Analysis:

JEFFREY E. SCHOLES VS. STEPHEN M. HAUSMANN, ET AL, A-0980-17T3 (N. J. App. Div. 2018)

“Since plaintiff primarily garaged his vehicle in New Jersey, he was required to maintain automobile liability insurance coverage under provisions approved by the Commissioner, including mandatory medical expense benefits coverage of $15,000 per person. As noted by the judge, “the Deemer Statute cannot save the laintiff’s failure to obtain an insurance policy approved by the State of New Jersey.” Plaintiff had a Florida insurance policy that the Commissioner did not approve, and the policy did not provide medical expense benefits coverage of $15,000 per person. Consequently, N.J.S.A. 39:6A-4.5(a) bars plaintiff’s cause of action for recovery of economic and non-economic
damages sustained as a result of the accident”

I wish we had this statute in New York.

The Scholes decision illustrates New Jersey’s uncompromising approach to insurance compliance. Unlike jurisdictions that treat insurance violations as regulatory infractions subject to fines or administrative penalties, New Jersey treats non-compliance as a complete bar to civil recovery. This approach reflects a policy judgment that insurance mandates serve critical public purposes—ensuring adequate compensation for accident victims and protecting the financial solvency of the insurance system—that justify harsh consequences for violations.

The court’s rejection of the Deemer Statute defense is particularly instructive. New Jersey’s Deemer Statute provides that certain out-of-state policies will be treated as meeting New Jersey requirements under specific circumstances, such as when a non-resident driver has an accident while passing through New Jersey. However, this protection does not extend to New Jersey residents who attempt to evade the state’s insurance requirements by obtaining cheaper, non-compliant out-of-state policies. The court distinguished between legitimate out-of-state policies held by non-residents and attempts by residents to circumvent New Jersey law through geographic gamesmanship.

This decision also sends a clear message about the consequences of insurance fraud or misrepresentation. Drivers who misrepresent their garaging location to obtain lower-cost policies in other states face not just the denial of policy benefits, but the complete elimination of their ability to pursue damages even when another driver causes their injuries. This creates powerful incentives for honest disclosure and compliance with insurance regulations.

Practical Implications

For attorneys practicing in multi-state metropolitan areas like the New York-New Jersey region, this decision underscores the importance of early investigation into insurance compliance. Defense counsel should immediately verify not just whether a plaintiff had insurance at the time of an accident, but whether that insurance complied with the applicable state’s specific requirements. Discovery requests should seek documentation about where the vehicle was principally garaged, where the plaintiff resided, and whether the policy terms matched the mandatory coverage requirements of the garaging state.

Plaintiffs’ counsel must counsel clients about the critical importance of maintaining compliant insurance coverage. The cost savings from purchasing a non-compliant policy pale in comparison to the total loss of recovery rights that can result. Attorneys should advise clients who move between states or who garage vehicles in states different from their residence to carefully review their insurance policies and ensure compliance with all applicable state mandates.

The decision also has implications for insurance carriers who write policies across state lines. Carriers should implement robust verification procedures to confirm where vehicles are actually garaged and ensure that policy terms comply with the requirements of the garaging state, not just the state where the policy was purchased. Failure to do so can expose carriers to bad faith claims when policyholders discover their policies don’t provide expected coverage.

Key Takeaway

New Jersey’s insurance compliance statute N.J.S.A. 39:6A-4.5(a) completely bars accident victims from pursuing any damages—both economic and non-economic—when they fail to maintain state-approved insurance coverage. This creates a powerful deterrent against insurance fraud and ensures drivers cannot benefit from non-compliant policies, even when they become accident victims themselves.

Legal Context

Why This Matters for Your Case

New York law is among the most complex and nuanced in the country, with distinct procedural rules, substantive doctrines, and court systems that differ significantly from other jurisdictions. The Civil Practice Law and Rules (CPLR) governs every stage of civil litigation, from service of process through trial and appeal. The Appellate Division, Appellate Term, and Court of Appeals create a rich and ever-evolving body of case law that practitioners must follow.

Attorney Jason Tenenbaum has practiced across these areas for over 24 years, writing more than 1,000 appellate briefs and publishing over 2,353 legal articles that attorneys and clients rely on for guidance. The analysis in this article reflects real courtroom experience — from motion practice in Civil Court and Supreme Court to oral arguments before the Appellate Division — and a deep understanding of how New York courts actually apply the law in practice.

Common Questions

Frequently Asked Questions

How is jurisdiction determined in New York civil cases?

New York has several court systems with different jurisdictional limits. Supreme Court has unlimited jurisdiction. Civil Court handles claims up to $25,000 in NYC, while District Courts handle claims up to $15,000 in Nassau and Suffolk counties. Small Claims Court handles claims up to $10,000.

What is personal jurisdiction and how is it established in New York?

Personal jurisdiction requires that the defendant has sufficient contacts with New York. Under CPLR 301, a defendant domiciled in NY is subject to jurisdiction. Under CPLR 302 (long-arm statute), jurisdiction exists if the claim arises from the defendant's business in NY, tortious act in NY, or ownership of NY property.

Can venue affect my no-fault or personal injury case?

Yes. Venue determines which county hears your case. Under CPLR 503, venue is typically proper in the county where a party resides. For no-fault cases, this often means the county where the provider or insurer is located. Strategic venue selection can impact the outcome.

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Attorney Jason Tenenbaum

About the Author

Jason Tenenbaum, Esq.

Jason Tenenbaum is the founding attorney of the Law Office of Jason Tenenbaum, P.C., headquartered at 326 Walt Whitman Road, Suite C, Huntington Station, New York 11746. With over 24 years of experience since founding the firm in 2002, Jason has written more than 1,000 appeals, handled over 100,000 no-fault insurance cases, and recovered over $100 million for clients across Long Island, Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, the Bronx, and Staten Island. He is one of the few attorneys in the state who both writes his own appellate briefs and tries his own cases.

Jason is admitted to practice in New York, New Jersey, Florida, Texas, Georgia, and Michigan state courts, as well as multiple federal courts. His 2,353+ published legal articles analyzing New York case law, procedural developments, and litigation strategy make him one of the most prolific legal commentators in the state. He earned his Juris Doctor from Syracuse University College of Law.

24+ years in practice 1,000+ appeals written 100K+ no-fault cases $100M+ recovered

Disclaimer: This article is published by the Law Office of Jason Tenenbaum, P.C. for informational and educational purposes only. It does not constitute legal advice, and no attorney-client relationship is formed by reading this content. The legal principles discussed may not apply to your specific situation, and the law may have changed since this article was last updated.

New York law varies by jurisdiction — court decisions in one Appellate Division department may not be followed in another, and local court rules in Nassau County Supreme Court differ from those in Suffolk County Supreme Court, Kings County Civil Court, or Queens County Supreme Court. The Appellate Division, Second Department (which covers Long Island, Brooklyn, Queens, and Staten Island) and the Appellate Term (which hears appeals from lower courts) each have distinct procedural requirements and precedents that affect litigation strategy.

If you need legal help with a jurisdiction matter, contact our office at (516) 750-0595 for a free consultation. We serve clients throughout Long Island (Huntington, Babylon, Islip, Brookhaven, Smithtown, Riverhead, Southampton, East Hampton), Nassau County (Hempstead, Garden City, Mineola, Great Neck, Manhasset, Freeport, Long Beach, Rockville Centre, Valley Stream, Westbury, Hicksville, Massapequa), Suffolk County (Hauppauge, Deer Park, Bay Shore, Central Islip, Patchogue, Brentwood), Queens, Brooklyn, Manhattan, the Bronx, Staten Island, and Westchester County. Prior results do not guarantee a similar outcome.

Filed under: Jurisdiction
Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

About the Author

Jason Tenenbaum

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
Experience
24+ Years
Articles
2,353+ Published
Licensed In
7 States + Federal

Legal Resources

Understanding New York Jurisdiction Law

New York has a unique legal landscape that affects how jurisdiction cases are litigated and resolved. The state's court system includes the Civil Court (for claims up to $25,000), the Supreme Court (the primary trial court for unlimited jurisdiction), the Appellate Term (which hears appeals from lower courts), the Appellate Division (divided into four Departments, with the Second Department covering Long Island, Brooklyn, Queens, Staten Island, and several upstate counties), and the Court of Appeals (the state's highest court). Each court has its own procedural requirements, local rules, and case-assignment practices that can significantly impact the outcome of your case.

For jurisdiction matters on Long Island, cases are typically filed in Nassau County Supreme Court (at the courthouse in Mineola) or Suffolk County Supreme Court (in Riverhead). No-fault arbitrations are heard through the American Arbitration Association, which assigns arbitrators throughout the metropolitan area. Workers' compensation claims go to the Workers' Compensation Board, with hearings at district offices across the state. Understanding which forum is appropriate for your case — and the specific procedural rules that apply — is essential for a successful outcome.

The procedural landscape in New York also includes important timing requirements that can affect your case. Most civil actions are subject to statutes of limitations ranging from one year (for intentional torts and claims against municipalities) to six years (for contract actions). Personal injury cases generally have a three-year deadline under CPLR 214(5), while medical malpractice claims must be filed within two and a half years under CPLR 214-a. No-fault insurance claims have their own regulatory deadlines, including 30-day filing requirements for applications and 45-day deadlines for provider claims. Understanding and complying with these deadlines is critical — missing a filing deadline can permanently bar your claim, regardless of how strong your case may be on the merits.

Attorney Jason Tenenbaum regularly practices in all of these venues. His office at 326 Walt Whitman Road, Suite C, Huntington Station, NY 11746, is centrally located on Long Island, providing convenient access to courts and offices throughout Nassau County, Suffolk County, and New York City. Whether you need representation in a no-fault arbitration, a personal injury trial, an employment discrimination hearing, or an appeal to the Appellate Division, the Law Office of Jason Tenenbaum, P.C. brings $24+ years of real courtroom experience to your case. If you have questions about the legal issues discussed in this article, call (516) 750-0595 for a free, no-obligation consultation.

New York's substantive law also presents distinct challenges. In motor vehicle cases, the no-fault system under Insurance Law Article 51 provides first-party benefits regardless of fault, but limits the right to sue for non-economic damages unless the plaintiff establishes a "serious injury" under one of nine statutory categories. This threshold — codified at Insurance Law Section 5102(d) — requires medical evidence showing more than a minor or subjective injury, and courts have developed detailed standards for each category. Fractures must be documented through imaging studies. Claims of permanent consequential limitation or significant limitation of use require quantified range-of-motion testing with comparison to norms. The 90/180-day category demands proof that the plaintiff was unable to perform substantially all of their usual daily activities for at least 90 of the 180 days following the accident.

In employment discrimination cases, the legal standards vary depending on whether the claim arises under state or local law. The New York State Human Rights Law employs a burden-shifting framework: the plaintiff must first establish a prima facie case by showing membership in a protected class, qualification for the position, an adverse employment action, and circumstances giving rise to an inference of discrimination. The burden then shifts to the employer to articulate a legitimate, non-discriminatory reason for its decision. If the employer meets this burden, the plaintiff must demonstrate that the stated reason is pretextual. The New York City Human Rights Law, by contrast, applies a broader standard, asking whether the plaintiff was treated less well than other employees because of a protected characteristic.

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