American Home Assurance Co. v. Levy

179 Misc. 2d 773, 686 N.Y.S.2d 639, 1999 N.Y. Misc. LEXIS 66
CourtNew York Supreme Court
DecidedJanuary 25, 1999
StatusPublished
Cited by5 cases

This text of 179 Misc. 2d 773 (American Home Assurance Co. v. Levy) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Home Assurance Co. v. Levy, 179 Misc. 2d 773, 686 N.Y.S.2d 639, 1999 N.Y. Misc. LEXIS 66 (N.Y. Super. Ct. 1999).

Opinion

OPINION OF THE COURT

Alan D. Oshrin, J.

This is a declaratory judgment action brought by American Home Assurance Company (American Home), the insurance company that issued a social worker’s professional liability policy to the defendant Richard Levy (hereinafter Levy), a licensed social worker, that contained a limiting coverage in cases involving claims of sexual misconduct to $25,000. The plaintiff seeks to have the court enforce the sexual misconduct provision of the policy and thereby permitting the plaintiff to discontinue the defense of the defendant Levy in the underlying action after it has expended $25,000 in defense costs, and [776]*776declaring that the plaintiff has no further liability for indemnification for Levy regarding the underlying action once it has expended $25,000.

In the underlying action Pamela Damian (hereinafter Damian) alleges under the first cause of action that Levy was negligent in rendering services; negligent in heeding the plaintiffs condition; abusing, manipulating, or distorting the transference and countertransference that occurred during the course of treatment; negligently acting in a dual role with regard to the plaintiff; negligently taking advantage of the plaintiff as a consequence of services, care and treatment; negligently failing to refrain from instituting an improper relationship with the plaintiff; and negligently continuing an improper relationship with the plaintiff. Under the second cause of action Damian alleges that Levy failed to make the plaintiff aware of the risks and benefits of, and alternatives to, and the risks and benefits of such alternatives to treatments employed and that if fully informed the plaintiff would not have consented to the course of treatment which led to the mishandling, abusing, manipulating or distorting of the transference or countertransference that occurred. In the bill of particulars, Damian states among other things that Levy’s conduct consisted of negligently breaching his fiduciary duty; misusing and distorting the termination process; failing to reveal that termination had not occurred; blurring professional boundaries with the plaintiff; and mishandling, misusing and exploiting transference and countertransference. At no place in the complaint or the bill of particulars does Damian specifically allege improper sexual conduct on the part of Levy.

Prior to commencing her action in June of 1992, Damian, on September 4, 1991, executed a complaint to the National Association of Social Workers (hereinafter NASW) regarding Levy. In the NASW complaint Damian alleges that Levy had an emotionally and physically intimate relationship with her while he was her treating therapist, and that they had a sexual relationship after she changed to another therapist. Damian also alleges that Levy hugged her closely during sessions in 1988; that he discussed her feelings and their relationship during 1988, 1989 and 1990 sessions; that her last session with Levy was on February 8, 1990; that their sexual relationship began on March 24, 1990; that they engaged in sexual activity in his office and at her home; that she tried unsuccessfully to terminate their sexual relationship in May of 1990; and that their relationship ended in September of 1990.

[777]*777By letter to Levy, dated September 22, 1991, A.I. Management and Professional Liability Claim Adjusters on behalf of American Home Assurance Company acknowledges commencement of the underlying action and that the complaint indicates that the plaintiff is alleging mishandling/manipulation of the transference phenomenon. Levy is then referred to the special provision for allegations of sexual misconduct for which there is a $25,000 limit and to the exclusions for dishonest, criminal, fraudulent or malicious acts or omissions; wrongful act committed with knowledge that it was a wrongful act; and for fines, penalties, punitive, exemplary or multiplied damages. Additionally, Levy is advised as to what awards will not be paid by American Home.

The sexual misconduct provisions provide:

“Sexual Misconduct — The total limit of the Company’s liability hereunder shall not exceed $25,000 in the aggregate for all damages with respect to the total of all claims against any Insured(s) involving any actual or alleged erotic physical contact, or attempt thereat or proposal thereof:

“(a) by any insured or by any other person for whom any insured may be legally liable; and

“(b) with or to any former or current patient or client of any Insured, or with or to any relative of or member of the same household as any said patient or client, or with or to any person with whom said patient or client or relative has an affectionate personal relationship.

“In the event any of the foregoing are alleged at any time, either in a complaint, during discovery, at trial or otherwise, any and all causes of action alleged and arising out of the same or related courses of professional treatment and/or relationships shall be subject to the aforesaid $25,000 aggregate limit of liability and to all other provisions of this clause. The aforesaid $25,000 aggregate limit of liability shall be part of, and not in addition to, the limits of liability otherwise afforded by this policy.

“The Company shall not be obligated to undertake nor continue to defend any suit or proceeding subject to the aforesaid $25,000 aggregate limit of liability after said $25,000 aggregate limit of liability has been exhausted by payments for damages.”

The policy of insurance provides for $1,000,000 of coverage. The insurance company agrees to pay “because of any wrongful conduct committed during the policy period by the insured and [778]*778arising out of the performance of professional service as a social worker.” The plaintiff does not contest the fact that the alleged conduct arose out of Levy’s actions as a social worker. The plaintiff acknowledges that if this were a claim for damages resulting from malpractice without the assertions of sexual misconduct, that it would be exposed to the full amount of $1,000,000 coverage.

In support of its motion for summary judgment the plaintiff argues that although Damian has not expressly alleged sexual contact or a sexual relationship in her complaint or bill of particulars, by alleging that Levy mishandled and distorted the transference and countertransference phenomena and that Levy blurred or failed to maintain professional boundaries with her, Damian has in fact alleged sexual misconduct and a sexual relationship (citing American Home Assur. Co. v Stone, 61 F3d 1321 [1995]; Cranford Ins. Co. v Allwest Ins. Co., 645 F Supp 1440 [1986]; American Home Assur. Co. v Oraker, Colo Dist Ct, Mar. 5, 1992, 90 CV6483, affd sub nom. American Home Assur. Co. v Bell, Colo Ct App, July 15, 1992, No. 92 CA0669; Jorgenson, Bisbing & Sutherland, Therapist-Patient Sexual Exploitation and Insurance Liability, 27 Tort & Ins LJ 595, 596 [Spring 1992]; Dince, Malpractice Actions Against Therapists By Patients Alleging Sexual Relations, NYLJ, Mar. 9, 1994, at 1, col 1). The plaintiff further argues that Damian’s NASW complaint alleges physical and emotional incidents during the patient-therapist relationship and a sexual relationship after termination of the patient-therapist relationship.

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Cite This Page — Counsel Stack

Bluebook (online)
179 Misc. 2d 773, 686 N.Y.S.2d 639, 1999 N.Y. Misc. LEXIS 66, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-home-assurance-co-v-levy-nysupct-1999.