APPLICATION OF ALLSTATE INS. CO. v. Urban

23 F. Supp. 2d 324, 1998 U.S. Dist. LEXIS 16906, 1998 WL 747150
CourtDistrict Court, E.D. New York
DecidedOctober 26, 1998
Docket97 CV 6349
StatusPublished
Cited by1 cases

This text of 23 F. Supp. 2d 324 (APPLICATION OF ALLSTATE INS. CO. v. Urban) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
APPLICATION OF ALLSTATE INS. CO. v. Urban, 23 F. Supp. 2d 324, 1998 U.S. Dist. LEXIS 16906, 1998 WL 747150 (E.D.N.Y. 1998).

Opinion

MEMORANDUM OF DECISION AND ORDER

SPATT, District Judge.

The plaintiff Allstate Insurance Company (“Allstate” or the “plaintiff’) moves this Court to set-off the sum of $25,000 from a $90,000 jury award to Maria Urban (“Urban” or the “defendant”) on the ground that Urban had already received $25,000 from an underinsured motorist who was involved in the accident that caused the injuries to Urban.

I. BACKGROUND

The present motion stems from a motor vehicle accident that took place in May, 1985 when the car operated by Urban was struck by another vehicle, causing her to suffer multiple injuries. The driver of the other car was underinsured and ultimately settled the liability claim with Urban in the amount of $25,000. Urban, however, had an automobile liability insurance policy (the “policy”) with Allstate which included protection against accidents with drivers who are underinsured. The declaration page of the policy that was in effect at the time of the accident states, “Uninsured Motorist Bodily Injury $100,000 Each Person — -$300,000 Each Accident.” The forty-six page policy itself defines an uninsured auto as both “a motor vehicle which has no bodily injury liability bond or insurance policy in effect at the time of the accident” and “an underinsured auto.” (Policy at 17).

The action was originally brought in the New York State Supreme Court, Nassau County. Pursuant to 28 U.S.C. §§ 1332 and 1441, Urban removed the case to the United States District Court, Eastern District of New York. After an arbitration hearing and award, Allstate requested a de novo jury trial pursuant to the terms in the policy. As stated above, after a jury trial, Urban was awarded the sum of $90,000. Allstate now claims that the $25,000 previously paid by the other driver’s insurance company should be set-off against the $90,000 jury award. Allstate contends that their policy was unambiguous and that a set-off should apply in this situation. In opposition, Urban contends that the declaration page was ambiguous and did not specifically provide for a set-off. Moreover, Urban submits that while the policy includes a provision for a set-off, the declaration page should control and that she, therefore, is entitled to the full $90,000 awarded by the jury.

II. DISCUSSION

The law regarding the interpretation of insurance policies is well settled. Any ambiguities in the policy must be strictly construed against the insurer, who drafted the policy, and in favor of the insured. See *325 United Community Insurance Co. v. Mucatel, 127 Misc.2d 1045, 487 N.Y.S.2d 959 (Sup. Ct.NY Co.1985), aff’d, 119 A.D.2d 1017, 501 N.Y.S.2d 761 (1st Dep’t.1986), aff’d, 69 N.Y.2d 777, 513 N.Y.S.2d 114, 505 N.E.2d 624 (1987); American Home Assurance Co. v.. Hartford Ins. Co., 74 A.D.2d 224, 427 N.Y.S.2d 26 (1st Dep’t.1980); Little v. Blue Cross, 72 A.D.2d 200, 424 N.Y.S.2d 553 (4th Dep’t.1980).

Several state decisions have held that the carrier is not entitled to a set-off where the policy declaration page does not include a specific provision authorizing such reduction. See Mucatel, supra; Nationwide Mutual Ins. Co. v. Corizzo, 200 A.D.2d 621, 606 N.Y.S.2d 719 (2d Dep’t.1994); Nationwide Mutual Ins. Co. v. Davis, 195 A.D.2d 561, 600 N.Y.S.2d 482 (2d Dep’t.1993); In Mucatel, the New York Supreme Court held that policies containing strictly underinsurance offset provisions are misleading and ambiguous and thus should not be enforced. Mucatel, 127 Misc.2d at 1046, 487 N.Y.S.2d at 961. In Davis, the Second Department held that “The face sheet does not indicate that the payment of the underinsured motorist benefits will be subject to a reduction as it does for collision and comprehensive coverages.” Davis, 195 A.D.2d at 562, 600 N.Y.S.2d at 483 (emphasis added). Therefore, the Second Department held that the policy was ambiguous and thus did not warrant a set-off. Similarly, in Corizzo, the Second Department held that “this court has specifically held that an insurance carrier may not set-off the amounts that its policy holder had recovered from others against the full amount of the underinsured limits_The face sheet does not indicate that the payment of underin-sured motorist benefits would be subject to a reduction as it does for collision coverage.” Corizzo, 200 A.D.2d at 622, 606 N.Y.S.2d 719 (emphasis added).

However, the New York Court of Appeals, in In Matter of Arbitration between Allstate Insurance Company and Stolarz (Kathleen), New Jersey Manufacturers Insurance Company, 81 N.Y.2d 219, 613 N.E.2d 936, 597 N.Y.S.2d 904 (1993) held that the decision in Mucatel and its progeny were strictly limited to situations where the policy in question was for tmder insurance, not a combined underin-siwanee and uninsurance policy. The Court stated that, Mucatel involved strictly an underinsurance clause, whereas here the policy is written with a single limit of ununderinsurance. The distinction is critical.” Id. at 223, 613 N.E.2d at 937, 597 N.Y.S.2d 904. Further, the Court stressed that the decision in Mucatel was not only limited to a policy involving only an underinsurance clause, but that the rationale was based upon a policy that would never pay the insured in full. Id.

Therefore, where the insurance policy at issue clearly is a combination underinsured/uninsured policy, the courts have refused to follow the rationale set forth in Mucatel, Davis, and Corizzo and have permitted a set-off. See Metropolitan Property and Casualty Ins. Co. v. Hollingsworth, 1998 N.Y. Slip Op. 00888, 668 N.Y.S.2d 785 (4th Dep’t.1998); Nationwide Mutual Ins. Co. v. Damaskinos, 238 A.D.2d 511, 657 N.Y.S.2d 928 (2d Dep’t.1997); Bauso v. Allstate Ins. Co., 227 A.D.2d 578, 643 N.Y.S.2d 190 (2d Dep’t.1996); In Matter of Arbitration Between Nationwide Insurance Company and Melissa Winn, 215 A.D.2d 958, 627 N.Y.S.2d 161 (3rd Dep’t.1995).

In this case, the critical issue for the Court to resolve, therefore, is whether the Allstate policy combined both underinsured and uninsured coverage. While the declaration page at issue states “Uninsured Motorist Bodily Injury,” and does not specify whether the policy covers underinsurance, the policy itself defines uninsuranee as also encompassing underinsurance coverage. (Policy at 17). Thus, it is clear that the policy in question combined both underinsurance and uninsurance liability coverage and the ruling by the New York Court of Appeals in

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
23 F. Supp. 2d 324, 1998 U.S. Dist. LEXIS 16906, 1998 WL 747150, Counsel Stack Legal Research, https://law.counselstack.com/opinion/application-of-allstate-ins-co-v-urban-nyed-1998.