Dryden Mutual Insurance v. Goessl

117 A.D.3d 1512, 985 N.Y.S.2d 782

This text of 117 A.D.3d 1512 (Dryden Mutual Insurance v. Goessl) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dryden Mutual Insurance v. Goessl, 117 A.D.3d 1512, 985 N.Y.S.2d 782 (N.Y. Ct. App. 2014).

Opinion

Appeal from a judgment (denominated order and judgment) of the Supreme Court, Oswego County (James W McCarthy, J.), entered October 29, 2012 in a declaratory judgment action. The judgment, among other things, declared that plaintiff has no duty to defend or indemnify defendant Stanley Goessl.

[1513]*1513It is hereby ordered that the judgment so appealed from is reversed on the law without costs and judgment is granted as follows:

It is Adjudged and declared that plaintiff is obligated to defend and indemnify defendant Stanley Goessl in the underlying action, and that plaintiff is obligated to reimburse defendant Stanley Goessl for the reasonable attorneys’ fees and expenses he incurred in defending the underlying action, and

It is further adjudged and declared that defendant The Main Street America Group is not obligated to defend or indemnify defendant Stanley Goessl in the underlying action.

Memorandum: Plaintiff, Dryden Mutual Insurance Company, commenced this action seeking a declaration that it is not obligated to defend or indemnify defendant Stanley Goessl in the underlying tort action pursuant to a business general liability insurance policy (hereafter, Dryden policy) that it issued to Goessl, who was doing business as S&K Plumbing. The underlying action arose from a fire at a residence that occurred while Goessl was engaged in plumbing work there. Plaintiff disclaimed coverage on the grounds that, inter alia, Goessl was an employee of defendant AP Daino & Plumbing, Inc. (AP Daino) and was acting within the scope of his employment at the time of the fire. AP Daino was insured by defendant The Main Street America Group (MSA) under a “contractors policy” (MSA policy). MSA disclaimed coverage on the ground that Goessl was not an employee of AP Daino at the time of the fire and therefore was not an “insured” within the meaning of the MSA policy. After a bench trial, Supreme Court issued a judgment declaring that plaintiff had no duty to defend or indemnify Goessl in the underlying action and that MSA had a duty to “defend and potentially indemnify” Goessl in that action. In addition, the court ordered MSA to reimburse plaintiff and Goessl for costs they had incurred relative to Goessl’s defense in the underlying action. We conclude that the court erred, and instead conclude, inter alia, that plaintiff must indemnify Goessl in the underlying action while MSA has no such duty.

It is well settled that, “[o]n appeal from a judgment following a bench trial, this Court may independently consider the probative weight of the evidence and the inferences that may be drawn therefrom, and grant the judgment that we deem the facts warrant” (Blakesley v State of New York, 289 AD2d 979, 979 [2001], lv denied 98 NY2d 605 [2002]; see Crane-Hogan Structural Sys., Inc. v State of New York, 88 AD3d 1258, 1260 [2011]). “In determining a dispute over insurance coverage, we first look to the language of the policy” (Consolidated Edison [1514]*1514Co. of N.Y. v Allstate Ins. Co., 98 NY2d 208, 221 [2002]; see Fieldston Prop. Owners Assn., Inc. v Hermitage Ins. Co., Inc., 16 NY3d 257, 264 [2011]). “As with any contract, unambiguous provisions of an insurance contract must be given their plain and ordinaiy meaning . . . , and the interpretation of such provisions is a question of law for the court” (White v Continental Cas. Co., 9 NY3d 264, 267 [2007]). “If the plain language of the policy is determinative, we cannot rewrite the agreement by disregarding that language” (Fieldston Prop. Owners Assn., Inc., 16 NY3d at 264; see White, 9 NY3d at 267). “Unless otherwise defined by the policy, words and phrases are to be understood in their plain, ordinary, and popularly understood sense, rather than in a forced or technical sense” (Hartford Ins. Co. of Midwest v Halt, 223 AD2d 204, 212 [1996], lv denied 89 NY2d 813 [1997]; see Rocon Mfg. v Ferraro, 199 AD2d 999, 999 [1993]). Thus, “[t]he meaning of the language used in the policy must be found in the common sense and common speech of the average person” (Stainless, Inc. v Employers Fire Ins. Co., 69 AD2d 27, 32-33 [1979], affd 49 NY2d 924 [1980]; see Canfield v Peerless Ins. Co., 262 AD2d 934, 934 [1999], lv denied 94 NY2d 757 [1999]).

Here, we conclude that the Dryden policy unambiguously provides coverage for Goessl in the underlying action. The Dryden policy states that, “if the named insured is an individual, both the individual and his/her spouse are insureds but only with respect to the conduct of a business of which he/she is the sole proprietor.” “Business” is broadly defined in the Dryden policy as “a trade, profession, or other occupation, including farming, all whether full or part time.” The record in this case establishes that Goessl was the sole proprietor of S&K Plumbing and that, at the time of the fire, he was engaged in the conduct of his “trade, profession, or other occupation” as a plumbing subcontractor for AP Daino. Because the injury in the underlying action allegedly arose out of the conduct of GoessTs plumbing business, plaintiff is obligated to defend and indemnify him in the underlying action (see Cataract Sports & Entertainment Group, LLC v Essex Ins. Co., 59 AD3d 1083, 1084 [2009]).

We reach the contrary conclusion with respect to the MSA policy. That policy provides that AP Daino’s “employees” are insureds for acts committed “within the scope of their employment by [AP Daino] or while performing duties related to the conduct of [its] business.” The term “employee” is not defined in the MSA policy, and should therefore be given its plain or ordinary meaning (see Curry v Atlantic Mut. Ins. Co., 283 AD2d 937, 938 [2001], lv denied 96 NY2d 721 [2001]). Where, as here, [1515]*1515the dispute involves a business insurance policy, “[a]n important guidepost when interpreting [such] a . . . policy is to examine the reasonable expectation and purpose of the ordinary business [person] when making an ordinary business contract” (Baughman v Merchants Mut. Ins. Co., 87 NY2d 589, 593 [1996] [internal quotation marks omitted]; see Moshiko, Inc. v Seiger & Smith, 137 AD2d 170, 176 [1988], affd 72 NY2d 945 [1988]). Here, the record establishes that AP Daino and Goessl intentionally structured their business relationship as a long-term subcontracting arrangement rather than an employment relationship. AP Daino did not provide Goessl with health insurance or other employee benefits, and did not withhold taxes or pay social security or unemployment taxes on his behalf. Goessl determined his own hourly rate, submitted invoices to AP Daino on behalf of S&K Plumbing, and received a Form 1099-MISC, for miscellaneous income, as opposed to a W-2 wage statement. At AP Daino’s request, Goessl obtained his own liability coverage, which is further evidence that neither party considered Goessl to be an “employee” under the MSA policy.

Although it is undisputed that Goessl was an insured under AP Daino’s workers’ compensation policy, the record indicates that the workers’ compensation carrier required AP Daino to include uninsured subcontractors on its policy, and Goessl was listed as an uninsured subcontractor, not as an employee, on the policy. AP Daino initially asked Goessl to obtain his own workers’ compensation policy, but Goessl was advised by his insurance carrier that he did not need such coverage because he was an independent contractor.

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Bluebook (online)
117 A.D.3d 1512, 985 N.Y.S.2d 782, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dryden-mutual-insurance-v-goessl-nyappdiv-2014.