Goldbard v. Empire State Mutual Life Insurance

5 A.D.2d 230, 171 N.Y.S.2d 194, 1958 N.Y. App. Div. LEXIS 6798
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMarch 4, 1958
StatusPublished
Cited by47 cases

This text of 5 A.D.2d 230 (Goldbard v. Empire State Mutual Life Insurance) 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
Goldbard v. Empire State Mutual Life Insurance, 5 A.D.2d 230, 171 N.Y.S.2d 194, 1958 N.Y. App. Div. LEXIS 6798 (N.Y. Ct. App. 1958).

Opinion

Bbeitel, J.

Plaintiff appeals from a determination of the Appellate Term modifying a judgment rendered in his favor against defendant after trial without a jury in the Municipal Court. The Appellate Term modification, one Justice dissenting, reduced plaintiff’s recovery from $2,800 to $800. That court granted leave for plaintiff to appeal to this court.

Plaintiff is the insured under an accident and health insurance policy providing monthly indemnity; defendant is the insurer. There were a number of legal and factual issues [232]*232passed upon by the trial court in a thoughtful and considered opinion. With one exception the Appellate Term affirmed these findings and conclusions of the trial court. It is with that exception alone that discussion is necessary. The other issues have been considered, but it is not necessary to discuss them, since this court is in agreement, to that extent, with both the trial court and the Appellate Term.

The issue which divided the Appellate Term is whether plaintiff insured settled and compromised his claims against defendant insurer prior to suit, with finality, and, as a consequence, is limited in recovery to the settlement figure of $800. The trial court found that insured was not so limited, but a majority of the Appellate Term disagreed.

It is concluded that the settlement negotiations between insured and insurer did not constitute either a substituted agreement or an enforcible executory accord; and, that therefore, insured is not prevented from pursuing his original claim. Hence, the order of the Appellate Term should, in effect, be reversed and the judgment of the Municipal Court reinstated, except that the latter judgment should be modified by reduction to the sum of $2,600, based on the concession of insured as to when liability under the policy commenced.

Insured is a barber by trade. Before his illness he ran his own one-man shop. In December, 1951 insurer issued its annually renewable policy to insured, who maintained his payments of premiums as required by the policy. In 1955 insured filed claims based upon a fungus hand infection from which he was suffering and which he asserted totally disabled him from engaging in his occupation. If true, he was entitled to monthly indemnity at fixed amounts under the policy. There then ensued a sequence of events in which some payments, vouchered as final, were offered by insurer, which insured refused to accept, believing they were less than that to which he was entitled. Insurer had misgivings concerning the nature of insured’s illness and the extent of its disabling character. The parties remained in genuine dispute. In the early fall of 1955 insured made complaint to the State Insurance Department, and this triggered the occurrence upon which the main issue on this appeal is based.

While the disputants were before the department representative, insurer offered to settle the claims for $800, conditioned on a surrender of the policy, with consequent termination of its renewability. Insured, concededly, refused. He was willing to accept the $800, but not to surrender the renewable policy. However, later that day insured telephoned the department [233]*233representative and asked Mm to advise insurer that he would accept the $800, without requiring that the policy be renewed. The department representative relayed the call. Insurer thereupon wrote insured a letter asking him to call at the office with his policy for surrender and advising, in effect, that he would then be paid the $800 upon signing a release. Insured ignored the letter, and in due time started this action.

Insurer contends that on the facts related there was a “ settlement and compromise ” which limits insured’s right of recovery. Insured, on the other hand, contends that there was no more involved than a new offer by insurer, not accepted by insured, or, at best, an executory accord wMch is unenforcible for lack of a writing as required by section 33-a of the Personal Property Law.

There is no magic to the words “ settlement ” or “ compromise ” in deciding whether a disputed claim has been discharged with such finality that no action may be brought upon it, but only upon the later agreement. As a matter of fact, the words are used interchangeably to describe either a subsequent agreement wMch discharges an earlier agreement, that is, a substituted or superseding agreement (Morehouse v. Second Nat. Bank, 98 N. Y. 503), or an executory accord wMch does not (Larscy v. Hogan & Sons, 239 N. Y. 298). Consequently, one does not advance the solution of any problem in this area by attaching either label, or presuming to conclude the discussion by making an initial determination that a negotiation has or has not achieved a “settlement” or a “compromise”. (6 Corbin on Contracts, § 1268.)

The question always is whether the subsequent agreement, whatever it may be, and in whatever form it may be, is, as a matter of intention, expressed or implied, a superseder of, or substitution for, the old agreement or dispute; or whether it is merely an agreement to accept performance, in futuro, as future satisfaction of the old agreement or dispute. The literature on the subject is voluminous. (Restatement, Contracts, §§ 417-419; 6 Williston on Contracts [rev. ed.], § 1838 et seq., but esp. §§ 1841, 1846, 1847; 6 Corbin on Contracts, § 1268 ,et seq., esp. § 1293, pp. 148-149; 1937 Report of N. Y. Law Rev. Comm., p. 210 et seq.; e.g., Yonkers Fur Dressing Co. v. Royal Ins. Co., 247 N. Y. 435, 446; Moers v. Moers, 229 N. Y. 294; Kromer v. Heim, 75 N. Y. 574; Atterbury v. Walsh Paper Corp., 261 App. Div. 529, affd. 286 N. Y. 578; Ostrander v. Ostrander, 199 App. Div. 437.) There is, then, no simple rule to be applied, as a matter of law, to determine in all given situations whether the subsequent agreement extinguishes the old.

[234]*234Nevertheless, there are principles which occasionally assist in the determination of the question of intention where settlement negotiations have consummated in an agreement. The Eestatement has described these as giving rise to presumptions. (¡See Eestatement, Contracts, § 419, Comment a.) The New York Law Revision Commission takes the same view (1937 Report, p. 213). This court recently followed a similar analysis (Blair & Co. v. Otto V., 5 A D 2d 276).

There has arisen, however, a certain class of cases which have given color to the view that some settlements are, as a matter of law, superseding or substituted agreements discharging the old obligations, without involving the determination of intention. Nothing said, or held, in those cases, however, warrants such a conclusion. In each there were circumstances pointed to, at least impliedly, as grounding the findings of intention to supersede the old agreement with the new. (See, e.g., Langlois v. Langlois, 5 A D 2d 75; cf. Matter of Shaver, 282 App. Div. 816; Moers v. Moers, 229 N. Y. 294, supra; Ostrander v. Ostrander, 199 App. Div. 437, supra.) The persistent principle to be applied is that of determination of the intention of the parties, as objectively manifested (Reilly v. Barrett, 220 N. Y. 170; Matter of Campbell, 256 App. Div. 693, affd. 281 N. Y. 685; Atterbury v. Walsh Paper Corp., 261 App. Div. 529, affd. 286 N. Y. 578, supra).

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5 A.D.2d 230, 171 N.Y.S.2d 194, 1958 N.Y. App. Div. LEXIS 6798, Counsel Stack Legal Research, https://law.counselstack.com/opinion/goldbard-v-empire-state-mutual-life-insurance-nyappdiv-1958.