Hughes v. Nationwide Mutual Insurance

98 Misc. 2d 667, 414 N.Y.S.2d 493, 1979 N.Y. Misc. LEXIS 2130
CourtNew York Supreme Court
DecidedMarch 13, 1979
StatusPublished
Cited by9 cases

This text of 98 Misc. 2d 667 (Hughes v. Nationwide Mutual Insurance) 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
Hughes v. Nationwide Mutual Insurance, 98 Misc. 2d 667, 414 N.Y.S.2d 493, 1979 N.Y. Misc. LEXIS 2130 (N.Y. Super. Ct. 1979).

Opinion

[669]*669OPINION OF THE COURT

John A. Mastrella, J.

Plaintiffs, Glen Hughes and Mae E. Hughes, have brought this action against the defendant, Nationwide Mutual Insurance Company, their automobile insurance carrier, for the recovery of first-party benefits under article 18 of the Insurance Law, the Comprehensive Automobile Insurance Reparations Act.

This action raises the question of whether a farmer and his wife are entitled to recovery of first-party benefits under subdivision 1 of section 671 of the Insurance Law in the situation where a farmer’s wife is injured in an automobile accident and for a period of time is unable to perform both her household duties and her work on the farm.

The plaintiffs owned and operated a farm in Dansville, New York, doing business as Hillcrest Farms. The farm, located on 166 acres of land, was primarily operated as a dairy farm having 65 dairy cows and 500 egg-laying chickens. Hay, oats, wheat, corn, and alfalfa were grown for market, and Glen Hughes was also a contract harvester.

At a nonjury trial Mrs. Hughes testified that she did all the housework and also helped her husband run the farm. She testified that she drove the trucks at various times and helped with the baling of hay. She helped with the milkers and washed the bulk milk tanks. She testified that she shared the work connected with the 500 chickens seven days a week and took charge of the eggs produced. She also cultivated a vegetable garden which was primarily for home use.

Mr. Hughes testified that he and his wife shared the farm chores equally prior to the accident. While both he and his wife testified that they shared the farm income, they admitted that Mrs. Hughes was not formally paid any wages, nor was a W-2 income tax form prepared for her. Mr. Hughes testified that he had a hired hand, Robert Dunlop, from 1973 until August, 1975. Mr. Hughes was unable to obtain a replacement after Mr. Dunlop left. While employed at the farm Mr. Dunlop worked seven days a week for which he was paid $150 per week and was provided a house with all utilities paid, plus milk and vegetables for his family.

On December 23, 1974 Mrs. Hughes was involved in an automobile accident, and as a result of the serious injuries sustained, she was not able to perform any work on the farm and at the present time does solely housework.

[670]*670After Mrs. Hughes was injured Mr. Hughes and the hired hand absorbed her duties related to the farm, except for the housework. However, after Mr. Dunlop left, both Mr. and Mrs. Hughes testified that they sold all the dairy cows and milking equipment in November of 1975 because Mr. Hughes was unable to do all of the work himself. Additionally, several hundred chickens were disposed of so that only 100 egg-laying chickens remain on the farm.

On April 29, 1976 plaintiffs issued a demand to the Nationwide Mutual Insurance Company, under their automobile liability insurance policy, for payment of first-party benefits for wages lost by Mrs. Hughes. Nationwide denied their application and plaintiffs then commenced the present action.

Preliminarily, it should be noted that although plaintiffs could have elected to submit the present dispute to binding arbitration under the Insurance Law (§ 675, subd 2), the regulations of the Department of Insurance (11 NYCRR 65.7), and also the provisions of their insurance policy, this does not preclude their access to the courts as an alternative method of resolving a dispute as to coverage and entitlement to first-party benefits (Chapman v American Motorists Ins. Co., 88 Misc 2d 115, 116; see, generally, 29 NY Jur, Insurance, §§ 617, 618; Matter of Nassau Ins. Co. v McMorris, 41 NY2d 701; Kurcsics v Merchants Mut. Ins. Co., 65 AD2d 192).

Plaintiffs first claim that they are entitled to first-party benefits in the form of lost wages because Mr. Hughes was forced to undertake his wife’s duties on the farm after her accident. Plaintiffs calculated the wages lost as the value of Mrs. Hughes’ work on a four-hour per day basis, or 1,252 hours from December 23, 1974 to November 1, 1975, as the total sum of $2,779.44, less 20%; or $2,223.56 due and owing. In response, the defendant argues that recovery for lost wages which were never paid is not authorized by article 18 of the Insurance Law.

The statutory authority for payment of no-fault "basic economic loss” is set forth in the Insurance Law (§ 671, subd 1, par [b]) which defines such lost earnings as: "[L]oss of earnings from work which the injured person would have performed had he not been injured, and reasonable and necessary expenses incurred by such person in obtaining services in lieu of those that he would have performed for income”. Furthermore, the paramount legislative purpose is to assure "that every auto accident victim will be compensated for substan[671]*671tially all of his economic loss, promptly and without regard to fault” (Report of Joint Legis Committee on Insurance Rates, Regulation, and Recodification of the Insurance Law, NY Legis Doc, 1973, No. 18, p 7).

While courts hold that the no-fault insurance law should be interpreted to fulfill policies the Legislature had in mind, and generally in favor of the insured (Matter of Maida v State Farm Mut. Auto. Ins. Co., 66 AD2d 852; see, also, Colon v Aetna Cas. & Sur. Co., 64 AD2d 498, 503), where the statutory language is so clear as to belie any interpretation other than its express terms, courts are without power to enlarge or limit this unambiguous language (Marcus Assoc, v Town of Huntington, 45 NY2d 501, 505; see, also, Matter of Grossman v Herkimer County Ind. Dev. Agency, 60 AD2d 172, 178; McKinney’s Cons Laws of NY, Book 1, Statutes, §§ 76, 94; 56 NY Jur, Statutes, §§ 114, 121).

In construing the phrase "loss of earnings from work”, it is apparent that only wages actually paid, or payable in the future, as provided by section 671 of the Insurance Law, are contemplated as compensable no-fault benefits. In the present case it is clear that Mrs. Hughes was not formally paid any wages from the farm operation, nor was she provided with a W-2 wage statement or listed as being paid any wages on the Hughes’ joint income tax returns for the tax years 1971 through 1975.

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Bluebook (online)
98 Misc. 2d 667, 414 N.Y.S.2d 493, 1979 N.Y. Misc. LEXIS 2130, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hughes-v-nationwide-mutual-insurance-nysupct-1979.