In re the Arbitration between Criterion Insurance Co. of Washington, D.C. & Commercial Union Assurance Co.

89 Misc. 2d 36, 390 N.Y.S.2d 953, 1976 N.Y. Misc. LEXIS 2813
CourtNew York Supreme Court
DecidedNovember 24, 1976
StatusPublished
Cited by7 cases

This text of 89 Misc. 2d 36 (In re the Arbitration between Criterion Insurance Co. of Washington, D.C. & Commercial Union Assurance Co.) 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
In re the Arbitration between Criterion Insurance Co. of Washington, D.C. & Commercial Union Assurance Co., 89 Misc. 2d 36, 390 N.Y.S.2d 953, 1976 N.Y. Misc. LEXIS 2813 (N.Y. Super. Ct. 1976).

Opinion

Andrew J. Di Paola, J.

This proceeding to stay compulsory arbitration proceedings under section 674 of the Insurance Law involves the interpretation of the statute and, if interpreted contrary to petitioner’s contentions, an attack on its constitutionality.

The facts are undisputed. On May 12, 1974 Frances Frangione was operating an automobile owned by Felix Frangione covered by a policy of insurance issued by the respondent Commercial Union Assurance Company (Commercial Union) which complied with the requirements of the Comprehensive Automobile Insurance Reparations Act (Insurance Law, art XVIII, §§ 670-677) commonly known as the New York no-fault [37]*37act, when there was a collision in Suffolk County between that vehicle and the automobile owned and operated by Jennie Kronske, insured by the petitioner Criterion Insurance Company of Washington, D.C. (Criterion). Criterion’s policy provided liability coverage of $10,000/$20,000 for personal injuries and $5,000 for property damage and it, too, contained provision for no-fault benefits as required by law (Insurance Law, § 672). Thus each of the operators was a "covered person” under the no-fault act (Insurance Law, § 671, subd 10).

Mrs. Frangione was seriously injured in that collision and Commercial Union has made payments to her of the first-party benefits required by its policy and the statute (Insurance Law, § 671, subds 1, 2; § 672). By May 19, 1975, such payments aggregated $35,579.16 and were continuing. No challenge is presented either to the fact, or to the necessity and propriety, of the payments. On that day Commercial Union demanded arbitration under section 674 of the Insurance Law1 predicated on its position that Jennie Kronske was the at-fault party in causing the collision on May 12, 1974. The response was Criterion’s application to stay the arbitration proceedings.

Eleven adjournments of that application were taken mainly co await the decision of the Court of Appeals in Montgomery v Daniels (38 NY2d 41) which involved an attack on the constitutionality of article XVIII of the Insurance Law by persons injured in vehicular accidents. The legislation wans upheld by an unanimous court; and the pending application was finally presented to the Special Term on March 1, 1976. An intermediate order required the vouching in of the Attorney-General (Executive Law, § 71) and he has now by notice dated November 10, 1976, appeared herein and filed an answering affidavit and brief.

Among other claims, the petitioner urges that any interpretation of the statute which requires it to pay to Commercial [38]*38Union or to its insureds any sums in excess of $10,000 impairs the obligations of its contract (the liability policy) with Mrs. Kronske who only purchased limited coverage as noted, and that in any event, the statute violates its right to a jury trial of the liability issues and denies it equal protection of the laws and due process in allegedly precluding it from obtaining contribution from possible joint tort-feasors (in this case, the manufacturer of the Kronske vehicle).

In Montgomery v Daniels (38 NY2d 41, 46, supra) the court pointed out that the no-fault act was one which effected "a two-pronged, partial modification of the pre-existing system of reparation for personal injuries suffered in automobile accidents” and that "[o]ne prong deals with compensation; the other with limitation of tort actions.” In pursuit of the objective of compensation the act requires that every owner of a motor vehicle provide himself, operators, occupants and pedestrians with compensation for basic economic loss as defined in the statute, thus achieving a limited objective in that area.

In our consideration of section 674 of the Insurance Law, we are concerned with the second prong of the no-fault act which (Montgomery v Daniels, supra, p 47) "imposes two limitations on tort recovery for personal injuries, applicable, however, only to actions between 'covered persons’ (as defined in § 671, subd 10): (1) there can be no duplicate tort compensation for 'basic economic loss’ (§ 673, subd 1); and (2) damages for noneconomic loss (i.e., pain and suffering) are not recoverable in tort unless the plaintiff can establish that he has suffered a 'serious injury’ (§ 673, subd 1).”

The legislative intent is to be gathered from the language employed in the statute construed as written and given its unequivocal meaning (Flushing Nat. Bank v Municipal Assistance Corp., 40 NY2d 731; Association of Contr. Plumbers v Contracting Plumbers Assn., 302 NY 495, 500; People v Olah, 300 NY 96, 102) and the plain and clear provisions of section 674 of the Insurance Law (set forth in n 1, supra) require no interpretation (cf. Matter of Wendell v Lavin, 246 NY 115, 120).

The statutory mandate, in simple terms, is that Commercial Union having paid first-party benefits to its insured, a covered person, has the right to recover the amount of those benefits from Criterion as the insurer of another covered person "if and to the extent that such other covered person would have been liable, but for the provisions of this article [the no-fault [39]*39act], to pay damages in an action at law.” (Insurance Law, § 674, subd 1.) The procedure is by arbitration, the limit of recovery by the demanding insurer, is the amount of the benefits paid for economic loss as defined in the act, and the obligations of the responding insurer under any policy of bodily injury liability insurance are not affected or diminished.

This patent construction has been followed by the Department of Insurance of the State of New York. Thus in its circular letter No. 5 (1976) issued February 27, 1976, it stated: "The obligation of an insurer under Section 674 to reimburse another insurer for payments of first party benefits [basic economic loss] is not limited by the underlying limits of the at-fault owner’s liability coverage. Moreover Section 674(3) recognizes that the obligation of an insurer to reimburse another insurer pursuant to Section 674(1) does not affect or diminish the at-fault insurer’s obligation under its policy of bodily injury liability insurance * * * Section 674 provides that the obligation of the insurer of the at-fault party to settle with the insurer of the not-at-fault party is as broad as the primary obligation of the not-at-fault insurer to pay first party benefits. The obligation of the at-fault insurer to reimburse the not-at-fault insurer is not tied to the limits of the liability coverage of the at-fault party but to the liability for payment of elements of basic economic loss which the covered person would have been exposed to prior to the enactment of the no-fault law.” (See, also, 11 NYCRR Part 65.)

The petitioner’s argument that this imposes on it a liability which it did not contract to assume is untenable. The object of the no-fault act was to eliminate the vast majority of auto accident negligence suits from the judicial arena and to assure prompt compensation to accident victims of substantially all of their economic loss without regard to fault (see Governor’s Memorandum, NY Legis Ann, 1973, p 298; Montgomery v Daniels, 38 NY2d 41, 49 et seq., supra). In part this was achieved by providing for intercompany arbitration of loss reallocations.2 In writing insurance in this State, Criterion [40]

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89 Misc. 2d 36, 390 N.Y.S.2d 953, 1976 N.Y. Misc. LEXIS 2813, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-arbitration-between-criterion-insurance-co-of-washington-dc-nysupct-1976.