In re the Arbitration between Shand & Aetna Insurance

74 A.D.2d 442, 428 N.Y.S.2d 462, 1980 N.Y. App. Div. LEXIS 10857
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMay 19, 1980
StatusPublished
Cited by54 cases

This text of 74 A.D.2d 442 (In re the Arbitration between Shand & Aetna 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
In re the Arbitration between Shand & Aetna Insurance, 74 A.D.2d 442, 428 N.Y.S.2d 462, 1980 N.Y. App. Div. LEXIS 10857 (N.Y. Ct. App. 1980).

Opinion

OPINION OF THE COURT

Lazer, J. P.

This appeal confronts us with an opportunity to attempt definition of the standard to be applied when reviewing a compulsory arbitration award which has been infected by [443]*443error of law.1 Three recent Court of Appeals determinations have set awry the conventional method of dealing with such questions (see Matter of Garcia v Federal Ins. Co., 46 NY2d 1040; Matter of Furstenberg [Aetna Cas. & Sur. Co.], 49 NY2d 757; cf. Matter of Levine v Zurich Amer. Ins. Co., 49 NY2d 907) while failing to clearly articulate guidelines for the future. Until definitive precepts do arrive, we conclude that the test traditionally utilized for judicial review of quasi-legislative acts of administrative agencies—whether any rational basis whatsoever exists for the determination—is appropriate when error of law is the focus of challenge in a compulsory arbitration award.

At issue is a judgment of Special Term confirming an arbitrator’s denial of first-party no-fault benefits in which the facts are relatively undisputed. While driving his own car, petitioner was involved in an accident and applied to his insurance carrier, respondent Aetna Insurance Company, for no-fault benefits. The application was rejected with the statement that "[t]his accident arises out of and in the course of applicant’s employment. The matter should be referred to applicant’s Workers Compensation carrier.” The petitioner was also informed that if he wished to contest Aetna’s determination he could file a written complaint with the State Insurance Department, "submit this dispute to binding arbitration, "or bring a court action. He chose arbitration.

At the conclusion of the arbitration proceeding the claims for medical expenses and lost earnings were denied. The arbitrator found that petitioner’s virtual one-man gardening-landscaping business had been incorporated under the name Shand Landscaping Corporation some time prior to the accident, that the workers’ compensation policy the corporation obtained from Aetna had been canceled upon its expiration on June 17, 1976, and that at the time of the accident, nine months later, the policy still had not been replaced. After deciding that the accident arose in the course of petitioner’s employment while driving with an employee-passenger to solicit a customer, the arbitrator ruled:

"The fact that [petitioner] violated the workmens compensation law by failing to have his corporation continue obtaining [444]*444a policy of insurance, should not work to his benefit, since it must be noted that although no evidence of injuries to his passenger was brought out, if his passenger who he testified was going to help him on this job, had been injured, that passenger would have been left without a workmens compensation remedy.
"Of one further note, while it is true that if a policy of workmens compensation had been maintained in this case, he would have been entitled to the difference that the workmens compensation carrier would have paid him for loss of wages and eighty percent of his loss of earnings. However, other than his bare testimony with regard to his wages, no evidence was presented to me by way of any books, records, income tax statements or anything else with regard to lost earnings.
"I therefore find that the claimant has failed to sustain his burden of proof and am constrained to deny him benefits.”

The arbitrator’s conclusion that the petitioner’s failure to carry workers’ compensation insurance defeated his claim clearly was predicated upon the language of section 671 (subd 2, par [b]) of the Insurance Law, which relevantly provides:

"2. 'First party benefits’ means payments to reimburse a person for basic economic loss on account of personal injury arising out of the use or operation of a motor vehicle, less * * *
"(b) amounts recovered or recoverable on account of such injury under state or federal laws providing * * * workmen’s compensation benefits”.

In any event, the petitioner instituted the current proceeding to vacate the award pursuant to CPLR 7511 on the grounds that (1) he "was operating a private passenger vehicle * * * on the date of the accident, and did not feel that he was in the course of his employment” and (2) "[a]s no Workmen’s Compensation policy existed, and no Workmen’s Compensation claim had been made or pending, the 'No-Fault’ benefit claims should have been honored.”

Special Term found that whether the injuries arose during the course of petitioner’s employment was "a factual issue which cannot be reviewed by this Court”; that petitioner could file for workers’ compensation under section 26-a of the Workers’ Compensation Law (Uninsured Employers’ Fund); and that these "recoverable” benefits precluded payment of any further benefits by the no-fault carrier. Having concluded that [445]*445the award was rationally based under the standard for mandatory arbitration established in Mount St. Mary’s Hosp. of Niagara Falls v Catherwood (26 NY2d 493), Special Term confirmed the award and dismissed the petition.

On appeal, petitioner argues that Special Term erred because (1) the injuries did not arise "out of and in the course of employment” (Workers’ Compensation Law, §2, subd 7); and (2) petitioner had no workers’ compensation remedy since his corporation had provided no security to compensate injured employees as required by statute (Workers’ Compensation Law, §§ 10, 50, 52). The latter contention implicates interpretation of the no-fault law, but whether we can decide the correctness of his construction of that law depends upon the standard of review to be utilized when the challenge to a no-fault arbitration award is based on a claim of error of law.

I

The applicable statute, of course, is CPLR article 75 of which section 7511 (subd [b], par 1, cl [iii]) provides:

"The award shall be vacated on the application of a party * * * if the court finds the rights of that party were prejudiced by * * *
"(iii) an arbitrator, or agency, or person making the award exceeded his power or so imperfectly executed it that a final and definite award upon the subject matter submitted was not made” (emphasis added).

The classic interpretation of this provision is that the arbitrator will be deemed to have exceeded his power if he gives a completely irrational construction to the parties’ governing agreement (see Lentine v Fundaro, 29 NY2d 382, 385). That test ignores an arbitrator’s mistake of law (or fact) and focuses instead on whether he has made a new contract for the parties (Matter of National Cash Register Co. [Wilson], 8 NY2d 377, 383; Matter of Raisler Corp. [New York City Housing Auth.], 32 NY2d 274, 282), employed a "perverse” rather than merely an "egregious” misconstruction of the governing terms (Matter of Wilkins, 169 NY 494, 496; Matter of S & W Fine Foods [Office Employees Int. Union], 8 AD2d 130, 132, affd 7 NY2d 1018) or rendered an award violative of public policy if enforced (see Matter of Sprinzen [Nomberg], 46 NY2d 623, 631). In Rochester City School Dist. v Rochester Teachers Assn. (41 NY2d 578, 582), the Court of Appeals [446]

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Bluebook (online)
74 A.D.2d 442, 428 N.Y.S.2d 462, 1980 N.Y. App. Div. LEXIS 10857, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-arbitration-between-shand-aetna-insurance-nyappdiv-1980.