In Re the Arbitration Between U.S. Speciality Insurance Co. & Denardo

2017 NY Slip Op 5298, 151 A.D.3d 1520, 57 N.Y.S.3d 743
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 29, 2017
Docket524043
StatusPublished
Cited by7 cases

This text of 2017 NY Slip Op 5298 (In Re the Arbitration Between U.S. Speciality Insurance Co. & Denardo) 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 U.S. Speciality Insurance Co. & Denardo, 2017 NY Slip Op 5298, 151 A.D.3d 1520, 57 N.Y.S.3d 743 (N.Y. Ct. App. 2017).

Opinion

*1521 Egan Jr., J.

Appeal from an order of the Supreme Court (Mott, J.), entered July 12, 2016 in Ulster County, which, among other things, granted petitioner’s application pursuant to CPLR 7503 to permanently stay arbitration between the parties.

On September 26, 2013, respondent, a detective with the Town of Poughkeepsie Police Department, allegedly sustained certain injuries when his unmarked police cruiser collided with another vehicle at an intersection. At the time of the accident, both respondent and the operator of the other vehicle were insured under policies issued by the Government Employees Insurance Company (hereinafter GEICO), and the Town of Poughkeepsie was covered under an insurance policy issued by petitioner. On January 14, 2014, respondent submitted a notice of intention to make a claim for supplementary uninsured/ underinsured motorist (hereinafter SUM) benefits under the Town’s policy. 1 Petitioner acknowledged receipt of respondent’s “potential SUM claim,” requested certain additional information and advised that any settlement of respondent’s claim against the driver of the other vehicle would require petitioner’s consent. Respondent subsequently settled that claim (with petitioner’s consent), provided petitioner with requested medical authorizations and documents and was deposed.

By letter dated January 11, 2016, petitioner apprised respondent’s counsel that, consistent with the Court of Appeals’ decision in Matter of State Farm Mut. Auto. Ins. Co. v Fitzgerald (25 NY3d 799 [2015]), the police vehicle that respondent was operating at the time of the accident was not a “motor vehicle” for purposes of SUM coverage and, therefore, respondent was not an insured under the terms of the SUM endorsement. Accordingly, petitioner advised, should respondent demand arbitration with respect to his SUM claim, petitioner would seek to permanently stay such arbitration upon those grounds. Respondent then served petitioner with a demand for arbitration and, as promised, petitioner moved by order to show cause for a permanent stay of arbitration and a declaration that the policy did not provide coverage for respondent’s SUM claim. Respondent opposed that application and, among other things, moved for summary judgment — seeking a declaration that petitioner indeed was obligated to provide SUM coverage for the subject accident. Supreme Court granted petitioner’s ap *1522 plication and denied respondent’s requested relief, prompting this appeal.

The crux of respondent’s argument upon appeal is that, notwithstanding the Court of Appeals’ decisions in Fitzgerald and Matter of State Farm Mut. Auto. Ins. Co. v Amato (72 NY2d 288, 294-295 [1988]), the policy issued to the Town by petitioner indeed provided SUM coverage under the circumstances presented here, and, in any event, petitioner is estopped from disclaiming coverage due to its two-year delay in doing so. We disagree with both of these propositions and, therefore, affirm.

The SUM endorsement to the Town’s insurance policy defines the term “insured,” in relevant part, as “[a]ny other person while occupying ... [a] motor vehicle insured for SUM under this policy.” The policy does not define the term “motor vehicle,” but the Court of Appeals has made clear that, in the absence of a contract provision to the contrary, the definition of “motor vehicle” set forth in Vehicle and Traffic Law § 388 (2) controls for purposes of both uninsured motorist coverage (see Matter of State Farm Mut. Auto. Ins. Co. v Amato, 72 NY2d at 294-295) and SUM coverage (see Matter of State Farm Mut. Auto. Ins. Co. v Fitzgerald, 25 NY3d at 808-809). Inasmuch as “fire and police vehicles” are expressly excluded from the definition of a motor vehicle under Vehicle and Traffic Law § 388 (2), 2 it necessarily follows that, consistent with the cited cases, the police vehicle operated by respondent at the time of the accident did not fall within the scope of the SUM coverage provided under the Town’s policy with petitioner. As the subject vehicle was not “[a] motor vehicle insured for SUM under [the] policy,” respondent, in turn, was not a covered insured under such policy. Thus, petitioner did not in fact contract to provide SUM coverage to either the Town or respondent under the circumstances presented here.

In an effort to circumvent the language employed in the subject SUM endorsement, the effect of Vehicle and Traffic Law § 388 (2) and the Court’s holding in Fitzgerald, respondent — citing the declarations page for the business auto coverage portion of the Town’s policy and the designations contained thereon — argues that his unmarked police vehicle nonetheless qualified as a “covered auto” for purposes of SUM coverage. In support of this argument, respondent notes that the policy defines “[a]uto” as “[a] land motor vehicle, ‘trailer’ or semitrailer designed for travel on public roads . . . or . . . [a]ny other *1523 land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged.” As reflected on the declarations page, a covered auto included those autos owned by the Town. Thus, according to respondent, even if his unmarked police vehicle is not a “motor vehicle” under Vehicle and Traffic Law § 388 (2), it nevertheless meets the definition of a “land vehicle that is subject to a compulsory or financial responsibility law” and, hence, qualifies for SUM coverage under the terms of the policy.

The flaw in respondent’s argument on this point is that, in defining an “insured” for purposes of SUM coverage, the SUM endorsement to the policy specifically utilizes the term “motor vehicle” instead of “auto” or “covered auto,” and respondent cannot rewrite the subject policy/SUM endorsement and create coverage that does not otherwise exist simply by substituting terms and definitions that are more advantageous to him. To the extent that respondent argues that the use of these various terms — auto, covered auto and motor vehicle — create an ambiguity in the policy that must be construed against petitioner, again, we disagree. “Although provisions of an insurance policy drafted by the insurer are generally construed against the insurer if ambiguous, a policy provision mandated by statute must be interpreted in a neutral manner consistently with the intent of the legislative and administrative sources of the legislation” (Matter of State Farm Mut. Auto. Ins. Co. v Fitzgerald, 25 NY3d at 804 [citations omitted]). As petitioner “was required to offer SUM coverage in compliance with the terms of Insurance Law § 3420 (f) (2) (A) and Department of Insurance regulations,” the language employed in the SUM endorsement “must be interpreted in a neutral manner” (id. at 804). In short, we agree with Supreme Court that, under the circumstances presented here, the policy issued by petitioner did not afford respondent SUM coverage to respondent in the first instance.

Respondent next contends that, because petitioner failed to disclaim SUM coverage until two years after he filed his notice of intention to make a claim, petitioner now is estopped from doing so.

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Cite This Page — Counsel Stack

Bluebook (online)
2017 NY Slip Op 5298, 151 A.D.3d 1520, 57 N.Y.S.3d 743, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-arbitration-between-us-speciality-insurance-co-denardo-nyappdiv-2017.