Jenkins v. Burgos

99 A.D.2d 217, 472 N.Y.S.2d 373, 1984 N.Y. App. Div. LEXIS 16543
CourtAppellate Division of the Supreme Court of the State of New York
DecidedFebruary 28, 1984
StatusPublished
Cited by50 cases

This text of 99 A.D.2d 217 (Jenkins v. Burgos) 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
Jenkins v. Burgos, 99 A.D.2d 217, 472 N.Y.S.2d 373, 1984 N.Y. App. Div. LEXIS 16543 (N.Y. Ct. App. 1984).

Opinion

OPINION OF THE COURT

Kassal, J.

The issue on this appeal is whether the injured party gave timely notice of the accident to the insurer and whether oral notification will suffice where the policy, statute and cases in this State uniformly require that written notice be given. The trial court held that notice by telephone, which was disputed by the insurer, was sufficient compliance with the policy. We disagree and, accordingly, reverse the order and judgment and declare that the insurer had no obligation to defend or indemnify its in[218]*218sured in the underlying negligence action as a result of the breach of the notice provision of the policy, a condition precedent to coverage.

On October 7,1976, plaintiff Anne Jenkins, a passenger in a motor vehicle owned by Josué Burgos and operated by Wesley Kelly, was injured in an automobile accident with a vehicle owned by Angel Gutierrez and operated by Ferdinand Gomez. In December, 1976, plaintiffs instituted the underlying negligence action. Concededly, no notice was ever given by Burgos, the insured, to his insurer, American Transit Insurance Company (American Transit), and neither Burgos nor Kelly appeared or answered in the personal injury action. At the time the action was commenced, plaintiffs, through their attorneys, submitted to the Department of Motor Vehicles a request for insurance information on the Burgos vehicle and thereafter received its FS-25 form, reflecting that on December 27,1976, a search of motor vehicle records revealed that the Burgos vehicle had been insured by American Transit.

Although plaintiffs admittedly had knowledge of the identity of the insurer in December, 1976, no written notice of the accident was sent to American Transit until August 14, 1978, when plaintiff’s counsel wrote to apprise the insurer of the accident, enclosing a copy of the FS-25, the MV-104 prepared by Gomez, the operator of the other vehicle, with copies of the summons and complaint in the underlying negligence action and with proof of service. After subsequent follow-up letters on September 6 and 7, 1978, American Transit, on September 11, 1978, disclaimed coverage and refused to defend Burgos, relying, inter alia, upon the failure of its insured and the injured claimants to properly notify the insurer of the accident or the suit within a reasonable time, as required by the policy. Thereafter, on September 13, 1978, the attorneys for Jenkins rejected the disclaimer, advising that they would treat it as a nullity and requested the carrier to appear in the action, asserting that on November 2, 1976 counsel had reported the accident by telephone to thé insurer’s claims office. This declaratory judgment action was brought in July, 1979 for a declaration that American Transit was obligated to defend and indemnify Burgos in [219]*219the underlying action and that its disclaimer of coverage was invalid.

When the declaratory judgment action came on for trial, the insurer sought an adjournment to present its in-house counsel as a witness, alleged by the carrier to be the only person with knowledge of the facts bearing upon the disclaimer. The request was denied and the case proceeded to trial, with the only witness being the attorney for the injured party, who testified that on November 2,1976, less than one month after the accident, he telephoned American Transit and spoke with a claims examiner, Robert Pinkerton, advising him of the accident. According to plaintiffs’ attorney, Pinkerton responded that “he had no record of the accident”. American Transit denied that there had been oral notice, which it claimed was insufficient compliance with the policy in any event. It is conceded that there was no written notice from the injured party until August of 1978, 1 year and 10 months after the accident and no follow-up correspondence to confirm the alleged telephone conversation. Nor did the injured party apprise the insurer of the particulars with respect to the accident or forward copies of the summons and complaint after the action had been commenced.

Following trial, it was found that the oral notice and the written notification almost two years later were sufficient. On that basis, the trial court held “it would be contrary to public policy to state that if — that you could just walk away from this just because your assured did nothing. You had some responsibility in this.” Accordingly, the court declared that American Transit had to defend and indemnify its insured in the underlying action.

It is a well-established principle that the failure to comply with provisions of an insurance policy requiring timely written notice of an accident vitiates the contract, both as to the insured and to one injured or damaged by his acts (Deso v London & Lancashire Ind. Co., 3 NY2d 127, 129; Security Mut. Ins. Co. v Acker-Fitzsimons Corp., 31 NY2d 436, 440; Rushing v Commercial Cas. Ins. Co., 251 NY 302, 304-305). Policy provisions which require “immediate notice”, “notice as soon as practicable” and “notice as soon as reasonably possible”, as well as other like terms, [220]*220have all been interpreted to require that notice be given within a reasonable time under the circumstances. Ordinarily, the reasonableness of any delay and the sufficiency of the excuse offered is a matter for trial. In the absence of excuse or mitigating factors, however, the issue poses a legal question for the court and, in such circumstances, relatively short periods have been found to be unreasonable as a matter of law (Deso v London & Lancashire Ind. Co., supra [51 days]; Rushing v Commercial Cas. Ins. Co., supra [22 days]; Haas Tobacco Co. v American Fid. Co., 226 NY 343 [10 days]).

Thus, the notice provision of the policy is a condition precedent to coverage and where there has been insufficient compliance, the insurer is relieved of liability without any proof of resulting prejudice from the late notice. The operative standard is reasonableness under the circumstances and is statutorily imposed, section 167 (subd 1, par [d]) of the Insurance Law providing: “(d) A provision that failure to give any notice required to be given by such policy within the time prescribed therein shall not invalidate any claim made by the insured or by any other claimant thereunder if it shall be shown not to have been reasonably possible to give such notice within the prescribed time and that notice was given as soon as was reasonably possible.”

Where the insured has failed to abide by the policy provision respecting notice, thus relieving the carrier of its obligations under the policy, the breach of the condition likewise operates to preclude an injured claimant from any benefits thereunder. (Rushing v Commercial Cas. Ins. Co., 251 NY, at pp 304-305; Deso v London & Lancashire Ind. Co., 3 NY2d, at pp 130-131.) In such a case, as was observed by Chief Judge Cardozo in Rushing, “[t]he plaintiff, the judgment creditor, stands in the shoes of the assured, and must abide by his case when suing on the policy” (251 NY, at pp 304-305). There, the injured party had recovered a judgment against the insured and sought to proceed against the insurer as a judgment creditor, the court holding that the absence of timely notice from the assured operated as a bar.

It is now recognized, however, that a liability insurance policy is not a matter strictly between the insured and the [221]*221insurer. Injured accident victims have a genuine interest in securing the protection afforded by such liability coverage.

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Bluebook (online)
99 A.D.2d 217, 472 N.Y.S.2d 373, 1984 N.Y. App. Div. LEXIS 16543, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jenkins-v-burgos-nyappdiv-1984.