Kaplan Jewelers, Inc. v. Insurance of North America

86 Misc. 334
CourtNew York Supreme Court
DecidedOctober 10, 1975
StatusPublished

This text of 86 Misc. 334 (Kaplan Jewelers, Inc. v. Insurance of North America) 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
Kaplan Jewelers, Inc. v. Insurance of North America, 86 Misc. 334 (N.Y. Super. Ct. 1975).

Opinion

Milton Sanders, J.

This is a case in which plaintiff Kaplan Jewelers, Inc. is suing the defendant Insurance Company of North America to recover damages pursuant to an insurance policy for a theft of certain merchandise belonging to plaintiff, which was allegedly committed by one or more unidentified employees of plaintiff, at plaintiff’s premises.

It is conceded that at the time of the alleged theft plaintiff had in effect with defendant a comprehensive dishonest, disappearance and destruction insurance policy. The critical section of this policy, insofar as this case is concerned is section 2(b) under the heading "Exclusions”. This section, which has become a standard exclusion provision in this type of policy since its adoption in 1957, provides:

"exclusions

"Section 2. This Policy does not apply: * * *

"(b) under Insuring Agreement 1, to loss, or to that part of any loss, as the case may be, the proof of which, either as to its factual existence or as to its amount, is dependent upon an inventory computation or a profit or loss computation; provided, however, that this paragraph shall not apply to loss of Money, Securities or other property which the Insured can prove, through evidence wholly apart from such computations, is sustained by the Insured through any fraudulent or dishonest act or acts committed by any one or more of the Employees;

The proof relied upon by plaintiff herein consists of an inventory (which was computed on a unit basis) plus circumstantial evidence purporting to show that the theft must have been committed by any employee because the theft allegedly occurred at a place of limited access.

This is the identical argument and theory which was urged by plaintiff in Kernwood Mfg. Corp. v Home Ind Co. (65 Misc 354). In that case the trial court rejected the "limited access” theory, holding that plaintiff’s inventory computation failed to prove that a loss had occurred, and also rejected plaintiff’s contention that if the case were to be dismissed, the insurance which plaintiff had purchased would be illusory. The court pointed out that a plaintiff could indeed obtain a recovery under this policy if the plaintiff submitted other proof and [336]*336independent evidence of the employee’s dishonesty. The court (p 357) found the exclusionary clause to be "definite and unambiguous” and stated: " 'To hold that this specific language should be interpreted to mean something other than that plainly stated would constitute an infringement on the right of the parties to write their own contract.’ (Gillette Co. v Travelers Ind. Co., 365 F2d 7, 9.)” The decision of the trial court in the Kern wood case was unanimously affirmed by the Appellate Term, First Department (67 Misc 2d 888).

There have been a number of decisions in the Federal courts and in other jurisdictions interpreting section 2(b). The court has carefully examined all of these decisions and is unable to find a single case where the proof was the same as in the case at bar, in which the exclusion provision was not upheld. On the other hand, there have been a large number of similar situations in which the insured’s claim was dismissed. In Dunlop Tire & Rubber Corp. v Fidelity & Deposit Co. of Maryland (479 F2d 1243), the learned and distinguished United States Court of Appeals, Second Circuit, held that plaintiff was barred by section 2(b) from obtaining a recovery. The court stated (p 1246): "On its face, Section 2(b) appears to permit only one proper interpretation * * * there must be some evidence 'wholly apart from such computations’ both as to the existence and amount of loss; otherwise the claim is excluded.”

Similarly, in United States Smelting Refining & Min. Co. v Aetna Cas. & Sur. Co. (372 F Supp 489, 494), it was likewise held that the insured was barred by section 2(b) from obtaining a recovery, the court stating: "Section 2(b) of the policies mandates proof wholly independent of inventory computations to support a claim under Insuring Agreement I”.

In the case at bar, plaintiff established that it had used the unit-type method inventory. Plaintiff did not, however, present any direct or independent proof that a theft had been committed. The thief was never caught. There was no testimony as to the manner and circumstances in which the theft was allegedly perpetrated. There was no testimony as to any unusual or highly suspicious circumstances, from which it could be concluded that a theft had actually occurred. Plaintiff herein sought to establish the theft itself entirely on the basis of its unit-type method of inventory.

In support of its contentions that its complaint should not be dismissed, and that its claim is not barred by section 2(b), [337]*337plaintiff has offered the cases of Paramount Paper Prod. Co. v Aetna Cas. & Sur. Co. (182 Neb 828) and Sun Ins. Co. of N. Y. v Cullum’s Men Shop (331 F2d 988). The court, however, finds that neither of these cases establishes the conclusion that plaintiff is urging.

In Paramount, it is first to be noted that the case itself was decided in favor of the defendant insurance «company. At the close of plaintiff’s case the trial court dismissed the complaint, and this decision was unanimously affirmed by the Supreme Court of Nebraska. It is true that the court in its decision did indicate by way of dicta that (p 839): "Where employee dishonesty clearly exists, it would appear that a reasonably reliable inventory made upon a unit basis would serve to meet the purpose for which the exclusionary clause was included in the policy”. (Emphasis supplied.) The court held, however, that plaintiff had failed to prove that a theft had occurred by reason of employee dishonesty, and that a unit-type method of inventory by itself is insufficient to establish this.

In the case at bar plaintiff similarly failed to present any other direct or independent evidence that a theft had occured by reason of employee dishonesty. The court therefore concludes that even within the framework of Paramount, plaintiff is barred from recovery by section 2(b).

The Sun Ins. Co. case (331 F 2d 988, supra) is readily distinguishable from the case at bar. In Sun Ins. Co. the court did refuse to dismiss the complaint. The evidence, however, had revealed that the F.B.I. had conducted an investigation (apparently in connection with an unrelated matter) which resulted in the apprehension of one Charles Green. Green was called as a witness by the plaintiff in Sun Ins. Co., and testified that he had been convicted of larceny of merchandise from plaintiff’s store. Green testified at length and described in detail the process by which merchandise was stolen on a regular basis from plaintiff’s store, and which involved dishonesty by one of plaintiff’s employees. The court thus concluded that plaintiff had produced sufficient independent evidence of a theft involving dishonesty by one of plaintiff’s employees to submit the case to the jury.

With regard to Sun Ins. Co. insofar as it applies to the case at bar, the plaintiff herein produced no such independent evidence of an employee theft.

The court finds that plaintiff herein is barred from recovery by section 2(b) of the policy, and defendant’s motion to dismiss [338]*338the complaint at the close of plaintiffs case is accordingly granted.

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Related

Lane v. Fenn
65 Misc. 336 (New York Supreme Court, 1909)
Kernwood Manufacturing Corp. v. Home Indemnity Co.
67 Misc. 2d 888 (Appellate Terms of the Supreme Court of New York, 1971)

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Bluebook (online)
86 Misc. 334, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kaplan-jewelers-inc-v-insurance-of-north-america-nysupct-1975.