Loomis v. ACE American Insurance Company

CourtDistrict Court, N.D. New York
DecidedFebruary 5, 2021
Docket6:19-cv-01131
StatusUnknown

This text of Loomis v. ACE American Insurance Company (Loomis v. ACE American Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Loomis v. ACE American Insurance Company, (N.D.N.Y. 2021).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF NEW YORK

WILLIAM LOOMIS,

Plaintiff, 6:19-cv-1131 (BKS/ATB)

v.

ACE AMERICAN INSURANCE COMPANY,

Defendant.

Appearances: For Plaintiff: Martha L. Berry Michael J. Longstreet Longstreet & Berry, LLP P.O. Box 249 Fayetteville, NY 13066 For Defendant: Kacey Houston Walker Kurt M. Mullen Nixon Peabody LLP Exchange Place 53 State Street Boston, MA 02109 Hon. Brenda K. Sannes, United States District Judge: MEMORANDUM-DECISION AND ORDER I. INTRODUCTION Plaintiff William Loomis commenced this action in Oneida County Supreme Court challenging Defendant ACE American Insurance Company’s rejection of his claim for underinsured motorists benefits in connection with an accident that occurred while Plaintiff was driving a vehicle insured by Defendant. (Dkt. No. 2). Defendant subsequently removed the action to this Court, invoking this Court’s federal diversity jurisdiction. (Dkt. No. 1). Presently before the Court are the parties’ cross-motions for summary judgment under Rule 56 of the Federal Rules of Civil Procedure. (Dkt. Nos. 20, 23). The Court heard oral argument on the motions on February 5, 2020. For the reasons that follow, the Court grants Plaintiff’s motion and denies Defendant’s motion with respect to Plaintiff’s claim under Indiana law, and grants Defendant’s motion and denies Plaintiff’s motion with respect to Plaintiff’s claim under New

York law. II. FACTS1 A. Factual Background Plaintiff, a resident of Oneida County, New York, was injured on October 2, 2017 while driving a truck owned by his employer, XPO Logistics (“XPO”) in the Town of Annsville, New York. (Dkt. No. 20-23, ¶¶ 1-2, 6; Dkt. No. 23-7, ¶¶ 1-2, 6; Dkt. No. 20-19, ¶¶ 2-3). The accident occurred when another vehicle crossed over the center lane and crashed into Plaintiff’s vehicle head-on, with both vehicles traveling at approximately 50 miles per hour. (Dkt. No. 20-23, ¶ 2; Dkt. No. 23-7, ¶ 2; Dkt. No. 20-19, ¶ 4). The driver of the other vehicle died at the scene, while Plaintiff was taken away by ambulance. (Dkt. No. 20-23, ¶ 3; Dkt. No. 23-7, ¶ 3; Dkt. No. 20-19, ¶¶ 6-7). At the time of the accident, the truck that Plaintiff was driving was registered in the State

of Indiana and garaged in the State of New York. (Dkt. No. 20-23, ¶ 5; Dkt. No. 23-7, ¶ 5). The other vehicle involved in Plaintiff’s accident was insured by State Farm Mutual Automobile Insurance Company (“State Farm”). (Dkt. No. 20-23, ¶ 4; Dkt. No. 23-7, ¶ 4). Plaintiff made a claim against the other driver’s estate for the injuries he suffered as a result of

1 The following facts are drawn from the parties’ statements of undisputed material facts and responses pursuant to Local Rule 7.1(a)(3), (Dkt. Nos. 20-23, 23-7, 26, 29), to the extent those facts are well-supported by pinpoint citations to the record, as well as the exhibits attached thereto and cited therein to the extent they are admissible as evidence. In considering the parties’ cross-motions for summary judgment, the Court “in each case constru[es] the evidence in the light most favorable to the non-moving party.” Krauss v. Oxford Health Plans, Inc., 517 F.3d 614, 621-22 (2d Cir. 2008); see also Heublein, Inc. v. United States, 996 F.2d 1455, 1461 (2d Cir. 1993). the accident. (Dkt. No. 20-23, ¶ 7; Dkt. No. 23-7, ¶ 7). Plaintiff’s claim was settled for $50,000—the full amount of the State Farm policy limit—and State Farm paid that amount to Plaintiff. (Dkt. No. 20-23, ¶ 8; Dkt. No. 23-7, ¶ 8; Dkt. No. 20-7; Dkt. No. 20-8). Plaintiff notified Defendant, the insurer of the XPO-owned vehicle he was driving, of his intent to pursue a claim for supplemental underinsured motorist coverage, and this coverage was denied in

writing on the grounds that “there is no Uninsured/Underinsured Motorist Coverage in New York State”2 under the relevant policies. (Dkt. No. 20-23, ¶ 19; Dkt. No. 23-7, ¶ 19; Dkt. No. 20- 4; Dkt. No. 20-6). B. The XSA Policy At the time of his accident, the vehicle Plaintiff was driving was insured by a policy Defendant issued to XPO, with the policy number XSA H25097257 (the “XSA Policy”). (Dkt. No. 20-23, ¶¶ 10-11; Dkt. No. 23-7, ¶¶ 10-11; Dkt. No. 20-15). The XSA Policy provides coverage for “[a]ny auto excluding Private Passenger Type Vehicles; and excluding any auto while involved in intrastate operations . . . in the states of GA, KS, KY, MS and TX.” (Dkt. No. 20-15, at 65). The key terms of the XSA policy are included in a form titled “Excess Business

Auto Coverage Form.” (Id. at 39). The XSA Policy also includes declarations describing it as an “Excess Business Auto Policy” and “Excess Truckers Liability Policy.” (Id. at 28). The XSA Policy applies to the period from October 1, 2017 to October 1, 2018, and provides for a $7 million Limit of Insurance for any one accident or loss. (Id. at 28-29). The XSA Policy also includes a $3 million self-insured “Retained Limit,” defined as “the amount [XPO] must pay before the Limits of Insurance become applicable.” (Id. at 29, 51). The XSA Policy provides that

2 The denial letter did not reference Indiana. Defendant “will pay the ‘insured’ for the ‘ultimate net loss’3 in excess of the ‘retained limit’ because of ‘bodily injury’ or ‘property damage’ to which [the XSA Policy] applies, caused by an ‘accident’ and resulting from the ownership, maintenance or use of a covered ‘auto.’” (Id. at 39).4 The XSA Policy “does not apply to defense, investigation, settlement or legal expenses, or prejudgment interest arising out of any ‘accident’, but [Defendant] shall have the right and

opportunity to assume from the insured the defense and control of any claim or ‘suit’, including any appeal from a judgment, seeking payment of damages covered under [the XSA Policy] arising out of such ‘accident’ that [Defendant] believe[s is] likely to exceed the ‘retained limit.’” (Id.). The parties’ dispute centers on the XSA Policy’s provisions related to Uninsured and Underinsured Motorist Coverage, a type of insurance that is triggered when an insured driver is in an accident with an at-fault driver who does not have insurance (“Uninsured,” or “UM,” coverage) or whose insurance is insufficient to fully cover the other driver’s damages (“Underinsured,” or “UIM,” coverage). The XSA Policy expressly states that it does not cover

damage “caused by an ‘accident’ with an uninsured or underinsured ‘auto,’” but also contains language suggesting that that exclusion may be modified by a separate endorsement: “No one will be entitled to receive duplicate payments for the same elements of ‘loss’ under this coverage form and any Uninsured Motorists Coverage endorsement or Underinsured Motorists Coverage

3 The XSA Policy defines “ultimate net loss” as “the total amount the ‘insured’ is legally obligated to pay as damages for a covered claim or ‘suit’ either by adjudication or a settlement to which we agree in writing, and includes deductions for recoveries and salvages which have or will be paid.” (Id. at 51). 4 The XSA Policy also contains a provision labeled “Other Insurance,” which provides that “[i]f other insurance is available to the ‘insured’ for a loss we cover under this policy, this insurance is excess over that other insurance, unless that insurance is written specifically to apply in excess of the Limits of Insurance shown in the Declarations of this policy.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Krauss v. Oxford Health Plans, Inc.
517 F.3d 614 (Second Circuit, 2008)
St. Paul Mercury Insurance v. Lexington Insurance
78 F.3d 202 (Fifth Circuit, 1996)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Heublein, Inc. And Subsidiaries v. United States
996 F.2d 1455 (Second Circuit, 1993)
Morgan Stanley Group v. New England Ins. Co.
225 F.3d 270 (Second Circuit, 2000)
Jeffreys v. City of New York
426 F.3d 549 (Second Circuit, 2005)
Annette (Oliver) Hirsch v. Roger Lee Oliver
970 N.E.2d 651 (Indiana Supreme Court, 2012)
Lakes v. Grange Mutual Casualty Co.
964 N.E.2d 796 (Indiana Supreme Court, 2012)
State Farm Mutual Automobile Insurance Co. v. Jakupko
881 N.E.2d 654 (Indiana Supreme Court, 2008)
Elliott v. Allstate Insurance Co.
881 N.E.2d 662 (Indiana Supreme Court, 2008)
Northern Indiana Public Service Co. v. Bloom
847 N.E.2d 175 (Indiana Supreme Court, 2006)
Corr v. American Family Insurance
767 N.E.2d 535 (Indiana Supreme Court, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
Loomis v. ACE American Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/loomis-v-ace-american-insurance-company-nynd-2021.