Matter of Liberty Mut. Fire Ins. Co. v. Wilson

2025 NY Slip Op 51076(U)
CourtNew York Supreme Court, Kings County
DecidedJuly 6, 2025
DocketIndex No. 502949/2025
StatusUnpublished
Cited by2 cases

This text of 2025 NY Slip Op 51076(U) (Matter of Liberty Mut. Fire Ins. Co. v. Wilson) is published on Counsel Stack Legal Research, covering New York Supreme Court, Kings County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Matter of Liberty Mut. Fire Ins. Co. v. Wilson, 2025 NY Slip Op 51076(U) (N.Y. Super. Ct. 2025).

Opinion

Matter of Liberty Mut. Fire Ins. Co. v Wilson (2025 NY Slip Op 51076(U)) [*1]

Matter of Liberty Mut. Fire Ins. Co. v Wilson
2025 NY Slip Op 51076(U)
Decided on July 6, 2025
Supreme Court, Kings County
Maslow, J.
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
This opinion is uncorrected and will not be published in the printed Official Reports.


Decided on July 6, 2025
Supreme Court, Kings County


In the Matter of the Application of
Liberty Mutual Fire Insurance Company, Petitioner,

against

Ikey Wilson, Respondent.




Index No. 502949/2025

Callinan & Smith LLP, Wantagh (Steven Daniel Levy of counsel) for Petitioner.

Wellerstein & Associates, P.C., Maspeth (Alfred Odom of counsel) for Respondent.
Aaron D. Maslow, J.

The following numbered papers were used on this motion: NYSCEF Document Numbers 1-34.

Upon the foregoing papers, having heard oral argument, and due deliberation having been had [FN1] , the within matter is determined as follows.

Issue

Whether the Court should grant Petitioner Liberty Mutual Fire Insurance Company's ("Petitioner Liberty Mutual") Petition pursuant to CPLR 7503 (c) to permanently stay the uninsured/underinsured/SUM motorist arbitration demanded by Respondent Ikey Wilson ("Respondent Wilson"), on the grounds that (1) the underlying motor vehicle accident was a staged or intentional event and thus not a covered occurrence under the policy, and/or (2) Respondent Wilson violated the fraud provision of the policy; or, in the alternative, whether a [*2]framed-issue hearing should be held to determine the threshold issue of coverage and fraud.



Introduction

Petitioner Liberty Mutual moves for an order and judgment, as set forth in the notice of petition in this CPLR Article 75 special proceeding:

i. Pursuant to CPLR 7503 (c) permanently staying the uninsured/underinsured/SUM motorist arbitration as Respondent Ikey Wilson is not eligible for coverage under the Liberty Mutual Fire Insurance Company policy of insurance as there was never an agreement between the parties to arbitrate as the underlying incident was not the product of a covered event in that it was the product of a staged and/or caused intentional event;

ii. Pursuant to CPLR 7503 (c) permanently staying the uninsured/underinsured motorist/SUM arbitration as Respondent Ikey Wilson is not eligible for coverage under the Liberty Mutual Fire Insurance Company policy of insurance as Respondent violated the Fraud provision of the policy of insurance issued by Liberty Mutual Fire Insurance Company;

iii. In the alternative, for an order setting this matter down for a framed-issue hearing to determine (1) if Respondent Ikey Wilson is eligible/qualifies for coverage under the policy of insurance issued by Liberty Mutual Fire Insurance Company; (2) if the underlying incident of August 17, 2023 was the product of a covered event; and/or (3) if Respondent Ikey Wilson breached the Fraud provision of the underlying policy of insurance and allowing Petitioner to conduct any and all necessary discovery in aid of the framed-issue hearing; and/or

iv. In the alternative, for an order temporarily staying the uninsured/underinsured/SUM arbitration should this Court direct that this matter proceed to arbitration pending the completion of all necessary pre-arbitration discovery; and

v. For such other and further relief as to this Court may deem just, proper, and equitable. (See NYSCEF Doc No. 2 at 1-2.)


Background

On August 17, 2023, Respondent Wilson was a passenger in an Uber that was involved in a hit-and-run accident in Hempstead, New York. A police accident report confirms that the Uber was rear-ended by an unknown vehicle that fled (see NYSCEF Doc No. 4). Respondent Wilson filed a demand for uninsured motorist arbitration ("UM arbitration")[FN2] on February 26, 2024. Petitioner Liberty Mutual denied the claim on October 17, 2024, claiming that the accident was staged. Petitioner Liberty Mutual filed the instant petition on January 27, 2025, to stay arbitration.



Petitioner Liberty Mutual's Position

Arbitrator Richard Kokel ("Arbitrator Kokel") issued a No-Fault Insurance Arbitration Award on April 14, 2025, finding that the subject accident was staged, and that Respondent Wilson's injuries did not arise from a legitimate accident. Arbitrator Kokel relied on [*3]Examination Under Oath ("EUO") testimonies, a video recording, and an affirmation by Petitioner Liberty Mutual's investigator, Gina Lupo ("Ms. Lupo"), noting inconsistencies and falsehoods in witness statements. Petitioner Liberty Mutual argues that the Court should apply collateral estoppel based on the arbitration award, barring Respondent Wilson from relitigating the issue of whether the accident was staged. Collateral estoppel may be applied to No-Fault arbitration awards, even if the awards have not been judicially confirmed (see Martin v Geico Direct Ins., 31 AD3d 505, 506 [2d Dept 2006]). As seen in Lobel v Allstate Ins. Co. (269 AD2d 502, 502 [2d Dept 2000]), the Second Department dismissed an action for No-Fault benefits in an arbitration between the plaintiff's assignee/medical provider and six defendants in that it had been previously determined that there was no causation as to the claimed injuries. Accordingly, Petitioner Liberty Mutual asserts that even though the arbitration award is not judicially confirmed, it is binding for collateral estoppel purposes.

Petitioner Liberty Mutual also contends that its petition in this special proceeding is timely because it raises a coverage defense (that the accident was staged), and not just a procedural challenge to the arbitration. Statutory time limits do not apply to the defense of non-coverage (see Government Employees Ins. Co. v Hehl, 203 AD2d 570 [2d Dept 1994]).[FN3] Coverage defenses are also not bound by the 20-day limit in CPLR 7503 (c).[FN4] Moreover, Petitioner Liberty Mutual asserts that there are discovery issues, claiming that discovery is incomplete. For example, Respondent Wilson failed to provide contact information for a prior parole officer and Corey Jones ("Mr. Jones"), who was also involved in events leading up to the accident. Respondent Wilson also failed to provide a Stand-Up MRI authorization. Accordingly, Petitioner Liberty Mutual demands completion of discovery if a framed issue hearing is ordered.



Respondent Wilson's Opposition

Respondent Wilson asserts that the burden of proof has not been met because Petitioner Liberty Mutual must prove by clear and convincing evidence that the accident was staged. To interpose a defense of staged accident fraud, the carrier must establish the fact that, or the founded belief that, the alleged injuries do not arise out of an insured accident (see Central Gen. Hosp. v Chubb Group of Ins. Cos., 90 NY2d 195 [1977]). The clear and convincing standard of [*4]proof has been applied to the claim that an accident was a staged accident (e.g. JSI Expert Serv. v Liberty Mut. Ins. Co., 7 Misc 3d 1009[A], 2005 NY Slip Op 50513[U] [Civ Ct, Kings County 2005]).

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2025 NY Slip Op 51076(U), Counsel Stack Legal Research, https://law.counselstack.com/opinion/matter-of-liberty-mut-fire-ins-co-v-wilson-nysupctkings-2025.