Medical Facilities, Inc. v. Pryke

95 A.D.2d 692, 463 N.Y.S.2d 804, 1983 N.Y. App. Div. LEXIS 18596
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 16, 1983
StatusPublished
Cited by8 cases

This text of 95 A.D.2d 692 (Medical Facilities, Inc. v. Pryke) 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
Medical Facilities, Inc. v. Pryke, 95 A.D.2d 692, 463 N.Y.S.2d 804, 1983 N.Y. App. Div. LEXIS 18596 (N.Y. Ct. App. 1983).

Opinion

— Order, Supreme Court, Bronx County (Mercorella, J.), entered September 10, 1982, denying defendant’s motion for summary judgment to dismiss the complaint as barred by the Statute of Limitations and granting plaintiff partial summary judgment to dismiss defendant’s affirmative defenses alleging that the action was barred by the Statute of Limitations, is affirmed, without costs. This is an action to recover for alleged business interruption and rent loss under a fire insurance policy. The insured premises were damaged by fire on July 21, 1975. Although the defendant, the insurance company’s representative, paid the property damage claim, the parties were unable to agree on plaintiff’s further claims for business interruption and rent loss in intermittent negotiations that appeared to have lapsed some years prior to commencement of this action on July 24, 1981, six years and three days after the fire. Defendant moved to dismiss the complaint on the ground that the action was brought untimely, alleging alternatively that it was barred by the one-year Statute of Limitations provided in section 168 of the Insurance Law, or the six-year period of limitation set forth in CPLR 213 (subd 2), which requires an action upon a contractual obligation to be commenced within six years. Plaintiff cross-moved for partial summary judgment dismissing the two affirmative defenses which alleged the bar of these periods of limitation. Special Term denied defendant’s motion for summary judgment to dismiss the complaint and granted plaintiff’s cross motion to dismiss the two affirmative defenses. Special Term concluded that the one-year Statute of Limitations set [693]*693forth in section 168 of the Insurance Law was inapplicable because the statutory language required to be included in a fire insurance policy was not in fact included in the policy in question, and that the action was brought within six years after the alleged breach by defendant of its contractual obligation. We agree. Since the policy did not include the statutory language set forth in section 168 of the Insurance Law, or indeed any reference to the one-year period of limitations, Special Term was clearly correct in concluding that the one-year period was inapplicable. (Becker-Fineman Camps v Public Serv. Mut. Ins. Co., 52 AD2d 656.) As to the defendant’s claim that the action was barred by the six-year limitation in CPLR 213 (subd 2), the principle is of course well established that an action for breach of contract commences running at the time the breach takes place (1 Weinstein-Korn-Miller, NY Civ Prac, par 213.10), and it seems patent that the insurance company did not violate any obligation on the day of the fire. Defendant’s argument that the six-year statutory period nonetheless commenced running on the date of the fire is based on a misreading of Proc v Home Ins. Co. (17 NY2d 239). Proc (p 243) simply held with regard to a policy which includes the limitation clause prescribed in section 168 of the Insurance Law, that the statutory period of limitation commences with the “ ‘inception of the loss’ ”, that being the precise direction of the statutory language. The Proc opinion is clear that the rule had been otherwise where the policy did not include the statutory language, and nothing in the opinion suggests an intention to alter that general rule. Although it may appear anomalous that the shorter period of limitation has an earlier point of inception than the longer period in CPLR 213 (subd 2), the anomaly is more apparent than real. When an assured is placed on notice in the policy that the short period of limitations commences with the “inception of the loss”, and has accepted that provision, it is appropriate to apply the policy in accordance with its terms. The record is unclear as to when the claimed breach in fact occurred. The policy requires the assured to file within 60 days of the loss sworn proofs of loss, and extends to the insurer a period of 30 days within which to pay the claimed loss. If these procedures had been followed, the date of breach would have been clearly fixed. However, the assured here, with the apparent acquiescence of the insurer’s representative, did not file sworn proofs of loss, both parties apparently being content to pursue the negotiations in a less formal manner than the policy contemplated, and the insurer’s representative apparently being agreeable to considering, in lieu of sworn proofs of loss, less formally stated claims. (See Insurance Law, § 172.) Although it is not necessary here to decide the exact day of the breach, it would seem reasonable under the circumstances to date the inception of the six-year period from the expiration of 30 days after the insurer received claims of the assured that were in effect accepted as proofs of loss, or from the date of rejection of such claims if the rejection occurred earlier. The record does not permit this date to be fixed with certainty. However, it is clear that whatever that date may be, the claimed breach occurred less than six years before the action was commenced. In addressing this somewhat confused problem, given the obscure nature of the record, Special Term quite reasonably noted that even if the breach were found to have occurred 30 days after the loss was sustained, that being the period that the insurer was entitled to consider sworn proofs of loss, the action would still have been timely. Concur — Sandler, J. P., Carro and Alexander, JJ..

Fein, J., concurs in the result only and Kassal, J., dissents in a memorandum as follows: I disagree and would reverse the order appealed from and grant defendant’s motion for summary judgment dismissing the complaint, as barred by the six-year Statute of Limitations contained in CPLR 213. The action was brought to recover under a fire insurance policy issued by defendant, repre[694]*694senting underwriters at Lloyds of London, for the period from January 17, 1975 to January 17, 1976. On July 21, 1975, a fire occurred at plaintiff’s premises, a Medicaid clinic in The Bronx. Thereafter, the insurer paid $31,000, representing physical damage to the building, and there remained in dispute plaintiff’s claims for business interruption and loss of rent. No adjustment of this portion of the claim was made since the parties were unable to agree as to the rent loss, albeit the insurer had offered $36,000, the full policy limit for business interruption, in addition to $4,140.15 for loss of rents. In a letter dated November 3,1975, addressed to the independent adjuster for the insurer, plaintiff claimed loss of rents of $10,000 and a business interruption loss of $36,000. The action was commenced July 24, 1981, six years and three days after the fire. In finding this to be timely, the majority has concluded that the insured’s cause of action accrued, not at the time of the fire but, at the earliest, 30 days after the loss. They find that, while the record does not permit the date of accrual to be fixed with certainty, “it is clear that whatever that date may be, the claimed breach occurred less than six years before the action was commenced.” Principal reliance is placed upon the following policy provision: “All adjusted claims shall be paid or made good to the assured within thirty days after presentation and acceptance of satisfactory proofs, interest and loss at the office of said Insurer’s representative.” In holding that the applicable period of limitations did not run from the date of the loss, the majority has applied a different rule from that applicable to the standard fire insurance policy, where the time to sue is computed from the date of the fire, i.e., the “inception of the loss” (Insurance Law, § 168, subd 5; Proc v Home Ins. Co., 17 NY2d 239).

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Cite This Page — Counsel Stack

Bluebook (online)
95 A.D.2d 692, 463 N.Y.S.2d 804, 1983 N.Y. App. Div. LEXIS 18596, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medical-facilities-inc-v-pryke-nyappdiv-1983.