New Hampshire Insurance v. Jefferson Insurance

213 A.D.2d 325, 624 N.Y.S.2d 392, 1995 N.Y. App. Div. LEXIS 3290
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMarch 28, 1995
StatusPublished
Cited by37 cases

This text of 213 A.D.2d 325 (New Hampshire Insurance v. Jefferson Insurance) 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
New Hampshire Insurance v. Jefferson Insurance, 213 A.D.2d 325, 624 N.Y.S.2d 392, 1995 N.Y. App. Div. LEXIS 3290 (N.Y. Ct. App. 1995).

Opinion

—Order of the Supreme Court, New York County (Diane A. Lebedeff, J.), entered November 1, 1993, which granted plaintiff New Hampshire Insurance Company’s motion for summary judgment to the extent of requiring defendant Jefferson Insurance Company to defend [326]*326Camp Merrimac, Inc. in the underlying tort action, and which denied Jefferson Insurance Company’s cross-motion to dismiss the complaint, reversed, on the law, the motion denied and the cross-motion granted, without costs.

David Vainchenker, plaintiff in the underlying tort action, sustained injury when he was struck by a motor vehicle owned by Camp Merrimac, Inc., defendant in the underlying tort action, and operated by one of its employees. New Hampshire Insurance Company, which issued an automobile liability policy to the camp, commenced this action against Jefferson Insurance Company, which issued a general liability policy to the camp, seeking a judgment declaring that Jefferson is obligated to defend and indemnify Camp Merrimac, Inc. Alternatively, New Hampshire seeks a declaration that Jefferson is obligated to share equally all expenses which may be incurred in defending the Vainchenker action. Jefferson cross-moved for summary judgment dismissing New Hampshire’s complaint.

As the camp’s automobile liability insurer, New Hampshire does not contest its duty to defend on the grounds that the complaint in the underlying action alleges negligence in the operation of an automobile. However, it contends that allegations in the complaint asserting negligent supervision of the campers implicates Jefferson’s duty to defend under the terms of its general liability policy.

Jefferson argues that, irrespective of the theory of liability stated in the complaint, this accident clearly falls within the exclusion clause of its general liability policy. It omits from coverage all "[b]odily injury * * * arising out of the ownership, maintenance, operation [or] use * * * of (1) any automobile * * * owned or operated by or rented or loaned to any insured, or (2) any other automobile * * * operated by any person in the course of his employment by any insured.” Supreme Court granted plaintiff’s motion to the extent of declaring that both insurers are obligated to share equally in providing a defense to Camp Merrimac, denying defendant’s cross-motion to dismiss the complaint.

The duty of an insurer to defend is more expansive than its duty to indemnify (Goldberg v Lumber Mut. Cas. Ins. Co., 297 NY 148, 154). The duty to defend arises as a matter of contractual obligation to the insured, whereas liability for indemnification rests on principles of basic negligence (Monarch Ins. Co. v Hetherly, 148 Misc 2d 594, affd 182 AD2d 1138). Hence, the duty to defend is triggered if facts alleged in [327]*327the complaint fall within the scope of coverage intended by the parties at the time the contract was made (Album Realty Corp. v American Home Assur. Co., 80 NY2d 1008). Similarly, the scope of exclusions written into an insurance contract is determined by the intent of its execution. An insurer has the burden of establishing that any exclusion is "unambiguously applicable to the pleaded allegations” (Matter of Duncan Petroleum v Aetna Ins. Co., 96 AD2d 942, 943, affd 61 NY2d 665).

In the present action, Supreme Court found that the allegations of negligent supervision of children in its care and negligent operation of an automobile by its employee constitute two distinct causes of action that, together, obligate both New Hampshire and Jefferson to defend the underlying action (citing Prashker v United States Guar. Co., 1 NY2d 584, 590-591; Cordial Greens Country Club v Aetna Cas. & Sur. Co., 50 AD2d 688, mod 41 NY2d 996). It is evident that an action commenced against the insured predicated on the negligent operation of an automobile implicates New Hampshire’s duty to defend the camp under the terms of its automobile liability policy. It should be equally apparent that the action falls squarely within the operation of the exclusion clause of Jefferson’s general liability policy exempting coverage for any injury "arising out of’ the use or operation of an automobile. The meaning of the exclusion is clear and unambiguous and allows no opportunity for construction as a question of fact (Hartford Acc. & Indem. Co. v Wesolowski, 33 NY2d 169, 171-172). It is necessary for this Court to observe only that, whatever theory of liability the resourceful attorney may fashion from the circumstances of a client struck by an automobile, it remains that the immediate and efficient cause of the injury is, in fact, the automobile.

In Matter of Duncan Petroleum Transp. v Aetna Ins. Co. (96 AD2d 942, affd 61 NY2d 665), the insured sought a declaration that Aetna was obligated to defend it in an underlying wrongful death action resulting from the explosion of a truck during the transfer of gasoline from its cargo tank. Aetna’s policy contained an exclusion for " 'bodily injury * * * arising out of the ownership, maintenance, operation, use, loading or unloading of * * * any automobile * * * owned or operated by [the] insured’ ” (supra, at 942-943). The underlying complaint asserted that "the accident was caused by such factors as, inter alia, a failure to inspect the vehicles, a failure to train and supervise personnel, the use of dangerous procedures for the transfer of gasoline, and improper maintenance and de[328]*328sign of the vehicles” (supra, at 943). Holding that Aetna was not obligated to defend the insured, the Court stated, "Duncan seeks to avoid the impact of the clear, expansive exclusion in the policy by attributing alleged nonexcluded factors as causes of the accident * * * Nothing about the foregoing asserted factors, even if they were actually involved in causing the explosion, would negate the unequivocal and unchallenged fact that the accident arose out of the loading or unloading of the automobile. Duncan’s factors of causation serve to do no more than provide reasons or subfactors explaining why the accident arose out of the loading or unloading of the vehicle. Acts or omissions which predated the loading operation but which allegedly brought about the explosion during the loading do not prevent invocation of the exclusion clause” (supra, at 943).

Two years later in Ruggerio v Aetna Life & Cas. Co. (107 AD2d 744), the Court drew a distinction between the basis for imposing liability on the insured and the contractual nature of insurance coverage under a comprehensive general liability policy. In that case, it was alleged that Veteran Cab Company had dispatched an unlicensed and intoxicated driver, with the result that plaintiffs sustained over $200,000 in damages. Finding that "it is clear that this policy was not intended to cover injuries 'arising out of automobile accidents” (supra, at 745), the Court noted: "While Veteran’s acts may have been a proximate cause of plaintiff Frances Ruggerio’s injuries, that is only determinative of the underlying liability of the insured. An insurance policy, however, is in essence a contract and must be construed in accordance with the intent of the parties as expressed in the clear language of the policy” (supra, at 745). Merely because the insured might be found liable under a distinct theory of recovery does not obviate the insurer’s exclusion for injury resulting from operation of an automobile.

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Cite This Page — Counsel Stack

Bluebook (online)
213 A.D.2d 325, 624 N.Y.S.2d 392, 1995 N.Y. App. Div. LEXIS 3290, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-hampshire-insurance-v-jefferson-insurance-nyappdiv-1995.