NYAT Operating Corp. v. GAN National Insurance

8 Misc. 3d 975
CourtNew York Supreme Court
DecidedMay 18, 2005
StatusPublished
Cited by1 cases

This text of 8 Misc. 3d 975 (NYAT Operating Corp. v. GAN National Insurance) 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
NYAT Operating Corp. v. GAN National Insurance, 8 Misc. 3d 975 (N.Y. Super. Ct. 2005).

Opinion

OPINION OF THE COURT

Debra A. James, J.

Defendants move to dismiss the complaint pursuant to CPLR 3126 based upon the failure of NYAT to comply with discovery orders of this court. Plaintiff Renata Cabrera (hereinafter the judgment creditor) opposes the motion to the extent it seeks to dismiss the fifth cause of action pursuant to Insurance Law § 3420 (d) and cross-moves for summary judgment. Defendants oppose the judgment creditor’s cross motion. NYAT has defaulted in appearance on this motion.

As set forth in this court’s prior orders, this action was brought by plaintiff NYAT seeking a declaratory judgment that the defendant insurers were obliged to defend and indemnify plaintiff NYAT in the action Cabrera v New York Apple Tours, Inc. (Sup Ct, NY County, Index No. 109513/1998 [hereinafter the Cabrera action]) under the terms of a commercial general liability insurance policy issued by defendants to plaintiff NYAT. Pursuant to the order of this court dated May 17, 2004, the judgment creditor was permitted to intervene as a plaintiff in this action.

The Cabrera action arises out of a May 31, 1997 incident in which Harry Grant, an employee of NYAT, assaulted and bat[977]*977tered fellow employee Renata Cabrera. NYAT initially undertook its own defense in the Cabrera action. NYAT’s motion for summary judgment dismissing the complaint as to it was granted by order of Justice Cohen dated August 23, 1999. In December 2000, NYAT by letter notified defendants of the Cabrera action requesting defendants provide a defense and indemnification. Subsequently, on the motion of Renata Cabrera, Justice Kapnick, by order dated July 26, 2001, reinstated the Cabrera action against plaintiff only as to those “claims for negligence and negligent hiring, retention and training.” Justice Kapnick specifically denied that portion of the motion that sought to reinstate the “vicarious liability claim.” Following a jury trial on damages before Justice Soto in November 2002, Renata Cabrera was awarded judgment against the plaintiff on February 13, 2003, in the total amount of approximately $2.5 million comprised of compensatory (past and future pain and suffering) and punitive damages. By order dated June 25, 2003, this court denied summary judgment motions by NYAT and the defendants in this action.

The judgment creditor now cross-moves for summary judgment on the grounds that the Court of Appeals has now held that “sexual assault” constitutes a covered “occurrence” under the terms of defendants’ policy and that defendants failed to timely disclaim coverage under Insurance Law § 3420.

In RJC Realty Holding Corp. v Republic Franklin Ins. Co. (2 NY3d 158, 161 [2004]), the Court of Appeals considered

“whether a liability insurer is obligated to defend and indemnify its insured . . . in an action brought against the insured based on an alleged sexual assault by the insured’s employee. We hold that the alleged assault was an ‘accident’ within the meaning of the policy, and that the policy’s exclusions for injuries expected or intended from the standpoint of the insured and for bodily injury arising out of body massage do not apply. We therefore hold that the insurer is obligated to defend and indemnify.”

In RJC, a hair salon brought an action against its insurer seeking indemnification for a claim against it arising out of the alleged improper sexual contact committed by one of its employees.

“In the policy, Republic agreed to indemnify and defend RJC against claims for ‘bodily injury’ caused by an ‘occurrence’ as defined in the policy. ‘Occur[978]*978rence’ is defined as ‘an accident, including continuous or repeated exposure to substantially the same general harmful conditions.’ “Two exclusions in the policy are also relevant here. The policy states that it is not applicable to ‘ “[bjodily injury” . . . expected or intended from the standpoint of the insured’ or to ‘ “[bjodily injury” . . . arising out of. . . [b]ody massage other than facial massage.’ ” {Id. at 161-162.)

The insurer disclaimed coverage arguing that the assault did not constitute an “occurrence” under the policy and that the exclusions were applicable.

The Court disagreed and held that:

“The parties here agreed that the policy would cover only an ‘accident’ and would not apply to certain acts ‘expected or intended’ by RJC. When they did so, they could reasonably have anticipated that the rules of respondeat superior would govern the question of when a corporate entity is deemed to expect or intend its employee’s actions. Since the masseur’s actions here were not RJC’s actions for purposes of the respondeat superior doctrine, they were ‘unexpected, unusual and unforeseen’ from RJC’s point of view, and were not ‘expected or intended’ by RJC. Accordingly, they were an ‘accident,’ within the coverage of the policy, and were not excluded by the ‘expected or intended’ clause.” {Id. at 164-165.)

The insurance policy at issue in this action contains virtually identical language to that interpreted in RJC. Defendants attempt to distinguish RJC by arguing that NYAT could have foreseen the conduct that Harry Grant ultimately engaged in and that therefore Grant’s actions are imputable to NYAT under the respondeat superior doctrine. That is, defendants argue that foreseeability takes an incident out of the definition of “occurrence” as set forth in the policy. This court disagrees. The Court of Appeals in RJC clearly set forth where an employee departs from his or her duties for solely personal motives unrelated to the furtherance of the business, the doctrine of respondeat superior does not apply. {Id.) The Court did not set forth foreseeability as a factor in determining the applicability of the doctrine.

In this case, Justice Kapnick’s July 26, 2001 order in the Cabrera action specifically declined to reinstate the judgment creditor’s cause of action for respondeat superior and that was [979]*979not a theory upon which judgment could have been or was granted in the Cabrera action. Therefore, contrary to defendants’ arguments and based upon the Court of Appeals decision in RJC, this court finds that the claims which were ultimately tried in the Cabrera action are covered under the terms of the insurance policy defendants issued to NYAT.

The judgment creditor additionally argues that summary judgment should be granted because once it is determined that a claim falls within the coverage provisions of a policy and that no timely disclaimer was provided to the injured party summary judgment must be granted.

“A disclaimer is unnecessary when a claim does not fall within the coverage terms of an insurance policy. Conversely, a timely disclaimer pursuant to Insurance Law § 3420 (d) is required when a claim falls within the coverage terms but is denied based on a policy exclusion. Because denial of coverage here was based solely on an exclusion, a disclaimer in conformity with Insurance Law § 3420 (d) was required.” (Markevics v Liberty Mut. Ins. Co., 97 NY2d 646, 648-649 [2001] [citations omitted]; see Matter of Worcester Ins. Co. v Bettenhauser, 95 NY2d 185, 190 [2000] [“Section 3420 (d) was enacted to avoid prejudice to an injured claimant who could be harmed by delay in learning the insurer’s position”].)

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Bluebook (online)
8 Misc. 3d 975, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nyat-operating-corp-v-gan-national-insurance-nysupct-2005.