Palmer v. Allstate Insurance

101 A.D.2d 127, 475 N.Y.S.2d 436, 1984 N.Y. App. Div. LEXIS 17793
CourtAppellate Division of the Supreme Court of the State of New York
DecidedApril 23, 1984
StatusPublished
Cited by8 cases

This text of 101 A.D.2d 127 (Palmer v. Allstate 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
Palmer v. Allstate Insurance, 101 A.D.2d 127, 475 N.Y.S.2d 436, 1984 N.Y. App. Div. LEXIS 17793 (N.Y. Ct. App. 1984).

Opinion

OPINION OF THE COURT

Mollen, P. J.

William D. Palmer and the United States Department of Labor, the petitioners, appeal from a judgment of the Supreme Court, Queens County, which denied confirmation of an arbitration award. The central issue is whether the arbitrator’s failure to deduct Federal disability payments from an award of first-party benefits under the New York Comprehensive Automobile Insurance Reparations Act (the No-Fault Insurance Law) was so irrational as to require vacatur. We begin with a review of the facts.

[128]*128On December 31, 1976, William D. Palmer, a United States Postal Service employee, was injured as a consequence of a collision between the United States Postal Service truck he was operating and a motor vehicle insured by the respondent, Allstate Insurance Company. Pursuant to the Federal Employees’ Compensation Act ([FECA], US Code, tit 5, § 8101 et seq.),1 Palmer was reimbursed by the United States for lost wages and medical expenses amounting to $28,476.66.

In, or about, October, 1979, Palmer instituted a third-party action against the respondent’s insured, seeking judgment in the amount of $750,000 for personal injuries he allegedly sustained as a consequence of the accident. By letter dated November 14,1979, the United States Department of Labor notified Palmer’s counsel, inter alia, that “Section 8132 of title 5 of the United States Code provides that in the event of a recovery from the Third Party, the Government must be reimbursed for the disbursements it made to or on behalf of the beneficiary.” The Federal Government, in short, “asserted a lien” against Palmer’s recovery, if any, in the third-party action.2

In or about October, 1980, Palmer sought arbitration under the New York No-Fault Insurance Law (see Insurance Law, § 670 et seq.) on behalf of himself and the United States Department of Labor. Arbitration was sought for the purpose of obtaining “first party benefits” (see Insurance Law, § 671, subd 2) from the respondent for the [129]*129medical expenses and lost wages which had been reimbursed to Palmer pursuant to the FECA.

On June 18, 1981, the arbitrator awarded Palmer $28,476.60. Noted in the arbitrator’s opinion were the facts that Palmer had received $28,476.66 pursuant to the FECA and that the respondent “has not accepted nor rejected [Palmer’s] claim for no-fault benefits; its only response to that claim was a request for information and documentation with regard to payments made to [Palmer] under the [FECA].” The arbitrator held that “since the U.S. Government has elected not to be covered by the New York No-Fault Law, the vehicle which [Palmer] was operating is in the category of an ‘Uninsured’ motor vehicle within the purview of the New York No-Fault Law. There is a dispute between the parties whether the proceedings should have been brought against the carrier which insures a vehicle in [Palmer’s] family (said carrier being unknown) or against this Respondent. However, that dispute should not impede the payment of first party benefits to [Palmer] in this matter, and the dispute as to which insurer is primarily responsible for payment should be left to the insurers themselves. This is especially so in view of the Respondent’s failure to accept or deny the claim for no fault benefits of March 7, 1979.”

By notice of motion dated April 21, 1982, the petitioners moved for an order “confirming the award in arbitration and directing that judgment be made in favor of [them] and against the Respondent in accordance with the said arbitration award”.3 In his affirmation submitted in support of the motion, petitioners’ counsel alleged that “[t]he respondent has been served with a copy of [the arbitrator’s] award and has refused to make payment thereunder. Further, the respondent had not moved with respect to the award.”

The respondent opposed the motion, alleging, inter alia, that

“[t]he award rendered was imperfectly executed in that the Arbitrator misapplied existing New York and Federal Law in finding that [Palmer] was entitled to recovery for first party no fault benefits under the circumstances of this case * * *

[130]*130“[T]he law in the State of New York as well as in the Federal jurisdiction is that a recipient of Federal Employees Compensation Act benefits who brings a negligence action to recover damages for injuries suffered in a motor vehicle accident while operating a United States Postal vehicle has suffered no economic loss and cannot on behalf of himself or the United States Postal Service maintain a claim for economic loss under the New York No Fault Statute * * *

“Since the Arbitrator applied the wrong rule of law to the facts before him and permitted [Palmer] a double recovery for first party no fault benefits where such recovery is contra to applicable and existing Federal and State Law, the arbitration award herein should not be confirmed.”

In reply, the petitioners’ counsel argued that the test to be applied in reviewing no-fault arbitration awards is the “reasonable hypothesis” test, not the “wrong rule of law” test, as argued by the respondent. Counsel further argued that a “reasonable basis” for the arbitrator’s award existed. Counsel noted that arbitration was sought by both Palmer and the Department of Labor, which was “asserting a lien against the No-Fault benefits recovered by .Palmer * * * [T]he Department of Labor has an absolute right to recover the amount of FECA benefits which it paid to Palmer. Therefore, the Department of Labor will be receiving the proceeds of the award herein and under no view of the facts can it be said that petitioner Palmer has obtained a double recovery.” Submitted as part of the reply was the affidavit of an official of the Department of Labor’s Office of Workers’ Compensation Programs of the Employment Standards Administration, in which affidavit the official stated: “[t]he United States Department of Labor is entitled to reimbursement of the compensation benefits paid to [Palmer] pursuant to Sections 8131 and 8132 of Title 5, United States Code. These sections provide that when an injury or death for which Federal Compensation benefits are payable is caused under circumstances creating a legal liability in a person other than the United States to pay damages, the beneficiary shall refund the United States the amount of compensation paid to him out of any settlement or recovery against the person responsible for his injury.”

[131]*131By judgment dated October 4, 1982, Special Term (Dunkin, J.), denied the motion to confirm the arbitrator’s award. In its memorandum, the court explained that

“[i]t is respondent’s contention that the arbitrator incorrectly applied existing law and thereby exceeded his power or so imperfectly executed it so as to result in a double recovery to [Palmer] and require denial of confirmation.
“[Palmer], as set forth in the moving papers, has received full FECA benefits and was awarded an identical sum in first-party benefits by the arbitrator’s decision. Contrary to subdivision (2) (b) of section 671 of the Insurance Law the award was not diminished by any amounts previously recovered under FECA.

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Bluebook (online)
101 A.D.2d 127, 475 N.Y.S.2d 436, 1984 N.Y. App. Div. LEXIS 17793, Counsel Stack Legal Research, https://law.counselstack.com/opinion/palmer-v-allstate-insurance-nyappdiv-1984.