Preserver Ins. Co. v. Ryba

893 N.E.2d 97, 10 N.Y.3d 635, 862 N.Y.S.2d 820
CourtNew York Court of Appeals
DecidedJune 10, 2008
StatusPublished
Cited by24 cases

This text of 893 N.E.2d 97 (Preserver Ins. Co. v. Ryba) is published on Counsel Stack Legal Research, covering New York Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Preserver Ins. Co. v. Ryba, 893 N.E.2d 97, 10 N.Y.3d 635, 862 N.Y.S.2d 820 (N.Y. 2008).

Opinion

10 N.Y.3d 635 (2008)
893 N.E.2d 97
862 N.Y.S.2d 820

PRESERVER INSURANCE COMPANY, Appellant,
v.
ARTHUR RYBA et al., Respondents.

Court of Appeals of the State of New York.

Argued April 29, 2008.
Decided June 10, 2008.

*636 Law Office of Max W. Gershweir, New York City (Max W. Gershweir of counsel), for appellant.

*637 Goldberg Segalla LLP, Buffalo (Richard J. Cohen of counsel), for respondents.

Judges CIPARICK, GRAFFEO, READ, SMITH, PIGOTT and JONES concur.

*638 OPINION OF THE COURT

Chief Judge KAYE.

At the heart of this dispute between two insurers—in a case where a construction worker allegedly suffered a grave job site injury—is the question whether the employers' liability insurance coverage is limited to $100,000, as specified in the policy, or unlimited. In this case we conclude that it is limited.

Factual Background

On May 17, 2003 Arthur Ryba, a New Jersey construction worker employed by subcontractor East Coast Stucco & Construction, Inc., allegedly fell from scaffolding while performing work on premises in Orangeburg, New York, owned by general contractor Joaquim Almeida. At the time of the incident, East Coast Stucco, a New Jersey company, maintained a workers' compensation and employers' liability policy issued by Preserver Insurance Company, also of New Jersey. This policy was both underwritten and delivered in New Jersey. Despite East Coast's alleged agreement to have Almeida listed in its policy as an additional insured, it failed to do so.

Claiming that Almeida's negligence resulted in his paraplegia, Ryba asserted various causes of action against Almeida including common-law negligence and violations of Labor Law §§ 200, 240 (1) and § 241 (6). Because Ryba claimed a grave injury, Almeida commenced a third-party action against Ryba's employer, East Coast Stucco, asserting causes of action for common-law indemnification/contribution, contractual indemnification *639 and breach of contract for failure to procure the promised liability insurance.

On April 23, 2004, Preserver commenced this declaratory judgment action and sought summary judgment on the complaint's three causes of action. First, Preserver sought a declaration that it has no duty to defend Almeida's cause of action for contractual indemnification or for breach of contract for failure to procure insurance for Almeida because its policy expressly excludes coverage for any liability assumed under a contract. Second, Preserver argued that it had no duty to defend or indemnify East Coast Stucco against Almeida's cause of action for common-law indemnification because Ryba's accident in Orangeburg, New York, was not necessary or incidental to East Coast Stucco's work in New Jersey. Third, Preserver argued that if it must provide employers' liability insurance, coverage is limited to $100,000 as provided by the policy.

In response, Northern Assurance Company of America (Almeida's homeowners' insurer, incorrectly sued as "One Beacon Insurance Company") cross-moved for summary judgment on all three causes of action, contending that Preserver was time-barred under Insurance Law § 3420 (d) from disclaiming coverage, and that the Preserver policy is limitless as to the amount of coverage.

Supreme Court agreed with Northern, holding that Insurance Law § 3420 (d) applied because Preserver's policy was "issued for delivery" in New York and that Preserver was therefore time-barred from disclaiming coverage. The court then concluded that the policy itself required Preserver to provide unlimited employers' liability coverage.[1] The Appellate Division affirmed on both grounds. We now reverse.

Analysis

The policy at issue is a standard form workers' compensation and employers' liability contract, mirroring the format and language of model policies that appear in both the New York *640 and New Jersey Workers Compensation and Employers Liability Manuals (the Manuals).[2]

The Information Page. At the front of the policy is an "Information Page," which discloses the policy period ("ITEM 2"), coverage ("ITEM 3") and premium ("ITEM 4"). For ease of reference, a copy of the page is annexed to this writing.

Most notable is "ITEM 3. COVERAGE," which is divided into four subsections (A)-(D), the first three corresponding to various "Parts"—One through Three—found in the body of the policy. In turn, Part One within the policy refers to "Workers Compensation Insurance," Part Two to "Employers Liability Insurance" and Part Three to "Other States Insurance." While the issue here centers on the coverage afforded by Part Two, all three parts provide useful information.

Item 3.A. in the Information Page reads "Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: NEW JERSEY." Item 3.B. states "Employers Liability Insurance: Part Two of the Policy applies to work in each state listed in item 3.A. The limits of our Liability under Part Two are: Bodily Injury by Accident $100,000. each accident."[3] Item 3.C. reads: "Other States Insurance: Part Three of the policy applies to the states, if any, listed here: ALL STATES EXCEPT ND, OH, WA, WV, WY AND STATES DESIGNATED IN ITEM 3.A OF THE INFORMATION PAGE."

Part One. Within the body of the policy, "Part One-Workers Compensation Insurance" provides both defense and payment *641 for costs resulting from bodily injuries caused by conditions of the insured's employment. Notably, Part One states: "Terms of this [workers compensation] insurance that conflict with the workers compensation law are changed by this statement to conform to that law."

Part Two. "Part Two-Employers Liability Insurance" contains no similar clause. Indeed, in a subsection titled "Exclusions" the policy makes clear that the employers' liability policy does not cover "any obligation imposed by a workers compensation, occupational disease, unemployment compensation or disability benefits law, or any similar law." Also of note in the "Exclusions" is that the employers' liability policy does not cover "liability assumed under a contract." In a subsection entitled "Limits of Liability," Part Two underscores that

"[o]ur liability to pay for damages is limited. Our limits of liability are shown in Item 3.B. of the Information Page. They apply as explained below.
"1. Bodily Injury by Accident. The limit shown for `bodily injury by accident-each accident' is the most we will pay for all damages covered by this insurance because of bodily injury to one or more employees in any one accident."

Part Three. Finally, "Part Three-Other States Insurance" states that

"[i]f you begin work in any one of those states [shown in Item 3.C. of the Information Page] after the effective date of this policy and are not insured or are not self-insured for such work, all provisions of the policy will apply as though that state were listed in Item 3.A. of the Information Page."

Part Three also requires that East Coast "[t]ell us at once if you begin work in any state listed in Item 3.C. of the Information Page" (presumably allowing for increased premiums for increased risk). There is no evidence that East Coast Stucco informed Preserver that it commenced operations on Almeida's New York property.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Matter of Urena v. Mulligan
201 A.D.3d 1215 (Appellate Division of the Supreme Court of New York, 2022)
Sinclair Wyoming Refining Company v. Infrassure, Ltd
2021 WY 65 (Wyoming Supreme Court, 2021)
Zurich Am. Ins. Co. v. FTS USA, LLC
325 F. Supp. 3d 618 (E.D. Pennsylvania, 2018)
Vista Eng'g Corp. v. Everest Indem. Ins. Co.
2018 NY Slip Op 3730 (Appellate Division of the Supreme Court of New York, 2018)
Carlson v. Am. Int'l Grp., Inc.
89 N.E.3d 490 (Court for the Trial of Impeachments and Correction of Errors, 2017)
CARLSON, SR., MICHAEL J. v. AMERICAN INTERNATIONAL GROUP, INC.
Appellate Division of the Supreme Court of New York, 2015
Carlson v. American International Group, Inc.
130 A.D.3d 1477 (Appellate Division of the Supreme Court of New York, 2015)
Strauss Painting, Inc. v. Mt. Hawley Insurance Company
26 N.E.3d 218 (New York Court of Appeals, 2014)
KeySpan Gas East Corp. v. Munich Reinsurance America, Inc.
15 N.E.3d 1194 (New York Court of Appeals, 2014)
American Home Assurance Co. v. Highrise Construction Co.
111 A.D.3d 446 (Appellate Division of the Supreme Court of New York, 2013)
Transcontinental Insurance v. Twin City Fire Insurance
105 A.D.3d 573 (Appellate Division of the Supreme Court of New York, 2013)
Admiral Insurance v. Joy Contractors, Inc.
81 A.D.3d 521 (Appellate Division of the Supreme Court of New York, 2011)
Western Building Restoration Co. v. Lovell Safety Management Co.
61 A.D.3d 1095 (Appellate Division of the Supreme Court of New York, 2009)

Cite This Page — Counsel Stack

Bluebook (online)
893 N.E.2d 97, 10 N.Y.3d 635, 862 N.Y.S.2d 820, Counsel Stack Legal Research, https://law.counselstack.com/opinion/preserver-ins-co-v-ryba-ny-2008.