Redcross v. Aetna Casualty & Surety Co.

260 A.D.2d 908, 688 N.Y.S.2d 817, 1999 N.Y. App. Div. LEXIS 4199
CourtAppellate Division of the Supreme Court of the State of New York
DecidedApril 22, 1999
StatusPublished
Cited by12 cases

This text of 260 A.D.2d 908 (Redcross v. Aetna Casualty & Surety Co.) 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
Redcross v. Aetna Casualty & Surety Co., 260 A.D.2d 908, 688 N.Y.S.2d 817, 1999 N.Y. App. Div. LEXIS 4199 (N.Y. Ct. App. 1999).

Opinion

Spain, J.

Appeal from an order [909]*909of Supreme Court (Canfield, J.), entered September 18, 1998 in Albany County, which, inter alia, granted a cross motion by defendants Miriam Solomon and Herman Solomon for summary judgment on their cross claim against defendant Aetna Casualty & Surety Company.

In July 1986, Donna Burkart (hereinafter Burkart) and her six-year-old brother, Travis Redcross (hereinafter Travis), both traveling by bicycle, attempted to cross Western Avenue in the Town of Guilderland, Albany County. Riding in a child seat on the back of Burkart’s bicycle was her 11-month-old daughter, Amanda. When the traffic light facing them turned green, the cyclists proceeded to cross the road and were hit by a vehicle driven by defendant Herman Solomon and owned by his wife, defendant Miriam Solomon. Burkart and Travis sustained serious and permanent injuries and Amanda sustained minor injuries. The underlying facts of the accident, which are not in dispute on this appeal, are more thoroughly described in earlier decisions of this Court (see, 146 AD2d 125; 241 AD2d 787, Iv denied 91 NY2d 801).

The Solomons were insured by defendant Aetna Casualty & Surety Company under a policy with limits of $100,000 per person and a maximum of $300,000 for each occurrence. In December 1986, Burkart, individually and as parent and guardian of Amanda, and plaintiffs, derivatively and as parents and guardians of Travis, commenced an action (hereinafter the personal injury actiop) against the Solomons alleging that serious injuries were suffered by Burkart, Travis and Amanda. The complaint demanded damages in excess of $10 million.

Early settlement discussions revealed that plaintiffs and Burkart would be willing to settle the personal injury action as a “package deal” for the full per occurrence policy limit of $300,000. Plaintiffs maintained that they were entitled to $100,000 on their derivative claim premised upon Travis’ injuries, and that Travis was also entitled to an additional $100,000 on his individual claim. Aetna at all times was willing to pay $100,000 for the serious injuries sustained by Burkart and $100,000 for the serious injuries sustained by Travis. However, Aetna concluded that plaintiffs’ derivative claim was not compensable as a separate bodily injury under the policy, i.e., separate from the damages suffered by Travis. Additionally, it was Aetna’s position that Amanda did not sustain serious injuries and, thus, there was no basis upon which to offer her a settlement under the policy. Consequently, Aetna asserted that its total liability under the policy was $200,000.

[910]*910Thereafter, plaintiffs commenced this action against Aetna seeking a declaration that the $100,000 per person liability limit for bodily injury contained in Aetna’s insurance policy issued to the Solomons applied separately to Travis’ own bodily injury claims and to plaintiffs’ derivative claim. The Solomons were also named as defendants. In July 1988, Supreme Court (Prior, Jr., J.) concluded that plaintiffs’ derivative claim constituted a claim under the policy separate from Travis’ claim. On appeal by Aetna this Court reversed, declaring that the derivative claim was included within the $100,000 per person limit and was not compensable as a separate claim under the policy (see, 146 AD2d 125, supra).

In their answer, the Solomons asserted cross claims against Aetna for, inter alia, acting in bad faith by failing to settle plaintiffs’ and Burkart’s claims, including plaintiffs’ derivative claims. Aetna, inter alia, moved for summary judgment dismissing that cross claim. Supreme Court (Prior, Jr., J.) granted Aetna’s motion, citing this Court’s holding on the derivative claim and concluding that the Solomons had not established a bad-faith cause of action at that point. The court, however, granted the Solomons’ cross motion for leave to serve a supplemental cross claim against Aetna alleging a cause of action for bad faith in subsequently failing to settle and in failing to keep them fully informed as to the settlement negotiations.

In March 1989, at the end of the trial qf the personal injury action, the jury returned a verdict in favor of plaintiffs on behalf of Travis, as reduced by Supreme Court to the amount of $5,100,603.10, and in favor of Burkart, as reduced by the court to the amount of $471,703.10. The jury found, however, that Amanda did not sustain a serious injury, thereby finding in favor of the Solomons. Aetna thereafter paid plaintiffs and Burkart the $200,000 plus interest under the per person limit of the policy. The Solomons reached a settlement with plaintiffs and Burkart in which they paid $45,000 in cash and transferred the equity in their home in which they retained a life interest.

In October 1993, pursuant to earlier authorization by Supreme Court, the Solomons served a supplemental cross claim in this declaratory judgment action contending that Aetna acted in bad faith for failing to secure a settlement and for failing to keep them fully advised as to settlement negotiations. Aetna opposed and moved for summary judgment dismissing the cross claim. The Solomons, inter alia, cross-moved for summary judgment on their bad-faith cross claim. Supreme Court denied Aetna’s motion for summary judgment, [911]*911but granted the Solomons’ cross motion, concluding that Aetna had failed to engage the Solomons in contribution discussions and, as a matter of law, acted in bad faith for failing to reach a settlement. Aetna now appeals.

We begin our analysis with the principle that, when confronted with a settlement offer within the policy limits, an insurer may be held liable for damages to its insured for a bad-faith refusal to settle (see, Smith v General Acc. Ins. Co., 91 NY2d 648, 652-653). In order to establish an insurer’s bad faith in failing to settle a claim, the insured must establish that “the insurer’s conduct constituted a ‘gross disregard’ of the insured’s interests — that is, a deliberate or reckless failure to place on equal footing the interests of its insured with its own interests when considering a settlement offer” (Pavia v State Farm Mut. Auto. Ins. Co., 82 NY2d 445, 453). In establishing bad faith, the courts will consider the facts and circumstances surrounding the case, including whether liability is clear, whether the potential damages far exceed the insurance coverage and “any other evidence which tends to establish or negate the insurer’s bad faith in refusing to settle” (id., at 455).

Clearly, these factors are not exclusive considerations in assessing a bad-faith settlement claim (see, Smith v General Acc. Ins. Co., supra, at 654). Additionally, the failure of the insurer to inform the insured of settlement negotiations is properly considered along with all the other facts and circumstances in determining whether the insurer was acting in bad faith (see, id., at 653-654). Notably, an inference of bad faith may arise even though the claimant’s settlement offer equals or exceeds the policy limits, if the insured is not informed of their right to contribute to the excess in order to achieve a settlement (see, Brockstein v Nationwide Mut. Ins. Co., 417 F2d 703).

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Bluebook (online)
260 A.D.2d 908, 688 N.Y.S.2d 817, 1999 N.Y. App. Div. LEXIS 4199, Counsel Stack Legal Research, https://law.counselstack.com/opinion/redcross-v-aetna-casualty-surety-co-nyappdiv-1999.