Reilly v. Insurance Co. of North America

32 A.D.2d 918, 302 N.Y.S.2d 435, 1969 N.Y. App. Div. LEXIS 3319
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJuly 15, 1969
StatusPublished
Cited by10 cases

This text of 32 A.D.2d 918 (Reilly v. Insurance Co. of North America) 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
Reilly v. Insurance Co. of North America, 32 A.D.2d 918, 302 N.Y.S.2d 435, 1969 N.Y. App. Div. LEXIS 3319 (N.Y. Ct. App. 1969).

Opinion

Order entered on January 31, 1969, denying plaintiff’s motion for summary judgment and defendant’s request for summary judgment, affirmed, without costs and without disbursements, and the plaintiff is directed to serve a complaint in this action, which shall thereafter proceed in the regular manner. This determination is without prejudice to a motion for judgment under CPLR 3212 after issue is joined herein. We believe that this action to recover the sum of $1,848.17, allegedly "due under a group accident insurance policy, in view of the factual situation presented, was improperly commenced by service of a notice of motion for summary judgment, pursuant to 'CPLR 3213. The impropriety of the utilization of that section is demonstrated by the fact that, involved herein, is the interpretation of terms contained in the subject policy and undecided questions of fact. The defendant, however, did not object to the procedure used by plaintiff, and, in fact, sought similar relief itself. It requested summary judgment. It did this even though CPLR 3213 does not provide for awarding summary judgment to a defendant. Plaintiff did not object to defendant’s request on this procedural ground. In short, these parties have, by their actions, chosen the procedure which they seek to follow. “ Where, * * * all parties to a litigation choose to do so, they may to a large extent chart their own procedural course through the courts ”. (Stevenson v. News Syndicate Co., 302 N. Y. 81, 87.) Having followed this unorthodox procedure, both parties have failed to present to this court affidavits containing evidentiary matter sufficient to enable the court .to grant summary relief. The question raised by the contention of the parties involves a determination of whether the unmodified term “Dollars”, as used in the policy, refers to Canadian or United States currency. The defendant is concedcdly a Pennsylvania insurance company, with its home office in Philadelphia, Pa., and offices in Canada. It issued an employee group accident .policy to Fraser Companies Limited and/or Fraser Paper Limited, Edmundston, New Brunswick, as policy holder. This policy covered citizens of the United States who lived and worked in New York, for a New York corporation which was wholly owned by the Canadian assured. The plaintiff is the widow and beneficiary of Gerard T. Reilly, a person covered under the above group policy. The deceased was an American citizen, who lived, worked and died in the State of New York. The plaintiff has asserted that .the deceased was paid in American money and that the premiums for the policy in question were deducted from his salary and paid in American money. It is noted that the original policy is entitled “ insurance company oe north America, Philadelphia^ Pennsylvania ”. The certificate issued thereunder for the benefit of the deceased, Gerard T. Reilly, is entitled “ insurance company OE"north America, Toronto, Canada”. An examination of the conditions in both the original policy and the certificate issued thereunder discloses refer-, enees to the United States of America and to 'Canada. For example, in the certificate of insurance, under the heading “ provisions and statutory conditions ”, the language used concerning notice and proof of claim refers to “Head Office or Chief Agency of the Company in the province”. (Emphasis added.) In the paragraph entitled legal actions, it sets forth, amongst other things, that “No such action shall be brought after the expiration of three years (permitted by law in the State where the insured resides) ”. (Emphasis added.) Special Term held that “it does not appear * * * where the policy was delivered or whether the number of dollars paid in premiums was calculated on the basis of United States or Canadian currency ”, These are important questions, the answers to which cannot be definitely found in the [919]*919papers submitted. It is important to note that the affidavit of the defendant in opposition to the plaintiff’s motion is executed by one, Norman Spears, who describes himself as the Group Superintendent of defendant and who makes dear that he submits his affidavit based upon records which are under his supervision and to which he has access. He claims no personal knowledge of the transaction. He admits that the company which employed the deceased is a New York corporation, owned by the Canadian company. Based upon records he makes the .bald assertion that the policy was negotiated by defendant’s Canadian office and, at page 32 of the record, he says “ The application was probably signed in Edmundston ” etc. It seems to us that the one to execute the affidavit on behalf of the defendant should have been someone who had a hand in the actual negotiation of this policy, who would be in a position to tell us where the negotiations took place, with whom they were conducted, the circumstances surrounding the transaction and to whom and where the policy was delivered. Mr. Spears, although without any personal knowledge of his own, asserts that the policy “was to be paid for in Canadian currency and to be paid off by defendant in Canadian currency ”. That, however, is begging the question. How does he know? At best it is a denial, based on his interpretation of the records, of the sworn assertion made by the plaintiff that the premiums were paid in American dollars. 'Should this not have been established by the defendant through persons who had personal knowledge of the transaction and manner in which premiums were received in payment? Is there any reason why the defendant could not .have obtained an affidavit from the assured showing that the premiums were actually paid in Canadian dollars, so as to disprove the sworn assertion of the plaintiff-widow? Of equal importance is the fact that Mr. Spears, who had “ direct supervision ” of the records and who had access to them ” and who states further that “ The defendant ® 5 * calculated the premium to be paid in Canadian currency 4 ® * [and] premiums were paid in Canada, with Canadian currency ”, has failed to submit a single record to substantiate his statements. Under all the circumstances in this ease we are convinced that neither party is entitled to summary judgment. Concur — Eager, J. P., Capozzoli and Nunez, JJ.; Tilzer and Steuer, JJ., dissent in the following memorandum by Steuer, J.: We are in accord that the procedure taken, being acquiesced in by all parties and not now objected to, must be accorded recognition in the case (Stevenson v. News Syndicate Co., 302 N. Y. 81). Under these circumstances we treat the applications as a motion and cross motion for summary judgment with .the affidavits serving both as pleadings and supporting the evidentiary contentions of the parties. In this view it is neither necessary to determine nor proper to discuss the validity of the procedure adopted and we do not pass upon it. Plaintiff is the beneficiary of her husband under a group insurance policy issued by defendant. There is no question of her right to recover the 'benefits therein provided, and to the extent indicated she has been paid. That payment amounted to $23,151.83, which was the equivalent of 25,000 Canadian dollars in American currency. Suit is for the difference, namely, $1,848.17. The facts, as both parties insist, -are not in issue. The deceased was a New York resident who was employed here by a New York corporation which was a wholly owned subsidiary of Eraser Companies, Ltd., a Canadian corporation. The policy in suit was taken out by the parent Canadian company. Negotiations for it were conducted by mail ■between the Canadian company in Edmunston, New Brunswick, and brokers in Montreal, Quebec, and issued by the insurance company from its Montreal office. Premiums were paid by Eraser 'Companies, Ltd. in Canadian dollars. [920]

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Bluebook (online)
32 A.D.2d 918, 302 N.Y.S.2d 435, 1969 N.Y. App. Div. LEXIS 3319, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reilly-v-insurance-co-of-north-america-nyappdiv-1969.