Schorr v. Guardian Life Insurance of America

44 A.D.3d 319, 843 N.Y.S.2d 24
CourtAppellate Division of the Supreme Court of the State of New York
DecidedOctober 2, 2007
StatusPublished
Cited by7 cases

This text of 44 A.D.3d 319 (Schorr v. Guardian Life Insurance of 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
Schorr v. Guardian Life Insurance of America, 44 A.D.3d 319, 843 N.Y.S.2d 24 (N.Y. Ct. App. 2007).

Opinion

Order, Supreme Court, New York County (Rolando T. Acosta, J), entered June 7, 2006, which granted defendant Guardian Life’s motion to dismiss the complaint for failure to state a cause of action and sua sponte dismissed the claims against nonmoving defendant Kadosh, modified, on the law, plaintiffs claim for tortious interference with prospective business relations reinstated against both defendants, and otherwise affirmed, without costs.

Plaintiff failed to plead properly a claim for breach of the implied covenant of good faith and fair dealing since he did not demonstrate the existence of a valid contract from which such a duty would arise (American-European Art Assoc. v Trend Galleries, 227 AD2d 170 [1996]).

He did, however, properly plead a cause of action for tortious interference with prospective business relations. The complaint alleged that defendant Guardian Life interfered with plaintiffs longstanding relationship with his client by utilizing “wrongful means” to provide a quote for group insurance coverage to another broker while declining to give a quote to plaintiff for the same coverage. The wrongful means alleged are violations of the Penal Law and the Insurance Law. This was sufficient to satisfy the pleading requirements (see Guard-Life Corp. v Parker Hardware Mfg. Corp., 50 NY2d 183, 194 [1980]; cf. NBT Bancorp v Fleet/Norstar Fin. Group, 87 NY2d 614, 624-625 [1996]).

The court failed even to consider the claim for tortious interference with prospective business relations against the nonmoving defendant, who did not appear on the motion, and plaintiff was thus deprived of an opportunity to oppose any arguments that might have been raised. Nevertheless, the court inexplicably dismissed the complaint in its entirety. Concur— Nardelli, J.P, Williams, Buckley and McGuire, JJ.

Catterson, J., dissents in a memorandum as follows: Because I believe that both of plaintiffs claims should be reinstated, I write separately.

The plaintiff, Jerome Schorr, a licensed independent insur[320]*320anee broker, was appointed by the defendant Guardian as its agent for the purpose of selling its insurance products in 1973 pursuant to a brokerage agreement between Guardian and its general agent, Spaulder & Warshall, Ltd. (hereinafter referred to as S & W Agency).

In 1981, the plaintiff was appointed as the broker of record for Israel Aircraft Industries International, Inc.’s (hereinafter referred to as IAII) group life, medical and dental insurance coverage. In 1986, IAII appointed him as broker of record for the group life, medical and dental insurance coverage of its subsidiary, Commodore Aviation, Inc. (hereinafter referred to as CAI). In 2003, IAII appointed the plaintiff as broker of record for the group life, medical and dental insurance coverage of another subsidiary, Empire Aero Center, Inc. (hereinafter referred to as EAC).

In the meantime, in 1990, 1996 and 1998, the plaintiff signed three separate group insurance special producer compensation agreements with Guardian. Pursuant to these agreements, the plaintiff was entitled to receive additional compensation for selling Guardian group insurance plans, provided that he had at least five Guardian group plans in effect at a certain qualifying date.

In late 2003, IAII contacted the plaintiff and advised that for the coverage period commencing January 1, 2004, it wished to have new bids for all of its group life, medical and dental insurance coverages for all of its employees, as well as the employees of its subsidiaries. The plaintiff submitted materials he received from IAII, such as a September census of all of its employees, including the employees of its subsidiaries, to competing insurers for quoting purposes.

Thereafter, he received a “no quote” from Guardian for a combined group medical and life insurance coverage for IAII and its subsidiaries. Guardian informed the plaintiff that it could not provide a competitive bid because it lacked a network of physicians and other healthcare providers in the location of EAC’s facilities in upstate New York. Thereafter, the plaintiff requested a quote limited to the employees of IAII, exclusive of its subsidiaries. In response, he received another “no quote.” Guardian’s sales representative explained in writing that Guardian could not compete with the pricing quoted by other insurance companies due to a 25% surcharge that its underwriters needed to apply to IAII business. The plaintiff, was, however, able to obtain a quote from Guardian for group dental coverage.

The plaintiff subsequently learned that another broker, defendant Itzhak Kadosh had met with representatives from IAII [321]*321in October or November 2003 and boasted that he could obtain better rates from Guardian than the plaintiff. IAII authorized Kadosh to obtain a quote from Guardian for its group coverage and provided him with the necessary materials, including a copy of the November census, a more recent version than the September census submitted by plaintiff.

Thereafter, Guardian, through John Feeney, one of its sales representatives in its Washington, D.C. office, provided a competitive quote to Kadosh for the group medical coverage. The plaintiff subsequently learned that the quote provided was, among other things, calculated without the 25% surcharge which Guardian had waived for Feeney and Kadosh.

The plaintiff alleges that Kadosh and/or Feeney falsified the census and that Guardian’s underwriters knew or should have known that the census had been falsified since they were in possession of other renewal censuses from IAII that contradicted the census provided by Kadosh and/or Feeney The plaintiff asserts that falsifying lAIFs employee census was a violation of Insurance Law § 4224.

He further asserts that pursuant to Insurance Law §§ 2402 and 2403, a violation of section 4224 constitutes an unfair method of competition and/or a deceptive act or practice. In addition, the plaintiff asserts that waiving the surcharge improperly discounted Guardian’s premium quotes in a discriminatory manner, in violation of Insurance Law § 4224.

As a result, IAII replaced its MetLife coverage previously procured by the plaintiff as broker with life insurance coverage from Guardian with Kadosh as broker. The plaintiff remained the broker for the medical insurance coverage of IAII and its subsidiaries for the 2004 coverage year since he had obtained quotes from other carriers that were still more competitive than the Guardian quote obtained by Kadosh. However, IAII revoked the plaintiffs authority to obtain future quotes from Guardian on its behalf and granted Kadosh the exclusive right to obtain such quotes.

The plaintiff subsequently lost IAIIs medical and dental business for the 2005 coverage year after Kadosh was able to obtain extremely competitive quotes from Guardian. The plaintiff alleges that this was the direct result of the illegal activity engaged in by Kadosh and Feeney. He further alleges that IAII’s 2006 renewal information confirmed that Guardian lost money on the IAII group medical and dental coverages for 2005 and 2006. He asserts that this “arrangement between Guardian and Kadosh” resulting in Guardian’s loss of money “directly contravenes paragraph (g) of section 4235 of the New York In[322]*322surance Law.” He further asserts that “[b]ut for the effects of the scheme between defendants Kadosh and Guardian, [he] would not have lost the business of IAII and its subsidiaries and the substantial commissions derived therefrom.”

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Cite This Page — Counsel Stack

Bluebook (online)
44 A.D.3d 319, 843 N.Y.S.2d 24, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schorr-v-guardian-life-insurance-of-america-nyappdiv-2007.