Town of Massena v. Healthcare Underwriters Mutual Insurance

281 A.D.2d 107, 724 N.Y.S.2d 107, 2001 N.Y. App. Div. LEXIS 4180
CourtAppellate Division of the Supreme Court of the State of New York
DecidedApril 26, 2001
StatusPublished
Cited by6 cases

This text of 281 A.D.2d 107 (Town of Massena v. Healthcare Underwriters Mutual 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
Town of Massena v. Healthcare Underwriters Mutual Insurance, 281 A.D.2d 107, 724 N.Y.S.2d 107, 2001 N.Y. App. Div. LEXIS 4180 (N.Y. Ct. App. 2001).

Opinion

[109]*109OPINION OF THE COURT

Rose, J.

Plaintiff commenced this action to obtain a judgment declaring that various defendants are obligated to defend and indemnify Massena Memorial Hospital, its governing committees and its staff (hereinafter collectively referred to as the Franzon defendants) in an underlying Federal lawsuit (hereinafter the Franzon action) brought by Olof Franzon, a licenced physician, and his practice, Women’s Medical & Surgical Healthcare, P. C. (hereinafter collectively referred to as the Franzon plaintiffs). In the Franzon action, the Franzon plaintiffs allege that in reaction to Franzon’s suggestion that nurse-midwives be allowed to practice at the hospital, the Fr.anzon defendants intentionally and maliciously made defamatory statements regarding Franzon, acted in bad faith by failing to provide insurance referrals to his patients, and placed baseless complaints in his hospital file to justify terminating his hospital privileges. Specifically, their amended complaint states six causes of action alleging violations of Franzon’s 1st Amendment right to free speech, punitive damages and counsel fees, as well as defamation, tortious interference with business relations and tortious interference with contract. Defendants Healthcare Underwriters Mutual Insurance Company (hereinafter HUM), Physicians Reciprocal Insurers (hereinafter PRI), Federal Insurance Company (hereinafter FIC) and Medical Liability Mutual Insurance Company (hereinafter collectively referred to as defendants) are among the carriers who issued insurance policies to the Franzon defendants. After commencement of the Franzon action, plaintiff adopted several resolutions extending the benefits of Public Officers Law § 18 to the Franzon defendants, entitling them to indemnification and defense by plaintiff under certain circumstances (see, Public Officers Law § 18).

Defendants moved for summary judgment citing exclusions in their policies and arguing that they owe no duty of defense or indemnification because the Franzon plaintiffs allege intentional rather than negligent infliction of damage. Supreme Court denied defendants’ motions, holding that their policies do not exclude coverage of all the underlying claims as a matter of law because whether the alleged intentional acts may have resulted in accidental damages is a question of fact. The court also held that the resolutions provide indemnification for the Franzon defendants only to the extent that their individual insurance coverages prove to be inadequate. Defendants appeal.

[110]*110HUM argues that it properly disclaimed coverage because public policy prohibits an insurer from defending and indemnifying for an insured’s intentional torts, and because its policy contained exclusions applicable to the claims alleged in the Franzon action. Its policy, in relevant part, provides coverage for damages incurred as a result of “service by any person as a member of a formal accreditation or similar professional board or committee of the named insured, or as a person charged with the duty of executing directives of any such board or committee” and “the publication or utterance of a libel or slander or of other defamatory or disparaging material.” However, the policy excluded coverage for “personal injury arising out of a publication or utterance * * * concerning any organization or enterprise * * * made by or at the direction of any insured with knowledge of the falsity thereof.” Relying on the Franzon plaintiffs’ allegations of malice, HUM contends that all of their defamation claims are expressly excluded.

The duty to defend is a very broad one (see, Pennsylvania Millers Mut. Ins. Co. v Rigo, 256 AD2d 769, 770; Sea Crest Constr. Corp. v Centennial Ins. Co., 175 AD2d 453, 454), arising whenever the allegations contained in the pleadings, together with such other underlying facts as have been “made known to the insurer[,] create a ‘reasonable possibility that the insured may be held liable for some act or omission covered by the policy’ ” (Fitzpatrick v American Honda Motor Co., 78 NY2d 61, 70, quoting Meyers & Sons Corp. v Zurich Am. Ins. Group, 74 NY2d 298, 302; see, Frontier Insulation Contrs. v Merchants Mut. Ins. Co., 91 NY2d 169, 175). This duty, however, may be effectively disclaimed where, as a matter of law, no factual or legal basis exists under which the insurer’s policy coverage would be triggered (see, Jubin v St. Paul Fire & Mar. Ins. Co., 236 AD2d 712, 714). Also, public policy precludes indemnifying an insured for intentionally inflicted injuries (see, Travelers Ins. Cos. v Stanton, 223 AD2d 104, 105, lv denied 89 NY2d 804; Green v Allstate Ins. Co., 172 AD2d 949, 950, lv dismissed 79 NY2d 787).

Dispelling any doubt as to the nature of the tortious acts alleged in the Franzon action here, a section of the Franzon plaintiffs’ amended complaint, entitled “facts common to all claims for relief,” asserts that the various acts of the Franzon defendants were malicious, and done with the intent to injure Franzon’s reputation and practice of his profession. “Malice, in law, is a state of mind intent on perpetrating a wrongful act to the injury of another without justification [cita[111]*111tion omitted]” (Kalisch-Jarcho, Inc. v City of New York, 58 NY2d 377, 385 n 4). Thus, the claim that the Franzon defendants intentionally, rather than merely negligently or accidentally, caused injury infuses all of the Franzon plaintiffs’ causes of action. With no facts in the record establishing an unintentional injury, Supreme Court’s distinction between conduct and damages finds no application here. “It is now well settled that where harm to the victim is inherent in the nature of the act performed, whatever injuries result are, as a matter of law, intentionally caused [citation omitted]” (Travelers Ins. Cos. v Stanton, supra, at 105; see, Gibbs v CNA Ins. Cos., 263 AD2d 836, 838, lv denied 94 NY2d 755). The harm claimed by the Franzon plaintiffs is of a type inherent in the alleged tortious acts and must be deemed intentionally caused. In these circumstances, insurance coverage is precluded by public policy (see, Travelers Ins. Cos. v Stanton, supra, at 105; Green v Allstate Ins. Co., supra, at 950). In addition, as to whether their defamation claims also come within HUM’s policy exclusion, we conclude that the allegations of malice necessarily imply that the defamatory statements were made with knowledge of their falsity (see, Christenson v Gutman, 249 AD2d 805, 807). Finding no possible factual or legal basis to bring the allegations of the complaint in the Franzon action within the scope of the risks undertaken by HUM (see, Syvertsen v Great Am. Ins. Co., 267 AD2d 854, 858), we conclude that its motion for summary judgment should have been granted.

We are similarly persuaded that PRI’s motion for summary judgment should have also been granted. In addition to the underlying allegations of intentional tortious acts for which public policy precludes defense and indemnification, PRI’s policies expressly exclude claims arising from interference with contract, punitive damages, malicious civil acts or omissions, and defamation. Supreme Court declined to apply these exclusions to a subsequent policy amendment expanding coverage to include “services as a member of a formal accreditation board or any committee of a hospital where you are engaged in accreditation review and standards review,” because it perceived that doing so would render such coverage illusory.

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Bluebook (online)
281 A.D.2d 107, 724 N.Y.S.2d 107, 2001 N.Y. App. Div. LEXIS 4180, Counsel Stack Legal Research, https://law.counselstack.com/opinion/town-of-massena-v-healthcare-underwriters-mutual-insurance-nyappdiv-2001.