Turner v. State

13 Misc. 3d 252, 818 N.Y.S.2d 896
CourtNew York Court of Claims
DecidedJune 20, 2006
DocketClaim No. 104542
StatusPublished

This text of 13 Misc. 3d 252 (Turner v. State) is published on Counsel Stack Legal Research, covering New York Court of Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Turner v. State, 13 Misc. 3d 252, 818 N.Y.S.2d 896 (N.Y. Super. Ct. 2006).

Opinion

OPINION OF THE COURT

Philip J. Patti, J.

Upon the papers, and after hearing Laurie Styka Bloom, Esq., on behalf of third-party defendant, and Thomas G. Ramsay, Assistant Attorney General, on behalf of defendant and third-party claimant, the motion is denied and the cross motion is granted.

This matter has been the subject of significant motion practice on two prior occasions. In motion No. M-64418 and cross motion No. CM-64689, decided on April 12, 2002, I compelled the acceptance of an answer to the third-party action, and, anticipating the instant motion practice, deferred the central question of whether service of a notice of intention to file a claim triggers the obligation to notify an insurance carrier, and the ultimate question of whether the insurer should be permitted to disclaim coverage to defend and/or indemnify the State of New York. Subsequent motion practice addressed verification and jurisdictional issues (Turner v State of New York, 2 Misc 3d 370 [2003], cited by the Court of Appeals in Lepkowski v State of New York, 1 NY3d 201, 209 n 5 [2003]).

The underlying claim, as limited by that motion practice, alleges that claimant Anthony Turner, an employee of Horizon Roofing & Sheet Metal, Inc., was working on the roof of the New York State School for the Blind in Batavia, New York, when, on July 14, 1999, at approximately 10:00 a.m., he fell from a ladder causing injuries to his back and ear. The current proceedings revolve around the third-party action by the defendant State of New York against Transcontinental Insurance Company (TIC), and TIC’s motion seeking summary judgment dismissing the third-party claim and a declaration as a matter of law that no coverage, either to defend or indemnify, is owed by TIC to the State. Needless to say, the State vigorously opposes the relief and cross-moves for a declaratory judgment that TIC has the very obligations which it is seeking to avoid.

A brief historical retrospective, summarizing mostly undisputed facts, is helpful. TIC issued an owner/contractor protective liability policy to the State (motion, exhibit A) covering the period in question. The primary issue before me is whether the State satisfactorily complied with the notice provisions of that policy, more specifically its duty in the [254]*254event of an “occurrence” to notify TIC “as soon as practicable,” or if a “claim” is made or “suit” is brought to provide written notice “as soon as practicable.” A notice of intention to file a claim (NI) was served upon the State on October 12, 1999. On March 1, 2000,. the State sent letters, enclosing a copy of the NI to claimant’s employer, Horizon, and to the insurance agency which provided the certificate of insurance, Amsure Associates, Inc. (cross motion, exhibits E and F, respectively). Horizon forwarded the same to its insurance agent, who allegedly received the same on March 6, 2000 and on March 8 forwarded the NI to TIC/CNA (motion, exhibit D).

It is also clear that, on or about July 23, 1999, a representative of New York State’s Office of General Services did inform Continental Casualty Company that indeed there had been an accident, and then Continental, or one of its companies, set up a workers’ compensation file (cross motion, exhibit C to affidavit of John D. Lewyckyj).

Part of the sparring between the parties addresses the purported failures and errors committed by each. A scorecard delineating the missteps here is not necessary, although, suffice it to say, neither party appears before me with pristine hands. First, I am persuaded by the State’s undisputed assertions that Amsure Associates, Inc. acted as an agent for CNA, in part because of its inclusion on the CNA Web site, and because a broker may be held to have acted as the insurer’s agent where there is some evidence of “action on the insurer’s part, or facts from which a general authority to represent the insurer may be inferred” (Rendeiro v State-Wide Ins. Co., 8 AD3d 253, 253 [2004]). Thus, the certificate of insurance (cross motion, exhibit A), provided to the State by Amsure, the insurance agent for Horizon and acting as well as agent for the CNA family of insurance companies, listed the owner’s protective policy and its number, 1080107778, and named Continental Casualty Company as the company affording such coverage. And, indeed, that is the company name and policy number on the accident notification provided by Mr. Lewyckyj on July 23, 1999. However, that was not the correct insurance company name, as the actual coverage under that policy number was provided by Transcontinental Insurance Company (the same TIC in front of me today).

[255]*255TIC asserts that there is arguably a question of fact as to whether it received timely notice of the occurrence,1 but that the State supplied late notice of the claim or suit, and thus its disclaimer is valid and enforceable for that reason alone, irrespective of the notice of occurrence. Whether the notification should have gone to a workers’ compensation carrier or to the owner’s protective liability coverage company is a rather dubious question, since the certificate of insurance provided inaccurate information. The putatively reserved question of fact whether it was ever received is belied by the affidavit of Robert Laning, an employee of Horizon, who appends an acknowledgment of initial report of loss from CNA dated July 20, 1999 (cross motion, exhibit B to his affidavit). Moreover, it would appear that such notice satisfied the requirement in the endorsement containing New York changes (motion, exhibit A; reply affirmation in support of cross motion, exhibit D).

Needless to say, the State’s actions, or the excuses for its inaction, are hardly defensible. While there is some reasonable explanation for a short period of time while the State ascertained whether the underlying accident occurred at an insured location for the State of New York, and/or the School for the Blind under the State Dormitory Authority’s insurance, here “the contact person at the Dormitory Authority was away from her office on extended leave” (affirmation in support of cross motion IT 17), and it took until February 9, 2000 for the Dormitory Authority to return the claim (sic — means NI) to the Attorney General’s Office for proper routing (cross motion, exhibit D [iii]). The State’s apologia in this regard merely acknowledges these undisputed facts, which do not excuse the period of time that a response awaited the return of the employee at the Dormitory Authority from extended leave.

TIC argues that it is not an issue of prejudice or not, but rather whether there has been compliance with the terms and conditions of the policy. It asserts that the insurance contract requires, as a condition precedent to coverage, that TIC be provided with notice “as soon as practicable.” It is TIC’s contention that while there may have been timely notice of the occurrence through the submission of information that found its way to the workers’ compensation file, the delay between October [256]*25612, 1999, the date of service of the NI upon the State, and the eventual provision of the NI by the State to TIC on or about March 8, 2000, vitiates the insurance contract and it owes no coverage to the State. TIC provides a host of cases which examine a range of periods of time in which the courts of New York have found untimely notice, thereby vitiating the insurance contracts therein.

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

Related

Argo Corp. v. Greater New York Mutual Insurance
827 N.E.2d 762 (New York Court of Appeals, 2005)
Lepkowski v. State of NY
802 N.E.2d 1094 (New York Court of Appeals, 2003)
In Re the Arbitration Between Brandon & Nationwide Mutual Insurance
769 N.E.2d 810 (New York Court of Appeals, 2002)
Security Mutual Insurance v. Acker-Fitzsimons Corp.
293 N.E.2d 76 (New York Court of Appeals, 1972)
Dreger v. New York State Thruway Authority
81 N.Y.2d 721 (New York Court of Appeals, 1992)
Rendeiro v. State-Wide Insurance
8 A.D.3d 253 (Appellate Division of the Supreme Court of New York, 2004)
Kolnacki v. State
28 A.D.3d 1176 (Appellate Division of the Supreme Court of New York, 2006)
Rose v. State
265 A.D.2d 473 (Appellate Division of the Supreme Court of New York, 1999)
Turner v. State
2 Misc. 3d 370 (New York State Court of Claims, 2003)
First Church in Albany of Reformed Church in America v. State
192 Misc. 2d 66 (New York State Court of Claims, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
13 Misc. 3d 252, 818 N.Y.S.2d 896, Counsel Stack Legal Research, https://law.counselstack.com/opinion/turner-v-state-nyclaimsct-2006.