Young v. Utica Mutual Insurance

107 Misc. 2d 417, 435 N.Y.S.2d 220, 1980 N.Y. Misc. LEXIS 2870
CourtNew York Supreme Court
DecidedDecember 17, 1980
StatusPublished
Cited by1 cases

This text of 107 Misc. 2d 417 (Young v. Utica Mutual Insurance) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Young v. Utica Mutual Insurance, 107 Misc. 2d 417, 435 N.Y.S.2d 220, 1980 N.Y. Misc. LEXIS 2870 (N.Y. Super. Ct. 1980).

Opinion

OPINION OF THE COURT

Edward M. Horey, J.

The action is for a money judgment for loss of earnings from work allegedly due the plaintiff under the provisions of section 671 of the Insurance Law, commonly denominated the “no-fault statute”.

Plaintiff is a self-employed building contractor operating under the firm and style of “Y & C Builders”. In March, 1978, plaintiff was involved in a serious automobile accident in Cuba, New York. At the time of the accident, plaintiff was driving an automobile owned by himself and insured for no-fault benefits by defendant, Utica Mutual Insurance Company.

The injuries suffered by plaintiff were so serious that he has, from the time of the accident to the present, remained totally disabled.

It appears from the record that the defendant, no-fault insurance carrier, has paid all medical bills of plaintiff as a first-party benefit and that such medical bills are not part of the litigation.

[418]*418This action deals only with the loss of earnings from work — part of the basic economic loss provided in the statute. Plaintiff is claiming the loss of such earnings in accordance with the provisions of section 671 (subd 1, par [b]) of the Insurance Law. That subdivision provides as follows: “1. ‘Basic economic loss’ means, up to fifty thousand dollars per person: * * * (b) loss of earnings from work which the injured person would have performed had he not been injured, and reasonable and necessary expenses incurred by such person in obtaining services in lieu of those that he would have performed for income, up to one thousand dollars per month for not more than three years from the date of the accident causing the injury”. At issue is the meaning to be imparted to this section.

Under the facts which have been presented, it appears that plaintiff was self-employed as a carpenter-contractor at the time of the injury. He was operating the business from his home. For the two years immediately preceding the accident, he had filed tax returns in which he claimed a tax operating loss from his sole enterprise business.

The 1976 tax return reflected that plaintiff had total sales from his business of $30,100. Against these earnings, plaintiff took deductions amounting to $30,830, resulting in a tax loss from operations of the business of $730.

The 1977 tax return reflects a greater loss than in 1976 based upon the following figures, to wit: Total receipts from sales in the business amounting to $63,166. Against such earnings, plaintiff took deductions amounting to $70,562, resulting in a tax loss from business operations of $7,396.

Because of the losses claimed on plaintiff’s tax returns from 1976 and 1977, it is the position of defendant insurance company that the plaintiff had no “earnings” and, therefore, under the language of section 671 (subd 1, par [b]) of the Insurance Law, defendant argues plaintiff is [419]*419precluded from being paid loss of earnings from work as a part of his “basic economic loss”, provided under that statute.

In support of its position, the defendant insurer argues that there have been a number of cases that have addressed the issue of what constitutes “earnings” under the statute. Defendant contends that under none of these would plaintiff recover as he is unable to demonstrate either (a) lost pay, or (b) cost of bringing another to perform the services, or (c) “loss of profits” occasioned by the injury and disablement. (See Hughes v Nationwide Mut. Ins. Co., 98 Misc 2d 667.)

Plaintiff, recognizing the dilemma, argues that under the statute there is a fourth way to show loss of earnings, viz., a loss of time resulting from the injuries. This “time loss” approach appears to have been first espoused by judicial determination in Wellington v City of New York, a 1980 New York Supreme Court case (NYLJ, Jan. 11, 1980, p 7, col 5). In the Wellington case, the court stated: “ ‘It is, therefore, apparent that there need be no actual income loss for the claimant to qualify for the benefit. There need only be a time loss resulting from the injury’ ”. (Quoting from Corrado v City of New York, Amer Arb Assn Case No. 1360-9464-77K, NF No. 710325.)

The ratio decidendi for the quoted conclusion in Wellington v City of New York (supra), that only a time loss was necessary, arises from the Judge’s analysis of an amendment to subdivision 2 of section 671 of the Insurance Law, which was passed in 1977. The amendment, according to the learned Judge, was designed to eliminate double recoveries of “earnings” in those situations where a claimant had received his pay under some arrangement with his employer, or otherwise, but had also sought recovery for no-fault benefits provided under an applicable insurance policy. The Judge concluded that if an amendment was necessary to eliminate a double recovery, that until the amendment was passed, there existed a right to double recovery. In support of the concept of double recovery and by way of explanation of it, he argued there could be read into the “no-fault law” a [420]*420precept that a true “economic loss” was not necessary; that merely a “time loss” would be sufficient. In brief, it appears the time loss concept was seized upon by the learned Judge to support his conclusion of permissible double recovery. As noted, for that proposition, he cited the Corrado case noted above and other decisions to the same effect.

It is important to note that Wellington v City of New York (supra) concerned an injury that resulted prior to the 1977 amendment of subdivision 2 of section 671 of the Insurance Law. It could now be argued that the amendment, besides purportedly eliminating double recoveries, also had the effect of eliminating the “time loss” theory that was advanced by the court to support the right to double recoveries in the Wellington decision and the other cases there cited.

This court does not believe the “time loss” theory should be discarded completely. This is because the amendment to subdivision 2 of section 671 of the Insurance Law, in this court’s opinion, only operated to remove the aspects of double recovery in the additional instances of “disability benefits under article nine of the workers’] compensation law, or medicare benefits”. The amendment did not provide for a general condemnation or elimination of all double recovery situations as the learned Justice suggests in the Wellington decision. However, the court believes there exists an additional, but firmer basis than the “time loss” theory on which to rest its decision.

As far as can be determined, the instant action is one of first impression under section 671 of the Insurance Law as it has been amended. Presented is a matter with far-reaching consequences. With only the help of his wife’s earnings of $4,150 in 1976 and $3,283 in 1977, the plaintiff was actually providing a living from the business for himself, his wife and his three adult children who live with him “off and on”. Undoubtedly that living was neither opulent or gracious, but it was sufficient to keep the plaintiff from the welfare rolls. The court regards the decision here as important because a judgment against the plaintiff, if sustained on appeal, and the [421]*421court has no doubt its decision will be appealed, will result in excluding a whole class of gainfully self-employed, but marginally successful individuals from benefits under the no-fault statute.

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Bluebook (online)
107 Misc. 2d 417, 435 N.Y.S.2d 220, 1980 N.Y. Misc. LEXIS 2870, Counsel Stack Legal Research, https://law.counselstack.com/opinion/young-v-utica-mutual-insurance-nysupct-1980.