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  • Colony Insurance Company, Mym Construction, Inc. v. Tudor Insurance Company, Greenside Corp. Commercial - Insurance document preview
  • Colony Insurance Company, Mym Construction, Inc. v. Tudor Insurance Company, Greenside Corp. Commercial - Insurance document preview
  • Colony Insurance Company, Mym Construction, Inc. v. Tudor Insurance Company, Greenside Corp. Commercial - Insurance document preview
  • Colony Insurance Company, Mym Construction, Inc. v. Tudor Insurance Company, Greenside Corp. Commercial - Insurance document preview
						
                                

Preview

FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK -----------------------------------------------------------------------X COLONY INSURANCE COMPANY and MYM CONSTRUCTION, INC., Index No.: 652031/2016 Plaintiffs, PLAINTIFFS' -against- REPLY AFFIRMATION IN TUDOR INSURANCE COMPANY and SUPPORT OF SUMMARY GREENSIDE JUDGMENT MOTION CORP., Defendants. --------------------------------------------------------------------X S. DWIGHT STEPHENS, an attorney duly admitted to practice law before the courts of the state of New York, affirms the truth of the following statements: ("Colony" 1. Plaintiffs Colony Insurance Company ("Colony") and MYM Construction, Inc. "Plaintiffs" ("MYM") (collectively "Plaintiffs") submit this affirmation in response to the opposition to their ("Tudor" summary judgment motion filed by Defendant Tudor Insurance Company ("Tudor"). TUDOR'S DISCLAIMER IS INVALID BECAUSE IT WAS UNTIMELY UNDER INSURANCE LAW SECTION 3420(d). Plaintiffs' 2. As discussed in moving papers, New York Insurance Law §3420(d)(2) imposes a strict timeliness requirement on the issuance of a written notice of disclaimer for liability policies issued or delivered in New York, like the Tudor Policy here, when an insurer seeks to deny coverage for death or bodily injury based on an exclusion. Failure to raise a ground for possible" disclaiming "as soon as is reasonably precludes an insurer from later asserting itas a defense. 3. Tudor does not dispute that it was required to timely disclaim coverage based on the employee exclusion because the general provisions of the Tudor Policy afford coverage to MYM since itwas specifically added as an additional insured by name to the Tudor Policy by 1 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 Endorsement number 3 (Exhibit N). (Unless otherwise noted, exhibit references are to the exhibits Plaintiffs' annexed to summary judgment motion.) See, e.g., Kemper Independence Ins. Co. v. Brennan, 155 A.D.3d 953, 954, 64 N.Y.S.3d 125, 127 (2d Dep't 2017). 4. Tudor also does not dispute that ithas the burden of justifying any delay. See, e.g., First Financial Insurance Co. v. Jetco Contracting Corp., 1 N.Y.3d 64, 66, 769 N.Y.S.2d 459 (2003). Nor does Tudor dispute that the reasonableness of a delay will be measured from the point when the insurer becomes aware of sufficient facts to support the disclaimer. See Consolidated (13t Edison Co. v. Hartford Ins. Co., 203 A.D.2d 83, 84, 610 N.Y.S.2d 219, 221 Dep't 1994), or possible" that "[a]s soon as reasonably has generally been construed to mean 30 days or less. See, e.g., Kramer v. Government Employees Ins. Co., 269 A.D.2d 567, 703 N.Y.S.2d 514 (2d Dep't 2000). 5. A logical corollary of this rule is that an insurer cannot justify its delay in "investigation" disclaiming by contriving an alleged extended that is not calculated to, and in fact does not, add anything new to the information upon which the insurer bases its disclaimer. See (13t also City of New York v. Welsbach Electric Corp., 49 A.D.3d 322, 852 N.Y.S.2d 134 Dep't 2008) (insurer must conduct investigation "promptly, diligently and in good faith"). 6. Once the delay exceeds 30 days, which is the case here, the insurer must explain why itneeded that amount of time to issue a disclaimer. Viewing every fact in Tudor's favor, the 36 days it took Tudor to issue itsdisclaimer is untimely as a matter of law under New York's very strict timely disclaimer requirements. Plaintiffs' 7. As discussed in opposition to Tudor's summary judgment motion, for purposes of the present summary judgment motion practice, Plaintiffs assume that Tudor received firstnotice of the claim on 11/24/14. 2 2 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 Plaintiffs' 8. initial tender letter alerted Tudor to the applicability of the employee exclusion in the Tudor Policy. Tudor confirmed the applicability of the exclusion with a phone call to its insured, which was returned by the insured the next day. Tudor was aware of sufficient facts to support the disclaimer following an investigation taking a couple of days. 9. However, Tudor did not issue its disclaimer for 36 days after it acknowledges Plaintiffs' receiving tender. The question is whether Tudor's explanation for the 36 days passes muster given the strict timely-disclaimer requirements. 10. Tudor has no explanation for no activity from 11/24/14 to 12/2/14. Tudor's explanation for the next seven days of no activity from 12/2/14 to 12/9/14 is that itallegedly "made him." several calls to Mr. Kelleher but could not reach (Hazard Aff. at 113). However, the first note documenting a call where the adjuster left a message resulted in a note the next day confirming a call back by Greenside (a call that confirmed the claimant's employment status). 11. Tudor's explanation for not issuing the disclaimer on 12/10/14 is that itwas waiting for its investigator's report. However, the investigator's report had nothing to add to what the adjuster already knew about the claimant's employment by Greenside based on his own investigation. The investigator's report primarily addressed the nature of the job, the circumstances of the accident, and witnesses to the accident, etc., all of which are relevant to potential liability issues but not to the applicability of the employee exclusion (See Exhibit V). The law is clear that Tudor's delay in notifying Plaintiffs of the disclaimer is not justified by Tudor's investigation into other issues unrelated to the employment issue relevant to Tudor's coverage denial. See, e.g., Liberty Mutual Fire Insurance Co. v. Navigators Insurance Co., 158 (1st A.D.3d 431, 67 N.Y.S.3d 816 Dep't 2018). Plaintiffs' 12. For the firsttime, in opposition to motion, Tudor asserts that the danger 3 3 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 "advised" of issuing an immediate disclaimer on the basis of what Colony had been as to Gormley's employment status is highlighted by the conflicting information ultimately provided by the Greenside contact person provided to Tudor, Phillip Kelleher. (Tudor Opp. Memo of Law at pp. 6-7). Mr. Kelleher told Tudor's adjuster and its investigator that he was the president and co- owner of Greenside and that Gormley was employed by Greenside. (Exhibit U at CFO 434; Exhibit V at CFO 378). In this action, however, Mr. Kelleher denied being the owner of Greenside and his testimony indicated that he assumed Gormley worked for Greenside. (Tudor Exhibit V at pp. 18, 20). 13. First of all, Plaintiffs are giving Tudor the benefit of the doubt that itwas justified in confirming for itself Gormley's employment status. It did that with one documented call that was returned the very next day. Moreover, this inconsistent testimony by Mr. Kelleher in this insurance coverage action four years later does not change the fact that Mr. Kelleher told Tudor's adjuster and its investigator the same thing in the context of Tudor's investigation of the claim and Tudor relied on that assertion (namely, that Mr. Kelleher owned Greenside and Greenside employed Gormley) to deny coverage based on the employee exclusion. practice" 14. Tudor also asserts that it was Tudor's "standard to refer every claim to outside coverage counsel where the claim involves an incident that is in suit (Hazard Aff. at $15). To carry its burden, however, Tudor was required to explain the necessity of a coverage opinion in this case-that is,any reason that the applicability of the employee exclusion presented a novel legal issue given either the language of the Tudor exclusion and/or the particular facts of this case. It has not provided such an explanation, either in its affirmative motion or in opposition to Plaintiffs' motion, and any belated explanation that itmight come up with in reply should be disregarded for the contrivance that itis. (See Exhibit T at 20 lines 2-11). 4 4 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 15. Again, giving Tudor the benefit of the doubt, Tudor sent the investigator's report, indicating Greenside employed the claimant, to counsel on 12/17/14, and counsel responded with a report complete with three virtually identical draft disclaimers two days later on 12/19/14 (Tudor Exhibit Q). And counsel had done Tudor's work by drafting the disclaimers for it. 16. Tudor asserts that itreceived the disclaimers on Monday, 12/22/14 (Hazard Aff. at ¶l 6). Giving Tudor the benefit of the doubt again, itstill did not issue the disclaimers on 12/22/18. Instead, Tudor sent Plaintiffs a letter on 12/23/18 stating that itwould be denying coverage without explaining why (Exhibit E). 17. Despite having a coverage opinion from counsel and draft disclaimers, Tudor waited another eight days before mailing the disclaimers. Tudor's explanation is that the Christmas holiday fellduring that week (Hazard Aff. at ¶l 8). This does not explain why the letter was not sent out on 12/22 or 12/23. This eight days is another inadequately explained gap. 18. At a minimum, there are 23 unexplained days (15 in the beginning and 8 at the end). Plaintiffs submit that there are an additional 6 inadequately explained days attributable to Tudor waiting for an investigator's report that was unnecessary for the employment issue. 19. Plaintiffs also submit that Tudor has not adequately explained its reliance on the opinion from counsel to justify its delayed disclaimer (6 days). The coverage opinion apparently waited for the DMA investigation, which was solely duplicative on the employment issue. 20. New York's disclaimer requirements are very strict for denials of coverage under liability policies issued in New York. A general liability policy has been held to cover an auto liability accident despite a clear auto exclusion where an insurer did not timely disclaim. See Highrise Hoisting & Scaffolding, Inc. v. Liberty Ins. Underwriters, Inc., 116 A.D.3d 647, 984 (1st N.Y.S.2d 366 Dep't 2014). 5 5 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 21. In sum, the fact that Tudor has 23 unexplained days and six inadequately explained days and that itdid not disclaim for 20 days after being told by the insured of Gormley's employee status means that the disclaimer was untimely. Accordingly, even if this Court were to assume that it took Tudor 36 (and not 51) days to disclaim, the Tudor disclaimer is invalid under New York's strict timeliness rules where over 30 days requires an explanation. TUDOR'S REAL-PARTY-IN-INTEREST ARGUMENT IS MERITLESS. Plaintiffs' 22. For the first time, in opposition to motion, Tudor argues that Colony is the real party in interest and may not seek reimbursement of defense or settlement costs itpaid. 23. Our office had this exact same situation, with the shoe on the other foot, in Time (4th Cap Development Corp. v. Colony Insurance Company, 148 A.D.3d 1749, 51 N.Y.S.3d 757 Rutgers' Dep't 2017). The case is virtually identical for purposes of belated real-party-in-interest claim in this case, including a settlement of the underlying action during the coverage action. The one difference is that,unlike here where Colony is a plaintiff, the other insurer in Time Cap, which was Cincinnati Insurance Company, tried to hide its interest by filing the declaratory judgment action solely in the name of its insured, Time Cap. Colony made the real-party-in-interest argument at the outset, impleading Cincinnati into the action. The real-party-in-interest argument made no difference in the outcome. 24. Time Cap filed a declaratory judgment action against the insurer of its contractor, Colony. Time Cap, which was insured by Cincinnati, was the general contractor, and the injured laborer was employed by Colony's insured Parish Ironworks. Colony issued a disclaimer based on an employee exclusion that was untimely under section 3420(d)(2). See id. 25. Colony impleaded Cincinnati into the insurance coverage action arguing that itwas the real party in interest and its disclaimer was valid vis-à-vis Cincinnati. If that were so, then 6 6 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 Colony argued that the coverage under the two policies (Cincinnati's and Colony's) would apply on a co-insurance basis because Time Cap and Cincinnati theoretically both were parties in interest. The Appellate Division rejected that argument, concluding that even if Colony's disclaimer was valid as to Cincinnati's claim, that was not a reason to alter the priority of coverage set forth in the plain language of the insurance contracts. 148 A.D.3d at 1751. 26. Cincinnati's policy there (like Colony's policy here) provided that the coverage afforded for itsnamed insured was excess over "[a]ny other primary insurance available to you covering liability arising out of . .. operations . ..for which you have been added as an additional endorsement." insured by attachment of an (See Exhibit W hereto at C-15 (Colony "Other Insurance" Condition, Section IV.4.b.(1)(b))). In Time Cap, the Appellate Division concluded that even if Colony's disclaimer was valid as to Cincinnati's claim, the Colony policy still covered Time Cap as an additional insured since the disclaimer was invalid as to it, giving Colony the sole obligation to defend and indemnify Time Cap. See 148 A.D.3d at 1752. 27. The same is true here. Even if Tudor's disclaimer is valid as to Colony, the Tudor policy still covers MYM as an additional insured since the disclaimer is invalid as to it,giving Tudor the sole obligation to defend and indemnify MYM. 28. Thereafter, the underlying action in Time Cap settled, after the summary judgment motions but stillduring the declaratory judgment action, for an amount within Time Cap's policy limit with Cincinnati. Based on thisnew fact, Colony moved for renewal arguing that thispayment confirmed that Cincinnati was, in fact, the sole real party in interest. See 148 A.D.3d at 1751. The Appellate Division concluded that this constituted a different legal theory and rejected the argument that this new fact warranted changing the prior determination. See id. 29. So, too, here the fact that the underlying Gormley action settled during this 7 7 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 declaratory judgment action does not change the fact that the Tudor policy still covers MYM as an additional insured since the disclaimer is invalid as to it,giving Tudor the sole obligation to defend and indemnify MYM. 30. There also is an important policy reason that Tudor's argument should be rejected. According to Tudor, when the tendering insurer settles the underlying action, itbecomes the real party in interest in a coverage action against the contractor's insurer, and this, in turn, transforms a disclaimer that is invalid as to the additional insured's claim into a valid disclaimer during the coverage action. If this were the rule (and itis not), itwould be a serious impediment to resolving the many construction cases involving additional insured tenders as the various parties upstream attempt to shift the loss downstream to the contractor(s) actually in control of the work. Carriers for owners and general contractors would have a disincentive to settle claims where they are challenging the validity of another insurer's disclaimer while an underlying action is stillongoing because doing so would transform an invalid disclaimer into a valid one. 31. Plaintiffs submit that this Court should also be guided by the New York Court of Appeals Sierra decision where the Court held that an insurer is obligated to validly disclaim directly to an additional insured even where itsinsurer is the one that tendered the claim and itdid the tendering because itis the one with a primary interest in shifting the loss to another insurer. See Sierra v. 4401 Sunset Park, LLC, 24 N.Y.3d 514, 2 N.Y.S.3d 8 (2014). In doing so, the Court effectively overruled Excelsior, which is relied on by Tudor, stating that to the extent Excelsior can be "read to stand for the general proposition that notice to an additional insured's liability carrier serves as notice to the additional insured under section 3420(d)(2), [it] should not be followed." 24 N.Y.3d at 519. 32. In Excelsior, the First Department had concluded that the "failure to serve a formal 8 8 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 notice on the nominal party in interest (the insured) does not render ineffective the denial of coverage where, under the circumstances, the party who received the notice (its insurer) was party' expected to forward it to the nominal party and had undertaken to protect the nominal party's rights." Excelsior Ins. Co. v. Antretter Contracting Corp., 262 A.D.2d 124, 128, 693 N.Y.S.2d (1st 100, 104 Dep't 1999) (cits. omitted). The point is that the Court of Appeals reversal of Excelsior in Sierra makes clear that Tudor's insurance coverage obligation under section 3420(d) party." runs to MYM even if MYM is deemed to be "the nominal 33. Moreover, while itis true that there is First Department case law stating that the protections of Insurance Law §3420(d) were not intended to apply to another insurer (see Bovis ((1st Lend Lease LMB, Inc. v. Royal Surplus Lines Ins. Co., 27 A.D.3d 84, 91, 806 N.Y.S.2d 53 Dep't 2005)), the First Department has permitted an insurer to recover against another insurer even when the insurer is the plaintiff-party seeking coverage and even when the disclaimer is valid against the plaintiff insurer. 34. In Greater New York Mutual Ins. Co. v. Chubb Indem. Ins. Co., 105 A.D.3d 523, (1st 963 N.Y.S.2d 218 Dep't 2013), the First Department broadly ruled that where an insured might as" need the estopped insurer's coverage "as well its own coverage because its eventual liability might exceed the limits of itsown coverage, the insured has a real stake in the outcome such that the estoppel applies and the estopped insurer must afford coverage. 35. Along these lines, parties like Plaintiffs, in fact, are real parties in interest and have a real stake in the outcome because their commercial liability policies are experience rated, which means that an adverse loss experience makes their premiums higher-and— this, in turn, makes them parties' real parties in interest in coverage actions seeking to shift losses to other insurers. They parties' also have a real interest in shifting the loss to other insurers to the extent that every 9 9 of 10 FILED: NEW YORK COUNTY CLERK 05/03/2018 03:03 PM INDEX NO. 652031/2016 NYSCEF DOC. NO. 90 RECEIVED NYSCEF: 05/03/2018 indemnity payment made under the policy erodes the aggregate policy limit, making itmore likely that the insured will be personally impacted by claims arising under the policy. That is particularly so where, as here, the full per occurrence policy limit is paid on a loss. 36. For all of these reasons, Tudor's real-party-in-interest argument is meritless. WHEREFORE, Plaintiffs respectfully request that this Court issue an order: (i) denying Plaintiffs' Tudor's summary judgment motion; (ii) granting summary judgment motion against Defendants, pursuant to CPLR Rule 3212, and (a) declaring that the Tudor Policy affords additional insured coverage to MYM for the claims asserted in the Gormley action and that Tudor had a duty to defend and indemnify MYM in the underlying Gormley action; or (b) alternatively, granting Plaintiffs judgment against Greenside based on breach of contract and finding that Greenside is required to defend and indemnify MYM for the claims against it in the Gormley action, and (iii) scheduling a hearing to hear and determine the amount for which Defendants should reimburse Plaintiffs for the defense costs and indemnity amount incurred in the Gormley action, with statutory interest; and (iv) granting such other and further legal and/or equitable relief as the Court deems appropriate under the circumstances. Dated: New York, New York April 26, 2018 S. DWIG T STEPHENS 10 10 of 10