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Gaidon v. Guardian Life Insurance of America

Appellate Division of the Supreme Court of New York, First Department
Nov 5, 1998
255 A.D.2d 101 (N.Y. App. Div. 1998)

Summary

referring to "plaintiffs' claims for equitable relief" under the statute at issue in Tang

Summary of this case from In re Light Cigarettes Marketing Sales Practices

Opinion

November 5, 1998

Appeal from the Supreme Court, New York County (Charles Ramos, J.).


Construing the subject policies in a manner that "focuses on the reasonable expectations of the average insured upon reading the policy * * * and employing common speech" (Matter of Mostow v. State Farm Ins. Cos., 88 N.Y.2d 321, 326-327), we find that the policies are unambiguous in setting forth the duration of premium payments, that the entire contract consists only of the policy and the insured's application, and that agents lack authority to change the policy or application or make promises or statements binding on defendant. Accordingly, the computer generated vanishing premium illustrations and alleged oral misrepresentations on which plaintiffs base their causes of action for breach of contract and fraud are inadmissible parol, rendering such causes of action insufficient. Moreover, in light of the express terms of the policies clearly indicating the duration of the required premium payments, plaintiffs' claimed reliance on the alleged misrepresentations and illustrations was unreasonable. Nor are there sufficient allegations of a fiduciary or confidential relationship to support the causes of action for breach of fiduciary duty, negligent misrepresentation, fraudulent concealment and imposition of a constructive trust (see, Kimmell v. Schaefer, 89 N.Y.2d 257, 263-264). The alleged reliance and trust necessary for a finding of such relationship are stated in conclusory fashion (see, Societe Nationale D'Exploitation Industrielle Des Tabacs Et Allumettes v. Salomon Bros. Intl., 251 A.D.2d 137), and defendant's superior knowledge of the actuarial assumptions and the variables affecting when and whether the policy dividends would render the premiums self-liquidating, acquired as a result of its experience in selling insurance, does not create such a relationship (see, Elghanian v. Harvey, 249 A.D.2d 206). In any event, even if such a relationship had arisen and given rise to a duty to speak accurately, plaintiffs' reliance still had to be reasonable (General Elec. Capital Corp. v. United States Trust Co., 238 A.D.2d 144), and, as noted, it was not. The absence of any viable tort or breach of contract claim, and the absence of any deceptive or misleading practice, preclude plaintiffs' claims for equitable relief and negligent supervision of defendant's agents, as well as their statutory causes of action under General Business Law § 349 Gen. Bus. and Insurance Law §§ 2123 Ins. and 4226 Ins.. In view of the foregoing, it is unnecessary to reach the other grounds urged for affirmance. We have considered plaintiffs' other contentions and find them to be without merit.

Concur — Lerner, P. J., Wallach, Rubin and Saxe, JJ.


Summaries of

Gaidon v. Guardian Life Insurance of America

Appellate Division of the Supreme Court of New York, First Department
Nov 5, 1998
255 A.D.2d 101 (N.Y. App. Div. 1998)

referring to "plaintiffs' claims for equitable relief" under the statute at issue in Tang

Summary of this case from In re Light Cigarettes Marketing Sales Practices

dismissing an insured's breach of fiduciary duty because the allegations of reliance and trust necessary for a finding of fiduciary or confidential relationship were stated in conclusory fashion and the insurer's superior knowledge did not create such a relationship

Summary of this case from Siegel v. JH Marsh McLennon, Inc.
Case details for

Gaidon v. Guardian Life Insurance of America

Case Details

Full title:FRANK J. GAIDON et al., Appellants, v. GUARDIAN LIFE INSURANCE COMPANY OF…

Court:Appellate Division of the Supreme Court of New York, First Department

Date published: Nov 5, 1998

Citations

255 A.D.2d 101 (N.Y. App. Div. 1998)
679 N.Y.S.2d 611

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