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Matter of Aetna Life Casualty v. Boucher

Appellate Division of the Supreme Court of New York, Second Department
Apr 14, 1997
238 A.D.2d 414 (N.Y. App. Div. 1997)

Opinion

April 14, 1997


In a proceeding pursuant to CPLR article 75 to permanently stay the arbitration of an underinsured motorist claim, the appeal is from a judgment of the Supreme Court, Nassau County (Kutner, J.), entered February 26, 1996, which, upon granting the petition, permanently stayed the arbitration between the parties.

Ordered that the judgment is reversed, on the law, with costs, the petition is denied, and the proceeding is dismissed.

The petitioner insurance carrier Aetna Life Casualty (hereinafter Aetna) commenced the instant proceeding to permanently stay arbitration of the claim of the respondent Blake Boucher for underinsured motorist benefits under a liability policy issued to him by Aetna. The Supreme Court granted the petition, stating that underinsurance benefits are specifically excluded by the subject policy because the motorcycle which the respondent was operating at the time of the underlying accident was not an insured vehicle under the policy. We reverse.

Aetna's assertion that it had no obligation to timely disclaim in the instant situation because coverage did not exist is without merit ( cf., Zappone v. Home Ins. Co., 55 N.Y.2d 131, 138; Presbyterian Hosp. v. Aetna Life Cas. Co., 222 A.D.2d 492, 493). Where, as here, the policy would otherwise have covered the underlying accident, and the claim that it does not is based upon an exclusion in the policy, the insurance carrier is required to provide a timely notice of disclaimer ( see, Planet Ins. Co. v Bright Bay Classic Vehicles, 75 N.Y.2d 394, 400).

"It is well established that an insurance carrier will be estopped from disclaiming coverage based on an exclusion in a policy when it has delayed unreasonably in issuing its disclaimer" ( Matter of Allstate Ins. Co. v. Ferrone, 232 A.D.2d 479; see, Hanover Ins. Co. v. Suffolk Overhead Door Co., 207 A.D.2d 428, 430; Mount Vernon Fire Ins. Co. v. Unjar, 177 A.D.2d 480, 481). In the instant case, Aetna issued its disclaimer about one year after it acquired sufficient facts to do so. This was an unreasonable delay under the circumstances of this case, and Aetna is therefore estopped from disclaiming coverage (see, Hanover Ins. Co. v. Suffolk Overhead Door Co., supra; Mount Vernon Fire Ins. Co. v. Unjar, supra). Rosenblatt, J.P., Pizzuto, Krausman and Florio, JJ., concur.


Summaries of

Matter of Aetna Life Casualty v. Boucher

Appellate Division of the Supreme Court of New York, Second Department
Apr 14, 1997
238 A.D.2d 414 (N.Y. App. Div. 1997)
Case details for

Matter of Aetna Life Casualty v. Boucher

Case Details

Full title:In the Matter of AETNA LIFE CASUALTY, Respondent, v. BLAKE BOUCHER…

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

Date published: Apr 14, 1997

Citations

238 A.D.2d 414 (N.Y. App. Div. 1997)
656 N.Y.S.2d 316

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