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Matter of Allcity Insurance Company, Jimenez

Court of Appeals of the State of New York
Oct 17, 1991
78 N.Y.2d 1054 (N.Y. 1991)

Opinion

Decided October 17, 1991

Appeal from the Appellate Division of the Supreme Court in the First Judicial Department, Myriam J. Altman, J.

Joseph Greene and Kenneth F. Popper for appellant.

Isabella Natale and Stacy R. Seldin for Allcity Insurance Company, respondent.


MEMORANDUM.

The order of the Appellate Division should be affirmed, with costs, and the certified question not answered as unnecessary.

Appellant insured notified his carrier, Allcity Insurance Company (Allcity), that he was making an "uninsured motorist claim" in connection with an automobile accident and was requesting no-fault forms. Some months later, appellant demanded arbitration, classifying the accident as a "hit-and-run". Allcity promptly petitioned for a permanent stay of arbitration, alleging in part that appellant failed to provide the required notice statement under oath, and thus breached a condition precedent to coverage.

Supreme Court granted the petition and permanently stayed arbitration. The Appellate Division affirmed and granted leave to appeal on a certified question, although the order is final for our jurisdictional purposes.

Appellant's sole argument is that Allcity was required to issue a timely disclaimer, despite his own conceded failure to submit the required sworn statement. Absent a valid excuse, failure to satisfy an insurance policy notice requirement vitiates coverage (Security Mut. Ins. Co. v Acker-Fitzsimons Corp., 31 N.Y.2d 436; Matter of Cuzdey [American Motorists Ins. Co.], 45 A.D.2d 134, affd 37 N.Y.2d 939; Eveready Ins. Co. v Saunders, 149 A.D.2d 456). However, an insurer who fails to timely disclaim liability or deny coverage "as soon as is reasonably possible," when required by Insurance Law § 3420 (d), waives its affirmative defense of late notice (Matter of Allstate Ins. Co. [Frank], 44 N.Y.2d 897).

Assuming without deciding that the sworn statement requirement in the uninsured motorist endorsement Allcity issued to appellant was an exclusion from coverage which required issuance of a disclaimer (Zappone v Home Ins. Co., 55 N.Y.2d 131; compare, Matter of Prudential Prop. Cas. Ins. Co. [Hobson], 67 N.Y.2d 19), we agree with Supreme Court that on the facts of this case Allcity timely disclaimed. The timeliness of an insurer's disclaimer is measured from the point in time when the insurer first learns of the grounds for disclaimer of liability or denial of coverage (Hartford Ins. Co. v County of Nassau, 46 N.Y.2d 1028). As the Supreme Court held, Allcity had no basis upon which to disclaim when it received appellant's letter notifying it that he was asserting an "uninsured motorist claim." As appellant concedes, Allcity had no knowledge that he was asserting a hit-and-run claim until nine months after the accident, when it received the demand for arbitration on that precise basis. Allcity filed a petition for a permanent stay of arbitration 20 days after the demand for arbitration was served, in compliance with CPLR 7503 (c). The petition was sufficient and timely notice of disclaimer as a matter of law under Insurance Law § 3420 (d), assuming a disclaimer was required.

Chief Judge WACHTLER and Judges SIMONS, KAYE, ALEXANDER, TITONE, HANCOCK, JR., and BELLACOSA concur in memorandum.

On review of submissions pursuant to section 500.4 of the Rules of the Court of Appeals (22 N.Y.CRR 500.4), order affirmed, etc.


Summaries of

Matter of Allcity Insurance Company, Jimenez

Court of Appeals of the State of New York
Oct 17, 1991
78 N.Y.2d 1054 (N.Y. 1991)
Case details for

Matter of Allcity Insurance Company, Jimenez

Case Details

Full title:In the Matter of the Arbitration between ALLCITY INSURANCE COMPANY…

Court:Court of Appeals of the State of New York

Date published: Oct 17, 1991

Citations

78 N.Y.2d 1054 (N.Y. 1991)
576 N.Y.S.2d 87
581 N.E.2d 1342

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