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United States Fidelity & Guaranty Co. v. Stuyvesant Insurance

Appellate Division of the Supreme Court of New York, Fourth Department
Mar 1, 1978
61 A.D.2d 1122 (N.Y. App. Div. 1978)

Opinion

March 1, 1978

Appeal from the Erie Supreme Court.

Present — Cardamone, J.P., Simons, Dillon, Hancock, Jr. and Denman, JJ.


Order unanimously reversed, with costs, motion denied and matter remitted to Special Term, Supreme Court, Erie County, for further proceedings in accordance with the following memorandum: Plaintiff, United States Fidelity and Guaranty Company (hereinafter USFG) insured an automobile owned and operated by Eisenhauer. Defendant, Stuyvesant Insurance Company (hereinafter Stuyvesant) insured a motorcycle owned and operated by Fleming. Eisenhauer was injured in a collision with Fleming's motorcycle. Through his attorney, Sommerstein, Eisenhauer made a claim against Fleming which was settled for the sum of $10,000 by Fleming's insurer, Stuyvesant. USFG has instituted this action to impose a lien pursuant to subdivision 2 of section 673 Ins. of the Insurance Law for the first party benefits it has paid to its insured, Eisenhauer, (approximately $23,000) naming Eisenhauer, his attorney, Sommerstein, and Fleming's insurer, Stuyvesant, as defendants. From an order granting summary judgment in favor of USF against the defendant Stuyvesant for the full amount of the $10,000 settlement, Stuyvesant appeals. Because Fleming was operating a motorcycle he was not covered by no-fault benefits and was a "non-covered person" within the meaning of subdivision 2 of section 673 Ins. of the Insurance Law. (See Stuyvesant Ins. Co. v United States Fid. Guar. Co., 61 A.D.2d 1051.) Therefore, Eisenhauer was not precluded by subdivision 1 of section 673 Ins. of the Insurance Law, from suing Fleming for his basic economic loss (the amount paid to him as first-party benefits under the no-fault provisions) and a lien for the first-party benefits could properly be asserted by USFG under subdivision 2 of section 673 Ins. of the Insurance Law, which provides: "In any action by or on behalf of a covered person, against a non-covered person, where damages for personal injuries arising out of the use or operation of a motor vehicle in this state may be recovered, an insurer which paid or is liable for first party benefits on account of such injuries shall have a lien against any recovery to the extent of benefits paid or payable by it to the covered person." (See Royal Globe Ins. Co. v Connolly, 54 A.D.2d 1117, 1118; Matter of Adams [Government Employees Ins. Co.], 52 A.D.2d 118.) It was error, however, to grant summary judgment for the full amount of the settlement. It has been held in this and other departments that "the insured should not be forced to pay for his no-fault benefits out of his recovery for pain and suffering." (Scinta v Kazmierczak, 59 A.D.2d 313, 316; see Royal Globe Ins. Co. v Connolly, supra; Rabideau v Aetna Cas. Sur. Co., 54 A.D.2d 1055; Matter of Adams [Government Employees Ins. Co.], supra.), for the purpose of the lien allowed under subdivision 2 of section 673 Ins. of the Insurance Law is solely to prevent the possibility of a double recovery for basic economic loss by a covered person who has received first-party benefits (Royal Globe Ins. Co. v Connolly, supra). Therefore, USFG should be entitled only to that portion of defendant Eisenhauer's recovery which is attributable to his claim for basic economic loss. (Scinta v Kazmierczak, supra p 317.) Accordingly, the order granting summary judgment should be reversed. A determination must be made as to what portion of the settlement, if any, reasonably represents basic economic loss for which Eisenhauer has received first-party benefits, considering all of the circumstances, including the intention of the parties in making the settlement agreement. The lien, if any, should be enforced against the proper defendants after ascertaining whether the $10,000 settlement has been paid. (See Baker v Sterling, 39 N.Y.2d 397; Scinta v Kazmierczak, supra.) Inasmuch as the action to enforce a lien is equitable in nature, the questions pertaining to the amount of the lien and its enforcement should be resolved before the court without a jury. (See 35 N.Y. Jur, Liens, § 43.) The matter therefore should be remitted to Special Term for an immediate determination of such issues. (CPLR 3212, subd [c].)


Summaries of

United States Fidelity & Guaranty Co. v. Stuyvesant Insurance

Appellate Division of the Supreme Court of New York, Fourth Department
Mar 1, 1978
61 A.D.2d 1122 (N.Y. App. Div. 1978)
Case details for

United States Fidelity & Guaranty Co. v. Stuyvesant Insurance

Case Details

Full title:UNITED STATES FIDELITY AND GUARANTY CO., Respondent, v. STUYVESANT…

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

Date published: Mar 1, 1978

Citations

61 A.D.2d 1122 (N.Y. App. Div. 1978)

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