From Casetext: Smarter Legal Research

Universal Am. Corp. v. Nat'l Union Fire Ins. Co. of Pittsburgh

Supreme Court, Appellate Division, First Department, New York.
Oct 1, 2013
110 A.D.3d 434 (N.Y. App. Div. 2013)

Opinion

2013-10-1

UNIVERSAL AMERICAN CORP., Plaintiff–Appellant, v. NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA., Defendant–Respondent.

Schlam Stone & Dolan LLP, New York (Richard H. Dolan of counsel), for appellant. Nixon Peabody LLP, New York (Barbara A. Lukeman of counsel), for respondent.



Schlam Stone & Dolan LLP, New York (Richard H. Dolan of counsel), for appellant. Nixon Peabody LLP, New York (Barbara A. Lukeman of counsel), for respondent.
ANDRIAS, J.P., SWEENY, ACOSTA, SAXE, CLARK, JJ.

Order, Supreme Court, New York County (O. Peter Sherwood, J.), entered January 8, 2013, which denied plaintiff insured's motion for summary judgment and granted defendant insurer's cross motion for summary judgment, unanimously modified, on the law, to declare that the policy does not provide coverage for the claimed loss, and otherwise affirmed, without costs.

The motion court properly interpreted the policy as a matter of law ( see Dean v. Tower Ins. Co. of N.Y., 19 N.Y.3d 704, 708, 955 N.Y.S.2d 817, 979 N.E.2d 1143 [2012];White v. Continental Cas. Co., 9 N.Y.3d 264, 267, 848 N.Y.S.2d 603, 878 N.E.2d 1019 [2007] ). The court correctly found that the unambiguous plain meaning of defendant's computer systems fraud rider, covering loss from a fraudulent “entry of electronic data” or “change of electronic data” within the insured's proprietary computer system, was intended to apply to wrongful acts in manipulation of the computer system, i.e., by hackers, and did not provide coverage for fraudulent content consisting of claims by bona fide doctors and other health care providers authorized to use the system for reimbursement for health care services that were not provided.

We modify solely to declare the rights of the parties in this action for declaratory relief ( see Lanza v. Wagner, 11 N.Y.2d 317, 334, 229 N.Y.S.2d 380, 183 N.E.2d 670 [1962],cert. denied371 U.S. 901, 83 S.Ct. 205, 9 L.Ed.2d 164 [1962] ).


Summaries of

Universal Am. Corp. v. Nat'l Union Fire Ins. Co. of Pittsburgh

Supreme Court, Appellate Division, First Department, New York.
Oct 1, 2013
110 A.D.3d 434 (N.Y. App. Div. 2013)
Case details for

Universal Am. Corp. v. Nat'l Union Fire Ins. Co. of Pittsburgh

Case Details

Full title:UNIVERSAL AMERICAN CORP., Plaintiff–Appellant, v. NATIONAL UNION FIRE…

Court:Supreme Court, Appellate Division, First Department, New York.

Date published: Oct 1, 2013

Citations

110 A.D.3d 434 (N.Y. App. Div. 2013)
110 A.D.3d 434
2013 N.Y. Slip Op. 6321