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Case Law Database

Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

Insurance Corp. of New York v. United States Fire Insurance

This case concerns a dispute between a primary insurer, The Insurance Corporation of New York, and an excess insurer, United States Fire Insurance Company (US Fire), regarding the timeliness of claim notice and US Fire's subsequent disclaimer. The motion court initially denied US Fire's cross-motion for summary judgment, deeming its disclaimer untimely. However, the appellate court determined that US Fire received proper notice on April 20, 2006, not March 16, 2006, making its disclaimers, issued eight days later, timely as a matter of law. Consequently, the appellate court reversed the lower court's decision, granting US Fire's cross-motion for summary judgment and dismissing the complaint against it. Additionally, an appeal from a separate order regarding US Fire's request to rescind an insurance policy was dismissed as abandoned.

Insurance PolicyExcess InsurancePrimary InsuranceTimely NoticeDisclaimer of CoverageSummary JudgmentAppellate ReviewClaim NotificationInsurance ContractLiability Insurance
References
9
Case No. MISSING
Regular Panel Decision

Tracey Road Equipment, Inc. v. Village of Johnson City

This case involves two appeals from orders and judgments of the Supreme Court in Broome County. Action No. 1 concerned Tracey Road Equipment, Inc.'s request for a declaratory judgment against the Village of Johnson City regarding insurance coverage for a street sweeper involved in an accident. The Supreme Court granted summary judgment to Johnson City, finding it not obligated to defend or indemnify Tracey Road, which was affirmed on appeal. Action No. 2 involved the Insurance Company of North America (INA) seeking a declaratory judgment against St. Paul Fire & Marine Insurance Company, contending St. Paul was a coinsurer for Johnson City in the same accident. The Supreme Court denied INA's motion, but the appellate court reversed, declaring INA and St. Paul to be coinsurers and obligating St. Paul to pay half of Johnson City's defense and indemnification costs.

Insurance Coverage DisputeDeclaratory JudgmentSummary JudgmentLease Agreement InterpretationCoinsuranceVehicle LiabilityAppellate ReviewContractual IndemnityMotor Vehicle AccidentInsurance Policy Interpretation
References
5
Case No. MISSING
Regular Panel Decision

National Union Fire Insurance Co. of Pittsburgh, Pa. v. State Insurance Fund

National Union Fire Insurance Company (National Union) initiated a declaratory judgment action against the State Insurance Fund (SIF) seeking reimbursement for funds spent to settle an underlying personal injury lawsuit, Daza v City of New York. National Union had issued general liability policies to EMD Construction Corp. (EMD), which also covered the City of New York as an additional insured. SIF, in turn, insured EMD for workers' compensation and employers' liability. The Daza action, involving an injured EMD employee, was settled for $175,000, with a stipulation that EMD was 99% actively negligent and the City 1%. National Union disclaimed coverage for the City due to untimely notice and paid the settlement on behalf of EMD. The Supreme Court granted summary judgment to National Union, finding SIF obligated to repay. The appellate court affirmed this decision, holding that National Union's disclaimer was valid, the antisubrogation rule was not violated, and the indemnification agreement between EMD and the City was unenforceable due to the City's active negligence, thus shifting the obligation to SIF for common-law indemnification.

Insurance CoverageDeclaratory JudgmentIndemnificationSubrogationUntimely NoticeActive NegligenceContractual LiabilityWorkers' CompensationEmployer's LiabilitySummary Judgment
References
16
Case No. ADJ9103856
Regular
Sep 24, 2014

OCTAVIO FILIPPINI vs. PILLSBURY, WINTHROP, SHAW, PITTMAN, LLP, TWIN CITY FIRE INSURANCE COMPANY

This case involves a Petition for Reconsideration filed by the defendant, Pillsbury, Winthrop, Shaw, Pittman, LLP and its insurer, Twin City Fire Insurance Company. The Workers' Compensation Appeals Board granted the petition to allow for further study of the factual and legal issues. This action is necessary to ensure a complete understanding of the record and to issue a just decision after reconsideration. All future communications are to be filed in writing directly with the Board's Commissioners, not with the district office or through e-filing.

Petition for ReconsiderationWorkers' Compensation Appeals BoardPillsbury Winthrop Shaw PittmanTwin City Fire Insurance CompanyThe HartfordADJ9103856Sacramento District OfficeGranting PetitionJuly 3 2014 decisionStatutory time constraints
References
0
Case No. MISSING
Regular Panel Decision
Nov 16, 2004

Bovis Lend Lease LMB, Inc. v. Royal Surplus Lines Insurance

This case involves an insurance coverage dispute between National Union Fire Insurance Company of Pittsburgh, PA (National Union), The Trustees of Columbia University in the City of New York (Columbia), and Bovis Lend Lease LMB, Inc. (Bovis) against Royal Surplus Lines Insurance Company (Royal). The core issue is whether Royal's disclaimer of liability under Insurance Law § 3420 (d) was timely. The court found that Royal's disclaimer to Bovis and Columbia was untimely as a matter of law because its internal staffing issues were not a reasonable excuse for the delay. However, the court also ruled that § 3420 (d) does not apply to disclaimers between co-insurers, thus Royal's disclaimer was timely as to National Union. Furthermore, the court determined that Royal's "New Residential Work or Products Exclusion" did not apply to Millennium's work on a mixed-use building, thus obligating Royal to defend and indemnify Bovis and Columbia, and Royal was ordered to reimburse National Union for defense costs incurred from March 3, 2003.

Insurance CoverageDisclaimer of LiabilityDenial of CoverageInsurance Law § 3420 (d)Timeliness of DisclaimerInternal Staffing IssuesCo-Insurer LiabilityAdditional InsuredPolicy ExclusionNew Residential Work Exclusion
References
22
Case No. 2017 NY Slip Op 08303
Regular Panel Decision
Nov 28, 2017

Prevost v. One City Block LLC

Plaintiff Ronald Prevost, a laborer, was injured after slipping on a loose sprinkler pipe at a construction site owned by One City Block LLC. He and his wife sued One City for common-law negligence and Labor Law violations. One City then commenced a third-party action against Island Fire Sprinkler, Inc., the subcontractor responsible for installing the sprinkler system, seeking contractual and common-law indemnification and alleging breach of contract for failure to procure insurance. The Supreme Court denied various summary judgment motions. On appeal, the Appellate Division modified the order, granting One City's motion for summary judgment dismissing the Labor Law § 200 and common-law negligence claims, and granting One City's claim for contractual indemnification by Island Fire. The court also denied Island Fire's motion for summary judgment dismissing One City's claim against it for contractual indemnification and breach of contract for failure to procure insurance. Finally, the Appellate Division affirmed the denial of One City's motion for post-note-of-issue discovery seeking additional independent medical examinations of plaintiff.

Construction accidentLabor LawPremises liabilitySummary judgmentContractual indemnificationBreach of contractInsurance procurementPost-note-of-issue discoveryIndependent medical examinationAppellate procedure
References
16
Case No. MISSING
Regular Panel Decision
Jan 13, 1995

National Union Fire Insurance Co. of Pittsburgh, PA v. State Insurance Fund

Plaintiff National Union Fire Insurance Company of Pittsburgh, PA (National Union) initiated a declaratory judgment action against The State Insurance Fund (SIF) to recover defense and settlement costs. These costs were expended on behalf of Regional Scaffolding and Hoisting Co., Inc., a mutually insured party in an underlying personal injury action. The Supreme Court initially denied National Union's motion for summary judgment and ruled in favor of SIF. However, the appellate court reversed this decision, concluding that the antisubrogation rule did not apply in this context. Consequently, it determined that National Union and SIF were co-insurers for Regional Scaffolding's common-law liability. The court granted National Union's motion for summary judgment in part, declaring SIF's duty to reimburse National Union for one-half of the reasonable settlement and defense costs, and remanded for a trial to ascertain these amounts.

Antisubrogation RuleDeclaratory JudgmentSummary JudgmentInsurance Coverage DisputeCo-Insurer LiabilityDefense Costs ReimbursementSettlement CostsEmployer's LiabilityComprehensive General LiabilityThird-Party Action
References
8
Case No. ADJ8480026
Regular
Jan 14, 2019

Patricia Tapia vs. International Laser, Twin City Fire Insurance

This case involves a workers' compensation applicant, Patricia Tapia, who sustained spinal and upper extremity injuries. The defendant, Twin City Fire Insurance, sought reconsideration of a prior order finding that lien claimant Scripte Corporation had timely filed a required declaration. The parties subsequently engaged in mediation and reached a settlement resolving Scripte's lien for $2,850.00. The Board rescinded the original Findings and Order and approved the lien settlement agreement.

Workers' Compensation Appeals BoardReconsiderationFindings and OrderAdministrative Law JudgeCumulative InjuryCervical SpineLumbar SpineRight Upper ExtremityLien ClaimantLabor Code Section 4903.05(c)
References
0
Case No. MISSING
Regular Panel Decision

Home Depot U.S.A., Inc. v. National Fire & Marine Insurance

Home Depot U.S.A., Inc., the general contractor, commenced an action against its subcontractor's insurer, National Fire & Marine Insurance Company, seeking a declaration of coverage. Home Depot, individually and as assignee of Westward Contracting, Inc., sought to compel National Fire to defend and indemnify it as an an additional insured in an underlying action, and to indemnify Westward. The Supreme Court denied Home Depot's discovery motion, granted National Fire summary judgment declaring Home Depot was not an additional insured, and denied National Fire's motion to dismiss Home Depot's claims as Westward's assignee for lack of standing and for summary judgment on the indemnification obligation to Westward. The appellate court affirmed the Supreme Court's order, finding Home Depot was not an additional insured and that the assignment to Home Depot was valid and did not relieve National Fire of its indemnification obligation to Westward.

Insurance CoverageAdditional InsuredIndemnificationSummary JudgmentStandingAssignment of ClaimsSubcontractor LiabilityGeneral ContractorCommercial General Liability PolicyAppellate Review
References
13
Case No. MISSING
Regular Panel Decision

National Union Fire Insurance Co. of Pittsburgh v. American Re-Insurance Co.

The case revolves around a dispute between National Union Fire Insurance Company and American Re-Insurance Company regarding a pollution exclusion clause in a reinsurance policy. National Union sought reimbursement from American Re after settling claims where employees were exposed to metalworking fluids. American Re denied coverage, arguing its pollution exclusion applied. The court, applying Ohio law, found American Re's pollution exclusion ambiguous due to its broad language and its intended purpose of covering environmental contamination. Consequently, American Re's motion for summary judgment was denied, and National Union's motion to strike American Re's defense was granted, requiring American Re to "follow the fortunes" of National Union.

ReinsurancePollution Exclusion ClauseContract InterpretationFollow the Fortunes DoctrineSummary JudgmentInsurance CoverageAmbiguity in ContractsOhio State LawDiversity JurisdictionIndustrial Contamination
References
31
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