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American Transit Ins. v. Abdelghany

80 N.Y.2d 162 Court N.Y. Decision date 1992-10-22 English

Delivered by Hancock, Jr., J.

Contents

Majority

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In the Matter of American Transit Insurance Company, Appellant, v Sayed M. Abdelghany, Respondent, et al., Respondents. In the Matter of Atlantic Mutual Insurance Company, Respondent, v Marvin Finker, Appellant.
Argued September 16,1992;
decided October 22, 1992
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POINTS OF COUNSEL
Berger Steingut Tarnoff & Stern, New York City (Charles S. Webb, III, Howard A. Wintner and John R. Cahill of counsel), for appellant in the first above-entitled proceeding.
The Court below failed to follow controlling precedent of this Court and misconstrued the Insurance Law. (Matter of Vanguard Ins. Co. [Polchlopek], 18 NY2d 376 ; Matter of Sentry Ins. Co. [Amsel], 36 NY2d 291 ; Matter of Allstate Ins. Co. [Walsh], 115 Mise 2d 907, 99 AD2d 987 ; Matter of Transport Ins. Co. v Tedesco, 147 AD2d 936 ; Matter of Empire Mut. Ins. Co. v Calzone, 48 AD2d 787 ; Home Indem. Co. v Allwood, 122 Misc 2d 757 ; CountryWide Ins. Co. v Rodriguez, 55 NY2d 162 , 457 US 1118 ; Kurcsics v Merchants Mut. Ins. Co., 49 NY2d 451 .)
Weinstein & Chayt, P. C, Brooklyn (Maurice Chayt of counsel), for respondent in the first above-entitled proceeding.
I. Since appellant’s policy contains language which affords both the minimum amount and kind of coverage required in other States of the union, this Court should affirm the order below. (Bronx Sav. Bank v Weigandt, 1 NY2d 545 ; Muller v Sun Indem. Co., 302 NY 634 ; Matter of Allstate Ins. Co. [Walsh], 115 Misc 2d 907 , 99 AD2d 987 ; Matter of Vanguard Ins. Co. [Polchlopek], 18 NY2d 376 ; Matter of Metropolitan Prop. & Liab. Ins. Co. v Falkovitz, 73 NY2d 798 .) II. The legislative intent was to comprehensively protect traveling New York motorists. (Allcity Ins. Co. v Williams, 120 AD2d 1 ; Montgomery v Daniels, 38 NY2d 41 ; Matter of Sabot v Lavine, 42 NY2d
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1068 ; Country-Wide Ins. Co. v Rodriguez, 55 NY2d 162 .) III. It is the position of the Second Department which is consistent with legislative intent. (Matter of Sentry Ins. Co. [Amsel], 36 NY2d 291 ; Smith v Nationwide Mut. Ins. Co., 145 Misc 2d 318 ; Matter of Transport Ins. Co. v Tedesco, 147 AD2d 936 ; Matter of Empire Mut. Ins. Co. v Calzone, 48 AD2d 787 ; Home Indem. Co. v Allwood, 122 Misc 2d 757 .)
Stephen B. Toner, New York City, for New York State Trial Lawyers Association, Inc., amicus curiae in the first above-entitled proceeding.
Section 5103 (e) of the New York State Insurance Law and the purpose and intent of the Legislature in enacting said legislation should be the determining factor in the analysis and resolution of the amount of the uninsured motorist insurance coverage afforded under the policy issued by appellant. (Molina v Games Mgt. Servs., 58 NY2d 523 ; Collins v Travelers Ins. Co., 105 Misc 2d 732 ; Country-Wide Ins. Co. v Rodriguez, 55 NY2d 162 ; Matter of Allstate Ins. Co. [Walsh], 115 Misc 2d 907 ; Allcity Ins. Co. v Williams, 120 AD2d 1 .)
Alexander J. Wulwick, New York City, and Roura & Me-lamed, New York City, for appellant in the second above-entitled proceeding.
New York’s Insurance Law and the regulations promulgated thereunder incorporate the law of New Jersey into appellant’s New York insurance contract. Accordingly, since New Jersey law does not require contact in a hit- and-run automobile accident, appellant is entitled to arbitration of his claim under the uninsured motor vehicle endorsement of his policy. (Matter of Aetna Cas. & Sur. Co. v Smith, 100 AD2d 751 ; Allcity Ins. Co. v Williams, 120 AD2d 1 ; Molina v Games Mgt. Servs., 58 NY2d 523 ; Smith v Nationwide Mut. Ins. Co., 145 Misc 2d 318 ; Matter of American Tr. Ins. Co. v Abdelghany, 173 AD2d 611 ; Country-Wide Ins. Co. v Rodriguez, 55 NY2d 162 , 457 US 1118 ; Matter of Allstate Ins. Co. [Richards] 148 Misc 2d 759 .)
Steven J. Smetana, New York City, and Michael Seltzer for respondent in the second above-entitled proceeding.
Where an accident with an unidentified motor vehicle, in which there was no contact between the vehicles, occurred in New Jersey, substantive additional coverage is not to be incorporated into the terms of the insurance contract which are clear on their face and follow the substantive law of New York. (Matter of Allstate Ins. Co. [Walsh] 115 Misc 2d 907 , 99 AD2d 987 ; Allcity Ins. Co. v Williams, 120 AD2d 1 ; Smith v Nationwide
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Mut. Ins. Co., 145 Misc 2d 318 ; Country-Wide Ins. Co. v Rodriguez, 55 NY2d 162 ; Matter of Allstate Ins. Co. [Richards], 148 Misc 2d 759 ; Allstate Ins. Co. v Siano, 726 F Supp 422 .)

OPINION OF THE COURT

The question in these proceedings to stay arbitration is whether Insurance Law § 5103 (e) and the implementing Insurance Department regulation (11 NYCRR 60-1.1 [e]) require that every New York automobile insurance policy must provide the minimum uninsured motorist coverage mandated by the law of another State when the insured automobile is involved in an accident in that State. We conclude that New York law requires such coverage. Accordingly, the order of the Appellate Division in Matter of American Tr. Ins. Co. v Abdelghany ( 173 AD2d 611 ) should be affirmed and the order of the Appellate Division in Atlantic Mut. Ins. Co. v Finker ( 179 AD2d 575 ) should be reversed, and the petition dismissed.

Matter of American Tr. Ins. Co. v Abdelghany

Respondent Sayed Abdelghany, a New York resident, was involved in an automobile accident with an uninsured motor vehicle in New Jersey. At the time of the accident, Abdelghany’s car was insured in New York under a policy issued by American Transit Insurance Co. (ATIC) which contained the standard provision limiting uninsured motorist coverage to "accidents which occur within the State of New York” (emphasis added). After ATIC denied coverage for the out-of-State accident, Abdelghany demanded arbitration. ATIC then commenced this proceeding to stay arbitration. Supreme Court, relying on this Court’s decision in Matter of Sentry Ins. Co. (Amsel) ( 36 NY2d 291 ), originally granted the petition. Upon Abdelghany’s motion to renew and vacate, however, Supreme Court granted renewal, vacated its original decision and denied the stay. The Appellate Division, Second Department, affirmed, holding that pursuant to Insurance Law § 5103 (e) and the Superintendent's regulations "the minimum coverage required by New Jersey must be read into the New York policy” (Matter of American Tr. Ins. Co. v Abdelghany, supra, at 613 ). This Court granted leave to appeal.

Matter of Atlantic Mut. Ins. Co. v Finker

Respondent Finker, also a New York resident, alleges that

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while he was driving his car in New Jersey he was cut off by another, unidentified vehicle which, although it did not make contact, caused his car to leave the road and overturn. At the time of the accident, Finker’s car was insured under a New York policy issued by Atlantic Mutual Insurance Co. (AMIC) containing the standard uninsured motorist endorsement covering "hit and run” accidents.

New York Insurance Law § 5217 requires "physical contact” for uninsured motorist coverage protection. Finker alleges, and AMIC does not dispute, that New Jersey law — in exact contradiction to the New York rule — expressly commands that uninsured motorist coverage be provided without the need to show physical contact (see, NJ Stat Annot § 17:28-1.1 [e] [2] [c]; Perez v American Bankers Ins. Co., 81 NJ 415 , 418-419). AMIC denied coverage for the out-of-State accident because Finker’s vehicle was not hit and, under the policy as construed in New York, the uninsured motorist’s endorsement did not apply. When Finker demanded arbitration, AMIC brought this proceeding for a stay. Supreme Court granted the stay on "constrain[t]” of First Department case law (see, Matter of Allstate Ins. Co. [Walsh], 99 AD2d 987 , affg 115 Misc 2d 907 ), but noted that it would have preferred to follow the reasoning of the Second Department (see, Allcity Ins. Co. v Williams, 120 AD2d 1 ). The Appellate Division, First Department, affirmed and granted leave to appeal.

Discussion

New Jersey mandates that policies written in that State provide uninsured motorist coverage. We must decide whether New York law requires that New York policies insuring vehicles operating in New Jersey must be deemed to include the minimum uninsured motorist coverage which the parties concede is required by New Jersey. As these cases demonstrate, the departments of the Appellate Division have split on this question (see, Allcity Ins. Co. v Williams, supra; Matter of Allstate Ins. Co. [Walsh], supra; see also, Matter of Transport Ins. Co. v Tedesco, 147 AD2d 936 [4th Dept]).

The plain language of Insurance Law § 5103 (e) and the departmental regulation (11 NYCRR 60-1.1 [e]) support the insureds’ claims that there should be coverage. Section 5103 (e) provides that "[e]very owner’s policy of liability insurance issued * * * shall also provide, when a motor vehicle covered by such policy is used or operated in any other state * * * insurance coverage for such motor vehicle at least in the

p. 167
minimum, amount required by the laws of that state” (emphasis added). Although the legislative history of section 5103 is not extensive, it demonstrates that the purpose was to assure that the carriers provide not only the amount of coverage but "that type of coverage minimally required by the state in which [the insured] is visiting” (Transcript, Senate Session [Feb. 12, 1973], Tape 3, Bill Jacket, L 1973, ch 13 [emphasis added]). The regulation implementing the statute (11 NYCRR 60-1.1 [e]) specifies that policies must "provide at least the minimum amount and kind of coverage which is required in such cases under the laws of such other jurisdiction” (emphasis added), and the Department’s interpretation of the statute is entitled to deference (see, Kurcsics v Merchants Mut. Ins. Co., 49 NY2d 451 , 457-458).

From the foregoing, we conclude that the statutory and regulatory scheme contemplates that the New Jersey requirements for uninsured motorists coverage should be incorporated into these New York contracts (see, Allcity Ins. Co. v Williams, 120 AD2d 1 , 4-6, supra). As this Court observed in Country-Wide Ins. Co. v Rodriguez ( 55 NY2d 162 ),[2] Insurance Law § 5103 (e) (former § 672 [5]) is part of the no-fault legislative scheme "reflect[ing] a felt need to provide a more adequate and efficient system of financial responsibility for compensating victims of automobile accidents * * * It therefore would be unthinkable to assume that our legislators were not conscious of and concerned with the hazards the owners and other occupants of New York automobiles would face when they ventured into States * * * whose laws specified different, and perhaps higher, minimum liability levels” (id., at 166-167 [emphasis added]).

The insurers, however, maintain that the Insurance Law and the implementing regulation do not specifically require coverage and that holding that section 5103 (e) requires them to provide out-of-State uninsured motorist coverage in the circumstances here would be contrary to this Court’s decision in Matter of Sentry Ins. Co. (Amsel) ( 36 NY2d 291 , supra). We disagree. Sentry did not concern the interpretation of section 5103 (e) but a different section of the Insurance Law (former

1 Contrary to the insurers’ contention, no basis exists for distinguishing Country-Wide on the ground that it involves liability insurance while the cases here involve the uninsured motorist endorsement. An uninsured motorist endorsement is a kind of protection afforded in a liability policy. In fact, New York expressly requires all liability policies to contain a form of uninsured motorist protection (see, Insurance Law § 3420 [f| [1]).

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§ 167 [2-a], recodified as § 3420 [¶] [2]). Former section 167 (2-a) required uninsured motorist coverage for injuries "caused by accident[s] occurring in this state” (emphasis added). Notably, the former section did not contain a provision analogous to that now present in section 5103 (e) requiring coverage equivalent to that mandated by the foreign State where the accident occurs. The Court in Sentry simply concluded that nothing in the language or history of former section 167 (2-a) suggested that the words "in this state” should be read as requiring coverage for accidents outside the State (id., at 295). Significantly, in the Sentry appeal the parties made no reference to and this Court did not consider the predecessor to Insurance Law § 5103 (e) (former § 672 [5]) (see, 1975 [vol 12] NY Ct App Cases & Briefs 3984). Indeed, the section was not adopted until after the cause of action in that case accrued.

The insurers also contend that compelling them to provide coverage for their insureds in these cases would be inconsistent with Insurance Law § 3420 (f) (2) which permits an insured to obtain optional uninsured motorist coverage providing insurance protection for out-of-State accidents in any foreign State.[1] The argument is illogical. Permitting optional uninsured motorist coverage for accidents in all foreign States, including those which do not require such coverage, is in no way inconsistent with a provision mandating uninsured motorist coverage only in those States which do require it.

There is no merit to the insurers’ further argument that section 5103 (e) imposes an obligation to provide insurance not in like kind but only in like amount to that provided by the State where the accident occurs. As noted, such interpretation is in obvious conflict with the express requirement of the implementing regulation (11 NYCRR 60-1.1 [e]) that a New York policy provide "at least the minimum amount and kind of coverage” (id. [emphasis added]) required by the jurisdiction where the accident happens.

In sum, we hold that New York law requires insurers to provide the minimum uninsured motorist coverage prescribed by the laws of the State in which the accident occurred. The purpose of Insurance Law § 5103 (e) is to protect New York insureds by assuring that, notwithstanding any New York law

2 Section 3420 (f) (2) provides, in pertinent part: "Any such policy shall, at the option of the insured, also provide supplementary uninsured motorists insurance * * * provid[ing] coverage, in any state or Canadian province”.

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to the contrary, the minimum insurance coverage required under the laws of the situs of the accident will apply. To accept the insurers’ arguments here would defeat the salutary concept of section 5103 (e), i.e., looking to the laws of other jurisdictions if those jurisdictions require "different, and perhaps higher, minimum liability levels” (Country-Wide Ins. Co. v Rodriguez, 55 NY2d 162 , 167, supra).

The order in Matter of American Tr. Ins. Co. v Abdelghany ( 173 AD2d 611 , supra) should be affirmed, with costs, and the order in Atlantic Mut. Ins. Co. v Finker ( 179 AD2d 575 , supra) should be reversed, with costs, and the petition dismissed.

Chief Judge Wachtler and Judges Simons, Kaye, Titone and Bellacosa concur; Judge Smith taking no part.

In Matter of American Tr. Ins. Co. v Abdelghany: Order affirmed, with costs.

In Matter of Atlantic Mut. Ins. Co. v Finker: Order reversed, with costs, and petition dismissed.

Cases cited

Statutes and regulations cited