Cross appeals from an order of the Supreme
While employed as a managing partner for a large accounting firm, plaintiff purchased an executive occupational disability insurance policy from defendant Berkshire Life Insurance Company through defendant Rose & Kiernan, Inc. Thereafter, plaintiff was diagnosed with a heart condition and his doctor advised him that he could not continue working as a managing partner. He subsequently left the employment and began working as an office manager for a law firm at a substantially reduced salary.
Plaintiff filed a claim for disability benefits. Berkshire denied the claim upon the ground that plaintiff was not totally disabled from his occupation in accounting. Plaintiff commenced this action against defendants seeking to recover benefits under the policy. Following joinder of issue, plaintiff moved for summary judgment awarding him disability benefits and defendants, in turn, cross-moved for summary judgment dismissing the complaint. Supreme Court denied all motions and these appeals ensued.
Initially, it is well settled that resolution of the rights and liabilities of parties to an insurance contract is a question of law for a court to determine based upon the specific provisions of the policy at issue, unless the terms of the policy are ambiguous and require consideration of extrinsic evidence as an aid to construction (see, State of New York v Home Indem. Co.,
In the instant matter, plaintiff purchased a “Limited Issue Executive Disability Income Policy” which was made available exclusively to a select group of high-income professionals. The policy provided benefits of $6,000 per month in the event
While the policy itself does not specifically define the term “occupation”, we find this ambiguity clarified by the policy application which, when read in totality, brings us to the conclusion that plaintiffs occupation was that of a managing partner of an accounting firm. Therefore, we conclude that the policy was intended and must be construed as insuring plaintiff in such capacity (see generally, Blasbalg v Massachusetts Cas. Ins. Co.,
Ordered that the order is modified, on the law, without costs, by reversing so much thereof as denied (1) plaintiffs motion for summary judgment against defendant Berkshire Life Insurance Company, and (2) defendant Rose & Kiernan, Inc.’s cross motion for summary judgment dismissing the complaint against it; motion and cross motion granted to that extent; and, as so modified, affirmed.
