prologue
The renewed motions presented in the instant matter cause a host of vexatious legal questions which require extended discussion of the facts and legal principles applicable thereto. It seems best to first summarize the essence of the case to properly understand the claims and contentions.
Plaintiff is the widow of Frederick C. Reger (hereafter referred to as the insured), and is the named beneficiary of a group life insurance policy once outstanding on the life of the insured. At the time of Mr. Reger’s demise, the insurance policy no longer was viable. Plaintiff contends that defendants owed the insured a duty to advise him of his conversion rights upon termination of insurance coverage. The gravamen of the complaint sounds in negligence for the tort of nonfeasance. Defendants deny that they owed any duty to the insured as claimed, and, further, whatever duty was owed was responsibly discharged.
So much for the facts relating to the merits. Defendants are nonresident corporations and the master policy (as well as another contract between the defendants) contains a choice-of-law provision. A previous motion was decided by this court on August 28, 1973. Since that time one party has been dismissed, another added, pleadings amended, and a stipulation of agreed facts executed. The broad legal areas that require consideration are: in personam jurisdiction, conflict of laws and the duty owed to an insured to advise him of conversion rights.
As noted, counsel have stipulated to a statement of agreed facts.
The court denied plaintiff’s motion without prejudice to renewal upon the joinder of the National Association of Bedding Manufacturers (hereafter "NABM”), which was claimed to be an alter ego of the Fund. Similarly, the Fund’s cross motion was also denied without prejudice. The court directed discovery proceedings, particularly on the jurisdictional issues raised (see Peterson v Spartan Ind.,
Subsequent to this court’s decision, the parties stipulated to add NABM as a party defendant provided that NABM reserved the right to assert jurisdictional defenses.
During the period March 1, 1958 through June 30, 1969, the decedent was employed in an executive capacity by a New York firm, Charles P. Rogers & Co., Inc. (also known as Spring Air of Greater New York). On June 4, 1968, the decedent purchased 13 shares of common stock in said company, representing 5 to 10% ownership therein. Charles P. Rogers & Co., Inc. was a member of NABM, which is a nonprofit corporation organized under the laws of the State of Illinois, having its only office in Washington, D.C.
The Fund was created in 1958 under the laws of the State of Illinois by an agreement called the "Trust Agreement” between NABM and the trustees of the Fund. The purpose of the Fund was to make low cost group policy life insurance available to employees of member companies if such companies desired to offer the coverage. The Fund has its sole office in Washington, D.C., is not licensed to do business in New York, has no office in this State or telephone listing, and no employees here. The Fund’s only contact with New York is through five members of NABM who are "participating employers” in the insurance plan which presently covers 48 employees working in this State.
The insurance provided by the Fund is pursuant to the terms of a group policy issued by John Hancock to the trustees of the Fund, with the Fund being the policyholder. The insurance is provided on a noncontributory basis — the
The procedure for obtaining life insurance coverage and continuation thereof is as follows: an employee of a participating employer member who desires life insurance coverage through the Fund submits an application for life insurance to the employer, who forwards it on a form supplied by either of the defendants, to the Fund in Washington, D.C. The Fund returns a certificate of insurance to the participating employer who delivers it to the employee. The certificate states that it is subject to the terms and conditions of the group policy, but is silent on governing law. The certificate also sets forth in great detail the insured’s options regarding conversion to an individual life policy without evidence of insurability on termination of insurance coverage under the group plan. The insurer bills the employer on a monthly basis and the employer remits the premiums to the Fund. The Fund forwards all premiums received to the insurer. The Fund administers the group plan, its expenses defrayed by payment from its members and it maintains all records in connection with the group plan. These records consist of the names (but not the addresses) of the insured employees. This procedure for obtaining and continuing insurance coverage was used at bar.
The trust agreement provides (§ 8.01): "This Agreement and Declaration of Trust shall be construed in accordance with the laws of the State of Illinois”. Participating employers, who are defined as "any employer who becomes a party to this agreement” (§ 1.13) agree to be bound by the terms of the trust (§2.01). The trust agreement also provides that the word "employer” means "the Association [i.e. NABM] and all regular and associate members in good standing of the Association” (§ 1.05). The group policy provides that "This policy is delivered in Illinois and is governed by the laws of that jurisdiction”. The policy contains a conversiоn privilege whereby an insured may, within 31 days after termination of employment, obtain an individual life policy without evidence of insurability.
Pursuant to usual procedure plaintiffs decedent was ac
THE ISSUES
As indicated at the outset, John Hancock is no longer in the case, and NABM has been added as a party. Plaintiff served an amended complaint containing two causes of action: the first cause of action is asserted against both defendants "acting together and as one party”; the second cause of action is. against NABM only; both causes of action allege a duty upon defendants to have advised decedent of his conversion privilege and prays for $10,000 in damages for their failure to timely render such advice. The amended joint answer contains a partial defense in respect to damages and three affirmative defenses discussed below. The court is unable to comprehend the differеnce between the predicate for liability as set forth in the separate causes of action. In reality, it is claimed that
Other than the issue of damages (n 3, supra) the parties raise three issues: (1) jurisdiction over the person of the defendants; (2) conflict of laws (plaintiff opts for New York, while defendants urge Illinois), and (3) whether a cause of action is stated. The court shall consider these issues seriatim.
IN PERSONAM JURISDICTION
The court previously directed joinder of NABM on plaintiff’s allegations that the defendants are alter egos and directed "that the parties conduct discovery and inspection covering at the minimum the jurisdictional issues raised and the inter relationship question regarding NABM and the Fund”. As noted earlier, the parties have stipulated to certain facts in lieu of formal discovery and to this extent must be deemed to have selected their own course of procedure.
Defendants contend that they are wholly distinct and separate entities. An affidavit by one with personal knowledge is annexed to the cross motion papers in support of this position. Plaintiff continues to urge that both defendants had sufficient connections with the insured to justify imposition of joint responsibility. Apparently, plaintiff no longer asserts that defendants are alter egos for jurisdictional purposes; rather, she is content to obtain jurisdiction in some other fashion and pursue the merits through allegations that defendants are joint tort-feasors (at least on the first cause of action). While the documentary evidence submitted indicates NABM performed many of the duties imposed upon the Fund, such as writing correspondence in answering insurance inquiries,
Plaintiff first contends that since NABM is a nationally based organization, it cannot object to defending suit in New York as an inconvenient forum. Plaintiff confuses the doctrine of forum non conveniens (CPLR 327) with constitutional principles applicable to jurisdiction. Consistent with the due process clause, a State may not exercise jurisdiction over the person until there is a showing that such person had minimal contacts with that State (Hanson v Denckla,
Contrary to plaintiff’s general assertions regarding jurisdictional contacts with this State, she has failed to establish sufficient forum-related activity in the traditional sense for the court to exercise in personam jurisdiction (Tauza v Susquehanna Coal Co.,
However, under our long-arm statute (CPLR 302), plaintiff contends that defendants performed acts within the contemplation of CPLR 302 (subd [a], pars 1, 3) which gives this court personal jurisdiction. In this respect the cited statute in pertinent part provides:
"(a) Acts which are the basis of jurisdiction. As to a cause of action arising from any of the acts enumerated in this section, a court may exercise personal jurisdiction over any nondomiciliary * * * who in person or through an agent:
"1. transacts any business within the state; or * * *
"3. commits a tortious act without the state causing injury to person or property within the state * * * if he "i) regularly does or solicits business, or engages in any other persistent course of conduct, or derives substantial revenue from goods used or consumed or services rendered, in the state, or
"ii) expects or should reasonably expect the act to have consequences in the state and derives substantial revenue from interstate or international commerce;”.
Insofar as CPLR 302 (subd [a], par 1) is concerned, it is clear that NABM did not transact any business in this State out of which the cause of action arose. NABM’s only contact with this State was through its part-time employee who solicited customers for its trade publication. Being wholly unrelated to the cause of action, jurisdiction under CPLR 302 (subd [a], par 1) does not exist (McLaughlin, Practice Commentaries, McKinney’s Cons. Laws of N.Y., Book 7B, CPLR 302.2, pp 63-65). Other than the allegation that decedent was an employee of the defendant Fund, the Fund had no employees in this State for any purpose. Furthermore, the Fund is a customer of John Hancock and not its agent; the insurer’s activity in this State is not imputable to the Fund for jurisdictional purposes (cf. Standard Wine & Liq. Co. v Bombay Spirits Co.,
Under CPLR 302 (subd [a], par 3) plaintiff urges that defendants committed a tortious act without the State causing injury here. The tortious act alleged is nonfeasance whereby plaintiff must establish a definite relationship between the parties of such character that some social policy justifies imposition of a duty to act (Prosser, Law of Torts [4th ed], pp 339-348): Assuming for the moment that a tortious act was committed, it has been held that an act of nonfeasance committed outside the State by a nondomiciliary cannot support application of New York jurisdiction (Platt Corp. v Platt,
Under CPLR 302 (subd [a], par 3, cl [i]) the Fund did not regularly do or solicit business or engage in any persistent course of conduct in this State. Under clause (ii) of the cited statute both dеfendants could reasonably expect that their failure to act (assuming a duty) could have consequences in this State. However, pursuant to either clause, plaintiff must establish that defendants derived substantial revenue from services rendered in this State or in interstate commerce and no proof has been offered in point. As to the Fund, this lack of proof is fatal,
Other than the employer-employee status question, the Fund’s contacts with this State are not the "minimal contacts” required under the due process clause (Hanson v Denkla,
The motion and cross motions for summary judgment present questions of law which, incidentally, go to the heart of the jurisdictional issue for if defendants are not employers and if the act is not tortious, there is no jurisdiction. In any event, for the purpose of discussion it may be assumed that jurisdiction exists over NABM per CPLR 302 (subd [a], par 3, cl [i]) and for the purpose of completeness it shall be assumed that if jurisdiction exists over the Fund, its liability is coextensive with that of NABM’s.
CONFLICT OF LAWS
Plaintiff urges that the law of New York applies and contends that the "center of gravity” test espoused in Auten v Auten (
Under New York law, discussed infra, it appears that an employer is liable for failure to notify an insured employee of his conversion rights under a group plan (McGinnis v Bankers Life Co.,
The Illinois statutes do not have a notification requirement pertaining to conversion rights, but do require, as most States, that a 31-day provision, similar to New York’s, be included in group policies (Smith-Hurd Illinois Stats. Ann., ch 73, § 843, subd [d]; Thieme v Union Labor Life Ins. Co., 12 Ill App 2d 110; Cruthfield v Continental Assur. Co., 336 Ill App 411; 1 Appleman, Insurance Law & Practice, § 125; Ann. 68 ALR2d 8, 114, Group Policy — Termination of Employment). Illinois
Prior to recent developments in conflict of laws, the United States Supreme Court held that a provision in a group policy which sets forth the law governing the сontract is effective against an insured who was unaware of that provision (Boseman v Insurance Co.,
Nonetheless, as general rule, the Boseman holding is still followed and has been summarized as follows: "where it is provided by the contract of insurance itself that it shall be construed in accordance with the laws of a particulаr place * * * such provision will * * * control the construction and effect of the contract” provided that "the insurance contract must have a real relation to the jurisdiction whose lav/ is stipulated as governing” (Ann. 53 ALR3d 1095, 1097-1098, Group Insurance-Actions — Choice of Law). The courts of this State have recognized, as controlling, contractual provisions pertaining to which State law governs, where the law chosen bears a reasonable relationship to the transaction (Wyatt v Fulrath,
In insurance contracts the courts have considered diverse factors in determining which State’s law governs (29 NY Jur, Insurance, §§ 64, 66, 71; 2 Couch, Cyclopedia of Insurance Law [2d ed], §§ 16.1-16.61; 12 Appleman, Insurance Law & Practice, §§ 7071-7095; 1 Richards, Insurance [5th ed], § 38). It has been recognized that insurance involves contracts of adhesion and is usually governed by the law of the State where the insured resides (Zogg v Penn Mut Life Ins. Co., 276 F2d 861, 864; Ehrenzweig, Conflicts In a Nutshell, § 66). However, different factors must be considered in determining which law applies to group life insurance policies (Oakley v National Western Life Ins. Co.,
Group life insurance policies are generally not treated as contracts of adhesion because the group insured is usually large enough to exercise leverage in bargaining for provisions not normally offered at similar rates in individual policies (Simpson v Phoenix Mut. Life Ins. Co.,
In Kahn v Great-West Life Assur. Co. (
The rule to be applied is rather simple: in group insurance policies a choice of law provision should be given effect unless it contravenes this State’s public policy (cf. Matter of Crichton,
The views expressed in the Second Restatement on the Conflict of Laws (§ 192, comments e, h), and followed by a majority of jurisdictions (Ann 53 ALR3d 1095, Group Insurance-Actions-Choice of Law), are consistent with the evolution of new concepts in conflict of laws and constitute a reasonable accomodation of the varying interests. One may surely question what law of Illinois needs vindication (i.e. false conflict?),
Even our governmental analysis test gives way to a fundamental fairness rule whereby the laws of the jurisdiction under which the parties have patterned their conduct prevails (Miller v Miller,
Yet, even the determination that Illinois law applies does not terminate the conflicts question. Ordinarily, given a contractual choice of law provision and having decided that the laws of the stipulated foreign jurisdiction apply, it is unnecessary to ascertain that jurisdiction’s conflict of laws rules (Oakley v Western Life Ins. Co.,
The process of referring back to the foreign jurisdiction’s conflict of laws rules is known as renvoi — the doctrine of remission, whereby the forum State looks to the whole law of the foreign jurisdiction — which is generally not recognized in
In the court’s opinion the parties to the group policy obviously intended only Illinois internal law to apply. To look to the whole law of Illinois would serve to introduce uncertainty (Restatement, Conflict of Laws 2d, § 187, comment h, p 569) and, hence renvoi should not be utilized; but, if I understand Illinois law in point (Hofeld v Nationwide Life Ins. Co., supra), Illinois would apply New York law under the present facts (not through renvoi, but by rejection of the stipulated law provision), then we are back to squаre one and the specter of inconsistent determinations under the same group policy where, for example, a New York insured brings suit in Illinois. Consequently, in determining whether the complaint states a cause of action I shall, as I did on John Hancock’s cross motion, consider the matter under the applicable laws of both States.
CAUSE OF ACTION
"In considering a motion to dismiss a complaint for failure to state a cause of action, the challenged pleading must be liberally construed (CPLR 3026; Walkovszky v Carlton,
The group policy has become quite popular since its introduction in 1911 (Gregg, Group Life Insurance [3d ed], pp 11-22). At bar, we are concerned with a typical multiрle-employer trust plan providing coverage to employees of employers engaged in the same industry (p 27; see Gregg, Life & Health Insurance Handbook [2d ed], pp 358-368). The better view of the employer’s status vis-á-vis its employees in insurance matters holds that the employer is the agent of the employees since the real insured is the group and the employees, as covered persons, are entitled to certain privileges and benefits through the participation of the employer (1 Appleman, Insurance Law & Practice, § 43; see 7 Williston, Contracts [3d ed], § 901, pp 74-75). "The conversion privilege is a significant benefit feature in group life insurance. It is intended primarily to protect the uninsurable employee who must leave his employment against the loss of his life insurance. It is especially important in the case of the employee who has no other life insurance” (Gregg, Group Life Insurance [3d ed], p 71).
The statutes of this State require the employer and insurer of any group life policy that may be "delivered] in this state” to notify the insured of conversion privileges 15 days after termination of insurance (Insurance Law, §§ 161, subd 1, par [e]; 204, subd 3). If notification is not given within the 15-day
The above-quoted provision was added in 1940 (L 1940, ch 208) and represents this State’s interest in insuring that employees are given ample opportunity to be informed and exercise their conversion rights (DeVille v Continental Assur. Co.,
Illinois does not have a statutory notice provision applicable to group policies where, as here, premiums are paid on a monthly basis (Smith-Hurd Illinois Stats. Ann., ch 73, § 846, subd [2]). In Illinois the insured is deemed to know of his conversion privilege and is only entitled to a 31-day grace period for exercise thereof (Smith-Hurd Illinois Stats. Ann., ch 73, § 843, subds [d], [e], [h]; Phelps v Elgin Academy, 125 Ill App 2d 364; see Cruthfield v Continental Assur. Co., 336 Ill
McGinnis v Bankers Life Co. (
Broadly viewed, the Appellate Division’s holding is succinctly stated in a single sentence: "The duty of the employer to give the notice in question is but part of an employer’s duty of good faith and due care in attending to the policy and the employer should make clear to the employee anything required of him to keep the policy in effect” (
This novel ruling is underscored by analysis of the two cases cited in McGinnis in support of its holding (
Defendants initially urge that McGinnis is not a pure conversion notification case since part of the question raised there concerned the employer’s duty to notify the insured that employment was terminated for insurance purposes; an issue not present here. Defendants’ argument is plausible, but upon analysis, fails. The contention that defendants should not be subject to the conversion notification requirement in the absence of a duty to notify that employment was terminated, a duty inuring solely to thе employer, begs the question because the duties are not interwoven. At bar, the insured was informed about job termination and defendants were so informed shortly thereafter. Upon receipt of such knowledge, McGinnis enters, and it then became incumbent upon defendants, if their status is deemed akin to employers, to notify the
Defendants attempt to distinguish McGinnis on other grounds. They argue that in McGinnis the court dealt with a contributory group plan whereas the subject group policy is noncontributory and, therefore, without the ambit of the novel appellate ruling. This distinction tends to have surface merit as the general rule pre-McGinnis was that an employer owes no duty to inform the insured of conversion privileges where the plan is noncontributory (31 NY Jur, Insurance, § 1665; 44 Am Jur 2d, Insurance, § 1878; Ann. 2 ALR2d 852, Group Insurance-Employee Contributions). The rationale was predicated upon an assumption that the securing of such insurance by the employer was a mere “gratuity” (31 NY Jur, Insurance, § 1655, p 589). It is true that substantial legal distinctions exist between contributory and noncontributory group plans (Ann. 68 ALR2d 215, Group Policy — Nonpayment of Premium), but McGinnis seems to draw no distinction on the duty of notification of conversion rights. Furthermore, while the parties have stipulated that the insurance coverage was part of a “compensation package” and not a negotiated fringe benefit, such benefits are commonly a substitute for direct cash wages and cannot, in this enlightened age of employment relationships, be classified as a mere gratuity (cf. Simpson v Phoenix Mut. Life Ins. Co.,
Defendants also urge that section 204 of the Insurance Law applies only to group policies delivered in this State and, therefore, the statute is inapplicable. Defendants correctly point out that in group policy situations the insured only receives a certificate of insurance which is merely evidence of the insurance and does not constitute the insurance policy or contract (Cutler v Hartford Life Ins. Co.,
Plaintiff urges that certain language in the trust agreement makes either defendant decedent’s employer. Plaintiff refers to the definitions of "employer” and "participating employer”, quoted earlier, and states that read literally, such phrases bind defendants and render them employers of the decedent. The argument is tenuous since, if adopted, every member of NABM who procures insurance for its own employees would become the employer of every other member’s employees. Obviously, such an absurdity cannot be seriously entertained, and it is clear that under no legal principle or canon of construction can defendants be considered dеcedent’s employer. Undoubtedly, NABM is an employer and participating employer, but only insofar as its own employees are concerned.
Finally, the parties raise arguments which focus upon the essence of McGinnis: does the rationale therein extend and encompass entities such as these defendants? Insofar as the Fund is concerned, it is difficult to perceive how it can be deemed a de facto or ostensible employer (Dashinsky v Santjer,
In McGinnis a procedural point was raised because of plaintiff’s failure to cross-move for leave to appeal from the Appellate Term’s order which had reversed the judgment against the insurer; but, the court specifically held that "In our opinion, Bankers Life [the insurer], is not liable for the claimed death benefit” (
It does not appear relevant under New York or Illinois law that plaintiff’s decedent dealt with insurance matters and was a shareholder in thе corporate employer (Antinora v Nationwide Life Ins. Co., supra; Phelps v Elgin Academy, 125 Ill App 2d 364, supra). Whichever law applies, it is clear that no statute imposes liability and that neither Illinois (cf. Christofferson v General Motors Corp., 322 Ill App 702, supra) nor New York would extend the employer’s common-law duty of due care in insurance matters, pertaining to notification of conversion privileges, to these defendants.
EPILOGUE
For the foregoing reasons the court concludes that plaintiff does not have a cause of action against these defendants and that the complaint fails to state a cause of action. It is also determined that defendants are not decedent’s employer and since no duty is imposed upon them under these facts, in
Notes
. The stipulation is not in compliance with CPLR 3222 and is not a submission on agreed facts. Accordingly, the court has extracted from the pleadings, affidavits and briefs on the original and renewed motions, facts and inferences relevant to its decision. The parties obviously desired such a course of action as is evidenced by the presence of amended pleadings and references to exhibits not a part of the agreed statement.
. While not appearing in the statement of agreed facts, it is uncontroverted that NABM had offices in Chicago, Illinois from 1915 through 1950, and that the office of its trade publication remained in Chicago until 1971.
. The parties dispute the amount of the individual policy that decedent could have obtained under the circumstаnces regarding the reason for nonpayment of premiums and the applicable language of the group policy and trust agreement. The issue raised bears upon damages: whether decedent could have converted to an individual life policy for either $2,000 or $10,000. The court does not reach this issue.
. While there may be a unity of interest within the meaning of CPLR 203 (subd [b]) among the defendants, and a continuity of interest in the outcome of the case, it is clear that no partnership was formed so as to permit jurisdiction over jointly owned assets, if any (cf. Balogh v Rayner-Smith,
. The court is cognizant that Platt was decided prior to enactment of CPLR 302 (subd [a], par 3); but the Court of Appeals discussed the pending legislation and stated that its result would be no different (
. Ordinarily, the court would direct a hearing on the revenue issue (Allen v Auto Specialties Mfg. Co.,
. Clearly, even a nonprofit organization may be subject to jurisdiction under CPLR 302 (subd [a], par 3, cl i) or (cl ii) upon proof establishing revenue, not profits or income (cf. Delagi v Volkswagenwerk AG of Wolfsburg, Germany,
. Of course, joint tort-feasors are not necessary parties (Siskind r Levy,
. Are the laws of the two jurisdictions manifestly different? As will be seen post, in New York plaintiff might prevail as a matter of law if defendants are decedent’s employer, whereas in Illinois a triable issue of fact would be presented. If defendants are not decedent’s employer, plaintiff must establish that the law of both jurisdictions is such as would justify judgment in her favor and neither jurisdiction has passed upon the liability of entities other than employers and insurers in the context presented.
. The decedent employee was a resident of this State, as is the plaintiff beneficiary, premiums were paid by his New York employer and the certificate of insurance' was delivered here. The contacts in Illinois were the creation of the trust fund, delivery of the master policy, that defendants are Illinois corporations and Illinois is the situs of the alleged tort. Weighing the contacts with New York’s policy mandating notification to protect insureds and their beneficiaries vis-á-vis Illinois’ nonpolicy, establishes that New York has the paramount interest in this litigation.
. This, of course, presupposes that other States would adopt the majority view and accord effect to the choice of law provision in a group policy.
. On the issue of damages, the general rule pertaining to measure of damages in failing to provide insurance is that evidence of other insurance obtained in lieu of the insurance sought or wrongfully withheld is admissible in mitigation of damages (16 Appleman, Insurance Law & Practice, § 8840 [1975 Supp, pp 129-130]). At bar, the statement of agreed facts reveals that plaintiff received approximately $15,000 in life insurance proceeds from two policies extant at her husband’s death. No further information regarding this fact has been forthcoming and defendants have not pleaded it in mitigation (CPLR 3018, subd [b]). Additionally, the parties stipulated that decedent’s subsequent employer did not have a group plan and, in the absence of evidence in point, the court shall assume that the other insurance was not obtained as a substitute for the unconverted policy in issue.
. Of course, the fact that the Fund did not have the addresses of insured employees cannot insulate it from liability if a duty to inform exists (cf. McGinnis,
