Roldan v. Allstate InsuranceRoldan v. Allstate Insurance
OPINION OF THE COURT
Where an insurer, acting in bad faith, refuses to settle an underlying personal injury action against its insured for a sum within the limits of its policy, and where, as a result, the insured is exposed to liability in excess of the policy limits, then a cause of action in favor of the insured and against the insurer may arise (see, e.g., Kulak v Nationwide Mut. Ins. Co.,
I
According to the plaintiffs complaint, at some time prior to September 29, 1976, the defendant Allstate Insurance Company (hereinafter Allstate) had issued an automobile liability policy to its insured, Dudley Thorpe. The plaintiff further alleges that on that day she was struck by Mr. Thorpe’s vehicle and physically injured. The plaintiff asserts that, despite Mr. Thorpe’s fulfillment of all of his contractual obligations, Allstate wrongfully refused to honor its contractual duty to defend and indemnify him in connection with the personal injury action subsequently brought by the plaintiff in the Supreme Court, Kings County. As a result of the defendant’s refusal to provide a legal defense for its insured, it is alleged that the underlying personal injury action culminated
The plaintiffs complaint contains five causes of action, four of which are asserted by her as assignee of Mr. Thorpe’s cause of action against Allstate. First, the plaintiff claims that she is entitled to the full amount of "the unpaid plaintiffs judgment for which the insured Dudley thorpe is liable”. The second cause of action is based on allegations that Allstate had acted wrongfully "in purportedly terminating Dudley thorpe’s insurance policy” and in refusing to comply with an arbitration award (subsequently confirmed by the Supreme Court) which declared that insurance coverage was in effect on the date of the accident.
Following the service of an answer, Allstate moved to dismiss the complaint by virtue of several defenses including its seventh affirmative defense, which is based upon the alleged expiration of the Statute of Limitations (CPLR 3211 [a] [5]). Allstate’s attorney argued, in support of this application, that the plaintiffs cause of action had accrued on November 9, 1979, when the default judgment in the underlying personal injury action against Thorpe was entered. Allstate’s attorney also argued that the present action was commenced on December 5, 1986, when a copy of the summons and complaint was
In an affirmation in opposition, the attorney for the plaintiff pointed out that in September of 1982 almost three years after the default judgment had been entered, Allstate made a motion to vacate the judgment on the basis that the Supreme Court, in the underlying personal injury action, had lacked personal jurisdiction over its insured Dudley Thorpe (see, CPLR 5015 [a] [4]). The Supreme Court, after a hearing, in an order dated September 20, 1984, granted this motion, vacated the default judgment and dismissed the underlying personal injury complaint. That order, however, was reversed by this court on February 24, 1986.
In denying the defendant’s motion, the court, relying upon the case of Colpan Realty Corp. v Great Am. Ins. Co. (
II
In deciding whether a particular claim is time barred, the
In this case, the third question presents no difficulty since the parties do not dispute that the plaintiff’s claims were interposed on or about December 5, 1986, when the summons and complaint were delivered to the Superintendent of Insurance. The remaining questions will be discussed, first, as they relate to those causes of action which are asserted by the plaintiff as assignee of Mr. Thorpe, and, second, as they relate to the plaintiff’s cause of action brought in her individual capacity pursuant to Insurance Law § 3420 (a) (2).
A
While the question of when a cause of action accrues often proves to be difficult in particular applications, it is governed, in theory, by a simple principle: "A cause of action does not accrue until its enforcement becomes possible” (Jacobus v Colgate,
In determining when the causes of action asserted in the plaintiff’s complaint in the present case accrued, it is necessary, initially, to determine the substance of those causes of action. In her capacity as an assignee of Mr. Thorpe, the plaintiff seeks a money judgment against Allstate which would reflect (1) the amount of money which Allstate allegedly owes to Mr. Thorpe, its insured, pursuant to its contractual obligation to indemnify him against liability for bodily injury, subject to a limit of $10,000, and (2) the additional amount of
The cause of action based upon Allstate’s alleged breach of its contractual duty to indemnify its insured against liability for bodily injury did not accrue until the liability was imposed. In this respect, a standard automobile liability insurance policy is more in the nature of an agreement to indemnify the insured against liability, rather than an agreement to indemnify only against actual loss or damage, so that it is breached as soon as the liability is imposed upon the insured, rather than when the insured actually pays the judgment in the underlying action (see generally, Bay Ridge Air Rights v State of New York,
Similarly, we are of the opinion that the plaintiffs cause of action against Allstate based on its alleged "bad faith” also accrued on November 9, 1979, because it was not until that date that liability in excess of the policy limits was imposed upon Allstate’s insured. It has been held that a cause of action alleging "bad faith” may be brought against an insurance company before the judgment in excess of the policy limits is actually paid (see, Henegan v Merchants Mut. Ins. Co.,
There are several cases from other jurisdictions which could be read as holding that a cause of action to recover damages for bad faith refusal to settle accrues not when the excess judgment is first entered, but rather, when it becomes absolutely final, that is, when all the appellate remedies have been exhausted (see, e.g., Romano v American Cas. Co., 834 F2d 968, 969-970 [11th Cir]; Boyd Bros. Transp. Co. v Fireman’s Fund Ins. Cos.,
In the present case, however, the underlying judgment was entered upon default, and there existed no right to appellate review under New York law (see, CPLR 5511; Norton & Siegel v Nolan,
The action in the Colpan case (supra) was brought by an insured to recover the attorneys’ fees it had expended in its own defense. Holding that the insurer’s duty to the defendant included a duty to prosecute an appeal (Colpan Realty Corp. v Great Am. Ins. Co., supra, at 732, citing Kaste v Hartford Acc. & Indem. Co.,
The holding of Colpan (supra) is distinguishable for the further reason that the judgment in the underlying action in that case was the subject of direct review on appeal, whereas, in the present case, the judgment in the underlying action was the subject of collateral review pursuant to CPLR 5015. In some cases, there may be a duty on the part of an insurance carrier to pay for the costs of a postjudgment motion in connection with an underlying action against its insured, so that the refusal to make such a motion would constitute a breach of the carrier’s duty to defend. However, the accrual of the insured’s cause of action based on the insurer’s breach of its duty to indemnify and based on the insurer’s bad-faith refusal to settle may not be indefinitely postponed until the insurer makes a postjudgment motion. This is so particularly in view of the fact that a postjudgment motion made on the ground that the court in the underlying action lacked jurisdiction over the person of the insured may be made at any time (see, CPLR 5015 [a] [4]; Matter of Doey v Howland Co.,
We therefore reject the plaintiff’s contention that the causes of action based on bad faith and contractual indemnification accrued on June 10, 1986, when the Court of Appeals refused to grant leave to appeal from the order of this court dated February 24, 1986, reinstating the default judgment against Mr. Thorpe. We hold, instead, that the plaintiff’s causes of action accrued when the default judgment was entered on November 9, 1979.
The causes of action asserted by the plaintiff which are based upon (1) contractual indemnification, and (2) bad-faith refusal to settle, are governed by the six-year Statute of Limitations applicable to actions founded upon breach of contract (see, CPLR 213 [2]; Town of Poland v Transamerica Ins. Co.,
Measured in accordance with this standard, whatever legal remedies the plaintiff may have had based upon her cause of action to recover damages for indemnification and bad faith became time barred on November 9, 1985, six years after these causes of action had accrued. Since the present claims were interposed more than a year thereafter, it is clear that they are time barred unless some statutory or common-law tolling provision applies. This brings us to the central question in this case.
C
The most troublesome question presented is whether the running of the Statute of Limitations was suspended between September 20, 1984, when the Supreme Court vacated the default judgment against Mr. Thorpe, and February 24, 1986, when this court reversed that order and reinstated the judgment. If the running of the Statute of Limitations was tolled for that period of approximately 17 months, then the plaintiff’s causes of action for indemnification and bad faith were timely interposed.
The CPLR contains numerous tolling provisions (see, e.g., CPLR 207 [defendant’s absence from the State]; CPLR 208 [infancy, insanity, or imprisonment of plaintiff]; CPLR 209 [tolls relating to war]; CPLR 210 [death of claimant or of person liable]). No statutory tolling provision expressly applies to a case where a valid cause of action had accrued, but where
A statutory toll which provides a useful analogy, albeit not expressly controlling, is found in CPLR 204 (a). That section provides that "[wjhere the commencement of an action has been stayed by a court or by statutory prohibition, the duration of the stay is not part of the time within which the action must be commenced”. There was, of course, no stay in effect which prohibited the plaintiff from bringing suit on a cause of action alleging bad faith between September 20, 1984, and February 24, 1986, nor was there a statutory prohibition against the plaintiff’s bringing such an action. The impediment to the plaintiff’s bringing such an action was more fundamental: her cause of action no longer existed because, on Allstate’s motion, the Supreme Court had erroneously vacated the judgment in the underlying action, thus preventing her from pleading a necessary element of her cause of action.
The Court of Appeals has indicated that the "spirit” of the toll found in CPLR 204 (a) should be applied even in cases which are not covered by the letter of that statute. Barchet v New York City Tr. Auth. (
Also analogous is this court’s decision in Creswell v Doe (
The foregoing cases indicate that a measure of flexibility is to be employed in construing the tolling provision of CPLR 204 (a). As a matter of basic common sense, a plaintiff cannot be expected to commence an action while effectively precluded from pleading the necessary elements of his case.
The courts are not free to extend the Statute of Limitations (see, CPLR 201), and certainly may not invent tolling provisions simply because to do so might seem necessary in order to avoid results thought to be unfortunate in particular cases. However, not all tolling provisions are strictly statutory in origin; some tolls derive from common-law doctrines (see, Siegel, NY Prac § 50, at 51), so that to a concededly very limited extent, tolling provisions may be "Judge-made”. The existence of the maxim "contra non valentem agere nulla currit praescriptio” ("no proscription runs against a person unable to bring an action”) (see, Black’s Law Dictionary 393 [4th ed 1951]) is proof of the antiquity of the concept that it is contrary both to fairness and to reason to permit the Statute of Limitations to run while a claimant is, through absolutely no fault of his own, unable to sue. Several cases illustrate,
For example, Braun v Sauerwein (
It bears emphasis that the order vacating the judgment in the underlying action was made on the defendant Allstate’s motion. Neither the plaintiff nor her assignor were instrumental in causing the court erroneously to vacate the judgment. We certainly do not fault Allstate or its attorneys for taking the steps they thought appropriate to defend Allstate’s interest, but the fact remains that this court held on February 24,
In conclusion, we hold, under the particular facts of this case, that the running of the Statute of Limitations with respect to the plaintiff’s cause of action based on bad faith and for indemnification was suspended as soon as the Supreme Court, by erroneously granting Allstate’s motion to vacate the judgment in the underlying action, in effect extinguished the plaintiff’s causes of action at Allstate’s behest. The running of the Statute of Limitations remained suspended until this court, in February 1986 reversed the order vacating the judgment in the underlying action, thereby reviving the plaintiff’s causes of action. Because of this toll, we conclude that the plaintiff’s causes of action for indemnification and bad-faith negotiation are not time barred.
Ill
The plaintiff’s first two causes of action alleging bad faith are asserted in her capacity as the assignee of Allstate’s insured. The assignability of these causes of action is not disputed on appeal (cf., Williams Paving Co. v United States Fid. & Guar. Co.,
The fifth cause of action is asserted by the plaintiff in her individual capacity as the party injured by Mr. Thorpe’s
In her brief on appeal, the plaintiff apparently concedes, in reliance on Lumbermens Mut. Cas. Co. v North Riv. Ins. Co. (
We do not pass on the question of what Statute of Limitations applies to a direct cause of action pursuant to Insurance Law § 3420 (a) (2) because, irrespective of which Statute of Limitations applies, the present record does not reveal when the direct cause of action asserted by the plaintiff in this case accrued. Pursuant to Insurance Law § 3420 (a) (2), such a cause of action does not accrue until 30 days after a copy of notice of entry of the judgment in the underlying personal injury action is served on both the insured (or his attorney) and the insurer (see, Thrasher v United States Liab. Ins. Co.,
Since it is possible that the fifth cause of action is time barred, and since the deficiency in the record in this respect, we presume, may be easily cured, Allstate should be granted leave to renew so much of its motion as was to dismiss the plaintiff’s fifth cause of action.
Allstate also requested dismissal of several causes of action on the grounds that the allegations contained therein were legally insufficient (CPLR 3211 [a] [7]). Its motion in this respect is founded primarily on its assertion that no valid cause of action based on allegations of a bad-faith refusal to settle exists unless there is "an extraordinary showing of a disingenuous or dishonest failure to carry out a contract” (Gordon v Nationwide Mut. Ins. Co.,
The flaw in Allstate’s argument is not with respect to its description of the burden of proof to which the plaintiff will ultimately be held; rather the flaw is in the attempt to apply that burden of proof at this early stage. Allstate’s motion is addressed solely to the adequacy of the pleadings; the motion was made pursuant to CPLR 3211, not CPLR 3212, and so the plaintiff was not put to her proof. The courts justifiably have been reluctant to dismiss claims similar to the present one because of alleged deficiencies in the pleadings. In Reifenstein v Allstate Ins. Co. (
We therefore conclude that the plaintiffs first two causes of action, both of which are based on allegations of Allstate’s bad-faith refusal to defend or indemnify its insured, and Allstate’s bad-faith refusal to settle, should not be dismissed on the pleadings alone (CPLR 3211 [a] [7]).
V
Allstate also argues that the plaintiffs fourth cause of action should be dismissed pursuant to CPLR 3211 (a) (7). As previously noted, this cause of action seems based in fraud, and contains allegations that Allstate issued its automobile liability policy to Mr. Thorpe, even though it never intended to honor the covenants contained in that policy. Additional allegations are to the effect that Allstate’s representatives made intentional misrepresentations of fact to Mr. Thorpe, and that Mr. Thorpe justifiably relied on those misrepresentations in obtaining an insurance policy from Allstate.
In the Supreme Court and on appeal, Allstate’s arguments concerning the legal sufficiency of the allegations of the plaintiffs fourth cause of action are premised on the assertion that it represents a separate cause of action based solely on a demand for punitive damages. A demand for punitive damages does not itself constitute a separate legal theory upon which relief may be sought, nor can a claim for punitive damages be stated as a separate cause of action (see, Ferrucci v State of New York,
Allstate’s failure to view this particular cause of action as one sounding in fraud is understandable, since the allegations set forth do not provide a model of clarity. Allstate’s apparent
Allstate’s apparent misapprehension of the nature of the plaintiffs fourth cause of action may also account for its failure to raise any arguments specifically addressed to whether the allegations contained therein are legally sufficient to state a valid claim based on common-law fraud. It is doubtful whether a cause of action sounding in fraud may be based on allegations that Allstate deceived Mr. Thorpe with respect to its intent to perform the obligations contained in its contract with him (see generally, Gordon v De Laurentiis Corp.,
Because these arguments were not specifically made in support of Allstate’s motion to dismiss, ordinarily it would be inappropriate for the Supreme Court, or this court, to grant relief based on them (see, e.g., Jemison v Crichlow,
VI
The question remains whether the allegations contained in
Although these allegations are made "[u]pon information and belief’, they are to be considered true for the purposes of a motion to dismiss pursuant to CPLR 3211 (a) (7) (see, Mihlovan v Grozavu,
In Walker v Sheldon (
Insurance Law § 2601 defines "unfair claim settlement practices”, and authorizes the imposition of a monetary penalty upon any insurer found guilty of engaging in such practices (Insurance Law § 2601 [c]; § 109 [b]). In Cohen v New York Prop. Ins. Underwriting Assn. (
In Kurrus v CNA Ins. Co. (
The decisions in the Kent Centre, Mavroudis, Kurrus and Cohen cases (supra) reflect the general view that public officers or institutions are better suited than private litigants fov the redress of essentially public, rather than private, wrongs, and that the imposition of those administrative or penal sanctions which are available to the State or its public agencies should displace the awarding of punitive damages in private lawsuits as the chief, if not exclusive, method of punishing and deterring misconduct which is aimed at the public in general. In sum, the abolition of punitive damages in actions of this sort has been advocated for this very reason, i.e., that "punishment should be left to the State, not to individuals” (16A Appleman, Insurance Law and Practice § 8879, at 467). We interpret the aforenoted appellate authority as demonstrating that this rationale has in fact been adopted in this State and the rule in New York is that punitive damages may not be awarded in private actions against insurance carriers based upon allegations of the type of misconduct which would fall within the ambit of the statutory definition of "unfair claim settlement practices” pursuant to Insurance Law § 2601.
It is also noteworthy that the measure of damages possibly available to a plaintiff insured upon proof of a defendant insurer’s bad-faith refusal to settle, that is, the full amount of the excess judgment against the insured, has itself been characterized as "punitive” (Gordon v Nationwide Mut. Ins. Co., supra, at 433, 436-437; see also, DiBlasi v Aetna Life & Cas. Co.,
We conclude that allegations that an insurance company is engaging in a persistent course of conduct involving fraud or unfair claims practices may more properly be evaluated and, if proved, be redressed by the Superintendent of Insurance, who is charged by law with the regulation of this industry, rather than by private litigants. The availability of punitive damages in private lawsuits premised on unfair claim practices has been preempted by the administrative remedies available to the Superintendent of Insurance pursuant to Insurance Law § 2601. Accordingly, the plaintiffs demand for punitive damages in the present case is stricken.
VII
We agree with Allstate’s contention that the plaintiffs third cause of action should be dismissed. The allegations in that cause of action constitute an attempt to impose strict liability upon Allstate for its failure to settle the underlying
VIII
To sum up, the Supreme Court properly denied those branches of Allstate’s motion which were to dismiss the plaintiff’s first and second causes of action, either on the basis that the allegations contained therein were legally insufficient (CPLR 3211 [a] [7]) or on the basis that those causes of action were time barred (CPLR 3211 [a] [5]). However, the court erred in denying that branch of Allstate’s motion which was, in effect, to strike the plaintiff’s demand for punitive damages. The Supreme Court also erred in denying that branch of Allstate’s motion which was to dismiss the third cause of action, because New York law does not recognize "strict liability” in cases such as this one. Furthermore, the Supreme Court should have granted Allstate leave to renew those branches of its motion which were to dismiss the fourth and the fifth causes of action, as it appears from the papers submitted that Allstate may, upon the production of certain additional evidence and additional arguments, be entitled to the relief requested in those branches of its motion, and because Allstate’s failure to produce such evidence or raise such arguments is, under the circumstances of this case, excusable.
Accordingly, the order appealed from is modified by deleting the provision thereof denying those branches of the defendant’s motion which were to dismiss the plaintiff’s third cause of action, and to strike the demand for punitive damages, and substituting therefor provisions granting those branches of the motion, by deleting the provision thereof
Mollen, P. J., Sullivan and Harwood, JJ., concur.
Ordered that the appeal from the decision is dismissed; and it is further,
Ordered that the order is modified, on the law, by (1) deleting the provision thereof which denied those branches of the defendant’s motion which were to dismiss the plaintiffs third cause of action and to strike the demand for punitive damages, and substituting therefor a provision granting those branches of the motion, (2) deleting the provision thereof striking the defense of the Statute of Limitations in its entirety and substituting therefor a provision striking that defense except with respect to the plaintiffs fourth and fifth causes of action, and (3) by adding a provision thereto granting the defendant leave to renew those branches of its motion which were to dismiss the fourth and fifth cause of action; as so modified, the order is affirmed; and it is further,
Ordered that the plaintiff is awarded one bill of costs.
Notes
. The subject arbitration award was made in connection with the plaintiffs application for reimbursement for medical expenses and attorneys’ fees pursuant to New York’s Comprehensive Motor Vehicle Insurance Reparations Act (Insurance Law art 51). Pursuant to that law, if Allstate’s policy was in effect on the date of the accident, then Allstate would be obligated to reimburse the plaintiff for the "basic economic loss” she suffered (see, Insurance Law § 5102 [a], [b], [j]; § 5103 [a]). The "no-fault” arbitrator determined that coverage was in effect because Allstate’s prior notice of cancellation of coverage had been defective. This arbitration award was confirmed by judgment of the Supreme Court, Kings County, dated March 1, 1979.
. The Supreme Court had determined that the summons and complaint in the underlying action had not been properly served on Mr. Thorpe pursuant to the terms of CPLR 308 (2). This court upheld the Supreme Court’s findings of fact, but reversed its order on the law, holding that the manner of service of the summons and complaint in the underlying action did comply with CPLR 308 (2) (see, Roldan v Thorpe,
. We would note, however, that it is questionable whether the practical considerations expressed in the Romano (834 F2d 968) and Fortson (751 F2d 1157) cases warrant a holding, as a matter of law, that the accrual of a bad-faith cause of action occurs not when excess liability is imposed, but rather when appellate review of the judgment imposing such liability is exhausted. Since a judgment of the Supreme Court should certainly be afforded a presumption of validity, the basic fact remains that, once the judgment in excess of the policy limits is entered, the insured’s cause of action against his insurer has accrued. The possibility of a reversal of the judgment in the underlying action on appeal is not an absolute impediment to the insured’s
. It seems to us more sound to hold that a cause of action based on a breach of the duty to defend accrues only upon the exhaustion of appellate review in the underlying action, than to hold that a cause of action based on a breach of the duty to indemnify accrues only at that late stage. This is so because the damages attributable to any breach of the duty to indemnify are ascertainable as soon as the judgment in the underlying action is entered, whereas the damages relating to a breach of the duty to defend—
. Cases such as Giblin and Barchet must be distinguished from those which deal with other, more strictly interpreted statutes. For example, New York’s wrongful death statute contains a prescriptive period which expressly runs from the death of the decedent (see, EPTL 5-4.1; D’Andrea v Long Is. R. R. Co.,