Summary
In Chung v. PRI, 221 AD2d 907, app. den. 1996 WL 46219, the Fourth Department held that the duty to defend is broader than the duty to indemnify if the complaint contains facts or allegations which bring the claim even potentially within the policy provisions.
Summary of this case from Physicians' Reciprocal Insurers v. GiuglianoOpinion
November 15, 1995
Appeal from the Supreme Court, Monroe County, Galloway, J.
Present — Green, J.P., Lawton, Fallon, Doerr and Boehm, JJ.
Judgment reversed on the law without costs, cross motion denied, motion granted and judgment granted in accordance with the following Memorandum: Supreme Court erred in granting summary judgment in favor of defendant, declaring that defendant has no duty to defend plaintiff, Kwan H. Chung, M.D., in the underlying action. The duty to defend is broader than the duty to indemnify and, "[i]f the complaint contains any facts or allegations which bring the claim even potentially within the protection purchased, the insurer is obligated to defend" (Technicon Elecs. Corp. v American Home Assur. Co., 74 N.Y.2d 66, 73, rearg denied 74 N.Y.2d 893). Where an insurer seeks to rely upon an exclusion clause to deny coverage, the insurer must demonstrate "that the `allegations of the complaint cast that pleading solely and entirely within the policy exclusions, and, further, that the allegations, in toto, are subject to no other interpretation'" (Technicon Elecs. Corp. v American Home Assur. Co., supra, at 73-74, quoting International Paper Co. v Continental Cas. Co., 35 N.Y.2d 322, 325).
The conduct alleged in the underlying complaint can reasonably be construed as falling within the coverage purchased by Dr. Chung, i.e., any claim arising from rendering or failing to render professional services. The allegations of the complaint do not cast the pleading solely within the policy exclusion of "Sexual Acts" and are not "`subject to no other interpretation'" (Technicon Elecs. Corp. v American Home Assur. Co., supra, at 74). The complaint can reasonably be read as alleging that Dr. Chung was negligent in his professional treatment of plaintiff, which caused her to suffer humiliation, mental anguish and self-loathing. We, therefore, grant judgment declaring that defendant is obligated to provide a defense for Dr. Chung in the underlying action.
All concur except Green, J.P., and Lawton, J., who dissent and vote to affirm for reasons stated in decision at Supreme Court, Galloway, J.