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Gurnee v. Aetna Life & Casualty Co.

Court of Appeals of the State of New York
Feb 18, 1982
55 N.Y.2d 184 (N.Y. 1982)

Summary

In Gurnee v Aetna Life Cas. Co. (55 NY2d 184, 193, cert denied 459 US 837), the Court of Appeals recognized, albeit in dicta, that the six-year statute of limitations, as provided in CPLR 213, applied to a cause of action based upon wrongfully withheld first-party benefits.

Summary of this case from Frank v. Travelers

Opinion

Argued January 12, 1982

Decided February 18, 1982

Appeal from the Appellate Division of the Supreme Court in the Fourth Judicial Department, JAMES B. KANE, J.

Appeal from the Appellate Division of the Supreme Court in the First Judicial Department, HILDA G. SCHWARTZ, J.

Willard M. Pottle, Jr., for appellant in the first above-entitled action. Lawrence Milberg and Jeremy M. Heisler for appellant in the second above-entitled action. Charles Platto, William E. Hegarty, Kevin J. Burke and Ralph L. Halpern for respondent in the first above-entitled action.

Eugene A. Leiman for Maryland Casualty Company, respondent in the second above-entitled action.

Sheldon V. Burman for Samuel Uretsky and others, amici curiae, in the first above-entitled action.

Robert Abrams, Attorney-General ( Shirley Adelson Siegel and Robert S. Hammer of counsel), for Superintendent of Insurance of the State of New York, amicus curiae, in the second above-entitled action.



These cases present the question whether the holding of Kurcsics v Merchants Mut. Ins. Co. ( 49 N.Y.2d 451) should be given retroactive effect. For the outlined reasons, this court holds that Kurcsics should be applied to all claims not barred by the Statute of Limitations.

In Kurcsics, the court construed the phrase "first party benefits", contained in section 671 of the Insurance Law, as it related to no-fault insurance protection. The court held that under section 671, a covered person injured in a motor vehicle accident who sustained lost earnings of more than $1,000 per month can recover as first-party benefits 80% of his or her actual lost earnings up to a maximum of $1,000 per month. The court rejected the Superintendent of Insurance's interpretation of section 671 as limiting recovery for lost earnings to a maximum of 80% of $1,000, or $800.

Morris Gurnee, plaintiff in one of the instant actions, was injured in November, 1977 while driving a car owned by an insured of Aetna Life and Casualty Company. He claimed lost wages of more than $3,200 per month. Aetna paid him $800 per month, in accordance with State Insurance Department regulations. After this court decided Kurcsics in February, 1980, Gurnee sued Aetna, claiming he was entitled to the maximum $1,000 per month for lost earnings. Supreme Court granted defendant's motion to dismiss the complaint for failure to state a cause of action, holding that Kurcsics should not be applied retroactively. That court also denied as academic plaintiff's motion to maintain the lawsuit as a class action. The Appellate Division affirmed.

Moshe Weinreich was injured in an accident in July, 1975 involving a vehicle insured by State-Wide Insurance Company. In the wake of Kurcsics, he sued State-Wide, alleging that it refused to pay him more than $800 per month in lost wages even though he was entitled to $1,000. Weinreich also moved for an order determining that the suit could be brought as a class action. Supreme Court granted defendant's motion to dismiss for failure to state a cause of action, holding that Kurcsics was not retroactive, and denied the motion for class certification. Appellate Division affirmance followed.

In determining whether the holding of Kurcsics is applicable to other claims that arose before the decision was handed down, it is questionable whether retroactivity analysis is relevant with respect to the application of the first decision of the State's highest court interpreting a new statute. Such analysis is traditionally used where there has been an abrupt shift in controlling decisional law. In Kurcsics, this court merely construed, at its first opportunity to do so, the language of a statute that had been in effect since 1974.

Even under what might be described as the traditional retroactivity analysis, however, it is clear that Kurcsics should be accorded full retroactive effect. Several principles provide guidance for such examination. First, it is well established that, "consonant with the common law's policy-laden assumptions, a change in decisional law usually will be applied retrospectively to all cases still in the normal litigating process" ( Gager v White, 53 N.Y.2d 475, 483; see People v Pepper, 53 N.Y.2d 213, 219-220; People v Morales, 37 N.Y.2d 262, 267-269; Kelly v Long Is. Light. Co., 31 N.Y.2d 25, 29, n 3; Knapp v Fasbender, 1 N.Y.2d 212, 243). As an exception to this general rule, however, "where there has been such a sharp break in the continuity of law that its impact will 'wreak more havoc in society than society's interest in stability will tolerate'" a court may direct that the new pronouncement operate prospectively alone ( Gager v White, supra, at pp 483-484, quoting Fairchild, Limitation of New Judge-Made Law to Prospective Effect Only: "Prospective Overruling" or "Sunbursting", 51 Marq L Rev 254).

In Chevron Oil Co. v Huson ( 404 U.S. 97, 106-107), the Supreme Court outlined three factors to consider in determining if a ruling should be prospective only. "First, the decision to be applied nonretroactively must establish a new principle of law, either by overruling clear past precedent on which litigants may have relied * * * or by deciding an issue of first impression whose resolution was not clearly foreshadowed" (404 US, at p 106). Second, the prior history of the rule at issue and the impact of retroactive application upon its purpose and effect should be considered. Finally, the court should take into account any inequity that would be created by retroactive application ( id.).

Turning to the instant cases, defendants argue that Kurcsics should not be applied retroactively because its result was not clearly foreshadowed. In this regard it is important to emphasize that Kurcsics did not "establish a new principle of law." It merely construed a statute that had been in effect for a number of years. It is true that the Insurance Department had promulgated regulations based on a construction of section 671 contrary to that subsequently articulated by this court. A judicial decision construing the words of a statute, however, does not constitute the creation of a new legal principle. Additionally, the definitional language of section 671 itself foreshadowed the conclusion this court first had the opportunity to express in Kurcsics.

With respect to the second factor set forth in Chevron, defendants argue that the purposes of the legislation would not be furthered because retroactive application of Kurcsics would reduce neither insurance premium rates nor the number of law suits stemming from automobile accidents, both admittedly salutary goals of the no-fault scheme. In Montgomery v Daniels ( 38 N.Y.2d 41, 55), however, this court stated that a crucial facet of the Legislature's plan in enacting article 18 of the Insurance Law consisted of "guaranteeing prompt and full compensation of economic losses up to $50,000 without the necessity of recourse to the courts" (emphasis added). It is this right of an injured party to prompt and full compensation that offsets the no-fault law's elimination of the ability to recover for pain and suffering for relatively minor injuries (see N Y Legis Ann, 1973, p 298; 2 McKinney's Session Laws of NY, 1973, p 2335). An important aspect of the no-fault scheme, then, was the provision of first-party benefits. "Full compensation" under the scheme includes the amount of lost earnings allowed by section 671. To argue that application of the correct interpretation of section 671 will not further the purposes of the no-fault legislation is to ignore these crucial benefits. Indeed, to deny Kurcsics application to these cases would directly contradict the legislative design.

The third factor cited in Chevron entails weighing relative burdens that would be imposed upon either party if Kurcsics were given retroactive effect. Defendants maintain that they based their premium rates upon the assumption that their liability for lost earnings would be limited to $800 per month. They assert that a determination that their maximum liability was $1,000 per month would create severe financial hardships. Whatever hardships may be suffered by insurers who erroneously believed that their maximum exposure was $800 per month for lost earnings, however, is more than outweighed by the hardship suffered by those injured individuals who received only $800 per month for lost earnings although entitled to a maximum of $1,000 per month. As this court observed in Montgomery v Daniels ( 38 N.Y.2d 41, 55, supra), the no-fault legislation foreclosed recovery for pain and suffering by persons who had suffered relatively minor injuries in automobile accidents, but balanced this by providing a means of obtaining prompt and full recovery for certain economic losses. Plaintiffs were denied the ability to sue for pain and suffering, yet they were also denied the full recovery to which they were entitled under that scheme. The unfairness to such injured persons outweighs whatever financial burden may be imposed on insurers. With respect to this burden, it should be noted that the applicable six-year Statute of Limitations has already extinguished a portion of the insurers' potential liability (see CPLR 213).

When all of the applicable criteria are considered, retroactive application of Kurcsics is mandated. In sum, that case established no new principle of law; it merely construed the language of a statute that was already in existence. Also, the purposes of the no-fault insurance legislation would be furthered by retroactive application of Kurcsics. And, finally, a balancing of the equities dictates that the injured parties not be made to bear the burden of foregoing part of the recovery to which they were statutorily entitled.

Defendants also raise constitutional challenges to retroactive application of Kurcsics. These arguments, however, are unpersuasive. Kurcsics merely construed the language of a statute governing certain provisions required of automobile insurance contracts. Such a judicial construction cannot, by its very nature, constitute a "Law impairing the Obligation of Contracts" (US Const, art I, § 10, par 1). Likewise, retroactive application of Kurcsics effects no unconstitutional taking of property without due process. Requiring defendants to pay covered persons according to the command of a statute governing their insurance policies and in effect when those policies were written simply is not a "taking". There is thus no persuasive reason why this court's construction of section 671 should not be held applicable to all claims that are not time-barred. To the contrary, equitable considerations and the nature of this court's decision in Kurcsics require that Kurcsics be applied retroactively. Plaintiffs' complaints therefore should not have been dismissed for failure to state a cause of action.

With respect to plaintiffs' motions for orders determining that they could bring their suits as class actions, this court has no occasion at this point to address the merits. The motions were denied as academic, in one case explicitly and in the other implicitly, in light of the dismissals of plaintiffs' complaints for failure to state a cause of action. Given the inherently factual and discretionary nature of such determinations (see Ray v Marine Midland Grace Trust Co., 35 N.Y.2d 147, 155; Siegel, New York Practice, § 147), the merits of the motions should first be explored and considered by the trial courts (see CPLR 901- 909).

Accordingly, the orders of the Appellate Divisions should be reversed, with costs, and defendants' motions to dismiss the complaints should be denied.

Judges JASEN, GABRIELLI, JONES, WACHTLER and MEYER concur; Judge FUCHSBERG taking no part.

In Gurnee v Aetna Life Cas. Co.: Order reversed, with costs, and defendant's motion to dismiss the complaint denied.

In Weinreich v State-Wide Ins. Co.: Order reversed, with costs, and defendants' motions to dismiss the complaint denied.


Summaries of

Gurnee v. Aetna Life & Casualty Co.

Court of Appeals of the State of New York
Feb 18, 1982
55 N.Y.2d 184 (N.Y. 1982)

In Gurnee v Aetna Life Cas. Co. (55 NY2d 184, 193, cert denied 459 US 837), the Court of Appeals recognized, albeit in dicta, that the six-year statute of limitations, as provided in CPLR 213, applied to a cause of action based upon wrongfully withheld first-party benefits.

Summary of this case from Frank v. Travelers

In Gurnee, the Court of Appeals determined that retroactive effect should be accorded its decision inKurcsics v. Merchants Mut. Ins. Co. (49 N.Y.2d 451), which, inter alia, invalidated Insurance Department regulations that erroneously interpreted a statute.

Summary of this case from Montgomerie v. Tax Appeals Tribunal

In Gurnee v. Aetna Life Cas. Co. (55 N.Y.2d 184), the Court of Appeals held that Kurcsics should be accorded full retroactive effect as to all claims not barred by the Statute of Limitations.

Summary of this case from Benson v. Boston Old Colony Insurance Co.

In Gurnee the New York Court of Appeals held that its earlier decision construing the New York no-fault statutory phrase "first party benefits" should be applied retroactively to all claims not barred by the statute of limitations.

Summary of this case from Baker v. Aetna Cas. Sur. Co.

In Gurnee, the Court of Appeals held that its decisionKurcsics v. Merchants Mut. Ins. Co., 49 N.Y.2d 451, 454, 426 N.Y.S.2d 454, 403 N.E.2d 159 [1980]concerning the term "first party benefits" as used in the Insurance Law should be applied retroactively to all cases not barred by the statute of limitations.

Summary of this case from GS Capital Partners, LLC v. FTE Networks, Inc.

In Gurnee v Aetna Life Cas. Co. (55 N.Y.2d 184), the Court of Appeals considered whether its construction of Insurance Law § 671 in Kurcsics v Merchants Mut. Ins. Co. (49 N.Y.2d 451) should be given retroactive application.

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In Gurnee, full retroactivity affected "all claims not barred by the Statute of Limitations", precisely what petitioners need, but do not have here (supra, at 190).

Summary of this case from Dreska v. Nassau County

In Gurnee v Aetna Life Cas. Co. (55 N.Y.2d 184, cert den 459 U.S. 837), the Court of Appeals codified Gager and adopted the three-part standard for retroactive application set forth by the United States Supreme Court in Chevron Oil Co. v Huson (404 U.S. 97).

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Case details for

Gurnee v. Aetna Life & Casualty Co.

Case Details

Full title:MORRIS C. GURNEE, Appellant, v. AETNA LIFE AND CASUALTY COMPANY…

Court:Court of Appeals of the State of New York

Date published: Feb 18, 1982

Citations

55 N.Y.2d 184 (N.Y. 1982)
448 N.Y.S.2d 145
433 N.E.2d 128

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