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Matter of Govt. Employees Ins. v. DePietto

Appellate Division of the Supreme Court of New York, Second Department
Apr 29, 1996
226 A.D.2d 723 (N.Y. App. Div. 1996)

Opinion

April 29, 1996

Appeal from the Supreme Court, Nassau County (Ain, J.).


Ordered that the order is reversed, on the law, with costs, and the matter is remitted to the Supreme Court, Nassau County, for a hearing in accordance herewith and a new determination; and it is further,

Ordered that the arbitration is temporarily stayed pending the hearing and new determination.

When, as here, the arbitration clause of the insurance policy limits arbitration to essentially two questions — the right to recover from the alleged tortfeasor and the amount of the insured's damages — the issue of whether the underinsured motorist provisions of the insurance policy apply is for the court to determine in the first instance and not the arbitrator ( see, Matter of State Farm Mut. Ins. Co. v. Donath, 164 A.D.2d 889). Since there was a disputed question of fact about whether the alleged tortfeasor's motor vehicle was underinsured, a hearing should be held to resolve that issue. Similarly, the hearing should encompass the questions of whether the respondent breached the insurance policy by settling his claim with the alleged tortfeasor without the consent of the petitioner ( see, Matter of Aetna Cas. Sur. Co. v. Crown, 181 A.D.2d 883; see also, Morrison v. Worldwide Ins. Group, 212 A.D.2d 518), and whether the petitioner is entitled to offset the underinsured motorist benefits by the amount of the respondent's settlement with the alleged tortfeasor ( see, Matter of Kansas City Fire Mar. Ins. Co. [Barnes], 115 A.D.2d 311). Santucci, J.P., Altman, Krausman and Goldstein, JJ., concur.


Summaries of

Matter of Govt. Employees Ins. v. DePietto

Appellate Division of the Supreme Court of New York, Second Department
Apr 29, 1996
226 A.D.2d 723 (N.Y. App. Div. 1996)
Case details for

Matter of Govt. Employees Ins. v. DePietto

Case Details

Full title:In the Matter of GOVERNMENT EMPLOYEES INSURANCE COMPANY, Appellant, v…

Court:Appellate Division of the Supreme Court of New York, Second Department

Date published: Apr 29, 1996

Citations

226 A.D.2d 723 (N.Y. App. Div. 1996)
641 N.Y.S.2d 403

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