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N.Y. Cent. Mut. Fire Ins. v. Amica Mut. Ins. Co.

Appellate Division of the Supreme Court of New York, Fourth Department
Jun 22, 1990
162 A.D.2d 1009 (N.Y. App. Div. 1990)

Opinion

June 22, 1990

Appeal from the Supreme Court, Monroe County, Patlow, J.

Present — Doerr, J.P., Denman, Balio, Lawton and Lowery, JJ.


Order and judgment unanimously affirmed with costs. Memorandum: Petitioner, New York Central Mutual Fire Insurance Company, appeals from a judgment that denied its motion to vacate the award of an arbitration panel in a no-fault loss transfer arbitration proceeding. Petitioner contends that Amica Mutual Insurance Company did not file for arbitration within the three-year Statute of Limitations; that the panel lacked jurisdiction to arbitrate because the issue of no-fault coverage had not been litigated; and that its no-fault disclaimer upon the ground of intoxication should be upheld and the claim by Amica denied.

An insurer who seeks reimbursement of no-fault first-party benefits must file for arbitration of its loss transfer claim within three years from the accrual of that claim (see, Conception v. Hew Cab Corp., 114 A.D.2d 880; State Farm Mut. Auto. Ins. Co. v. Regional Tr. Serv., 79 A.D.2d 858). If, however, the issue of coverage is in litigation, the Statute of Limitations is tolled pending a final determination of that issue (11 NYCRR 65.10 [d] [5] [i]; State-Wide Ins. Co. v. Buffalo Ins. Co., 105 A.D.2d 315). In this case, an action was instituted on behalf of a person injured in the accident seeking a judgment declaring that New York Central was obligated to defend and indemnify the owner of a vehicle and its driver for personal injury claims. That litigation terminated in November 1988 with a declaration that the driver was a covered person under New York Central's policy (see, Kenyon v. Newton, 144 A.D.2d 901; see also, Kenyon v Newton, 115 A.D.2d 291, mod 117 A.D.2d 1022, lv dismissed 67 N.Y.2d 605, 852). We conclude that the Statute of Limitations was tolled during the pendency of that litigation. Petitioner's contention that the tolling provision applies only to litigation between insurers is without merit. The language of the regulation does not restrict litigation to actions between insurers. Issues concerning liability coverage can arise in numerous contexts, and we perceive no reason for applying the tolling provision only to litigation instituted by an insurer.

Petitioner's contention that the issue of no-fault coverage must be resolved in litigation before an insurer may seek mandatory arbitration also lacks merit. All disputes concerning an insurer's responsibility for first-party benefits are to be resolved in the arbitration proceeding, not in the courts (see, Insurance Law § 5105 [b]; 11 NYCRR 65.10 [a] [5]; Matter of Pacific Ins. Co. v. State Farm Mut. Auto. Ins. Co., 150 A.D.2d 455, 456; State Farm Mut. Auto. Ins. Co. v. Nationwide Mut. Ins. Co., 150 A.D.2d 976, 977-978). Petitioner contends that it is not liable for first-party benefits because the operator of the vehicle was intoxicated. That argument was not presented to the arbitration panel and is therefore not properly before us.


Summaries of

N.Y. Cent. Mut. Fire Ins. v. Amica Mut. Ins. Co.

Appellate Division of the Supreme Court of New York, Fourth Department
Jun 22, 1990
162 A.D.2d 1009 (N.Y. App. Div. 1990)
Case details for

N.Y. Cent. Mut. Fire Ins. v. Amica Mut. Ins. Co.

Case Details

Full title:NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY, Appellant, v. AMICA MUTUAL…

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

Date published: Jun 22, 1990

Citations

162 A.D.2d 1009 (N.Y. App. Div. 1990)
557 N.Y.S.2d 801

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