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Progressive Advanced Ins. Co. v. N.Y.C. Transit Auth.

SUPREME COURT OF THE STATE OF NEW YORK Appellate Division, Second Judicial Department
Nov 7, 2018
166 A.D.3d 621 (N.Y. App. Div. 2018)

Opinion

2017–05319 Index No. 706737/16

11-07-2018

In the Matter of PROGRESSIVE ADVANCED INSURANCE COMPANY, Appellant, v. NEW YORK CITY TRANSIT AUTHORITY, Respondent.

Carman, Callahan & Ingham, LLP, Farmingdale, N.Y. (James M. Carman and Paul Barrett of counsel), for appellant.


Carman, Callahan & Ingham, LLP, Farmingdale, N.Y. (James M. Carman and Paul Barrett of counsel), for appellant.

Jones Jones LLC, New York, N.Y. (Jacqueline R. Mancino of counsel), for respondent.

WILLIAM F. MASTRO, J.P., SHERI S. ROMAN, COLLEEN D. DUFFY, VALERIE BRATHWAITE NELSON, JJ.

DECISION & ORDER

In a proceeding pursuant to CPLR article 75 to vacate an arbitration award dated May 5, 2016, the petitioner appeals from an order of the Supreme Court, Queens County (Darrell L. Gavrin, J.), entered February 3, 2017. The order denied the petition to vacate the arbitration award.

ORDERED that the order is affirmed, with costs.

This appeal involves an award pursuant to the mandatory arbitration provision of Insurance Law § 5105, which governs certain disputes regarding loss transfers between insurers and compensation providers. The respondent, New York City Transit Authority (hereinafter NYCTA), sought reimbursement from the petitioner, Progressive Advanced Insurance Company (hereinafter Progressive), for workers' compensation benefits that NYCTA had paid in lieu of first party benefits. NYCTA paid the funds to its employee, who was a passenger in an NYCTA vehicle that was involved in a collision with a vehicle operated by Progressive's insured. Progressive admitted that its insured was 100% at fault in the happening of the collision; the only issue at arbitration related to the amount of damages NYCTA was entitled to recoup pursuant to the loss transfer provision.

The arbitrator determined that a 20% no-fault offset set forth in Insurance Law § 5102(b) did not apply to the workers' compensation wages portion of the benefits NYCTA had paid, because a one-third offset had already been applied to the wages pursuant to the Workers' Compensation Law. Progressive commenced this proceeding pursuant to CPLR article 75 to vacate the arbitration award, and the Supreme Court denied the petition. Progressive appeals.

To be upheld, an award in a compulsory arbitration proceeding such as this one (see Insurance Law § 5105[b] ) "must have evidentiary support and cannot be arbitrary and capricious" ( Matter of Motor Veh. Acc. Indem. Corp. v. Aetna Cas. & Sur. Co., 89 N.Y.2d 214, 223, 652 N.Y.S.2d 584, 674 N.E.2d 1349 ; see Matter of Fiduciary Ins. Co. v. American Bankers Ins. Co. of Florida, 132 A.D.3d 40, 45–46, 14 N.Y.S.3d 427 ). "Moreover, with respect to determinations of law, the applicable standard in mandatory no-fault arbitrations is whether ‘any reasonable hypothesis can be found to support the questioned interpretation’ " ( Matter of Fiduciary Ins. Co. v. American Bankers Ins. Co. of Florida, 132 A.D.3d at 46, 14 N.Y.S.3d 427, quoting Matter of Shand [Aetna Ins. Co.], 74 A.D.2d 442, 454, 428 N.Y.S.2d 462 [emphasis in original]; see Matter of Furstenberg [Aetna Cas. & Sur. Co.-Allstate Ins. Co.], 49 N.Y.2d 757, 758, 426 N.Y.S.2d 465, 403 N.E.2d 170 ).

Here, the arbitrator's determination was supported by a "reasonable hypothesis" and cannot be said to be arbitrary or capricious ( Matter of Fiduciary Ins. Co. v. American Bankers Ins. Co. of Florida, 132 A.D.3d at 46, 14 N.Y.S.3d 427 ; see Matter of Furstenberg [Aetna Cas. & Sur. Co.-Allstate Ins. Co.], 49 N.Y.2d at 758–759, 426 N.Y.S.2d 465, 403 N.E.2d 170 ).

Accordingly, we agree with the Supreme Court's determination to deny the petition to vacate the arbitration award.

MASTRO, J.P., ROMAN, DUFFY and BRATHWAITE NELSON, JJ., concur.


Summaries of

Progressive Advanced Ins. Co. v. N.Y.C. Transit Auth.

SUPREME COURT OF THE STATE OF NEW YORK Appellate Division, Second Judicial Department
Nov 7, 2018
166 A.D.3d 621 (N.Y. App. Div. 2018)
Case details for

Progressive Advanced Ins. Co. v. N.Y.C. Transit Auth.

Case Details

Full title:In the Matter of Progressive Advanced Insurance Company, appellant, v. New…

Court:SUPREME COURT OF THE STATE OF NEW YORK Appellate Division, Second Judicial Department

Date published: Nov 7, 2018

Citations

166 A.D.3d 621 (N.Y. App. Div. 2018)
166 A.D.3d 621
2018 N.Y. Slip Op. 7432

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