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Redeye v. Progressive Ins. Co.

Supreme Court, Appellate Division, Fourth Department, New York.
Nov 13, 2015
133 A.D.3d 1261 (N.Y. App. Div. 2015)

Opinion

11-13-2015

Daniel REDEYE, Plaintiff–Appellant, v. PROGRESSIVE INSURANCE COMPANY, Defendant–Respondent.

Cellino & Barnes, P.C., Buffalo (Gregory V. Pajak of Counsel), for Plaintiff–Appellant. Hurwitz & Fine, P.C., Buffalo (Dan D. Kohane of Counsel), for Defendant–Respondent. PRESENT: SCUDDER, P.J., SMITH, CENTRA, WHALEN, AND DeJOSEPH, JJ.


Cellino & Barnes, P.C., Buffalo (Gregory V. Pajak of Counsel), for Plaintiff–Appellant.

Hurwitz & Fine, P.C., Buffalo (Dan D. Kohane of Counsel), for Defendant–Respondent.

PRESENT: SCUDDER, P.J., SMITH, CENTRA, WHALEN, AND DeJOSEPH, JJ.

Opinion

MEMORANDUM:

Plaintiff commenced this action seeking supplementary uninsured/underinsured motorist (SUM) benefits from defendant, his motor vehicle liability insurer. Plaintiff was a pedestrian who was injured after a vehicle operated by a drunk driver collided with a parked vehicle, which was propelled into plaintiff and two other pedestrians. Plaintiff commenced an action against the driver of the vehicle as well as a fire company that allegedly served the driver alcoholic beverages prior to the accident, and he received a settlement from both. Defendant denied plaintiff's claim for SUM benefits, stating that coverage was exhausted by the recovery from both the driver and the fire company, prompting plaintiff to commence this action.

Supreme Court properly granted defendant's motion for summary judgment seeking, inter alia, to dismiss the complaint. Plaintiff does not dispute that the SUM coverage is properly reduced by the amount he recovered from the driver's insurer. He contends, however, that it was improper to reduce the SUM coverage from the amount he received from the fire company under its general liability insurance policy. We reject that contention. Condition 11(e) of the SUM endorsement under defendant's policy provided that SUM coverage “shall not duplicate ... any amounts recovered as bodily injury damages from sources other than motor vehicle bodily injury liability insurance policies or bonds.” Here, the payment plaintiff received from the fire company's insurer was for bodily injury damages, and thus the amount of SUM benefits available to plaintiff was properly reduced by that amount (see Weiss v. Tri–State Consumer Ins. Co., 98 A.D.3d 1107, 1110–1111, 951 N.Y.S.2d 191).

Contrary to plaintiff's contention, the policy is not ambiguous and condition 11 does not conflict with condition 6 of the SUM endorsement (see generally Dean v. Tower Ins. Co. of N.Y., 19 N.Y.3d 704, 708, 955 N.Y.S.2d 817, 979 N.E.2d 1143; White v. Continental Cas. Co., 9 N.Y.3d 264, 267, 848 N.Y.S.2d 603, 878 N.E.2d 1019). Condition 6 provides that the maximum payment under the SUM endorsement is the difference between the SUM limit and any payments received from a motor vehicle bodily injury liability policy. It does not state that the difference is “the” SUM payment that is to be given to plaintiff, but rather it states that the difference is the “maximum” payment, which the average insured would understand to mean that it could be further reduced (see generally Dean, 19 N.Y.3d at 708, 955 N.Y.S.2d 817, 979 N.E.2d 1143). Condition 6 and condition 11 together resulted in a reduction in the SUM benefits available by the total settlement received by plaintiff in his prior action.

It is hereby ORDERED that the order and judgment so appealed from is unanimously affirmed without costs.


Summaries of

Redeye v. Progressive Ins. Co.

Supreme Court, Appellate Division, Fourth Department, New York.
Nov 13, 2015
133 A.D.3d 1261 (N.Y. App. Div. 2015)
Case details for

Redeye v. Progressive Ins. Co.

Case Details

Full title:Daniel REDEYE, Plaintiff–Appellant, v. PROGRESSIVE INSURANCE COMPANY…

Court:Supreme Court, Appellate Division, Fourth Department, New York.

Date published: Nov 13, 2015

Citations

133 A.D.3d 1261 (N.Y. App. Div. 2015)
19 N.Y.S.3d 645
2015 N.Y. Slip Op. 8309

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