“Workers’ compensation benefits are the sole and exclusive remedy of an employee against his employer for injuries in the course of employment” (internal quotation marks and alteration omitted)
How later courts described this case
- “Workers’ compensation benefits are the sole and exclusive remedy of an employee against his employer for injuries in the course of employment” (internal quotation marks and alteration omitted)
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF NEW YORK
---------------------------------------------------------------X
AXIS CONSTRUCTION CORP.,
Plaintiff, MEMORANDUM AND ORDER
- against - 2:20-cv-1125 (DRH) (ARL)
TRAVELERS INDEMNITY COMPANY OF
AMERICA and STATE NATIONAL
INSURANCE COMPANY,
Defendants.
---------------------------------------------------------------X
APPEARANCES
CHARTWELL LAW
Attorneys for Plaintiff
1 Battery Park Plaza, Suite 710
New York, NY 10004
By: Matthew D. Kraus, Esq.
KEANE & ASSOCIATES
Attorneys for Defendant Travelers Insurance Company of America
P.O. Box 2996
Hartford, CT 06104
By: Meg R. Reid, Esq.
STONBERG MORAN, LLP
Attorneys for Defendant State National Insurance Company
505 Eighth Avenue, Suite 2302
New York, NY 10018
By: Sherri N. Pavloff, Esq.
HURLEY, Senior District Judge:
INTRODUCTION
Plaintiff Axis Construction Corp. (“Axis”) brought this action against
Defendants Travelers Insurance Company of America (“Travelers”) and State
National Insurance Company (“SNIC” and with Travelers, “Defendants”) seeking a
declaration that each Defendant owes a duty to defend and indemnify Plaintiff on a
primary and noncontributory basis in an underlying personal injury action.
Presently before the Court is Axis’s motion for partial summary judgment and
Travelers’s cross-motion for summary judgment, each pursuant to Federal Rule of
Civil Procedure 56, on the issue of Travelers’s duty to defend. For the reasons below,
Axis’s motion is granted and Travelers’s motion is denied. Travelers has a duty to
defend Axis.
BACKGROUND
The following facts, taken from the parties’ Local Rule 56.1 statements, are
undisputed unless otherwise noted. (See Pl.’s Local Civil Rule 56.1 Statement (“Axis
56.1”) [DE 27-1]; Def. Travelers’s Local Rule Statement (“Trav. 56.1”) [DE 28-1]; Def.
SNIC Response Statement (“SNIC 56.1”) [DE 29-1]; Pl.’s Reply Statement (“Axis
Reply 56.1”) [DE 30-1]).
A. The Contracts
On November 30, 2016, Axis became the general contractor of a construction
project at 3635 Express Drive North, Islandia, New York (the “Project”). (Axis 56.1
¶ 3). Axis engaged two subcontractors for work on the project: nonparties
(i) American Wood Installers (“AWI”) for millwork installation, pursuant to a
December 27, 2016 contract relating only to the Project, and (ii) ABC Contracting,
Inc. (“ABC”) for flooring installation, pursuant to an evergreen contract entered
January 1, 2016. (Id. ¶ 14; Trav. 56.1 ¶ 29).1 Each subcontract required the
1 See AWI Subcontract [DE 27-12], Ex. 6 to Decl. of Matthew Kraus (“Kraus
Decl.”) [DE 27-3]; ABC Subcontract [DE 28-3], Ex. A to Decl. of Meg R. Reid (“Reid
Decl.”) [DE 28-2].
subcontractor to procure commercial liability insurance coverage that included Axis
as an additional insured on a “primary and noncontributory” basis “for claims caused
in whole or in part by the [s]ubcontractor’s negligent acts or omissions.” (Axis 56.1
¶ 16; AWI Subcontract §§ 14.4, 14.4.1, 14.4.2; ABC Subcontract §§ 14.4, 14.4.1,
14.4.2). Each subcontract also stated, “The [s]ubcontractor shall not be held
responsible for conditions caused by other contractors or subcontractors.” (Trav. 56.1
¶ 28; AWI Subcontract § 5.4.1; ABC Subcontract § 5.4.1).
AWI obtained commercial general liability insurance from Defendant
Travelers, effective from August 8, 2016 to August 8, 2017, with policy number CO-
1G403676. (Axis 56.1 ¶ 17). The policy’s “Blanket Additional Insured (Contractors)”
endorsement makes Axis an additional insured “to the extent that [] injury or damage
is caused by acts or omissions of [AWI] in the performance of [AWI’s] work” pursuant
to its subcontract with Axis. (Id. ¶ 19 (internal quotation marks omitted)).
Travelers’s policy does not insure Axis “with respect to [Axis or others’] independent
acts or omissions.” (Id.). When any “other insurance” covers Axis for the same loss
that Travelers covers Axis, Travelers’s coverage is “primary” if Axis is a named
insured in the “other insurance” and “excess” if Axis is an additional insured therein.
(Axis 56.1 ¶ 19; see Trav. 56.1 ¶ 28). When Travelers’s insurance is excess, it has “no
duty . . . to defend [Axis] against any ‘suit’ if any other insurer has a duty to defend
[Axis] against that suit.” (Trav. 56.1 ¶ 31).
ABC obtained commercial general liability insurance from Defendant SNIC,
effective January 26, 2016 to January 26, 2017, with policy number CTM1600010,
that named Axis as an additional insured. (Id. ¶ 32). SNIC’s duty to defend Axis is
no longer in issue, their dispute has narrowed to SNIC’s duty to indemnify, and
neither duty is presently before the Court. (Axis Mem. in Support at 1 n.1 (“Axis
Mem.”) [DE 27-2]).
B. The Underlying Filippone Action
On January 19, 2017, nonparty Peter Filippone—an AWI employee—sustained
personal injuries after tripping on Masonite sheets (flooring protection) left untaped
to the floor of the Project jobsite. (Trav. 56.1 ¶ 22). He filed a lawsuit on March 20,
2017 in New York State Supreme Court, Suffolk County against Axis, among others.
(Axis 56.1 ¶¶ 1, 2; see Am. Compl., Filippone v. Delaware North, Index No.
605017/2017 (N.Y. Sup. Ct., Suffolk Cnty.) (“Filippone AC”), Ex 2 [DE 27-8] to Kraus
Decl.). Filippone asserts that Axis, ABC, and/or others’ negligence and New York
Labor Law violations created the tripping hazard that proximately caused his
injuries. (Axis 56.1 ¶ 7). Filippone has not named his employer AWI a defendant.
(See Filippone AC).
On June 5, 2017, Axis tendered its defense to Travelers. (Ex. 10 [DE 27-16] to
Kraus Decl.). Travelers denied the tender on June 28, citing the absence of evidence
demonstrating that the loss “arose out of [AWI’s] work” and the absence of “any
finding of negligence against” AWI. (Ex. 11 [DE 27-17] to Kraus Decl.). In particular,
Travelers noted Filippone’s accident involved Masonite flooring, which “was not the
responsibility of” AWI. (Id.) Axis impleaded AWI and ABC in the Filippone Action
on October 3, 2017. (Axis ¶ 8; Third Party Filippone Compl., Ex. 3 [DE 27-9] to Kraus
Decl.). Axis seeks indemnification from AWI, asserting AWI’s negligence and New
York Labor Law violations created the hazard and proximately caused Filippone’s
injuries. (Axis ¶¶ 10–13; see Third Party Filippone Compl.). On May 23, 2019 and
August 19, 2019, Travelers adhered to its decision to deny Axis a defense. (Axis
¶¶ 20–21).
C. Procedural Posture of the Present Action
Axis brought the instant case on January 13, 2020 in New York State Supreme
Court, Suffolk County seeking a declaration that Travelers and SNIC owe it a defense
in the Filippone Action. (Notice of Removal ¶ 1 [DE 1]). Travelers removed the case
to this Court on February 28, 2020. (Id.). Axis moved for partial summary judgment
on Travelers’s duty to defend on January 8, 2021 and Travelers cross-moved on the
same issue on March 16, 2021. (Axis Mem.; Trav. Opp. & Cross-Mot. [DE 28]).
LEGAL STANDARD
Summary judgment, pursuant to Rule 56, is appropriate only where the
movant “shows that there is no genuine dispute as to any material fact and the
movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). The relevant
governing law in each case determines which facts are material; “[o]nly disputes over
facts that might affect the outcome of the suit under the governing law will properly
preclude the entry of summary judgment.” Anderson v. Liberty Lobby, Inc., 477 U.S.
242, 248 (1986). When making this determination, a court must view all facts “in the
light most favorable” to the non-movant, Tolan v. Cotton, 572 U.S. 650, 656–57 (2014),
and “resolve all ambiguities and draw all permissible factual inferences in favor of
the [non-movant],” Johnson v. Killian, 680 F.3d 234, 236 (2d Cir. 2012) (quoting Terry
v. Ashcroft, 336 F.3d 128, 137 (2d Cir. 2003)). Thus, “[s]ummary judgment is
appropriate [only] where the record taken as a whole could not lead a rational trier
of fact to find for the [non-movant].” Id. (quoting Matsushita Elec. Indus. Co. v. Zenith
Radio Corp., 475 U.S. 574, 587 (1986)) (internal quotation marks omitted).
To defeat a summary judgment motion properly supported by affidavits,
depositions, or other documentation, the non-movant must offer similar materials
setting forth specific facts demonstrating that there is a genuine dispute of material
fact to be tried. Wright v. Goord, 554 F.3d 255, 266 (2d Cir. 2009). The non-movant
must present more than a “scintilla of evidence,” Fabrikant v. French, 691 F.3d 193,
205 (2d Cir. 2012) (quoting Anderson, 477 U.S. at 252), or “some metaphysical doubt
as to the material facts,” Brown v. Eli Lilly & Co., 654 F.3d 347, 358 (2d Cir. 2011)
(quoting Matsushita, 475 U.S. at 586–87), and “may not rely on conclusory allegations
or unsubstantiated speculation,” id. (quoting FDIC v. Great Am. Ins. Co., 607 F.3d
288, 292 (2d Cir. 2010)).
The district court considering a summary judgment motion must also be
“mindful . . . of the underlying standards and burdens of proof,” Pickett v. RTS
Helicopter, 128 F.3d 925, 928 (5th Cir. 1997) (citing Anderson, 477 U.S. at 252),
because the “evidentiary burdens that the respective parties will bear at trial guide
district courts in their determination[s] of summary judgment motions,” Brady v.
Town of Colchester, 863 F.2d 205, 211 (2d Cir. 1988). “[W]here the [non-movant] will
bear the burden of proof on an issue at trial, the moving party may satisfy its burden
by pointing to an absence of evidence to support an essential element of the [non-
movant’s] case.” Crawford v. Franklin Credit Mgmt. Corp., 758 F.3d 473, 486 (2d Cir.
2014) (quoting Brady, 863 F.2d at 210–11) (internal quotation marks omitted).
Where a movant without the underlying burden of proof offers evidence that the non-
movant has failed to establish his claim, the burden shifts to the non-movant to offer
“persuasive evidence that his claim is not ‘implausible.’” Brady, 863 F.2d at 211
(citing Matsushita, 475 U.S. at 587). “[A] complete failure of proof concerning an
essential element of the [non-movant’s] case necessarily renders all other facts
immaterial.” Crawford, 758 F.3d at 486 (quoting Celotex Corp. v. Catrett, 477 U.S.
317, 323 (1986).
DISCUSSION
The motions concern Travelers’s duty to defend Axis in two respects:
(I) whether the allegations in the Filippone Action give rise to a reasonable possibility
of coverage under Travelers’s policy, or whether Travelers has knowledge of facts
which potentially bring the Filippone Action within its policy coverage, and, if so,
(II) whether Travelers is nevertheless relieved of its duty to defend Axis because such
coverage would be excess. Before discussing each in turn, the Court briefly addresses
the governing law and New York state insurance law.
The Court’s subject-matter jurisdiction exists pursuant to the parties’ diversity
of citizenship;2 accordingly, the law of the forum state—New York—governs the
2 Axis is a New York corporation with a principal place of business in New York,
Travelers is a Connecticut corporation with a principal place of business in
Connecticut, and SNIC is a Texas corporation with a principal place of business in
choice of law over the dispute. AEI Life LLC v. Lincoln Benefit Co., 892 F.3d 126, 132
(2d Cir. 2018). Because all parties apply the forum state’s substantive law to the
issues, “their consent concludes the choice of law inquiry.” Texaco A/S (Denmark) v.
Com. Ins. Co. of Newark, NJ, 160 F.3d 124, 128 (2d Cir. 1998) (quoting Am. Fuel Corp.
v. Utah Energy Dev. Co., 122 F.3d 130, 134 (2d Cir. 1997)). New York state law thus
governs the matter.
New York law subjects insurance agreements to the ordinary “principles of
contract interpretation,” “giv[ing] full meaning and effect” to all contractual
provisions and construing unambiguous provisions in line with “their plain and
ordinary meaning.” Burlington Ins. Co. v. NYC Transit Authority, 29 N.Y.3d 313, 321
(N.Y. 2017) (internal quotation marks omitted); White v. Cont’l Cas. Co., 9 N.Y.3d
264, 267 (N.Y. 2007). Interpretation of unambiguous insurance agreement provisions
is a matter of law for the court. Burlington Ins., 29 N.Y.3d at 321.
I. Duty to Defend
“In New York, an insurer’s duty to defend is ‘exceedingly broad’ and distinct
from the duty to indemnify.” Euchner-USA, Inc. v. Hartford Cas. Ins. Co., 754 F.3d
136, 140 (2d Cir. 2014) (quoting Auto. Ins. Co. of Hartford v. Cook, 7 N.Y.3d 131, 137
(N.Y. 2006)). “An insurer may refuse to defend ‘only if it could be concluded as a
matter of law that there is no possible factual or legal basis on which [the insurer]
might eventually be held to be obligated to indemnify [the insured] under any
provision of the insurance policy.’” CGS Indus., Inc. v. Charter Oak Fire Ins. Co., 720
Texas. Notice of Removal ¶¶ 7–9. The amount in controversy exceeds $75,000. Id.
¶ 10.
F.3d 71, 82 (2d Cir. 2013) (alterations in original) (quoting Servidone Constr. Corp. v.
Sec. Ins. Co. of Hartford, 64 N.Y.2d 419, 424 (N.Y. 1985)). In other words, an insurer
must defend an insured if a “reasonable possibility” of recovery under the policy exists
pursuant to either (a) the allegations in the underlying action or (b) the insurer’s
actual knowledge of the facts. Fitzpatrick v. Am. Honda Motor Co., 78 N.Y.2d 61, 65–
66 (N.Y. 1991). “This standard applies equally to additional insureds and named
insureds.” Regal Const. Corp. v. Nat’l Union Fire Ins. Co. of Pittsburgh, PA, 15 N.Y.3d
34, 37 (N.Y. 2010).
An underlying complaint is “the significant and usual touchstone for
determining” an insurer’s duty to defend, but its allegations are not “controlling.”
Fitzpatrick, 78 N.Y.2d at 65–66. The insurer must also consider “judicial admissions
in the insured’s responsive pleadings in the underlying tort action or other formal
submissions in the current or underlying litigation to confirm or clarify the nature of
the underlying claims.” Northville Indus. Corp. v. Nat’l Union Fire Ins. Co. of
Pittsburgh, Pa., 89 N.Y.2d 621, 635 (N.Y. 1997). That includes a “third-party
complaint brought in the underlying action by plaintiffs herein,” i.e., allegations
pleaded in the underlying action by the plaintiff in the coverage action. All State
Interior Demolition Inc. v. Scottsdale Ins. Co., 168 A.D.3d 612, 613 (N.Y. App. Div.,
1st Dep’t 2019); City of New York v. Evanston Ins. Co., 39 A.D.3d 153, 158, (N.Y. App.
Div., 2d Dep’t 2007); New York City Transit Auth. v. Aetna Cas. & Sur. Co., 207
A.D.2d 389 (N.Y. App. Div., 2d Dep’t 1994).
An insurer’s duty to defend
arises whenever the allegations in the complaint fall within the risk
covered by the policy. It therefore includes the defense of those actions
in which alternative grounds are asserted, even if some are without the
protection purchased. Further, a policy protects against poorly or
incompletely pleaded cases as well as those artfully drafted. Thus the
question is not whether the complaint can withstand a motion to dismiss
for failure to state a cause of action. Nor is the insured’s ultimate
liability a consideration. If, liberally construed, the claim is within the
embrace of the policy, the insurer must come forward to defend its
insured no matter how groundless, false or baseless the suit may be.
Ruder & Finn Inc. v. Seaboard Sur. Co., 52 N.Y.2d 663, 669–70 (N.Y. 1981); see
Schwamb v. Fireman’s Ins. Co. of Newark, NJ, 41 N.Y.2d 947, 949 (N.Y. 1977) (“So
long as the claims, even though predicated on debatable or even untenable theory,
may rationally be said to fall within policy coverage, whatever may later prove to be
the limits of the insurer’s responsibility to pay, there is no doubt that it is obligated
to defend.”).
Axis’s coverage here turns on Travelers’s Blanket Additional Insured
(Contractors) endorsement. It depends, therefore, on whether Filippone’s injuries
were “caused by the acts or omissions of” Travelers’s named insured, AWI, “in the
performance of [AWI’s] work” pursuant to its subcontract with Axis, or, alternatively,
whether Axis’s (or others’) “independent acts or omissions” caused the harm. See Axis
56.1 ¶ 19. Courts applying New York law interpret this endorsement to trigger
coverage where the named insured’s operations are alleged to have proximately
caused the bodily injury for which coverage is sought. Burlington Ins., 29 N.Y.3d at
324–25. “If there is no reasonable possibility that the proximate cause of [Filippone’s]
injury was [AWI]—i.e., if the only reasonable possibility is that [Axis or others’]
conduct caused the injury—[Travelers] would not be obligated to defend [Axis].” See
Charter Oak Fire Ins. Co. v. Zurich Am. Ins. Co., 462 F. Supp. 3d 317, 324 n.4
(S.D.N.Y. 2020).
Under these well-settled principles, Travelers unquestionably has a duty to
defend Axis in the Filippone Action. Axis’s verified third-party complaint against
AWI asserts AWI’s “carelessness, recklessness, and/or negligence . . . was the
proximate cause” of Filippone’s injuries. Third Party Filippone Compl. ¶¶ 15–26.
Axis’s verified Bill of Particulars elaborates: AWI, “by and through [its] agents,
servants and/or employees caused and created the situation by placing the loose
Masonite flooring panels down without securing them.” Third-Party Filippone Bill of
Particulars ¶¶ 3–4, Ex. 5 [DE 27-11] to Kraus Decl. Travelers thus faces a reasonable
possibility that its named insured, AWI, faces liability—through Axis’s third-party
complaint3—for AWI’s negligence in creating the condition that proximately caused
Filippone’s injuries.
Travelers emphasizes flooring work is “wholly divorced from any work
performed AWI, the Millwork contractor.” Trav. Opp. & Cross-Mot. at 8, 11. But it
does not matter if Axis’s theory may be untenable, baseless, or false; the duty to
3 Travelers denied Axis a defense given the absence of “evidence” that the loss
“arose out of [AWI’s] work” and the lack of “any finding of negligence against” AWI.
Ex. 11 [DE 27-17] to Kraus Decl. New York courts, however, “refuse[] to permit
insurers to look beyond the complaint’s allegations to avoid their obligation to
defend.” Fitzpatrick, 78 N.Y.2d at 66. Such evidence and findings would therefore
be inconsequential. “[T]he duty to defend exists if the complaint contains any facts
or allegations which bring the claim even potentially within the protection
purchased.” Id. (internal quotation marks omitted).
defend still arises. See Ruder & Finn Inc., 52 N.Y.2d at 669–70. “Even where there
exist extrinsic facts suggesting that the claim may ultimately prove meritless or
outside the policy’s coverage, the insurer cannot avoid its commitment to provide a
defense.” Fitzpatrick, 78 N.Y.2d at 66. The duty to defend is so broad, in fact, that
the Live Nation Marketing, Inc. v. Greenwich Insurance Co. Court held XL Specialty
Insurance Company had to reimburse defense costs of an additional insured even
though XL’s named insured was already “determined” not to have “caused, in whole
or in part, the plaintiff’s bodily injury.” 188 A.D.3d 422, 423 (N.Y. App. Div., 1st Dep’t
2020). The allegations in the underlying “complaint and the third-party complaint”
sufficed to trigger XL’s duty to defend. Id.
Travelers contends Axis’s “self-serving third-party complaint” is insufficient to
trigger Travelers’ duty to defend and confines its view of the relevant allegations to
those pleaded in the Filippone first-party complaint. Trav. Opp. & Cross-Mot. at 11–
12. Travelers’s position is problematic for at least three reasons.
First, the underlying first-party complaint is a starting point to determine—
not a basis to “narrow”—an insurer’s defense duty. Fitzpatrick, 78 N.Y.3d at 68. The
duty must comport with “the practical realities” of litigation; for example, insurers
may not “ignor[e] true but unpleaded facts” that the “the drafter of the pleading may
be unaware of.” See id. at 68. The practical reality here is New York law statutorily
prohibits Filippone from naming his employer, AWI (Travelers’s named insured), as
a negligent party liable for his injuries. N.Y. Workers’ Comp. Law § 11; Weiner v.
City of New York, 19 N.Y.3d 852, 854 (N.Y. 2012) (“Workers’ compensation benefits
are the sole and exclusive remedy of an employee against his employer for injuries in
the course of employment” (internal quotation marks and alteration omitted)). AWI
thus could not face negligence liability as a first-party defendant in Filippone’s
personal injury lawsuit. See Axis Opp. & Reply at 4 [DE 3-2]; Filippone AC ¶ 124
(“On the 19th of January 2017, [Filippone], while lawfully within and or upon the
aforesaid premises, was performing his duties as an employee of [AWI].”). Travelers
cannot acknowledge that its named insured employed the injured underlying
plaintiff, Trav. 56.1 ¶ 5, and then confine its analysis of its duty to defend to the first-
party complaint allegations; doing so ignores the realities of New York litigation
practice.
Second, Travelers relies on All State v. Mugavero to say the Court should
disregard allegations in Axis’s third-party complaint as “legal conclusions.” Trav.
Opp. & Cross-Mot. at 8, 12 (citing Mugavero, 79 N.Y.2d 153, 162–63 (N.Y. 1992)). But
predicates for any purported legal conclusions are factually detailed in Axis’s Bill of
Particulars. Third-Party Filippone Bill of Particulars ¶¶ 3–4 (AWI “caused and
created the situation by placing the loose Masonite flooring panels down without
securing them.”). Corroborating factual support likewise exists in deposition
testimony. See SNIC Mem. at 3–6 [DE 29-2] (quoting Exs. 3–5 [DEs 29-5, -6, -7] to
Aff. of Sherry N. Pavloff [DE 29]). And, regardless, Travelers overreads Mugavero.
Mugavero concerned an insurer’s duty to defend allegations of sodomy and sexual
abuse of minors. Mugavero, 79 N.Y.2d at 156–57, 162–63. The underlying plaintiff
brought two intentional-tort causes of action and one negligence cause of action. Id.
Because the insured had no coverage for intentional acts, the insurer had no the duty
to defend notwithstanding the asserted negligence liability. Id. The “intrinsically
intentional acts of assault, sodomy and sexual abuse” belied the underlying plaintiff’s
“totally inconsistent assertion[s]” of negligence, which lacked “different or additional
facts” suggesting negligent conduct. Id. The ignored “conclusory assertion[s]” were
betrayed by contrary factual allegations in very same document, and there were no
facts pled in the alternative. Id. There are no such contradictory allegations in the
underlying pleadings here.
Third, the cases over which the parties spar are in harmony. In each, an
employer’s insurer had to defend an additional insured in an underlying personal
injury action brought by an employee in which the additional insured’s third-party
complaint alleged the employer created the condition proximately causing the
employee’s injury. Where that third-party complaint did not allege the employer
created the condition, however, the employer’s insurer had no duty to defend the
additional insured. The seven cases analyzed at length by the parties follow this
maxim:
1. Ohio Security Insurance Co. v. Travelers Indemnity Co.
Mena, an Airforce 1 Mechanical LLC employee, sued a construction manager,
who impleaded TRV Mechanical Contractors LLC, who impleaded Airforce. 2021 WL
797670, at *1 (S.D.N.Y. Mar. 1, 2021). Mena’s complaint never mentioned Airforce.
Id. TRV’s complaint did not assert Airforce created the tripping hazard that caused
Mena’s injuries. Instead, TRV asserted two breach of contract claims and negligence
by virtue of Airforce’s control and supervision of the premises. Second Third Party
Compl. ¶¶ 18, 23, 26, Docket Entry 37, Mena v. Safdi Plaza Property LLC et al., Index
No. 20631/2018E (Bronx Cnty. Apr. 19, 2018). The Southern District of New York
held Travelers, Airforce’s insurer, had no duty to defend TRV. There were no
allegations concerning Airforce’s “acts and omissions,” and TRV hung Airforce’s
purported liability solely on Airforce’s status as the employer of Mena. 2021 WL
797670, at *4–6.
2. Live Nation Marketing Inc. v. Greenwich Insurance Co.
Perez, a Best Buy employee, sued Live Nation, who impleaded Best Buy,
alleging Perez’s injuries “were caused solely or in part by reason of the negligence
and/or culpable conduct of Best Buy.” Third Party Compl. ¶ 34, Docket Entry 43,
Perez v. Beach Concerts Inc. et al., Index No. 158373/2013 (N.Y. Sup. Ct., N.Y. Cnty.
Jan. 5, 2016). The New York Appellate Division, First Department held XL, Best
Buy’s insurer, had a duty to defend Live Nation because the “third-party complaint”
reflected a “reasonable possibility that the underlying injury was caused, in whole or
in part, by Best Buy’s acts or omissions.” Live Nation Marketing Inc. v. Greenwich
Ins. Co., 188 A.D.3d 422 (N.Y. App. Div., 1st Dep’t 2020).
3. Charter Oak Fire Insurance Co. v. Zurich American
Insurance Co.
Bulnes, a Slade Industries, Inc. employee, sued ASB (the owner of an
apartment building), who impleaded Slade, alleging Slade’s “active negligent acts and
conduct . . . caus[ed] and creat[ed] the alleged conditions” that harmed Bulnes. Third
Party Compl. ¶ 26, Docket Entry 9, Bulnes v. ASB L3 72-76 Greene Street, LLC et al.,
Index No. 29412/2017E (N.Y. Sup. Ct., Bronx Cnty. Dec. 14, 2017). The Southern
District of New York held Zurich, Slade’s insurer, had a duty to defend ASB because
“the underlying facts” suggested it was “reasonably possible that the bodily injuries
Bulnes suffered were caused by Slade’s acts or omissions.” Charter Oak Fire Ins. Co.
v. Zurich Am. Ins. Co., 462 F. Supp. 3d 317, 325–26 (S.D.N.Y. 2020). Zurich insured
ASB against “injuries caused as a result of[] Slade’s negligence, regardless whether
the underlying lawsuit named Slade or alleged that Slade was the proximate cause
of the injury.” See id.
Charter Oak’s holding aligns with the principle animating these cases. While
the underlying third-party complaint in Bulnes was not in the record, its allegations
came up at oral argument. Zurich took the same position that Travelers asserts here:
“There is a third-party complaint, but that is a third-party complaint by [the
additional insured]. So those allegations are only for their own benefit. So you can’t
really look to those.” Tr. of Proceedings at 16:21–25, Docket Entry No. 25, Charter
Oak Fire Ins. Co. v. Zurich Am. Ins. Co., No. 19-cv-4212 (S.D.N.Y. Apr. 29, 2020)). In
rebuttal, counsel for Charter Oak had the following exchange:
THE COURT: Do you have any insight – it’s not in the record I
know – for why the underlying plaintiff didn’t sue
Slade?
MS. REID: Because of workers’ compensation, your Honor. He’s
precluded from suing his employer is my
understanding, a statutory bar. So that’s the
reason.
THE COURT: I suppose that notion is also supportive of your view
that one would have to apply the Fitzpatrick
standard and look to the underlying facts.
MS. REID: Correct, your Honor. Correct.
Id. at 25:7–16; Charter Oak Fire Ins. Co., 462 F. Supp. 3d at 326 (“As counsel
explained at oral argument . . . ”).
Given the colloquy, Charter Oak should not be read to say an insurer may
ignore allegations in a third-party complaint. Rather, as Charter Oak’s counsel
argued, the presence of a third-party complaint bolsters the insurer’s need to look
beyond the first-party complaint. The Charter Oak Court held the alleged
“underlying facts” presented to the insurer sufficed to trigger its defense duty. Those
“underlying facts” corroborated the third-party complaint’s allegations – as is true
here.
4. All State Interior Demolition Inc. v. Scottsdale Insurance
Co.
Mosley, a United Interior Renovations LLC employee, sued All State Interior
Demolition Inc., who impleaded United, alleging United’s “primary and active”
negligent conduct caused Mosley’s harm. Third Party Compl. ¶ 12, Docket Entry 24,
Mosley v. 75 Plaza LLC et al., Index No. 162922/2019 (N.Y. Sup. Ct., N.Y. Cnty. Apr.
1, 2016). The New York Appellate Division, First Department observed that, despite
Mosley failing to name United a defendant, the underlying “pleadings implicate
United’s demolition actions.” All State Interior Demolition Inc. v. Scottsdale Ins. Co.,
168 A.D.3d 612 (N.Y. App. Div. 2019). The court expressly held: “[T]he third-party
complaint brought in the underlying action by plaintiffs herein [i.e., All State] against
United, incorporates the underlying complaint by reference, alleges that United was
negligent, and seeks indemnification from United, and is therefore sufficient to
trigger Scottsdale’s obligation to defend All State.” Id. (emphasis added).
5. Indian Harbor Insurance Co. v. Alma Tower LLC
Tomala-Campoverde, a S&S HVAC Corp. employee, sued Alma Tower LLC
and Vordonia Contracting & Supplies Corp., each of whom impleaded S&S, alleging
the employee’s injuries “were caused by the negligence” of S&S “in the construction
of the premises.” Third Party Compl. ¶ 15, Docket Entry 7, Tomala-Campoverde v.
Trumbull Equities LLC et al., Index No. 702049/2012 (N.Y. Sup. Ct., Queens Cnty.
Nov. 26, 2012); Third Party Compl. ¶ 13, Docket Entry 5, Tomala-Campoverde v.
Alma Tower, LLC et al., Index No. 703130/2012 (N.Y. Sup. Ct., Queens Cnty. Mar. 1,
2013). The New York Appellate Division, First Department had no trouble finding
the third-party complaints gave Indian Harbor Insurance Company, S&S’s insurer,
“actual knowledge of facts establishing a reasonable possibility of coverage,” therefore
obliging it to defend Alma Tower and Vordonia in the underlying Tomala-
Campoverde actions. Indian Harbor Ins. Co. v. Alma Tower LLC, 165 A.D.3d 549
(N.Y. App. Div., 1st Dep’t 2018).
6. Pioneer Central School District v. Preferred Mutual
Insurance Co.
Ayers, a J&K Kleanerz, Inc. employee, sued Pioneer Middle School, who
impleaded J&K Kleanerz, Inc. See Third Party Compl., Docket Entry 6, Ayers v.
Pioneer Cent. Sch. Dist., Index No. 83191 (N.Y. Sup. Ct., Cattaraugus Cnty. June 23,
2015). It was “undisputed” that (i) “Kleanerz was not responsible for the clearing ice
and snow” and (ii) “Ayers’s fall resulted from her slipping on the ice or snow.” Pioneer
Cent. Sch. Dist. v. Preferred Mut. Ins. Co., 165 A.D.3d 1646 (N.Y. App. Div., 4th Dep’t
2018). The Appellate Division, Fourth Department noted that, as alleged, “Ayers’s
injuries were not proximately caused by Kleanerz,” the named insured. Id.
Accordingly, Preferred Mutual Insurance Company, Kleanerz’s insurer, had no duty
to defend.
7. Hanover Insurance Co. v. Philadelphia Indemnity Insurance Co.
Green, a Protection Plus Security Corporation (“PPSC”) employee, sued
Manhattan School of Music, who impleaded PPSC, alleging PPSC “was negligent in
hiring and supervising Green.” Hanover Ins. Co. v. Phila. Indem. Ins. Co., 2015 WL
6920605, at *1 (N.Y. Sup. Ct., N.Y. Cnty. Oct. 30, 2015). The trial court held
Philadelphia (PPSC’s insurer) had a duty to defend, despite also noting “no acts or
omissions of [PPSC] are alleged to have caused the accident.” Id. The Appellate
Division, First Department reversed: if the harm was “not the result of the named
insured’s [i.e., PPSC’s] negligence or some other act or omission,” then Philadelphia
had no duty to defend Manhattan School of Music as an additional insured. Hanover
Ins. Co. v. Phila. Indem. Ins. Co., 159 A.D.3d 587 (N.Y. App. Div., 1st Dep’t 2018).
In all seven of these cases, the employer’s insurer’s duty to defend dovetailed
with the third-party complaint’s allegations – an insurer may not legitimately ignore
them in determining its obligation to defend. Travelers therefore owes Axis a duty to
defend in the Filippone Action.
II. Priority of Coverage
SNIC currently defends Axis in the Filippone Action. See Axis Mem. at 1 n.1;
Trav. Opp. & Cross-Mot. at 13; SNIC Opp. at 19. Travelers contends, even if its policy
affords coverage to Axis, Travelers has no duty to defend because such coverage is
excess over the “other insurance” provided to Axis by SNIC. Trav. Opp. & Cross-Mot.
at 13–15. Indeed, Travelers has “no duty . . . to defend” an additional insured when
the policy is excess and “any other insurer has a duty to defend the insured against
that suit.” Trav. 56.1 ¶ 31.
“In insurance contracts the term ‘other insurance’ describes a situation where
two or more insurance policies cover the same risk in the name of, or for the benefit
of, the same person.” Great N. Ins. Co. v. Mount Vernon Fire Ins. Co., 92 N.Y.2d 682,
686–87 (N.Y. 1999) (Wesley, J.). In such circumstances, the “two or more primary
insurers will be held to be coinsurers.” Pennsylvania Mfrs. Ass’n Ins. Co. v. Liberty
Mut. Ins. Co., 39 A.D.3d 1161, 1161 (N.Y. App. Div., 4th Dep’t 2007). But simply
because “two policies provide[] coverage for the same insured” does not mean the
policies “insure the same risk.” Id. at 1162. Policies insuring different risks are not
“other insurance” with respect to each other. See id.
The Travelers Policy does not insure against the same risk as the SNIC Policy.
Travelers’s Policy includes Axis as an additional insured with respect to injuries
caused by Travelers’s named insured, AWI. See Axis 56.1 ¶ 19. SNIC’s Policy
includes Axis as an additional insured with respect to injuries caused by SNIC’s
named insured, ABC. See Trav. 56.1 ¶ 33. New York Courts have observed that in
these instances—where a general contractor is an additional insured under each of
its subcontractor’s policies only with respect to injuries caused by that
subcontractor—the policies insure different risks. Held the HRH Construction
Corporation v. Commercial Underwriters Insurance Company Court:
The carriers insured HRH as to the risks associated with two separate
subcontractors’ individual work at the job site. Each insurer afforded
coverage to HRH only for claims arising out of work performed by that
carrier’s primary named insured. Thus, the claims herein do not involve
a coinsurance situation.
11 A.D.3d 321, 323 (N.Y. App. Div., 1st Dep’t 2004); Pennsylvania Mfrs. Ass’n Ins.
Co., 39 A.D.3d at 1161–62 (policy providing coverage for “bodily injury was caused by
Textar’s painting operations” insures a risk different from coverage for “bodily injury
was caused by KTA–Tator’s inspecting operations”). Accordingly, resort to the “other
insurance” doctrine is inappropriate; Travelers’s coverage is not excess; and
Travelers’s duty to defend endures.
CONCLUSION
For the reasons discussed above, Axis’s motion for summary judgment is
granted and Travelers’s motion is denied. Travelers owes a duty to defend Axis in
the underlying Filippone Action.
SO ORDERED.
Dated: Central Islip, New York s/ Denis R. Hurley
September 1, 2021 Denis R. Hurley
United States District Judge