Opinion

NYAHSA Services, Inc., Self-Insurance Trust v. People Care Incorporated

  • 141 A.D.3d 785
  • 36 N.Y.S.3d 252
Court
Appellate Division of the Supreme Court of the State of New York
Filed
Jul 7, 2016
Status
Published
Author
Egan Jr.
On the bench
Egan, McCarthy, Rose, Lynch, Aarons
Cited by
33 cases
Authority
More cited than 82.0%

The opinion

State of New York

Supreme Court, Appellate Division

Third Judicial Department

Decided and Entered: July 7, 2016 521953

________________________________

NYAHSA SERVICES, INC.,

SELF-INSURANCE TRUST,

Respondent,

v

PEOPLE CARE INCORPORATED,

Defendant

and Third- MEMORANDUM AND ORDER

Party

Plaintiff-

Appellant;

COOL INSURING AGENCY, INC.,

et al.,

Third-Party

Defendants-

Respondents.

________________________________

Calendar Date: April 29, 2016

Before: McCarthy, J.P., Egan Jr., Rose, Lynch and Aarons, JJ.

__________

Barclay Damon, LLP, Albany (David M. Cost of counsel), for

defendant and third-party plaintiff-appellant.

Bond, Schoeneck & King, PLLC, Albany (Stuart F. Klein of

counsel), for respondent.

Keidel, Weldon & Cunningham, LLP, White Plains (Robert J.

Grande of counsel), for Cool Insuring Agency, Inc. and another,

third-party defendants-respondents.

Peckar & Abramson, PC, River Edge, New Jersey (Kevin J.

O'Connor of counsel), for LeadingAge New York Services, Inc. and

another, third-party defendants-respondents.

__________

-2- 521953

Egan Jr., J.

Appeal from an order of the Supreme Court (Platkin, J.),

entered December 31, 2014 in Albany County, which, among other

things, partially granted third-party defendants' motions to

dismiss the third-party complaint.

Defendant, a home health care provider, was a member of

plaintiff, a group self-insured trust, that was formed in July

1995 to provide mandated workers' compensation coverage to

defendant's employees (see Workers' Compensation Law § 50 [3-a];

12 NYCRR 317.2 [i]; 317.3). Defendant was a member of the trust

for policy periods of June 15, 2000 through June 15, 2008. In

July 2010, plaintiff commenced the instant action against

defendant for breach of contract and unjust enrichment, alleging

that defendant failed to pay $3,332,427 in adjustment bills that

purported to reconcile its estimated annual contributions with

its actual incurred expenses.1 In September 2010, defendant

joined issue and counterclaimed for injunctive relief/accounting,

unjust enrichment, fraud/fraud in the inducement, breach of

fiduciary duty, breach of the duty of good faith and fair

dealing, breach of contract, negligence, conversion and

violations of General Business Law §§ 349 and 350. Plaintiff

then moved to dismiss the counterclaims asserted against it

pursuant to CPLR 3211 (a) (1), (3), (6) and (7).

On July 26, 2013, defendant commenced a third-party action

alleging 13 causes of action sounding in breach of contract,

breach of good faith and fair dealing, breach of fiduciary duty,

fraud and negligence against third-party defendants Cool Insuring

Agency, Inc. and Cool Risk Management, Inc. (hereinafter

collectively referred to as Cool), as well as indemnification and

contribution, conversion, unjust enrichment, negligent

misrepresentation, fraud in the inducement, alter ego liability

and violations of General Business Law §§ 349 and 350 against

third-party defendant LeadingAge New York Services, Inc., third-

party defendant LeadingAge New York, Inc. (hereinafter

1

The details of the underlying financial arrangement are

set forth in NYAHSA Servs., Inc., Self-Insurance Trust v Recco

Home Care Servs., Inc. (___ AD3d ___ [decided herewith]).

-3- 521953

collectively referred to as LeadingAge) and Cool.2 Cool and

LeadingAge then moved to dismiss the third-party complaint

pursuant to CPLR 3211 (a) (1), (3), (6) and (7).

Supreme Court granted plaintiff's motion dismissing

defendant's counterclaims for injunctive relief/accounting,

unjust enrichment, breach of good faith and fair dealing,

negligence, conversion and violations of General Business Law

§§ 349 and 350. Supreme Court, among other things, also limited

the temporal scope of defendant's counterclaims for breach of

contract, breach of fiduciary duty, fraud and fraud in the

inducement.3 As to defendant's third party-claims, Supreme Court

granted the motions as to the causes of action for breach of

contract, breach of good faith and fair dealing, breach of

fiduciary duty, fraud, conversion, unjust enrichment, negligence,

negligent misrepresentation, fraudulent inducement, violations of

General Business Law §§ 349 and 350 and alter ego liability, and

denied, in part, the motion as to the cause of action for

indemnification against Cool. Defendant now appeals.4

2

LeadingAge created the trust, which, in turn contracted

with Cool Insuring Agency, Inc. to serve as the trust's third-

party administrator and program administrator.

3

Supreme Court "informally consolidated" this action with

the claims at issue in NYAHSA Servs., Inc. Self-Insurance Trust v

Recco Home Care Servs., Inc. (supra) and issued a single order

resolving both actions. As is relevant here, we address only

that part of the order related to defendant.

4

Preliminarily, insofar as defendant failed to address in

its brief the dismissal of its first, third, sixth, eighth and

ninth counterclaims for injunctive relief/accounting, fraud/fraud

in the inducement, breach of contract, conversion and violations

of General Business Law §§ 349 and 350, its appeal related

thereto is deemed abandoned (see Matter of Siennikov v

Professional Grade Constr., Inc., 137 AD3d 1440, 1441 n 1 [2016];

Goodnow Flow Assn. Inc. v Graves, 135 AD3d 1228, 1229 n 1

[2016]). Similarly, inasmuch as defendant does not raise any

issues in its brief with respect to its first, sixth and eleventh

third-party claims for indemnification and contribution,

-4- 521953

On a motion to dismiss pursuant to CPLR 3211 (a) (7) for

failure to state a claim, "we must afford the complaint a liberal

construction, accept the facts as alleged in the pleading as

true, confer on the [nonmoving party] the benefit of every

possible inference and determine whether the facts as alleged fit

within any cognizable legal theory" (Torok v Moore's Flatwork &

Founds., LLC, 106 AD3d 1421, 1421 [2013] [internal quotation

marks and citation omitted]; see Tenney v Hodgson Russ, LLP, 97

AD3d 1089, 1090 [2012]). Beginning with defendant's

counterclaims, Supreme Court properly dismissed defendant's

second counterclaim for unjust enrichment as the rights of

defendant are governed and defined by the contribution agreements

and, therefore, "a quasi contract cause of action does not lie"

(Daley v County of Erie, 71 AD3d 1398, 1400 [2010]; see Clark-

Fitzpatrick, Inc. v Long Is. R.R. Co., 70 NY2d 382, 389 [1987];

compare Segal v Cooper, 95 AD3d 545, 546 [2012]). We reach a

similar conclusion with respect to Supreme Court's dismissal of

defendant's fifth counterclaim for breach of the duty of good

faith and fair dealing as this claim is duplicative of the breach

of contract counterclaim (see Fahs Constr. Group, Inc. v State of

New York, 123 AD3d 1311, 1312-1313 [2014], lv denied 25 NY3d 902

[2015]; Mill Fin., LLC v Gillett, 122 AD3d 98, 104 [2014]; Amcan

Holdings, Inc. v Canadian Imperial Bank of Commerce, 70 AD3d 423,

426 [2010], lv denied 15 NY3d 704 [2010]). Finally, defendant's

seventh counterclaim for negligence also was properly dismissed

as defendant failed to allege a legal duty independent of the

underlying contracts and demanded damages identical to those set

forth in its breach of contract claim (see Sutton v Hafner

Valuation Group, Inc., 115 AD3d 1039, 1042 [2014]; Torok v

Moore's Flatwork & Founds., LLC, 106 AD3d at 1422).

Upon further review of the pleadings, however, we find that

defendant's fourth counterclaim for breach of fiduciary duty

should have been dismissed in its entirety. Supreme Court viewed

this particular counterclaim as having both fraud and "non-fraud"

components; the court dismissed the non-fraud aspect thereof as

redundant, i.e., duplicative, of the breach of contract

conversion and violations of General Business Law §§ 349 and 350,

any challenge thereto is deemed abandoned (see Salzer v Benderson

Dev. Co., LLC, 130 AD3d 1226, 1229 [2015]).

-5- 521953

counterclaim, but allowed the fraud-based portion thereof to

stand and analyzed such claims upon statute of limitations

grounds. Examination of the pleadings reveals, however, that

defendant's counterclaim for breach of fiduciary duty alleges

virtually identical facts and theories and requests the same

damages as set forth in defendant's counterclaim for breach of

contract. Accordingly, the entirety of defendant's counterclaim

for breach of fiduciary duty – including the fraud-based aspects

thereof – is duplicative and, as such, must be dismissed (see

Canzona v Atanasio, 118 AD3d 841, 843 [2014]; Hylan Elec. Contr.,

Inc. v MasTec N. Am., Inc., 74 AD3d 1148, 1150 [2010]; William

Kaufman Org. v Graham & James, 269 AD2d 171, 173 [2000]).5

Turning to defendant's third-party complaint, we note that

both the underlying facts and the causes of action set forth

therein mirror those raised by Recco Home Care Services, Inc. in

NYAHSA Servs., Inc., Self-Insurance Trust v Recco Home Care

Services, Inc. (___ AD3d ___ [decided herewith] [hereinafter

Recco]). Accordingly, as defendant's arguments and allegations

here relative to certain of its third-party claims are

indistinguishable from those raised by Recco Home Care Services

in the related action, we affirm Supreme Court's dismissal of

defendant's third cause of action for breach of good faith and

fair dealing (see Fahs Constr. Group, Inc. v State of New York,

123 AD3d at 1312-1313; Mill Fin., LLC v Fillett, 122 AD3d at 104;

Amcan Holdings, Inc. v Canadian Imperial Bank of Commerce, 70

AD3d at 426), fourth cause of action for breach of fiduciary

duty (see EBC I, Inc. v Goldman, Sachs & Co., 5 NY3d 11, 19

[2005]; Mawere v Landau, 130 AD3d 986, 990 [2015]; Brooks v Key

Trust Co. N.A., 26 AD3d 628, 630 [2006], lv dismissed 6 NY3d 891

5

Although plaintiff did not cross-appeal from the

underlying order, plaintiff expressly moved to dismiss this

particular counterclaim as duplicative – an argument with which

Supreme Court partially agreed. As defendant clearly was on

notice that plaintiff was seeking to dismiss the subject

counterclaim upon this ground, and as we agree with plaintiff

that such counterclaim indeed is duplicative, we see no reason

not to dismiss this counterclaim in its entirety (compare

Torrance Constr., Inc. v Jaques, 127 AD3d 1261, 1263 [2015]; Mann

v Rusk, 14 AD3d 909, 910 [2005]).

-6- 521953

[2006]) and seventh cause of action for unjust enrichment (see

Corsello v Verizon N.Y., Inc., 18 NY3d 777, 790-791 [2012]; Hyman

v Burgess, 125 AD3d 1213, 1214 [2015]; DiPizio Constr. Co., Inc.

v Niagara Frontier Transp. Auth., 107 AD3d 1565, 1567 [2013]) as

duplicative of its breach of contract claim for the reasons set

forth in our decision in Recco.6

Supreme Court also properly dismissed defendant's eighth

cause of action for negligence. The statute of limitations for

negligence that results in a loss of funds is three years (see

CPLR 214 [4]; Roslyn Union Free Sch. Dist. v Barkan, 16 NY3d 643,

648 n 5 [2011]). Here, defendant's alleged damages arose from,

among other things, "amounts already paid" for policy periods of

2000 until 2006 and "demanded payments for adjustments" for which

it received notice of in 2008. As such damages were incurred

more than three years prior to the filing of defendant's third-

party complaint in 2013, defendant's negligence claim was

untimely (see IDT Corp. v Morgan Stanley Dean Witter & Co., 12

NY3d 132, 139-140 [2009]; McCormick v Favreau, 82 AD3d 1537, 1539

[2011], lv denied 17 NY3d 712 [2011]; Kazakhstan Inv. Fund v

Manolovici, 306 AD2d 36, 36 [2003]; Matter of Kaszirer v

Kaszirer, 286 AD2d 598, 598-599 [2001]).7

Finally, we discern no error in Supreme Court's dismissal

of defendant's thirteenth cause of action requesting a

declaratory judgment of alter ego liability as to LeadingAge

because the allegations set forth in the third-party complaint

are conclusory, and defendant failed to plead any particularized

facts with respect thereto (see Angejo Corp. v South St. Seaport

6

The viability of defendant's second cause of action for

breach of contract is discussed infra.

7

Despite defendant's contention that Supreme Court sua

sponte dismissed this claim, Cool requested "dismissal of each

and every cause of action" based upon "the running of [the]

applicable statute of limitations" in its motion to dismiss.

Therefore, we are satisfied that defendant received adequate

notice to respond (compare Matter of Level 3 Communications, LLC

v Essex County, 129 AD3d 1255, 1256 [2015], lv denied 26 NY3d 907

[2015]).

-7- 521953

Ltd. Partnership, 40 AD3d 407, 407 [2007]; see also CPLR 3013,

3106 [b]; compare MPEG LA, L.L.C. v GXI Intl., LLC, 126 AD3d 641,

642 [2015]). That said, Cool concedes in its brief – as it

maintained in Recco – that "there is no entity known as Cool Risk

Management, Inc.," which, instead, is a licensed assumed name for

Cool Insuring Agency, Inc. As this admission is sufficient to

sustain defendant's alter ego liability cause of action as to

Cool (see generally Len v State of New York, 74 AD3d 1597, 1599

[2010], lv dismissed and denied 15 NY3d 912 [2010]), Supreme

Court should not have dismissed defendant's twelfth cause of

action.

We reach a similar conclusion with respect to Supreme

Court's dismissal of defendant's second cause of action for

breach of contract against Cool. Given the liberal construction

afforded to pleadings (see CPLR 3026), we find that defendant

sufficiently alleged that it was a third-party beneficiary of the

contracts between Cool and the trust (see Board of Educ. of

Northport-E. Northport Union Free Sch. Dist. v Long Is. Power

Auth., 130 AD3d 953, 954-956 [2015]). Specifically, the presence

of an express indemnification clause and the corresponding

absence of any language expressly negating enforcement by third

parties demonstrates that dismissal of this particular claim

under CPLR 3211 (a) (7) was not warranted (see Town of Moriah v

Cole-Layer-Trumble Co., 200 AD2d 879, 880 [1994]; compare IMS

Engrs.-Architects, P.C. v State of New York, 51 AD3d 1355, 1357

[2008], lv denied 11 NY3d 706 [2008]).

Supreme Court also should not have dismissed defendant's

fifth, ninth and tenth causes of action for fraud, negligent

misrepresentation and fraudulent inducement in their entirety.

As each of these claims sound in fraud, defendant was entitled to

use the greater of the six-year statute of limitations or the

two-year discovery exception set forth in CPLR 213 (8) (see

Fromer v Yogel, 50 F Supp 2d 227, 242 [SDNY 1999]; 14 Bruckner

LLC v 14 Bruckner Blvd. Realty Corp., 78 AD3d 431, 431-432

[2010]). Defendant cannot avail itself of the two-year discovery

exception with respect to these causes of action as the third-

party complaint was not filed until July 26, 2013 – more than two

years from when defendant admittedly discovered the fraud on

September 17, 2010. As to defendant's fraud and fraudulent

-8- 521953

inducement causes of action, we conclude – consistent with our

holding in Recco – that only those claims that accrued within six

years of the filing of defendant's third-party complaint on July

26, 2013 should be permitted to proceed (see CPLR 213 [8];

Soghanalian v Young, 131 AD3d 744, 745 [2015]; Dowlings, Inc. v

Homestead Dairies, Inc., 88 AD3d 1226, 1228 [2011]). As such

causes of action survive to this limited extent, Supreme Court's

order must be modified accordingly.

We reach a similar conclusion with respect to the negligent

misrepresentation claim. Again, defendant's allegations here

mirror those made by the defendant in Recco – specifically, that,

in order to induce its continued participation in the trust,

third-party defendants misrepresented and omitted material facts

known to be false that were related to the trust's financial

solvency, the risk of membership in the trust and Cool's capacity

to administer the trust – all of which defendant relied upon to

its detriment. As we did in Recco, we find that these

allegations are not redundant but, rather, allege duties

independent of Cool's and LeadingAge's duties under the subject

agreements and, therefore, are sufficient to survive a motion to

dismiss under CPLR 3211 (a) (7). That said, consistent with the

temporal limitation governing defendant's fraud and fraudulent

inducement causes of action, only those claims that accrued

within six years of the filing of the third-party complaint are

timely and, hence, should be allowed to proceed. Defendant's

remaining arguments, to the extent not specifically addressed,

have been examined and found to be lacking in merit.

McCarthy, J.P., Rose, Lynch and Aarons, JJ., concur.

-9- 521953

ORDERED that the order is modified, on the law, without

costs, by reversing so much thereof as (1) granted third-party

defendants' motions to dismiss the second, fifth, ninth, tenth

and twelfth causes of action of the third-party complaint and (2)

partially denied plaintiff's motion to dismiss defendant's fourth

counterclaim; third-party defendants' motions denied to the

extent set forth in this Court's decision and plaintiff's motion

granted to the extent of dismissing defendant's fourth

counterclaim in its entirety; and, as so modified, affirmed.

ENTER:

Robert D. Mayberger

Clerk of the Court

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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