February 4, 2014

Mendoza v Farmers Ins. Co. (2014 NY Slip Op 00613)

Headnote

The court considered the mandatory arbitration process as the sole available remedy to determine issues of coverage between insurance carriers and Motor Vehicle Accident Indemnification Corporation (MVAIC). The appellant, Farmers Insurance Company, failed to participate in the arbitration proceeding, seek an adjournment, or file a petition to vacate the arbitration award regarding the alleged cancellation of the insurance policy. The main issues decided were the obligation of Farmers Insurance Company to provide coverage for the accident and the preclusive effect of the arbitration decision. The holding of the court was that appellant had a full and fair opportunity to contest the decision, and failed to do so, therefore, the order finding Farmers Insurance Company obligated to provide coverage for the accident was affirmed.

Reported in New York Official Reports at Mendoza v Farmers Ins. Co. (2014 NY Slip Op 00613)

Mendoza v Farmers Ins. Co. (2014 NY Slip Op 00613)
Mendoza v Farmers Ins. Co.
2014 NY Slip Op 00613 [114 AD3d 428]
February 4, 2014
Appellate Division, First Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Wednesday, March 26, 2014
Jennifer Mendoza, Plaintiff,
v
Farmers Insurance Company, Appellant, and Motor Vehicle Accident Indemnification Corporation, Also Known as MVAIC, Respondent.

[*1] John C. Buratti & Associates, New York (Julie M. Sherwood of counsel), for appellant.

Marshall & Marshall, PLLC, Jericho (Jeffrey Kadushin of counsel), for respondent.

Order, Supreme Court, Bronx County (Sharon A.M. Aarons, J.), entered on or about October 3, 2012, which, after a framed issue hearing, found that defendant Farmers Insurance Company is obligated to provide plaintiff with coverage for the subject accident, unanimously affirmed, with costs.

Mandatory arbitration is the sole available remedy pursuant to 11 NYCRR 65-4.11 and Insurance Law §§ 5105 and 5221 (b) (6) in order to determine issues of coverage between insurance carriers and defendant Motor Vehicle Accident Indemnification Corporation (MVAIC). The fact that appellant submitted its “contentions,” which included the affirmative defense of no coverage due to cancellation of the policy, establishes that it was aware of the arbitration proceeding, and yet did not appear, seek an adjournment to present the necessary documentation regarding the cancellation, or file a petition to vacate the arbitration award pursuant to CPLR 7511. Thus, appellant had a “full and fair opportunity to contest the decision” (Matter of American Ins. Co. [Messinger—Aetna Cas. & Sur. Co.], 43 NY2d 184, 192 [1977] [emphasis omitted]), and failed to do so.

The issue in both actions was the alleged cancellation of the insurance policy, which was decided by the arbitrator. The fact that plaintiff now seeks bodily injury benefits does not alter [*2]this result, as there is no evidence that the parties arbitrated under an agreement to limit the preclusive effect of the arbitration decision (cf. Kerins v Prudential Prop. & Cas., 185 AD2d 403, 404 [3d Dept 1992]). Concur—Tom, J.P., Friedman, DeGrasse, Feinman and Gische, JJ.