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May 16, 2006

State Farm Mut. Auto. Ins. Co. v Baltz Concrete Constr., Inc. (2006 NY Slip Op 03879)

https://www.beynensonlaw.com/case-law/state-farm-mut-auto-ins-co-v-baltz-concrete-constr-inc-2006-ny-slip-op-03879/

Court
Appellate Division, Second Department
Decided
May 16, 2006
Citation
2006 NY Slip Op 03879 · 29 AD3d 777
Posture
Summary judgment
Issues
Declaratory judgment, res judicata Priority, other coverage
Cite as
State Farm Mut. Auto. Ins. Co. v Baltz Concrete Constr., Inc., 29 AD3d 777 (2d Dept 2006)

Posture, outcome, issues and treatment by other decisions are Beynenson Law’s classification. Treatment labels are assigned by a language model reading the citing decision; negative and appeal-history labels are checked by a second reader.

Summary

Editorial summary by Beynenson Law, not part of the court’s decision.

An insurer seeking equitable subrogation for additional PIP benefits is bound by an adverse verdict on its insured's extended economic loss. The Appellate Division, Second Department, affirmed summary judgment dismissing the insurer's subrogation complaint. Insurance Law §§ 5102 (a), (b) and 5103 (a) did not prohibit recovery of extended-economic-loss benefits paid under an additional personal injury protection endorsement. Nevertheless, the insured had unsuccessfully sought those damages from the defendants in a prior action ending in a defense jury verdict. Under Allstate Ins. Co. v Stein, equitable subrogation conferred only the insured's rights, without enlargement or diminution. The prior verdict therefore precluded the insurer's claim to recoup those payments.

Reported in New York Official Reports at State Farm Mut. Auto. Ins. Co. v Baltz Concrete Constr., Inc. (2006 NY Slip Op 03879)

State Farm Mut. Auto. Ins. Co. v Baltz Concrete Constr., Inc.
2006 NY Slip Op 03879 [29 AD3d 777]
May 16, 2006
Appellate Division, Second Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Wednesday, July 19, 2006
State Farm Mutual Automobile Insurance Company, as Subrogee of Thomas Lampo, Sr., Appellant,
v
Baltz Concrete Construction, Inc., et al., Respondents.

—[*1]

In a subrogation action to recover insurance benefits paid to the plaintiff’s insured, the plaintiff appeals from an order of the Supreme Court, Queens County (Rosengarten, J.), dated February 17, 2005, which granted the defendants’ motion for summary judgment dismissing the complaint.

Ordered that the order is affirmed, with costs.

We agree with the plaintiff’s contention that the no-fault provisions of the Insurance Law (see Insurance Law § 5102 [a], [b]; § 5103 [a]) do not bar it from seeking recovery of benefits it paid to its insured for “extended economic loss” pursuant to an “additional personal injury protection” endorsement (Allstate Ins. Co. v Stein, 1 NY3d 416, 417 [2004]; see Allstate Ins. Co. v Mazzola, 175 F3d 255 [2d Cir 1999]). However, the defendants established their entitlement to judgment as a matter of law by submitting evidence that the plaintiff’s subrogor unsuccessfully sought to recover damages for his extended economic loss from them in a prior action, which culminated in a jury verdict in their favor. An insurance company which has paid additional personal injury protection benefits for extended economic loss has a traditional equitable right of subrogation, and thus acquires only the rights that its subrogor had, with no enlargement or diminution (see Allstate Ins. Co. v Stein, supra). Since the plaintiff’s subrogor unsuccessfully sought to recover damages for extended [*2]economic loss in a prior action, the jury verdict in that action is entitled to preclusive effect on the issue of the plaintiff’s entitlement to recoup the benefits it paid to its subrogor for extended economic loss. Accordingly, the motion for summary judgment dismissing the complaint was properly granted. Schmidt, J.P., Krausman, Luciano and Covello, JJ., concur.

Cited in this decision

A label shows how this decision treated the case it cites.

  • Allstate Ins. Co. v Stein (2004 NY Slip Op 01057) FollowedAn insurer's APIP subrogation action has a limitation period running from the accident date, not the first APIP payment.

Similar decisions

  • State Farm Mut. Auto. Ins. Co. v Pender (2016 NY Slip Op 26352)A workers' compensation award did not bar the insurer's subrogation claim for additional personal injury protection payments beyond basic economic loss.
  • Allstate Ins. Co. v Yetish Inc. (2006 NY Slip Op 50471(U))The vehicle owner and driver failed to establish that the insurer's subrogation action was barred by the statute of limitations.
  • State Farm Mut. Auto. Ins. Co. v Karpen (2005 NYSlipOp 51032(U))An insurer's subrogation action for payments exceeding no-fault benefits was time-barred because it began over three years after the accident.
  • State Farm Mut. Auto. Ins. Co. v Amtrust N. Am., Inc. (2024 NY Slip Op 00646)The Workers' Compensation Board has primary jurisdiction over coverage issues concerning accident-related medical expenses and compensability.
  • A.B. Med. Servs. PLLC v State Farm Mut. Auto. Ins. Co. (2004 NY Slip Op 51432(U))The insurer's investigator raised a triable coverage issue based on a founded belief that the collision furthered an insurance fraud scheme.
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