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Nationwide Mutual Insurance v. Graham

Appellate Division of the Supreme Court of New York, Fourth Department
Sep 29, 2000
275 A.D.2d 1012 (N.Y. App. Div. 2000)

Opinion

September 29, 2000.

Appeal from Order of Supreme Court, Onondaga County, Tormey, III, J. — Declaratory Judgment.

PRESENT: PIGOTT, JR., P. J., WISNER, SCUDDER AND LAWTON, JJ.


Order insofar as appealed from unanimously reversed on the law without costs, motion granted and judgment granted in accordance with the following Memorandum:

Supreme Court erred in denying the motion of plaintiff, Nationwide Mutual Insurance Company (Nationwide), for summary judgment declaring that Nationwide has no obligation to defend or indemnify its insured, defendant Robert H. Graham, for any claims made against him by defendant Kathy Davis, who was injured on November 12, 1997, when she slipped and fell in the bed of Graham's pickup truck. The record establishes that, when Davis and Graham initially reported the incident to Nationwide, they told the insurer that Davis fell while the pickup truck was parked and not moving, and that Graham was not present when Davis fell. Over a year later, however, after Davis notified Nationwide that she intended to make a liability claim against its insured, Graham told Nationwide that he was operating the truck when Davis fell. Davis also admitted that she did not tell the "whole story" when she originally reported the incident to Nationwide because she was concerned that Graham's insurance rates would increase.

We conclude that Nationwide satisfied its heavy burden of showing lack of cooperation of its insured ( see, Thrasher v. United States Liab. Ins. Co., 19 N.Y.2d 159, 168-169; Utica Mut. Ins. Co. v. Gruzlewski [appeal No. 2], 217 A.D.2d 903; Employers-Commercial Union Ins. Cos. of Am. v. Buonomo, 41 A.D.2d 285, 287). Graham's failure to make fair and truthful disclosures in reporting the incident constitutes a breach of the cooperation clause of the insurance policy as a matter of law ( see, Peerless Ins. Co. v. Sears, 34 A.D.2d 725, affd 29 N.Y.2d 717; Fidelity Cas. Co. of N. Y. v. Holdeman, 23 A.D.2d 878, 879, affd 18 N.Y.2d 997; Lewis v. Nationwide Mut. Ins. Co., 202 A.D.2d 816, 817-818). Nationwide was not required to show prejudice as a result of Graham's lack of cooperation to establish its entitlement to summary judgment ( see, Utica Mut. Ins. Co. v. Gruzlewski [appeal No. 2] , supra, at 904; Atlantic Mut. Ins. Co. v. Struve, 210 A.D.2d 112, 114, lv denied 85 N.Y.2d 803), although prejudice is apparent on this record. Finally, the record establishes that Nationwide promptly disclaimed coverage within two weeks after Graham admitted that he had misrepresented the facts in his original report of the incident, and we conclude that Nationwide's disclaimer was timely as a matter of law ( see, Silk v. City of New York, 203 A.D.2d 103, lv denied 84 N.Y.2d 810). Therefore, we reverse the order insofar as appealed from, grant Nationwide's motion, and grant judgment in favor of Nationwide declaring that it has no obligation to defend or indemnify its insured, Robert H. Graham, for any claims made against him by Kathy Davis arising out of the incident that occurred on November 12, 1997.


Summaries of

Nationwide Mutual Insurance v. Graham

Appellate Division of the Supreme Court of New York, Fourth Department
Sep 29, 2000
275 A.D.2d 1012 (N.Y. App. Div. 2000)
Case details for

Nationwide Mutual Insurance v. Graham

Case Details

Full title:NATIONWIDE MUTUAL INSURANCE COMPANY, PLAINTIFF-APPELLANT, v. ROBERT H…

Court:Appellate Division of the Supreme Court of New York, Fourth Department

Date published: Sep 29, 2000

Citations

275 A.D.2d 1012 (N.Y. App. Div. 2000)
713 N.Y.S.2d 602

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