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Weissman v. Government Employees Ins. Co.

Appellate Division of the Supreme Court of New York, Second Department
Sep 18, 1995
219 A.D.2d 645 (N.Y. App. Div. 1995)

Opinion

September 18, 1995

Appeal from the Supreme Court, Queens County (Lonschein, J.).


Ordered that the appeal from so much of the order dated March 23, 1994, as denied the branch of the plaintiffs' motion which was for reargument is dismissed, as no appeal lies from an order denying reargument; and it is further,

Ordered that the order dated March 23, 1994, is affirmed insofar as reviewed; and it is further,

Ordered that the order dated January 6, 1994, is affirmed; and it is further,

Ordered that the respondent Government Employees Insurance Company d/b/a GEICO is awarded one bill of costs.

On the morning of October 29, 1990, Carrie Johnson, who was employed to care for the plaintiffs' mother, fell down a flight of stairs at the premises located at 60 Wicks Lane, Malverne, and sustained personal injuries. Fee ownership in the premises had passed to the plaintiffs upon the death of their father in March 1990. Their father had insured the premises under a homeowners policy issued by the defendant, Government Employees Insurance Co. d/b/a GEICO (hereinafter GEICO). Upon his death the plaintiffs had asked that GEICO reissue the policy in their names. However, it was not until October 1990 that GEICO forwarded to the plaintiffs a "Renewal Declaration Sheet" for the policy indicating that it would contain a "Workers Compensation Endorsement".

Thereafter, Johnson sued the plaintiffs for personal injuries, and also filed a Workers' Compensation claim against the plaintiffs. GEICO supplied a defense in the personal injury action, but has refused to defend the Workers' Compensation claim, on the ground that the plaintiffs' homeowners' policy did not cover full-time employees. The plaintiffs commenced this declaratory judgment action against GEICO and Johnson, and moved for summary judgment, seeking a declaration that the Workers' Compensation claims asserted by Johnson were covered under their policy of insurance with GEICO.

We find that the plaintiffs' motion for summary judgment was properly denied by the Supreme Court.

As a threshold matter, the question of who, if anyone, was defendant Johnson's employer on the date of the accident was not before the IAS Court, and there is insufficient evidence in the record to permit a determination of this issue — which in any event is best left for resolution by the Workers' Compensation Board. We note in this regard that the Supreme Court was premature in referring to the plaintiffs as Ms. Johnson's employers in the order dated January 6, 1994.

Furthermore, on this record we cannot ascertain whether Johnson was covered by the Workers' Compensation endorsement in the homeowners' policy purchased by the plaintiffs, as it is unclear whether Johnson was still employed when her accident occurred, and, if she was, whether her employment was for more or less than 40 hours per week. These are factual questions properly left for the Workers' Compensation Board to resolve (see, e.g., Matter of Williams v Geddes, 125 A.D.2d 796; see also, Minkowitz, Practice Commentaries, McKinney's Cons Laws of NY, Book 64, Workers' Compensation Law § 3, at 279, n 11). However, should the Board find that no coverage existed, we note that none could be created by GEICO's tardy disclaimer (see, e.g., Zappone v Home Ins. Co., 55 N.Y.2d 131; Schiff Assocs. v Flack, 51 N.Y.2d 692; Nassau Ins. Co. v Manzione, 112 A.D.2d 408, 409; Van Buren v Employers Ins., 98 A.D.2d 774).

Finally, the plaintiffs contend that they repeatedly requested but did not receive a copy of their new insurance policy and therefore were unaware that the Workers' Compensation endorsement contained therein was limited. They claim that had they known of the limited nature of the endorsement they could have secured additional Workers' Compensation coverage if warranted. Their claims, however, fail to make out the elements of common law estoppel against GEICO (see, e.g., Matter of Walls v Levin, 150 A.D.2d 873, 874).

We have considered the plaintiffs' remaining contentions and find them to be without merit. Miller, J.P., Thompson, Friedmann and Florio, JJ., concur.


Summaries of

Weissman v. Government Employees Ins. Co.

Appellate Division of the Supreme Court of New York, Second Department
Sep 18, 1995
219 A.D.2d 645 (N.Y. App. Div. 1995)
Case details for

Weissman v. Government Employees Ins. Co.

Case Details

Full title:MARILYN WEISSMAN et al., Appellants, v. GOVERNMENT EMPLOYEES INSURANCE…

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

Date published: Sep 18, 1995

Citations

219 A.D.2d 645 (N.Y. App. Div. 1995)
631 N.Y.S.2d 427