Custen v. General Accident Fire & Life Insurance
Opinion of the Court
The petitioner claims that she suffered personal injuries as the result of a motor vehicle accident which occurred on October 18, 1981. Pursuant to New York’s Comprehensive Motor Vehicle Insurance Reparations Act (Insurance Law § 5101 et seq.), the petitioner sought reimbursement for her basic economic loss (see, Insurance Law § 5102 [a]) from the respondent, which had allegedly issued a policy of insurance with respect to the vehicle in which the petitioner was a passenger at the time of the accident. The respondent paid certain claims, but, effective November 18, 1982, denied further benefits with respect to claims for loss of wages, and, thereafter, effective July 26, 1983, denied all future claims for first-party benefits (see, Insurance Law § 5102 [b]).
The petitioner allegedly demanded arbitration in accordance with the provisions of Insurance Law § 5106 on or about September 30, 1983. A hearing was conducted by an arbitrator on September 13, 1984. The arbitrator found that the petitioner had violated policy conditions, and, accordingly, denied her claims. This award dated December 11, 1984, was admittedly received by the petitioner on December 23, 1984.
The petitioner made no effort to appeal this determination to a master arbitrator until March 8, 1985, when the request for review by a master arbitrator was delivered to the American Arbitration Association (hereinafter AAA). By decision dated March 28, 1985, the master arbitrator refused to review the matter, since the request was not timely pursuant to regulations issued by the Superintendent of Insurance (11 NYCRR 65.17 [d] [2] [i]). In the interim, the petitioner commenced this proceeding to review the award of the arbitrator, by service of a notice of petition and petition on the respondent on March 18, 1985. Special Term dismissed the petition and confirmed the award, holding that the petitioner’s failure to timely request review by a master arbitrator precluded judicial review. We affirm.
Pursuant to the terms of 11 NYCRR 65.17 (a), ”[a]n award by an arbitrator rendered pursuant to section 5106 (b) of the Insurance Law * * * may be vacated or modified solely by., appeal to a master arbitrator” (emphasis added). This regulation is entirely consistent with the Legislature’s mandate that “[a]n award by an arbitrator shall be binding except where vacated or modified by a master arbitrator in accordance with
The petitioner argues that the regulation which requires that an appeal to a master arbitrator be taken within 15 days of the mailing of the av/ard of an arbitrator in an AAA expedited arbitration (11 NYCRR 65.17 [d] [2] [i]) is invalid inasmuch as it contradicts the terms of CPLR 7511 (a) which provides that "[a]n application to vacate or modify an award may be made by a party within ninety days after its delivery to him”. This argument is without merit, since it is clear that the Legislature intended the provision of CPLR article 75 to apply only to the review of the awards of master arbitrators (see, Insurance Law § 5106 [c]). In an analogous case, we rejected the argument that the regulation which governs the manner of service of a demand for a no-fault master arbitration (11 NYCRR 65.17 [d]) was invalid to the extent it conflicted with CPLR 7503 (c) (see, Weiss v Aetna Life & Cas. Co., 115 AD2d 474). The Legislature delegated to the Superintendent of Insurance the power to promulgate regulations establishing the procedure for appeals to master arbitrators in "no-fault” cases (Insurance Law § 5106 [c]). With respect to the regulation which governs notice, discussed in the Weiss case, the regulation governing time limitations for appeals to a master arbitrator comports with due process, and is, therefore, valid.
The case of Matter of Cady (Aetna Life & Cas. Co.) (61 NY2d 594), relied upon by the petitioner, is distinguishable. The court in Cady held that the regulations which required a party to commence a judicial proceeding to review a master arbitrator’s award within 51 days of the award (11 NYCRR
For the foregoing reasons, the order and judgment under review should be affirmed.
Bracken, J. P., Weinstein, Spatt and Harwood, JJ., concur.
Ordered that the order and judgment is affirmed, without costs or disbursements.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.