Cardinal v. State of New York
Cardinal v. State of New York
Opinion of the Court
This suit, being on an insurance policy issued by the State Insurance Fund (see Workmen’s Compensation Law, §§ 76-99), was properly brought against the State itself, in the Court of Claims (see Heath v. State of New York, 303 N. Y. 658). The lower courts denied recovery. We do not agree.
The policy which the Fund issued to claimant Cardinal was in a familiar form. By it, the Fund agreed, in broadest language, to indemnify the insured “ against loss by reason of any liability imposed upon him by law for damages on account of such injuries to [his] employees ”, agreeing, also, to insure claimant-insured against all liability under the New York Workmen’s Compensation Law and the Federal Longshoremen’s and Harbor Workers’ Compensation Act, there being an express exception in the policy as to “ any liability assumed by the employer under any contract entered into with any other person, association or organization.” The policy contained the usual promise by the Fund, as insurer, that it would defend ‘ ‘ in the name and on behalf of this employer, any suits or other proceedings which may at any time be instituted against him on account of such injuries, including suits or other proceedings alleging such injuries and demanding damages or compensation therefor, although such suits, other proceedings, allegations or demands are wholly groundless, false or fraudulent ”. In other words, the Fund promised claimant not only that it would indemnify him against all liability to his employees under the two compensation statutes, and against any loss by reason
On January 3, 1945, while the policy above described was in effect, claimant Cardinal, a ship repairer, was engaged in carrying out, through employees, a contract with the United States for repairs and changes to the refrigeration system of a vessel owned by the United States and lying at a berth in the Port of New York. While a large number of claimant’s employees were in the hold of the vessel, ammonia gas was, accidentally, allowed to escape from the refrigeration pipes, with the result that eighteen of the employees were injured, one of them fatally. Sixteen of the injured employees, and the administratrix of the deceased employee, filed separate libels in admiralty in the United States District Courts for the Southern and Eastern Districts of New York, against the United States as owner of the ship, alleging total damages of about $555,000, the general theory of those libels being that the shipowner had failed to keep the ship in a safe and seaworthy condition, and had failed to furnish Cardinal’s employees with a safe place to work. The United States, as respondent in those suits, then filed petitions to implead claimant Cardinal in each such suit. Each such impleading petition contained two .alleged causes of action against Cardinal. The first of those, clearly sounding in tort, charged that Cardinal had failed to act with reasonable care, and had failed to avoid the dangerous conditions on the ship and to eliminate them, this first cause of action in the impleading petitions alleging that, if any libelant suffered any damages and was entitled to recover against the United States, the actual fault for the occurrence was that of Cardinal, and that for any such recovery by any libelant, the United States should have full indemnity, or contribution, from Cardinal. The second cause of action in the impleading petitions filed by the United States against Cardinal, called attention to a provision in the repair contract between the United States and Cardinal, by the terms.of which provision Cardinal had agreed to indemnify and save harmless, the United States against all suits, actions, claims, etc., by third parties- arising from the fault of Cardinal
After the Fund had thus, because of the allegations as to contract assumption in one part of the impleading petitions, refused tq undertake the defense of these suits for Cardinal, Cardinal’s lawyer filed answers to all the libels and impleadingpetitions, and the cases went onto the trial calendar to await their turn. Then, after some months, and in March, 1947, there was decided by the United. States Supreme Court the case of American Stevedores v. Porello (330 U. S. 446), which decision, construing an indemnity provision, in another contract between the United States and a stevedoring concern, much like the clause to which Cardinal had agreed, held that the clause was ambiguous and might mean any one of three things. Such a clause, held the Supreme Court, might have this meaning: that a contractor (like Cardinal) was to indemnify the United States if the latter should be held liable for damages solely caused by the contractor’s negligence, or, said the court, it might be that the intent was that a contractor (like Cardinal) should fully reimburse the United States for all damages caused in any part by the contractor’s negligence, or, finally, the intention might have been that the contractor, in case there was joint negligence of the parties, should be responsible for that portion of the damages which the contractor’s fault bore to total fault (see 330 U. S., pp. 457, 458). The Supreme Court held, therefore, in the Porello case, that the meaning of a clause, quite similar to the one that Cardinal signed, and on which clause alone the insurer here had disclaimed liability, was a question of fact, calling for the production of evidence. As soon as that Porello decision was handed down, Cardinal’s attorney, in April, 1947, wrote to the Fund calling the Fund’s attention to this new and controlling decision. In that letter,
There can be no doubt that the paragraph next above correctly summarizes the meaning of the correspondence between the parties. In a letter from the Fund to Cardinal’s attorney in June, 1947, the Fund again stated that it would assume the defense of the actions but only up to $25,000, a limitation to which Cardinal, of course, did not agree. (Indeed, the Fund
The actions were not reached for trial in the spring of 1947, and, during that summer and early' autumn, there were negotiations between representatives of libelants and representatives of the United States and Cardinal, respectively, which finally culminated in an agreement whereby all of the libels were settled by a total payment to the libelants of $145,000, of which the United States paid 40%, and Cardinal paid 60% or $87,000. Cardinal, besides, paid his own attorney’s $14,000 legal fees, or a total of $101,000, for which total amount the present suit is brought. The State Fund, while insisting that it would not defend or participate in settlements unless a $25,000 limitation was agreed to, was kept informed of the settlement negotiations, and even now approves the settlements as to fairness. It concedes, also, the reasonableness of the amount paid by Cardinal for attorney’s fees.
The present suit, of course, is not one by the injured men against the United States or Cardinal, or by the United States against Cardinal. If it were, other rules of law might apply. What we have here is a suit on an insurance policy, alleging a breach by the insurer in refusing to defend, and demanding damages therefor. The applicable law, as well stated in Apple-man’s Insurance Law and Practice (Vol. 8, § 4690), is this: “ If an insurer unjustifiably refuses to defend a suit, the insured may make a reasonable settlement or compromise of the injured person’s claim, and is then entitled to reimbursement from the insurer, even though the policy purports to avoid liability for settlements made without the insurer’s consent ” (Matter of Empire State Sur. Co., 214 N. Y. 553, 563, supra; Mayor, Lane & Co. v. Commercial Cas. Ins. Co., 169 App. Div. 772; Alliance Cas. Co. v. Miele, 249 App. Div. 650). Simple justice requires such a rule. That this insurer’s refusal to defend Cardinal was unjustified cannot be doubted on this record. In
Under the facts as Cardinal believed them to be, and as later established in the present suit without dispute, his workmen had been injured by escaping fumes, and the fault therefor was, at least in part, Cardinal’s own fault in that his agents failed to clean out those pipes, although Cardinal had notice of their dangerous condition. Another possible fault was that of the United States in failing to follow customary practices in cleaning out the ship before turning it over to Cardinal. Under the law maritime, as experienced counsel would have found it to be at the time of the settlements, the results possible in the admiralty suits, if they went to trial, were these:
1. Cardinal and the United States might be held to be joint tort-feasors, and, under maritime law as then thought settled, this would result in Cardinal being liable over to the United States, not by contract but by substantive maritime law, for half the damages (Erie R. R. Co. v. Erie Transportation Co., 204 U. S. 220; The Ira M. Hedges, 218 U. S. 264, 270; The Wonder, 79 F. 2d 312, 314; Barbarino v. Stanhope S. S. Co., 151 F. 2d 553, 555 [C. A. 2d, 1945], Learned Hand, J.). In these very cases, two different Federal District Judges had held in
2. Cardinal might be held to be primarily liable, that is, wholly to indemnify the United States (Porello v. United States, 153 F. 2d 605, 607, revd. in part on other grounds sub nom. American Stevedores v. Porello, 330 U. S. 446, supra; and see McFall v. Compagnie Maritime Belge, 304 N. Y. 314, decided herewith).
3. Cardinal might, also, be held liable to indemnify the United States on a question of fact only, since Cardinal’s claim that the United States was obligated to purge the system of fumes was based not on a writing but on a custom, testimony as to which custom a trial court might reject as untrue.
4. Cardinal had by contract assumed some liability to indemnify the United States, but the meaning of the assumption clause was unsettled (see United States Supreme Court opinion in American Stevedores v. Porello, supra).
Cardinal might have been held, on trial of the admiralty causes, for half or all of such damages as might be adjudged in suits brought for $555,000 damages. Under one or more of the Porello case theories, such a recovery might have been on the ground: not that Cardinal had by contract promised to assume liability, but because the actual fault was wholly or partly his. It seems to us that, on this record, there is nothing to answer Cardinal’s contention here that, abandoned by his insurer, he made a reasonable settlement, chargeable against the insurer as matter of law.
Several reasons are advanced for defeating a recovery here. The Court of Claims denied all recovery, and the Appellate Division modified to the extent of awarding to Cardinal his legal fees only. Since we hold that the Fund is liable to pay the settlement amount, it follows that it is liable for attorney’s fees, also, and so we do not discuss the two items of the claims separately. The Court of Claims decision held, in substance, these things: first, that the New York Workmen’s Compensation Law did not authorize the State Fund to insure against third-party liabilities; second, citing Treadwell Co. v. United States Fidelity
Thus, in our court, the State has asserted at least three different grounds for escaping liability: first, that the New York Workmen’s Compensation Law does not authorize the Fund to issue a policy indemnifying against an employer’s third-party liabilities; second, that even if the statute did so permit, this policy, under the Treadwell case (supra) does not cover such liabilities; and, third, that under the Halcyon case (supra), Cardinal could not, in the admiralty cases brought by the workmen, have been held liable as in tort, but only because he had covenanted to bear the burden of such third-party claims, a burden against which he was not insured, since the poEcy contained an exclusion applicable thereto. At the risk of making this opinion overlong, we feel it necessary to take up, separately, each of those separate positions of the State.
The State says, first, that article 6 (§ 76) of the Workmen’s Compensation Law, which commands the setting up of a State bureau or £ ‘ Fund ’ ’ to operate as an insurer and to be known as the State Insurance Fund, did not license the Fund to insure employers against these third-party liabiEties. To that contention, there are a series of answers, each answer adequate in itself. The most impressive of them is this: on November 12, 1946, before these cases were settled, and after the Fund had made and had not yet withdrawn its claim of poEcy noncoverage because of the assumption of Eability, the State Fund in a most formal and solemn way, issued a written statement to each of its policyholders, including Cardinal, announcing that its poEcies, of the kind here in suit, did cover such third-party liabilities. ' That notice said in part: £ £ The State Fund has always maintained that its employers are entitled to such indemnity protection and accordingly, our poEcies have always been interpreted to grant such coverage without extra charge.” That notice went on to say that, to give evidence of the ££ State Fund’s long standing practice ”, there was being sent to each insured (and was so sent to Cardinal) a poEcy indorsement in which the State Fund agreed £ £ to indemnify this employer against loss by reason of the liabiEty imposed upon him by law for damages on account of such injuries to such employees wherever such
Next we come to the State’s argument, based on the Treadwell case (supra). We do not find it necessary to determine the exact limits of that holding. As we have pointed out above, this insurer, when there was tendered to it the defense of these claims, and later when it was asked to settle them, waived every possible question of policy coverage except the unfounded $25,000 limitation. The matters set forth in the paragraph next above of the present opinion answer this argument of the State, also since they show that, regardless of the Treadwell case (the holding of which we do not further analyze) this insurer affirmatively and knowingly waived any claim that it was not bound by its policy to defend third-party claims. Beyond this, there is a technical reason (to which we do not attach major importance) why, in any event, the Treadwell case could not control here. It is undisputed that, when the United States impleaded Cardinal, Cardinal was, pursuant to admiralty court procedure, and by the terms of the admiralty process served on him, required to answer not only the impleading petitions but also the original libels themselves. That necessary defense as to the libels would seem to be, specifically and in terms, covered by this policy. In other words, the Fund by this policy had promised to defend against, and to pay the damages in, any suits by employees. So far as Cardinal was concerned, these were suits by employees against him.
We come now to the State’s argument based on Halcyon Lines v. Haenn Ship Corp. (supra) decided by the nation’s highest court after the present suit had been passed on by the Appellate Division. Of course, Halcyon v. Haenn would be the present law of a hypothetical case which would be up for decision now, had the United States paid the whole settlement, and were it now suing Cardinal for contribution. But there is no such suit, and no
We come, next, to a matter taken up here for the sake of completeness, although perhaps not necessary to this decision. The argument from the Halcyon case (supra), is that, since Cardinal and the United States have, in the present suit, by findings of fact, been held to be joint tort-feasors, thus, it is said, there never was any right in the United States to exact contribution from its joint tort-feasor Cardinal. Of course, that is all “ after the event ” material, since when the settlements were made, there not only was no Halcyon case, but there was no finding, and no certainty that there ever would be a finding, that the United States and Cardinal were joint tort-feasors. Cardinal knew that he was at fault, and, presumably, the Fund knew that too, but, whether the United States was at fault was another question, since Cardinal’s claim of fault against the United States rested on information, which he says he had, that the United States breached a duty and failed to follow a custom when it failed to purge the pipes, before handing the ship over to Cardinal. As we have, pointed out above in one of the earlier paragraphs of this opinion, the admiralty courts, had the cases gone on to trial, might very well have held that the United States was secondarily liable only, and that Cardinal was the real
So we come back to where we were when we began to discuss the various arguments for affirmance. On the clear showing of an unlawful refusal by this insurer to defend, the sole question is as to the reasonableness of the settlement thereafter made by the insurer. That question must be answered nunc pro tune, not by a long-later trial, under newly handed down decisions, as to who could be held for damages, and on what theory, for the injuries to Cardinal’s workmen.
We mention one more matter. We decided, in 1951, Cardinal v. United States Cas. Co. (302 N. Y. 853) wherein Cardinal tried to recover the amount of this same settlement, from an insurer which had covered him as to accidental injuries to persons other than employees of the insured. Enforcing the exclusion, in the policy there in suit, of claims for injuries to Cardinal’s employees, we, agreeing with the court below, denied recovery. Broadly, the basis for our decision as to that other policy was that Cardinal had settled claims for injuries to his employees, and, on that same broad basis, this State Fund
Summing up, we think that the breach by the Fund, of its policy contract, and the reasonableness of the subsequent settlement made by Cardinal, were established beyond any dispute, and accordingly, that there was no defense to this suit and that there is now no necessity for a new trial.
The order of the Appellate Division should be modified in accordance with the opinion herein, the judgment of the Court of Claims reversed, and the case remitted to the Court of Claims for entry of judgment in favor of the claimant, as demanded in the claim, with costs in all courts.
Dissenting Opinion
(dissenting). These cross appeals bring up for consideration the liability of the State Insurance Fund (hereinafter called the Fund) under a policy issued by it to insure the appellant, a ship repairer (hereinafter called Cardinal) under the New York Workmen’s Compensation Law and the Federal Longshoremen’s and Harbor Workers’ Compensation Act. The issue turns on the construction to be given the policy provisions insuring “ against loss by reason of any liability imposed upon him by law for damages on account of such injuries to such employees wherever such injuries may be sustained ”, such obligations being limited, however, “ to the liability imposed by law upon the employer for negligence but specifically exclude * * * any liability assumed by the employer under any contract entered into with any other person, association or organization.” The policy also contained a standard form clause whereby the insurer undertook to defend “ in the name and on behalf of this employer, any suits or other proceedings which might at any time be instituted against him on account of such injuries, including suits or other proceedings alleging such injuries and demanding damages or compensation’therefor, although such suits, other proceedings, allegations or demands are wholly groundless, false or fraudulent ”.
While the policy was in effect, Cardinal undertook to make alterations and repairs to the S.S. Hilton, an ocean going vessel owned by the United States and berthed at the time in New York
Thereafter the suits were settled prior to trial, the United States paying 40% of the settlement and Cardinal 60%, its share being the sum of $87,000. Cardinal then made demand on the Fund for reimbursement of the amount paid by him plus his attorney’s fees and disbursements in the sum of $14,000. On the Fund’s refusal the instant suit was then brought in the Court of Claims. The Court of Claims denied all relief and entered its judgment dismissing the complaint. The Appellate Division modified the Court of Claims judgment to the extent of allowing attorney’s fees and both parties cross-appealed here. No question is raised as to the reasonableness of either the sum paid in settlement or the amount paid to the attorney.
There is no longer any doubt that the Fund may be sued in the Court of Claims and we all agree that the policy, by its terms, purported to insure against third-party liability, that the Fund has statutory authority to issue such a policy, and that the $25,000 limited liability rider is not applicable to the instant claims.
The dispute turns on whether, under the circumstances of this case, Cardinal as impleaded defendant was under an obligation “ imposed by law ” to contribute to his joint tort-feasor; for if he was, then the coverage of the policy was available to him and the Fund should have reimbursed him for his contribution to the settlement and accepted defenses of the interpleading
The Fund took the position throughout, and was sustained in the courts below, that Cardinal had no liability imposed by law within the coverage of the policy. While the case was being litigated, albeit subsequent to the date of the accident giving rise to it, the United States Supreme Court settled any doubt as to contribution between joint tort-feasors in noncollision cases by holding that the common-law rule of noncontribution between joint tort-feasors is applicable (Halcyon Lines v. Haenn Ship Corp., 342 U. S. 282). We are bound by the rule of that decision. Our practice is well settled that we take the law as we find it at the time of the appeal, whether statutory (Matter of Kahn [National City Bank], 284 N. Y. 515; Robinson v. Robins Dry Dock & Repair Co., 238 N. Y. 271; Matter of Tartaglia v. McLaughlin, 297 N. Y. 419; Gilpin v. Mutual Life Ins. Co. of N. Y., 299 N. Y. 253), or decisional (Graybar Elec. Co. v. New Amsterdam Cas. Co., 292 N. Y. 246). The case of McFall v. Compagnie Maritime Belge (304 N. Y. 314), handed down herewith, suggests no different result for there we dealt with the rights of a passively negligent owner and active wrongdoers, while our
It is equally clear that the Fund was under no obligation to undertake the defense of the impleading petition. Its obligation to defend depended upon whether the liability sought to be imposed was within the coverage of the policy. It has long been the rule that an insurer’s duty to defend is determined by the allegations of the pleading matched against the terms of the policy. If the pleading states a cause of action within the coverage of the policy, even though the allegations “ are wholly groundless, false or fraudulent ” there is a duty to defend (Mason-Henry Press v. Ætna Life Ins. Co., 211 N. Y. 489; Goldberg v. Lumber Mut. Cas. Ins. Co., 297 N. Y. 148). The words “ false ” and “ groundless ” obviously mean false and groundless in fact. In the petition under consideration here no facts were pleaded showing a liability “ imposed by law ” and the State Fund was clearly justified in refusing to defend,
Furthermore, a careful reading of the correspondence passing between the parties as outlined above, clearly demonstrates that the Fund neither waived its defenses to the policy coverage nor became estopped from asserting them by reason of its offer to defend provided its liability was limited to $25,000. Patently the offer was made to compromise a disputed claim involving upwards of $550,000. In this case the parties themselves did not argue or even suggest that said offer was a waiver of the question of coverage. Moreover, even if the Fund’s offer is regarded as a withdrawal of all other grounds for contesting coverage, the authorities are in accord that no estoppel results unless the assured relied thereon to his detriment (45 O. J. S., Insurance, § 707, pp. 677-678, and cases cited therein; 29 Am. Jur., Insurance, § 871, pp. 667-668, and cases cited therein). Nowhere in this record does it appear that Cardinal placed any reliance on the offer and he was not misled in any way.
The judgment of the Appellate Division should be modified by reversing so much thereof as adjudges the State Insurance Fund liable to the plaintiff in the amount of $14,000 paid by him defense of the impleader petition.
Dissenting Opinion
(dissenting). While I agree with the court that the State Insurance Fund was under the necessity of defending the actions that had been brought in the federal court and, accordingly, defendant is liable for payment of the legal fees incurred by plaintiff in connection with their defense, I see no basis for holding defendant responsible for the amount that plaintiff paid to the United States pursuant to the agreement of settlement. The question for decision is whether the claims, settled by plaintiff’s payment of $87,000 to the Government were included within the coverage of the Fund’s policy of insurance and not, as Judge Desmond puts it (opinion, p. 411), whether plaintiff was ‘1 reasonably justified ’ ’ in paying that amount in settlement. The policy covered only those obligations “ imposed by law ”, and, since the Supreme Court of the United States has decided that there is no right to contribution between joint tort-feasors in noncollision cases (see Halcyon Lines v. Haenn Ship. Corp., 342 U. S. 282), plaintiff was under no such obligation. In my view, therefore, it follows that plaintiff may not look to the policy for reimbursement or recovery of the amounts paid in settlement.
I would affirm the judgment of the Appellate Division.
Loughran, Ch. J., Lewis, Conwat and Froessel, JJ., concur with Desmond, J.; Dye and Fuld, JJ., dissent in separate opinions.
Judgment accordingly. [See 304 N. Y. 732, 875.]
Reference
- Full Case Name
- Joseph Cardinal, Doing Business Under the Name of Cardinal Engineering Company, Appellant and Respondent, v. State of New York, Respondent and Appellant
- Cited By
- 54 cases
- Status
- Published