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Picciano & Scahill, P.C. Newsletter
iNews
In this Issue
Results that Matter
Spoliation of Evidence
Osuna v. Geico
Appellate Decisions of Interest
Featured Employee
Aug Employee Deborah A. Pastore   
This month we honor Margarita Shulyak, who has been with our firm from March of 2011.

Margarita has 5 Years experience in Insurance Defense work and graduated with a Bachelors in Legal Studies from John Jay College in 2010.

She is a tireless worker who assists two of our attorneys in the active venue of Kings County.

We thank her for her efforts and her work ethic. It is great to have her as part of our team.
 
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iNews Issue: 42                August 2012    
Decisions of Note

 

Frank Scahill
Frank Scahill 
 Wrongful Death Actions

We are often asked for a potential outcome on wrongful death actions involving a claim for conscious pain and suffering. What a jury will do and what the Appellate Division will do can vastly differ.

As a rule, Plaintiffs have the threshold burden of proving consciousness for at least some period of time following an accident in order to justify an award of damages for pain and suffering (see, Fiederlein v New York City Health & Hosps. Corp., 56 NY2d 573, 574-575; see also, McDougald v Garber, 73 NY2d 246).

The burden can be satisfied by direct or circumstantial  evidence (see, Gonzalez v New York City Hous. Auth., 77 NY2d 663). However, "mere conjecture, surmise or speculation is not enough to sustain a claim for [pain and suffering] damages" (Fiederlein v New York City Health & Hosps. Corp., supra, at 574). Without legally sufficient proof of consciousness following an accident, a claim for conscious pain and suffering must be dismissed (see, Blunt v Zinni, 32 AD2d 882, affd 27 NY2d 521).
 
Recently we were asked to give an opinion on a case involving three hours of conscious pain and suffering for an 85 year old female pedestrian involved in an auto accident. There are so many variables in this equation, however, a review of the case law below, is a helpful blueprint to what the Appellate division will do.  
 
A specific case on point, Twestwersky v. Busche, 37 AD 3rd 704 (2nd Department 2007); involved a pedestrian who was struck by a motor vehicle crossing the street in Brooklyn and remained conscious experiencing pain and suffering for 2 ½ hours prior to her death.  The Trial Court had set aside a $1,000,000 verdict for pain and suffering and reduced the amount to $650,000.  The Appellate Division, Second Department indicated, "The Supreme Court erred in reducing the jury award for the decedent's conscious pain and suffering.  Under the circumstances of the accident and the duration of the decedent's consciousness thereafter, the $1,000,000 award did not deviate materially from what would be reasonable compensation". Thus the sustainable amount for three hours of conscious pain and suffering in the Second Appellate Department, which includes Suffolk Co., is One Million dollars.
 
Dowd v New York City Tr. Auth., 78 A.D.3d 884 (2010) involved a Queens County wrongful death action where a jury verdict on the issue of damages awarded the plaintiff the sum of $1,750,000 for conscious pain and suffering. On Appeal, the Appellate division ordered a new trial unless the plaintiff stipulated to $1,200,000 as a reduced award. In this case, the accident occurred at 6:20 am and the plaintiff decedent was pronounced dead at 7:50 am  (one and ½ hours of pain and suffering).
 
Susan Glaser v.  County of Orange 54 A.D.3d 997 (2008) was a Second Department case out of Orange County which involved a fact pattern where  the plaintiff's decedent was fatally injured when the rear axle of a dump truck operated by the defendant Thomas M. Knapp and owned by the defendant Village of Warwick came loose and struck the decedent's windshield. The Appellate Division reduced a $1,000,000 verdict for pain and suffering to $350,000 based on testimony that the decedent was conscious for two to three minutes after the initial impact.  
 
Aurelina Filipinas  v Action Auto Leasing et al., 48 A.D.3d 333 (2008), a First Department case, reversed the Trial Court order where a jury award for conscious pain and suffering was reduced from $750,000 to $350,000. The Court stated, "The trial evidence established that within an hour of the accident, plaintiff's decedent was heavily medicated and/or sedated, justifying the trial court's reasoning that the decedent endured pain and suffering for a limited amount of time. However, contrary to the court's determination, the award for conscious pain and suffering did not deviate materially from what is reasonable compensation, where, as a result of being struck in the head by the side mirror of defendants' van, plaintiff's decedent sustained fractures of the left orbit and right temporal bone, a subdural hematoma and subarachnoid hemorrhaging."

 

Surgery before IME Ruled to be Spoliation of Evidence

medical Justice Charles J. Markey's decision in Mangione v Jacobs, decided in State Supreme Court, Queens County, on July 31, 2012, is bound to grab some headlines and is worth a thorough review. The attached decision holds that a plaintiff's surgery before defense doctors can conduct Independent Medical Examinations pursuant to court orders constitutes a spoliation of evidence. Justice Markey dismissed the complaint of a plaintiff in a personal injury case because of her failure to comply with three court orders requiring her attendance at Independent Medical Examinations. Instead of complying with the orders, the plaintiff went to get non-emergency spinal surgery that had the effect of making it impossible for the defense doctors to determine the cause of her alleged physical injuries. The Court found the plaintiff's actions egregious in light of her prior accident in 2008 where she claimed the same injury.

In a case of first impression, Justice Markey concludes that a plaintiff, who opts to have surgery rather than attend court-ordered IMEs, is guilty of spoliation of evidence.

Justice Markey states:
"Although not restricted to the least onerous sanction, in order not to deprive a party of his or her day in court, a court should  consider whether the damage and prejudice to a victim of spoliation are irreparable or may be remedied by the imposition of lesser spoliation sanctions, short of outright dismissal of a pleading.   See, Chrysler Corp. v Carey, 186 F.3d at 1020, supra;  Process Controls Intern., Inc. v Emerson Process Mgt., 2011 WL 5006220, slip op. at 7 [E.D. Mo. 2011].   In the calculus of appropriate sanctions,  a court must also consider, as discussed above, deterring other would-be spoliators; otherwise, a judicial opinion that simply slaps a wayward litigant on the wrist for disobeying three court orders might embolden and reward miscreants who would  destroy, rather than preserve and furnish, an important piece of evidence.  A court should not give its imprimatur to an intentional destruction of evidence and thwarting of court orders, if it intends to stem a contagion of spoliation."  

Justice Charles J. Markey's decision in Mangione v Jacobs, decided in State Supreme Court, Queens County, on July 31, 2012, is bound to grab some headlines and is worth a thorough review.

The attached decision holds that a plaintiff's surgery before defense doctors can conduct Independent Medical Examinations pursuant to court orders constitutes a spoliation of evidence. Justice Markey dismissed the complaint of a plaintiff in a personal injury case because of her failure to comply with three court orders requiring her attendance at Independent Medical Examinations. Instead of complying with the orders, the plaintiff went to get non-emergency spinal surgery that had the effect of making it impossible for the defense doctors to determine the cause of her alleged physical injuries. The Court found the plaintiff's actions egregious in light of her prior accident in 2008 where she claimed the same injury.


 Read the decision here.
 
Constitutional Battle:  Osuna v. GEICO
In our March 2012 edition of INews we discussed a Constitutional battle we were engaged in regarding the matter of Robert Osuna v. GEICO (U.S.D.C. 11-CV-3631 E.D.N.Y. Judge Joseph F. Bianco).

The case involved the constitutionality of NY Insurance Law section 3420(g) which plaintiff attacked on the grounds that it is an illegal bill of attainder in violation of the US Constitution.
 
The facts include a single car loss that occurred in Dingman's Ferry, Pike County, Pennsylvania, on October 4, 2009.  Banu Osuna, the spouse of Robert Osuna, has filed an action for personal injuries as a result of this occurrence.  Robert Osuna is alleged to have lost control on a wet roadway and struck a tree.  The injuries claimed by the plaintiff/spouse, Banu Osuna, include a fractured sternum, two fractured ribs, and a fractured right ankle.  Banu Osuna filed suit in Supreme Court, Kings County, against her spouse, Robert Osuna. 

GEICO declined coverage for this loss as of December 31, 2009, based on the spousal exclusion contained in the policy set forth in Section I-Liability Coverages/Exclusion No. 6, "to any insured for bodily injury to the spouse of that insured.  We will cover a spouse if named as a third-party defendant in the legal action initiated by his or her spouse against another party".
 
Following the denial of coverage, Robert Osuna instituted a pro se action against GEICO in Supreme Court, Kings County, seeking a declaration that the provision of the policy with respect to spousal immunity does not apply to the above referenced claim.  The issue in Federal Court was the applicability and validity of New York State Insurance Law §3420(g) which provides; "No policy or contract shall been deemed to insure against any liability of an insured because of death of or injuries to his or her spouse or because of injury to, or destruction of property of his or her spouse unless express provision relating specifically thereto is included in the policy as provided in paragraph 1 and 2 of the subsection.  This exclusion shall apply only where the injured spouse to be entitled to recover, must prove the culpable conduct of the insured spouse".
 
 The District Court denied summary judgment to the plaintiff with a finding that the Insurance law provision is not an illegal bill of attainder:
 
"Plaintiff acknowledges that the purpose of the statute is to avoid collusion between spouses, but argues that this was an inappropriate assumption of culpability by the legislature. (See Pl.'s Br. at 15-19.) However, plaintiff does not provide any support for his position that this was an irrational or unreasonable legislative determination. In any event, plaintiff does not adequately address how the Supplemental Spouse premium is a burden  that is disproportionate to the legislative purpose of avoiding collusion. Thus, plaintiff has failed to show that Section 3420(g) imposes punishment under the functional test."
 

Read the decision here. 
Appellate Decisions of Interest:  Who is to blame when a sport's participant is injured during a game?

Olympics

 

We are once again captivated by the Olympics and the Athletes that represent our Country.  

 

Jim McKay's voice was synonymous with the Olympic broadcasts for so many years and Bob Costas has now taken the baton as the Master of Ceremony. Each night we marvel at feats our young athletes can accomplish.   

 

In the spirit of the Olympics, let us a take a look at  Gibbons v. Pine Bush Central School District decided on July 18, 2012 by the Appellate Division, Second Department. Who is to blame when a sport's participant is injured during the course of a game?  

 

In Gibbons a student was injured during a badminton game in gym class at the school. The shuttlecock hit the injured plaintiff in the right eye and his parent brought an action on his behalf against the School District. In dismissing the suit, the Appellate Division noted, "The Supreme Court should have granted the defendant's motion for summary judgment dismissing the complaint. At his deposition, the infant plaintiff described the activity as trying to spike the shuttlecock to a place away from the other player, in order to score points. This testimony established that the infant plaintiff was struck by an errant shot. The defendant established, prima facie, that it properly supervised the infant plaintiff (see Mirand v City of New York, 84 NY2d 44).  

 

In any event, the plaintiff was injured by an errant shot of the shuttlecock that occurred in such a short period of time that any alleged lack of supervision was not a proximate cause of the infant plaintiff's injuries (see Torres v City of New York, 90 AD3d 1029; Odekirk v Bellmore-Merrick Cent. School Dist., 70 AD3d 910; Ronan v School Dist. of City of New Rochelle, 35 AD3d 429; see also Spaulding v Chenango Val. Cent. School Dist., 68 AD3d 1227; Hernandez v Castle Hill Little League, 256 AD2d 241). 

 

Score this one for the School District.    

 

 Read decision here.   

  

  

_____________________________________________________

tower crane A Crane collapse in New York City was the backdrop for the Court of Appeals decision in Admiral Insurance Company v. Joy Contractors, decided by the Court on June 12, 2012.

The case involved the collapse of a tower crane during the construction of a high rise condominium on March 15, 2008 where seven people were killed and dozens injured. Admiral Insurance Company was the excess carrier for the Crane operator, Joy Contractors Inc.

Admiral sought recession of the excess policy because of a material misrepresentation in the underwriting application submitted by Joy. Admiral believed, based on the underwriting submission of Joy, that they were providing excess coverage for interior drywall installation, not a Tower crane.  Prior Court of Appeals decisions held that misrepresentations made by an insured were irrelevant to coverage issued to an innocent additional insured. In distinguishing its prior holdings the Court noted,  "The lower courts dismissed these causes of action against Reliance and the owners/developers solely on the basis of the Appellate Division's decisions in BMW Fin. Servs. and Lufthansa Cargo, AG. These cases, in turn, relied on Morgan v Greater N.Y. Taxpayers Mut. Ins. Assn. (305 NY 243, 112 N.E.2d 273 [1953]) and Greaves v Public Serv. Mut. Ins. Co., 5 NY2d 120, 155 N.E.2d 390, 181 N.Y.S.2d 489 [1959]).

"Notably, however, the insurers in Morgan and Greaves did not seek rescission - i.e., they made no claim that the policies at issue were void ab initio because of material misrepresentation, as Admiral does here. Instead, we were asked in those cases to interpret provisions of policies that everyone agreed were valid and effective. "
 
The net effect of this decision is a sea change by the Court of Appeals on the issue of standing by an innocent additional insured. Where in the past, Coverage was afforded, now a cause of action for recession, based on misrepresentation survives.
 

Read the decision here.

____________________________________________________


two car crash A claimant seeking to recover from an Insurance Carrier on a claim for supplemental underinsured motorist (SUM) coverage must seek permission from the SUM carrier prior to accepting the policy limits of the offending tortfeasor. What happens to a claimant who accepts a settlement on a a products liability claim against the automobile manufacturer which arises from the same accident ?
 
Day v. One Beacon Insurance (96 A.D.3d 1678) decided by the Appellate Division, Fourth Department on June 29, 2012, involved a two vehicle accident where the injured plaintiff filed suit against the adverse driver, who offered their $100,000 policy, and Ford Motor Company on a products liability claim. Apparently the passenger's seat dislodged during the collision, contributing to her injuries. Ford offered $475,000 to settle in addition to the $100,00 paid by the Insurance carrier for the adverse driver. One Beacon took the position that the plaintiff could not settle the claim with Ford without their consent, and therefore the claim for SUM coverage of an additional $500,000 was lost, based on condition number 10 set forth in the One Beacon policy: "[i]n accidents involving the insured and one or more negligent parties, if such insured settles with any such party for the available limit of the motor vehicle bodily injury liability coverage of such party, release may be executed with such party after thirty calendar days actual written notice  to [defendant], unless within this time period [defendant] agree[s] to advance such settlement amounts to the insured in return for the cooperation of the insured in [defendant's] lawsuit on behalf of the insured . . . An insured shall not otherwise settle with any negligent party, without [defendant's] written consent, such that [defendant's] rights would be impaired."
 
In finding the plaintiff violated this policy condition the Appellate Court noted:  "We further conclude that plaintiff violated Conditions 10 and 13 by settling with Ford without defendant's written consent. Condition 10 provides that plaintiff "shall not otherwise settle with any negligent party, without [defendant's] written consent" (emphasis added). Similarly, Condition 13 gives the SUM carrier the subrogation right to recover a SUM payment from "any person legally responsible for the bodily injury or loss" (emphasis added).

Thus, although defendant was not obligated to advance the settlement  offer made by Ford, Ford was nevertheless "legally responsible" for plaintiff's injuries, and defendant therefore had subrogation rights against Ford to the extent that its SUM payments represented payment for injuries for which Ford was legally responsible. "
 
A costly mistake/gamble by claimant's counsel lead to the loss of a $400,000 claim.

Read Decision Here. 
 

______________________________________________________

Finally, in a very rough loss for pet owners, New Jersey's highest Court refused to allow a dog owner to pursue a claim for emotional distress in the traumatic loss of her dog.
Dog
On June 7, 2007, plaintiff Joyce McDougall was walking her dog when a large dog belonging to defendant Charlot Lamm ran out, grabbed plaintiff's dog by the neck, and picked it up and shook it several times before dropping it, causing the death of plaintiff's dog. Joyce McDougall v. Charlot Lamm (A-99-10) (067436) decided on July 31, 212 by Judge Hoens, refused to extend the New Jersey rule enunciated in Portee v. Jaffee, 84 N.J. 88 (1980), which permits compensation for the traumatic loss of carefully defined classes of individuals, to include emotional distress claims.
 
"The Court declines to expand the class of individuals authorized to bring a Portee claim to those who have witnessed the traumatic death of a pet.

First, the Court has strictly limited the kinds of relationships with other humans that can support a Portee claim precisely because of the intention to preserve the essential principle of foreseeability to serve the ends of fairness to all parties.

Second, expanding the cause of action would be inconsistent with existing statutes such as the Wrongful Death Act, N.J.S.A. 2A:31-1 to -6, which limits recovery to pecuniary damages regardless of the closeness of consanguinity, and statutes regulating dog owners and addressing dangerous dogs, such as N.J.S.A. 4:22-20 (defining abandonment of domestic animal as disorderly persons offense) and N.J.S.A. 4:19-16 (setting forth dog owner's liability for injuries inflicted by dog's bite).

Third, although pets are not merely property, that alone cannot support a new cause of action. Their value is recognized by permitting recovery to exceed replacement value and include intrinsic value. Fourth, a clear line cannot be drawn to distinguish which pet owners would qualify for recovery and which would not. Describing some pets as companions is insufficient because the descriptive definition of that role would equally apply to many human relationships."

Ruff indeed!

Read the decision here. 
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