Thrasher v. United States Liab. Ins. Co., 19 N.Y.2d 159 (1967)
An insurer has a heavy burden to demonstrate a lack of cooperation by its insured, requiring diligent efforts to secure the insured’s cooperation and a showing that the insured’s attitude was one of willful and avowed obstruction.
Summary
Thrasher sued United States Liability Insurance Company (USLI) after USLI disclaimed coverage for its insured, Kelley, in a negligence action. The New York Court of Appeals held that USLI failed to meet its burden of proving Kelley’s lack of cooperation. The court found that USLI’s efforts to locate Kelley for trial were not sufficiently diligent, and the evidence did not establish that Kelley willfully obstructed USLI’s defense. The court also determined that serving notice of entry of judgment on the law firm representing Kelley (and retained by USLI) satisfied the statutory requirement of serving the insurer. This case emphasizes the high standard insurers must meet to disclaim coverage based on non-cooperation.
Facts
Kelley loaned his car to Morgan, who invited Thrasher for a ride. An accident occurred, injuring both Thrasher and Morgan. Thrasher sued Kelley, alleging Morgan’s negligent operation of the vehicle. Morgan also sued Kelley, alleging defective brakes. USLI insured Kelley. USLI was informed by Kelley that he loaned his car to Morgan. USLI’s investigator made some attempts to locate Kelley when the case was approaching trial but failed to secure his attendance.
Procedural History
Thrasher initially sued Kelley. Morgan also sued Kelley. The two actions were consolidated. After a jury trial, Thrasher and Morgan won judgments against Kelley. USLI disclaimed coverage based on Kelley’s failure to cooperate. Thrasher and Morgan then sued USLI, seeking to recover on the judgments. The trial court found USLI’s disclaimer invalid. The Appellate Division reversed, holding that Kelley violated the cooperation clause and that service of notice of entry of judgment was not properly made on the insurer. The Court of Appeals reversed the Appellate Division and reinstated the trial court’s judgment.
Issue(s)
1. Whether service of notice of entry of judgment on the law firm retained by the insurer to represent the insured constitutes service “upon the insurer” under Section 167(1)(b) of the Insurance Law?
2. Whether the insurer met its burden of proving that its insured failed to cooperate in the defense of the underlying negligence action, thereby justifying a disclaimer of coverage?
Holding
1. Yes, because service upon the attorney retained by the insurance company is reasonably calculated to give notice to the insurer that a judgment has been rendered against its insured.
2. No, because the insurer failed to demonstrate diligent efforts to secure the insured’s cooperation and failed to prove that the insured’s attitude was one of willful and avowed obstruction.
Court’s Reasoning
The Court reasoned that service of notice of entry on the law firm representing the insured (and retained by the insurer) fulfilled the statutory requirement. The court emphasized that, although the firm technically represented Kelley, in reality, it was representing the insurance company’s interests. The court stated, “The law maintains the fiction that the insured is the real party in interest at the trial of the underlying negligence action in order to protect the insurance company against overly sympathetic juries…Once a judgment has been rendered, however, and a suit is subsequently brought against the insurance company, the reason for the fiction no longer exists.”
Regarding the cooperation clause, the Court emphasized that the burden of proving a lack of cooperation falls on the insurer. Because a disclaimer based on non-cooperation penalizes the plaintiff for the actions of the insured, the insurer must demonstrate that it acted diligently in seeking the insured’s cooperation, employed reasonable efforts to obtain that cooperation, and that the insured’s attitude was one of “willful and avowed obstruction.” The Court found that USLI’s efforts to locate Kelley were not diligent, and the evidence did not support a conclusion that Kelley willfully obstructed USLI’s defense. The Court noted that USLI waited to contact Kelley until after the actions were consolidated. The court also found the efforts to find Kelley were “feeble indeed”.