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Volume 13, Edition 10 cases

American Bridge Mfg. Co. v. Walter Toebe Const. Co.

United States District Court,

E.D. Michigan,

Southern Division.

AMERICAN BRIDGE MANUFACTURING COMPANY, Plaintiff and Counter-Defendant,

v.

WALTER TOEBE CONSTRUCTION COMPANY, POU, Inc. d/b/a Ace Steel Erectors, Inc., S.B. Inc., Sherman Bros. Heavy Trucking, Sherman Bros. Trucking, and E.R. Express, Defendants and Counter-Plaintiff,

and

Walter Toebe Construction Company, Cross-Plaintiff

v.

POU, Inc., d/b/a Ace Steel Erectors, Inc., S.B. Inc., Sherman Bros. Heavy Trucking, Sherman Bros. Trucking, and E.R. Express Cross-Defendants.

Nos. 08-14315, 09-11548, 09-14388.

 

Sept. 22, 2010.

 

ORDER

 

JULIAN ABELE COOK, JR., District Judge.

 

This action arises out of accusations by the American Bridge Manufacturing Company (“ABM”) that the Defendants  breached their contractual obligations when they collectively failed to deliver a steel beam to a designated construction site in Michigan, more commonly known to the parties as the I-96/Gateway Project (“Gateway Project”).

 

The complaint in Case No. 09-11548 identifies the Defendants as Walter Toebe Construction Company “Toebe Construction”), POU, Inc. d/b/a Ace Steel Erectors, Inc. (“Ace Steel”), S.B. Inc., Sherman Bros. Heavy Trucking, Sherman Bros. Trucking, Inc. (collectively “Sherman Brothers”)and E.R. Express. This action has been consolidated with (1) Case No. 08-14315, wherein ABM has sued the Toebe Construction for its alleged violation of the parties’ contract and unjust enrichment arising out of a separate construction project known as “the I-94 / Joy Road Project” and (2) a lawsuit (Case No. 09-14388) which involves a claim by the ABM against the Fireman’s Fund Insurance Company (“Fireman’s Fund”).

 

On May 21, 2009, E.R. Express filed a motion for the entry of a summary judgment under Fed.R.Civ.P. 12(d) and 56(c). On July 16, 2009, ABM filed a motion which was designed to amend its complaint. During the following month (August 27, 2009), the Sherman Brothers filed a motion to dismiss the claim by ABM pursuant to Rule 12(b) (6), in which it asks the Court to treat this request as a motion for summary judgment under Rule 56(c). All of these motions are contested.

 

I

 

Toebe Construction served as the prime contractor on the Gateway Project. This construction company entered into a subcontractual relationship with Ace Steel, which, in turn, hired ABM to manufacture and furnish large quantities of steel for the project. To find a company to transport a steel beam to the Gateway Project site, ABM enlisted the aid of the Sherman Brothers, transport brokers.  However, the parties disagree as to whether ABM and the Sherman Brothers had an oral contract (or whether the Sherman Brothers even served as ABM’s broker). On the other hand, all of them agree that the Sherman Brothers, after circulating the details of ABM’s load request, entered into a broker/carrier contract which obligated E.R. Express to deliver the steel beam safely to the Gateway Project. On May 25, 2007, the E.R. Express tractor trailer that was carrying the steel beam struck the I-94 highway overpass at Warren Avenue in Detroit, Michigan. As a result of the accident, one person was killed and the steel beam was so badly damaged that ABM had to create a new one.

 

In this cause, Sherman Brothers assert that ABM’s dealings were only with the S.B. Inc.-and not with Sherman Bros. Heavy Trucking or Sherman Bros. Trucking. Nevertheless, any reference by the Court to “Sherman Brothers” in this order-without more-will implicitly incorporate Sherman Bros. Heavy Trucking, Sherman Bros. Trucking and S.B., Inc. unless a plain reading will suggest otherwise. It should be noted that the consolidation of these corporations has been made by the Court only for reasons of simplicity and not for the purpose of giving emphasis to any issue or any party in this litigation.

 

Fireman’s Fund Insurance Company (“Fireman’s Fund”), which has intervened into this case and been granted permission to respond to the pending summary judgment motions, acknowledges that ABM presented a claim for the replacement cost of the damaged steel beam. The loss form identified the damaged property as a “Girder” for which ABM claimed total ownership. Furthermore, it listed $88,454 (Eighty Eight Thousand, Four Hundred Fifty-Four dollars)  as the price that Fireman’s Fund would be asked to pay for the loss.  This loss form further indicated, in relevant part, that “(i)n consideration of the payment made, the Insured hereby subrogates the Company to all rights, title and interest in and to the property for which claim is being made to the extent of such payment.” (Proof of Loss Form, Exhibit A-1 to Fireman’s Fund Memorandum in Response to E.R. Express Motion for Summary Judgment).

 

This claim form (“Advance Payment Sworn Statement in Proof of Loss”) was issued by Fireman’s Fund in connection with its existing insurance policy with ABM. However, a copy of this insurance policy has not been furnished to the Court.

 

As will be apparent upon a continued reading of this order, there seems to be a discrepancy between the amount listed in the loss form ($88,454) and the amount later referenced in the parties’ dealings ($88,434) regarding the value of the beam.

 

According to the loss form, $93,454 was the “Original Girder Price,” and it appears that the Fireman’s Fund arrived on a figure of $88,454 for reimbursement after subtracting $5,000 for the deductible.

 

ABM received its requested $88,434 from its insurer, Fireman’s Fund, as compensation for the destroyed steel beam. However, ABM also contends that these monies only represented a partial payment of its losses because the steel beam was actually valued at $217,086. ABM argues that, without its knowledge or consent, Fireman’s Fund subsequently demanded that E.R. Express’ insurance carrier, Canal Insurance, reimburse it for the monies that were paid to ABM. On November 12, 2008, Canal Insurance (without disputing the demand) paid the requested amount (to wit, $88,434) to Fireman’s Fund, and, thereafter, entered into a Settlement and Release agreement which released this insurance carrier as well as Eligah Revenkov, among others, for all claims relating to the destruction of the steel beam. The relevant portions of the Release are as follows:

 

(Fireman’s Fund Ins. Co. aso American Bridge Co.), for itself and for its affiliated corporations, subsidiary corporations, divisions and its agents, servants, employees, officers, directors, insurers, successors and assigns (hereinafter referred to as “Releasor”) and each and every one of them, hereby acknowledges receipt of payment of eighty-eight thousand four hundred thirty four & 00/xxx ($88,434.00) by Canal Insurance Company on behalf of Eligah Revenkov (its insured).

 

In consideration for the payment made herein, Releasor does hereby fully and completely remise, release and forever discharge Canal Insurance Company and their affiliated corporations, related corporations, parent corporations, subsidiary corporations, divisions and reinsurers, successors and assigns (hereinafter collectively referred to as (“Releasees”) and each and every one of them of and from all known and unknown claims, demands and causes of action of every type and description which Releasor now has or claims to have or which may hereafter accrue against said Releasees or any one or more of them arising from, growing out of or related in any way to destruction of concrete bridge beam during transit in or around Detroit, MI on 25 May 08.

 

In further consideration for the payment made herein, Releasor does hereby remise, release and forever discharge Eligah Revenkov and its affiliated corporations, related corporations, parent corporations, subsidiary corporations, divisions and they and their agents, brokers, attorneys, servants, employees, officers, directors, insurers, reinsurers, successors and assigns (hereinafter collectively referred to as “Insured Releasees”) and each and every one of them for all amounts in excess of (0), for all known and unknown claims, demands and causes of action of every type and description which Releasor now has or claims to have or which may hereafter accrue against said Insured Releasees or any one or more of them arising from, growing out of or related in any way to subject claim.

 

 

Releasor understands that its only recourse remaining after execution of this release is a claim for recovery of (0) against Eligah Revenkov. The individual signing this Release on behalf of Releasor is competent to do so, and has the authority of Releasor to do so.

 

Releasor represents and warrant [sic] that it is the only party entitled to pursue the claim that is the subject of the foregoing Release. Releasor further represents and warrants that it has not assigned any rights to any person or legal entity and has no knowledge of any other party with an interest in the cargo which is the subject of the release. Releasor agrees to defend, indemnify and hold harmless Releasee from any claim or suit asserted by another party for the loss released herein, and Insured Releasee from any claim or suit asserted by another party for any amount in excess of (0). (Settlement and Release 1-2) (Emphasis in the original).

 

According to ABM, it has been subjected to a claim by Toebe Construction of more than two million dollars in damages which are allegedly separate from the cost of (1) the steel beam or (2) transporting the steel beam (and those costs that are associated with “cold weather inefficiencies, heating and housing/erection costs, home office overhead and idle equipment demobilization and remobilization.”). ABM further claims that Toebe Construction has purposely withheld approximately one hundred forty-five thousand dollars from it on another unrelated job (i.e., the “I-94/Joy Road Project”). ABM seeks, inter alia, to hold the Sherman Brothers and E.R. Express responsible for these costs under a breach of contract theory. Therefore, a proper interpretation of the Release form is central to the resolving this dispute.

 

II.

 

Under Federal Rule of Civil Procedure 56(c), a motion for a summary judgment should be granted if a party “show[s] that there is no genuine issue as to any material fact and that [it] is entitled to a judgment as a matter of law.” The burden is upon the movant to demonstrate the absence of a genuine issue of a material fact. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). In assessing a summary judgment motion, the Court examines pleadings, depositions, answers to interrogatories, admissions, and affidavits in a light that is most favorable to the nonmoving party. Fed.R.Civ.P. 56(c); Boyd v. Ford Motor Co., 948 F.2d 283, 285 (6th Cir.1991); Bender v. Southland Corp., 749 F.2d 1205, 1210-11 (6th Cir.1984). It is the responsibility of the court to determine “whether … there are any genuine factual issues that properly can be resolved only by a finder of fact because they may reasonably be resolved in favor of either party.” Anderson, 477 U.S. at 250. A dispute is genuine only “if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Id. at 248. Hence, a summary judgment must be entered only if (1) the evidence clearly suggests that the contested matter is “so one-sided that [the proponent] must prevail as a matter of law,” id. at 252, or (2) the opponent fails to present evidence which is “sufficient to establish the existence of an element essential to its case, and on which it will bear the burden of proof at trial.” Celotex Corp., 477 U.S. at 322. Importantly, the presentation of a mere scintilla of supporting evidence is insufficient. See Anderson, 477 U.S. at 252, quoted in Street v. J.C. Bradford & Co., 886 F.2d 1472, 1477 (6th Cir.1989).

 

Inasmuch as this is a diversity case, the Court must apply the law of Michigan on the basis of the doctrine that was established by the Supreme Court in Erie R.R. Co. v. Tompkins, 304 U.S. 64, 58 S.Ct. 817, 82 L.Ed. 1188 (1938). An analysis follows.

 

A.

 

E.R. Express asserts that the entry of a summary judgment in its favor is appropriate in light of the Release form executed by the Fireman’s Fund. According to the law in Michigan, the entry of a summary judgment/disposition of a claim is proper in those situations in which a valid release of liability exists between the parties. Wyrembelski v. St. Clair Shores, 218 Mich.App. 125, 127, 553 N.W.2d 651 (1996). The validity of a release depends upon the intent of the parties. However, it should be noted that in order for a release to be enforceable, it must be “fairly and knowingly made.” Batshon v. Mar-Que General Contractors, Inc., 463 Mich. 646, 650 n. 4, 624 N.W.2d 903 (2001). As with any other contract, and if the terms of a release are clear and unambiguous, a court must discern the parties’ intent by looking to the plain and ordinary meaning of the language. Id.

 

Here, the Court must first determine if ABM is bound by the Release. In the very first sentence of the document, the parties define the Releasor as “(Fireman’s Fund Ins. Co. aso American Bridge Co.), for itself and for its affiliated corporations, subsidiary corporations, divisions and its agents, servants, employees, officers, directors, insurers, successors and assigns ….” E.R. Express acknowledges that the only possible reference to ABM is in the clause, “Fireman’s Fund Ins. Co. aso American Bridge Co.”  The parties appear to agree that “aso” is a shorthand version of the phrase “as subrogee of,” which connotes “[t]he substitution of one person in the place of another with reference to a lawful claim, demand or right.” Allstate Ins. Co. v. Snarski, 174 Mich.App. 148, 154, 435 N.W.2d 408 (1988). Under subrogration principles, the subrogee, “upon paying an obligation owed to the subrogor as the primary responsibility of a third party, is substituted in the place of the subrogor, thereby attaining the same (and no greater) rights to recover against the third party.” Morrow v. Shah, 181 Mich.App. 742, 749, 450 N.W.2d 96 (1989). But, payment of the subrogated debt or liability is a prerequisite to attaining subrogation rights. Id.

 

Although ABM has attempted to distinguish itself from ABC (American Bridge Co), its argument is unpersuasive. According to their website, (to wit, www.americanbridge.net,) ABM and ABC appear to be distinct organizations that fall under the umbrella of the same parent company. Moreover, ABM does not dispute that it received payment from the Fireman’s Fund for the steel beam. If, in fact, it did not own the steel beam when the accident occurred, it would be illogical to allow this Company to proceed with its claims against E.R. Express.

 

It is interesting to note that the parties devoted a significant portion of their briefs to the issue of whether Fireman’s Fund had the authority to release any claims by ABM against E.R. Express. ABM points to (1) the affidavit of Ralph Whitney, who avers that (a) he first saw the limited Release form as an attachment to E.R. Express’ pleading and (b) American Bridge never authorized the insurer to settle or release “all” claims related to the Gateway Project; (2) the affidavit of Dale Ward, an attorney for Fireman’s Fund, who fully agrees with Whitney’s position; and (3) a series of Michigan cases which establish that an agent must have the specific authority to settle a case. ABM-as it relates to this case-argues that the only persons who were authorized to act under this limited Release were the Fireman’s Fund and “its affiliated corporations, subsidiary corporations, divisions and its agents, servants, employees, officers, directors, insurers, successors and assigns ….”

 

To support its argument, ABM points to Batshon, supra, where the Michigan Supreme Court held that the language which released “AAA of Michigan, his/her/their executors, administrators, and all persons or organizations responsible for his/her/their acts …” did not refer broadly to “all persons or organizations.” Batshon at 649-650, 624 N.W.2d 903. Rather, it held that the use of term “his/her/theirs” was unmistakably a substitute for AAA Michigan and that, therefore, the language pertained to all persons or organizations only insofar as they might be responsible for AAA Michigan’s acts. Id.

 

Fundamentally, however, ABM’s arguments fail to account for the unique nature of subrogration rights in Michigan. Once the Fireman’s Fund payment was accepted by ABM as compensation for its loss, the law of subrogation came into immediate effect. As such, it stood in ABM’s shoes by operation of law and essentially acquired a legal status upon which to recoup its costs from third parties. See, e.g. Tarzwell v. State Farm Mutual Auto. Ins. Co., unpublished per curiam opinion of the Michigan Court of Appeals, issued June 3, 3008 (No. 276381) (allowing claim by State Farm as secondary insurer to proceed against Blue Cross as primary insurer even though insured party had dismissed its lawsuit against Blue Cross, because “at the moment that State Farm paid the claim, State Farm became subrogated to plaintiff’s rights and plaintiff had no ability to sign away State Farm’s rights.”). Logically, the Fireman’s Fund’s authority would also extend to ABM’s former ability to enter into settlement agreements with third parties such as Canal Insurance and E.R. Express. Inasmuch as Fireman’s Fund had already paid ABM and was acting as its subrogee, this insurance carrier had the legal authority to sign away certain rights that otherwise could have only been asserted by ABM.

 

Fireman’s Fund concedes this point in its responsive pleadings and argues that it has a right of subrogation for the amount that it paid for the damage to the girder.

 

That notwithstanding, there still remains a valid question about the scope of the now-challenged Release form. Both ABM and Fireman’s Fund note that a subrogee merely stands in the place of the subrogor, thereby attaining the same (and no greater) rights to recover against the third party. Morrow, supra at 749, 450 N.W.2d 96. In this regard, ABM submits that because Fireman’s Fund only compensated ABM for a fraction of the steel beam’s claimed full value, the Release form is limited and only extends to $88,434. Moreover, pointing to the affidavit of Ralph Whitney, ABM claims that the insurance policy was for first-party property coverage only. In its view and since the policy did not provide coverage for third-party claims of the type which has been asserted by Toebe Construction against ABM, Fireman’s Fund did not acquire any subrogation rights with respect to such claims. Fireman’s Fund takes a similar position, noting that its $88,434 payment for the damage to the girder fixed the amount that it could claim from Canal, and did not extend to any other potential claims, including those that are the subject of the litigation in the case at bar.

 

The plain, unambiguous language of the Release form does not support the arguments by ABM and the Fireman’s Fund. By its terms, the document released Eligah Revenkov and its related entities from all amounts in excess of (0) “for all known and unknown claims, demands and causes of action of every type and description which Releasor now has or claims to have or which may hereafter accrue against said Insured Releasees or any one or more of them arising from, growing out of or related in any way to destruction of concrete bridge beam during transit in or around Detroit, MI on 25 May 08” (emphasis in original).  Notwithstanding the contentions by ABM and the Fireman Fund, the scope of the released claims is broad, in that the Release form unambiguously indicates that Eligah Revenkov and its affiliates will be released from liability for “all” claims-both known and unknown, and from causes of action of “every type and description” so long as they are “arising from, growing out of or related in any way” to the destruction of the beam. Quite clearly, the language within the Release form is sufficiently comprehensive and encompasses a wide scope of potential claims against Canal Construction and Eligah Revenkov as well as its affiliates. Indeed, the courts in Michigan have previously acknowledged that there is no broader classification than one that uses the word “all.” Romska v. Opper, 234 Mich.App. 512, 515, 594 N.W.2d 853 (1999), overruled on other grounds by Shay v. Aldrich, No. 138908, 2010 WL 3326673, *1+ (Mich. Aug 23, 2010) (order of the Michigan Supreme Court).  ABM’s argument that this broad language is limited by the more specific reference to claims related to the “destruction of [the] … bridge beam during transit” does not change this result. ABM is correct in noting that in certain circumstances, a release that is otherwise very broad can be limited by a more specific narrow reference to a particular fact or circumstance. See, e.g. Elliot Investment Co. v. Pule Home Services, LLC, unpublished opinion per curiam of the Michigan Court of Appeals, No. 279929 (Mich.App. Dec. 30, 2008) (inasmuch as the release “explicitly affect[ed] claims that have some foundation in a specified transaction between the parties, … it therefore impliedly excludes claims that are not connected to that transaction.”) (emphasis in original).

 

ABM correctly notes that the Release form appears to contain two typographical errors: namely, (1) a reference to a concrete beam, rather than a steel beam and (2) a notation that the accident occurred on May 25, 2008, whereas May 25, 2007 is the actual date of the accident. However, these variations do not render the Release form ambiguous, inasmuch as the terms are easily recognized as mistakes. To accept them literally would mean that Canal Construction had agreed to pay ABM for a nonexistent steel beam that was damaged during a nonexistent accident. Thus, the Court rejects ABM’s argument which, if construed literally, would render this contract ambiguous which, in turn, would require the need for an interpretation through the use of parol evidence.

 

 

In Shay, the Michigan Supreme Court rejected Romska’s rule that courts could not look to parol evidence to learn the true scope of a release. Instead, the Shay court held that it is permissible to look to “extrinsic evidence of the intended scope of a release when an unnamed party seeks to enforce third-party-beneficiary rights based on the broad release language but the evidence presented establishes that an ambiguity exists with respect to the intended scope of the release.”   Shay at 2010 WL 3326673, *5. Here, inasmuch as the evidence has not established that the challenged release is ambiguous, Shay ‘s threshold requirements have not been met.

 

In this case, it is clear that the challenged release covers only those damages related to the destruction of the beam. But, contrary to the argument by ABM and Fireman’s Fund, the damages sought through this litigation (which reflect the damages asserted by Toebe Construction against ABM) are reasonably foreseeable and thus can be said to have “arisen from,” “grown out of,” or been “related in some way” to the destruction of the steel beam. Although the extent of those damages as claimed by Toebe Construction may be speculative, it does not require a leap of logic to conclude that the destruction of a key steel beam could proximately cause the entire construction project to be delayed into the winter months based on a need to refabricate the beam. Indeed, this finding is supported by ABM’s claims against the Sherman Brothers and E.R. Express. Specifically, the complaint alleges that it was foreseeable that the failure to deliver the girder in the proper manner would cause ABM to breach its claims with Ace Steel and result in a lawsuit with Toebe Construction and others on the Gateway Project. (ABM complaint in Case No. 08-14315). Moreover, inasmuch as the Gateway Project was located on a major avenue of travel, one could reasonably foresee the need for Toebe Construction to assess and attend to the damages as quickly as possible-perhaps, even around the clock-to restore the use of the affected construction area. Because the extra costs that are associated with such a demand can be fairly attributed to the claimed destruction of the steel beam, the Court rejects ABM’s arguments that the release does not bar its claims.

 

This case is distinguishable from Cook v. Shensky-an unpublished per curiam opinion of the Michigan Court of Appeals, No. 246913 (Mich.App. June 15, 2004), upon which ABM relies. In Cook, the appellate court found a break in the causal link between a car accident (which injured the plaintiff’s finger and was the subject of a release), and burns that were later sustained by him in the follow-up medical treatment for his finger. Cook at(observing that “[the hospital’s] alleged negligence was not related to the automobile accident [,]” and that while “in a broad sense, the alleged medical malpractice ‘grew out of” or was ‘a consequence of’ plaintiff’s finger injury which resulted from the accident[,] …. the burn to plaintiff’s arm, was proximately caused by the alleged acts of [the hospital], not the automobile accident.”). Here, by contrast, neither ABM nor Fireman’s Fund have presented the Court with evidence of an intervening or superseding event that arose to break the causal chain between the destruction of the steel beam and the costs associated with the resulting delays of the Gateway construction project. Inasmuch as the release applies to the claims asserted by ABM in this lawsuit, the Court finds that E.R. Express is entitled to a summary judgment as a matter of law.

 

Alternatively, E.R. Express claims that it is entitled to a summary judgment because ABM is not a third-party beneficiary to its broker/carrier contract with the Sherman Brothers. In Michigan, its third-party beneficiary statute, Mich. Comp. Laws § 600.1405, reads in pertinent part:

 

Sec. 1405. Any person for whose benefit a promise is made by way of contract, as hereinafter defined, has the same right to enforce said promise that he would have had if the said promise had been made directly to him as the promisee.

 

(1) A promise shall be construed to have been made for the benefit of a person whenever the promisor of said promise had undertaken to give or to do or refrain from doing something directly to or for said person.

 

The Michigan Supreme Court, in its interpretation of this statute, has opined that it was the intention of the Legislature to assure that the contracting parties are “clearly aware that the scope of their contractual undertakings encompasses a third party, directly referred to in the contract, before the third party is able to enforce the contract.” Schmalfeldt v. North Pointe Ins. Co., 469 Mich. 422, 428, 670 N.W.2d 651 (2003). Using an objective standard, the Michigan Supreme Court concluded that it must determine “from the form and meaning of the contract itself, whether the promisor undertook to give or to do or to refrain from doing something directly to or for the person claiming third-party beneficiary status.” Id (internal citations omitted). Michigan courts have held that only intended-not incidental-third-party beneficiaries may sue for a breach of a contractual promise in their favor.   Auto-Owners Ins. Co. v. Keizer-Morris, Inc., 284 Mich.App. 610, 613, 773 N.W.2d 267 (2009) (an injured person not named in an insurance contract is not necessarily a third party beneficiary, but may merely be an incidental beneficiary).

 

Here, it appears that ABM was, in fact, a third-party beneficiary to the contract between E.R. Express and the Sherman Brothers. After reviewing the excerpts of the fifteen page contract that were submitted to the Court (by the Defendants-not ABM), it appears that E.R. Express and the Sherman Brothers undertook a duty to “do, give or refrain from doing something directly to or for” ABM’s benefit as contemplated by Mich. Comp. Laws § 600.1405. First, it is clear from the record that the parties had agreed to transport and insure ABM’s property, even though the contract did not specifically attribute the steel beam to ABM. In this document, it appears that E.R. Express, as the carrier, agreed “to transport … such quantities of authorized commodities as [the Sherman Brothers] may require ….” It later describes the steel beam in such general terms as “this load,” “cargo,” and a “Bridge Girder,” and then specifies its weight and dimensions. (E.R. Express and the Sherman Brothers Transportation Agreement, Exhibit B to E.R. Express’ Motion for Summary Judgment). The document also notes that E.R. Express “agrees to maintain cargo insurance in the minimum amount of $100,000 to compensate BROKER, owner or consignee for loss or damage to property which comes into the possession of CARRIER in conjunction with its transportation services.” It also indicates that the carrier “shall be liable to the consignee, consignor, or owner of goods, and BROKER for failure to tender or timely transport freight under this agreement if such failure is due to … negligence by the CARRIER.” (emphasis in the two preceding sentences in original).

 

Although the agreement never identifies ABM with specificity, it appears that E.R. Express and the Sherman Brothers may have specifically intended that their agreement would inure to the benefit of ABM as the claimed owner of the steel girder from the standpoint of (1) insuring against damage to the steel beam and (2) making the carrier liable for an untimely transport. Unfortunately, ABM’s responsive pleading does not develop its claim that it was an intended third-party beneficiary to the contract between E.R. Express and the Sherman Brothers. As such, it provides little guidance on this issue. Yet, based on the existing record, the Court must deny E.R. Express’alternate motion for summary judgment as to this count.

 

Finally, E.R. Express and the Sherman Brothers collectively argue that the claims by ABM are governed by the Michigan No Fault Act, Mich. Comp. Laws, 500.3145(2). which provides, in relevant part, that “[a]n action for recovery of property protection insurance benefits shall not be commenced later than 1 year after the accident.” Id. In outlining the scope of “property protection insurance benefits,” this statute provides that “an insurer is liable to pay benefits for accidental damage to tangible property arising out of the ownership, operation, maintenance, or use of a motor vehicle as a motor vehicle.” Mich. Comp. Laws § 500.3121(1). Furthermore, the Michigan No Fault Act defines “damage to tangible property” as a “physical injury to or destruction of the property and loss of use of the property so injured or destroyed.” Mich. Comp. Laws § 500.3121(3).

 

Based upon the existing record, it appears that this Michigan statute would govern ABM’s state law claims. ABM cannot seriously dispute that its tangible property (i.e., the steel beam) was accidentally damaged while E.R. Express was using a motor vehicle. See, e.g., Travelers Property Cas. Co. Of America v. Ohio Cas. Group, unpublished per curiam opinion of the Michigan Court of Appeals, No. 262249 (Nov. 21, 2006) (finding that accident was covered by Michigan’s No-Fault Act where truck used for snow removal allegedly caused a parking garage to collapse since truck was engaged in a transportational function at the time of the accident, and thus collapse arose out of the “ownership, operation, maintenance, or use of a motor vehicle as a motor vehicle” under this statute). Although the accident occurred in May of 2007, ABM did not file its lawsuit until April of 2009-nearly two years later. By virtue of the language of the statute, ABM’s state law property claims would be time-barred. That notwithstanding, these Defendants have not provided the Court with any law to support their argument that the Michigan No Fault Act completely preempts and prohibits any cause of action under federal law. On the other hand, ABM contends that the Michigan No Fault Act is inapplicable to its claims since, as a motor carrier in interstate commerce, E.R. Express is subject to liability under 49 U.S.C. § 14706(a)(1). However, inasmuch as ABM’s original complaint does not contain a Carmack Amendment claim, 49 U.S.C. 14706 et seq, the Court grants the movants’ motions for summary judgment as to ABM’s state law property claims.

 

B.

 

The Sherman Brothers deny that it has any implied or oral contract with ABM. In order for an implied contract have legal efficacy, there must be “(1) parties competent to contract; (2) a proper subject matter; (3) consideration; (4) mutuality of agreement; and (5) mutuality of obligation.” Mallory v. Detroit, 181 Mich.App. 121, 127, 449 N.W.2d 115 (1989). Moreover, a meeting of the minds must occur on all of the material facts. Kamalnath v. Mercy Mem. Hosp., 194 Mich.App. 543, 548, 487 N.W.2d 499 (1992). To determine whether mutual assent has occurred, a court is encouraged to examine “the express words of the parties and their visible acts.” Id. Michigan courts will recognize an implied contract in those situations where the parties assume obligations by their conduct, or based on what ABM calls the parties’ course of dealing.   Williams v. Litton Sys., Inc., 433 Mich. 755, 758, 449 N.W.2d 669 (1989).

 

Here, relying upon the affidavit of Fred Jacquot (ABM’s Project Manager for the Gateway Project), ABM asks the Court to recognize that it had an implied contractual relationship with the Sherman Brothers during all of the relevant times in this controversy. Jacquot avers that the Sherman Brothers agreed to make arrangements for the proper and timely transportation of the steel beam from his Company’s fabrication plant in Oregon to the Gateway Project in Michigan. According to him, the agreed charge to ABM was $15, 500. But, he claims that, consistent with past practices within the industry in the handling of over ninety contracts since 2004, the parties did not execute any purchase order or a written contract which memorialized the parties’ agreement. Jacquot asserts that some of the Sherman Brothers’ other obligations included a duty to (1) provide or arrange for a competent carrier; (2) assess the capability of the carrier’s truck to transport the steel beam safely, (3) obtain or arrange for state permits and delivery routes, and (4) assure the steel beam was delivered by May 25, 2007. ABM also points to the deposition testimony of Christina Sonneman, one of the Sherman Brothers’ agents, who allegedly confirmed that her Company had been retained as a broker “to transport [the] load.” (ABM’s Response to the Sherman Brothers’ motion, Exhibit 9 at 45).

 

The Sherman Brothers dispute ABM’s characterizations of the affidavit by Christina Sonneman. These Defendants submit that she denied the existence of a contract which required the Sherman Brothers to serve as the trucking company to transport the steel beam. Furthermore, the Sherman Brothers assert that all details relating to transportation, pick up and delivery dates, permits and the method for handling the load were exclusively arranged between E.R. Express and American Bridge.

 

These competing affidavits reveal the existence of a clear genuine issue of a material fact as to whether the parties did have an implied contract. Therefore, it would be inappropriate for the Court to render a decision on the currently pending motion for a summary judgment, especially in light of the request by ABM under Rule 56(f) in which it contends that the Sherman Brothers have been uncooperative in responding to its discovery requests. However, the decision by the Court on this motion by the Sherman Brothers depends upon the applicability of the Release form to this Defendant.0

 

0. Alternatively, the Sherman Brothers argues that even if the Court believes that ABM can prove the existence of an implied contract, it cannot establish the requisite elements for a breach of a contract or for damages. Nevertheless, the affidavit of Fred Jacquot raises a genuine issue of a material fact as to whether the Sherman Brothers violated the terms of an implied contract by failing to, among other things, (1) ensure that the steel beam was delivered timely and in good condition; (2) verify the experience, licensing and qualifications of the E.R. Express driver; (3) properly load the steel beam; and/or (4) competently arrange for permits and delivery routes. Furthermore and for summary judgment purposes, Jacquot’s affidavit sufficiently alleges that ABM experienced foreseeable damages based on significant delays caused by the accident.

 

For the above-stated reasons, it is clear that the Release form binds ABM since the Company surrendered its rights to Fireman’s Fund upon accepting payment for its insurance claims. Moreover, to the extent that the Release form specifically absolves “Eligah Revenkov and its … brokers” from future liability related to the destruction of the steel beam, the Sherman Brothers, the broker for E.R. Express on this deal (as established by the E.R. Express and the Sherman Brothers Transportation Agreement), is covered by the Release form. ABM argues that the challenged release is invalid as to this Defendant because it did not extend any consideration to Fireman’s Fund in exchange for its rights under the contract. Michigan courts have rejected similar arguments in finding that “[c]onsideration for a promise may inure to one other than the promisor,” Schofield v. Spilker, 37 Mich.App. 33, 38, 194 N.W.2d 549 (1971). See also, Rinke v. Automotive Moulding Co., 226 Mich.App. 432, 438, 573 N.W.2d 344 (1997), in which the Michigan appellate court rejected the plaintiff’s argument that the defendants could not rely on the release because they did not provide any consideration. Since the defendants fell within one of the categories of entities named in the release, the court deemed the defendants to be third-party beneficiaries of the release who were entitled to stand in the shoes of the main releasor to assert defenses thereunder. Based upon this reasoning, the Court grants the Sherman Brothers’ motion for a summary judgment.

 

C.

 

Rule 15 of the Federal Rules of Civil Procedure, which governs the amendment of pleadings, allows courts to permit amendment “when justice so requires.” A party must act with due diligence if it intends to take advantage of the liberal standard of the Rule which asserts that applications for leave to amend should be freely given. See United States v. Midwest Suspension & Brake, 49 F.3d 1197, 1202 (6th Cir.1995) (affirming the district court’s denial of a Rule 15(a) motion because plaintiff had waited more than two years to attempt to amend its complaint a second time, and, thereby, failed to demonstrate due diligence). To the extent that ABM acknowledges that its proposed amended counts would apply to E.R. Express only, the Sherman Brothers do not possess any standing to assert this defense. Even if the Court concluded that the Sherman Brothers did have standing, it has not established that ABM, in failing to plead these claims initially, was dilatory and should be denied an opportunity to amend its complaint.

 

According to Fed.R.Civ.P. 15(a)(2), a court may “freely give leave [to amend a pleading] when justice so requires.” This Rule reaffirms the principle that cases should be tried on their merits “rather than [on] the technicalities of pleadings.” Moore v. City of Paducah, 790 F.2d 557, 559 (6th Cir.1986) (quoting Tefft v. Seward, 689 F.2d 637, 639 (6th Cir.1982)). But, if a proposed amendment would not survive a motion to dismiss under Fed.R.Civ.P. 12(b)(6), the court may also disallow the amendment because of its inevitable futility. Thiokol Corp. v. Dept. of Treasury, 987 F.2d 376, 382 (6th Cir.1993).

 

In the opinion of the Court, to allow ABM to amend its complaint for the purpose of adding a claim under the Carmack Amendment would be futile inasmuch as such a count would have been encompassed by the broad scope of the Fireman’s Fund release. To establish a prima facie claim under the Carmack Amendment, a plaintiff must demonstrate that the shipment (1) was in good condition at the point of origin, (2) arrived in a damaged condition at the point of destination, and (3) was damaged. Plough, Inc. v. Mason and Dixon Lines, 630 F.2d 468, 470 (6th Cir.1980) (citing Missouri Pacific R.R. Co. v. Elmore and Stahl, 377 U.S. 134, 138, 84 S.Ct. 1142, 12 L.Ed.2d 194 (1964)). ABM has identified facts in this litigation that could, arguably, support each element of such a claim. See also, Toledo Ticket Co. v. Roadway Exp., Inc., 133 F.3d 439, 441 (6th Cir.1998) (the Carmack Amendment to the Interstate Commerce Act is broad in its preemptive effect on state tort claims arising out of the transportation and delivery of goods.); See also, W.D. Lawson & Co. v. Penn Central Co., 456 F.2d 419, 421 (6th Cir.1972). Yet, ABM has failed to explain why a Carmack Amendment claim would not be precluded by the language which released Eligah Revenkov “from all known and unknown claims, demands and causes of action of every type and description which Releasor now has or claims to have or which may hereafter accrue against said Releasees or any one or more of them arising from, growing out of or related in any way to destruction of concrete bridge beam during transit in or around Detroit, MI on 25 May 08.” Inasmuch as a claim under the Carmack Amendment necessarily depends upon a showing that a shipment was damaged in transit, this count would be completely foreclosed by the terms with the Release form. Therefore, the motion to amend to add this count must be denied.

 

The Court must also deny ABM’s request to add an additional count for the reformation of the Release. A court may reform an instrument which will reflect the parties’ actual intent “where there is clear evidence that both parties reached an agreement, but as the result of mutual mistake, or mistake on one side and fraud on the other, the instrument does not express the true intent of the parties.” Mate v. Wolverine Mut. Ins. Co., 233 Mich.App. 14, 24, 592 N.W.2d 379 (1998). Here, ABM was not a formal party to the Release form between Fireman’s Fund and E.R. Express. In reality, as a subrogor, ABM’s rights have been extinguished, and Fireman’s Fund merely stood in ABM’s shoes. Thus, ABM cannot establish, by clear and convincing evidence, that it reached any kind of an agreement with E.R. Express or the Sherman Brothers, let alone persuade the Court that the agreement was based on fraud and/or mutual mistake. Because ABM would be unable to satisfy this claim as a matter of law, the Court denies ABM’s motion to amend its complaint to add a count for reformation.

 

III.

 

In light of the Fireman’s Fund Release, E.R. Express’ and the Sherman Brothers’ motion for a summary judgment as to ABM’s claims against them must be, and are, granted. Moreover, the request by ABM to amend its complaint is denied.

 

IT IS SO ORDERED.

Hunter v. OOIDA Risk Retention Group, Inc.

Supreme Court, Appellate Division, Second Department, New York.

Rohan M. HUNTER, plaintiff-respondent,

v.

OOIDA RISK RETENTION GROUP, INC., appellant,

USAA Casualty Insurance Company, defendant-respondent.

Oct. 5, 2010.

 

STEVEN W. FISHER, J.P., FRED T. SANTUCCI, THOMAS A. DICKERSON, and CHERYL E. CHAMBERS, JJ.

 

DICKERSON, J.

 

Introduction

 

The plaintiff, driving a truck registered in New York, was involved in a motor vehicle accident in Connecticut with a car that was registered in Connecticut, driven by nonparty Chelsea L. Gubbins, and owned by nonparty Robin L. Lesinski. As a result of the accident, the defendant OOIDA Risk Retention Group, Inc. (hereinafter OOIDA), paid to the plaintiff certain first-party benefits (see Insurance Law § 5102[b] ). We now consider whether OOIDA is entitled to so-called inter-company loss transfer arbitration pursuant to Insurance Law § 5105(a). We hold that, under the applicable provisions of New York’s no-fault insurance law (see Insurance Law art 51), and under the circumstances presented here, it cannot be said that the alleged tortfeasors “would have been liable, but for the provisions of” Insurance Law article 51. Accordingly, by its terms, Insurance Law § 5105(a) is inapplicable, and inter-company loss transfer arbitration is not available to OOIDA.

 

Factual Background

 

The plaintiff, who characterizes himself as an “independent trucker,” was involved in a motor vehicle accident in Connecticut on February 3, 2006, with a car driven by nonparty Chelsea L. Gubbins, and owned by nonparty Robin L. Lesinski. According to the plaintiff, as a result of the accident he sustained injuries to his knees, neck, and lower back, requiring, among other treatments, arthroscopic surgery to his left knee.

 

Both Gubbins and Lesinski were Connecticut residents, and Lesinski’s car was registered in Connecticut. The car was insured by the defendant USAA Casualty Insurance Company (hereinafter USAA), which is licensed and authorized to do business and issue insurance policies in both New York and Connecticut. The record contains a one-page document issued by USAA, entitled “Connecticut Auto Policy Renewal Declarations,” which indicates that the policy issued to Lesinski provided bodily injury liability insurance coverage of up to $100,000 per person and $300,000 per accident. The full policy itself is not included in the record.

 

At the time of the underlying accident, the plaintiff was driving a Freightliner tractor-trailer “by agreement with its owner,” Fleego Delivery Systems. The truck was registered to Fleego Delivery Systems in New York, and was insured under a commercial motor carrier liability policy issued by OOIDA. The policy included a mandatory personal injury protection endorsement and optional enhanced basic economic loss coverage, according to which OOIDA agreed to reimburse a covered claimant for basic economic loss up to $75,000, with the last $25,000 representing the optional enhanced basic economic loss coverage. The policy also provided that OOIDA was subrogated to the rights of the insured to the extent of OOIDA’s payment of benefits under the policy.

 

OOIDA claimed that, based on the occurrence of the accident, as of approximately June 2007, it had paid to the plaintiff first-party benefits in the amount of $72,710 under the policy. The payments, for the most part, constituted reimbursement for medical expenses, with the sum of $28,000 allocated to payment of lost wages. OOIDA sent a letter  to USAA, dated December 7, 2006, indicating that it had determined that USAA’s insured was responsible for the plaintiff’s damages, and notifying USAA of OOIDA’s “subrogation rights” to the benefits OOIDA paid to the plaintiff as a result of the accident.

 

The letterhead indicates that the letter is from CTCM-Commercial Truck Claims Management. CTCM is an affiliate of OOIDA.

 

According to USAA and the plaintiff, they reached an agreement to settle the plaintiff’s claim against Gubbins and Lesinski. The record contains a letter written to the plaintiff’s attorney from USAA, confirming its offer of $100,000 in settlement of the claim. The letter further states: “If CTCM waives subrogation, please advise.” According to the plaintiff, OOIDA’s demand for recoupment of the benefits it paid to the plaintiff, either from the settlement proceeds, or directly from USAA, prevented the plaintiff and USAA from consummating the settlement.

 

The Instant Action

 

The plaintiff commenced this action against OOIDA and USAA, inter alia, for a judgment declaring that OOIDA is not entitled to recoup the first-party benefits it paid to him, either by lien against any settlement proceeds he recovers from Gubbins, Lesinski, and/or USAA, by subrogation to his rights to recover from those parties, or by any direct claim against USAA. Both defendants served answers to the complaint.

 

The plaintiff moved for summary judgment on the complaint. He argued that, under the relevant provisions of the Insurance Law, OOIDA could only assert a lien for first-party benefits where the tortfeasor was a not a “covered person” within the meaning of Insurance Law § 5102(j). Since the USAA policy provided coverage in excess of New York’s minimum coverage requirements, the plaintiff contended that Gubbins and Lesinski (hereinafter together the tortfeasors or USAA’s insureds) were each a “covered person” within the meaning of the Insurance Law. Additionally, the plaintiff maintained that “OOIDA’s claim for recovery of its first-party payments from USAA is controlled by Connecticut law,” and “such claims are specifically barred by Connecticut’s anti-subrogation law .”

 

OOIDA opposed the motion. It acknowledged that, if USAA’s insureds were “covered persons” under New York law, then OOIDA was not entitled to a statutory lien against any settlement proceeds recovered by the plaintiff. However, OOIDA asserted that, to the extent that USAA’s insureds were “covered persons” under New York law, it was entitled to mandatory inter-company loss-transfer arbitration with USAA pursuant to Insurance Law § 5105(a). OOIDA contended that the plaintiff could not seek to apply New York law to avoid a lien, while at the same time asserting that choice-of-law rules require the application of Connecticut law with respect to the issues of subrogation and mandatory arbitration.

 

OOIDA further argued that, if USAA’s insureds were covered persons, and Connecticut law was controlling, there was no actual conflict of law because the relevant Connecticut statute only barred subrogation “[u]nless otherwise provided by law.” OOIDA claimed that this exception contemplated provisions in the laws of other states, such as New York, which do permit subrogation. Further, OOIDA contended that, under Connecticut law, subrogation was barred only with respect to “collateral source” payments, but that personal injury protection payments made pursuant to a no-fault policy were not “collateral source” payments. Lastly, OOIDA asserted that, even if there were a conflict, the choice-of-law rules favored application of New York law.

 

USAA agreed with the plaintiff that “the law of Connecticut applies.” It asserted that it wrote its contract of insurance in Connecticut with the expectation that Connecticut law would apply. Further, it contended that the policy premiums were based upon that expectation. Connecticut law, according to USAA, did not “allow for th[e] type of loss transfer” sought by OOIDA because it barred subrogation.

 

The Order and the Judgment

 

In an order entered September 17, 2008, the Supreme Court granted the plaintiff’s motion for summary judgment on the complaint declaring that OOIDA is not entitled to recover the first-party benefits it paid to him, either by lien against settlement proceeds he recovered from the tortfeasors or by inter-company loss-transfer arbitration with USAA. The Supreme Court concluded that, under the relevant provisions of the Insurance Law, an insurer may only assert a lien for first-party benefits if the tortfeasor were not covered by liability insurance that meets or exceeds the minimum requirements of the New York Vehicle and Traffic Law. Since the USAA policy met those minimum requirements, the Supreme Court determined that USAA’s insureds were “covered persons” within the meaning of Insurance Law § 5101(j) and, accordingly, OOIDA could not assert a lien against any settlement proceeds recovered from them by the plaintiff.

 

Additionally, the Supreme Court explained that,

 

“inasmuch as the accident occurred in Connecticut where Gubbins and Lesinski are domiciled, OOIDA’s claim for recovery of its first-party payments from USAA is controlled by Connecticut law…. Since such claims are specifically barred by Connecticut’s anti-subrogation law, OOIDA’s claim against USAA for the first party benefits fails as a matter of law.”

 

On November 6, 2008, a judgment was entered upon the order, declaring that OOIDA was “not subrogated to, and has no right of subrogation to, any of the rights of [the plaintiff] to recover damages of any nature from [Gubbins, Lesinski, and/or USAA];” that OOIDA has no lien and no right to assert any lien against any settlement proceeds recovered by the plaintiff from those parties; and that OOIDA has no right to recover any first-party benefits it paid to the plaintiff from USAA, either pursuant to inter-company loss-transfer arbitration, “or otherwise.”

 

Discussion

 

The specific question presented here-whether an insurer that paid first-party benefits to its insured under a New York policy for losses arising from an accident occurring in Connecticut is entitled, through inter-company loss-transfer arbitration pursuant to Insurance Law § 5105(a), to recoup those benefits from the insurer that issued a Connecticut policy to the non-New York tortfeasors-is one of first impression before this Court. The Supreme Court answered the question in the negative, based upon its conclusion that Connecticut law barred such recoupment, and was controlling. We affirm the Supreme Court’s order, but on a different ground. Specifically, we hold that Insurance Law § 5105(a), by its express terms, does not provide for inter-company loss transfer under the circumstances presented here, since (a) the limitations on recovery in tort set forth in Insurance Law § 5104 are applicable only to accidents that occur in New York, and (b) the tortfeasors are directly liable in tort for the plaintiff’s medical expenses and lost wages under Connecticut law and, thus, are not within the category of persons who “would have been liable, but for the provisions of” Insurance Law article 51 that prohibit or limit recovery in tort, inter alia, for medical expenses and lost wages. Since OOIDA is not entitled to inter-company loss-transfer arbitration pursuant to Insurance Law § 5105(a) by virtue of the express terms of that section, and the applicability of that section is the only basis for relief advanced on OOIDA’s limited appeal, it is not necessary to determine whether there is a conflict between New York law, which permits such recoupment under certain circumstances, and Connecticut law, which bars such recoupment. Concomitantly, even if there is a conflict, there is no need for us to determine whether the New York or Connecticut law of subrogation applies under New York’s choice-of-law rules.

 

New York’s No-Fault Insurance Law

 

The Comprehensive Motor Vehicle Insurance Reparations Act-New York’s no-fault insurance law, which is codified as article 51 of the Insurance Law-was enacted to address various defects in the common-law fault approach, under which automobile accident compensation was grounded in tort law (see Montgomery v. Daniels, 38 N.Y.2d 41, 49-50). The fault system was criticized because it was, among other things, “excessively and needlessly expensive and inefficient,” it failed to provide compensation to a significant number of victims while overcompensating other victims for minor injuries, and it placed too great a burden on the courts (id. at 50-51). The no-fault scheme was intended to cure these infirmities by assuring prompt compensation to victims for substantially all of their basic economic loss, so as to “eliminate the vast majority of auto accident negligence suits,” and, concomitantly, to decrease premiums (Governor’s Approval Mem, Bill Jacket, L 1973, ch 13, at 31).

 

The no-fault insurance law is, in essence, “a two-pronged, partial modification of the pre-existing system” ( Montgomery v. Daniels, 38 N.Y.2d at 46). The first prong concerns compensation, and requires that every owner of a motor vehicle provide himself or herself, operators, occupants, and pedestrians with compensation for basic economic loss arising from the use or operation of a vehicle in this State, regardless of fault (id.). This effectively provides accident victims with rapid compensation in the form of first-party benefits for “basic economic loss,” as defined in Insurance Law § 5102(a), without regard to fault.

 

The second prong imposes limitations on tort liability between “covered persons,” as that term is defined in Insurance Law § 5102(j) (see Montgomery v. Daniels, 38 N.Y.2d at 46). Specifically, Insurance Law § 5104(a) prevents a covered person from recovering basic economic loss from another covered person in an action to recover damages for personal injuries arising out of negligence in the use or operation of a motor vehicle in this State. That section also prohibits tort recovery for noneconomic losses unless the plaintiff has suffered a serious injury (see Insurance Law § 5104[a] ). Because an injured “covered person” has no right to sue a covered tortfeasor for, inter alia, basic economic loss, the injured party’s insurer also has no right, by subrogation, to commence an action against the tortfeasor to recoup the corresponding first-party benefits it paid to its insured (see Country Wide Ins. Co. v. Osathanugrah, 94 A.D.2d 513, affd 62 N.Y.2d 815). Thus, the first-party insurer is made to “absorb the economic impact of loss without resort to reimbursement from its insured or, by subrogation, from the tort-feasor” (id. at 515).

 

Insurance Law § 5105(a) Generally

 

Insurance Law § 5105(a) provides, in effect, a species of limited exception to one of the basic tenets of the no-fault system. Thus, our review of the overall scheme of the no-fault law enables us to consider section 5105(a), entitled “Settlement between insurers,” in the proper context.

 

Section 5105(a), which provides for so-called inter-company loss transfer arbitration, provides, in relevant part:

 

“Any insurer liable for the payment of first party benefits to or on behalf of a covered person … has the right to recover the amount paid from the insurer of any other covered person to the extent that such other covered person would have been liable, but for the provisions of this article, to pay damages in an action at law. In any case, the right to recover exists only if at least one of the motor vehicles involved is a motor vehicle weighing more than six thousand five hundred pounds unloaded or is a motor vehicle used principally for the transportation of persons or property for hire”  (Insurance Law § 5105[a] ).

 

There is no dispute here that the plaintiff’s vehicle weighed more than 6,500 pounds unloaded.

 

The “sole remedy” by which an insurer may recover under section 5105(a) is mandatory arbitration (Insurance Law § 5105[b] ).

 

Insurance Law § 5105, therefore, has the effect of mitigating, in limited circumstances, the consequence of the no-fault law that places the entire economic impact of loss on the first-party insurer, even where its insured was not at fault. In other words, in limited circumstances, Insurance Law § 5105(a) places the economic burden with the party at fault (through his or her insurer) while still assuring prompt compensation to accident victims and eliminating the costs and burden on judicial resources associated with actions at law. As explained by the Court of Appeals, “[t]he Legislature in enacting section 674 (now Insurance Law § 5105) of the Insurance Law adopted a new procedure which authorizes first-party benefits with a resulting equitable adjustment between insurers without the need for the formalities applicable to claims and lawsuits” ( Matter of City of Syracuse v. Utica Mut. Ins. Co., 61 N.Y.2d 691, 693; see Matter of Hartford Acc. & Indem. Co. v. Country-Wide Ins. Co., 63 A.D.2d 981, 982 [“Under the no-fault statute, the first-party insurer is responsible for making payments to its insured, even though, upon arbitration, it may ultimately recover from the insurer of a party at fault”]; Liberty Mut. Ins. Co. v. United States, 490 F Supp 328, 333 [ED N.Y.1980] [“Once the injured parties are compensated and out of the picture, § 674 (now Insurance Law § 5105) allows the insurers to recover from each other the amounts paid to their insureds, allocated on the basis of the relative fault of the parties to the accident”]; Comment, New York Adopts No-Fault: A Summary and Analysis, 37 Albany L Rev 662, 697 [1973] [the “system of subrogation” through inter-company arbitration “help[s] to minimize the costs of insurance premiums, make[s] the wrongdoer’s insurer ultimately pay and provide[s] a reason for retaining a fault file that will facilitate the differentiation between good and bad drivers”] ).

 

The reach of the inter-company loss-transfer statute is obviously rather limited, given its restriction to vehicles weighing more than 6,500 pounds or to vehicles for hire. In other words, it does not seem to be a central component of New York’s no-fault scheme. Indeed, as originally enacted as former Insurance Law § 674, the section did not limit an insurer’s right to inter-company loss transfer to accidents involving vehicles weighing over 6,500 pounds or vehicles for hire but, rather, allowed for settlement between insurers in all accidents involving covered persons (see 1973 McKinney’s Session Laws, ch 13, § 674). However, the statute was amended to its present form in 1977 because “inter-company loss transfers contribute to overhead costs and delays under the no-fault system and are inconsistent with the basic objective of the no-fault system, which is to eliminate costly investigations and factual determinations concerning fault” (Governor’s Program Bill Mem, Bill Jacket, L 1977, ch 892, at 7-8).

 

“Covered Persons ”

 

A prerequisite for the applicability of inter-company loss transfer under Insurance Law § 5105(a) is that both the insured to or on behalf of whom first-party benefits were paid, and another insured person who would have been liable but for the no-fault law, are “covered persons” (Insurance Law § 5105[a] ). “Covered person” is defined under the Insurance Law, in relevant part, as “any owner, operator, or occupant of, a motor vehicle which has in effect the financial security required by article six … of the vehicle and traffic law” (Insurance Law § 5102[j] ).

 

Before the Supreme Court, in support of its alternative position that the tortfeasors were not covered persons, OOIDA submitted an informal opinion from the New York State Insurance Department’s Office of General Counsel (hereinafter the Office of General Counsel), “representing the position of the New York State Insurance Department.” The Office of General Counsel opined that “a covered person is one whose No-Fault coverage arises out of a motor vehicle policy issued in New York.” Under that definition, no person insured under an out-of-state policy, such as USAA’s insureds, would be “covered persons” under the no-fault law. Based on its definition, the Office of General Counsel concluded that inter-company loss-transfer arbitration would not be available where, as here, an out-of-state insured was involved in an accident with a New York insured.

 

However, the Appellate Division, Third Department (hereinafter the Third Department), and the Appellate Division, Fourth Department (hereinafter the Fourth Department), have arrived at a different interpretation of the term “covered persons.” These Courts have determined that “covered persons” include individuals who have liability coverage in excess of the minimum coverage required by Vehicle and Traffic Law § 311(4)(a), issued by an insurer authorized to do business in New York (see Nationwide Ins. Co. v. Morigerato, 215 A.D.2d 994, 995; Aetna Life & Cas. Co. v. Allstate Ins. Co., 207 A.D.2d 984; Fireman’s Ins. Co. of Newark v. Le Compte, 194 A.D.2d 918). Vehicle and Traffic Law § 311 provides, in relevant part, that “proof of financial security” consists of an “owner’s policy of liability insurance,” which (1) affords minimum coverage to any one person in the sum of $25,000 where injury is sustained, and the sum of $50,000 where death results, and coverage to two or more people in the sum of $50,000 for injury, and $100,000 for death; and (2) in the case of a vehicle registered in another state, is either issued by an insurer authorized to issue policies in New York, or by an unauthorized insurer who has, among other things, filed a statement with the New York State Commissioner of Motor Vehicles consenting to service of process and indicating that its policies may be deemed to be varied so as to comply with the requirements of Vehicle and Traffic Law article six (Vehicle and Traffic Law § 311, 311[a], 311[c]; see 11 NYCRR 60-1.1).

 

We agree with the Third Department and Fourth Department’s interpretation of “covered persons,” which was adopted by the Supreme Court in the present case, and we find that it is the more appropriate reading of the statute than that of the Office of General Counsel. We are of the opinion that, contrary to the conclusion of the Office of General Counsel, “[p]roof of financial security” is not limited, under article six of the Vehicle and Traffic Law, to policies issued in New York. Thus, here, USAA’s insureds, who had coverage from an insurer authorized to issue policies in New York, including liability coverage limits in the sums of $100,000 per person and $300,000 per accident, had “in effect the financial security required by article six,” making them “covered persons” for purposes of the no-fault law ( Nationwide Ins. Co., 215 A.D.2d at 995; see Aetna Life & Cas. Co., 207 A.D.2d at 984; Fireman’s Ins. Co. of Newark, 194 A.D.2d at 918).

 

Since both the plaintiff and USAA’s insureds qualify as covered persons within the meaning of the Insurance Law, OOIDA is not barred from pursuing inter-company loss transfer arbitration pursuant to Insurance Law § 5105(a) on the ground that a relevant party was not a “covered person.”

 

Inapplicability of Section 5105(a) to the Instant Case

 

Nonetheless, OOIDA is not entitled to inter-company loss-transfer arbitration pursuant to Insurance Law § 5105(a) under the circumstances presented here. The plain language of that section confers upon an insurer who pays first-party benefits to its own insured “covered person” the right to recover from the insurer of another covered person, but only “to the extent that such other covered person would have been liable, but for the provisions of this article, to pay damages in an action at law” (Insurance Law § 5105[a] [emphasis added] ). Thus, the statute, by its plain terms, does not apply where New York’s no-fault insurance law does not prevent the tortfeasor from being held liable to pay damages in an action at law.

 

Accordingly, Insurance Law § 5105(a) does not apply in the present case because New York’s no-fault insurance law would not prevent the other “covered persons,” the tortfeasors here, from being held liable in an action at law (cf. Matter of Purex Indus. v. Nationwide Mut. Ins. Co., 110 A.D.2d 67, 70 [“But for the No-Fault Law, petitioner would be liable as an ‘insurer’ to Nationwide’s insured in an action at law. That being the case, petitioner must be held to be subject to Nationwide’s claim for recoupment of benefits”] ). Indeed, the plaintiff in the present case could seek to recover from the tortfeasors under both Connecticut law, which repealed its no-fault statute in 1994 (see Conn Gen Stat former § 38a-365 et seq.), and under New York law. As to the latter, the limitations set forth in Insurance Law § 5104(a) upon an action between covered persons is expressly limited to losses arising out of the use and operation of a vehicle “in this state” (Insurance Law § 5104[a]; see Ofori v. Green, 74 AD3d 474; Federal Ins. Co. v. Barsky, 267 A.D.2d 275, 275). Thus, New York law does not bar an injured party from recovering basic economic loss from a tortfeasor in an action to recover damages for personal injuries arising out of a motor vehicle accident when the accident occurred in another state (see Ofori v. Green, 74 AD3d 474; Federal Ins. Co. v. Barsky, 267 A.D.2d at 276; Morgan v. Bisorni, 100 A.D.2d 956, 956-957), provided that the laws of that state permit such recovery (see Ofori v. Green, 74 AD3d 474). This is the case even where the tortfeasor and the injured party are both New York residents (see Ofori v. Green, 74 AD3d 474; Federal Ins. Co. v. Barsky, 267 A.D.2d at 276; Morgan v. Bisorni, 100 A.D.2d at 956-957). As such, inter-company loss-transfer arbitration is not available with respect to any out-of-state accidents, even between New York residents, because accidents occurring outside of New York, even if subject to limitations on recovery imposed by the laws of the state where the accident occurred, are not subject to the limitations set forth in Insurance Law § 5104 with respect to actions between covered persons. Accordingly, it cannot be said that covered tortfeasors involved in out-of-state accidents “would have been liable, but for the provisions of” Insurance Law article 51 (Insurance Law § 5105[a] ).

 

While no New York court has had occasion to consider the applicability of Insurance Law § 5105(a) in circumstances similar to those presented here, the United States District Court for the Western District of Pennsylvania (hereinafter the District Court) has considered the issue, and, although in dicta, reached a similar result (see Wensley v. Scott, 459 F Supp 2d 388). In that case, the plaintiffs, New York residents who were involved in a car accident in Pennsylvania with an Indiana resident, commenced an action in Pennsylvania to recover damages (id. at 394). The issue before the District Court was whether the plaintiffs would be permitted to introduce their medical bills as evidence of loss, including those bills that had been paid by their no-fault insurer (id. at 390). Applying New York law, the District Court reasoned that the plaintiffs were entitled to seek, prove, and recover the amount of the medical bills because Insurance Law § 5104(a) did not bar such recovery where an accident between covered persons occurred outside of New York (id. at 398; cf. Insurance Law § 5104[c] [“Where there is no right of recovery for basic economic loss, such loss may nevertheless be pleaded and proved to the extent that it is relevant to the proof of non-economic loss”] ). The District Court further noted that the plaintiffs’ insurer would not be entitled to inter-company loss-transfer arbitration because Insurance Law § 5105(a) only applied “when recovery against another covered person was not permitted” (id. at 398). Since the defendant there would be liable to pay damages, inter alia, for basic economic loss in a civil action, the District Court concluded that the “conditions for settlement between insurers found in § 5105(a)” was not met (id. at 399).

 

We note the possibility that, as a result of our determination, the plaintiff could conceivably obtain “double recovery.” In this regard, the District Court in Wensley observed that, if the plaintiffs there obtained a favorable verdict against the tortfeasor, “the manner of recovery by the Plaintiffs’ insurer for benefits already paid to the Plaintiffs … must be through subrogation” ( Wensley v. Scott, 459 F Supp 2d at 399). New York law is unsettled, however, as to whether OOIDA may have been entitled to seek subrogation under New York law (see Federal Ins. Co. v. Barsky, 267 A.D.2d at 275 [insurer, as subrogee of its insured, is entitled to recover no-fault first-party benefits from a tortfeasor where the tortfeasor was a New York resident, but the accident occurred outside of New York]; but see Country-Wide Ins. Co v. 3-M Prod. Sales, 96 A.D.2d 569 [“an essential element of an insurer’s right to recoup first-party benefits is that the party from whom such recoupment is sought is a noncovered person”] ). Under Connecticut law, OOIDA does not have such a right of subrogation (see Conn Gen Stat § 52-225c). In any event, here, in the judgment appealed from, the Supreme Court declared that OOIDA “is not subrogated to, and has no right of subrogation to, any of the rights of [the] plaintiff,” and OOIDA did not appeal from that portion of the judgment. Rather, OOIDA limited its appeal to the narrow issue of whether it was entitled to inter-company loss-transfer arbitration with USAA. Thus, the issue of whether OOIDA has a right of subrogation is not properly before this Court.

 

Remaining Contentions

 

Since we conclude that OOIDA is not entitled to inter-company loss-transfer arbitration pursuant to the express terms of Insurance Law § 5105(a), and OOIDA has limited its appeal to the issue of inter-company loss transfer, we affirm the judgment appealed from on this ground. The parties’ remaining contentions either are without merit or need not be reached in light of our determination.

 

Conclusion

 

OOIDA is not entitled to inter-company loss-transfer arbitration under Insurance Law § 5105(a) because, by its very terms, that section only applies, inter alia, “to the extent that such other covered person would have been liable, but for the provisions of” Insurance Law article 51. Since, under the circumstances presented, Insurance Law § 5104(a) does not prohibit the plaintiff from seeking to recover from the tortfeasors in an action at law, inter alia, for basic economic loss and enhanced first-party benefits arising from the subject motor vehicle accident, it cannot be said that the alleged tortfeasor “would have been liable, but for the provisions of” Insurance Law article 51 (Insurance Law § 5105[a] ). Consequently, the arbitration remedy of Insurance Law § 5105(a), by its very terms, is not available to OOIDA under the circumstances presented. The appeal from the intermediate order must be dismissed because the right of direct appeal therefrom terminated with the entry of judgment in the action (see Matter of Aho, 39 N.Y.2d 241, 248). The issues raised on the appeal from the order are brought up for review and have been considered on the appeal from the judgment (see CPLR 5501[a]). Accordingly, the appeal from the intermediate order is dismissed, and the judgment is affirmed insofar as appealed from.

 

FISHER, J.P., SANTUCCI and CHAMBERS, JJ., concur.

ORDERED that the appeal from the order is dismissed; and it is further,

 

ORDERED that the judgment is affirmed insofar as appealed from; and it is further,

 

ORDERED that one bill of costs is awarded to the respondents.

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