469_C283

Homeowner

Misrepresentation

Duty to Cooperate

 

DO MISREPRESENTATIONS BAR HOMEOWNERS COVERAGE?

P.J. and Ann Lenhard purchased property in Altona, New York, where they planned to build a house. They began construction on the house in 1998 and arranged for its insurance. When the original policy was due to expire, the Lenhards' agent, Andree LaBarge, contacted Edward Russell, an insurance underwriter, to obtain coverage with Genesee Patrons Co-operative Insurance Company. When LaBarge completed the Lenhards' application for them, he erroneously represented that the house was located 5 miles from the fire department. In fact, the distance was between 9 and 9.4 miles. Ann Lenhard signed the application form, but did not notice the error. The application was processed, and construction of the house was completed in late 2000.

P.J. and Ann both worked for the Mohawk tribe in the Holistic Healing Clinic located in the Ganienkeh territory. In December 2000, P.J. left his job under "acrimonious circumstances." P.J. eventually moved to Hawaii while Ann remained in New York to sell the Altona property. On February 10, 2001, while Ann was visiting family, the Lenhard house burned to the ground. Local police investigated the fire and found no evidence of arson. Genesee Patrons interviewed Ann, who misrepresented P.J.'s whereabouts. Later, she claimed she did this to protect P.J. from the Mohawks. According to Ann Lenhard, she feared for her family's physical safety and had been threatened by a member of the tribe.

When Genesee Patrons denied coverage, the Lenhards filed a legal action. Genesee Patrons moved for summary judgment, claiming that the Lenhards were uncooperative and that they made material misrepresentations. The court found in favor of the Lenhards; Genesee appealed.

On appeal, Genesee argued that the Lenhards' property was not 5 miles, but 9 to 9.4 miles away from the nearest fire department. They claimed that this fact was sufficiently material to justify noncoverage because the property had been inaccurately classified as "semi-protected." According to Genesee, without this classification, it might have decided not to bind coverage on the property. The Supreme Court, Appellate Division, Third Department, New York, acknowledged Genesee's arguments; however, it found that the arguments were not sufficient to warrant dismissal of the case before it went to trial. Neither Edward Russell, the insurance underwriter who worked with LaBarge on the Lenhards' policy, nor Francis Spiotta, vice president of Genesee Patrons, claimed that they would not have underwritten the property if they had know its distance was 9 to 9.4 miles from the fire station.

Genesee also argued that Ann Lenhard's misrepresentations concerning P.J. Lenhard's whereabouts were sufficient to establish that Ann materially breached her duty to cooperate. Again, the court disagreed. Genesee Patrons did not establish that she made these misrepresentations with the intent to defraud, or that her deception, which caused a brief delay, could be found to justify dismissal of the case before trial.

The court found in favor of the Lenhards, and the decision of the lower court was affirmed.

P.J. Lenhard vs. Genesee Patrons Co-operative Insurance Company-Supreme Court, Appellate Division, Third Department, New York-July 6, 2006-818 New York Supplement 2d 644 *