Danzig v. Dikman
| Decision Date | 14 May 1981 |
| Citation | 440 N.Y.S.2d 925,53 N.Y.2d 926,423 N.E.2d 402 |
| Parties | , 423 N.E.2d 402 Daniel DANZIG et al., Respondents, v. Michael DIKMAN, as President of the Queens County Bar Association, et al., Defendants, and Blue Cross and Blue Shield of Greater New York, Appellant. |
| Court | New York Court of Appeals Court of Appeals |
The order of the Appellate Division should be affirmed, with costs, for the reasons stated in the opinion of Justice VINCENT A. LUPIANO in that court (78 A.D.2d 303, 434 N.Y.S.2d 217). In view of the recognition of the difference in determining when the liability of the insurer attaches under group medical insurance policies between the time of the occurrence of the event insured against and the time of the incurring of the expenses occasioned thereby--which determinations are generally resolved on the basis of the specific language used in the policies (e. g., Ann., 66 ALR3d 1205, 1208-1218; 68 ALR2d 249, 275-283)--the failure of the insurer to make unmistakably explicit provision in this policy as to which shall control creates an ambiguity which under familiar principles of construction is to be resolved against the insurer.
Order affirmed, with costs, in a memorandum.
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