Frank J. Gaidon, &c., et al.,
Respondents,
v.
The Guardian Life Insurance
Company of America,
Appellant.
Marie E. Russo,
Appellant,
v.
Massachusetts Mutual Life
Insurance Company,
Respondent.
2001 NY Int. 47
In Gaidon v Guardian Life Ins. Co. (94 2 330)
(Gaidon I), this Court ruled that plaintiffs had pleaded a
legally sufficient cause of action against defendant Guardian
Life Insurance Company under General Business Law § 349(h). The
complaint alleged that Guardian Life engaged in deceptive
In the Gaidon case, the policies at issue were
purchased in 1987. Some eight years later, premiums were
demanded after the purported date they were to be entirely offset
by dividends. Plaintiffs commenced this action on October 8,
1996, asserting claims for breach of contract and common-law
fraudulent inducement, as well as their cause of action under
General Business Law § 349. Supreme Court granted Guardian
Life's motion to dismiss the complaint in its entirety, and the
Appellate Division, First Department, affirmed. We modified by
Upon remittal (272 2 60), the Appellate Division affirmed dismissal for lack of standing with respect to several plaintiffs, by reason of their prior execution of general releases to Guardian Life, and as against plaintiff Frank Gaidon, because the policies insuring his life were not purchased or owned by him, but by plaintiff trustees, who did have standing. As to the trustees' claims under General Business Law § 349, the court reversed Supreme Court's dismissal of their General Business Law § 349 cause of action, rejecting Guardian Life's challenge that the action was time-barred. The court held that the three-year period of limitation for statutory causes of action (CPLR 214 [2]) applied, but concluded that the latter claim was timely interposed because the cause of action did not accrue until plaintiffs were required to pay premiums beyond the projected date by which they were assured that the premiums would be fully covered by policy dividends. The Appellate Division granted Guardian Life leave to appeal on the certified question, was its order properly made?
In Russo v Massachusetts Mutual Life Insurance Company,
plaintiff, a purchaser of defendant's vanishing premium "N-PAY"
Life Insurance policy in 1989, commenced a proposed class action
on April 12, 1996. The complaint contained causes of action
On plaintiff's appeals, the Appellate Division, Third Department, affirmed all three of Supreme Court's orders (__ AD2d __). Affirmance of the dismissal of plaintiff's General Business Law § 349 claim was on a different ground -- that it was time- barred. Like the First Department in Gaidon, the court ruled that the applicable Statute of Limitations was the three-year period for statutory causes of action under CPLR 214 (2). The court concluded, however, that plaintiff's section 349 claim accrued when she purchased her policy in 1989 and, hence, was not timely commenced. We granted plaintiff leave to appeal. Only the section 349 claim is before us.
The courts below agreed that the plaintiffs' claims
under General Business Law § 349(h) are "to recover upon a
liability * * * created or imposed by statute" (CPLR 214 [2]) and,
Plaintiffs and the Attorney General, appearing as amicus curiae, contend that, at its core, General Business Law § 349(h) merely codifies and affords new remedies for what in essence is a common-law fraud claim. They characterize the only substantive deviation from common-law fraud as being the elimination of the scienter requirement in a claim under section 349. Otherwise, they maintain, the proof of one establishes the other. We disagree.
As described in Motor Vehicle Acc. Indem. Corp. v Aetna Cas. & Sur. Co. (89 2 214, 220-221), our case law construing CPLR 214 (2) contrasts:
"(1) claims which, although provided for in a statute, merely codify or implement an existing common-law liability, which are not governed by CPLR 214 (2) but by the Statute of Limitations applicable
to their common-law sources; with (2) claims which, although akin to common-law causes, would not exist but for the statute * * *, in which case CPLR 214 (2) applies" (emphasis supplied).
General Business Law § 349, as invoked in this case, falls in the latter category. While General Business Law § 349 may cover conduct "akin" to common-law fraud, it encompasses a far greater range of claims that were never legally cognizable before its enactment. We made this clear in Gaidon I, where we said (in comparing common-law fraud to the conduct proscribed by section 349):
"Although a person's actions may at once implicate both, General Business Law § 349 contemplates actionable conduct that does not necessarily rise to the level of fraud. In contrast to common-law fraud, General Business Law § 349 is a creature of statute based on broad consumer-protection concerns * * *. Although General Business Law § 349 claims have been aptly characterized as similar to fraud claims * * * they are critically different in ways illustrated by the cases at bar" (94 2 at 343 [emphasis supplied]).
The substantive differences between the claims under
General Business Law § 349 here and common-law fraud were most
pointedly demonstrated by our disposition of those respective
causes of action in Gaidon I. There, we held that, because of
the disclaimers in the promotional illustrations Guardian Life
In general, a cause of action accrues, triggering
commencement of the limitations period, when all of the factual
circumstances necessary to establish a right of action have
occurred, so that the plaintiff would be entitled to relief (see,
Britt v Legal Aid Socy. Inc., , 95 NY2d 443, 446; Motor Vehicle
Acc. Indem. Corp. v Aetna Cas. & Sur. Co.,
Here, the statute prohibits "[d]eceptive acts or practices in the conduct of any business, trade or commerce or in the furnishing of any service" (General Business Law § 349[a]), and affords a right of action to "any person who has been injured by reason of any violation of this section" (General Business Law § 349[h]). Thus, accrual of a section 349(h) private right of action first occurs when plaintiff has been injured by a deceptive act or practice violating section 349 (see, Small v Lorillard Tobacco Co., , 94 NY2d 43, 55). In Gaidon I, we held that plaintiffs sufficiently alleged Guardian Life's deceptive behavior, in violation of section 349, regarding the marketing of its vanishing premium policies. The sufficiency of plaintiff Russo's pleading of Mass Mutual's deceptive practices is not at issue on her appeal. Thus, accrual of plaintiffs' section 349 causes of action here turns upon when their respective injuries occurred as a result of the alleged statutory violations.
Guardian Life and Mass Mutual contend that each
plaintiff's injury occurred at the time of purchase and delivery
of each life insurance policy, which was unambiguous in stating
that: (1) premiums were payable over the lifetime of the insured;
(2) dividends (which the policyholder might apply to premium
payments) were not guaranteed; and (3) the policy provisions
contained all of the insurer's obligations, and all earlier
representations were merged into the policy contract. Both
We, however, agree with plaintiffs that their injuries
occurred when they were first called upon to pay additional
premiums beyond the date by which they were led to believe that
policy dividends would be sufficient to cover all premium costs.
Defendants' contention that injury occurred when each plaintiff
received a policy that failed to contain terms reflecting the
vanishing premium illustrations is based upon a misconception of
the gravamen of plaintiffs' General Business Law § 349 causes of
action. As Gaidon I explains, the basis of the alleged section
349 violation was not a false guarantee that the policies
themselves would expressly provide for premiums to vanish, or
even that the illustrations expressly guaranteed that result.
Indeed, we held that the disclaimers in the illustrations and in
the policy provisions were sufficient to negate the existence of
any such guarantees. We concluded in Gaidon I, however, that the
absence of any such guarantee was beside the point with respect
to plaintiffs' section 349 claim. "Although [the insurers] did
not guarantee that interest [and thus dividend] rates would
We held in Gaidon I that the operative allegations of the violation of General Business Law § 349 were that, through "an extensive marketing scheme * * * defendants lured them into purchasing policies by using illustrations that created unrealistic expectations as to the prospects of premium disappearance upon a strategically chosen 'vanishing date.' This vanishing date, plaintiffs allege, was misleading, as based on the premise that interest rates would continue at a high unprecedented rate for, in some cases, 20 or more years -- a premise that defendants allegedly knew to be unlikely" (id., at 344 [emphasis supplied]).
Because the gravamen of the complaints of General Business Law § 349 violations was not false guarantees of policy
terms, but deceptive practices inducing unrealistic expectations
of continuing interest/dividend rate performance to fully offset
premiums at the projected date, plaintiffs suffered no measurable
damage until the point in time when those expectations were
actually not met, and they were then called upon either to pay
additional premiums or lose coverage and forfeit the premiums
they previously paid. Thus, we conclude, the date when those
additional premiums were demanded triggered the Statute of
Limitations, and these actions, commenced within three years of
Accordingly, in Gaidon v Guardian Life Insurance Company, the order of the Appellate Division should be affirmed, with costs, and the certified question answered in the affirmative. In Russo v Massachusetts Mutual Life Insurance Company, the order of the Appellate Division, insofar as appealed from, should be reversed, with costs, and plaintiff's cause of action under General Business Law § 349 reinstated.