August 2, 2019

Bronx Acupuncture Therapy, P.C. v MVAIC (2019 NY Slip Op 51253(U))

Headnote

The provider failed to establish its prima facie case against MVAIC because it did not prove submission of a timely notice-of-claim affidavit. Following Avicenna Med. Arts, P.L.L.C. v MVAIC, timely filing was a condition precedent to payment and necessary to establish covered-person status under Insurance Law § 5208 (a) (1), (3) and Insurance Law § 5221 (b) (2). The Appellate Term, Second Department, reversed the provider's judgment after a nonjury trial and remitted the matter to the Civil Court, Kings County, for entry of judgment dismissing the complaint in MVAIC's favor; it reached no other issue.

Reported in New York Official Reports at Bronx Acupuncture Therapy, P.C. v MVAIC (2019 NY Slip Op 51253(U))

[*1]
Bronx Acupuncture Therapy, P.C. v MVAIC
2019 NY Slip Op 51253(U) [64 Misc 3d 141(A)]
Decided on August 2, 2019
Appellate Term, Second Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
This opinion is uncorrected and will not be published in the printed Official Reports.


Decided on August 2, 2019
SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

PRESENT: : MICHAEL L. PESCE, P.J., MICHELLE WESTON, THOMAS P. ALIOTTA, JJ
2017-611 K C

Bronx Acupuncture Therapy, P.C., as Assignee of Lavar Chisolm, Respondent,

against

MVAIC, Appellant.


Marshall & Marshall, PLLC (Jeffrey Kadushin of counsel), for appellant. Gary Tsirelman, P.C. (Evan Polansky of counsel), for respondent.

Appeal from a judgment of the Civil Court of the City of New York, Kings County (Devin P. Cohen, J.), entered June 30, 2016. The judgment, after a nonjury trial, awarded plaintiff the principal sum of $1,420.

ORDERED that the judgment is reversed, with $30 costs, and the matter is remitted to the Civil Court for the entry of a judgment in favor of defendant dismissing the complaint.

After a nonjury trial in this action by a provider to recover assigned first-party no-fault benefits, the Civil Court awarded judgment to plaintiff in the principal sum of $1,420.

“The filing of a timely affidavit providing the MVAIC with notice of intention to file a claim is a condition precedent to the right to apply for payment from [MVAIC]. Compliance with the statutory requirement of timely filing a notice of claim must be established in order to demonstrate that the claimant is a covered person, within the meaning of the statute, entitled to recover no-fault benefits from the MVAIC” (Avicenna Med. Arts, P.L.L.C. v MVAIC, 53 Misc 3d 142[A], 2016 NY Slip Op 51535[U], *1 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2016] [internal quotation marks and citation omitted]; see Insurance Law §§ 5208 [a] [1], [3]; 5221 [b] [2]). As plaintiff did not establish that such an affidavit had been submitted to MVAIC, plaintiff failed to establish its prima facie case (see Insurance Law §§ 5202 [b]; 5208, 5221 [b] [2]). In light of the foregoing, we reach no other issue.

Accordingly, the judgment is reversed and the matter is remitted to the Civil Court for the entry of a judgment in favor of defendant dismissing the complaint.

PESCE, P.J., WESTON and ALIOTTA, JJ., concur.


ENTER:
Paul Kenny
Chief Clerk
Decision Date: August 02, 2019