December 11, 2020

Monroe v Omni Indem. Co. (2020 NY Slip Op 51505(U))

Headnote

An insurer relying on rescission under Pennsylvania law need not establish the elements of a separate fraudulent-procurement defense. The provider challenged summary judgment dismissing its assigned no-fault claims based on retroactive rescission of the automobile policy. Following W.H.O. Acupuncture, P.C. v Infinity Prop. & Cas. Co., the Appellate Term, Second Department, distinguished proving fraudulent procurement from establishing that the policy had been rescinded in accordance with Pennsylvania law because of fraudulent procurement. It also rejected the provider's argument that the insurer failed to establish an office practice ensuring mailing of the rescission letter. The order denying the provider's motion and granting the insurer's cross motion for summary judgment dismissing the complaint was affirmed.

Reported in New York Official Reports at Monroe v Omni Indem. Co. (2020 NY Slip Op 51505(U))

[*1]
Monroe v Omni Indem. Co.
2020 NY Slip Op 51505(U) [70 Misc 3d 128(A)]
Decided on December 11, 2020
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This opinion is uncorrected and will not be published in the printed Official Reports.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 December 11, 2020
SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

PRESENT: : THOMAS P. ALIOTTA, P.J., MICHELLE WESTON, WAVNY TOUSSAINT, JJ
2018-2253 K C

Harry Keith Monroe, M.D., as Assignee of Eimy, Peguero, Appellant,

against

Omni Indemnity Company, Respondent.


The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for appellant. Freiberg, Peck & Kang, LLP (Yilo J. Kang of counsel), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Odessa Kennedy, J.), entered May 23, 2018. The order denied plaintiff’s motion for summary judgment and granted defendant’s cross motion for summary judgment dismissing the complaint.

ORDERED that the order is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from an order of the Civil Court which denied plaintiff’s motion for summary judgment and granted defendant’s cross motion for summary judgment dismissing the complaint on the ground that, upon the application of Pennsylvania law, there was a lack of coverage due to the rescission, ab initio, of the automobile insurance policy at issue.

Contrary to plaintiff’s first argument, defendant was not required to establish the elements of a defense that the policy was fraudulently procured since it advanced a separate and distinct defense—that the policy had been rescinded, in accordance with Pennsylvania law, as a result of fraudulent procurement (see W.H.O. Acupuncture, P.C. v Infinity Prop. & Cas. Co.,36 Misc 3d 4 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2012]; see also Craigg v Infinity Select Ins. Co., 38 Misc 3d 56 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2013]). Plaintiff’s other argument with respect to defendant’s cross motion—that defendant failed to establish a standard office practice or procedure designed to ensure that the rescission letter was mailed (see Residential Holding Corp. v Scottsdale Ins. Co., 286 AD2d 679, 680 [2001])—is also without [*2]merit.

Accordingly, the order is affirmed.

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


ENTER:
Paul Kenny
Chief Clerk
Decision Date: December 11, 2020