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November 13, 2020

ARIS Diagnostic Med., PLLC v Ameriprise Ins. Co. (2020 NY Slip Op 51380(U))

https://www.beynensonlaw.com/case-law/aris-diagnostic-med-pllc-v-ameriprise-ins-co-2020-ny-slip-op51380u/

Court
Appellate Term, Second Department
Decided
November 13, 2020
Citation
2020 NY Slip Op 51380(U) · 69 Misc 3d 144(A)
Posture
Summary judgment
Outcome
Insurer prevailed
Issues
Policy issues
Cite as
ARIS Diagnostic Med., PLLC v Ameriprise Ins. Co., 69 Misc 3d 144(A), 2020 NY Slip Op 51380(U) (App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2020)

Posture, outcome, issues and treatment by other decisions are Beynenson Law’s classification. Treatment labels are assigned by a language model reading the citing decision; negative and appeal-history labels are checked by a second reader.

Summary

Editorial summary by Beynenson Law, not part of the court’s decision.

The insurer raised factual issues about whether a material misrepresentation was made in connection with issuance of the policy. In this action to recover assigned first-party no-fault benefits, the insurer limited its appeal to the grant of the provider's cross motion for summary judgment. Reviewing the record, the Appellate Term, Second Department, found factual disputes both as to whether a misrepresentation occurred and, if so, whether it was material. It reversed the order, insofar as appealed from, and denied the provider's cross motion.

Reported in New York Official Reports at ARIS Diagnostic Med., PLLC v Ameriprise Ins. Co. (2020 NY Slip Op 51380(U))

[*1]
ARIS Diagnostic Med., PLLC v Ameriprise Ins. Co.
2020 NY Slip Op 51380(U) [69 Misc 3d 144(A)]
Decided on November 13, 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This opinion is uncorrected and will not be published in the printed Official Reports.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 November 13, 2020

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS


PRESENT: : THOMAS P. ALIOTTA, P.J., DAVID ELLIOT, BERNICE D. SIEGAL, JJ
2019-120 K C
ARIS Diagnostic Medical, PLLC, as Assignee of Paul Villon, Respondent,

against

Ameriprise Insurance Company, Appellant.

Bruno, Gerbino. Soriano & Aitken, LLP (Nathan M. Shapiro of counsel), for appellant. Zara Javakov, P.C. (Zara Javakov of counsel), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Sharon Bourne-Clarke, J.), entered November 8, 2018. The order, insofar as appealed from as limited by the brief, granted plaintiff’s cross motion for summary judgment.

ORDERED that the order, insofar as appealed from, is reversed, with $30 costs, and plaintiff’s cross motion for summary judgment is denied.

In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals, as limited by the brief, from so much of an order of the Civil Court as granted plaintiff’s cross motion for summary judgment.

Upon a review of the record, we find that defendant demonstrated the existence of issues of fact as to whether a misrepresentation had been made to defendant in connection with the issuance of the subject insurance policy (see Matter of Insurance Co. of N. Am. v Kaplun, 274 AD2d 293 [2000]) and, if such a misrepresentation was made, whether it was material (see Interboro Ins. Co. v Fatmir, 89 AD3d 993 [2011]).

Accordingly, the order, insofar as appealed from, is reversed and plaintiff’s cross motion for summary judgment is denied.

ALIOTTA, P.J., ELLIOT and SIEGAL, JJ., concur.


ENTER:
Paul Kenny
Chief Clerk
Decision Date: November 13, 2020

Similar decisions

  • Island Life Chiropractic Pain Care, PLLC v Ameriprise Ins. (2020 NY Slip Op 51369(U))The insurer established the assignor's failure to attend both scheduled EUOs and timely denials based on that nonappearance.
  • Alignment Chiropractic, P.C. v Travelers Home & Mar. Ins. Co. (2020 NY Slip Op 50994(U))An insurer must document its underwriting practices to establish that an application misrepresentation was material as a matter of law.
  • Concord Direct, Inc. v Ameriprise Ins. Co. (2022 NY Slip Op 51272(U))The insurer failed to establish a material misrepresentation concerning a covered vehicle's garaging or a covered driver's address.
  • All Healthy Style Med., P.C. v Ameriprise Ins. Co. (2018 NY Slip Op 51651(U))The insurer's summary judgment motion based on an alleged material misrepresentation of the assignor's residence was denied on appeal.
  • Liliya Veksler, LCSW, P.C. v Ameriprise Ins. Co. (2018 NY Slip Op 50741(U))The insurer failed to show that the assignor's residence misrepresentation was material to issuance of the policy.
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