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November 6, 2020

ABC Physical Therapy, P.C. v GEICO Ins. Co. (2020 NY Slip Op 51325(U))

https://www.beynensonlaw.com/case-law/abc-physical-therapy-p-c-v-geico-ins-co-2020-ny-slip-op-51325u/

Court
Appellate Term, Second Department
Decided
November 6, 2020
Citation
2020 NY Slip Op 51325(U)
Posture
Default or vacatur
Outcome
Provider prevailed
Issues
Defaults and vacatur
Cite as
ABC Physical Therapy, P.C. v GEICO Ins. Co., 2020 NY Slip Op 51325(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 failed to demonstrate a reasonable excuse for its default, while the provider established entitlement to a default judgment. Under CPLR 5015 (a) (1), opening an excusable default requires both a reasonable excuse and a potentially meritorious defense. Although CPLR 2005 permits law office failure as an excuse, it must be supported by a detailed and credible explanation. The insurer did not meet its burden. The provider satisfied CPLR 3215 (f) by showing service, a viable cause of action, and the default. The Appellate Term, Second Department, reversed, granted the provider leave to enter a default judgment, and denied the insurer's cross motion to open the default and compel acceptance of its late answer.

Reported in New York Official Reports at ABC Physical Therapy, P.C. v GEICO Ins. Co. (2020 NY Slip Op 51325(U))

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

ABC Physical Therapy, P.C., as Assignee of Alexander, Tomas, Appellant,

against

GEICO Ins. Co., Respondent.

The Rybak Firm, PLLC (Damin J. Toell of counsel), for appellant. Law Office of Goldstein & Flecker (Lawrence J. Chanice of counsel), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Michael Gerstein, J.), entered April 13, 2018. The order denied plaintiff’s motion for leave to enter a judgment upon defendant’s failure to appear or answer the complaint and granted defendant’s cross motion to open its default and to compel plaintiff to accept defendant’s late answer.

ORDERED that the order is reversed, with $30 costs, plaintiff’s motion for leave to enter a default judgment is granted and defendant’s cross motion to open its default in answering and to compel plaintiff to accept defendant’s late answer is denied.

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 leave to enter a judgment upon defendant’s failure to appear or answer the complaint and granted defendant’s cross motion to open its default and to compel plaintiff to accept defendant’s late answer.

A defendant seeking to open a default in answering based on an excusable default must demonstrate both a reasonable excuse for the default and the existence of a potentially meritorious defense to the action (see CPLR 5015 [a] [1]; Eugene Di Lorenzo, Inc. v A.C. Dutton Lbr. Co., 67 NY2d 138, 141 [1986]). The determination of what constitutes a reasonable excuse for a default lies within the sound discretion of the motion court (see Matter of Gambardella v Ortov Light., 278 AD2d 494 [2000]).

While a claim of law office failure may be accepted as a reasonable excuse (see CPLR 2005), the claim must be supported by a “detailed and credible” explanation of the default (Henry v Kuveke, 9 AD3d 476, 479 [2004]; see State Farm Mut. Auto. Ins. Co. v Preferred Trucking Serv. Corp., 42 Misc 3d 88 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2013]). Upon a [*2]review of the record, we find that the Civil Court improvidently exercised its discretion in granting defendant’s cross motion to open its default in answering and to compel plaintiff to accept defendant’s late answer, as defendant failed to meet its burden of demonstrating a reasonable excuse for its default (see CPLR 5015 [a] [1]; Eugene Di Lorenzo, Inc., 67 NY2d at 141).

“In order to be entitled to enter a default judgment upon a defendant’s failure to appear or answer the complaint, a plaintiff must submit evidence of service of the summons and complaint upon the defendant, evidence of a viable cause of action, and evidence of the defendant’s default in appearing or answering (see CPLR 3215 [f]; L & Z Masonry Corp. v Mose, 167 AD3d 728, 729 [2018]; Clarke v Liberty Mut. Fire Ins. Co., 150 AD3d 1192, 1194 [2017]; Deutsche Bank Natl. Trust Co. v Kuldip, 136 AD3d 969, 970 [2016])” (Glanz v Parkway Kosher Caterers, 176 AD3d 686, 688 [2019]). Here, plaintiff satisfied these requirements.

Accordingly, the order is reversed, plaintiff’s motion for leave to enter a default judgment is granted and defendant’s cross motion to open its default in answering and to compel plaintiff to accept defendant’s late answer is denied.

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


ENTER:
Paul Kenny
Chief Clerk
Decision Date: November 6, 2020

Similar decisions

  • New Age Med., P.C. v GEICO Gen. Ins. Co. (2020 NY Slip Op 50316(U))The insurer failed to excuse its year-long delay in correcting an answer rejected for bearing the wrong index number.
  • Cautious Care Med., P.C. v 21st Century Ins. Co. (2021 NY Slip Op 50785(U))The insurer established a reasonable excuse for default through process-receipt procedures and records showing no record of the lawsuit.
  • Island Life Chiropractic Pain Care, PLLC v MVAIC (2019 NY Slip Op 52061(U))A defendant seeking to open an excusable answering default must show a reasonable excuse and a potentially meritorious defense.
  • Diagnostic Medicine, P.C. v Auto One Ins. Co. (2019 NY Slip Op 51891(U))The judgment against the insurer was vacated for inadequate notice, but its unsupported excuse left the underlying default intact.
  • American Tr. Ins. Co. v Bruno Med. Supply, Inc. (2026 NY Slip Op 01332)The provider's contradictory and conclusory allegations of law office failure did not reasonably excuse its default in answering.
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