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May 28, 2008

101 Acupuncture, P.C. v State Farm Mut. Auto. Ins. Co. (2008 NY Slip Op 51118(U))

https://www.beynensonlaw.com/case-law/101-acupuncture-p-c-v-state-farm-mut-auto-ins-co-2008-ny-slip-op51118u/

Court
Appellate Term, Second Department
Decided
May 28, 2008
Citation
2008 NY Slip Op 51118(U) · 19 Misc 3d 145(A)
Posture
Article 75 petition
Outcome
Insurer prevailed
Issues
CPLR article 75 (arbitration awards)
Cite as
101 Acupuncture, P.C. v State Farm Mut. Auto. Ins. Co., 19 Misc 3d 145(A), 2008 NY Slip Op 51118(U) (App Term, 2d Dept, 2d & 11th Jud Dists 2008)

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 provider's petition to vacate a master arbitration award denying no-fault benefits was denied, and the insurer's cross petition was granted. The Appellate Term, Second Department, affirmed the order denying vacatur and confirming the award. Upon reviewing the record, it found that the master arbitrator's determination upholding the arbitrator's denial of assigned benefits had a rational basis and was not arbitrary and capricious.

Reported in New York Official Reports at 101 Acupuncture, P.C. v State Farm Mut. Auto. Ins. Co. (2008 NY Slip Op 51118(U))

[*1]
101 Acupuncture, P.C. v State Farm Mut. Auto. Ins. Co.
2008 NY Slip Op 51118(U) [19 Misc 3d 145(A)]
Decided on May 28, 2008
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This opinion is uncorrected and will not be published in the printed Official Reports.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 May 28, 2008

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., GOLIA and STEINHARDT, JJ
2006-1911 K C.
101 Acupuncture, P.C. a/a/o EDWIN BAEZ, Appellant,

against

State Farm Mutual Automobile Insurance Company, Respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Delores J. Thomas, J.), dated June 30, 2006. The order denied the petition to vacate the master arbitrator’s award and granted the cross petition to confirm the award.

Order affirmed without costs.

Upon a review of the record, we find that the determination of the master arbitrator upholding the arbitrator’s award, which denied petitioner’s claim for assigned first-party no-fault benefits, had a rational basis and was not arbitrary and capricious (see e.g. Matter of Motor Veh. Acc. Indem. Corp. v Aetna Cas. & Sur. Co., 89 NY2d 214 [1996]; Matter of Petrofsky [Allstate Ins. Co.], 54 NY2d 207 [1981]; Matter of Progressive Cas. Ins. Co. v New York State Ins. Fund, 47 AD3d 633 [2008]; Matter of Shand [Aetna Ins. Co.], 74 AD2d 442 [1980]). Accordingly, the court below properly denied the petition to vacate the master arbitrator’s award and granted the cross petition to confirm the award.

Pesce, P.J., Golia and Steinhardt, JJ., concur.
Decision Date: May 28, 2008

Cited by

  • Walton Med. Care, P.C. v Travelers Ins. Co. (2011 NY Slip Op 51850(U))A court denying a petition to vacate a master arbitration award must confirm the award under CPLR 7511 (e).

Similar decisions

  • 101 Acupuncture, P.C. v Utica Mut. Ins. Co. (2007 NY Slip Op 51488(U))A master arbitrator's substantive legal determination must be upheld if it has a rational basis, even if legally erroneous.
  • RJ Professional Acupuncturist, P.C. v Allstate Ins. Co. (2007 NY Slip Op 51605(U))CPLR 7511 (e) requires confirmation of an arbitration award when a petition to vacate it is denied.
  • Matter of Acuhealth Acupuncture, P.C. v New York City Tr. Auth. (2018 NY Slip Op 08641)The master arbitrator's confirmation of an award denying benefits for exhausted policy limits had evidentiary support and a rational basis.
  • R.J. Professional Acupuncturist, P.C. v NY Cent. Mut. Fire Ins. Co. (2008 NY Slip Op 52729(U))The master arbitrator's affirmance of denied acupuncture claims had a rational basis where fee-reduction law was unsettled.
  • 563 Grand Med., P.C. v State-Wide Ins. Co. (2007 NY Slip Op 50362(U))Denial of a petition to vacate a master arbitrator's award requires confirmation of the award under CPLR 7511 (e).
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