Reported in New York Official Reports at 21st Century Pharm., Inc. v State Farm Mut. Auto. Ins. Co. (2025 NY Slip Op 51577(U))
[*1]| 21st Century Pharm., Inc. v State Farm Mut. Auto. Ins. Co. |
| 2025 NY Slip Op 51577(U) |
| Decided on September 25, 2025 |
| Civil Court Of The City Of New York, Kings County |
| Holaman, J. |
| 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| This opinion is uncorrected and will not be published in the printed Official Reports.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 September 25, 2025
21st Century Pharmacy, Inc., Plaintiff,
against State Farm Mutual Automobile Ins. Co., Defendant. |
Index No. CV-730192-18/KI
Plaintiff’s Attorney: Gary Tsirelman, Esq.
Gary Tsirelman, PC
129 Livingston Street
Brooklyn, New York 11201
Defendant’s Attorney: Edward M. Ryan, Esq.
McDonnell Adels & Klestzick, PLLC
401 Franklin Avenue, Suite 200
Garden City, New York 11530
Monique J. Holaman, J.
Recitation, as required by CPLR § 2219(a), of the papers considered in the review of this motion:
PapersDefendant’s Notice of Motion and Affidavits /Exhibits 1
Plaintiff’s Opposition and Affidavits/Exhibits 2
Defendant’s Reply and Affidavits/Exhibits 3
Upon review of the foregoing cited papers and after oral argument, Defendant’s Summary Judgment Motion (“motion sequence #3”) is DENIED.
In this action, Plaintiff 21st Century Pharmacy, Inc. (hereinafter “21st Century” or “Plaintiff”) seeks reimbursement of No-Fault benefits from Defendant State Farm Mutual Automobile Ins. Co. (hereinafter “State Farm” or “Defendant”) in the total amount of $1,529.00 for services rendered to its assignor, Aquiles Nunez. Defendant filed a timely answer to the complaint. Pursuant to CPLR § 3212, Defendant now moves for an order granting summary judgment. Defendant argues that Plaintiff’s complaint must be dismissed because Plaintiff’s [*2]assignor failed to appear for noticed Examinations Under Oath (“EUO’s”). Plaintiff opposes and argues that Defendant’s motion is untimely without “good cause” shown and must be denied regardless of the issues being raised.
Plaintiff states that they filed their Notice of Trial on August 4, 2020 and under CPLR § 3212(a), Defendant was required to move for summary judgment within 120-days. Defendant filed the motion on September 21, 2022, approximately 778-days later. Moreover, Plaintiff argues that Defendant has failed to make a showing of “good cause” for the delay that would allow the Court to consider an extension. In further opposition, Plaintiff proffers that the Court should not consider Defendant’s “good cause” rationale, as it was only raised for the first time in their reply papers.
Defendant, in their reply, claims that they were unaware that a Notice of Trial had been filed as there was no indication in the Court System [FN1] . Defendant argues that “good cause” is shown where there is a reasonable excuse for the delay, there is merit to the action and there is the absence of prejudice. Defendant maintains that they have satisfied all three elements and therefore, the Court should grant the extension, allow the summary judgment to be considered and ultimately granted.
Legal Discussion
The Court will address the merits of Plaintiff’s opposition and Defendant’s reply as it pertains to the timeliness of the instant motion. A determination on this issue must be resolved before addressing the merits of the summary judgment motion, as the Court will first need to grant an extension for the motion to be considered. Pursuant to CPLR § 3212:
“Any party may move for summary judgment in any action, after issue has been joined; provided however, that the court may set a date after which no such motion may be made, such date being no earlier than thirty days after the filing of the note of issue. If no such date is set by the court, such motion shall be made no later than one hundred twenty days after the filing of the note of issue, except with leave of court on good cause shown.”
(CPLR § 3212[a][emphasis added]). In Brill v City of New York, the Court of Appeals established that “good cause in CPLR 3212(a) requires a showing of good cause for the delay in making the motion—a satisfactory explanation for the untimeliness—rather than simply permitting meritorious, nonprejudicial filings, however tardy” (Brill v City of New York, 2 NY3d 648, 652, 814 NE2d 431, 781 NYS2d 261 [2004]).
Defendant filed the instant motion on or about September 21, 2022. Based on the court records, Plaintiff filed their Notice of Trial on or about August 4, 2020. Defendant argues that they have established good cause for the delay and relies on the ruling in Adika v Dramatinos, 74 AD3d 848, 904 NYS2d 461 (2d Dept 2010). However, there are significant distinguishing facts. In Adika, the summary judgment motion was filed five days after the 120-day deadline. Here, Defendant filed their motion for summary judgment motion more than two years after the Notice of Trial was filed. Additionally, in Adika, “the New York State Unified Court System’s public [*3]Web site [FN2] incorrectly stated that the note of issue was filed five days after it was in fact filed” (Adika, 74 AD3d at 849). In the instant case, Defendant relies on the Court system website and eLaw. It should be noted that the Defendant submitted a case summary from October 2, 2021 that allegedly did not reflect that Plaintiff filed a Notice of Trial. In any event, the instant motion was filed almost a year after this review of the Court System’s website. In Defendant’s more recent review of the case (March 22, 2022), Counsel only relied on eLaw [FN3] and failed to refer to the Court System website. The Court concludes that Defendant did not use due diligence in reviewing the status of the case prior to filing their summary judgment motion.
In addition, the substantive body of Defendant’s motion failed to include the request for an extension or explain their “good cause” arguments for their delay. Defendant’s summary judgment motion only addressed the merits of the Plaintiff’s failure to appear for EUO’s. The “good cause” arguments were raised for the first time in Defendant’s reply. As such, Plaintiff did not have an opportunity to adequately oppose the new arguments and relief requested in a sur-reply (see Matter of Harleysville Ins. v Rosario, 17 AD3d 677, 792 N.Y.S.2d 912 [2d Dept 2005]).
Conclusion
Defendant’s motion for summary judgment (motion sequence #3) is DENIED. This matter is set down for a bench trial on November 14, 2025, at 9:30AM in Part 15.
The foregoing constitutes the Decision and Order of this Court.Date: September 25, 2025
Honorable Monique J. Holaman
Civil Court Judge (NYC)
Footnote 1: Defendant’s Exhibit 1 is a printout of the Case Summary as of October 2, 2021, and an eLaw printout dated March 21, 2022.
Footnote 2: Courts have held that judicial notice is taken where information is found on the New York State Unified Court System’s website (see L&Q Realty Corp. v. Assessor, 71 AD3d 1025, 896 N.Y.S.2d 886 [2d Dept 2010]).
Footnote 3: eLaw provides web-based docketing and calendaring software to legal professionals, allowing attorneys to search, monitor and manage active and archived cases, dockets and court calendars. However, it is not an official Court website.Queens Radiology Imaging v GEICO (2025 NY Slip Op 51823(U))
Reported in New York Official Reports at Queens Radiology Imaging v GEICO (2025 NY Slip Op 51823(U))
[*1]| Queens Radiology Imaging v GEICO |
| 2025 NY Slip Op 51823(U) [87 Misc 3d 1238(A)] |
| Decided on September 21, 2025 |
| Civil Court Of The City Of New York, Queens County |
| Torres, J. |
| 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 September 21, 2025
Queens
Radiology Imaging, a/a/o ANDREW COLE, Plaintiff,
against GEICO, Defendant. |
Index No. CV-700373-24
Raymond Mak, Esq. counsel plaintiff QUEENS RADIOLOGY IMAGING, PC
Lauren J Levine, Esq. counsel for defendant GEICO
Patrick Hayes Torres, J.
Upon the foregoing cited papers, the Decision and Order on defendant’s notice of motion for summary judgment seeking to dismiss plaintiff complaint for defendant’s failure to timely provide verification response within 120 days. Plaintiff opposes and cross moves seeking summary judgment claiming they submitted bills timely and defendant failed to pay the claims. For the reasons set forth below, the defendant’s motion for summary judgment is granted and plaintiff’s cross motion is denied.
Plaintiff commenced this action to recover No-Fault benefits as reimbursement for medical services it provided to the assignor. Defendant now moves for summary judgment on the grounds that plaintiff failed to respond to its verification requests.
Defendant in support of their summary judgment motion, submitted an affidavit from its Claim Supervisor outlining the claim procedures, verification requests, additional verification request and the mail processing procedures; and General Manager of Pitney Bowes, detailing the mail procedure from defendant to the Unites States Post Office. Defendant claimed plaintiff’s assignor failed to fully comply with a pre-Examination Under Oath (Herein referred as “EUO”) verification request and post EUO verification request that remains outstanding.
Defendant sent out an initial verification request on January 2, 2023, and January 27, 2023, along with EUO request from bills received on December 15, 2022, and January 5, 2023. After several adjournments the plaintiff appeared for an EUO on May 11, 2023, however, plaintiff at no time submitted a response to the initial verification request nor provided a reason for not submitting a response. As a result of the EUO, defendant on May 25, 2023, demanded plaintiff respond to the original verification request and also requested additional verification. Defendant again followed up with plaintiff on June 30, 2023, for the verifications. According to defendant, plaintiff partially responded to defendant’s verification request on September 1, 2023, and a letter was sent on September 11, 2023, detailing the deficiencies in plaintiff’s response to the verifications. Defendant failed to contest the partial verification. Thereafter, defendant issued a global denial on October 16, 2023, due to plaintiff’s failure to respond to defendant’s verification request within the statutory 120-day period pursuant to 11 NYCRR §65-3.5(o).
In opposition, plaintiff relied on a recent case Burke Physical Therapy, P.C. v. State Farm Mut. Auto. Ins. Co., 83 Misc 3d 41 (App Term, 2d, 11th & 13th Jud Dists 2024). Plaintiff [*2]argued that according to Burke, verification is deemed to have been received and completed on the day of the EUO which was May 11, 2023, and as such, the defendant would have had until June 10, 2023, to pay or deny the claim.
Generally, a carrier has 30 days to pay or deny a claim. A no-fault insurance carrier under the No-Fault statutory scheme may require an eligible injured person or assignee of the injured person, to submit a written proof of claim under oath; to submit to examinations under oath, and to request information that may assist the carrier in determining the claim. See 11 NYCRR §65-1.1. An EUO is a verification. Where a carrier properly demands an examination under oath, “the verification is deemed to have been received by the insurer on the day the examination was performed.” See 11 NYCRR §65-3.8(a)(1). Thus, the carrier’s 30—day period in which to pay or deny a claim may be extended where the insurer makes a request for additional information within 15 business days of its receipt of the claim (see 11 NYCRR §65—3.5[b]; New York & Presbyt. Hosp. v. Allstate Ins. Co., 31 AD3d 512, 513 [2d Dept 2006]; Hospital for Joint Diseases v. ELRAC, Inc., 11 AD3d 432, 434 [2d Dept 2004]; New York & Presbyt. Hosp. v. Progressive Cas. Ins. Co., 5 AD3d 568, 569 [2d Dept 2004]; New Millennium Med. Imaging v Geico, 76 Misc 3d 31, 33 (App Term 2d Dept, 2d, 11th & 13th Jud Dist 2022).
The Burke case is distinguishable to the circumstances to this case. Here, written verifications were requested pre EUO while in Burke written verification was not requested until after the EUO was completed. In the instant matter, the EUO was completed on May 11, 2023. Thus, defendant had until about June 10, 2023, to either deny or pay plaintiff ‘s claim. Defendant however requested additional verification on May 25, 2023, which was within the 15-day period of the EUO. Since defendant’s verification request was timely, the 30-day limit was tolled at the time of the verification, which was May 25, 2024. Defendant, on June 30, 2023, timely followed up by letter to plaintiff seeking the verification responses. See 11 NYCRR §65-3.6(b). an insurer is not obligated to pay or deny a claim until all demanded verification is provided (see Hospital for Joint Diseases v New York Central Mut. Fire Ins. Co., 44 AD3d 903, 904 (2d Dept 2007). Thereafter, defendant issued a global denial on October 16, 2023, due to plaintiff’s failure to respond to defendant’s verification request within the statutory 120-day period pursuant to 11 NYCRR §65-3.5(o).
As to defendant’s verification request defense, ultimately, the nature of a summary judgment motion is to ascertain whether triable issues of fact remain. Here, the court finds that the defendant established a prima facie case that the plaintiff failed to fully comply with the verification requests within the 120-day statutory period and that additional verification remained outstanding. Plaintiff neglected to contest defendant’s claim that plaintiff partially responded to their verification. The burden shifted to plaintiff who failed to create a triable issue of fact as to defendant’s affirmative defense. See Zuckerman v. City of New York, 49 NYS2d 577 (1980). Moreover, plaintiff in their cross motion for summary judgment failed to submit an affidavit of personal knowledge that the bills were submitted timely and that they were overdue.
Considering the foregoing, the defendant’s motion for summary judgment is granted and plaintiff’s cross-motion for summary judgment is denied as moot given the Court’s decision. Any relief not expressly addressed herein has nonetheless been considered and is denied.
This constitutes the decision and order of the court.
Dated: September 21, 2025Queens, New York
Hon. Patrick Hayes Torres, J.C.CABV Med. Supplies Inc. v MTA Bus – LaGuardia (2025 NY Slip Op 51476(U))
Reported in New York Official Reports at ABV Med. Supplies Inc. v MTA Bus – LaGuardia (2025 NY Slip Op 51476(U))
[*1]| ABV Med. Supplies Inc. v MTA Bus – LaGuardia |
| 2025 NY Slip Op 51476(U) [87 Misc 3d 1206(A)] |
| Decided on September 18, 2025 |
| Civil Court Of The City Of New York, Kings County |
| Oguntunde-Waterman, J. |
| 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 September 18, 2025
ABV Medical
Supplies Inc. AAO Edith Reed, Plaintiff(s),
against MTA Bus – LaGuardia, Defendant(s). |
Index No. CV-707910-22/KI
Olufunmilola Oguntunde-Waterman, J.
Recitation, as required by CPLR §2219(a) of the papers considered in review of this Motion:
Papers
Notice of Motion and Affidavits Annexed . . . NYSCEF
Answering Affidavit . . . NYSCEF
Replying Affidavits . . . NYSCEF
Exhibits
Other
Upon the foregoing cited papers, after oral argument on September 11, 2025, the Decision/Order on Defendant’s Motion to Dismiss and Plaintiff’s Cross-Motion to Amend and Substitute, is as follows:
Defendant’s motion to dismiss the complaint as against Defendant, MTA Bus — LaGuardia (“Defendant MTA Bus”) is granted. Defendant MTA Bus has established that it has no obligation to provide No-Fault coverage for the subject claim, as no vehicle owned, operated, or insured by Defendant MTA Bus was involved in the underlying accident. Moreover, the agencies of the Metropolitan Transportation Authority are not responsible for each other’s claims. Accordingly, the Complaint is dismissed with prejudice as against Defendant MTA Bus.
Plaintiff’s cross-motion to amend the caption and substitute the New York City Transit Authority (“NYC Transit Authority”) as a party defendant is granted. CPLR 1003 expressly permits the addition of parties “at any stage of the action by leave of court,” and CPLR 3025(b) authorizes amendments to pleadings “at any time by leave of court,” which shall be “freely given upon such terms as may be just.” Leave to amend should therefore be liberally granted where necessary for a complete determination of the issues, provided that no undue prejudice or surprise results. CPLR 1003.
Here, Plaintiff’s request satisfies this standard, as it seeks to join the proper party in interest for adjudication of the issues already presented in the pleadings. Based on the record presently before the Court, there is no perceived prejudice at this stage of the litigation to adding [*2]the proposed party, and any potential element of surprise is mitigated by Plaintiff’s representation that the bills at issue were submitted to NYC Transit Authority before Plaintiff inadvertently commenced this action against the wrong defendant.
The Court is mindful that leave to amend may be denied where it is clear from the record that the statute of limitations has expired against the proposed new defendant (see, C-Kitchens Assocs. v. Travelers Ins. Cos., 15 AD3d 905 (4th Dept., 2005), citing, Citibank [NY State] v. Suthers, 68 AD2d 790 (1979); Liverpool v. Arverne Houses, 67 NY2d 878, (1986); cf. Levykh v. Laura, 274 AD2d 418 (2000); see also, 3 New York Civil Practice: CPLR P 1003.07 (2025); Brenon v. County of Oneida, 124 AD2d 464 (3rd Dept., 1986). On the present record, however, it is not apparent that the statute of limitations has expired. The Court further notes the statute of limitations was tolled when Plaintiff filed its motion to add NYC Transit Authority, together with a supplemental summons and amended complaint (see, Perez v. Paramount Communications, 92 NY2d 749 [1999])[“Where the motion, including the proposed supplemental summons and amended complaint, is filed with the court within the applicable limitations period, but the ruling by the court does not occur until after expiration, dismissal is inappropriate and would offend the CPLR’s liberal policies of promoting judicial economy and preventing a multiplicity of suits”]).
To the extent that Plaintiff’s failure to file an affidavit of service of its cross-motion constitutes a procedural irregularity, the Court deems it nonprejudicial as this is a NYSCEF case and disregards it pursuant to CPLR 2001.
Accordingly, it is hereby,
ORDERED, that Defendant MTA Bus’s motion to dismiss is granted in its entirety, with prejudice as solely against it; and it is further
ORDERED, that Plaintiff’s cross-motion to amend the caption and join NYC Transit Authority as a party defendant is granted; and it is further
ORDERED, that this action shall bear the following caption: “ABV MEDICAL SUPPLIES INC., AAO EDITH REED, Plaintiff, against NYC TRANSIT AUTHORITY, Defendant. Index No.: CV-707910-22/KI“; and it is further
ORDERED, that the Clerk of the Court is directed to amend the caption as directed herein; and it is further
ORDERED, that Plaintiff shall serve the supplemental summons and amended complaint upon the newly added defendant, New York City Transit Authority, within twenty (20) days from the date of entry of this Decision and Order, pursuant to CPLR 308; and it is further
ORDERED, that the newly added defendant, NYC Transit Authority, shall thereafter appear in accordance with CPLR 320.
This constitutes the Decision and Order of the Court.
Date: September 18, 2025Brooklyn, New York
Hon. Olufunmilola Oguntunde-Waterman, JCCBrefni Chiropractic Diagnostics, P.C. v State Farm Mut. Auto. Ins. Co. (2025 NY Slip Op 51518(U))
Reported in New York Official Reports at Brefni Chiropractic Diagnostics, P.C. v State Farm Mut. Auto. Ins. Co. (2025 NY Slip Op 51518(U))
[*1]| Brefni Chiropractic Diagnostics, P.C. v State Farm Mut. Auto. Ins. Co. |
| 2025 NY Slip Op 51518(U) |
| Decided on September 5, 2025 |
| 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 September 5, 2025
PRESENT: : MARINA CORA MUNDY, J.P., WAVNY TOUSSAINT, JOANNE D. QUIÑONES, JJ
2024-1292 K C
against
State Farm Mutual Automobile Ins. Co., Appellant.
Rivkin Radler, LLP (Stuart M. Bodoff of counsel), for appellant. Gary Tsirelman, P.C. (David M. Gottlieb of counsel), for respondent.
Appeal from an order of the Civil Court of the City of New York, Kings County (Sandra E. Roper, J.), entered May 31, 2024. The order, insofar as appealed from and as limited by the brief, denied defendant’s motion for summary judgment dismissing the complaint.
ORDERED that the order, insofar as appealed from, is reversed, with $30 costs, and defendant’s motion for summary judgment dismissing the complaint is granted.
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 (Sandra E. Roper, J.) entered May 31, 2024 as denied defendant’s motion which had sought summary judgment dismissing the complaint on the ground that plaintiff failed to appear for duly scheduled examinations under oath (EUOs). As relevant here, the Civil Court found, pursuant to CPLR 3212 (g), that defendant had timely and properly mailed the letters scheduling plaintiff’s EUOs and the denial of claim forms, and limited the issues for trial to whether plaintiff failed to appear for the EUOs. The Civil Court held that defendant had not made a prima facie showing of plaintiff’s failure to appear for the scheduled EUOs because defendant did not submit the EUO transcripts to corroborate the attorney’s affirmation that was proffered to demonstrate plaintiff’s failures to appear.
Defendant demonstrated, prima facie, that plaintiff failed to appear for duly scheduled EUOs by submitting the affirmation of an attorney averring that he was present in his firm’s office, where the EUOs were scheduled to take place, on the dates on which the EUOs were scheduled; that he would have either conducted the EUOs himself or assigned another attorney to [*2]do so had plaintiff appeared for either scheduled EUO; and that plaintiff did not appear on either date (see e.g. MAZ Chiropractic, P.C. v State Farm Ins. Co., 85 Misc 3d 135[A], 2025 NY Slip Op 50492[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2025]; SVP Med Supply, Inc. v GEICO, 76 Misc 3d 134[A], 2022 NY Slip Op 50931[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2022]; SVP Med Supply, Inc. v GEICO, 76 Misc 3d 127[A], 2022 NY Slip Op 50775[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2022]; Parisien v Ameriprise Auto & Home, 75 Misc 3d 138[A], 2022 NY Slip Op 50581[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2022]). To the extent that plaintiff contends that an issue exists with respect to defendant’s counsel’s recollection of plaintiff’s failure to appear, such a contention lacks merit, as, on its face, counsel’s affirmation was not “unworthy of belief or incredible as a matter of law” (Joseph-Felix v Hersh, 208 AD3d 571, 573 [2022]; see e.g. MAZ Chiropractic, P.C. v State Farm Ins. Co., 2025 NY Slip Op 50492[U], *1-2; SVP Med Supply, Inc. v GEICO, 2022 NY Slip Op 50931[U], *2). Consequently, this affirmation, standing alone, was sufficient proof of plaintiff’s failure to appear for the EUOs, and, contrary to the determination of the Civil Court, submission of the EUO transcripts was unnecessary (see e.g. Nationwide Affinity Ins. Co. of Am. v George, 183 AD3d 755, 757 [2020]; SVP Med Supply, Inc. v GEICO, 2022 NY Slip Op 50931[U]; SVP Med Supply, Inc. v GEICO, 2022 NY Slip Op 50775[U]; Parisien v Ameriprise Auto & Home, 2022 NY Slip Op 50581[U]).
As plaintiff failed to raise a triable issue of fact regarding its failure to appear for either scheduled EUO or challenge the CPLR 3212 (g) findings in defendant’s favor, defendant is entitled to summary judgment dismissing the complaint.
Accordingly, the order, insofar as appealed from, is reversed and defendant’s motion for summary judgment dismissing the complaint is granted.
MUNDY, J.P., TOUSSAINT and QUIÑONES, JJ., concur.
ENTER:Paul Kenny
Chief Clerk
Decision Date: September 5, 2025Matter of Fill Rx NY, Inc. v LM Gen. Ins. Co. (2025 NY Slip Op 04785)
Reported in New York Official Reports at Matter of Fill Rx NY, Inc. v LM Gen. Ins. Co. (2025 NY Slip Op 04785)
| Matter of Fill Rx NY, Inc. v LM Gen. Ins. Co. |
| 2025 NY Slip Op 04785 |
| Decided on August 27, 2025 |
| Appellate Division, Second Department |
| Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431. |
| This opinion is uncorrected and subject to revision before publication in the Official Reports. |
Decided on August 27, 2025
SUPREME COURT OF THE STATE OF NEW YORK
Appellate Division, Second Judicial Department
COLLEEN D. DUFFY, J.P.
PAUL WOOTEN
CARL J. LANDICINO
JAMES P. MCCORMACK, JJ.
2024-02539
(Index No. 604708/23)
v
LM General Insurance Company, respondent.
Roman Kravchenko, Melville, NY, for appellant.
DECISION & ORDER
In a proceeding pursuant to CPLR article 75, inter alia, to vacate an award of a master arbitrator dated March 20, 2023, which confirmed an award of an arbitrator dated January 24, 2023, denying a claim for no-fault insurance benefits, the petitioner appeals from a judgment of the Supreme Court, Nassau County (Conrad D. Singer, J.), dated January 25, 2024. The judgment, upon an order of the same court dated October 4, 2023, denying the petition, is in favor of the respondent and against the petitioner dismissing the proceeding.
ORDERED that the judgment is affirmed, without costs or disbursements.
On March 21, 2023, the petitioner, Fill Rx NY, Inc. (hereinafter Fill Rx), commenced this proceeding pursuant to CPLR article 75, inter alia, to vacate an award of a master arbitrator dated March 20, 2023 (hereinafter the March 2023 master arbitration award), confirming an arbitration award dated January 24, 2023 (hereinafter the January 2023 arbitration award), which, after a hearing, denied a claim by Fill Rx for no-fault benefits in the sum of $4,151.53 against the respondent, LM General Insurance Company (hereinafter LM General).
The January 2023 arbitration award arose out of a no-fault arbitration proceeding commenced by Fill Rx against LM General to recover the sum of $4,151.53 for pharmaceutical products Fill Rx provided to its assignor in connection with a motor vehicle accident in July 2021. The arbitrator denied Fill Rx’s claim in its entirety based on LM General’s contention that the limits of the no-fault coverage under its insurance policy had been exhausted.
Fill Rx appealed the January 2023 arbitration award to a master arbitrator, contending that the award was irrational, arbitrary and capricious, and incorrect as a matter of law. Thereafter, the master arbitrator issued the March 2023 master arbitration award, confirming the January 2023 arbitration award. By order dated October 4, 2023, the Supreme Court denied the petition, inter alia, to vacate the March 2023 master arbitration award. A judgment dated January 25, 2024, was entered upon the order in favor of LM General and against Fill Rx dismissing the proceeding.
“‘Consistent with the public policy in favor of arbitration, the grounds specified in CPLR 7511 for vacating or modifying a no-fault arbitration award are few in number and narrowly applied'” (Matter of Allstate Ins. Co. v Westchester Med. Group, M.D., 125 AD3d 649, 650, quoting Matter of Mercury Cas. Co. v Healthmakers Med. Group, P.C., 67 AD3d 1017, 1017; see Matter of Singh v Allstate Ins. Co., 137 AD3d 1046, 1047). “‘It is not for [the court] to decide whether the [*2][master] arbitrator erred [in applying the applicable law]'” (Matter of Allstate Ins. Co. v Westchester Med. Group, M.D., 125 AD3d at 650, quoting Matter of Falzone [New York Cent. Mut. Fire Ins. Co.], 15 NY3d 530, 535).
Here, Fill Rx failed to demonstrate any ground for vacating the March 2023 master arbitration award. The determination of the master arbitrator confirming the January 2023 arbitration award had evidentiary support and a rational basis (see 11 NYCRR 65-4.10[a][2]; Matter of Acuhealth Acupuncture, P.C. v New York City Tr. Auth., 167 AD3d 869, 870; Countrywide Ins. Co. v Sawh, 272 AD2d 245, 245).
Fill Rx’s remaining contentions either need not be reached in light of our determination or are improperly raised for the first time on appeal.
DUFFY, J.P., WOOTEN, LANDICINO and MCCORMACK, JJ., concur.
ENTER:Darrell M. Joseph
Clerk of the Court
Reported in New York Official Reports at Matter of Progressive Ins. Co. v Service (2025 NY Slip Op 04652)
| Matter of Progressive Ins. Co. v Service |
| 2025 NY Slip Op 04652 |
| Decided on August 13, 2025 |
| Appellate Division, Second Department |
| Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431. |
| This opinion is uncorrected and subject to revision before publication in the Official Reports. |
Decided on August 13, 2025
SUPREME COURT OF THE STATE OF NEW YORK
Appellate Division, Second Judicial Department
CHERYL E. CHAMBERS, J.P.
WILLIAM G. FORD
JANICE A. TAYLOR
JAMES P. MCCORMACK, JJ.
2024-03500
(Index No. 714418/23)
v
Shante D. Service, respondent, et al., proposed additional respondents.
Morris Duffy Alonso Faley & Pitcoff, New York, NY (Iryna S. Krauchanka and Amanda M. Zefi of counsel), for appellant.
Davidoff Law, P.C., New York, NY (Mark Peter Getzoni of counsel), for respondent.
DECISION & ORDER
In a proceeding pursuant to CPLR article 75, inter alia, to permanently stay arbitration of a claim for uninsured motorist benefits, the petitioner appeals from an order of the Supreme Court, Queens County (Ulysses B. Leverett, J.), dated March 7, 2024. The order, after a framed-issue hearing, denied that branch of the petition which was to permanently stay arbitration and, in effect, dismissed the proceeding.
ORDERED that the order is reversed, on the law, with costs, and that branch of the petition which was to permanently stay arbitration is granted.
On August 21, 2021, the respondent, Shante D. Service, allegedly was injured when a vehicle owned and operated by proposed additional respondent Artur Nazaryan, in which Service was a passenger, was struck by another vehicle while traveling on the Van Wyck Expressway. At the time of the accident, Nazaryan was working as a driver for Lyft, Inc. (hereinafter Lyft). Service was picked up in Queens and had intended to travel to Manhattan. Nazaryan’s vehicle was insured under a policy issued by Hereford Insurance Company, which contained supplementary uninsured motorist (hereinafter SUM) coverage. Lyft carried motor vehicle insurance with the petitioner, Progressive Insurance Company (hereinafter Progressive), and its policy also included SUM coverage.
Progressive disclaimed coverage for the accident. In July 2023, Service served Progressive with a demand for arbitration. Progressive then commenced this proceeding pursuant to CPLR article 75, inter alia, to permanently stay arbitration of Service’s claim. In an order dated March 7, 2024, made after a framed-issue hearing, the Supreme Court denied that branch of the petition which was to permanently stay arbitration and, in effect, dismissed the proceeding. Progressive appeals.
“An insurance policy is a written contract between an insurer and an insured and is based, in essence, on contract law” (American W. Home Ins. Co. v Gjonaj Realty & Mgt. Co., 192 AD3d 28, 38). “In determining an insurance coverage dispute, a court must first look to the language of the policy” (Holtzman v Connecticut Gen. Life Ins. Co., 213 AD3d 918, 919; see Consolidated [*2]Edison Co. of N.Y. v Allstate Ins. Co., 98 NY2d 208, 221). “As with any contract, unambiguous provisions of an insurance contract must be given their plain and ordinary meaning, and the interpretation of such provisions is a question of law for the court” (White v Continental Cas. Co., 9 NY3d 264, 267 [citation omitted]).
Here, Service was not an “insured” under the subject policy. In order to qualify as an “insured” under the SUM endorsement, the accident had to have occurred while Nazaryan was operating a “TNC vehicle,” which is defined as a vehicle “used by a transportation network company driver” who “is providing a transportation network company prearranged service” originating within the state of New York. Further, the policy provided that a “prearranged trip” “does not include transportation provided through . . . use of a taxicab, livery, luxury limousine, or other for-hire vehicle, as defined in . . . [Administrative Code § 19-502 of the City of New York]” (emphasis added). Pursuant to Administrative Code § 19-502(g), a “for-hire vehicle” includes “a motor vehicle carrying passengers for hire in the city” (emphasis added). Since Nazaryan’s vehicle was being used to carry a passenger for hire within New York City at the time of the accident, it was being operated as a “for-hire vehicle,” rather than as a “TNC vehicle” (see Matter of Progressive Ins. Co. v Callahan, 232 AD3d 903, 905; Matter of Progressive Ins. Co. v Baby, 232 AD3d 902, 903). Thus, Service did not qualify as an “insured” under the terms of the policy.
Service’s remaining contentions are either without merit or not properly before this Court.
CHAMBERS, J.P., FORD, TAYLOR and MCCORMACK, JJ., concur.
ENTER:Darrell M. Joseph
Clerk of the Court
Reported in New York Official Reports at Burke Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. (2025 NY Slip Op 51513(U))
[*1]| Burke Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. |
| 2025 NY Slip Op 51513(U) |
| Decided on August 8, 2025 |
| 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 8, 2025
PRESENT: : WAVNY TOUSSAINT, P.J., MARINA CORA MUNDY, LISA S. OTTLEY, JJ
2024-70 K C
against
State Farm Mutual Automobile Insurance Co., Respondent.
The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for appellant. Rivkin Radler, LLP (Stuart M. Bodoff of counsel), for respondent.
Appeal from an order of the Civil Court of the City of New York, Kings County (Sandra E. Roper, J.), dated January 12, 2024. The order, insofar as appealed from as limited by the brief, granted the branches of defendant’s motion seeking to open its default and to compel plaintiff to accept defendant’s amended answer.
ORDERED that the order, insofar as appealed from, is affirmed, with $25 costs.
In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals, as limited by the brief, from so much of an order of the Civil Court (Sandra E. Roper, J.) as granted the branches of defendant’s motion seeking to open its default and to compel plaintiff to accept defendant’s amended answer.
Contrary to plaintiff’s contentions, we find that the Civil Court did not improvidently exercise its discretion in granting the branches of defendant’s motion seeking to open its default and to compel plaintiff to accept defendant’s amended answer (see Arroyo v Starrett City, Inc., 170 AD3d 929 [2019]; Lyubomirsky v Lubov Arulin, PLLC, 125 AD3d 614 [2015]).
Accordingly, the order, insofar as appealed from, is affirmed.
TOUSSAINT, P.J., MUNDY and OTTLEY, JJ., concur.
ENTER:Paul Kenny
Chief Clerk
Decision Date: August 8, 2025Right Aid Med. Supply Corp. v New York City Tr. Auth. (2025 NY Slip Op 51514(U))
Reported in New York Official Reports at Right Aid Med. Supply Corp. v New York City Tr. Auth. (2025 NY Slip Op 51514(U))
[*1]| Right Aid Med. Supply Corp. v New York City Tr. Auth. |
| 2025 NY Slip Op 51514(U) [87 Misc 3d 128(A)] |
| Decided on August 8, 2025 |
| 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 8, 2025
PRESENT: : WAVNY TOUSSAINT, P.J., CHEREÉ A. BUGGS, LISA S. OTTLEY, JJ
2024-487 K C
against
New York City Transit Authority, Respondent.
The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for appellant. Foley, Smith, O’Boyle & Weisman (Eric W. Ostrager and Anastasiya Nabatova of counsel), for respondent.
Appeal from an order of the Civil Court of the City of New York, Kings County (Rupert V. Barry, J.), dated January 14, 2022. 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 (Rupert V. Barry, J.) dated January 14, 2022, which denied plaintiff’s motion for summary judgment and granted defendant’s cross-motion for summary judgment dismissing the complaint.
In support of its cross-motion for summary judgment dismissing the complaint on the ground of lack of coverage, defendant, a self-insurer, relied on the assignor’s sworn application for no-fault benefits (NF-2) and on a search of defendant’s own records. Together they demonstrated, prima facie, that none of defendant’s vehicles were involved in an accident with plaintiff’s assignor on the day in question (see Jesa Med. Supply, Inc. v NYC Tr. Auth., 38 Misc 3d 138[A], 2013 NY Slip Op 50188[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2013]) and that plaintiff’s assignor was driving a vehicle which was not owned by defendant. In opposition, plaintiff failed to demonstrate the existence of a triable issue of fact. Consequently, defendant, a self-insurer, was entitled to summary judgment dismissing the complaint (see Insurance Law § 5103 [a] [1]; 11 NYCRR § 65-2.2 [a], [j] [3]; Complete Med. Care Svcs of NY, P.C. v N.Y.C. Tr. Auth., 49 Misc 3d 10 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015]; Jesa Med. Supply, Inc., 2013 NY Slip Op 50188[U]).
In view of the foregoing, plaintiff’s remaining contentions lack merit.
Accordingly, the order is affirmed.
TOUSSAINT, P.J., BUGGS and OTTLEY, JJ., concur.
ENTER:Paul Kenny
Chief Clerk
Decision Date: August 8, 2025Masigla v MVAIC (2025 NY Slip Op 51515(U))
Reported in New York Official Reports at Masigla v MVAIC (2025 NY Slip Op 51515(U))
[*1]| Masigla v MVAIC |
| 2025 NY Slip Op 51515(U) [87 Misc 3d 128(A)] |
| Decided on August 8, 2025 |
| 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 8, 2025
PRESENT: : WAVNY TOUSSAINT, P.J., MARINA CORA MUNDY, LISA S. OTTLEY, JJ
2024-597 K C
against
MVAIC, Appellant.
Marshall & Marshall, PLLC (Angelique Evangelista and Frank D’Esposito of counsel), for appellant. The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for respondent.
Appeal from a judgment of the Civil Court of the City of New York, Kings County (Jill R. Epstein, J.), entered August 16, 2023. The judgment, after a nonjury trial, awarded plaintiff the principal sum of $4,186.72.
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.
In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from a judgment, after a nonjury trial, awarding plaintiff the principal sum of $4,186.72.
At the outset of the trial, the parties agreed that the sole issue for trial would be limited to whether plaintiff’s assignor was a “qualified person” for there to be coverage of plaintiff’s claims by defendant Motor Vehicle Accident Indemnification Corporation (sued herein as MVAIC).
Proof that a claimant is a resident of the State of New York who is not the owner of the uninsured motor vehicle involved in the accident is a condition precedent to the claimant being a “qualified person” (Insurance Law § 5202 [b]) and, thus, potentially eligible to be deemed to be a “covered person” (Insurance Law § 5221 [b] [2]) who would be entitled to recover no-fault benefits from MVAIC. Here, plaintiff did not establish that its assignor was not the owner of the uninsured vehicle he was driving when the accident occurred, as we reject plaintiff’s contention that the parties’ stipulation at trial did not express that the assignor had exclusive possession of the uninsured vehicle for more than 30 days at the time of the accident. Consequently, pursuant to Vehicle and Traffic Law § 128, plaintiff’s assignor was the “owner” of the uninsured vehicle.
In view of the foregoing, plaintiff failed to establish its prima facie case and, thus, the [*2]Civil Court should have dismissed the complaint (see Insurance Law §§ 5202 [b]; 5208, 5221 [b] [2]; Island Life Chiropractic, P.C. v MVAIC, 68 Misc 3d 131[A], 2020 NY Slip Op 50995[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2020]; Maiga Prods. Corp. v MVAIC, 68 Misc 3d 131[A], 2020 NY Slip Op 50993[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2020]; see also Barillas v Rivera, 32 AD3d 872 [2006]).
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.
TOUSSAINT, P.J. and MUNDY, J., concur.
OTTLEY, J, taking no part.
ENTER:Paul Kenny
Chief Clerk
Decision Date: August 8, 2025Matter of Liberty Mut. Ins. Co. v McCormack (2025 NY Slip Op 04571)
Reported in New York Official Reports at Matter of Liberty Mut. Ins. Co. v McCormack (2025 NY Slip Op 04571)
| Matter of Liberty Mut. Ins. Co. v McCormack |
| 2025 NY Slip Op 04571 |
| Decided on August 6, 2025 |
| Appellate Division, Second Department |
| Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431. |
| This opinion is uncorrected and subject to revision before publication in the Official Reports. |
Decided on August 6, 2025
SUPREME COURT OF THE STATE OF NEW YORK
Appellate Division, Second Judicial Department
COLLEEN D. DUFFY, J.P.
PAUL WOOTEN
CARL J. LANDICINO
JAMES P. MCCORMACK, JJ.
2023-04957
(Index No. 517925/22)
v
Kerio McCormack, appellant.
Mallilo & Grossman, Flushing, NY (Stephen M. Grossman of counsel), for appellant.
Gilbert, McGinnis & Liferiedge (Mauro Lilling Naparty LLP, Woodbury, NY [Matthew W. Naparty, Margaret E. Greco, and Glenn A. Kaminska], of counsel), for respondent.
DECISION & ORDER
In a proceeding pursuant to CPLR article 75, inter alia, to permanently stay arbitration of a claim for supplemental uninsured motorist benefits, Kerio McCormack appeals from an order of the Supreme Court, Kings County (Carolyn E. Wade, J.), dated April 18, 2023. The order granted that branch of the petition which was to permanently stay arbitration and permanently stayed arbitration.
ORDERED that the order is reversed, on the law, with costs, and the matter is remitted to the Supreme Court, Kings County, for a framed-issue hearing to be conducted in accordance herewith, and a new determination thereafter of that branch of the petition which was to permanently stay arbitration.
In June 2022, the petitioner, Liberty Mutual Insurance Company (hereinafter Liberty Mutual), commenced this proceeding pursuant to CPLR article 75, inter alia, to permanently stay arbitration of a claim of Kerio McCormack for supplemental uninsured motorist benefits (hereinafter SUM), on the ground that McCormack did not qualify as an insured under the SUM endorsement of the insurance policy at issue. McCormack opposed. In an order dated April 18, 2023, the Supreme Court granted that branch of the petition and permanently stayed arbitration. McCormack appeals. We reverse.
“The party seeking a stay of arbitration has the burden of showing the existence of sufficient evidentiary facts to establish a preliminary issue which would justify the stay” (Matter of American Protection Ins. Co. v DeFalco, 61 AD3d 970, 972 [internal quotation marks omitted]). “Thereafter, the burden shifts to the party opposing the stay to rebut the prima facie showing” (Matter of Merchants Preferred Ins. Co. v Waldo, 125 AD3d 864, 865). “Where a triable issue of fact is raised, the Supreme Court, not the arbitrator, must determine it in a framed-issue hearing, and the appropriate procedure under such circumstances is to temporarily stay arbitration pending a determination of the issue” (Matter of Hertz Corp. v Holmes, 106 AD3d 1001, 1003; see Matter of Government Empls. Ins. Co. v Tucci, 157 AD3d 679, 680).
Here, Liberty Mutual presented evidence that McCormack did not qualify as an insured for SUM coverage. In opposition, however, McCormack demonstrated the existence of a triable issue of fact as to whether he was occupying a vehicle insured by Liberty Mutual at the time of the collision at issue and therefore would qualify as an insured (see Matter of American Protection Ins. Co. v DeFalco, 61 AD3d at 972).
Accordingly, the Supreme Court should not have granted that branch of Liberty Mutual’s petition which was to permanently stay arbitration without first conducting a framed-issue hearing to determine whether McCormack was occupying the insured vehicle such that he would constitute an insured as that term is defined in the SUM endorsement of the insurance policy at issue.
In light of our determination, McCormack’s remaining contention need not be reached.
DUFFY, J.P., WOOTEN, LANDICINO and MCCORMACK, JJ., concur.
ENTER:Darrell M. Joseph
Clerk of the Court