Reported in New York Official Reports at New York Recovery PT, P.C. v American Tr. Ins. Co. (2025 NY Slip Op 25166)
[*1]| New York Recovery PT, P.C. v American Tr. Ins. Co. |
| 2025 NY Slip Op 25166 |
| Decided on July 17, 2025 |
| Appellate Term, 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 printed Miscellaneous Reports. |
Decided on July 17, 2025
PRESENT: : JERRY GARGUILO, P.J., TIMOTHY S. DRISCOLL, ELENA GOLDBERG-VELAZQUEZ, JJ
2024-887 N C
against
American Transit Insurance Company, Respondent.
Roman Kravchenko (Jason Tenenbaum of counsel), for appellant. Bruno, Gerbino. Soriano & Aitken, LLP (Vince Gerbino and Alfred Polidore of counsel), for respondent.
Appeal from an order of the District Court of Nassau County, First District (Robert E. Pipia, J.), dated July 31, 2024. The order, insofar as appealed from, denied the branch of petitioner’s motion seeking an award of attorney’s fees.
ORDERED that the order, insofar as appealed from, is reversed, without costs, the branch of petitioner’s motion seeking an award of attorney’s fees is granted and the matter is remitted to the District Court to determine the amount of attorney’s fees to which petitioner is entitled, in accordance with this decision and order.
After the provider’s claims for assigned first-party no-fault benefits were denied, the parties proceeded to arbitration and the no-fault arbitrator made an award in favor of the provider, which award was upheld by a master arbitrator. As the insurer did not timely satisfy the award (see 11 NYCRR 65-4.10 [e] [4]), the provider commenced this proceeding to confirm the master arbitration award (see CPLR 7510). The provider moved to confirm the master arbitrator’s award and, insofar as is relevant here, for an award of attorney’s fees. Shortly thereafter, the insurer paid petitioner the amount of the master arbitration award. By order dated July 31, 2024, the District Court (Robert E. Pipia, J.) granted the branch of the motion seeking to confirm the master arbitration award but denied the branch of the motion seeking attorney’s fees, finding that, notwithstanding 11 NYCRR 65-4.10 (j) (4), the provider was not entitled to an award of additional attorney’s fees because “the instant proceeding is a special proceeding that was commenced for the sole purpose of confirming a master arbitration award. It was not commenced to resolve a dispute de novo, nor was it brought to appeal the underlying master arbitration award.”
“The attorney’s fee for services rendered . . . in a court appeal from a master arbitration [*2]award and any further appeals, shall be fixed by the court adjudicating the matter” (11 NYCRR 65-4.10 [j] [4]). “The term ‘court appeal’ applies to a proceeding taken pursuant to CPLR article 75 to vacate or confirm a master arbitration award” (Matter of Country-Wide Ins. Co. v TC Acupuncture P.C., 179 AD3d 414, 414 [2020]; see Matter of GEICO Ins. Co. v AAAMG Leasing Corp., 148 AD3d 703, 705 [2017]). As the Court of Appeals has stated with regard to the No-Fault Law (see Insurance Law article 51), “[t]o implement [the] legislative aim of curtailing delay and reducing expense in the adjustment of motor vehicle accident claims, the regulations are written to encourage prompt payment of claims, to discourage investigation by insurers, and to penalize delays” (Dermatossian v New York City Tr. Auth., 67 NY2d 219, 225 [1986] [emphasis added] [citation omitted]). Consequently, where, as here, the insurer failed to timely (see 11 NYCRR 65-4.10 [e] [4]) pay the amounts set forth in the master arbitration award and the provider commenced a proceeding pursuant to CPLR 7510 to confirm the master arbitration award so that it could be reduced to a judgment, the provider is entitled to an award of attorney’s fees, fixed by the court, for the District Court proceeding as well as for fees incurred on this appeal (see 11 NYCRR § 65-4.10 [j] [4]; Matter of Country-Wide Ins. Co. v TC Acupuncture P.C., 179 AD3d 414; Acuhealth Acupuncture, P.C. v Country-Wide Ins. Co., 170 AD3d 1168, 1169 [2019]; Matter of GEICO Ins. Co. v AAAMG Leasing Corp., 148 AD3d 703; Matter of Metro Pain Specialist, P.C., v Country-Wide Ins. Co., 66 Misc 3d 135[A], 2020 NY Slip Op 50014[U] [App Term, 2d Dept, 9th & 10th Jud Dists 2020]). In view of the foregoing, the matter is remitted to the District Court to determine the amount of reasonable attorney’s fees to which the provider is entitled.
Accordingly, the order, insofar as appealed from, is reversed, the branch of petitioner’s motion seeking an award of attorney’s fees is granted and the matter is remitted to the District Court to determine the amount of attorney’s fees to which petitioner is entitled, in accordance with this decision and order
GARGUILO, P.J., DRISCOLL and GOLDBERG-VELAZQUEZ, JJ., concur.
ENTER:Paul Kenny
Chief Clerk
Decision Date: July 17, 2025
Reported in New York Official Reports at Prompt Med. Group, Inc. v Erie Ins. Co. of N.Y. (2025 NY Slip Op 51164(U))
[*1]| Prompt Med. Group, Inc. v Erie Ins. Co. of N.Y. |
| 2025 NY Slip Op 51164(U) |
| Decided on July 11, 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 July 11, 2025
PRESENT: : MARINA CORA MUNDY, J.P., WAVNY TOUSSAINT, JOANNE D. QUIÑONES, JJ
2024-257 RI C
against
Erie Insurance Company of New York, Respondent.
Gary Tsirelman, P.C. (Galina Feldsherova of counsel), for appellant. Law Office of Robyn M. Brilliant (Robyn M. Brilliant of counsel), for respondent.
Appeal from an order of the Civil Court of the City of New York, Richmond County (Mary A. Kavanagh, J.), dated February 1, 2024. The order granted defendant’s motion for summary judgment dismissing the complaint.
ORDERED that, on the court’s own motion, the notice of appeal from a “judgment” purportedly entered February 1, 2024 is deemed a notice of appeal from the order dated February 1, 2024 (see CPLR 5520 [c]); and it is further,
ORDERED that the order is reversed, with $30 costs, and defendant’s motion for summary judgment dismissing the complaint 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 (Mary A. Kavanagh, J.) dated February 1, 2024 granting defendant’s motion for summary judgment dismissing the complaint on the ground that the vehicle insured by defendant (the insured vehicle), was not involved in the accident.
In support of its motion, defendant relied on the truth of statements made in a police report regarding the accident. While the police report was certified, the statements within the report attributed to the driver of an unrelated vehicle, a witness and plaintiff’s assignor were inadmissible hearsay, as no exception to the hearsay rule was established for the statements (see Yassin v Blackman, 188 AD3d 62, 66 [2020]; New York Hosp. Med. Ctr. of Queens v Utica Mut. Ins. Co., 38 Misc 3d 128[A], 2012 NY Slip Op 52388[U], *2 [App Term, 2d Dept, 9th & 10th Jud Dists 2012]). The statement in a purported transcript of a call with the owner of the insured vehicle, which defendant offered for its truth, was also inadmissible hearsay. In any event, defendant’s own papers demonstrated that there are conflicting accounts as to how the alleged accident occurred and whether the insured vehicle was involved. Thus, defendant’s motion failed to demonstrate, as a matter of law, that there are no material issues of fact to be determined.
Accordingly, the order is reversed and defendant’s motion for summary judgment dismissing the complaint is denied.
MUNDY, J.P., TOUSSAINT and QUIÑONES, JJ., concur.
ENTER:
Paul Kenny
Chief Clerk
Decision Date: July 11, 2025
Reported in New York Official Reports at State Farm Mut. Auto. Ins. Co. v Rubel (2025 NY Slip Op 25186)
State Farm Mutual Automobile Insurance Company
As Subrogee of ALBERT UZAMERE, Plaintiff(s), against Ahmed Syed Rubel AKA SYED AHMED, |
Index No. CV-024183-24/QU
Vince A. Sabella, Esq., of Nicolini, Paradise, Ferretti & Sabella, attorneys for Plaintiff; Elena Schachner, Esq. of Nicoletti Spinner Ryan Gulino Pinter LLP, attorneys for Uber et al.
Soma S. Syed, J.
Recitation, as required by CPLR §2219(a), of the papers considered in the review of this Motion:
Notice of Motion and Affidavits Annexed 1Affidavits in Opposition Annexed 2
Reply 3
Others
Upon the foregoing cited papers, oral argument, and due deliberation, the pre-answer motion by Defendants Uber USA, LLC, Raiser, NY LLC, Raiser CA LLC, and Uber Technologies, Inc., (collectively, “Defendant Uber”), seeking to dismiss the complaint, pursuant to CPLR 3211(a)(1) and 3211 (a)(7), is DENIED.
On October 8, 2024, Plaintiff commenced this action by filing a summons and complaint, seeking to recover property damages they sustained as a result of a motor vehicle accident that occurred on Fulton Street and Utica Avenue in Kings County on January 5, 2024. On December 10, 2024, Defendant Ahmed Syed Rubel AKA Syed Ahmed (“Defendant Driver”) interposed an answer. On February 7, 2025, Defendant Uber filed the instant motion, moving to dismiss the case on the grounds that Defendant Uber was not vicariously liable for Defendant Driver’s actions as he is an independent contractor and that Defendant Uber did not owe or had no control over the vehicle involved in the accident (“the Vehicle”). Defendant Uber maintains that they are a technology company “that uses its proprietary technology to develop and maintain digital multi-sided marketplace platforms.” Ryan Aff., ¶25. In support and in pertinent part, Defendant Uber provided a certified copy of the DMV abstract of title record, a copy of Defendant Driver’s Taxi and Limousine Commission license, and a copy of Defendant Uber’s platform access agreement (essentially the contract between Defendant Driver and Defendant Uber).
In opposition, Plaintiff contends, inter alia, that Defendant Uber exerted exclusive control over Defendant Driver via its platform or app and urges the Court to deny Defendant Uber’s motion during the pre-answer and pre-discovery stage. In support and in pertinent part, [*2]Plaintiff provided an uncertified copy of the police accident report and a transcript of Defendant Driver’s recorded statements made to Plaintiff.
Defendant Driver did not respond to the motion.
“On a pre-answer motion to dismiss pursuant to CPLR 3211, the pleading is to be afforded a liberal construction and the plaintiff’s allegations are accepted as true and accorded the benefit of every possible favorable inference.” See, Granada Condominium III Ass’n v. Palomino, 78 AD3d 996, 996 (2d Dept 2010).
To grant a motion to dismiss the complaint pursuant to CPLR 3211(a)(1), a defendant must submit documentary evidence that “utterly refutes the factual allegations of the complaint and conclusively establishes a defense to the claims as a matter of law.” Id. “In order for the evidence to qualify as documentary evidence, it must be unambiguous, authentic and undeniable, such as judicial records and documents reflecting out-of-court transactions, such as mortgages, deeds, contracts, and any other papers, the contents of which are essentially undeniable.” See, Rosenfeld v. Brody, 238 AD3d 1084, 1085 (2d Dept 2025).
With respect to CPLR 3211(a)(7), it is well settled law that a court may “freely consider affidavits submitted by the plaintiff to remedy any defects in the complaint and the criterion is whether the proponent of the pleading has a cause of action, not whether he has stated one.” See, Leon v. Martinez, 84 NY2d 83, 88 (1994) (internal quotation marks omitted). “Dismissal is warranted if the plaintiff fails to assert facts in support of an element of the claim, or if the factual allegations and inferences to be drawn from them do not allow for an enforceable right of recovery.” Pascall v. New York City Transit Authority, 230 AD3d 1246, 1248 (2d Dept 2024) (internal quotation marks omitted). “Pursuant to the doctrine of respondeat superior, an employer is vicariously liable for torts committed by an employee within the scope of employment and in furtherance of the employer’s business.” Id. (Internal quotation marks omitted). “The determination of whether an employer-employee relationship exists turns on whether the alleged employer exercises control over the results produced, or the means used to achieve the results. Control over the means is the more important consideration.” Id. (Internal quotation marks omitted). “Whether an employee was acting within the scope of his and her employment is generally a question of fact for the jury.” See, Camisa v. Rosen, 150 AD3d 809, 810-11 (2d Dept 2017). Generally, “a party who retains an independent contractor is not liable for the negligence of the independent contractor because it has no right to supervise or control the work.” See, Sultan v. 6810 Wai, Inc., 237 AD3d 773, 773 (2d Dept 2025).
Here, assuming arguendo that all the documents submitted by Defendant Uber are deemed documentary under CPLR 3211(a)(1), they failed to utterly refute the Plaintiff’s allegation that Defendant Uber was Defendant driver’s employer and/or had control over Defendant Driver’s actions. While the DMV abstract proves that Defendant Uber did not own the Vehicle and the platform access agreement explicitly defines the relationship between Defendant Uber and Defendant Driver as “independent business enterprises” (1.1 Company’s Relationship with Uber), they are not dispositive of the employer-employee relationship inquiry. See, Defendant Uber’s Motion, Exhibit I, Platform Access Agreement; See also, Hernandez v. Chefs Diet Delivery, LLC, 81 AD3d 596, 599 (2d Dept 2011) (“The fact that a contract exists designating a person as an independent contractor is to be considered, but is not dispositive.”) The platform access agreement indicates that Defendant Uber exerts some control over Uber drivers. For example, the agreement has compliance protocols (2.2 Compliance), requires background checks and vehicle standards on its drivers (2.5 Background Checks and Licensing, [*3]Vehicle Standards), allows its drivers to “use, wear or display Uber’s name or logo” (2.7 Use of Uber Branded Materials), and maintains a rating system of its drivers (2.8 Ratings). See, Defendant Uber’s Motion, Exhibit I. Giving the pleading a liberal construction and accepting the Plaintiff’s allegations as true with the benefit of every possible favorable inference, the Court finds that Defendant Uber’s documentary evidence fails to utterly refute the alleged employment relationship between Defendant Uber and Defendant Driver.
In addition, the Court is unpersuaded by numerous trial court decisions and arbitration decisions provided by Defendant Uber, as the Second Department has not ruled that there is no employment relationship between Defendant Uber and its drivers as a matter of law. See, Uy v. A. Hussein, 186 AD3d 1567 (2d Dept 2020) (the court denied Uber’s summary judgment motion because of “questions of fact as to whether Hussein was acting within the scope of his alleged employment with Uber at the time of the incident.”)
In light of the foregoing, Defendant Uber’s pre-answer motion to dismiss pursuant to CPLR 3211 (a)(1) and 3211 (a)(7) is DENIED. Any relief not expressly addressed herein has nonetheless been considered and is denied. Defendant Uber’s proposed answer or affirmation in support of the motion is deemed the filing and interposition of an answer in the matter, and Defendant Uber may file a more detailed answer with the Clerk within thirty (30) days of the date of entry of this Order.
This constitutes the Decision and Order of the Court.
Dated: July 9, 2025Hon. Soma S. Syed
Judge of Civil Court
Reported in New York Official Reports at Medtech Med. Supply, Inc. v Liberty Mut. Ins. Co. (2025 NY Slip Op 51150(U))
[*1]| Medtech Med. Supply, Inc. v Liberty Mut. Ins. Co. |
| 2025 NY Slip Op 51150(U) |
| Decided on June 20, 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 June 20, 2025
PRESENT: : MARINA CORA MUNDY, J.P., CHEREÉ A. BUGGS, JOANNE D. QUIÑONES, JJ
2024-480 Q C
against
Liberty Mutual Insurance Company, Appellant.
Martyn, Smith, Murray & Yong (Thomas M. Martyn of counsel), for appellant. Glinkenhouse Queen, Esqs. (Alan Queen of counsel), for respondent.
Appeal from an order of the Civil Court of the City of New York, Queens County (Ira R. Greenberg, J.), dated April 12, 2024. The order, insofar as appealed from as limited by the brief, denied the branch of defendant’s motion seeking to vacate a judgment of that court entered September 14, 2023.
ORDERED that the order, insofar as appealed from, is affirmed, with $25 costs.
Plaintiff commenced this action in 2000 to recover assigned first-party no-fault benefits. The parties agreed to settle the matter, and plaintiff’s counsel tendered to defendant’s counsel a letter dated March 30, 2006, to which a general release and a stipulation of discontinuance were appended. After plaintiff applied to the clerk for the entry of a judgment pursuant to CPLR 5003-a (e) in June 2023, predicated upon the alleged failure of defendant to make prompt payment (see CPLR 5003-a [a]), a judgment was entered against defendant on September 14, 2023.
In October 2023, defendant moved to, among other things, vacate the judgment. One of defendant’s arguments in support of its motion was that plaintiff failed to satisfy its CPLR 5003-a (a) obligations before entering judgment. Plaintiff opposed the motion, to which defendant replied. As limited by its brief, defendant appeals from so much of an order of the Civil Court (Ira R. Greenberg, J.) dated April 12, 2024 as denied the branch of defendant’s motion seeking to vacate the judgment.
“The purpose of CPLR 5003-a is to encourage the prompt payment of damages in settled actions” (Pitt v New York City Hous. Auth., 106 AD3d 797, 797-798 [2013]). CPLR 5003-a (a) requires a settling defendant to “pay all sums due to any settling plaintiff within twenty-one days of tender, by the settling plaintiff to the settling defendant, of a duly executed release and a stipulation discontinuing action executed on behalf of the settling plaintiff” (see Orthotics & [*2]Professional Supply, Ltd. v Country-Wide Ins. Co., 77 Misc 3d 130[A], 2022 NY Slip Op 51221[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2022]). In the context of CPLR 5003-a (a), “tender . . . shall mean either to personally deliver or to mail, by registered or certified mail, return receipt requested” (CPLR 5003-a [g]; see J.D.T. v Chaimowitz, 218 AD3d 821, 823 [2023]; DJS Med. Supplies, Inc. v American Tr. Ins. Co., 21 Misc 3d 143[A], 2008 NY Slip Op 52456[U] [App Term, 2d Dept, 2d & 11th Jud Dists 2008]). “If the settling defendant fails to pay the sum due under the settlement agreement within 21 days of tender of [a duly executed release and a stipulation discontinuing action executed on behalf of the settling plaintiff], the statute authorizes the plaintiff to enter, without further notice, a judgment in the amount of the settlement, which is to include interest, costs, and disbursements” (Klee v Americas Best Bottling Co., Inc., 76 AD3d 544, 545 [2010]; see CPLR 5003-a [e]).
While defendant contends that the judgment was improperly entered because plaintiff failed prove on its application to the clerk for the entry of a judgment pursuant to CPLR 5003-a (e) that it tendered to defendant the executed release and stipulation of discontinuance by personal delivery or by registered or certified mail, return receipt requested (see CPLR 5003-a [a], [g]), it was defendant’s burden on its motion to vacate the judgment to show plaintiff’s noncompliance with CPLR 5003-a (see Medtech Med. Supply, Inc. v Country-Wide Ins. Co., 74 Misc 3d 137[A], 2022 NY Slip Op 50304[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2022]). However, defendant submitted no evidence to show that plaintiff failed to tender the requisite documents to defendant in accordance with CPLR 5003-a.
Accordingly, the order, insofar as appealed from, is affirmed.
MUNDY, J.P., BUGGS and QUIÑONES, JJ., concur.
ENTER:
Paul Kenny
Chief Clerk
Decision Date: June 20, 2025
Reported in New York Official Reports at Burke 2 Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. (2025 NY Slip Op 51152(U))
[*1]| Burke 2 Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. |
| 2025 NY Slip Op 51152(U) |
| Decided on June 20, 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 June 20, 2025
PRESENT: : MARINA CORA MUNDY, J.P., CHEREÉ A. BUGGS, JOANNE D. QUIÑONES, JJ
2024-946 K C
against
State Farm Mutual Automobile Insurance Company, Respondent.
The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for appellant. Rivkin Radler, LLP (Stuart M. Bodoff and Cheryl F. Korman 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 July 16, 2024. The order, insofar as appealed from as limited by the brief, granted defendant’s motion for summary judgment dismissing the complaint.
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.) entered July 16, 2024 as granted defendant’s motion for summary judgment dismissing the complaint on the ground that plaintiff had failed to provide requested verification. While plaintiff does not argue that its cross-motion should have been granted, on appeal, plaintiff argues that the order, insofar as appealed from, should be reversed and the matter remitted to the Civil Court for consideration of what plaintiff denominated as an amended cross-motion, which the court declined to consider, rejecting that submission as an improper surreply. In the alternative, plaintiff argues that defendant’s motion should have been denied.
Contrary to plaintiff’s contention, it was not improper for defendant to seek, during the claim verification stage, information—such as management agreements, W-2 forms, business-related bank records and lease agreements—for the purpose of determining whether plaintiff was ineligible to collect no-fault benefits due to a failure to meet licensing requirements (see 11 NYCRR 65-3.16 [a] [1]; State Farm Mut. Auto. Ins. Co. v Mallela, 4 NY3d 313 [2005]; Burke Physical Therapy, P.C., v State Farm Mut. Auto. Ins. Co., 85 Misc 3d 130[A], 2025 NY Slip Op 50196[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2025]).
Plaintiff also argues that the instant action cannot be maintained, as collateral estoppel effect should be given to an order of the Supreme Court, Nassau County, in a declaratory judgment action brought by defendant herein in that court, denying defendant’s motion for [*2]summary judgment (see State Farm Mut. Auto. Ins. Co. v Burke Physical Therapy, P.C., 2022 NY Slip Op 30580[U] [Sup Ct, Nassau County 2022]). However, this court has previously held that the denial of that motion by the Supreme Court “has no preclusive effect . . . as it was not a final determination on the merits” (Burke Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co., 83 Misc 3d 41, 45 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2024]). Thus, we need not address plaintiff’s contention that the Civil Court erred in declining, on procedural grounds, to consider plaintiff’s subsequent submission of that Supreme Court decision and order in support of plaintiff’s “amended” cross-motion for summary judgment.
Accordingly, the order, insofar as appealed from, is affirmed.
MUNDY, J.P., BUGGS and QUIÑONES, JJ., concur.
ENTER:Paul Kenny
Chief Clerk
Decision Date: June 20, 2025
Reported in New York Official Reports at Arguelles, M.D., P.C. v AIG Natl. Ins. Co. (2025 NY Slip Op 51142(U))
[*1]| Arguelles, M.D., P.C. v AIG Natl. Ins. Co. |
| 2025 NY Slip Op 51142(U) |
| Decided on June 6, 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 June 6, 2025
PRESENT: : WAVNY TOUSSAINT, P.J., CHEREÉ A. BUGGS, LISA S. OTTLEY, JJ
2023-80 K C
against
AIG National Insurance Co., Respondent.
Law Office of David Paul Horowitz, PLLC (David Paul Horowitz and Richard Rozhik of counsel), for appellant. Law Offices of Buratti, Rothenberg & Burns (Kenneth F. Popper and Argyria Kehagias of counsel), for respondent.
Appeal by permission from an order of the Civil Court of the City of New York, Kings County (Rupert V. Barry, J.), dated December 9, 2021. The order granted defendant’s oral motion to dismiss the complaint.
ORDERED that the order is reversed, with $30 costs, defendant’s motion to dismiss the complaint is denied and the matter is remitted to the Civil Court for all further proceedings.
After this action by a provider to recover assigned first-party no-fault benefits commenced, the parties entered into a stipulation dated September 24, 2009 which provided that, if plaintiff did not receive payment as set forth in the stipulation within 30 days, plaintiff could enter judgment for the amount demanded in the complaint without further notice. In 2019, plaintiff moved to enter judgment pursuant to the stipulation. After the unopposed motion was granted (Lorna J. McAllister, J.), a judgment was entered in favor of plaintiff. Defendant moved to vacate the judgment, contending, among other things, that it had not received plaintiff’s motion to enter a judgment and that it had timely paid the amounts set forth in the stipulation. The Civil Court (Rupert V. Barry, J.) granted defendant’s motion to vacate the default judgment, finding that defendant had not received plaintiff’s motion seeking entry of the judgment, and ordered a hearing to determine whether defendant had complied with the stipulation. When the parties appeared for the hearing, defendant orally moved to dismiss plaintiff’s claim on the ground that the claim to recover upon the stipulation was barred by the statute of limitations. By order dated December 9, 2021, the Civil Court (Rupert V. Barry, J.) granted defendant’s oral motion to dismiss the complaint, finding that, “as recited in CPLR § 213 (1), Plaintiff needed to have commenced its action ‘within six years’ . . . [but] Plaintiff commenced [this] action to enforce its settlement agreement outside the 6 years statute of limitations.” Plaintiff appeals, by permission [*2](Arguelles, M.D., P.C. v AIG Natl. Ins. Co., 2024 NY Slip Op 76031[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2024]), from the December 9, 2021 order.
“The parties’ [2009] stipulation expressly permitted [plaintiff] to apply to the court for a judgment based upon any future default without any time limits (see Marine Midland Bank v Worldwide Industrial Corp., 307 AD2d 221 [2003])” (Cook v Greenbaum, 18 AD3d 416, 417-418 [2005]). “Had respondents desired to impose a time limit on the enforcement of their obligations under the stipulation, they had only to incorporate the appropriate language into their agreement” (Marine Midland Bank, 307 AD2d at 222). To the extent defendant contends that the order should be affirmed pursuant to CPLR 3215 (c) because plaintiff did not seek entry of the judgment within one year of the alleged default, such a contention lacks merit as “[e]ntry of a default judgment for failure to comply with a stipulation of settlement is specifically provided for by CPLR 3215 (i) (1), which contains no time limit for entering such judgment” (id.).
Accordingly, the order is reversed, defendant’s motion to dismiss the complaint is denied and the matter is remitted to the Civil Court for all further proceedings.
TOUSSAINT, P.J., BUGGS and OTTLEY, JJ., concur.
ENTER:
Paul Kenny
Chief Clerk
Decision Date: June 6, 2025
Reported in New York Official Reports at Matter of Lam Quan MD, P.C. v LM Gen. Ins. Co. (2025 NY Slip Op 03328)
| Matter of Lam Quan MD, P.C. v LM Gen. Ins. Co. |
| 2025 NY Slip Op 03328 |
| Decided on June 4, 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. |
MARK C. DILLON, J.P.
PAUL WOOTEN
BARRY E. WARHIT
LILLIAN WAN, JJ.
2023-02960
(Index No. 610473/22)
v
LM General Insurance Company, respondent.
Roman Kravchenko, Melville, NY, for appellant.
DECISION & ORDER
In a proceeding pursuant to CPLR article 75 to vacate an award of a master arbitrator dated July 19, 2022, the petitioner appeals from a judgment of the Supreme Court, Nassau County (Conrad D. Singer, J.), entered January 27, 2023. The judgment, insofar as appealed from, (1) awarded the petitioner interest on its recovery of overdue no-fault insurance benefits in the sum of only $39.40, (2) failed to award the petitioner attorneys’ fees pursuant to 11 NYCRR 65-4.6(d), (3) awarded the petitioner attorneys’ fees for services rendered in the Supreme Court in the sum of only $1,000, and (4) failed to award the petitioner the amount of a 3% surcharge imposed by the Office of Court Administration on the petitioner’s credit card transactions.
ORDERED that the judgment is modified, on the law, (1) by deleting the provision thereof awarding the petitioner interest, and (2) by adding a provision thereto awarding the petitioner attorneys’ fees pursuant to 11 NYCRR 65-4.6(d); as so modified, the judgment is affirmed insofar as appealed from, without costs or disbursements, and the matter is remitted to the Supreme Court, Nassau County, (1) for a recalculation of the award of interest, (2) for a determination of the amount of attorneys’ fees to be awarded to the petitioner pursuant to 11 NYCRR 65-4.6(d), and (3) for an award of additional attorneys’ fees to the petitioner for this appeal pursuant to 11 NYCRR 65-4.10(j)(4), and for the entry of an appropriate amended judgment thereafter.
The petitioner, Lam Quan MD, P.C., is the assignee of a claim for no-fault benefits in the amount of $1,002.74 for treatment it rendered to Edwin Pierre-Pierre in October 2020. After the respondent denied the claim, the petitioner submitted the claim to arbitration and the arbitrator denied the claim. In an award dated July 19, 2022, a master arbitrator affirmed the arbitrator’s award.
Thereafter, the petitioner commenced this proceeding pursuant to CPLR article 75 to vacate the master arbitrator’s award. The respondent did not oppose the petition. In an order entered January 5, 2023, the Supreme Court, inter alia, granted the petition. A judgment was entered on January 27, 2023, which, among other things, awarded the petitioner interest on the overdue claim in the sum of only $39.40 and failed to award the petitioner attorneys’ fees pursuant to 11 NYCRR 65-4.6(d). The petitioner appeals.
Pursuant to Insurance Law § 5106(a) and 11 NYCRR 65-3.9(a), interest accrues on overdue no-fault insurance claims at a rate of 2% per month (see Matter of B.Z. Chiropractic, P.C. v Allstate Ins. Co., 197 AD3d 144, 155-156; Hempstead Gen. Hosp. v Insurance Co. of N. Am., 208 [*2]AD2d 501). Such interest is to be “calculated on a pro-rata basis using a 30-day month” (11 NYCRR 65-3.9[a]). “The interest which accrues on overdue no-fault benefits . . . is a statutory penalty designed to encourage prompt adjustments of claims and inflict a punitive economic sanction on those insurers who do not comply” (East Acupuncture, P.C. v Allstate Ins. Co., 61 AD3d 202, 210 [citations omitted]; see Matter of B.Z. Chiropractic, P.C. v Allstate Ins. Co., 197 AD3d at 155). Here, the Supreme Court failed to properly calculate the amount of interest to which the petitioner was entitled on the overdue claim in accordance with Insurance Law § 5106(a) and 11 NYCRR 65-3.9(a). Therefore, we remit the matter to the Supreme Court, Nassau County, for a recalculation of the award of interest.
Further, having determined that the denial of the claim was improper, the Supreme Court should have awarded the petitioner attorneys’ fees pursuant to 11 NYCRR 65-4.6(d) (see St. Clare’s Hosp. v Allstate Ins. Co., 215 AD2d 641). Moreover, the petitioner is entitled to attorneys’ fees for this appeal pursuant to 11 NYCRR 65-4.10(j), to be fixed by the court (see Matter of Bay Needle Care Acupuncture v Country-Wide Ins. Co., 176 AD3d 806, 807; see also Matter of GEICO Ins. Co. v AAAMG Leasing Corp., 148 AD3d 703, 706). Therefore, we remit the matter to the Supreme Court, Nassau County, for a determination of the amount of attorneys’ fees to be awarded to the petitioner pursuant to 11 NYCRR 65-4.6(d) and for this appeal pursuant to 11 NYCRR 65-4.10(j).
The petitioner’s remaining contentions are not properly before this Court.
Accordingly, we modify the judgment and remit the matter to the Supreme Court, Nassau County, for further proceedings in accordance with the foregoing, and the entry of an appropriate amended judgment thereafter.
DILLON, J.P., WOOTEN, WARHIT and WAN, JJ., concur.
Darrell M. Joseph
Clerk of the Court
Reported in New York Official Reports at American Tr. Ins. Co. v Brooklyn Med. Practice, PC (2025 NY Slip Op 50897(U) [86 Misc 3d 1208(A)])
[*1]| American Tr. Ins. Co. v Brooklyn Med. Practice, PC |
| 2025 NY Slip Op 50897(U) [86 Misc 3d 1208(A)] |
| Decided on May 22, 2025 |
| Supreme Court, New York County |
| Lebovits, 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 May 22, 2025
American Transit Insurance Company, Petitioner,
against Brooklyn Medical Practice, PC, Respondent. |
Index No. 652228/2025
Larkin Farrell LLC, New York, NY (Joshua Mak and Anthony R. Troise of counsel), for petitioner.
The Beynenson Law Firm, P.C., Franklin Square, NY (Alek Beynenson of counsel), for respondent.
Gerald Lebovits, J.
Petitioner, American Transit Insurance Company, moves under CPLR article 75 to vacate a no-fault arbitration award in favor of respondent, Brooklyn Medical Practice, P.C. Respondent cross-moves to confirm and for an award of fees. The motion is denied. The cross-motion granted in part and denied in part.
1. On its motion, American Transit argues that the arbitrator (and the reviewing master [*2]arbitrator) failed to follow settled law, rendering the award subject to vacatur. This argument is unpersuasive.
The arbitrator held (and the master arbitrator agreed) that American Transit’s basis for denying the claim was foreclosed on issue-preclusion grounds. (See NYSCEF No. 3 at 2; NYSCEF No. 4 at 2-3.) In challenging this determination, American Transit contends that the arbitrator erred as a matter of law in (implicitly) concluding that the “issue previously litigated was necessary to support a valid and final judgment on the merits.” (NYSCEF No. 1 at ¶ 59.) In particular, American Transit says, the arbitral record does not reflect whether “the decision that the Arbitrator relied upon was confirmed in Court” or “converted into a judgment,” and, “therefore, necessary to support a valid and final judgment on the merits.” (Id. [internal quotation marks omitted].) But an arbitral award may be entitled to issue-preclusive effect in a later proceeding whether or not it has been judicially confirmed or converted into a judgment.[FN1] (See Allstate Ins. Co. v Toussaint, 163 AD2d 444, 445 [2d Dept 1990].)
American Transit also argues that there is “no evidence to show that the Petitioner did not file a de novo action, which would render the prior award a nullity.” (NYSCEF No. 1 at ¶ 61.) This court disagrees with American Transit’s position that affording issue-preclusive effect to the prior award was error in these circumstances.
The party seeking the benefit of issue preclusion must meet an initial burden to show “that the decisive issue was necessarily decided in the prior action against a party, or one in privity with a party.” (Buechel v Bain, 97 NY2d 295, 304 [2001].) American Transit cites no authority for the proposition that the party seeking issue preclusion must then also provide evidence ruling out the possibility that the decision in the prior proceeding had been vacated. To the contrary, it makes much more sense to place the burden of showing that the prior determination was no longer in force on the party opposing preclusion—just as that party must “demonstrate[e] the absence of a full and fair opportunity to contest the prior determination.” (Id.; see American Transit Ins. Co. v U.S. Med Supply Corp., 2023 NY Slip Op 50560[U], at *11-12 [Sup Ct, Kings County 2023] [reaching the same conclusion].) That is particularly true in the no-fault context, where it is not difficult to ascertain whether a prior arbitral award has been vacated by a master arbitrator or upon a de novo action. Absent a showing that the prior arbitral determination had been vacated, the arbitrator did not err in affording that determination issue-preclusive effect.
American Transit’s motion to vacate is denied.
2. On respondent’s cross-motion, respondent seeks not only to confirm the arbitral decision, but also to obtain an additional award of attorney fees. For the reasons discussed above, the arbitral determination is confirmed. Respondent’s fee request is granted in part and denied in part.
In addition to the sums awarded by the arbitrator in principal, interest, and attorney fees, respondent also asks this court to award fees incurred in this proceeding, under 11 NYCRR 65-4.10 (j) (4). Under that provision, the amount to be awarded in fees to a party prevailing in a CPLR article 75 proceeding “shall be fixed by the court adjudicating the matter.” Respondent seeks to recover $850 in fees for 1.7 hours of attorney time billed at $500 an hour. (See NYSCEF No. 11 at ¶¶ 22-23.)
In opposition, American Transit contends that respondent’s attorney fee must be limited to the hourly rate (and maximum fee) permitted by 11 NYCRR 65-4.6 (d). (See NYSCEF No. 16 at ¶¶ 45-46.) This contention is without merit. Section 65-4.6 (d) governs only attorney fees incurred in the underlying arbitration, not also an ensuing CPLR article 75 proceeding to confirm (or vacate) an arbitral award. (See Country-Wide Ins. Co. v TC Acupuncture P.C., 172 AD3d 598, 598 [1st Dept 2019].) This court is also unpersuaded by American Transit’s alternative suggestion that § 65-4.6 (d)’s hourly-rate restrictions necessarily establish the normal billing rate for no-fault attorneys. (NYSCEF No. 16 at ¶ 47.) American Transit does not attempt to show that the capped rate corresponds to the typical no-fault billing rate (either as of the enactment of this regulation or today). And treating § 65-4.6 (d) as setting the maximum rate that a court may properly award under § 65-4.10 (j) (4) would significantly undermine the latter provision’s conferral on courts of discretion to fix a proper attorney fee for CPLR article 75 proceedings. (See Country-Wide Ins. Co. v Bay Needle Care Acupuncture, P.C., 220 AD3d 461, 462 [1st Dept 2023] [“[T]he amount of attorney’s fees awarded pursuant to 11 NYCRR 65—4.10(j)(4) is left to the court’s discretion.”].)
At the same time, respondent has not shown that it is entitled to $850 in fees. Respondent’s counsel’s fee affirmation states only that $500 an hour is his usual hourly billing rate; and that the total billable time spent on this proceeding was 1.7 hours. (See NYSCEF No. 12 at ¶¶ 4-5.) The affirmation does not offer any other information—such as the typical going rate for experienced no-fault attorneys, or what time was spent on which tasks. (Cf. Gamache v Steinhaus, 7 AD3d 525, 527 [2d Dept 2004] [describing criteria for determining hourly rates when awarding fees].) Additionally, some of the time billed is not compensable at all, because that time was spent on preparing respondent’s fee request itself. (See Matter of GEICO Ins. Co. v AAAMG Leasing Corp., 148 AD3d 703, 706 [2d Dept 2017] [holding that “fees on fees” are not available under 11 NYCRR 65-4.6 [j] [4]].) This court concludes that respondent is entitled to $345 in fees, representing 1.15 hours of attorney time at $300 an hour, rather than the $850 claimed.
Accordingly, it is
ORDERED AND ADJUDGED that American Transit Insurance Company’s petition to vacate the underlying arbitral award is denied, and the branch of Brooklyn Medical Practice, P.C.’s cross-petition to confirm the arbitral award is granted; and it is further
ORDERED AND ADJUDGED that the branch of Brooklyn Medical Practice, P.C.’s cross-petition for an award of attorney fees incurred in this proceeding is granted in part and denied in part; and it is further
ORDERED AND ADJUDGED that Brooklyn Medical Practice, P.C. is awarded a [*3]judgment against American Transit Insurance Company for (i) the principal amount owed in first-party benefits of $3,936, with interest on that sum running at the statutory rate of 2% monthly simple interest, from June 11, 2024; plus (ii) the $40 arbitral filing fee; plus (iii) $787.20 in attorney fees awarded in the underlying arbitral proceeding, with interest on that sum running at the statutory rate of 2% monthly simple interest, from June 11, 2024; plus (iv) additional attorney fees incurred in this proceeding of $345; plus (v) costs and disbursements as taxed by the Clerk upon the submission of an appropriate bill of costs; and it is further
ORDERED that respondent serve a copy of this order with notice of its entry on petitioner and on the office of the County Clerk (using the NYSCEF filing event “Notice to the County Clerk – CPLR § 8019 (c)”), which shall enter judgment accordingly.
DATE 5/22/2025Footnote 1:To the extent American Transit is also arguing that it is settled law that an arbitrator in a later arbitration lacks capacity or authority to determine the issue-preclusive effect of an arbitral award in an earlier arbitration (see NYSCEF No. 1 at ¶ 63), American Transit provides no authority for that proposition. American Transit relies on a passage from Rembrandt Industries, Inc v Hodges International, Inc. (38 NY2d 502, 504 [1976). But that passage holds only that when a party asks a court to afford issue-preclusive effect in litigation to an earlier arbitral determination, the scope of that determination for issue-preclusion purposes must be decided by the court, not delegated back to the arbitrators who rendered the determination at issue. (See Matter of Weinberger v Friedman, 41 AD2d 620, 620 [1st Dept 1973].) That principle has no application here, because the later proceeding in which issue preclusion was raised was itself an arbitration.
Reported in New York Official Reports at Burke 2 Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. (2025 NY Slip Op 50840(U))
[*1]| Burke 2 Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. |
| 2025 NY Slip Op 50840(U) [86 Misc 3d 128(A)] |
| Decided on May 16, 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 May 16, 2025
PRESENT: : CHEREÉ A. BUGGS, J.P., LISA S. OTTLEY, JOANNE D. QUIÑONES, JJ
2023-1102 K C
against
State Farm Mutual Automobile Ins. Co., Respondent.
The Rybak Firm, PLLC (Oleg Rybak 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 September 8, 2023. The order, insofar as appealed from as limited by the brief, granted defendant’s cross-motion for summary judgment dismissing the complaint.
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.) dated September 8, 2023 as granted defendant’s cross-motion for summary judgment dismissing the complaint on the ground that plaintiff had failed to provide requested verification.
For the reasons stated in Burke Physical Therapy, P.C., as Assignee of Brown, Wildex v State Farm Mut. Auto. Ins. Co. (— Misc 3d —, 2025 NY Slip Op _____ [appeal No. 2023-1091 K C], decided herewith), the order, insofar as appealed from, is affirmed.
BUGGS, J.P. and QUIÑONES, JJ., concur.
OTTLEY, J., taking no part.
ENTER:Paul Kenny
Chief Clerk
Decision Date: May 16, 2025
Reported in New York Official Reports at Burke Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. (2025 NY Slip Op 50841(U))
[*1]| Burke Physical Therapy, P.C. v State Farm Mut. Auto. Ins. Co. |
| 2025 NY Slip Op 50841(U) [86 Misc 3d 128(A)] |
| Decided on May 16, 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 May 16, 2025
PRESENT: : CHEREÉ A. BUGGS, J.P., LISA S. OTTLEY, JOANNE D. QUIÑONES, JJ
2023-1151 K C
against
State Farm Mutual Automobile Ins. Co., Respondent.
The Rybak Firm, PLLC (Oleg Rybak 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 September 8, 2023. The order, insofar as appealed from as limited by the brief, granted defendant’s cross-motion for summary judgment dismissing the complaint.
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.) dated September 8, 2023 as granted defendant’s cross-motion for summary judgment dismissing the complaint on the ground that plaintiff had failed to provide requested verification.
For the reasons stated in Burke Physical Therapy, P.C., as Assignee of Brown, Wildex v State Farm Mut. Auto. Ins. Co. (— Misc 3d —, 2025 NY Slip Op _____ [appeal No. 2023-1091 K C], decided herewith), the order, insofar as appealed from, is affirmed.
BUGGS, J.P. and QUIÑONES, JJ., concur.
OTTLEY, J., taking no part.
ENTER:Paul Kenny
Chief Clerk
Decision Date: May 16, 2025