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March 3, 2006

A.B. Med. Servs. PLLC v State Farm Mutual Auto Ins. Co. (2006 NY Slip Op 50598(U))

https://www.beynensonlaw.com/case-law/a-b-med-servs-pllc-v-state-farm-mutual-auto-ins-co-2006-ny-slip-op-50598u/

Court
Civil Court of the City of New York, Kings County
Judge
Rothenberg, J.
Decided
March 3, 2006
Citation
2006 NY Slip Op 50598(U) · 11 Misc 3d 1077(A)
Posture
Motion to dismiss (CPLR 3211)
Outcome
Provider prevailed
Issues
Declaratory judgment, res judicata
Legal questions
Effect of insurer's declaratory judgment (see the maps)
Cite as
A.B. Med. Servs. PLLC v State Farm Mutual Auto Ins. Co., 11 Misc 3d 1077(A), 2006 NY Slip Op 50598(U) (Civ Ct, Kings County 2006)

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

Summary

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

Nonparty provider-assignees are not bound by a judgment against assignors when their assignments preceded the action. The Civil Court, Kings County, denied the insurer's CPLR 3211 (a) (5) motion to dismiss the providers' no-fault actions on collateral-estoppel grounds. The insurer had obtained a default declaration against the assignors that the collision was intentional and no UM, SUM or PIP benefits were owed; the providers were not parties. Under Gramatan Home Investors Corp. v Lopez, the earlier assignments prevented privity with the assignors for purposes of the later judgment. The court also found that the default involved no actual litigation on the merits and therefore supplied no identity of issues supporting collateral estoppel.

Reported in New York Official Reports at A.B. Med. Servs. PLLC v State Farm Mutual Auto Ins. Co. (2006 NY Slip Op 50598(U))

[*1]
A.B. Med. Servs. PLLC v State Farm Mutual Auto Ins. Co.
2006 NY Slip Op 50598(U) [11 Misc 3d 1077(A)]
Decided on March 3, 2006
Civil Court, Kings County
Rothenberg, 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This opinion is uncorrected and will not be published in the printed Official Reports.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 March 3, 2006

Civil Court, Kings County



A.B. Medical Services PLLC, D.A. CHIROPRACTIC P.C.., DANIEL KIM’S ACUPUNCTURE P.C., ROYALTON CHIROPRACTIC P.C., a/a/o MARIE PAUL, Plaintiffs, FARM MUTUAL AUTO INS. CO., Defendant.

A.B. Medical Services PLLC, D.A.V CHIROPRACTIC P.C.., DANIEL KIM’S ACUPUNCTURE P.C., ROYALTON CHIROPRACTIC P.C., a/a/o ESTELLA AMILCAR, Plaintffs, Farm Mutual Auto Ins. Co., Defendant.

Y & J Inter Trade, a/a/o ESTELLA AMILCAR, MARIE PAUL, Plaintiff, -against-

against

State Farm Mutual Auto Ins. Co., Defendant.

Fair Price Medical Supply Corp., a/a/o MARIE PAUL, Plaintiff, -against-

against

State Farm Mutual Auto Ins. Co., Defendant.

33911/02

Karen Rothenberg, J.

Defendant State Farm Mutual Auto Ins. Co. (hereinafter “State Farm”) moves pursuant to CPLR 3211(a)(5) to dismiss the plaintiffs’ actions on the grounds that plaintiffs are collaterally estopped from maintaining the actions in light of a declaratory judgment entered in Supreme Court. After review of the papers submitted herein, this court hold that collateral estoppel is not applicable and the plaintiffs are not bound by the declaratory judgment.

In 2002, plaintiffs, as assignees of Marie Paul and Estella Amilcar, commenced these actions to recover first-party no-fault benefits for medical services provided to the assignors for an accident that occurred on February 21, 2001. On March 12, 2003, State Farm commenced a declaratory judgment action in Supreme Court, Kings County for a determination that it was not obligated to provide coverage for the accident. These assignors, but not the assignees, were among the persons served in the declaratory judgment action. State Farm moved for a default judgment against the parties based upon their failure to appear, and said motion was granted by order of the Hon. Laura Jacobson entered in the Clerk’s Office of the Supreme Court on April 12, 2004. The default order provided that “State Farm Mutual Auto Ins. Co. has no obligation to provide UM, SUM or PIP benefits to the …. passengers, Estella Amilcar [and] Marie Paul…”, and [*2]stated that the “loss of 2-21-01 was intentional and therefore an uncovered event.”

Defendant argues that the declaratory judgment should be entitled to collateral estoppel effect, thereby precluding plaintiffs from maintaining these actions for no-fault benefits. Collateral estoppel, or issue preclusion, may be applied in a subsequent action to prevent a party or those in privity, from relitigating an issue decided in a prior adjudication. (see Ryan v New York Tel. Co., 62 NY2d 494, 478 N.Y.S.2d 823). In order to invoke collateral estoppel it must be shown that (1) there was a full and fair opportunity to contest the decision that is alleged to be dispositive in the present action and (2) the issue in the present proceeding is identical to that decided in the prior proceeding. (see Langdon v. WEN Management Co., 147 AD2d 450, 537 N.Y.S.2d 603).

For collateral estoppel to be applied, it must be established that plaintiffs, who were not parties to the previous action, are privy to the prior judgment. (see Green v. Santa Fe Industries, Inc., 70 NY2d 244, 519 N.Y.S.2d 793). The determining factor is the point in time when the relationship between the party to the prior litigation and the person(s) claimed to be a privy is formed. In the assignor-assignee context, “privity must have arisen after the event out of which the estoppel arises.” Gramatan Home Investors Corp., v. Lopez, 46 NY2d 481 at 486, 414 N.Y.S.2d 308 at 312. As the Court of Appeals in Gramatan, cited supra, explained:

“an assignee is deemed to be in privity with the assignor where the action

against the assignor is commenced before there has been as assignment. In

that situation, at the time the assignee succeeded to the rights of the assignor, the subject matter of the assignment was then embroiled in litigation and was

subject to the claims of the third parties and the assignee is charged with notice

that his rights to the assignment are subject to competing claims. Conversely

an assignee is not privy to a judgment where the succession to the rights affected

thereby has taken place prior to the institution of the suit against the assignor.”

(Gramatan Home Investors Corp., v. Lopez, supra, at 486; 312.)

In the instant situation, since assignments were made prior to the commencement of the declaratory judgment action against the plaintiffs’ assignors, plaintiffs are not bound by the terms of the judgment. Moreover, in light of the fact that the declaratory judgment was obtained by default, there was no actual litigation on the merits, and therefore there is no identity of issues between this action and the prior determination in the declaratory judgment action. (see Zimmerman v. Tower Ins. Co., 13 AD3d 137, 788 N.Y.S.2d 309; Chambers v. The City of New York, 309 AD2d 81, 76 N.Y.S.2d 708).

In light of the foregoing, the defendant’s motion is denied in its entirety.

This constitutes the decision/order of the court.

March 3, 2006 ———————————————————-

DateJudge, Civil Court

Legal questions

A question of no-fault law this decision rules on, from our Legal Questions pages. Bars count the decisions on the question by year and court, coloured by category; circles are this decision and the decisions on the question it cites or that cite it. Point at a bar or circle for details. The categories and summaries are Beynenson Law’s classification, made by a language model and checked by a second reading.

Effect of insurer's declaratory judgment

Open the full map

Does an insurer’s no-coverage declaratory judgment, or pending declaratory action, bar or stay a no-fault claimant’s action?

This decision: No preclusion because the claimant (or insurer) was not a party or privy to the DJ

Held the default declaratory judgment against the assignors did not collaterally estop the providers because their assignments predated the declaratory action, and a default judgment involved no actual litigation.

  • Appellate DivisionApp Div 4
  • Appellate TermApp Term 132
  • Trial courtsTrial 27
2021, Appellate Division: 1 decision (1 Stayed pending DJ)2016, Appellate Division: 1 decision (1 Stayed pending DJ)2015, Appellate Division: 1 decision (1 Stay denied)2025, Appellate Division: 1 decision (1 Barred by DJ)2023, Appellate Term: 7 decisions (5 Barred by DJ, 1 Not bound: parties, 1 DJ does not reach)2022, Appellate Term: 11 decisions (9 Barred by DJ, 1 DJ does not reach, 1 Stay denied)2021, Appellate Term: 11 decisions (8 Barred by DJ, 2 Not bound: parties, 1 DJ does not reach)2020, Appellate Term: 12 decisions (9 Barred by DJ, 1 Not bound: parties, 2 DJ does not reach)2019, Appellate Term: 15 decisions (7 Barred by DJ, 3 Not bound: parties, 1 DJ does not reach, 4 Stay denied)2018, Appellate Term: 11 decisions (7 Barred by DJ, 2 Not bound: parties, 2 DJ does not reach)2017, Appellate Term: 5 decisions (3 Barred by DJ, 2 DJ does not reach)2016, Appellate Term: 15 decisions (13 Barred by DJ, 1 Not bound: parties, 1 DJ does not reach)2015, Appellate Term: 14 decisions (11 Barred by DJ, 1 Not bound: parties, 2 DJ does not reach)2014, Appellate Term: 4 decisions (4 Barred by DJ)2013, Appellate Term: 3 decisions (1 Barred by DJ, 1 DJ does not reach, 1 Stayed pending DJ)2012, Appellate Term: 3 decisions (2 Barred by DJ, 1 Not bound: parties)2011, Appellate Term: 2 decisions (1 Barred by DJ, 1 DJ does not reach)2010, Appellate Term: 2 decisions (1 Not bound: parties, 1 Stayed pending DJ)2009, Appellate Term: 1 decision (1 Barred by DJ)2008, Appellate Term: 1 decision (1 Not bound: parties)2024, Appellate Term: 3 decisions (1 Not bound: parties, 2 DJ does not reach)2025, Appellate Term: 11 decisions (1 Barred by DJ, 1 Barred in part, 1 Not bound: parties, 8 DJ does not reach)2026, Appellate Term: 1 decision (1 Not bound: parties)2023, Trial courts: 1 decision (1 DJ does not reach)2022, Trial courts: 3 decisions (2 Barred by DJ, 1 Not bound: parties)2021, Trial courts: 4 decisions (4 Barred by DJ)2020, Trial courts: 1 decision (1 Barred by DJ)2019, Trial courts: 1 decision (1 Barred by DJ)2018, Trial courts: 1 decision (1 Barred by DJ)2013, Trial courts: 2 decisions (2 Barred by DJ)2011, Trial courts: 2 decisions (1 Barred by DJ, 1 Stayed pending DJ)2009, Trial courts: 1 decision (1 Stayed pending DJ)2008, Trial courts: 1 decision (1 Not bound: parties)2007, Trial courts: 2 decisions (1 Barred by DJ, 1 Stayed pending DJ)2006, Trial courts: 1 decision (1 Not bound: parties)2024, Trial courts: 2 decisions (1 Barred by DJ, 1 DJ does not reach)2026, Trial courts: 4 decisions (3 Barred by DJ, 1 Stay denied)2012, Trial courts: 1 decision (1 Stay denied)This decision
2010201520202025
Barred by DJBarred in partNot bound: partiesDJ does not reachStayed pending DJStay deniedThis decision

Of the 163 decisions on this question in the Second Department courts and the Court of Appeals, 20 (this one included) are in the same category.

Similar decisions

  • Triborough Psychiatric v State Farm Mut. Ins. Co. (2021 NY Slip Op 50084(U))The provider's claim was not barred by collateral estoppel because the declaratory judgment was entered on default and privity was absent.
  • Parisien v Kemper Ins. Co. (2022 NY Slip Op 22260)Collateral estoppel does not require privity between the insurer invoking it and a party to the prior declaratory judgment action.
  • Magic Recovery Med. & Surgical Supply Inc. v State Farm Mut. Auto. Ins. Co. (2010 NY Slip Op 20130)The provider was not collaterally estopped by default declaratory judgments in actions where it was neither a party nor in privity.
  • Rizz Mgt. Inc. v State Farm Mut. Auto. Ins. Co. (2008 NY Slip Op 51191(U))The insurer failed to establish collateral estoppel or entitlement to summary judgment on its staged-accident defense.
  • Altercare Acupuncture, P.C. v Utica Mut. Ins. Co. (2011 NY Slip Op 51639(U))An unvacated default declaratory judgment of no coverage bars the served provider's benefits action under res judicata.
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