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March 27, 2006

Allstate Ins. Co. v Yetish Inc. (2006 NY Slip Op 50471(U))

https://www.beynensonlaw.com/case-law/allstate-ins-co-v-yetish-inc-2006-ny-slip-op-50471u/

Court
Appellate Term, Second Department
Decided
March 27, 2006
Citation
2006 NY Slip Op 50471(U) · 11 Misc 3d 134(A)
Posture
Motion to dismiss (CPLR 3211)
Issues
Statute of limitations
Cite as
Allstate Ins. Co. v Yetish Inc., 11 Misc 3d 134(A), 2006 NY Slip Op 50471(U) (App Term, 2d Dept, 2d & 11th Jud Dists 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.

The vehicle owner and driver failed to establish that the insurer's subrogation action was barred by the statute of limitations. The Appellate Term, Second Department, affirmed denial of their CPLR 3211 (a) (5) motion. The insurer sought recovery of basic economic loss payments and invoked the two-year toll under Insurance Law § 5104 (b). A lien for those payments reaches economic damages, not pain-and-suffering awards. The complaint and index number from the insureds' prior action did not establish recovery attributable to basic economic loss or an available lien that would defeat the toll. The ruling permitted the defendants to renew the limitations defense upon sufficient documentary proof.

Reported in New York Official Reports at Allstate Ins. Co. v Yetish Inc. (2006 NY Slip Op 50471(U))

[*1]
Allstate Ins. Co. v Yetish Inc.
2006 NY Slip Op 50471(U) [11 Misc 3d 134(A)]
Decided on March 27, 2006
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This opinion is uncorrected and will not be published in the printed Official Reports.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 March 27, 2006

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : GOLIA, J.P., RIOS and BELEN, JJ
2005-298 Q C.
Allstate Insurance Company AS SUBROGEE OF EVELYN JONES and MONIQUE JONES, Respondent,

against

Yetish Inc. and ANIBAL DEJESUS, Appellants.

Appeal from an order of the Civil Court of the City of New York, Queens County (Howard G. Lane, J.), entered October 12, 2004. The order denied defendants’ motion to dismiss the complaint pursuant to CPLR 3211 (a) (5).

Order affirmed without costs.

In this action, plaintiff insurance carrier seeks to recoup first-party no-fault basic economic loss payments from defendants, allegedly non-covered persons, that it made to its insured following an accident involving a vehicle driven and owned by defendants. Although the suit was brought outside the three-year statute of limitations for personal injuries, plaintiff claimed entitlement to the two-year toll on the running of the statute of limitations provided by Insurance Law § 5104 (b).

The court below properly denied defendants’ motion to dismiss the action. Defendants moved to dismiss solely on the theory that the three-year statute of limitations had run, and raised the issue of plaintiff’s insureds’ prior lawsuit in Bronx County (in which plaintiff herein allegedly could have asserted a lien upon the proceeds pursuant to Insurance Law § 5104 [b]).

Although the statute does not specify against which types of compensation such a lien may be asserted, it is well established in case law that a lien representing basic economic loss benefits paid to an insured can be asserted only against an economic damages award to an insured in a personal injury action, and not against a pain and suffering award (see e.g. Aetna [*2]Cas. & Sur. Co. v Jackowe, 96 AD2d 37, 42 [1983]; Safeco Insurance Co. of America v Jamaica Water Supply Co., 83 AD2d 427 [1981]). The alleged lack of any economic damages claim in the complaint in the Bronx action annexed to defendants’ reply papers was the rationale for the denial of the motion to dismiss.

The motion to dismiss the present action was properly denied because defendants presented insufficient evidence to establish that the present action was excluded from the ambit of Insurance Law § 5104 (b). Defendants presented a copy of a complaint and an index number, which is not evidence sufficient to establish, at this early stage, that plaintiff’s insureds could have or did recover, whether by jury award or settlement, amounts properly attributable to basic economic loss (see e.g. Aetna Cas. & Sur. Co. v S. Siskind & Sons, 209 AD2d 215 [1994]), or that plaintiff could have asserted a lien in the prior action and would therefore be barred from commencing the present action by the three-year personal injury statute of limitations. The foregoing determination is without prejudice to defendants again raising the claim that the
instant action was barred by the statute of limitations upon a sufficient showing,
through documentary evidence, that the plaintiff’s subrogors had instituted a prior
action against them which had the effect of taking the instant action outside of
the tolling provisions set forth in Insurance Law § 5104 (b).

Golia, J.P., Rios and Belen, JJ., concur.
Decision Date: March 27, 2006

Similar decisions

  • State Farm Mut. Auto. Ins. Co. v Baltz Concrete Constr., Inc. (2006 NY Slip Op 03879)An insurer seeking equitable subrogation for additional PIP benefits is bound by an adverse verdict on its insured's extended economic loss.
  • State Farm Mut. Auto. Ins. Co. v Karpen (2005 NYSlipOp 51032(U))An insurer's subrogation action for payments exceeding no-fault benefits was time-barred because it began over three years after the accident.
  • New York Hosp. Med. Ctr. of Queens v Allstate Ins. Co. (2014 NY Slip Op 00640)The providers established receipt of their claim and nonpayment or improper denial within 30 days, warranting summary judgment.
  • SZ Med., P.C. v Erie Ins. Co. (2009 NY Slip Op 51221(U))The providers' no-fault action was barred by res judicata because a prior declaratory judgment resolved coverage for the same accident.
  • Hospital for Joint Diseases v Allstate Ins. Co. (2004 NY Slip Op 01546)Resubmission of a previously denied no-fault claim does not restart the insurer's 30-day period to deny it.
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