October 27, 2017

Chapa Prods. Corp. v Nationwide Ins. (2017 NY Slip Op 51457(U))

Headnote

The court considered the denial of the plaintiff's motion for summary judgment and the grant of the defendant's cross motion for summary judgment dismissing the complaint. The main issue decided was the failure of the plaintiff to appear for duly scheduled examinations under oath (EUOs) and the sufficiency of proof submitted by the defendant in support of its cross motion. The court held that the proof submitted by the defendant was not sufficient to demonstrate proper mailing of the EUO scheduling letters and, therefore, the defendant's cross motion for summary judgment dismissing the complaint was denied. Additionally, the court held that the plaintiff failed to demonstrate its entitlement to summary judgment as the proof submitted failed to establish that the claim forms had not been timely denied or that the defendant had issued timely denial of claim forms. Therefore, the order was modified to deny the defendant's cross motion for summary judgment dismissing the complaint.

Reported in New York Official Reports at Chapa Prods. Corp. v Nationwide Ins. (2017 NY Slip Op 51457(U))

Chapa Prods. Corp. v Nationwide Ins. (2017 NY Slip Op 51457(U)) [*1]
Chapa Prods. Corp. v Nationwide Ins.
2017 NY Slip Op 51457(U) [57 Misc 3d 145(A)]
Decided on October 27, 2017
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This opinion is uncorrected and will not be published in the printed Official Reports.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 October 27, 2017

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS


PRESENT: : MICHAEL L. PESCE, P.J., THOMAS P. ALIOTTA, MARTIN M. SOLOMON, JJ
NO. 2014-2385 Q C
Chapa Products Corp., as Assignee of Candida Vargas, Appellant,

against

Nationwide Ins., Respondent.

The Rybak Firm, PLLC (Damin J. Toell, Esq. ), for appellant. Gialleonardo, McDonald & Turchetti (Mickei Milton, Esq.), for respondent.

Appeal from an order of the Civil Court of the City of New York, Queens County (Ulysses Bernard Leverett, J.), entered September 12, 2014. 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 modified by providing that defendant’s cross motion for summary judgment dismissing the complaint is denied; as so modified, the order is affirmed, without costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from an order of the Civil Court which denied plaintiff’s motion for summary judgment and granted defendant’s cross motion for summary judgment dismissing the complaint based upon plaintiff’s failure to appear for duly scheduled examinations under oath (EUOs).

Plaintiff correctly argues on appeal that the proof submitted by defendant in support of its cross motion was not sufficient to demonstrate proper mailing of the EUO scheduling letters (see St. Vincent’s Hosp. of Richmond v Government Empls. Ins. Co., 50 AD3d 1123 [2008]). We note that, on appeal, defendant argues that an affidavit by a legal secretary of the law firm which scheduled the EUOs attested to the mailing of the scheduling letters. However, as plaintiff states in its brief, no such affidavit is attached to defendant’s cross motion, either as Exhibit D, as stated on appeal, or as Exhibit E, as was listed in defendant’s cross motion.

However, contrary to plaintiff’s further contention, plaintiff failed to demonstrate its prima facie entitlement to summary judgment, as the proof submitted by plaintiff failed to establish that the claim forms at issue had not been timely denied (see Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co., 25 NY3d 498 [2015]) or that defendant had issued timely denial of claim forms that were conclusory, vague or without merit as a matter of law (see Westchester Med. Ctr. v Nationwide Mut. Ins. Co., 78 AD3d 1168 [2010]; Ave T MPC Corp. v [*2]Auto One Ins. Co., 32 Misc 3d 128[A], 2011 NY Slip Op 51292[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2011]).

Accordingly, the order is modified by providing that defendant’s cross motion for summary judgment dismissing the complaint is denied.


PESCE, P.J., ALIOTTA and SOLOMON, JJ., concur.
ENTER:
Paul Kenny
Chief Clerk
Decision Date: October 27, 2017