May 19, 2015

Great Health Care Chiropractic, P.C. v Esurance (2015 NY Slip Op 50807(U))

Headnote

The insurer established timely EUO notices, the assignor's nonappearance at duly scheduled EUOs and timely denials on that ground. Under Stephen Fogel Psychological, P.C. v Progressive Cas. Ins. Co., the assignor's nonappearance violated a condition precedent to coverage. That showing entitled the insurer to summary judgment dismissing the provider's assigned no-fault claims. The Appellate Term, Second Department, affirmed the order denying the provider's motion and granting the insurer's cross motion. It declined to consider the provider's remaining argument because it was raised for the first time on appeal.

Reported in New York Official Reports at Great Health Care Chiropractic, P.C. v Esurance (2015 NY Slip Op 50807(U))

[*1]
Great Health Care Chiropractic, P.C. v Esurance
2015 NY Slip Op 50807(U) [47 Misc 3d 153(A)]
Decided on May 19, 2015
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This opinion is uncorrected and will not be published in the printed Official Reports.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 19, 2015
SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

PRESENT: : PESCE, P.J., ALIOTTA and SOLOMON, JJ.
2013-71 Q C

Great Health Care Chiropractic, P.C., as Assignee of DAQUAN RICE, Appellant,

against

Esurance, Respondent.


Appeal from an order of the Civil Court of the City of New York, Queens County (Carmen R. Velasquez, J.), entered December 11, 2012. 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 which denied plaintiff’s motion for summary judgment and granted defendant’s cross motion for summary judgment dismissing the complaint.

Contrary to plaintiff’s contention, defendant established that the examination under oath (EUO) scheduling letters had been timely mailed (see St. Vincent’s Hosp. of Richmond v Government Empls. Ins. Co., 50 AD3d 1123 [2008]; Delta Diagnostic Radiology, P.C. v Chubb Group of Ins., 17 Misc 3d 16 [App Term, 2d & 11th Jud Dists 2007]), and that plaintiff’s assignor had failed to appear for the duly scheduled EUOs (see Stephen Fogel Psychological, P.C. v Progressive Cas. Ins. Co., 35 AD3d 720 [2006]). Since defendant demonstrated that plaintiff’s assignor had failed to comply with a condition precedent to coverage (id. at 722) and that defendant had timely denied (see St. Vincent’s Hosp. of Richmond, 50 AD3d 1123; Delta Diagnostic Radiology, P.C. v Chubb Group of Ins., 17 Misc 3d 16) the claims on that ground, defendant was entitled to summary judgment dismissing the complaint.

Plaintiff’s remaining contention is not properly before this court, as this argument is being raised for the first time on appeal, and we decline to consider it (see Joe v Upper Room Ministries, Inc., 88 AD3d 963 [2011]; Gulf Ins. Co. v Kanen, 13 AD3d 579 [2004]).

Accordingly, the order is affirmed.

Pesce, P.J., Aliotta and Solomon, JJ., concur.


Decision Date: May 19, 2015