December 19, 2017

Island Life Chiropractic, P.C. v 21st Century Ins. Co. (2017 NY Slip Op 51824(U))

Headnote

The court considered the fact that Island Life Chiropractic, P.C. was appealing the denial of its motion for summary judgment to recover assigned first-party no-fault benefits from 21st Century Insurance Company. The main issue decided was whether Island Life Chiropractic had established its prima facie entitlement to summary judgment, and if the claims at issue had been timely denied. The court held that Island Life Chiropractic failed to establish its entitlement to summary judgment, as the proof it submitted did not establish that the claims had not been timely denied or that 21st Century Insurance Company had issued timely denial of claim forms that were conclusory, vague, or without merit as a matter of law. Therefore, the court affirmed the decision denying Island Life Chiropractic's motion for summary judgment.

Reported in New York Official Reports at Island Life Chiropractic, P.C. v 21st Century Ins. Co. (2017 NY Slip Op 51824(U))

Island Life Chiropractic, P.C. v 21st Century Ins. Co. (2017 NY Slip Op 51824(U)) [*1]
Island Life Chiropractic, P.C. v 21st Century Ins. Co.
2017 NY Slip Op 51824(U) [58 Misc 3d 137(A)]
Decided on December 19, 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This opinion is uncorrected and will not be published in the printed Official Reports.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 December 19, 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
2015-1160 K C

Island Life Chiropractic, P.C., as Assignee of Destine, Wooselie, Appellant,

against

21st Century Insurance Company, Respondent.

The Rybak Firm, PLLC (Damin J. Toell, Esq.), for appellant. Law Offices of Buratti, Rothenberg & Burns (Maryana Feigen, Esq.), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Reginald A. Boddie, J.), entered January 2, 2015. The order, insofar as appealed from, denied plaintiff’s motion for summary judgment.

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 from so much of an order of the Civil Court as denied plaintiff’s motion for summary judgment.

Contrary to plaintiff’s argument on appeal, plaintiff failed to establish its prima facie entitlement to summary judgment, since the proof it submitted failed to establish that the claims 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 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, insofar as appealed from, is affirmed.

PESCE, P.J., ALIOTTA and SOLOMON, JJ., concur.


ENTER:
Paul Kenny
Chief Clerk
Decision Date: December 19, 2017