August 27, 2021
Island Life Chiropractic Pain Care, PLLC v Zipcar (2021 NY Slip Op 50844(U))
https://www.beynensonlaw.com/case-law/island-life-chiropractic-pain-care-pllc-v-zipcar-2021-ny-slip-op-50844u/
- Court
- Appellate Term, Second Department
- Decided
- August 27, 2021
- Citation
- 2021 NY Slip Op 50844(U) ยท 72 Misc 3d 141(A)
- Posture
- Motion to dismiss (CPLR 3211)
- Outcome
- Insurer prevailed
- Later treatment
- Followed in 2 later decisions (see Cited by)
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.
Reported in New York Official Reports at Island Life Chiropractic Pain Care, PLLC v Zipcar (2021 NY Slip Op 50844(U))
[*1]| Island Life Chiropractic Pain Care, PLLC v Zipcar |
| 2021 NY Slip Op 50844(U) [72 Misc 3d 141(A)] |
| Decided on August 27, 2021 |
| 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| This opinion is uncorrected and will not be published in the printed Official Reports.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 August 27, 2021
PRESENT: : THOMAS P. ALIOTTA, P.J., DAVID ELLIOT, WAVNY TOUSSAINT, JJ
2019-711 K C
against
ZipCar, Appellant.
Rubin, Fiorella, Friedman & Mercante LLP (Deena Khalifa of counsel), for appellant. The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for respondent.
Appeal from an order of the Civil Court of the City of New York, Kings County (Lorna J. McAllister, J.), entered March 20, 2019. The order granted plaintiff’s motion to dismiss defendant’s affirmative defenses.
ORDERED that the order is reversed, with $30 costs, and plaintiff’s motion to dismiss defendant’s affirmative defenses is denied.
In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from an order of the Civil Court which granted plaintiff’s motion, pursuant to CPLR 3211 (b), to dismiss defendant’s affirmative defenses with prejudice.
“Upon a motion to dismiss a defense, a defendant is entitled to the benefit of every reasonable intendment of the pleading, which is to be liberally construed. If there is any doubt as to the availability of a defense, it should not be dismissed” (Warwick v Cruz, 270 AD2d 255, 255 [2000] [citation omitted]). The purpose of a pleading is “to notify the adverse party adequately of the pleader’s claim or defense so as to facilitate a proper decision on the merits” (3B Carmody-Wait 2d § 27:2, Purpose of Pleadings; see also CPLR 3013).
Defendant essentially admits that many of the affirmative defenses asserted here were simply “boilerplate,” which this court notes is not acceptable practice. Indeed, we note that some of the defenses were not defenses at all, such as the “defense” that no-fault interest should be limited by applicable law and regulations. However, plaintiff’s claim that not a single one of defendant’s defenses was sufficiently pleaded is not supportable. In addition, plaintiff’s motion [*2]contained numerous misleading or erroneous statements of law, including repeatedly indicating that defendant’s answer was insufficient because it failed to satisfy the standard of proof required to obtain summary judgment, failed to include “admissible evidence,” and failed to “conclusively” establish the defense at issue. Indeed, plaintiff at one point indicated that defendant had failed to meet its burden under CPLR 3211, even though plaintiff was the party moving under CPLR 3211.
Plaintiff also erroneously implied that an affidavit of its owner and plaintiff’s own documents, which defendant did not help create and had never conceded were accurate, qualified as documentary evidence under CPLR 3211 (a) (1), even though such evidence could not possibly be described as “unambiguous and of undisputed authenticity,” with contents that are “essentially undeniable” (Anderson v Armentano, 139 AD3d 769, 770-771 [2016] [internal quotation marks omitted]).
Plaintiff also ignored that “no motion by the plaintiff lies under CPLR 3211 (b) to strike the defense [of failure to state a cause of action], as this amounts to an endeavor by the plaintiff to test the sufficiency of his or her own claim” (Butler v Catinella, 58 AD3d 145, 150 [2008]; see also Jacob Marion, LLC v Jones, 168 AD3d 1043, 1044 [2019]; Mazzei v Kyriacou, 98 AD3d 1088, 1089 [2012]). Plaintiff also erroneously indicated that defendant’s fee schedule defense was subject to preclusion (see 11 NYCRR 65-3.8 [g]; Z.M.S. & Y Acupuncture, P.C. v GEICO Gen. Ins. Co., 58 Misc 3d 143[A], 2017 NY Slip Op 51891[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2017]); that proving a reasonable justification for an examination under oath is a part of a defendant’s prima facie burden in this department (see Interboro Ins. Co. v Clennon, 113 AD3d 596 [2014]; Parisien v Metlife Auto & Home, 54 Misc 3d 143[A], 2017 NY Slip Op 50208[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2017]; Barakat Med. Care, P.C. v Nationwide Ins. Co., 49 Misc 3d 147[A], 2015 NY Slip Op 51677[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015]; Palafox PT, P.C. v State Farm Mut. Auto. Ins. Co., 49 Misc 3d 144[A], 2015 NY Slip Op 51653[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015]); and that a defendant is required to issue a denial based on an applicant’s failure to provide requested verification (see 11 NYCRR 65-3.8 [b] [3]; Chapa Prods. Corp. v MVAIC, 66 Misc 3d 16 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2019]; Proscan Imaging, P.C. v Travelers Indem. Co., 28 Misc 3d 127[A], 2010 NY Slip Op 51176[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2010]).
This Court will not prune plaintiff’s motion and separate the potentially valid arguments from plaintiff’s numerous invalid or questionable arguments (cf. Scorzari v Pezza, 111 AD3d 916, 916 [2013]; Latture v Smith, 304 AD2d 534, 536 [2003]; Apple Bank for Sav. v Noah’s Rte. 110, 210 AD2d 277, 277 [1994]; Town of Babylon v LIMS, Inc., 42 Misc 3d 131[A], 2013 NY Slip Op 52221[U] [App Term, 2d Dept, 9th & 10th Jud Dists 2013]).
Accordingly, the order is reversed and plaintiff’s motion to dismiss defendant’s affirmative defenses is denied.
ALIOTTA, P.J., ELLIOT and TOUSSAINT, JJ., concur.
ENTER:
Paul Kenny
Chief Clerk
Decision Date: August 27, 2021
Cited in this decision
A label shows how this decision treated the case it cites.
- Z. M. S. & Y Acupuncture, P.C. v GEICO Gen. Ins. Co. (2017 NY Slip Op 51891(U)) FollowedA fee-schedule defense is not subject to preclusion for services rendered after April 1, 2013, under 11 NYCRR 65-3.8 (g).
- Interboro Ins. Co. v Clennon (2014 NY Slip Op 00092)The assignor's two EUO nonappearances supported a declaration that the providers were not entitled to no-fault benefits.
- Barakat Med. Care, P.C. v Nationwide Ins. Co. (2015 NY Slip Op 51677(U))An insurer need not state objective reasons for assignor EUOs as part of its prima facie showing for summary judgment on nonappearance.
- Palafox PT, P.C. v State Farm Mut. Auto. Ins. Co. (2015 NY Slip Op 51653(U))The provider failed to identify discovery that could raise a triable issue concerning the insurer's EUO nonappearance defense.
- Chapa Prods. Corp. v MVAIC (2019 NY Slip Op 29341)An insurer must deny a claim for failure to provide verification within 30 days after the 120-day response period expires.
- Proscan Imaging, P.C. v Travelers Indem. Co. (2010 NY Slip Op 51176(U))The provider's action was premature because it did not show that it supplied outstanding verification before commencing suit.
Cited by
A label shows how the later decision treated this one.
- American Tr. Ins. Co. v PDA NY Chiropractic, P.C. (2023 NY Slip Op 50938(U)) FollowedA provider's substantial compliance with reasonable additional verification requests does not make its claims payable.
- Pedro Torres-Jimenez, MD PC v Nationwide Affinity Ins. Co. of Am. (2026 NY Slip Op 50073(U)) FollowedA timely verification request's toll does not give an insurer further opportunities to make otherwise untimely verification requests.
Similar decisions
- Island Life Chiropractic Pain Care, PLLC v Allstate Ins. Co. (2018 NY Slip Op 51006(U))The insurer failed to establish collateral estoppel or valid policy cancellation in support of its lack-of-coverage defense.
- ZG Chiropractic Care, P.C. v 21st Century Ins. Co. (2021 NY Slip Op 50079(U))The insurer justified vacating its default through an existing stay and obtained dismissal based on a preclusive declaratory judgment.
- Active Chiropractic, P.C. v Allstate Ins. (2018 NY Slip Op 50201(U))An unpleaded res judicata defense may support summary judgment absent surprise or prejudice to the opposing party.
- Parisien v Zipcar (2022 NY Slip Op 51245(U))The prior declaratory judgment did not bar the provider's no-fault action arising from a different accident.
- Natural Therapy Acupuncture, P.C. v Omni Indem. Co. (2018 NY Slip Op 51914(U))The insurer established lack of coverage through affidavits showing that another carrier had issued the policy covering the accident.