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September 27, 2024

Jacobson v State Farm Fire & Cas. Co. (2024 NY Slip Op 51540(U))

https://www.beynensonlaw.com/case-law/jacobson-v-state-farm-fire-cas-co-2024-ny-slip-op-51540u/

Court
Appellate Term, Second Department
Decided
September 27, 2024
Citation
2024 NY Slip Op 51540(U) ยท 84 Misc 3d 129(A)
Posture
Default or vacatur
Outcome
Provider prevailed
Issues
Defaults and vacatur
Cite as
Jacobson v State Farm Fire & Cas. Co., 84 Misc 3d 129(A), 2024 NY Slip Op 51540(U) (App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2024)

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 insurer's conclusory claim of a clerical email error did not establish a reasonable excuse for its default in answering. The Appellate Term, Second Department, reversed the order and denied the insurer's motion to vacate the provider's default judgment under CPLR 5015 (a) (1) and compel acceptance of an answer under CPLR 3012 (d). A claim representative stated that an email forwarding the pleadings to counsel had not been properly sent. No affidavit from a person with personal knowledge explained the error, identified who made or discovered it, or stated when it was discovered. Because the insurer failed to show a reasonable excuse, the court did not consider whether it had a potentially meritorious defense.

Reported in New York Official Reports at Jacobson v State Farm Fire & Cas. Co. (2024 NY Slip Op 51540(U))

[*1]
Jacobson v State Farm Fire & Cas. Co.
2024 NY Slip Op 51540(U) [84 Misc 3d 129(A)]
Decided on September 27, 2024
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This opinion is uncorrected and will not be published in the printed Official Reports.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 September 27, 2024
SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

PRESENT: : CHEREÉ A. BUGGS, J.P., WAVNY TOUSSAINT, MARINA CORA MUNDY, JJ
2023-1068 K C

Dr. Bruce Jacobson, D.C., as Assignee of Shirleena Mack,
Dr. Bruce Jacobson, D.C., as Assignee of Jene Waldron, Appellant,

against

State Farm Fire and Casualty Company, Respondent.


Zara Javakov, Esq., P.C. (Damin J. Toell of counsel), for appellant. McDonnell, Adels & Klesyzick, PLLC (Michael J. Giordano of counsel), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Jill R. Epstein, J.), dated February 1, 2023. The order granted defendant’s motion to vacate a judgment of the same court entered March 11, 2019 upon defendant’s failure to appear or answer the complaint and to compel plaintiff to accept defendant’s answer.

ORDERED that the order is reversed, with $30 costs, and defendant’s motion to vacate the default judgment entered March 11, 2019 and to compel plaintiff to accept defendant’s answer is denied.

In this action by a provider to recover assigned first-party no-fault benefits, a judgment was entered on March 11, 2019 upon defendant’s failure to appear or answer the complaint. Defendant subsequently moved to vacate the default judgment pursuant to CPLR 5015 (a) (1) and to compel plaintiff to accept defendant’s answer pursuant to CPLR 3012 (d). Plaintiff opposed the motion. By order dated February 1, 2023, the Civil Court granted defendant’s motion. On appeal, plaintiff argues that defendant provided neither a reasonable excuse for its default nor a potentially meritorious defense to the action.

“A defendant seeking to vacate a default in answering a complaint pursuant to CPLR 5015 (a) (1) and to compel the plaintiff to accept an untimely answer pursuant to CPLR 3012 (d) must show both a reasonable excuse for the default and the existence of a potentially meritorious [*2]defense (see Deutsche Bank Natl. Trust Co. v Abrahim, 183 AD3d 698 [2020]; US Bank N.A. v Dedomenico, 162 AD3d 962, 964 [2018])” (JE & MB Homes, LLC v U.S. Bank N.A., 189 AD3d 1195, 1196 [2020]). A claim representative employed by defendant submitted an affidavit stating that while she believed the summons and complaint had been sent to counsel via email, it was subsequently determined that the email was not properly sent to counsel due to a clerical error. However, defendant failed to proffer an affidavit from someone with personal knowledge setting forth what the clerical error consisted of, who made the error, who discovered the error, and when the error was discovered. Consequently, defendant’s conclusory and unsubstantiated assertion that its default was due to a clerical error was insufficient to qualify as a reasonable excuse (see A.B. Med. Servs. PLLC v Allstate Ins. Co.,11 Misc 3d 128[A], 2006 NY Slip Op 50243[U] [App Term, 2d Dept, 2d & 11th Jud Dists 2006]). In light of the foregoing, it is unnecessary to consider whether defendant demonstrated a potentially meritorious defense to the action (see Hingorani v Venus Enters. 11 Corp., 208 AD3d 1229, 1230 [2022]; Art of Healing Medicine, P.C. v Allstate Ins. Co., 81 Misc 3d 141[A], 2023 NY Slip Op 51471[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dist 2023]).

Accordingly, the order is reversed and defendant’s motion to vacate the default judgment entered March 11, 2019 and to compel plaintiff to accept defendant’s answer is denied.

BUGGS, J.P., TOUSSAINT and MUNDY, JJ., concur.

ENTER:
Paul Kenny
Chief Clerk
Decision Date: September 27, 2024

Cited in this decision

A label shows how this decision treated the case it cites.

  • A.B. Med. Servs. PLLC v Allstate Ins. Co. (2006 NY Slip Op 50243(U)) FollowedThe insurer failed to establish a reasonable excuse for its default or a meritorious defense to the providers' claims.
  • Art of Healing Medicine, P.C. v Allstate Ins. Co. (2023 NY Slip Op 51471(U))The insurer failed to establish a reasonable excuse for its default based on nonreceipt of process or pandemic-related staffing reductions.

Similar decisions

  • Hand By Hand, PT, P.C. v New York Cent. Mut. Fire Ins. Co. (2022 NY Slip Op 50774(U))The insurer failed to establish a reasonable excuse for default because it did not explain mailing both answers to counsel's prior address.
  • Cautious Care Med., P.C. v 21st Century Ins. Co. (2021 NY Slip Op 50785(U))The insurer established a reasonable excuse for default through process-receipt procedures and records showing no record of the lawsuit.
  • Medical Supply of NY Corp. v Berkshire Hathaway Homestate Ins. Co. (2025 NY Slip Op 50504(U))The insurer obtained default vacatur under CPLR 317 based on delayed actual notice and a potential workers' compensation defense.
  • J.O. Dedicated Med., P.C. v State Farm Mut. Auto. Ins. Co. (2009 NY Slip Op 51089(U))The insurer's assertion of clerical inadvertence did not establish a reasonable excuse for its default in answering.
  • Trinity Medicine, P.C. v National Gen. Ins. Co. (2025 NY Slip Op 50197(U))The insurer's isolated failure to serve its answer was excusable, and a default declaratory judgment supplied a potentially meritorious defense.
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