September 10, 2008

Odessa Medical Supply, Inc. v Kemper Auto & Home Ins. Co. (2008 NY Slip Op 51868(U))

Headnote

The relevant facts the court considered in this case include the plaintiff, Odessa Medical Supply, Inc., seeking to recover first-party no-fault benefits from Kemper Auto & Home Insurance Company, which involved a claim submitted to Unitrin Advantage Insurance Company. Unitrin had scheduled examinations under oath of the assignor's physician, but when the physician failed to appear, Unitrin issued a denial of claim form. The plaintiff then commenced an action against Kemper, with Unitrin serving and filing an answer, stating it was incorrectly sued as Kemper. The main issue decided was whether the plaintiff's motion for summary judgment against Kemper should be denied since it was served upon Unitrin and based on a claim submitted to Unitrin, and whether Unitrin's cross motion to dismiss the complaint should also be denied. The holding of the case was that the plaintiff's motion for summary judgment against Kemper was denied, as the motion papers were served upon Unitrin and the action was based on a claim submitted to Unitrin, with no showing that Kemper and Unitrin are a single entity. Additionally, since Unitrin was not a formal party to the action and sought to dismiss the complaint against a different entity, its cross motion was also denied.

Reported in New York Official Reports at Odessa Medical Supply, Inc. v Kemper Auto & Home Ins. Co. (2008 NY Slip Op 51868(U))

Odessa Medical Supply, Inc. v Kemper Auto & Home Ins. Co. (2008 NY Slip Op 51868(U)) [*1]
Odessa Medical Supply, Inc. v Kemper Auto & Home Ins. Co.
2008 NY Slip Op 51868(U) [20 Misc 3d 145(A)]
Decided on September 10, 2008
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This opinion is uncorrected and will not be published in the printed Official Reports.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 10, 2008

SUPREME COURT OF THE STATE OF NEW YORK

APPELLATE TERM: 2nd and 11th JUDICIAL DISTRICTS


PRESENT: : PESCE, P.J., RIOS and STEINHARDT, JJ
2007-1594 Q C.
Odessa Medical Supply, Inc. a/a/o Swift Jattu-Conteh, Appellant,

against

Kemper Auto & Home Insurance Company, Respondent.

Appeal from an order of the Civil Court of the City of New York, Queens County (Diane A. Lebedeff, J.), entered September 4, 2007. The order denied a motion by plaintiff for summary judgment and granted a cross motion by “Unitrin Advantage Insurance Company i/s/h/a Kemper Auto & Home Insurance Company” for summary judgment dismissing the complaint.

Order modified by providing that plaintiff’s motion for summary judgment and the cross motion for summary judgment dismissing the complaint are denied without prejudice; as so modified, affirmed without costs.

In this action, plaintiff, a provider, seeks to recover assigned first-party no-fault benefits from the named defendant, Kemper Auto & Home Insurance Company (Kemper). In June 2005, plaintiff submitted its no-fault claim to Unitrin Advantage Insurance Company (Unitrin). During the claims process, a law firm representing Kemper scheduled examinations under oath (EUOs) of the assignor’s physician. “Unitrin Kemper Auto and Home” sent plaintiff a letter stating that there would be a delay in the consideration of its claim pending the completion of the scheduled EUOs. After the physician failed to appear for the EUOs, Unitrin issued a denial of claim form in September 2005. Thereafter, plaintiff commenced the instant action against Kemper. Unitrin served and filed an answer in which it stated that it was “i/s/h/a [incorrectly sued herein as] Kemper Auto & Home Insurance Company.” After receiving the answer, plaintiff did not move to amend the caption or join Unitrin as a party; rather, it moved for summary judgment, with Kemper still listed in the caption as the lone defendant. Plaintiff’s attorney stated in the moving papers that his affirmation was “in support of the within motion seeking summary judgment against the defendant, Kemper Auto & Home Insurance Company.” Plaintiff, however, served this motion upon Unitrin’s attorneys. A cross motion for summary [*2]judgment dismissing the complaint was served and filed by “Unitrin Advantage Insurance Company i/s/h/a Kemper Auto & Home Insurance Company,” asserting, inter alia, that plaintiff had sued the wrong insurer. By order entered September 4, 2007, the court below denied plaintiff’s motion and granted Unitrin’s cross motion. The instant appeal by plaintiff ensued.

Plaintiff’s motion for summary judgment against Kemper must be denied since its motion papers were served upon Unitrin, the action was based upon a claim submitted to Unitrin, and there has been no showing that Kemper and Unitrin are effectively a single entity. Moreover, given the fact that Unitrin is not currently a formal party to this action, and its cross motion seeks to dismiss the complaint which is asserted against a different entity, its cross motion is similarly denied.

Pesce, P.J., Rios and Steinhardt, JJ., concur.
Decision Date: September 10, 2008