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July 22, 2009

Richard Denise, M.D., P.C. v New York City Tr. Auth. (2009 NY Slip Op 29313)

https://www.beynensonlaw.com/case-law/richard-denise-m-d-p-c-v-new-york-city-tr-auth-2009-ny-slip-op-29313/

Court
Appellate Term, First Department
Decided
July 22, 2009
Citation
2009 NY Slip Op 29313 · 25 Misc 3d 13
Posture
Other motion
Outcome
Provider prevailed
Later history
Reversed by Richard Denise M.D. P.C. v New York City Tr. Auth. (2012 NY Slip Op 04925)
Later treatment
Contrasted (cf., but see) in 1 later decision (see Cited by)
Issues
Statute of limitations
Legal questions
No-fault statute of limitations (see the maps)
Cite as
Richard Denise, M.D., P.C. v New York City Tr. Auth., 25 Misc 3d 13 (App Term, 1st Dept 2009)

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.

A no-fault claim against a self-insurer is subject to the six-year statute of limitations in CPLR 213 (2). The self-insurer argued that its strictly statutory liability required suit within three years, although an identical claim against an insured owner had a six-year period. The Appellate Term, First Department, rejected that distinction, reversed the dismissal order, denied the motion, and reinstated the provider's complaint. Mandatory no-fault obligations under Insurance Law § 5103 (a), Vehicle and Traffic Law § 321 (2), and Public Authorities Law § 1215 are not diminished by self-insurance. Following the contractual treatment of uninsured motorist claims in Matter of ELRAC, Inc. v Suero, the court found no legal or compelling policy basis for treating no-fault claims differently.

Reported in New York Official Reports at Richard Denise, M.D., P.C. v New York City Tr. Auth. (2009 NY Slip Op 29313)

Richard Denise, M.D., P.C. v New York City Tr. Auth.
2009 NY Slip Op 29313 [25 Misc 3d 13]
Accepted for Miscellaneous Reports Publication
AT1
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Wednesday, October 14, 2009


[*1]
Richard Denise, M.D., P.C., as Assignee of Irene Trapp, Appellant,
v
New York City Transit Authority, Respondent.

Supreme Court, Appellate Term, First Department, July 22, 2009

APPEARANCES OF COUNSEL

Israel, Israel & Purdy, LLP, Great Neck (Jennifer Greenhalgh Howard of counsel), for appellant. Law Offices of Jones Jones O’Connell LLP, Brooklyn (Agnes Neiger of counsel), for respondent.

{**25 Misc 3d at 11} OPINION OF THE COURT

Per Curiam.

Order, dated May 7, 2007, reversed, without costs, motion denied and complaint reinstated.

Defendant New York City Transit Authority concedes that as a self-insurer, it is subject to the provisions of the No-Fault Law to the same extent as an insurer (see Insurance Law § 5103 [a]; Vehicle and Traffic Law § 321 [2]; Public Authorities Law § 1215; Dermatossian v New York City Tr. Auth., 67 NY2d 219 [1986]), and that actions to recover no-fault benefits are generally governed by a six-year statute of limitations (see CPLR 213 [2]; Matter of Travelers Indem. Co. of Conn. v Glenwood Med., P.C., 48 AD3d 319 [2008]). It argues, however, that while an injured claimant has six years to assert a no-fault claim against an insured owner, a claimant must assert an identical claim against a self-insurer within three years, since the liability of a self-insurer for the payment of no-fault benefits is derived strictly from statute. We disagree.

Defendant’s responsibility to provide no-fault coverage is mandatory and the obligation is not decreased merely because defendant is self-insured (see Matter of Allstate Ins. Co. v Shaw, 52 NY2d 818, 820 [1980]). As in the case of an uninsured motorist claim (see Matter of ELRAC, Inc. v Suero, 38 AD3d 544 [2007], lv denied 9 NY3d 811 [2007]), the right to obtain no-fault coverage, from an injured claimant’s perspective, “is no less than the corresponding right under a policy issued by an insurer” (id. at 545 [internal quotation marks omitted]; see also Spring World Acupuncture, P.C. v New York City Tr. Auth., 24 Misc 3d 39 [2009]). The Suero court held that although a claim for uninsured motorist benefits against a self-insurer is statutorily mandated, such a claim remains contractual in nature and thus, is subject to a six-year statute of limitations. Since we find no basis in law or compelling reasons of policy to distinguish between the right to uninsured motorist benefits and the right to no-fault benefits, we hold that a claim for no-fault benefits against a self-insurer, such as defendant here, is governed by a six-year statute of limitations.

McKeon, P.J., and Heitler, J., concur.

Legal questions

A question of no-fault law this decision rules on, from our Legal Questions pages. Bars count the decisions on the question by year and court, coloured by category; circles are this decision and the decisions on the question it cites or that cite it. Point at a bar or circle for details. The categories and summaries are Beynenson Law’s classification, made by a language model and checked by a second reading.

No-fault statute of limitations

Open the full map

Which limitations period governs a first-party no-fault claim against an insurer, self-insurer or MVAIC: six or three years?

This decision: Claim against a self-insurer carries the six-year contract period (pre-2018 Second Dept / App Term 1st Dept line)

Rejected the self-insurer's three-year argument and held a no-fault claim against it governed by six years, finding no basis to distinguish no-fault benefits from UM benefits, which remain contractual though statutorily mandated.

  • Court of AppealsCt App 1
  • Appellate DivisionApp Div 3
  • Appellate TermApp Term 6
  • Trial courtsTrial 1
2018, Court of Appeals: 1 decision (1 Three years: self-insurer)2008, Appellate Division: 1 decision (1 Six years: insurer)2011, Appellate Division: 1 decision (1 Three years: self-insurer)2012, Appellate Division: 1 decision (1 Three years: self-insurer)2013, Appellate Term: 1 decision (1 Six years: insurer)2010, Appellate Term: 2 decisions (1 Six years: insurer, 1 Three years: MVAIC)2009, Appellate Term: 2 decisions (2 Six years: self-insurer)2011, Appellate Term: 1 decision (1 Three years: MVAIC)2005, Trial courts: 1 decision (1 Three years: MVAIC)This decision
2006200820102012201420162018
Six years: insurerSix years: self-insurerThree years: self-insurerThree years: MVAICThis decisionCites it or cited by itCited or followedDistinguished or limitedDeclined to follow, questioned, overruled or reversed

Of the 11 decisions on this question in the First Department courts and the Court of Appeals, 2 (this one included) are in the same category. 2 decisions in other departments that cite or are cited by this one are on the full map.

Cited in this decision

  • Matter of Travelers Indem. Co. of Conn. v Glenwood Med., P.C. (2008 NY Slip Op 01598)An insurer's reconsideration of a denied no-fault claim does not extend the claim's accrual date for statute-of-limitations purposes.
  • Spring World Acupuncture, P.C. v NYC Tr. Auth. (2009 NY Slip Op 29229)An action to recover first-party no-fault benefits from a self-insurer is governed by the six-year limitation period in CPLR 213 (2).

Cited by

A label shows how the later decision treated this one.

  • Richard Denise M.D. P.C. v New York City Tr. Auth. (2012 NY Slip Op 04925) ReversedThe transit authority's statutory obligation to provide no-fault benefits is subject to the three-year limitations period in CPLR 214 (2).
  • Downtown Integrated Med. Servs., P.C. v MVAIC (2010 NY Slip Op 51778(U)) Contrasted (cf., but see)Assigned no-fault claims against MVAIC are subject to a three-year statute of limitations because its payment obligation is statutory.
  • A.B. Med. Servs., PLLC v New York City Tr. Auth. (2009 NY Slip Op 52832(U))An action to recover first-party no-fault benefits from a self-insurer is subject to the six-year statute of limitations.

Similar decisions

  • Contact Chiropractic, P.C. v New York City Tr. Auth. (2013 NY Slip Op 23410)A claim for wrongfully withheld no-fault benefits against a self-insured public bus carrier is governed by a six-year limitations period.
  • M.N. Dental Diagnostics, P.C. v New York City Tr. Auth. (2011 NY Slip Op 01525)A no-fault claim against a common carrier is subject to CPLR 214 (2)'s three-year period where no contract exists with the assignor.
  • J & S Med. Supplies, Inc. v Republic W. Ins. Co. (2009 NY Slip Op 51595(U))The insurer's limitations-based dismissal motion was properly denied under the six-year statute of limitations.
  • Hackensack Univ. Med. Ctr. v New York City Tr. Auth. (2004 NY Slip Op 06632)The provider's claim against the self-insurer failed because the first accident notice was a bill submitted beyond the 90-day deadline.
  • Greenway Med. Supply Corp. v Repwest Ins. Co. (2022 NY Slip Op 51269(U))The defendant claims handler established that it had issued no automobile policy covering the accident and owed no no-fault coverage.
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