August 2, 2019

Starlite Acupuncture, P.C. v MVAIC (2019 NY Slip Op 51243(U))

Headnote

MVAIC established that no timely notice to make claim had been filed, defeating the provider's right to seek no-fault benefits. Under Insurance Law § 5208 (a), timely filing is a condition precedent to payment, and the assignor was therefore not a covered person under Insurance Law § 5221 (b) (2). The provider failed to show that leave to file a late notice had been obtained under Insurance Law § 5208 (c) or otherwise raise a triable issue. The Appellate Term, Second Department, reversed the order denying MVAIC's motion and granted summary judgment dismissing the complaint.

Reported in New York Official Reports at Starlite Acupuncture, P.C. v MVAIC (2019 NY Slip Op 51243(U))

[*1]
Starlite Acupuncture, P.C. v MVAIC
2019 NY Slip Op 51243(U) [64 Misc 3d 140(A)]
Decided on August 2, 2019
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This opinion is uncorrected and will not be published in the printed Official Reports.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 2, 2019
SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

PRESENT: : MICHAEL L. PESCE, P.J., MICHELLE WESTON, THOMAS P. ALIOTTA, JJ
2016-3006 K C

Starlite Acupuncture, P.C., as Assignee of Torres, Yamil, Respondent,

against

MVAIC, Appellant.


Marshall & Marshall, PLLC (Barbara Carabell of counsel), for appellant. The Rybak Firm, PLLC (Damin J. Toell of counsel), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (Robin S. Garson, J.), entered July 8, 2016. The order denied defendant’s motion for summary judgment dismissing the complaint.

ORDERED that the order is reversed, with $30 costs, and defendant’s motion for summary judgment dismissing the complaint is granted.

In this action by a provider to recover assigned first-party no-fault benefits, defendant Motor Vehicle Accident Indemnification Corporation (sued herein as MVAIC) appeals from an order of the Civil Court which denied defendant’s motion for summary judgment dismissing the complaint.

Since MVAIC established that there had been no timely filing of a notice to make claim (see Insurance Law § 5208 [a]), plaintiff’s assignor is not a “covered person” (Insurance Law § 5221 [b] [2]). Thus, a condition precedent to plaintiff’s right to apply for payment of no-fault benefits from defendant has not been satisfied (see M.N.M. Med. Health Care, P.C. v MVAIC, 22 Misc 3d 128[A], 2009 NY Slip Op 50041[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2009]; Bell Air Med. Supply, LLC v MVAIC, 16 Misc 3d 135[A], 2007 NY Slip Op 51607[U] [App Term, 2d Dept, 2d & 11th Jud Dists 2007]). In opposition to MVAIC’s motion, plaintiff failed to establish that leave had


been obtained to file a late notice of claim or otherwise raise a triable issue of fact (see Insurance [*2]Law § 5208 [c]).

Accordingly, the order is reversed and defendant’s motion for summary judgment dismissing the complaint is granted.

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


ENTER:
Paul Kenny
Chief Clerk
Decision Date: August 02, 2019