# 11 NYCRR 65-2.4: Conditions

- Part of: 11 NYCRR Subpart 65-2 (Insurance Regulation 68-B), Rights And Liabilities Of Self-Insurers; 11 NYCRR Part 65 (Insurance Regulation 68)
- Page: https://www.beynensonlaw.com/no-fault-regulations/11-nycrr-65-2-4/
- Source: New York State Department of Financial Services, https://www.dfs.ny.gov/system/files/documents/2024/08/reg68_11_nycrr_65_full_txt.pdf (retrieved 2026-10-04)
- Checked against the Department's list of amendments through 2026-10-04
- Unofficial copy. The official compilation is the New York Codes, Rules and Regulations (NYCRR).
- Each provision below starts with its full path, so (a)(2) is paragraph (2) of subdivision (a). Stable IDs have the form `11nycrr:65-2.4(a)(2)`.

## Text

(a) Action against self-insurer. No action shall lie against the self-insurer unless, as a condition precedent thereto, there shall have been full compliance with the terms of this section.

(b) Notice. In the event of an accident, written notice setting forth details sufficient to identify the eligible injured person, along with reasonably obtainable information regarding the time, place and circumstances of the accident, shall be given by or on behalf of each eligible injured person to the self-insurer or any of the self-insurer’s authorized agents, as soon as reasonably practicable, but in no event more than 30 days after the date of the accident, unless the eligible injured person submits written proof providing clear and reasonable justification for the failure to comply with such time limitation. If an eligible injured person or that person’s legal representative institutes a proceeding to recover damages for personal injury under section 5104(b) of the New York Insurance Law, a copy of the summons and complaint or other process served in connection with such action shall be forwarded as soon as practicable to the self-insurer or any of the self-insurer’s authorized agents by such eligible injured person or that person’s legal representative.

(c) Proof of claim; medical, work loss, and other necessary expenses. In the case of a claim for health service expenses, the eligible injured person or that person’s assignee or legal representative shall submit written proof of claim to the self-insurer, including full particulars of the nature and extent of the injuries and treatment received and contemplated, as soon as reasonably practicable but, in no event later than 45 days after the date services are rendered. The eligible injured person or that person’s legal representative shall submit written proof of claim for work loss benefits and for other necessary expenses to the self-insurer as soon as reasonably practicable but, in no event, later than 90 days after the work loss is incurred or the other necessary services are rendered. The foregoing time limitations for the submission of proof of claim shall apply unless the eligible injured person submits written proof providing clear and reasonable justification for the failure to comply with such time limitation. Upon request by the self-insurer, the eligible injured person or that person’s assignee or representative shall:

(c)(1) execute a written proof of claim under oath;

(c)(2) as may reasonably be required submit to examinations under oath by any person named by the self-insurer and subscribe the same;

(c)(3) provide authorization that will enable the self-insurer to obtain medical records; and

(c)(4) provide any other pertinent information that may assist the self-insurer in determining the amount due and payable.

The eligible injured person shall submit to medical examination by physicians selected by, or acceptable to, the self-insurer, when, and as often as, the self-insurer may reasonably require.

(d) Arbitration. In the event any person making a claim for first-party benefits and the self-insurer do not agree regarding any matter relating to the claim, such person shall have the option of submitting such disagreement to arbitration pursuant to Subpart 64-5 of this Title.

## Historical note

Sec. filed Aug. 2, 2001 eff. Sept. 1, 2001.

## Decisions citing this section (59)

From the beynensonlaw.com case-law database, grouped by the subdivision cited. Highest court first, then most-cited first. Compiled automatically from the text of the decisions.

### Subdivision (a) (12)

- [Jennings v Metropolitan Transp. Auth. (2024 NY Slip Op 01801)](https://www.beynensonlaw.com/case-law/jennings-v-metropolitan-transp-auth-2024-ny-slip-op-01801/) — Appellate Division, Second Department
- [Great Health Care Chiropractic, P.C. v Elrac, Inc. (2015 NY Slip Op 51223(U))](https://www.beynensonlaw.com/case-law/great-health-care-chiropractic-p-c-v-elrac-inc-2015-ny-slip-op-51223u/) — Appellate Term, Second Department
- [Compas Med., P.C. v ELRAC, Inc. (2016 NY Slip Op 51497(U))](https://www.beynensonlaw.com/case-law/compas-med-p-c-v-elrac-inc-2016-ny-slip-op-51497u/) — Appellate Term, Second Department
- [Parisien v NY City Tr. Auth. (2018 NY Slip Op 51699(U))](https://www.beynensonlaw.com/case-law/parisien-v-ny-city-tr-auth-2018-ny-slip-op-51699u/) — Appellate Term, Second Department
- [Greenway Med. Supply Corp. v ELRAC, Inc. (2017 NY Slip Op 51236(U))](https://www.beynensonlaw.com/case-law/greenway-med-supply-corp-v-elrac-inc-2017-ny-slip-op-51236u/) — Appellate Term, Second Department
- [Greenway Med. Supply Corp. v ELRAC, Inc. (2017 NY Slip Op 50950(U))](https://www.beynensonlaw.com/case-law/greenway-med-supply-corp-v-elrac-inc-2017-ny-slip-op-50950u/) — Appellate Term, Second Department
- [Compas Med., P.C. v ELRAC, Inc. (2017 NY Slip Op 50926(U))](https://www.beynensonlaw.com/case-law/compas-med-p-c-v-elrac-inc-2017-ny-slip-op-50926u/) — Appellate Term, Second Department
- [Greenway Med. Supply Corp. v ELRAC, Inc. (2016 NY Slip Op 51078(U))](https://www.beynensonlaw.com/case-law/greenway-med-supply-corp-v-elrac-inc-2016-ny-slip-op-51078u/) — Appellate Term, Second Department
- [Sabodash v Hereford Ins. Co. (2021 NY Slip Op 51099(U))](https://www.beynensonlaw.com/case-law/sabodash-v-hereford-ins-co-2021-ny-slip-op-51099u/) — Trial court
- [Alsaad Med., P.C. v State Farm Mut. Auto. Ins. Co. (2021 NY Slip Op50532(U))](https://www.beynensonlaw.com/case-law/alsaad-med-p-c-v-state-farm-mut-auto-ins-co-2021-ny-slip-op50532u/) — Trial court
- [Tian Shan Acupuncture PC v Global Liberty Ins. Co. (2019 NY Slip Op 50728(U))](https://www.beynensonlaw.com/case-law/tian-shan-acupuncture-pc-v-global-liberty-ins-co-2019-ny-slip-op50728u/) — Trial court
- [Pro-Align Chiropractic, P.C. v State Farm Mut. Auto. Ins. Co. (2018 NY Slip Op 50341(U))](https://www.beynensonlaw.com/case-law/pro-align-chiropractic-p-c-v-state-farm-mut-auto-ins-co-2018-ny-slip-op50341u/) — Trial court

### Subdivision (b) (20)

- [Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co. (2015 NY Slip Op 04787)](https://www.beynensonlaw.com/case-law/viviane-etienne-med-care-p-c-v-country-wide-ins-co-2015-ny-slip-op-04787/) — Court of Appeals
- [Hospital for Joint Diseases v Travelers Prop. Cas. Ins. Co. (2007 NY Slip Op 09067)](https://www.beynensonlaw.com/case-law/hospital-for-joint-diseases-v-travelers-prop-cas-ins-co-2007-ny-slip-op-09067/) — Court of Appeals
- [Fair Price Med. Supply Corp. v Travelers Indem. Co. (2008 NY Slip Op 04946)](https://www.beynensonlaw.com/case-law/fair-price-med-supply-corp-v-travelers-indem-co-2008-ny-slip-op-04946/) — Court of Appeals
- [Aetna Health Plans v Hanover Ins. Co. (2016 NY Slip Op 04658)](https://www.beynensonlaw.com/case-law/aetna-health-plans-v-hanover-ins-co-2016-ny-slip-op-04658/) — Court of Appeals
- [Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co. (2013 NY Slip Op 08430)](https://www.beynensonlaw.com/case-law/viviane-etienne-med-care-p-c-v-country-wide-ins-co-2013-ny-slip-op-08430/) — Appellate Division, Second Department
- [Jennings v Metropolitan Transp. Auth. (2024 NY Slip Op 01801)](https://www.beynensonlaw.com/case-law/jennings-v-metropolitan-transp-auth-2024-ny-slip-op-01801/) — Appellate Division, Second Department
- [Jamaica Med. Supply, Inc. v NY City Tr. Auth. (2012 NY Slip Op 51660(U))](https://www.beynensonlaw.com/case-law/jamaica-med-supply-inc-v-ny-city-tr-auth-2012-ny-slip-op-51660u/) — Appellate Term, Second Department
- [Tam Med. Supply Corp. v Fiduciary Ins. Co. of Am. (2016 NY Slip Op 51352(U))](https://www.beynensonlaw.com/case-law/tam-med-supply-corp-v-fiduciary-ins-co-of-am-2016-ny-slip-op51352u/) — Appellate Term, Second Department
- [Great Health Care Chiropractic, P.C. v Elrac, Inc. (2015 NY Slip Op 51223(U))](https://www.beynensonlaw.com/case-law/great-health-care-chiropractic-p-c-v-elrac-inc-2015-ny-slip-op-51223u/) — Appellate Term, Second Department
- [Comfort Supply, Inc. v Clarendon Natl. Ins. Co. (2011 NY Slip Op 52018(U))](https://www.beynensonlaw.com/case-law/comfort-supply-inc-v-clarendon-natl-ins-co-2011-ny-slip-op52018u/) — Appellate Term, Second Department
- [Ukon Med. Care, P.C. v Clarendon Natl. Ins. Co. (2012 NY Slip Op 52176(U))](https://www.beynensonlaw.com/case-law/ukon-med-care-p-c-v-clarendon-natl-ins-co-2012-ny-slip-op52176u/) — Appellate Term, Second Department
- [Compas Med., P.C. v ELRAC, Inc. (2016 NY Slip Op 51497(U))](https://www.beynensonlaw.com/case-law/compas-med-p-c-v-elrac-inc-2016-ny-slip-op-51497u/) — Appellate Term, Second Department
- [Alleviation Med. Servs., P.C. v Hertz Co. (2017 NY Slip Op 50046(U))](https://www.beynensonlaw.com/case-law/alleviation-med-servs-p-c-v-hertz-co-2017-ny-slip-op-50046u/) — Appellate Term, Second Department
- [Medical Careworks, P.C. v American Tr. Ins. Co. (2012 NY Slip Op 51281(U))](https://www.beynensonlaw.com/case-law/medical-careworks-p-c-v-american-tr-ins-co-2012-ny-slip-op51281u/) — Appellate Term, Second Department
- [Manhattan Med. Imaging, P.C. v State Farm Mut. Auto. Ins. Co. (2008 NY Slip Op 51844(U))](https://www.beynensonlaw.com/case-law/manhattan-med-imaging-p-c-v-state-farm-mut-auto-ins-co-2008-ny-slip-op51844u/) — Trial court
- [Inwood Hill Med. v Allstate Ins. Co. (2004 NY Slip Op 50565(U))](https://www.beynensonlaw.com/case-law/inwood-hill-med-v-allstate-ins-co-2004-ny-slip-op-50565u/) — Trial court
- [Williams v Kemper Independence Ins. Co. (2025 NY Slip Op 50101(U))](https://www.beynensonlaw.com/case-law/williams-v-kemper-independence-ins-co-2025-ny-slip-op-50101u/) — Trial court
- [Sabodash v Hereford Ins. Co. (2021 NY Slip Op 51099(U))](https://www.beynensonlaw.com/case-law/sabodash-v-hereford-ins-co-2021-ny-slip-op-51099u/) — Trial court
- [Alleviation Med. Servs., PC v Hertz Co. (2015 NY Slip Op 25285)](https://www.beynensonlaw.com/case-law/alleviation-med-servs-pc-v-hertz-co-2015-ny-slip-op-25285/) — Trial court
- [Five Boro Psychological Servs., P.C. v AutoOne Ins. Co. (2008 NY Slip Op28510)](https://www.beynensonlaw.com/case-law/five-boro-psychological-servs-p-c-v-autoone-ins-co-2008-ny-slip-op28510/) — Trial court

### Subdivision (c) (30)

- [Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co. (2015 NY Slip Op 04787)](https://www.beynensonlaw.com/case-law/viviane-etienne-med-care-p-c-v-country-wide-ins-co-2015-ny-slip-op-04787/) — Court of Appeals
- [Hospital for Joint Diseases v Travelers Prop. Cas. Ins. Co. (2007 NY Slip Op 09067)](https://www.beynensonlaw.com/case-law/hospital-for-joint-diseases-v-travelers-prop-cas-ins-co-2007-ny-slip-op-09067/) — Court of Appeals
- [Fair Price Med. Supply Corp. v Travelers Indem. Co. (2008 NY Slip Op 04946)](https://www.beynensonlaw.com/case-law/fair-price-med-supply-corp-v-travelers-indem-co-2008-ny-slip-op-04946/) — Court of Appeals
- [Viviane Etienne Med. Care, P.C. v Country-Wide Ins. Co. (2013 NY Slip Op 08430)](https://www.beynensonlaw.com/case-law/viviane-etienne-med-care-p-c-v-country-wide-ins-co-2013-ny-slip-op-08430/) — Appellate Division, Second Department
- [A.M. Med. Servs., P.C. v Progressive Cas. Ins. Co. (2012 NY Slip Op 06902)](https://www.beynensonlaw.com/case-law/a-m-med-servs-p-c-v-progressive-cas-ins-co-2012-ny-slip-op-06902/) — Appellate Division, Second Department
- [Hertz Vehicles, LLC v Best Touch PT, P.C. (2018 NY Slip Op 04854)](https://www.beynensonlaw.com/case-law/hertz-vehicles-llc-v-best-touch-pt-p-c-2018-ny-slip-op-04854/) — Appellate Division, First Department
- [Matter of Kane v Fiduciary Ins. Co. of Am. (2014 NY Slip Op 00593)](https://www.beynensonlaw.com/case-law/matter-of-kane-v-fiduciary-ins-co-of-am-2014-ny-slip-op00593/) — Appellate Division, First Department
- [Matter of Fast Care Med. Diagnostics, PLLC/PV v Government Empls. Ins. Co. (2018 NY Slip Op 03831)](https://www.beynensonlaw.com/case-law/matter-of-fast-care-med-diagnostics-pllc-pv-v-government-empls-ins-co-2018ny-slip-op-03831/) — Appellate Division, Second Department
- [Compas Med., P.C. v New York Cent. Mut. Fire Ins. Co. (2016 NY Slip Op 50307(U))](https://www.beynensonlaw.com/case-law/compas-med-p-c-v-new-york-cent-mut-fire-ins-co-2016-ny-slip-op50307u/) — Appellate Term, Second Department
- [Sunrise Acupuncture PC v ELRAC, Inc. (2016 NY Slip Op 50905(U))](https://www.beynensonlaw.com/case-law/sunrise-acupuncture-pc-v-elrac-inc-2016-ny-slip-op-50905u/) — Appellate Term, First Department
- [Longevity Med. Supply, Inc. v MVAIC (2021 NY Slip Op 50440(U))](https://www.beynensonlaw.com/case-law/longevity-med-supply-inc-v-mvaic-2021-ny-slip-op-50440u/) — Appellate Term, Second Department
- [S.O.V. Acupuncture, P.C. v Global Liberty Ins. Co. of N.Y. (2020 NY Slip Op 51004(U))](https://www.beynensonlaw.com/case-law/s-o-v-acupuncture-p-c-v-global-liberty-ins-co-of-n-y-2020-ny-slip-op51004u/) — Appellate Term, Second Department
- [Karina K. Acupuncture, P.C. v Hertz Claim Mgt. Corp. (2018 NY Slip Op 51762(U))](https://www.beynensonlaw.com/case-law/karina-k-acupuncture-p-c-v-hertz-claim-mgt-corp-2018-ny-slip-op-51762u/) — Appellate Term, Second Department
- [Healthway Med. Care, P.C. v MVAIC (2026 NY Slip Op 50200(U))](https://www.beynensonlaw.com/case-law/healthway-med-care-p-c-v-mvaic-2026-ny-slip-op-50200u/) — Appellate Term, Second Department
- [Sunrise Acupuncture, P.C. v Hertz Claim Mgt. Corp. (2019 NY Slip Op 51357(U))](https://www.beynensonlaw.com/case-law/sunrise-acupuncture-p-c-v-hertz-claim-mgt-corp-2019-ny-slip-op-51357u/) — Appellate Term, Second Department
- [Greenway Med. Supply Corp. v Elrac, Inc. (2017 NY Slip Op 51198(U))](https://www.beynensonlaw.com/case-law/greenway-med-supply-corp-v-elrac-inc-2017-ny-slip-op-51198u/) — Appellate Term, Second Department
- [Barry G. Fisher, M.D., P.C. v New York City Tr. Auth. (2015 NY Slip Op 51566(U))](https://www.beynensonlaw.com/case-law/barry-g-fisher-m-d-p-c-v-new-york-city-tr-auth-2015-ny-slip-op-51566u/) — Appellate Term, Second Department
- [Inwood Hill Med. v Allstate Ins. Co. (2004 NY Slip Op 50565(U))](https://www.beynensonlaw.com/case-law/inwood-hill-med-v-allstate-ins-co-2004-ny-slip-op-50565u/) — Trial court
- [Canarsie Med. Health, P.C. v National Grange Mut. Ins. Co. (2008 NY Slip Op 28380)](https://www.beynensonlaw.com/case-law/canarsie-med-health-p-c-v-national-grange-mut-ins-co-2008-ny-slip-op-28380/) — Trial court
- [Bayside Rehab & Physical Therapy, P.C. v GEICO Ins. Co. (2009 NY Slip Op 29145)](https://www.beynensonlaw.com/case-law/bayside-rehab-physical-therapy-p-c-v-geico-ins-co-2009-ny-slip-op-29145/) — Trial court
- [Surgicare Surgical v National Interstate Ins. Co. (2014 NY Slip Op 24362)](https://www.beynensonlaw.com/case-law/surgicare-surgical-v-national-interstate-ins-co-2014-ny-slip-op-24362/) — Trial court
- [Williams v Kemper Independence Ins. Co. (2025 NY Slip Op 50101(U))](https://www.beynensonlaw.com/case-law/williams-v-kemper-independence-ins-co-2025-ny-slip-op-50101u/) — Trial court
- [Sabodash v Hereford Ins. Co. (2021 NY Slip Op 51099(U))](https://www.beynensonlaw.com/case-law/sabodash-v-hereford-ins-co-2021-ny-slip-op-51099u/) — Trial court
- [Alsaad Med., P.C. v State Farm Mut. Auto. Ins. Co. (2021 NY Slip Op50532(U))](https://www.beynensonlaw.com/case-law/alsaad-med-p-c-v-state-farm-mut-auto-ins-co-2021-ny-slip-op50532u/) — Trial court
- [Tian Shan Acupuncture PC v Global Liberty Ins. Co. (2019 NY Slip Op 50728(U))](https://www.beynensonlaw.com/case-law/tian-shan-acupuncture-pc-v-global-liberty-ins-co-2019-ny-slip-op50728u/) — Trial court
- [Pro-Align Chiropractic, P.C. v State Farm Mut. Auto. Ins. Co. (2018 NY Slip Op 50341(U))](https://www.beynensonlaw.com/case-law/pro-align-chiropractic-p-c-v-state-farm-mut-auto-ins-co-2018-ny-slip-op50341u/) — Trial court
- [Lenox Hill Radiology v Global Liberty Ins. Co. of N.Y. (2017 NY Slip Op 50978(U))](https://www.beynensonlaw.com/case-law/lenox-hill-radiology-v-global-liberty-ins-co-of-n-y-2017-ny-slip-op50978u/) — Trial court
- [Alleviation Med. Servs., PC v Hertz Co. (2015 NY Slip Op 25285)](https://www.beynensonlaw.com/case-law/alleviation-med-servs-pc-v-hertz-co-2015-ny-slip-op-25285/) — Trial court
- [Back to Back Chiropractor, P.C. v State Farm Mut. Auto. Ins. Co. (2012 NY Slip Op 51088(U))](https://www.beynensonlaw.com/case-law/back-to-back-chiropractor-p-c-v-state-farm-mut-auto-ins-co-2012-ny-slip-op51088u/) — Trial court
- [Elmont Open MRI & Diagnostic Radiology, PC v New York Cent. Mut. Fire Ins. Co. (2010 NY Slip Op 51588(U))](https://www.beynensonlaw.com/case-law/elmont-open-mri-diagnostic-radiology-pc-v-new-york-cent-mut-fire-ins-co-2010-ny-slip-op-51588u/) — Trial court

### Subdivision (d) (2)

- [ENS Med., P.C. v Nationwide Ins. Co. (2026 NY Slip Op 26033)](https://www.beynensonlaw.com/case-law/ens-med-p-c-v-nationwide-ins-co-2026-ny-slip-op-26033/) — Trial court
- [Williams v Kemper Independence Ins. Co. (2025 NY Slip Op 50101(U))](https://www.beynensonlaw.com/case-law/williams-v-kemper-independence-ins-co-2025-ny-slip-op-50101u/) — Trial court

### Section cited without a subdivision (11)

- [Sound Shore Med. Ctr. v New York Cent. Mut. Fire Ins. Co. (2013 NY Slip Op 02390)](https://www.beynensonlaw.com/case-law/sound-shore-med-ctr-v-new-york-cent-mut-fire-ins-co-2013-ny-slip-op-02390/) — Appellate Division, Second Department
- [Mount Sinai Hosp. v New York Cent. Mut. Fire Ins. Co. (2014 NY Slip Op 05779)](https://www.beynensonlaw.com/case-law/mount-sinai-hosp-v-new-york-cent-mut-fire-ins-co-2014-ny-slip-op05779/) — Appellate Division, Second Department
- [Amaze Med. Supply v Eagle Ins. Co. (2003 NY Slip Op 51701(U))](https://www.beynensonlaw.com/case-law/amaze-med-supply-v-eagle-ins-co-2003-ny-slip-op-51701u/) — Appellate Term, Second Department
- [Damadian Mri In Elmhurst v Liberty Mut. Ins. Co. (2003 NY Slip Op 51700(U))](https://www.beynensonlaw.com/case-law/damadian-mri-in-elmhurst-v-liberty-mut-ins-co-2003-ny-slip-op-51700u/) — Appellate Term, Second Department
- [Norman Y. Schoenberg, M.D., P.C. v N.Y.C. Tr. Auth. (2013 NY Slip Op 50421(U))](https://www.beynensonlaw.com/case-law/norman-y-schoenberg-m-d-p-c-v-n-y-c-tr-auth-2013-ny-slip-op-50421u/) — Appellate Term, Second Department
- [Healthway Med. Care, P.C. v Country Wide Ins. Co. (2015 NY Slip Op 51654(U))](https://www.beynensonlaw.com/case-law/healthway-med-care-p-c-v-country-wide-ins-co-2015-ny-slip-op51654u/) — Appellate Term, Second Department
- [Synergy First Med. PLLC v ELRAC Inc. (2010 NY Slip Op 50048(U))](https://www.beynensonlaw.com/case-law/synergy-first-med-pllc-v-elrac-inc-2010-ny-slip-op-50048u/) — Appellate Term, First Department
- [Rockman v Clarendon Natl. Ins. Co. (2008 NY Slip Op 52093(U))](https://www.beynensonlaw.com/case-law/rockman-v-clarendon-natl-ins-co-2008-ny-slip-op-52093u/) — Trial court
- [Behavioral Diagnostics v Allstate Ins. Co. (2004 NY Slip Op 24041)](https://www.beynensonlaw.com/case-law/behavioral-diagnostics-v-allstate-ins-co-2004-ny-slip-op-24041/) — Trial court
- [Sky Med. Supply Inc. v ELRAC Inc. (2014 NY Slip Op 24232)](https://www.beynensonlaw.com/case-law/sky-med-supply-inc-v-elrac-inc-2014-ny-slip-op-24232/) — Trial court
- [New York Hosp. Med. Ctr. of Queens v Liberty Mut. Ins. Co. (2007 NY Slip Op 51256(U))](https://www.beynensonlaw.com/case-law/new-york-hosp-med-ctr-of-queens-v-liberty-mut-ins-co-2007-ny-slip-op-51256u/) — Trial court