# 11 NYCRR 65-3.10: Attorneys

- Part of: 11 NYCRR Subpart 65-3 (Insurance Regulation 68-C), Claims for Personal Injury Protection Benefits; 11 NYCRR Part 65 (Insurance Regulation 68)
- Page: https://www.beynensonlaw.com/no-fault-regulations/11-nycrr-65-3-10/
- 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:65-3.10(a)(2)`.

## Text

(a) An applicant or an assignee shall be entitled to recover their attorney’s fees, for services necessarily performed in connection with securing payment, if a valid claim or portion thereof was denied or overdue. If such a claim was initially denied and subsequently paid by the insurer, the attorney’s fee shall be $80. If such a claim was overdue but not denied, the attorney’s fee shall be equal to 20 percent of the amount of the first-party benefits and any additional first-party benefits plus interest payable pursuant to section 65-3.9 of this Subpart, subject to a maximum fee of $60.

(b) If a dispute is resolved in accordance with any of the optional arbitration procedures contained in this Part, either during the initial review by the Department of Financial Services or by an arbitration award, and if payment is not made by the insurer in accordance with the terms specified in the conciliation letter or arbitration award within 45 days following such resolution, an additional attorney’s fee shall be paid by the insurer when the attorney writes to the insurer in order to receive such overdue payment. The additional attorney’s fee shall be $60 and shall become payable only after written request from the attorney to the insurer, received by the insurer more than 45 days after mailing of the conciliation letter or arbitration award. Such fee shall not be payable if payment was made by the insurer prior to the attorney’s request for such payment or if an arbitration award is appealed in accordance with the provisions of this Part.

(c) The insurer shall segregate any attorney’s fee on an overdue claim from the loss and interest payments, either through issuance of separate drafts or through an accompanying statement which clearly and separately identifies the components of the draft.

(d) No attorney’s fee payable by an insurer on account of an overdue claim may be included by the insurer in any rate making calculations.

## Historical note

Sec. filed Aug. 2, 2001; amds. filed: Jan. 17, 2003; April 9, 2013 eff. June 1, 2013; amended adoption filed May 16, 2013 eff. Aug. 1, 2013. Amended (b).

## Decisions citing this section (23)

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) (15)

- [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
- [A.B. Med. Servs. v Eagle Ins. Co. (2003 NY Slip Op 23978)](https://www.beynensonlaw.com/case-law/a-b-med-servs-v-eagle-ins-co-2003-ny-slip-op-23978/) — Appellate Term, Second Department
- [East Acupuncture, P.C. v Allstate Ins. Co. (2007 NY Slip Op 27109)](https://www.beynensonlaw.com/case-law/east-acupuncture-p-c-v-allstate-ins-co-2007-ny-slip-op-27109/) — Appellate Term, Second Department
- [A.B. Med. Servs. v GEICO Ins. (2003 NY Slip Op 23949)](https://www.beynensonlaw.com/case-law/a-b-med-servs-v-geico-ins-2003-ny-slip-op-23949/) — Appellate Term, Second Department
- [A.M. Med. Servs., P.C. v Progressive Cas. Ins. Co. (2008 NY Slip Op 28528)](https://www.beynensonlaw.com/case-law/a-m-med-servs-p-c-v-progressive-cas-ins-co-2008-ny-slip-op-28528/) — Appellate Term, Second Department
- [A.B. Med. Servs. PLLC Royalton Chiropractic P.C. v Lumbermens Mut. Cas. Co. (2003 NY Slip Op 51392(U))](https://www.beynensonlaw.com/case-law/a-b-med-servs-pllc-royalton-chiropractic-p-c-v-lumbermens-mut-cas-co-2003-ny-slip-op-51392u/) — Appellate Term, Second Department
- [Damadian Mri In Garden City v Liberty Mut. Ins. Co. (2003 NY Slip Op 51702(U))](https://www.beynensonlaw.com/case-law/damadian-mri-in-garden-city-v-liberty-mut-ins-co-2003-ny-slip-op-51702u/) — Appellate Term, Second Department
- [Ocean Diagnostic Imaging P.C. v General Assur. Co. (2005 NY Slip Op 51155(U))](https://www.beynensonlaw.com/case-law/ocean-diagnostic-imaging-p-c-v-general-assur-co-2005-ny-slip-op-51155u/) — Appellate Term, Second Department
- [Ocean Diagnostic Imaging P.C. v Allstate Ins. Co. (2005 NYSlipOp 51181(U))](https://www.beynensonlaw.com/case-law/ocean-diagnostic-imaging-p-c-v-allstate-ins-co-2005-nyslipop-51181u/) — Appellate Term, Second Department
- [A.B. Med. Servs. PLLC Royalton Chiropractic P.C. v Lumbermens Mut. Cas. Co. (2003 NY Slip Op 51393(U))](https://www.beynensonlaw.com/case-law/a-b-med-servs-pllc-royalton-chiropractic-p-c-v-lumbermens-mut-cas-co-2003-ny-slip-op-51393u/) — Appellate Term, Second Department
- [NY Wellness Med. P.C. v Ameriprise Ins. Co. (2021 NY Slip Op 50382(U))](https://www.beynensonlaw.com/case-law/ny-wellness-med-p-c-v-ameriprise-ins-co-2021-ny-slip-op-50382u/) — Trial court
- [Medalliance Med. Health Servs. v Allstate Ins. Co. (2013 NY Slip Op 23156)](https://www.beynensonlaw.com/case-law/medalliance-med-health-servs-v-allstate-ins-co-2013-ny-slip-op-23156/) — Trial court
- [Mary Immaculate Hosp. Caritas Health Care v Government Employees Ins. Co. (2008 NY Slip Op 50638(U))](https://www.beynensonlaw.com/case-law/mary-immaculate-hosp-caritas-health-care-v-government-employees-ins-co-2008ny-slip-op-50638u/) — Trial court
- [Central Bronx Med., P.C. v Travelers Indem. Co. (2005 NY Slip Op 25483)](https://www.beynensonlaw.com/case-law/central-bronx-med-p-c-v-travelers-indem-co-2005-ny-slip-op-25483/) — Trial court

### Subdivision (c) (1)

- [American Tr. Ins. Co. v Jong Won Yom (2024 NY Slip Op 50723(U))](https://www.beynensonlaw.com/case-law/american-tr-ins-co-v-jong-won-yom-2024-ny-slip-op-50723u/) — Trial court

### Section cited without a subdivision (7)

- [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
- [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
- [Alpha Chiropractic P.C. v State Farm Mut. Auto. Ins. Co. (2006 NY Slip Op 26498)](https://www.beynensonlaw.com/case-law/alpha-chiropractic-p-c-v-state-farm-mut-auto-ins-co-2006-ny-slip-op-26498/) — Trial court
- [Marigliano v New York Cent. Mut. Fire Ins. Co. (2007 NY Slip Op 27104)](https://www.beynensonlaw.com/case-law/marigliano-v-new-york-cent-mut-fire-ins-co-2007-ny-slip-op-27104/) — Trial court
- [Valley Stream Med. & Rehab, P.C. v Liberty Mut. Ins. Co. (2007 NY Slip Op 27076)](https://www.beynensonlaw.com/case-law/valley-stream-med-rehab-p-c-v-liberty-mut-ins-co-2007-ny-slip-op-27076/) — Trial court
- [John T. Mather Mem. Hosp. v American Tr. Ins. Co. (2024 NY Slip Op 24009)](https://www.beynensonlaw.com/case-law/john-t-mather-mem-hosp-v-american-tr-ins-co-2024-ny-slip-op-24009/) — Trial court
- [American Tr. Ins. Co. v Nexray Med. Imaging PC (2023 NY Slip Op 50953(U))](https://www.beynensonlaw.com/case-law/american-tr-ins-co-v-nexray-med-imaging-pc-2023-ny-slip-op50953u/) — Trial court