Alleviation Supplies Inc. v Enterprise Rent-A-Car (2006 NY Slip Op 26177)

Reported in New York Official Reports at Alleviation Supplies Inc. v Enterprise Rent-A-Car (2006 NY Slip Op 26177)

Alleviation Supplies Inc. v Enterprise Rent-A-Car
2006 NY Slip Op 26177 [12 Misc 3d 787]
April 10, 2006
Sweeney, J.
Civil Court, Richmond County
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Friday, September 29, 2006


[*1]
Alleviation Supplies Inc., as Assignee of Christopher Riddick, Plaintiff,
v
Enterprise Rent-A-Car, Defendant.

Civil Court of the City of New York, Richmond County, April 10, 2006

APPEARANCES OF COUNSEL

Ilona Finkelshteyn, P.C., Brooklyn, for plaintiff. Carman, Callahan & Ingham, LLP, Farmingdale, for defendant.

OPINION OF THE COURT

Peter P. Sweeney, J.

In this action to recover assigned first-party no-fault benefits pursuant to Insurance Law § 5101 et seq., plaintiff Alleviation Supplies Inc. moves for summary judgment. Defendant, Enterprise Rent-A-Car, a self-insurer, opposes the motion and cross-moves to dismiss the action on the ground that it was not commenced within the three-year statute of limitations contained in CPLR 214 (2), which governs actions “to recover upon a liability . . . created or imposed by statute.” The issue presented is whether the applicable statute of limitations is the three-year statute contained in CPLR 214 (2) or the six-year statute contained in CPLR 213 (2), which governs actions upon contractual obligations or liabilities. For the reasons set forth below, the court holds that the applicable statute of limitations is CPLR 214 (2).

Background
[*2]

Plaintiff commenced the within action by service of a summons and complaint on May 23, 2005. Defendant interposed an answer to the complaint on June 8, 2005, wherein it asserted a multitude of affirmative defenses including the defense that the action was barred by the statute of limitations.

In support of its motion for summary judgment, plaintiff demonstrated that on May 24, 2000, the claim, setting forth the fact and the amount of the loss sustained, was submitted to the defendant and that the defendant has yet to pay the claim. Plaintiff’s submissions included a copy of defendant’s denial of claim wherein defendant admitted receiving the claim on May 25, 2000. In opposition to the motion and in support of its cross motion, defendant maintains, inter alia, that the action was not commenced within the applicable statute of limitations and should be dismissed. Defendant submitted an affidavit from its senior no-fault administrator who averred that the defendant is a “self insured entity.” Defendant maintains that a self-insurer’s liability to pay first-party benefits is a liability created or imposed by statute, not by contract, and that the applicable statute of limitations is CPLR 214 (2), which provides for a three-year limitations period for “an action to recover upon a liability, penalty or forfeiture created or imposed by statute except as provided in sections 213 and 215.”[FN1] Defendant contends that the action accrued either on the date benefits became overdue or on the date defendant issued its denial, which occurred first, and that commencement of the action on May 23, 2005 was untimely as matter of law.

Discussion

Plaintiff established its prima facie entitlement to summary judgment by demonstrating that it submitted the claim, setting forth the fact and amount of the loss sustained, and that payment of no-fault benefits was overdue (see Insurance Law § 5106 [a]; Mary Immaculate Hosp. v Allstate Ins. Co., 5 AD3d 742 [2004]; Amaze Med. Supply v Eagle Ins. Co., 2 Misc 3d 128[A], 2003 NY Slip Op 51701[U] [App Term, 2d & 11th Jud Dists 2003]). To withstand the motion, it was incumbent upon the defendant to submit competent proof raising a triable issue of fact (Alvarez v Prospect Hosp., 68 NY2d 320 [1986]) or establishing a bona fide defense as a matter of law. Here, defendant established a bona fide defense as a matter of law, i.e., that the action was untimely commenced.

In 1973, the Legislature enacted the Comprehensive Automobile Insurance Reparations Act (see L 1973, ch 13), now known as the “Comprehensive Motor Vehicle Insurance Reparations Act” (Insurance Law § 5101 et seq.), which is commonly referred to as the No-Fault Law. The No-Fault Law was enacted in derogation of the common law (Walton v Lumbermens Mut Cas. Co., 88 NY2d 211, 214 [1996]) for the primary purpose of assuring “that every auto accident victim will be compensated for substantially all of his economic loss, promptly and without regard to fault” (Matter of Granger v Urda, 44 NY2d 91, 98 [1978]). To that end, the No-Fault Law created a statutory scheme for the payment of first-party benefits to eligible persons. Pursuant to that scheme, liability for the payment of first-party benefits was imposed upon both insurers and self-insurers (Insurance Law § 5103 [a] [1]; Dermatossian v New York City Tr. Auth., 67 NY2d 219, 224 [1986]). A self-insurer includes[*3]“any person, firm, association or corporation that . . . maintains a form of financial security other than an owner’s automobile insurance policy in satisfaction of article 6 or 8 of the Vehicle and Traffic Law” (11 NYCRR 65-2.1 [a]). The other acceptable forms of financial security permitted under article 6 or 8 of the New York Vehicle and Traffic Law include financial security bonds, financial security deposits and “qualification as a self-insurer under section three hundred sixteen of this article” (see Vehicle & Traffic Law § 312 [a]; Guercio v Hertz Corp., 40 NY2d 680, 684 [1976]).

Insurance Law § 5103 (a) imposes liability for the payment of first-party benefits upon insurers by requiring that “[e]very owner’s policy of liability insurance issued on a motor vehicle in satisfaction of the requirements of article six or eight of the vehicle and traffic law shall also provide for . . . the payment of first party benefits . . . .” Insurance Law § 5103 (a) imposes the same liability upon self-insurers by requiring that “[e]very owner who maintains another form of financial security on a motor vehicle in satisfaction of the requirements of [article six or eight of the vehicle and traffic law] shall be liable for . . . the payment of first party benefits . . . .”

Pursuant to Insurance Law § 5103 (d),[FN2] the Legislature empowered the Superintendent of Insurance to promulgate regulations establishing minimum benefit standards for policies of insurance providing coverage for the payment of first-party benefits and to set standards for the payment of first-party benefits by self-insurers. Pursuant to this authority, the Superintendent promulgated Insurance Department Regulations (11 NYCRR) § 65-1.1, which sets forth the basic form of the “Mandatory Personal Injury Protection Endorsement” which must be included in every owner’s policy of liability insurance issued on a motor vehicle in this state. Insurance Law § 5103 (h) provides that “[a]ny policy of insurance obtained to satisfy the financial security requirements of article six or eight of the vehicle and traffic law which does not contain provisions complying with the requirements of this article, shall be construed as if such provisions were embodied therein.”

With respect to self-insurers, the Superintendent promulgated Regulation 68-B (11 NYCRR 65-2.1 et seq.), which sets forth the rights and liabilities of self-insurers with respect to the payment of first-party benefits. Although the Mandatory Personal Injury Protection Endorsement and Regulation 68-B impose essentially the same liabilities for the payment of first-party benefits, a self-insurer’s liability arises solely from the No-Fault Law and the regulations promulgated thereunder, while an insurer’s liability arises from a policy of insurance containing the Mandatory Personal Injury Protection Endorsement or which must be construed as containing the Mandatory Personal [*4]Injury Protection Endorsement. Although this distinction is unimportant for most purposes, for the purpose of determining the applicable statute of limitations, this distinction is crucial. While an action to recover first-party benefits owed under a policy of insurance containing the Mandatory Personal Injury Protection Endorsement is properly viewed as a breach of contract governed by the six-year statute of limitations contained in CPLR 213 (2) (see Benson v Boston Old Colony Ins. Co., 134 AD2d 214, 215 [1st Dept 1987]; see also, Micha v Merchants Mut. Ins. Co., 94 AD2d 835 [3d Dept 1983]; Gurnee v Aetna Life & Cas. Co., 55 NY2d 184, 193 [1982]), there is no logical reason to view an action against a self-insurer as a breach of contract action, in that the self-insurer’s liability derives solely from statute and regulations promulgated pursuant to statute. Clearly, defendant’s liability in this case “would not exist but for a statute” (Aetna Life & Cas. Co. v Nelson, 67 NY2d 169, 174 [1986]), and since there is no contract of insurance pursuant to which plaintiff may be entitled to coverage for payment of first-party benefits, the court holds that the action is “an action to recover upon a liability . . . created or imposed by statute” and is controlled by the three-year limitation period contained in CPLR 214 (2).

Here, defendant admitted receiving the claim on May 25, 2000. The action accrued no later than 30 days thereafter, the date benefits became overdue (Benson, supra, 134 AD2d at 215). Commencement of the action on May 23, 2005 was therefore untimely as a matter of law.

Accordingly, it is hereby ordered that plaintiff’s motion for summary judgment is denied and defendant’s motion to dismiss is granted.

Footnotes


Footnote 1: Neither CPLR 213 nor 215 apply to this case.

Footnote 2: Insurance Law § 5103 (d) provides:

“Insurance policy forms for insurance to satisfy the requirements of subsection (a) hereof shall be subject to approval pursuant to article twenty-three of this chapter. Minimum benefit standards for such policies and for self-insurers, and rights of subrogation, examination and other such matters, shall be established by regulation pursuant to section three hundred one of this chapter.”

Article 23 of the Insurance Law deals with property and casualty rates. Insurance Law § 301 is the enabling statute granting the Superintendent of Insurance broad power to prescribe regulations interpreting and implementing the provisions of the Insurance Law.SK Med. Servs., P.C. v New York Cent. Mut. Fire Ins. Co. (2006 NY Slip Op 50721(U))

Reported in New York Official Reports at SK Med. Servs., P.C. v New York Cent. Mut. Fire Ins. Co. (2006 NY Slip Op 50721(U))

[*1]
SK Med. Servs., P.C. v New York Cent. Mut. Fire Ins. Co.
2006 NY Slip Op 50721(U) [11 Misc 3d 1086(A)]
Decided on April 5, 2006
Civil Court Of The City Of New York, Richmond County
Sweeney, J.
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 April 5, 2006

Civil Court of the City of New York, Richmond County



SK Medical Services, P.C., A/A/O CLAUDIA HERNANDEZ, Plaintiff.

against

New York Central Mutual Fire Insurance Company, Defendant.

6195/2005

Peter P. Sweeney, J.

Upon the foregoing papers the within motion and cross-motion are decided as follows:

Plaintiff commenced this action pursuant to Insurance Law § 5101 et seq. to recover $3,673.07 in assigned first-party no-fault benefits, as well as statutory interest and attorney’s fees, for medical services provided to its assignor. Defendant now moves for an order inter alia striking plaintiff ‘s complaint due to its failure to provide discovery. Plaintiff cross-moves for summary judgment.

In support of its motion to strike plaintiff’s complaint, defendant demonstrated that the plaintiff has not complied with various discovery demands which were served on June 22, 2005. The demands included interrogatories, a notice of examination before trial, a request for expert disclosure, a demand for party statements and a notice for discovery and inspection. Several of the demands sought information regarding plaintiff’s corporate structure and licensing status, and others sought information concerning whether the physicians who treated plaintiff’s assignor were plaintiff’s employees or independent contractors.

Plaintiff opposed the motion and cross-moved for summary judgment. The papers [*2]submitted by the plaintiff established that it submitted the claims, setting forth the fact and the amounts of the losses sustained, and that payment of no-fault benefits was overdue. Plaintiff correctly asserts that its submissions established its prima facie entitlement to summary judgment ( see Insurance Law § 5106[a]; Mary Immaculate Hosp. v. Allstate Ins. Co., 5 AD3d 742 [2004]; Amaze Med. Supply v. Eagle Ins. Co., 2 Misc 3d 128[A], 2003 NY Slip Op 51701[U] [App Term, 2d & 11th Jud Dists]). Plaintiff maintains that to withstand the cross-motion, it was incumbent upon the defendant to submit competent proof raising a triable issue of fact (Alvarez v. Prospect Park Hospital, 68 NY2d 320 [1986]) and that pending a determination of the cross-motion, defendant’s motion to strike the complaint should be stayed pursuant to CPLR 3212, which in pertinent part, provides: “Service of a notice of motion under CPLR 3211, 3212, or section 3213 stays disclosure until a determination of the motion unless the court orders otherwise.” Significantly, there is no indication in either defendant’s or plaintiff’s papers that plaintiff raised timely objections to defendant’s interrogatories in accordance with CPLR 3133 or timely objections to defendant’s other various demands pursuant to CPLR 3122.

In opposition to plaintiff’s cross-motion for summary judgment, defendant maintained that there are triable issue of fact as to whether the injuries for which plaintiff’s assignor received treatment were causally related to the motor vehicle accident underlying the claims. Defendant asserted this defense in its denial of claim dated August 6, 2003 wherein defendant acknowledged having received the claims on May 5, 2005. Defendant’s denial was therefore untimely as a matter of law. Although defendant’s untimely denial did not preclude the defendant from raising this defense (see, Central Gen. Hosp. v. Chubb Group of Ins. Cos., 90 NY2d 195, 199 [1997]; Mount Sinai Hosp. v. Triboro Coach, 263 AD2d 11, 18-19 [1999] ), for the reasons set forth below, the court need not address whether defendant’s submissions raised a triable issue of fact.

Discussion:

In State Farm Mut. Auto. Ins. Co. v. Mallela, 4 NY3d 313, 319 [2005], the Court of Appeals held that an insurer may withhold payment of a first-party no-fault claim “for medical services provided by fraudulently incorporated enterprises to which patients have assigned their claims.” In so holding the Court noted that Business Corporation Law § 1507 provides, “A professional service corporation may issue shares only to individuals who are authorized by law to practice in this state a profession which such corporation is authorized to practice. . .” (id. at 319 n. 1) and that pursuant to 11 NYCRR 65-3.16(a)(12), “A provider of health care services is not eligible for reimbursement under section 5102(a)(1) of the Insurance Law if the provider fails to meet any applicable New York State or local licensing requirement. . .” (id. at n. 2). The Court concluded that a medical corporation that is owned or controlled by non-physicians violates these provisions and therefore can not recover assigned first-party no-fault benefits (id. at 320).

Although the Mallela court did not squarely address the issue of whether an insurer ‘s untimely denial of a claim precludes it from asserting the defense that a plaintiff medical corporation was a fraudulently incorporated, in A.B. Medical Services PLLC v. Utica Mut. Ins. Co., 2006 NY Slip Op. 26068[App. Term, 2nd & 11th Jud. Dists.] the court held that an insurer may assert the defense even though it was not asserted in a timely denial of claim. The court in A.B. Medical Services PLLC v. Utica Mut. Ins. Co., supra., further held that where an insured [*3]served demands for discovery seeking information concerning whether the plaintiff medical corporation was a fraudulently licensed (i.e. – information regarding corporate structure and licensing status), which were not palpably improper or privileged and which were not objected to in accordance with CPLR 3122, the insurer was entitled to the discovery (id.) and that until such discovery was provided, a motion for summary judgment made by the plaintiff should be denied as premature pursuant to CPLR 3212(f) (id.). Finally, the court held that the insurer’s discovery demands, to the extent they seek information regarding defenses that the insurer was precluded from raising due to its failure to timely deny the claim, were palpably improper, and that the plaintiff did not have to comply with such demands regardless of whether they were timely objected to (id.).

In accordance with A.B. Medical Services PLLC v. Utica Mut. Ins. Co., supra., this Court finds that defendant is entitled to compliance with its various discovery demands to the extent they seek information regarding plaintiff’s corporate structure and licensing status, and that until such discovery is provided, plaintiff’s cross-motion for summary must be denied as premature.The court further finds that the holding in A.B. Medical Services PLLC v. Utica Mut. Ins. Co. necessarily requires that plaintiff provide responses to defendant’s discovery demands to the extent they seek information regarding other defenses that the defendant is not precluded from raising due to the untimely denial of the claim. These defenses include the defense that a billing provider is ineligible to recover assigned first-party benefits for treatment performed by an independent contractor (see Rockaway Blvd. Medical P.C. v. Progressive Ins., 9 Misc 3d 52 [App. Term, 2d & 11th Jud. Dists. 2005]; A.B. Medical Services PLLC v. New York Cent. Mut. Fire Ins. Co., 8 Misc 3d 132(A), 801 N.Y.S.2d 776 [App. Term, 2d & 11th Jud. Dists. 2005]) and any defense to coverage, including but not limited to the defense that the injuries for which treatment was provided were not causally related to the accident (see Central Gen. Hosp. v. Chubb Group of Ins. Cos., 90 NY2d 195, 199 [1997]; Mount Sinai Hosp. v. Triboro Coach, 263 AD2d 11, 18-19 [1999]) and the defense that the collision underlying the claim was a staged event in furtherance of an insurance fraud scheme (see Central Gen. Hosp., 90 NY2d at 199; Matter of Metro Med. Diagnostics v. Eagle Ins. Co., 293 AD2d 751 [2002]; A .B. Med. Servs. v. CNA Ins. Co., 2 Misc 3d 138[A], 2004 NY Slip Op 50265[U] [App Term, 2d & 11th Jud. Dists.]. There is no logical reason to distinguish an insurer’s entitlement to discovery regarding these non-waivable defenses and the type of defenses recognized in Mallela.

Finally, defendant’s interrogatories and other demands, to the extent that they seek information regarding the defenses defendant is now precluded from raising due to its untimely denial of claim, must be stricken.

Accordingly, it is hereby

ORDERED that plaintiff’s cross-motion for summary judgment is DENIED without prejudice to renewal upon completion of discovery; it is further

ORDERED that defendant’s motion to strike plaintiff’s complaint is granted unless within 60 days of service of this order with notice of entry, plaintiff complies with defendant’s discovery demands to the extent they seek information regarding those defenses that defendant is not precluded from raising due to its untimely denial of claim; it is further

ORDERED defendant’s discovery demands to the extent they seek information regarding defenses defendant is precluded from raising due to its untimely denial of the claim are hereby [*4]stricken; and it is further

ORDERED that if within 15 days of the date of this order, the parties do not agree in writing as to what discovery must be provided pursuant to this order, the parties are directed to contact the undersigned at (718) 390-5429 to arrange for a discovery conference.

This constitutes the decision and order of the court.

Dated: April 5, 2006 ________________________________

PETER P. SWEENEY

Civil Court Judge

West Tremont Med. Diagnostics, P.C. v GEICO (2005 NY Slip Op 25176)

Reported in New York Official Reports at West Tremont Med. Diagnostics, P.C. v GEICO (2005 NY Slip Op 25176)

West Tremont Med. Diagnostics, P.C. v GEICO
2005 NY Slip Op 25176 [8 Misc 3d 423]
February 23, 2005
McMahon, J.
Civil Court, Richmond County
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Wednesday, July 27, 2005


[*1]
West Tremont Medical Diagnostics, P.C., as Assignee of Janette Lamb-McCleod, Plaintiff,
v
GEICO, Defendant.

Civil Court of the City of New York, Richmond County, February 23, 2005

APPEARANCES OF COUNSEL

Joseph Sparacio, P.C., Staten Island, for plaintiff. Teresa Spina, Woodbury (Joan Patricia Knight of counsel), for defendant.

OPINION OF THE COURT

Judith R. McMahon, J.

In this action, plaintiff is seeking first-party no-fault medical reimbursement payments from the insurer GEICO for diagnostic tests performed pursuant to the request of the treating physician.

On January 10, 2002 Janette Lamb-McCleod was involved in a motor vehicle accident and allegedly sustained injuries. She sought the care and treatment of Dr. Harry Montazem. Dr. Montazem initially examined Ms. Lamb-McCleod on January 14, 2002 and referred her to undergo plane x rays of the cervical spine, lumbar spine and right shoulder due to pain and symptomology she exhibited during the physical examination.

Subsequently, Dr. Montazem referred Ms. Janette Lamb-McCleod to plaintiff’s diagnostic establishment in order for Ms. Lamb-McCleod to undergo MRIs (Magnetic Resonance Imaging) of the brain, cervical spine and lumbar spine. Thereafter, plaintiff assigned her rights to no-fault payments to West Tremont Medical Diagnostics which forwarded a bill to defendant insurer based upon the testings it performed at the request of the examining physician, Dr. Montazem. Ultimately, plaintiff’s request for payment was timely denied by GEICO. Plaintiff then instituted the case at bar seeking payment of first-party benefits pursuant to the No-Fault Insurance Law in the amount of $2,666.17, plus statutory interest and attorneys’ fees pursuant to 11 NYCRR 65.17 (b) (6) (v).

Joinder of issue occurred at the filing of an answer on or about April 21, 2003. (CCA 402.) Defendant raised an affirmative defense of lack of medical necessity of the tests performed by plaintiff, more specifically, that the MRIs of the brain, lumbar spine and cervical spine were not medically necessary. The trial convened on January 25, 2005 and plaintiff proved its prima facie case by submitting completed claims to defendant which defendant did not pay and which defendant denied within 30 days. (See Insurance Law § 5106 [a]; [*2]Amaze Med. Supply Inc. v Eagle Ins. Co., 2 Misc 3d 128[A], 2003 NY Slip Op 51701[U] [App Term, 2d & 11th Jud Dists].)

By submitting the mandatory statutory forms requesting payments, plaintiff has proved its prima facie case and therefore has met its burden of proof. (See Ocean Diagnostic Imaging P.C. v GEICO Ins., 3 Misc 3d 137[A], 2004 NY Slip Op 50511[U].) The burden of proof now shifts to the defendant to prove its affirmative defense of lack of medical necessity. (Liberty Queens Med., P.C. v Liberty Mut. Ins. Co., 2002 NY Slip Op 40420[U] [2002].)[FN*]

Defendant produced an expert witness, Dr. Elizabeth McDonald who testified very succinctly as to the lack of medical necessity of the three MRIs performed by plaintiff’s diagnostic center. In essence, Dr. McDonald testified that a review of the examination performed by Dr. Montazem noted that Ms. Lamb-McCleod had suffered no loss of consciousness, had no abrasions and that the central nervous system examination was normal. Dr. McDonald further testified that Dr. Montazem did not perform a complete neurological examination since pupillary size and reaction and motor strength testing, sensory testing and deep tendon reflexes were not noted upon examination by Dr. Montazem. Based upon her review of Dr. Montazem’s examinations and testing results, Dr. McDonald stated unequivocally in her opinion that the MRIs were performed unnecessarily.

Upon cross-examination, Dr. McDonald, significantly, testified as to the customary medical procedures in referring patients to laboratories or diagnostic centers. Clearly, defendant’s expert testified that the examining physician, upon suspecting some underlying medical difficulty, would either telephonically contact the diagnostic center and/or write a prescription for the patient to appear at the diagnostic center for testing to be performed. Moreover, Dr. McDonald stated that, in her experience as a physician, a diagnostic center had never questioned the medical validity of a test that had been referred to it. The only questioning she had ever received from such an establishment was the personnel at the testing center inquiring as to what exactly the referring physician was seeking in ordering the test. In essence, Dr. McDonald testified that the usual and customary procedure in referring a patient to a diagnostic center would not involve the diagnostic center in the decision-making process of whether such a test was necessary for that patient.

A review of the legislative history of the No-Fault Law clearly demonstrates an attempt at streamlining the fair payments to automobile accident victims and their assignees. This is clearly evident by the plain wording of the statute. 11 NYCRR 65-3.2 states the following:

“Section 65-3.2 Claim practice principles to be followed by all insurers.

“(a) Have as your basic goal the prompt and fair payment to all automobile accident victims.

“(b) Assist the applicant in the processing of a claim. Do not treat the applicant as an adversary.”

“Upon signing the bill enacting the No-Fault statute, the Governor’s memorandum in support indicated that the function of the law was to deliver better protection for the insured and to pay off claims quickly.” (Fifth Ave. Pain Control Ctr. v Allstate Ins. Co., 196 Misc 2d 801, 804 [2003]; see 1973 NY Legis Ann, at 298.)

While under the facts presented in this case this court is only called upon to decide whether defendant GEICO has met its burden of proving lack of medical necessity as to the tests performed upon Janette Lamb-McCleod, it is clear that a larger issue looms, i.e., can a diagnostic center that merely performs MRIs and who does not perform a physical examination upon the patient-assignor be denied first-party benefits by the insurer who asserts an affirmative defense of lack of medical necessity?

Medical necessity has been defined by the courts to be treatment that is reasonably determined by the health care professional in consultation with the patient, that the treatment or services are consistent with the patient’s condition, circumstances and best interest of the patient in regard to the type of treatment or services rendered. To find treatment or services are not medically necessary it must be reasonably shown by medical evidence, in consideration of the patient’s condition, circumstances and best interests of the patient that the treatment or services would be ineffective or that the insurer’s preferred health care treatment or lack of treatment would lead to an equally good outcome. (Fifth Ave. Pain Control Ctr. v Allstate Ins. Co., 196 Misc 2d 801 [2003].) The definition clearly involves a determination by a physician who has spoken to the patient and examined the patient. Implicit in this definition is a customary medical procedure that physicians have performed in determining what treatment is best for the particular patient that has come under their care and treatment. It is obvious that a diagnostic center is not in the position, in the ordinary and usual course of medical procedure, to consult with the patient about the patient’s complaints and symptomology and does not perform a physical examination upon the patient. The diagnostic center is there to perform tests solely. Patients go there on a referral basis from their treating, examining doctor.

Under the circumstances, the facts and expert testimony of the case at bar, it is clear that defendant has failed to meet its burden of proof since its own expert testified that the diagnostic center is not the entity that determines what test is necessary for the patient to undergo. The very basis of the affirmative defense of lack of medical necessity involves an integral medical decision based upon a physical examination and conversation with the patient as to what therapy, testings and services would best be suited for that patient. There is nothing in the no-fault statute that indicates that the treating physician needs to get preapproval of testing before referring the patient for MRIs or any other diagnostic modalities. Therefore, to deny the first-party benefits, on the basis of lack of medical necessity, to the diagnostic center that does [*3]not come to a diagnosis based upon a physical examination of the patient can be found to be in derogation of the purpose and intent of the Insurance Law no-fault benefits statute which is expedient payment of benefits to automobile accident victims. (See, 1973 NY Legis Ann, at 298; see also, Pavone v Aetna Cas. & Sur. Co., 91 Misc 2d 658 [1977], cited in Fifth Ave. Pain Control Ctr. v Allstate Ins. Co., 196 Misc 2d at 804 [2003].) Of course, if there was a nexus between the diagnostic center and the examining physician which would impute knowledge to the diagnostic center as if it were a treating physician, a different result would have been achieved. This type of factor, however, as well as other issues of fact which might inure to the defendant’s benefit must be proven by the defendant in order to successfully create a prima facie case on its affirmative defense of lack of medical necessity in a situation such as in the case at bar.

Therefore, in a matter, such as the instant case, wherein the usual and customary medical procedure was utilized by the examining physician in referring a patient involved in a motor vehicle accident for radiological tests after a physical examination, and the patient assigned her rights to the diagnostic radiological establishment for reimbursement of no-fault benefits, the affirmative defense of lack of medical necessity should not be available as the diagnostic center does not make an independent medical evaluation of the patient and the denial of benefits to the diagnostic establishment is in derogation of the intent of Insurance Law § 5106.

Accordingly, judgment for the plaintiff in the amount of $2,666.17, plus statutory interest and attorneys’ fees.

Footnotes


Footnote *: Pursuant to Insurance Law § 5102 (a) (1), the definition of “basic” economic loss as per the “Comprehensive Motor Vehicle Insurance Reparations Act” refers to “[a]ll necessary expenses incurred” by the injured party which should be compensated if within the detailed limitations set out in the statute.Richard A. Hellander, M.D., P.C. v State Farm Ins. Co. (2004 NY Slip Op 24468)

Reported in New York Official Reports at Richard A. Hellander, M.D., P.C. v State Farm Ins. Co. (2004 NY Slip Op 24468)

Richard A. Hellander, M.D., P.C. v State Farm Ins. Co.
2004 NY Slip Op 24468 [6 Misc 3d 579]
November 22, 2004
McMahon, J.
Civil Court, Richmond County
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Wednesday, March 23, 2005

[*1]

Richard A. Hellander, M.D., P.C., as Assignee of Augusto Espinoza, Plaintiff,
v
State Farm Insurance Company, Defendant.

Civil Court of the City of New York, Richmond County, November 22, 2004

APPEARANCES OF COUNSEL

Joseph Sparacio, Staten Island, for plaintiff. Bruno Gerbino & Macchia, LLP, Melville, for defendant.

{**6 Misc 3d at 580} OPINION OF THE COURT

Judith R. McMahon, J.

The genesis of this first-party benefits action is a motor vehicle accident that occurred on March 8, 2003. The plaintiff’s assignor, Augusto Espinoza, was involved in this vehicular accident and as a result of his alleged injuries, sought medical treatment from Dr. Lev. Thereafter, Dr. Lev referred Mr. Espinoza to plaintiff, Dr. Hellander, for diagnostic testing, including a paraspinal ultrasound of the cervical paraspinal region, the thoracic paraspinal region, lumbar paraspinal region, and the trapezius muscles bilaterally. Dr. Hellander performed the requested diagnostic modalities on March 26, 2003 and sent a timely bill to Mr. Espinoza’s insurer, the defendant, pursuant to the No-Fault Insurance Law. (See, 11 NYCRR 65-3.11.) At the time of the testing, Mr. Espinoza signed a standard assignment of benefits form and a signature stamp containing Dr. Hellander’s name was affixed to the form.

After receipt of Dr. Hellander’s bill, State Farm Insurance Company issued a timely denial (NF-10). As a result of the denial, plaintiff instituted an action for payment of first-party benefits pursuant to the No-Fault Insurance Law. In its answer, State Farm alleged, inter alia, lack of standing on behalf of the plaintiff and lack of medical necessity of the diagnostic testing performed on March 26, 2003. After a filing of the notice of trial, a nonjury trial was held in this matter on September 20, 2004.

At the time of trial, plaintiff established a prima facie case by submitting into evidence the statutory forms of proof of claim, the amount of the claim and the defendant’s denial form (NF-10) which indicated proof of service upon defendant in a timely fashion. (See Park Health Ctr. v Prudential Prop. & Cas. Ins. Co., 2001 NY Slip Op 40650[U] [2001].)

During the trial, plaintiff attempted to place the assignment of benefits into evidence. Defendant objected based upon the lack of authentication of the assignor’s signature. The burden of proving an affirmative defense of lack of standing should be on the defendant. In the case at [*2]bar, State Farm did not come forward with any evidence to challenge the effectiveness of the assignor’s signature. Merely, upon voir dire of Dr. Hellander, the defendant elicited that the procedure in the office of the plaintiff is that the assignment of benefits form is signed by the patient outside the presence of the doctor. The doctor’s signature stamp is then placed on the form. Further, the plaintiff testified that it was {**6 Misc 3d at 581}the customary procedure in his office that the technician or the technician’s office personnel be present at the time the assignor signs the assignment of benefits form. Therefore, following the holding in Elm Med., P.C. v American Home Assur. Co. (2003 NY Slip Op 51357[U] [2003]) and even assuming, arguendo, that the plaintiff must proffer a proper assignment of benefits, the testimony as to the custom and procedure of this physician’s office established the propriety of the assignment of benefits.

A signature without authentication adequately explained by the physician as being obtained in the ordinary and customary procedure in the office should be sufficient to defeat the claim of lack of standing. The authenticity of the signature, therefore, may be reasonably inferred since the patient signed the assignment of benefits form as part of the usual and customary procedure as detailed by the physician’s testimony and underwent the testing as described in the billing records. “Circumstantial evidence may satisfy the requirement that a writing be authenticated before it may be introduced.” (Elm Med., P.C. v American Home Assur. Co., 2003 NY Slip Op 51357[U], *7; see, Anzalone v State Farm Mut. Ins. Co., 92 AD2d 238 [1983].)

Defendant’s second argument that the testing performed by plaintiff was medically unnecessary is novel since the claim is, not that the test was unnecessary for the complaints and symptomatology presented by the assignor, but, that the particular tests performed by plaintiff are without any clinical benefit in most instances. Specifically, defendant’s denial form (NF-10) states the following:

“According to the American College of Radiology, the American Institute of Ultrasound and Medicine and the American Chiropractic College of Radiology, the use of spinal ultrasound currently has no proven clinical utility as a screening diagnostic or adjunctive imaging tool for the evaluation of pain, fluid in the tissues, nerve disorders, or subtle abnormalities adjacent to the spine. Therefore, this procedure is denied. The named insured is not responsible for payment.”

At the trial, defendant called Dr. William Ross, an internist and gastroenterologist. Dr. Ross, in brief, testified on direct examination that based upon the opinion statement by the American College of Radiology in 1996 that spinal ultrasound has no clinical {**6 Misc 3d at 582}utility, he found the testing performed by plaintiff to be unnecessary. Upon cross-examination, Dr. Ross’ opinion became, at best, equivocal as is revealed in the following portions of testimony:

“Q. Doctor, do you agree or disagree with the following statement contained on page 573 of the 2003 Practice Guidelines, etcetera, which reads: ‘These guidelines are an educational tool designed to assist practitioners in providing appropriate radiologic care for patients,’ do you agree or disagree with that, doctor?
“A. I don’t see why I wouldn’t agree with that.
“Q. Do you agree or disagree with the statement on the same page that goes on to say, ‘they are not inflexible rules or requirements of practice and are not intended, nor should they be used, to establish a legal standard of care,’ do you agree or disagree with that from this book?
“A. Sounds very reasonable” (at 33, lines 1-15).

Dr. Hellander had testified that the tests he performed would, in his opinion, assist the referring physician in making a diagnosis and in formulating a treatment plan.

In the case at bar, plaintiff established a prima facie case by submitting the statutory forms of proof of claim and the amount of the loss. (See Liberty Queens Med., P.C. v Liberty Mut. Ins. Co., 2002 NY Slip Op 40420[U] [App Term, 2d & 11th Jud Dists 2002].) Once plaintiff has established his case, the burden of proof shifts to the defendant on the claim of lack of medical necessity stated in defendant’s affirmative defense. In determining whether services are medically necessary the following analysis has been utilized:

“[F]or treatment or services to be medically necessary, it must be reasonably determined by the health care professional in consultation with the patient, that the treatment or services are consistent with the patient’s condition, circumstances and best interest of the patient with regard to the type of treatment or services rendered, the amount of treatment or services rendered, and the duration of the treatment or services rendered. To find treatment or services are not medically necessary, it must be reasonably shown by medical evidence, in consideration of the patient’s condition, circumstances, and best interest of the patient, that the treatment or services {**6 Misc 3d at 583}would be ineffective or that the insurer’s preferred health care treatment or lack of treatment would lead to an equally good outcome.” (Fifth Ave. Pain Control Ctr. v Allstate Ins. Co., 196 Misc 2d 801, 807-808 [2003].)

Applying the aforementioned standard to the case at bar it becomes clear that defendant’s expert’s testimony is equivocal and does not meet the burden of proof necessary to establish that [*3]the testing done by plaintiff was not medically necessary. In the instant matter, we have here, not a specific symptom, not a specific disease, not a specific complaint that was addressed in a medically ineffective way, according to defendant; rather, according to defendant’s denial form (NF-10) the defendants have a blanket claim that the ultrasound of the paraspinal area is ineffective, regardless of complaint or symptomatology. This court is not willing to find a diagnostic tool utilized by physicians to be ineffective in all forms of complaints concerning the spine based on teetering testimony by defendant’s expert and guidelines instituted by the American College of Radiology which clearly establish that doctors are to use their own judgment in ordering different tests and that their conclusions are not binding upon any medical personnel. Furthermore, we have testimony by the physician, Dr. Hellander, stating that his test would be useful to the referring physician to form a proper prognosis and diagnosis of the patient.

Moreover, in reviewing the standard concerning medical necessity, it is quite clear that this is to be viewed on a patient-by-patient basis and that testing, whether medically necessary or not, should be based upon the symptomatology and complaints and disease entities of the patient/assignor involved.

This does not mean, of course, that this court would not find that a paraspinal ultrasound would not be medically necessary to a particular patient; however, it is not a court’s function based upon the testimony presented in this matter to rule a diagnostic modality ineffective for all spinal treatments when the College of Radiology is perplexed about the effectiveness or ineffectiveness of such. A broad stroke of the brush in such an instance would not be beneficial to the medical profession and, in particular, to the patients they treat. Accordingly, judgment is rendered for the plaintiff in the amount of $1,894.42.

Richmond Pain Mgt. v State Farm Mut. Auto. Ins. Co. (2004 NY Slip Op 50288(U))

Reported in New York Official Reports at Richmond Pain Mgt. v State Farm Mut. Auto. Ins. Co. (2004 NY Slip Op 50288(U))

[*1]
Richmond Pain Mgt. v State Farm Mut. Auto. Ins. Co.
2004 NY Slip Op 50288(U)
Decided on March 23, 2004
Civil Court Of The City Of New York, Richmond County
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 March 23, 2004

Civil Court Of The City Of New York, Richmond County



Richmond Pain Management, P.C., Assignee of Kenneth Bevel, Plaintiff,

against

State Farm Mutual Automobile Insurance Company, Defendant. (Action No. 1.)

Richmond Pain Management, P.C., Assignee of Clifford Whaley, Plaintiff,

against

State Farm Mutual Automobile Insurance Company, Defendant. (Action No. 2.)

Consolidated Radiology, P.A., Assignee of Lorna Sterling, Plaintiff,

against

State Farm Insurance Company, Defendant. (Action No. 3.)

Index No. 40049/03

For Plaintiffs: Joseph Sparacio, Esq. 2555 Richmond Avenue Staten

Island, NY 10314

(718) 966-0055

For Defendants: Richard C. Mulle , Esq. Martin, Fallon & Mulle 100

East Carver Street Huntington, NY 11743 (631) 421-1211

PHILIP S. STRANIERE, J.

Recitation, as required by CPLR 2219(a), of the papers considered in the review of this

MOTIONS TO COMPEL.

Papers Numbered

Notices of Motion and Affidavits Annexed……………………………………..1&2

Order to Show Cause and Affidavits Annexed.………………………………

Answering Affidavits……………………………………………………………………

Replying Affidavits………………………………………………………………………

Exhibits………………………………………………………………………………………..

Other……………………………………………………………………………………………

[*2]Upon the foregoing cited papers, the Decision/Order on this Motion is as follows:

“The answer my friend is blowin’ in the wind. The answer is blowin’ in the wind.”

We all are familiar with this refrain from Bob Dylan’s 1960’s protest song. Unfortunately it has become the cry of too many litigants in New York City’s Civil Court. Currently before the Court are three motions made by defendant State Farm Mutual Automobile Insurance Company. In each motion the defendants sought to compel the plaintiff, Richmond Pain Management, P.C. as assignee of Kenneth Bevel (40049/03); as assignee of Clifford Whaley(40050/03); and as assignee of Lorna Sterling (40051/03) to provide discovery previously requested and to reimburse the defendant the $45.00 defendant had to

expend in each action to purchase an index number. The discovery issues were resolved by a “so ordered”stipulation in each action. The defendant however insisted on submitting the issue of its entitlement to be reimbursed the $45.00 to the Court for decision.

The Court is left to decide the rather novel [FN1] issue of whether or not a defendant who purchases an index number in Civil Court can recover that money either by making a motion or in a judgment issued at the end of the litigation.

The civil action part of the Civil Court, like some other courts of limited jurisdiction, retains a system for commencement of an action that is a relic of days gone by. The civil action part is governed by a “commence by service” statute, Civil Court Act Article 4. Not only is this system in conflict with “commence by filing” as provided in CPLR 304, it is also not in conformity with how in Civil Court a summary proceeding is commenced in the landlord-tenant part or a small claims action is started in that part. To commence a suit in either of these parts requires the litigant to purchase an index number from the clerk of the court. More importantly, when a self-represented litigant wants to commence an action, CCA 401(a) requires the clerk to issue the summons if “the plaintiff appears without an attorney” and collect the appropriate fee.[FN2]

When the CPLR was amended to cover actions commenced in the Supreme and County Court, § 400 was added to the Civil Court Act to specifically preclude the Civil Court from the commence by filing provisions and preserve the out-dated system of commencement by service. This was done even though the civil jurisdiction of the County Court and Civil Court are practically identical (NY State Constitution Article 6 § 11 and 15). CCA 400 also provides that [*3]“a special proceeding is commenced by service of a notice of petition or order to show cause.” The implication of CCA 400 in regard to special proceedings, which are governed by CPLR Article 4, is that they too are commenced by service. However, that contradicts CCA 401 (c) which requires the notice of petition and petition in a summary proceeding to be issued by the Court. This sentence probably should read “a special proceeding, other than a summary proceeding commenced under CCA 204” since summary proceedings are currently commenced by filing the notice of petition and petition with the clerk (CCA 401 (c)).

This case points out the serious deficiency in retaining the current commencement by service system in the Civil Court. CCA 401(b) requires that any summons issued contain language that directs the defendant to file an answer with the clerk within 20 days if personally delivered to the defendant in the city of New York, and if served by a means other than personal delivery within the city if New York the defendant must file an answer within thirty days of the plaintiff filing proof of service with the clerk (CCA 402). Meanwhile CCA 409 requires the plaintiff to file a copy of the summons with proof of service with the clerk within fourteen days after service is made within the city of New York regardless of how it was served. This procedure is seemingly not that complicated. However, this is when theory and practice collide.

For instance, defendant is served on March 1 and on March 2 within the time set forth in the summons, files an answer as directed by the summons. The answer is received by the clerk who determines that there is no index number for the action since the plaintiff has not filed the summons. If the answer is personally delivered to the clerk and the clerk checks the filings immediately, perhaps the defendant can be told to hold onto the answer and file it later after the plaintiff comes in and files the summons. This of course punishes the diligent defendant and may require multiple trips to the courthouse for the defendant to protect his or her rights. What if the answer was filed by mail or the clerk accepts the in person filing of the answer and only later determines no index number has been purchased? Invariably after the clerks check the filing and learn there is no index number, the answer is held in the clerk’s office and as summonses are filed by the plaintiff, the clerk will often attempt to check and see if an answer has been filed. A number of times a match can be made. The problem of course is when the answer is received prior to the plaintiff purchasing an index number; the plaintiff finally purchases an index number and files the summons and proof of service as required by statute; a court file is created and the clerk cannot subsequently locate the filed answer from among hundreds if not thousands of other filed answers. In these cases, a default judgment may be entered against a defendant who timely filed an answer. The judgment might not be discovered until the defendant tries to obtain credit, purchase a house or buy a car. The Court will then be entertaining a motion to vacate a wrongfully entered default judgment against the defendant and possibly have to lift restraining orders and executions. All this is a waste of judicial and legal resources and imperils the rights of diligent defendants.

The Office of Court Administration has proposed eliminating commencement by filing in the Civil Court, District Courts and City Courts. In support of the change in the statute OCA pointed out: “Aside from the expenditure of time and resources, the current system causes a [*4]financial toll. The clerks’ futile searches for filed summonses are expenditures of time for which there is no revenue stream in return….A further concern is that the summonses are being served but intentionally not filed in an effort to harass or frighten defendants. Requiring that an index number be purchased before the service of papers would generate revenue, conserve clerks’s time, and protect defendants from untoward use of the suit commencement system….”

What further complicates these matters are the tens of thousands of “no-fault” reimbursement cases filed under the Insurance Law presently flooding the court system. The plaintiffs in hundreds of these cases, as in this case, may be the same medical service provider while the defendant is the same carrier. An additional problem is that the plaintiff may be the assignee of benefits from the same patient on more than one claim against the same defendant. So even if the clerk matches the parties based on the names from the caption, the complaint and answer may not coincide as the provider may have delivered service on more than one occasion to a particular insured. Why should the clerk of the court be burdened with matching the correct complaint to the correct answer as if it were some huge game of “Concentration?” Especially when the plaintiff is the party that caused the situation. The court system is becoming the uncompensated servant for some attorneys’ collection practices. This is not in the job description.

LEGAL ISSUES:

A. Is the Current System Constitutional?

As outlined above, CCA 400 excluded the Civil Court from the application of the commencement by filing statute of the CPLR. On their face CCA 400 and CCA 409 appear to be constitutional. However, it is apparent that in the implementation of the Civil Court’s commencement by service rules, due process and equal protection rights of individuals are being violated. In regard to civil actions, the statute permits lawyers to issue and serve summons without first purchasing an index number, while at the same time requiring a self-represented plaintiff to expend that money. The statute creates two classes of litigants potentially seeking the same relief with the criteria being the financial ability to retain an attorney. An individual who can afford to retain counsel can issue a summons and perhaps collect money due and owing merely by serving the process on the defendant, while a person too poor or for any other reason unable to retain counsel, such as the amount being sought not warranting the hiring of a lawyer, cannot use the threat of suit to collect the debt; that person must actually commence the suit and expend $45.00 for the suit. A credit card company, commercial collection agencies or other business that provides a large volume of litigation to an attorney obtains a benefit that an individual self-represented plaintiff does not get from the court system. Likewise, the defendant in the self-represented plaintiff commenced suit is incurring court costs that have to be reimbursed to the plaintiff that a represented person or entity might not have to pay. Considering that landlord-tenant summary proceedings and small claims actions both require the prepaying for an index number to commence a law suit, it can only be concluded that the statute as written and the system and practice it engendered create two classes of litigants in the Civil Court civil [*5]actions: paying and non-paying customers. This is a clear violation of the equal protection clause of the New York State Constitution Article 1 § 11. There is no reasonable or rational basis for such a distinction, especially when there exists a system used in all other parts of the Civil Court and in the Supreme and County Courts which eliminates these differences. This is an example as to why the New York Court system may be “unified” but not “uniform.”

It is also apparent that the current system violates the due process clause of the New York State Constitution, Article 1 § 6. The prevailing arrangement punishes a defendant who complies with the statute, takes steps to protect his or her rights and timely files an answer, while at the same time it may potentially reward a procrastinating plaintiff who does not immediately purchase an index number or who in an even worse case, purchases it after the statutory fourteen day period. The plaintiff who actually files the summons with proof of service after fourteen days must make a nunc pro tunc application for the late filing of the summons and then give notice to the defendant and an additional opportunity to answer. However, even in this scenario, why would the defendant think it necessary to re-file an answer, since the defendant would not necessarily know that the answer previously submitted was not linked by the clerk to the proper summons.

The current system suffers too many constitutional problems to continue in effect. It must be replaced. “Our cases further establish that a statute or a rule may be held constitutionally invalid as applied when it operates to deprive an individual of a protected right although its general validity as a measure enacted in the legitimate exercise of state power is beyond question….(T)he right to a meaningful opportunity to be heard within the limits of practicality, must be protected against denial by particular laws that operate to jeopardize it for particular individuals…. (S)o too a cost requirement, valid on its face, may offend a particular party’s opportunity to be heard…the State owes to each individual that process, which in light of the values of a free society, can be characterized as due” (Boddie v Connecticut, 401 US 371, (1971)

B. Is the Defendant Entitled to Reimbursement?

In order to protect its rights, the defendant in these three actions purchased the index number so it could file an answer or otherwise move to take steps to protect its legal interests. In none of these cases did the plaintiff purchase an index number. In each case defendant waited thirty days after service of the process to file an answer and at that time learned that no index number was purchased. The defendant then expended $45.00 on each case in order to file its answer. CCA 1911 requires that the clerk collect as a court fee $45.00 upon the issuance of a summons (CCA 1911(a)) or upon the filing of a summons with proof of service or upon filing of the first paper in that county in any action (CCA 1911(b)). There does not appear to be any statutory or case law dealing specifically with the issue of whether the defendant can recover the $45.00 when it and not the plaintiff files the first paper. [*6]

CCA 1906 provides as follows: “Costs allowed by Court. The Court may in its discretion impose costs not exceeding fifty dollars in the following cases: (a) Upon granting or denying a motion….” Since defendant was required to make a motion to compel the plaintiff to comply with discovery demands and to pay the filing fee, the Court in its discretion could award the defendant “costs” involved in making the motion. But is a filing fee a legitimate “cost?”

CCA 1908 permits a prevailing party or a party to whom costs are awarded to recover “disbursements.” All fees paid to the clerk are recoverable as a disbursement (CCA 1908(a)). Under this statute, the defendant, if a prevailing party, could recover as a disbursement the filing fee that it paid to the clerk. The question remains, can the defendant collect the filing fee at this stage of the litigation, that is, before there is a final judgment on the merits.

If the plaintiff bought the index number and prevailed in the suit, the plaintiff would recover the expense as a taxable disbursement under the statute. If the defendant prevailed, the issue would be moot since the defendant did not incur the expense, there would be no money to recover. If the defendant purchased the index number, and the defendant prevailed, the defendant would recover the filing fee. If the defendant purchased the index number and the plaintiff prevailed, the plaintiff would not be able to recover the fee since the plaintiff did not expend the money initially. Since the plaintiff was the one who instituted the suit, the plaintiff would be obtaining a benefit because the defendant purchased the index number in the action and in doing so, permitted the plaintiff to continue the case. There is something inherently unfair in requiring the defendant to subsidize the plaintiff’s cause of action out of a necessity to protect the defendant’s rights. The Court could award the defendant the $45.00 by labeling it as a reasonable cost to be awarded for the motion; however, that would not deal with the underlying issue of the plaintiffs using the Civil Court as its collection agency by filing suits and not purchasing index numbers. As a matter of public policy and to prevent plaintiffs from abusing the system, the defendant is entitled to be reimbursed at this stage of the litigation.

CONCLUSION:

Defendant’s motion in each action is granted to the extent that the plaintiff is directed to reimburse defendant the sum of $45.00 in each of these actions. Defendant’s application for sanctions of $100.00 on each cause of action is dismissed. If plaintiff continues this practice in the future, the Court will consider entertaining an application for sanctions. If plaintiff’s counsel is not being compensated sufficiently by his clients, then he either should not take the cases or re-negotiate his compensation schedule with them.

Since a consumer is not involved as a litigant, the Court does not address the issue of whether if it is shown that a plaintiff had a continuous pattern of not filing or late filing summonses, would such a pattern constitute a “deceptive business practice” under General Business Law 349.

The foregoing constitutes the decision and order of the Court.

[*7]Court Attorney to notify both sides of this Decision/Order.

Dated:

PHILIP S. STRANIERE

Judge, Civil Court

ASN by on

Dated: March 23, 2004

Decision Date: March 23, 2004

Footnotes

Footnote 1: Novel is being used in the sense of unique rather than a reference to a tome by Tolstoy.

Footnote 2: It should also be noted that a name change application in Civil Court requires a filing fee of $65.00. This is another proceeding that is primarily commenced by self-represented individuals. Although CPLR Article 11 provides for access to the courts by persons who qualify as “poor persons” this protection is not relevant to the issues of this case involving two classes of applicants to the Civil Court.