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Flatlands Med., P.C. v. State Farm Mut. Auto. Ins. Co.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
May 6, 2013
39 Misc. 3d 142 (N.Y. App. Div. 2013)

Opinion

No. 2011–1999KC.

2013-05-6

FLATLANDS MEDICAL, P.C. as Assignee of Joseph Douglas, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INS. CO., Respondent.


PRESENT: PESCE, P.J., RIOS and SOLOMON, JJ.

Appeal from an order of the Civil Court of the City of New York, Kings County (Devin P. Cohen, J.), dated June 3, 2011. The order granted defendant's motion for summary judgment dismissing the complaint.

ORDERED that the order is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, plaintiff appeals from an order of the Civil Court which granted defendant's motion for summary judgment dismissing the complaint, finding that plaintiff had failed to comply with a condition precedent to coverage in that it had failed to appear for duly scheduled examinations under oath (EUOs). Plaintiff argues that defendant failed to prove that it had mailed its EUO scheduling letters and denial of claim forms, that it lacked justification for its EUO requests, and that defendant's motion should have been denied pursuant to CPLR 3212(f).

Contrary to plaintiff's argument, the affidavits submitted by defendant established that the EUO scheduling letters and the denial of claim forms, which denied the claim based on plaintiff's failure to appear, had been timely mailed ( see St. Vincent's Hosp. of Richmond v. Government Empls. Ins. Co., 50 AD3d 1123 [2008];Delta Diagnostic Radiology, P.C. v. Chubb Group of Ins., 17 Misc.3d 16 [App Term, 2d & 11th Jud Dists 2007] ). Since plaintiff does not claim to have responded in any way to the EUO request, its objections regarding the EUO requests will not now be heard ( see Viviane Etienne Med. Care, P.C. v. State Farm Mut. Auto. Ins. Co., 35 Misc.3d 127[A], 2012 N.Y. Slip Op 50579[U] [App Term, 2d, 11th & 13th Jud Dists 2012]; Crescent Radiology, PLLC v. American Tr. Ins. Co., 31 Misc.3d 134[A], 2011 N.Y. Slip Op 50622[U] [App Term, 9th & 10th Jud Dists 2011] ), and therefore discovery relevant to the reasonableness of the EUO requests was not necessary to oppose the motion ( seeCPLR 3212[f] ).

Accordingly, the order is affirmed.


Summaries of

Flatlands Med., P.C. v. State Farm Mut. Auto. Ins. Co.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
May 6, 2013
39 Misc. 3d 142 (N.Y. App. Div. 2013)
Case details for

Flatlands Med., P.C. v. State Farm Mut. Auto. Ins. Co.

Case Details

Full title:Flatlands Medical, P.C. as Assignee of JOSEPH DOUGLAS, Appellant, v. State…

Court:SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

Date published: May 6, 2013

Citations

39 Misc. 3d 142 (N.Y. App. Div. 2013)
2013 N.Y. Slip Op. 50763
971 N.Y.S.2d 71

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