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Hobby v. CNA Insurance

Appellate Division of the Supreme Court of New York, Fourth Department
Dec 30, 1999
267 A.D.2d 1084 (N.Y. App. Div. 1999)

Opinion

December 30, 1999

Appeal from Order of Supreme Court, Onondaga County, Major, J. — Summary Judgment.

Order unanimously affirmed without costs.

PRESENT: GREEN, J. P., LAWTON, PIGOTT, JR., HURLBUTT AND CALLAHAN, JJ.


Memorandum:

Supreme Court properly granted plaintiff's motion for summary judgment compelling defendant, CNA Insurance Company (CNA), to pay outstanding medical bills pursuant to the no-fault provisions contained in plaintiff's motor vehicle insurance policy. CNA sought to discontinue plaintiff's insurance benefits on the ground that plaintiff had reached "maximum medical improvement", but there is no authority for that action under Insurance Law § 5102 (a) (1) or that section's applicable regulations ( see, 11 NYCRR 65.12, 65.15 [o]). Indeed, Insurance Law § 5102 (a) (1) provides up to $50,000 for "[a]ll necessary expenses" for medical treatment and "any other professional health services; all without limitation as to time, provided that within one year after the date of the accident causing the injury it is ascertainable that further expenses may be incurred as a result of the injury" (Insurance Law § 5102[a][1][iv]). CNA's argument that "maximum medical improvement" has been accepted for several years as a basis for denial of no-fault benefits by arbitrators is not dispositive; courts are not bound by the decisions of arbitrators through the principle of stare decisis ( see, McKinney's Cons Laws of NY, Book 1, Statutes § 72). We conclude that plaintiff met her initial burden by establishing that the disputed treatment continues to be necessary, and CNA failed to raise a triable issue of fact ( see, Zuckerman v. City of New York, 49 N.Y.2d 557, 562).


Summaries of

Hobby v. CNA Insurance

Appellate Division of the Supreme Court of New York, Fourth Department
Dec 30, 1999
267 A.D.2d 1084 (N.Y. App. Div. 1999)
Case details for

Hobby v. CNA Insurance

Case Details

Full title:BONNIE L. HOBBY, PLAINTIFF-RESPONDENT, v. CNA INSURANCE COMPANY…

Court:Appellate Division of the Supreme Court of New York, Fourth Department

Date published: Dec 30, 1999

Citations

267 A.D.2d 1084 (N.Y. App. Div. 1999)
700 N.Y.S.2d 346

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