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Mount Sinai Hospital v. Joan Service Corp.

Appellate Division of the Supreme Court of New York, Second Department
Oct 17, 2005
22 A.D.3d 649 (N.Y. App. Div. 2005)

Opinion

2005-00050.

October 17, 2005.

In an action to recover no-fault medical payments under an insurance contract, the plaintiff appeals from an order of the Supreme Court, Nassau County (Feinman, J.), dated July 15, 2004, which denied its motion for summary judgment.

Joseph Henig, P.C., Bellmore, N.Y., for appellant.

Gerber Gerber, LLP (Thomas Torto and Jason Levine, New York, N.Y., of counsel), for respondent.

Before: Prudenti, P.J., H. Miller, Spolzino and Lunn, JJ., concur.


Ordered that the order is reversed, on the law, with costs, the motion is granted, and the matter is remitted to the Supreme Court, Nassau County, for further proceedings consistent herewith.

The Supreme Court erred in denying the plaintiff's motion for summary judgment. Contrary to the determination of the Supreme Court, the plaintiff made a prima facie showing of its entitlement to judgment as a matter of law by submitting evidentiary proof that the prescribed statutory billing forms had been mailed and received, and that payment of no-fault benefits was overdue ( see Insurance Law § 5106 [a]; 11 NYCRR 65.15 [g] [3]; Mary Immaculate Hosp. v. Allstate Ins. Co., 5 AD3d 742, 742-743; St. Luke's Roosevelt Hosp. v. American Tr. Ins. Co., 1 AD3d 498; St. Luke's Roosevelt Hosp. v. Allstate Ins. Co., 303 AD2d 743; New York Presbyt. Hosp. v. Allstate Ins. Co., 295 AD2d 412). The defendant's submissions in opposition to the motion were insufficient to raise a triable issue of fact as to whether it timely issued a denial of the claim asserted by the plaintiff ( see Mary Immaculate Hosp. v. Allstate Ins. Co., supra at 743; Siegel v. Terrusa, 222 AD2d 428).

As entitlement to the no-fault benefits, as well as statutory interest and an award of an attorney's fee ( see Insurance Law § 5106 [a]; 11 NYCRR 65-4.6) was established, we remit the matter to the Supreme Court, Nassau County, to calculate the amounts of no-fault benefits, statutory interest, and an attorney's fee owed to the plaintiff ( see Westchester Med. Ctr. v. American Tr. Ins. Co., 17 AD3d 581, 583).


Summaries of

Mount Sinai Hospital v. Joan Service Corp.

Appellate Division of the Supreme Court of New York, Second Department
Oct 17, 2005
22 A.D.3d 649 (N.Y. App. Div. 2005)
Case details for

Mount Sinai Hospital v. Joan Service Corp.

Case Details

Full title:MOUNT SINAI HOSPITAL, as Assignee of EDWARD TANG, Appellant, v. JOAN…

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

Date published: Oct 17, 2005

Citations

22 A.D.3d 649 (N.Y. App. Div. 2005)
2005 N.Y. Slip Op. 7673
803 N.Y.S.2d 102

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