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NY Arthroscopy & Sports Medicine PLLC v. Motor Vehicle Accident Indemnification Corp.

Appellate Term of the Supreme Court of New York, First Department
May 4, 2007
15 Misc. 3d 89 (N.Y. App. Term 2007)

Opinion

No. 570229/06.

May 4, 2007.

APPEAL from an order of the Civil Court of the City of New York, Bronx County (Julia I. Rodriguez, J.), entered February 7, 2006. The order granted defendant's motion for summary judgment dismissing the complaint and denied plaintiff's cross motion for summary judgment.

Israel, Israel Purdy, LLP, Great Neck ( William M. Purdy of counsel), for appellant. Marshall Marshall, Jericho ( Jeffrey D. Kadushin of counsel), for respondent.

Before: McKEON, J.P., McCOOE and SCHOENFELD, JJ.


OPINION OF THE COURT


Order, entered February 7, 2006, affirmed, with $10 costs.

Contrary to plaintiff's contention, defendant Motor Vehicle Accident Indemnification Corporation (MVAIC) has the "rights and obligations" applicable to an insurer under article 51 of the Insurance Law ( see Insurance Law § 5221 [b] [3]; New York Hosp. Med. Ctr. of Queens v Motor Veh. Ace. Indem. Corp., 12 AD3d 429, 430) and is entitled to notice of claim within 45 days of the date services are rendered ( see 11 NYCRR 65-1.1).

The record reveals that the health care services herein were rendered to plaintiff's assignor on July 31, 2003. MVAIC received plaintiff's proof of claim on March 30, 2004, eight months after the date the services were rendered. Attached to plaintiff's proof of claim was correspondence indicating that plaintiff had made an "accidental submission" to State Farm Insurance Company in August 2003; a facsimile, dated September 23, 2003, transmitting State Farm's cancellation notice of its policy effective January 3, 2003; and a December 18, 2003 letter to plaintiff from its attorney stating that the attorney was no longer looking to State Farm for payment of the bill because there was "no policy." MVAIC ultimately denied the claim based on plaintiffs untimely submission of proof of claim and afforded plaintiff the opportunity to provide a "reasonable justification" for the delay ( see 11 NYCRR 65-3.3 [e]; Matter of Medical Socy. of State of N.Y. v Serio, 100 NY2d 854, 863 [2003]).

Defendant's motion for summary judgment was properly granted. Even assuming, arguendo, that plaintiff's inadvertent submission of the claim to State Farm initially justified its delay in submitting the claim to MVAIC ( see 11 NYCRR 65-3.5), plaintiff failed to address, much less provide a "reasonable justification" for the 3½ -month delay between December 18, 2003, when plaintiff's counsel advised plaintiff that there was no coverage, and plaintiffs submission of the claim to MVAIC on March 26, 2004.

We have considered plaintiff's remaining argument and find it unavailing.


Summaries of

NY Arthroscopy & Sports Medicine PLLC v. Motor Vehicle Accident Indemnification Corp.

Appellate Term of the Supreme Court of New York, First Department
May 4, 2007
15 Misc. 3d 89 (N.Y. App. Term 2007)
Case details for

NY Arthroscopy & Sports Medicine PLLC v. Motor Vehicle Accident Indemnification Corp.

Case Details

Full title:NY ARTHROSCOPY SPORTS MEDICINE PLLC, as Assignee of MADELINE GONZALEZ…

Court:Appellate Term of the Supreme Court of New York, First Department

Date published: May 4, 2007

Citations

15 Misc. 3d 89 (N.Y. App. Term 2007)
2007 N.Y. Slip Op. 27174
836 N.Y.S.2d 753

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