Opinion
No. 2015–1767 K C.
05-19-2017
Miller, Leiby & Associates, P.C. (Melissa M. Wolin, Esq.), for appellant. The Rybak Firm, PLLC (Damin J. Toell, Esq.), for respondent.
Miller, Leiby & Associates, P.C. (Melissa M. Wolin, Esq.), for appellant.
The Rybak Firm, PLLC (Damin J. Toell, Esq.), for respondent.
Present: MARTIN M. SOLOMON, J.P., MICHAEL L. PESCE, DAVID ELLIOT, JJ.
Appeal from an order of the Civil Court of the City of New York, Kings County (Theresa M. Ciccotto, J.), entered June 5, 2015. The order, insofar as appealed from and as limited by the brief, denied defendant's motion for summary judgment dismissing the complaint.
ORDERED that the order, insofar as appealed from, is reversed, with $30 costs, and defendant's motion for summary judgment dismissing the complaint is granted.
In this action by a provider to recover assigned first-party no-fault benefits, defendant moved for summary judgment dismissing the complaint on the ground that plaintiff's assignor had failed to appear for duly scheduled independent medical examinations (IMEs), and plaintiff cross-moved for summary judgment. As limited by its brief, defendant appeals from so much of an order of the Civil Court as denied defendant's motion.
The Civil Court erroneously held that, because defendant had failed to establish that it had scheduled the examinations at a time that was reasonably convenient for the assignor, there is an issue of fact as to the reasonableness of the IME requests. The no-fault regulations provide that an eligible injured person "shall submit" to IMEs "when, and as often as, the Company may reasonably require" ( 11 NYCRR 65–1.1 ), as an assignor's appearance for a duly scheduled IME is a condition precedent to the insurer's liability on the policy. As plaintiff never alleged, let alone demonstrated, that he or his assignor had responded in any way to the IME requests, plaintiff's objections to the reasonableness of the requests should not have been heard (see Westchester County Med. Ctr. v. New York Cent. Mut. Fire Ins. Co., 262 A.D.2d 553 [1999] ; Metro Health Prods., Inc. v. State Farm Mut. Auto. Ins. Co., 49 Misc.3d 130[A], 2015 N.Y. Slip Op 51459[U] [App Term, 2d, 11th & 13th Jud Dists 2015] ).
Accordingly, the order, insofar as appealed from, is reversed and defendant's motion for summary judgment dismissing the complaint is granted.
SOLOMON, J.P., PESCE and ELLIOT, JJ., concur.