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Healthy Way Acupuncture, P.C. v. One Beacon Ins. Co.

Supreme Court, Appellate Term, First Department, New York.
Apr 16, 2015
15 N.Y.S.3d 711 (N.Y. App. Term 2015)

Opinion

No. 570035/15.

04-16-2015

HEALTHY WAY ACUPUNCTURE, P.C., a/a/o Egnys Garcia, Plaintiff–Respondent, v. ONE BEACON INS. CO., Defendant–Appellant.


Opinion

Order (Joseph E. Capella, J.), entered March 19, 2014, insofar as appealed from, affirmed, with $10 costs.

This action, seeking recovery of first-party no-fault benefits, is not ripe for summary dismissal, since defendant-insurer failed to establish the proper and timely mailing of the denial of claim forms at issue (see Nyack Hosp. v. Metropolitan Prop. & Cas. Ins. Co., 16 AD3d 564, 564–565 [2005] ; Hospital for Joint Diseases v. Nationwide Mut. Ins. Co., 284 A.D.2d 374 [2001] ). The affidavit submitted by defendant to establish proof of mailing, identifying the affiant as an employee of nonparty Tower Insurance Group (“Tower”), an entity remotely related to defendant, lacked probative value, since it failed to set forth the basis of affiant's personal knowledge of the internal mailing practices and procedures of defendant during the pertinent period (see Gogos v. Modell's Sporting Goods, Inc., 87 AD3d 248, 253–254 [2011] ), especially given that affiant began his employment with Tower after the denial at issue was allegedly mailed by defendant (see Nocella v. Fort Dearborn Life Ins. Co. of NY, 99 AD3d 877, 879 [2012] ). “It is the burden of the proponent of an affidavit to demonstrate the basis of the affiant's knowledge ... and here, defendant failed to meet that burden” (Gogos v. Modell's Sporting Goods, Inc., 87 AD3d at 254 ).

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.

I concur.


Summaries of

Healthy Way Acupuncture, P.C. v. One Beacon Ins. Co.

Supreme Court, Appellate Term, First Department, New York.
Apr 16, 2015
15 N.Y.S.3d 711 (N.Y. App. Term 2015)
Case details for

Healthy Way Acupuncture, P.C. v. One Beacon Ins. Co.

Case Details

Full title:HEALTHY WAY ACUPUNCTURE, P.C., a/a/o Egnys Garcia, Plaintiff–Respondent…

Court:Supreme Court, Appellate Term, First Department, New York.

Date published: Apr 16, 2015

Citations

15 N.Y.S.3d 711 (N.Y. App. Term 2015)