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Allstate Ins. Co. v. Longevity Med. Supply, Inc.

Supreme Court, Appellate Term, New York, First Department.
Feb 22, 2018
58 Misc. 3d 158 (N.Y. App. Term 2018)

Opinion

570783/17

02-22-2018

ALLSTATE INSURANCE COMPANY, Petitioner–Appellant, v. LONGEVITY MEDICAL SUPPLY, INC., a/a/o Tessa Barton, Respondent–Respondent.


Per Curiam.

Order and judgment (Erika M. Edwards, J.), entered on or about December 14, 2016, affirmed, with $25 costs.

Petitioner-insurer failed to demonstrate a ground pursuant to CPLR 7511 to vacate the master arbitrator's award. There was a rational basis, based on the no-fault regulations, for the master arbitrator's finding that respondent-medical provider's proof was sufficient to establish that (1) it responded to the verification demands sent by petitioner, and (2) that petitioner was therefore required, but failed, to rebut the presumption of receipt of the verification, or show that it timely acted upon receipt by paying or denying the claim, or seeking further verification. The master arbitrator's legal analysis of the arbitrator's determination was well within the scope of her authority to review and correct an error of law made by the arbitrator (see 11 NYCRR 65–4.10 [a][4]; Matter of Smith [Firemen's Ins. Co.] , 55 NY2d 224, 231 [1982] ; Matter of Petrofsky [Allstate Ins. Co.] , 54 NY2d 207, 211 [1981] ). Applying the law to a given set of facts is well within the province of a master arbitrator, even if the master arbitrator's conclusion differs from that of the arbitrator (see Martinez v. Metropolitan Prop. & Liab. Ins. Co. , 146 AD2d 610 [1989] ).

We have considered petitioner's remaining arguments and find them to be without merit.

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.


Summaries of

Allstate Ins. Co. v. Longevity Med. Supply, Inc.

Supreme Court, Appellate Term, New York, First Department.
Feb 22, 2018
58 Misc. 3d 158 (N.Y. App. Term 2018)
Case details for

Allstate Ins. Co. v. Longevity Med. Supply, Inc.

Case Details

Full title:ALLSTATE INSURANCE COMPANY, Petitioner–Appellant, v. LONGEVITY MEDICAL…

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

Date published: Feb 22, 2018

Citations

58 Misc. 3d 158 (N.Y. App. Term 2018)
97 N.Y.S.3d 55