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GPLW Acupuncture, P.C. v. Nationwide Mut. Ins. Co.

Supreme Court of New York, Second Department
Mar 14, 2024
2024 N.Y. Slip Op. 50397 (N.Y. App. Term 2024)

Opinion

No. 2022-594 S C

03-14-2024

GPLW Acupuncture, P.C., as Assignee of Claude Watson, Respondent, v. Nationwide Mutual Insurance Company, Appellant.

Hollander Legal Group, P.C. (Allan S. Hollander of counsel), for appellant. Law Offices of Gabriel & Moroff, PC (Koenig Pierre of counsel), for respondent.


Unpublished Opinion

Hollander Legal Group, P.C. (Allan S. Hollander of counsel), for appellant.

Law Offices of Gabriel & Moroff, PC (Koenig Pierre of counsel), for respondent.

PRESENT:: JERRY GARGUILO, P.J., JAMES P. McCORMACK, GRETCHEN WALSH, JJ

Appeal from an order of the District Court of Suffolk County, Fourth District (Garrett W. Swenson, Jr., J.), entered June 21, 2022. The order, insofar as appealed from, 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 appeals from so much of an order of the District Court as denied defendant's motion which had sought summary judgment dismissing the complaint on the ground that plaintiff failed to appear for duly scheduled examinations under oath (EUOs).

The affidavit submitted by defendant established that the EUO scheduling letters and the denial of claim forms, which denied the claims on the ground that plaintiff failed to appear for the EUOs, had been timely mailed in accordance with defendant's standard office practices and procedures (see St. Vincent's Hosp. of Richmond v Government Empls. Ins. Co., 50 A.D.3d 1123 [2008]; 11 NYCRR 65-3.8 [l]). In addition, defendant submitted affidavits by its attorney who was scheduled to conduct the EUOs, as well as certified transcripts of the attorney's statements of the nonappearances, which were sufficient to establish plaintiff's failure to appear (see Pavlova v Nationwide Ins., 70 Misc.3d 144 [A], 2021 NY Slip Op 50213[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2021]; TAM Med. Supply Corp. v 21st Century Ins. Co., 57 Misc.3d 149 [A], 2017 NY Slip Op 51510[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2017]). Consequently, defendant established its prima facie entitlement to summary judgment (see Interboro Ins. Co. v Clennon, 113 A.D.3d 596 [2014]). To the extent the court stated that there was an issue of fact as to whether the EUOs were scheduled to be held in a location which was reasonably convenient for plaintiff, the EUO scheduling letters offered to let plaintiff appear virtually. As plaintiff failed to raise a triable issue of fact in opposition to defendant's motion, defendant's motion for summary judgment dismissing the complaint should have been granted.

Accordingly, the order, insofar as appealed from, is reversed and defendant's motion for summary judgment dismissing the complaint is granted.

GARGUILO, P.J., McCORMACK and WALSH, JJ., concur.


Summaries of

GPLW Acupuncture, P.C. v. Nationwide Mut. Ins. Co.

Supreme Court of New York, Second Department
Mar 14, 2024
2024 N.Y. Slip Op. 50397 (N.Y. App. Term 2024)
Case details for

GPLW Acupuncture, P.C. v. Nationwide Mut. Ins. Co.

Case Details

Full title:GPLW Acupuncture, P.C., as Assignee of Claude Watson, Respondent, v…

Court:Supreme Court of New York, Second Department

Date published: Mar 14, 2024

Citations

2024 N.Y. Slip Op. 50397 (N.Y. App. Term 2024)