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Greater Buffalo Accident & Injury Chiropractic, P.C. v. GEICO Cas. Co.

SUPREME COURT OF THE STATE OF NEW YORK Appellate Division, Fourth Judicial Department
Aug 22, 2019
175 A.D.3d 1100 (N.Y. App. Div. 2019)

Opinion

730 CA 18–01971

08-22-2019

GREATER BUFFALO ACCIDENT & INJURY CHIROPRACTIC, P.C., Plaintiff–Respondent, v. GEICO CASUALTY COMPANY, Defendant–Appellant.

RIVKIN RADLER LLP, UNIONDALE (J'NAIA L. BOYD OF COUNSEL), FOR DEFENDANT–APPELLANT. THE MORRIS LAW FIRM, P.C., BUFFALO (DANIEL K. MORRIS OF COUNSEL), FOR PLAINTIFF–RESPONDENT.


RIVKIN RADLER LLP, UNIONDALE (J'NAIA L. BOYD OF COUNSEL), FOR DEFENDANT–APPELLANT.

THE MORRIS LAW FIRM, P.C., BUFFALO (DANIEL K. MORRIS OF COUNSEL), FOR PLAINTIFF–RESPONDENT.

PRESENT: WHALEN, P.J., PERADOTTO, CARNI, LINDLEY, AND CURRAN, JJ.

MEMORANDUM AND ORDER It is hereby ORDERED that the order insofar as appealed from is unanimously reversed on the law without costs, the motion is granted in its entirety and the complaint is dismissed.

Memorandum: Plaintiff, as the assignee of certain claims for no-fault benefits, commenced this action asserting a single cause of action for prima facie tort and seeking, inter alia, punitive damages. Defendant moved to dismiss the complaint pursuant to CPLR 3211(a)(7), and Supreme Court granted the motion with respect to the claim for punitive damages but otherwise denied the motion. Defendant appeals from the order to the extent that it denied the motion in part, and we reverse the order insofar as appealed from.

Defendant contends that the court erred in denying its motion in part because plaintiff's prima facie tort cause of action, which, in essence, alleges that defendant engaged in conduct violating 11 NYCRR 65–3.2, is really a cause of action under the unfair claim settlement practices statute, i.e., Insurance Law § 2601, or the corresponding regulations ( 11 NYCRR 216.0 et seq. ), none of which, according to defendant, give rise to a private cause of action. Defendant also contends that plaintiff failed to state a cause of action for prima facie tort because the complaint did not allege particular facts or special damages.

We agree with defendant that the complaint failed to state a cause of action for prima facie tort. "Prima facie tort affords a remedy for the infliction of intentional harm, resulting in damage, without excuse or justification, by an act or a series of acts which would otherwise be lawful" ( Freihofer v. Hearst Corp., 65 N.Y.2d 135, 142, 490 N.Y.S.2d 735, 480 N.E.2d 349 [1985] [internal quotation marks omitted]; see ATI, Inc. v. Ruder & Finn, 42 N.Y.2d 454, 458, 398 N.Y.S.2d 864, 368 N.E.2d 1230 [1977] ). "The requisite elements of a cause of action for prima facie tort are (1) intentional infliction of harm, (2) which results in special damages, (3) without any excuse or justification, (4) by an act or series of acts which would otherwise be lawful" ( Freihofer, 65 N.Y.2d at 142–143, 490 N.Y.S.2d 735, 480 N.E.2d 349 ).

Here, the prima facie tort cause of action cannot stand because, although the complaint alleged that defendant "acted maliciously" and "with disinterested malice," it did not allege that defendant's "sole motivation was ‘disinterested malevolence’ " ( Burns Jackson Miller Summit & Spitzer v. Lindner, 59 N.Y.2d 314, 333, 464 N.Y.S.2d 712, 451 N.E.2d 459 [1983] ). In addition, the complaint failed to allege special damages as required (see Freihofer, 65 N.Y.2d at 143, 490 N.Y.S.2d 735, 480 N.E.2d 349 ; Mancuso v. Allergy Assoc. of Rochester, 70 A.D.3d 1499, 1501, 895 N.Y.S.2d 756 [4th Dept. 2010] ). Finally, the complaint is not "sufficiently particular to give the court and parties notice of the transactions, occurrences, or series of transactions or occurrences, intended to be proved and the material elements of each cause of action" ( CPLR 3013 ; see generally Mid–Hudson Val. Fed. Credit Union v. Quartararo & Lois, PLLC, 31 N.Y.3d 1090, 1091, 78 N.Y.S.3d 703, 103 N.E.3d 774 [2018] ). "[A] cause of action cannot be predicated solely on mere conclusory statements ... unsupported by factual allegations" ( Sager v. City of Buffalo, 151 A.D.3d 1908, 1910, 58 N.Y.S.3d 796 [4th Dept. 2017] [internal quotation marks omitted] ). Here, the complaint is devoid of relevant facts, including the time period at issue, the number of forms that defendant requested plaintiff to resubmit, and the number of claims involved.

It appears from the order that the court did not rely on the affidavit of William Owens, D.C. before it ruled on defendant's motion, inasmuch as the affidavit is not among the papers recited in the order as "used on the motion" ( CPLR 2219[a] ). The affidavit was not included among the documents originally submitted by plaintiff in opposition to defendant's motion and was only filed with the court the day before the order was entered and, therefore, was not a document "upon which the ... order was founded" ( CPLR 5526 ; see Gustafson v. Dippert, 68 A.D.3d 1678, 1680, 891 N.Y.S.2d 842 [4th Dept. 2009] ). " ‘[A]ppellate review is limited to the record made at the nisi prius court and, absent matters [that] may be judicially noticed, new facts may not be injected at the appellate level’ " ( Tuchrello v. Tuchrello, 233 A.D.2d 917, 918, 649 N.Y.S.2d 869 [4th Dept. 1996] ; see Block v. Magee, 146 A.D.2d 730, 732, 537 N.Y.S.2d 215 [2d Dept. 1989] ). Thus, the Owens affidavit is not properly before this Court.

In light of our determination, defendant's remaining contention is academic.


Summaries of

Greater Buffalo Accident & Injury Chiropractic, P.C. v. GEICO Cas. Co.

SUPREME COURT OF THE STATE OF NEW YORK Appellate Division, Fourth Judicial Department
Aug 22, 2019
175 A.D.3d 1100 (N.Y. App. Div. 2019)
Case details for

Greater Buffalo Accident & Injury Chiropractic, P.C. v. GEICO Cas. Co.

Case Details

Full title:GREATER BUFFALO ACCIDENT & INJURY CHIROPRACTIC, P.C.…

Court:SUPREME COURT OF THE STATE OF NEW YORK Appellate Division, Fourth Judicial Department

Date published: Aug 22, 2019

Citations

175 A.D.3d 1100 (N.Y. App. Div. 2019)
107 N.Y.S.3d 599
2019 N.Y. Slip Op. 6349

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