From Casetext: Smarter Legal Research

Horizon P.T. Care v. State Farm Mut. Auto. Ins. Co.

Supreme Court of New York, Second Department
Apr 14, 2023
2023 N.Y. Slip Op. 50442 (N.Y. App. Term 2023)

Opinion

No. 2021-472 K C

04-14-2023

Horizon P.T. Care, P.C., as Assignee of October, Sigmund, Appellant, v. State Farm Mutual Automobile Ins. Co., Respondent.

The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for appellant. Rivkin Radler, LLP (Cheryl F. Korman and Stuart M. Bodoff of counsel), for respondent.


Unpublished Opinion

The Rybak Firm, PLLC (Damin J. Toell and Richard Rozhik of counsel), for appellant.

Rivkin Radler, LLP (Cheryl F. Korman and Stuart M. Bodoff of counsel), for respondent.

PRESENT:: WAVNY TOUSSAINT, P.J., MARINA CORA MUNDY, LISA S. OTTLEY, JJ

Appeal from an order of the Civil Court of the City of New York, Kings County (Odessa Kennedy, J.), entered August 2, 2021. The order denied plaintiff's motion for summary judgment and granted defendant's cross motion for summary judgment dismissing the complaint.

ORDERED that the order is affirmed, with $25 costs.

In January 2018, plaintiff Horizon P.T. Care, P.C. (Horizon) commenced this action against defendant State Farm Mutual Automobile Ins. Co. (State Farm) to recover assigned first-party no-fault benefits for services it rendered to its assignor for injuries the assignor allegedly sustained in a motor vehicle accident on March 9, 2015. After issue was joined, Horizon moved for, among other things, summary judgment. State Farm cross-moved for summary judgment dismissing the complaint on the separate grounds that Horizon had failed to appear for duly scheduled examinations under oath (EUOs), and that four of Horizon's causes of action were barred by a declaratory judgment issued by the Supreme Court, Nassau County, in a December 2015 declaratory judgment action commenced by State Farm against Horizon in regard to the same March 2015 accident. Following Horizon's default in appearing in the Supreme Court action, judgment was entered in July 2016, which declared that "Horizon... has no right to receive payment for the bills submitted to STATE FARM and listed in Exhibit '1' of the... summons and verified complaint." By order entered August 2, 2021, the Civil Court denied Horizon's motion and granted State Farm's cross motion for summary judgment dismissing the complaint on the ground that State Farm had established that Horizon failed to appear for duly scheduled EUOs.

State Farm's cross-moving papers in the Civil Court sufficiently established that the assignor, claims, date of loss and dates of service relevant to Horizon's first, third, fourth, and seventh causes of action in the case at bar are the same as those referenced in the Supreme Court declaratory judgment action. For the reasons stated in Horizon P.T. Care, P.C. v State Farm Mut. Auto. Ins. Co. (- Misc.3d -, 2023 NY Slip Op 50295 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2023]), those causes of action were barred under the doctrine of res judicata, thereby obviating any need for this court to independently review them. The Civil Court thus properly granted the branches of State Farm's cross motion seeking summary judgment dismissing those causes of action, albeit on grounds different from those relied upon by the Civil Court.

With respect to Horizon's remaining causes of action-the second, fifth, and sixth-contrary to Horizon's contention, the affidavits of State Farm's employees were sufficient to give rise to a presumption that the EUO scheduling letters and denial of claim forms as to the claims underlying those causes of action had been timely mailed (see St. Vincent's Hosp. of Richmond v Government Empls. Ins. Co., 50 A.D.3d 1123 [2008]). Thus, plaintiff has not demonstrated any basis to disturb so much of the order as granted the branches of State Farm's cross motion seeking summary judgment dismissing those causes of action.

Accordingly, the order is affirmed.

TOUSSAINT, P.J., MUNDY and OTTLEY, JJ., concur.


Summaries of

Horizon P.T. Care v. State Farm Mut. Auto. Ins. Co.

Supreme Court of New York, Second Department
Apr 14, 2023
2023 N.Y. Slip Op. 50442 (N.Y. App. Term 2023)
Case details for

Horizon P.T. Care v. State Farm Mut. Auto. Ins. Co.

Case Details

Full title:Horizon P.T. Care, P.C., as Assignee of October, Sigmund, Appellant, v…

Court:Supreme Court of New York, Second Department

Date published: Apr 14, 2023

Citations

2023 N.Y. Slip Op. 50442 (N.Y. App. Term 2023)

Citing Cases

Shafai Acupuncture, P.C. v. State Farm Mut. Auto. Ins. Co.

Contrary to plaintiff's sole contention with respect to the branches of defendant's motion seeking summary…

Shafai Acupuncture, P.C. v. State Farm Mut. Auto. Ins. Co.

the first through fifth and seventh causes of action, the affidavit of defendant's employee was sufficient…