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Kings Med. Supply Inc. v. Geico Ins.

Appellate Term of the Supreme Court of New York, Second Department
Mar 4, 2004
2004 N.Y. Slip Op. 50904 (N.Y. App. Term 2004)

Opinion

2003-500 KC.

Decided March 4, 2004.

Appeal by plaintiff from so much of an order of the Civil Court, Kings County (J. Sullivan, J.), dated November 27, 2002, as denied its motion for summary judgment.

Order insofar as appealed from unanimously reversed without costs, plaintiff's motion for summary judgment granted in the principal sum of $795 and matter remanded to the court below for a calculation of statutory interest and an assessment of attorney's fees.

PRESENT: ARONIN, J.P., PATTERSON and RIOS, JJ.


Plaintiff sued to recover first-party no-fault benefits for medical supplies it provided to the injured assignor. In our opinion, plaintiff's motion for summary judgment should have been granted.

The Insurance Regulation in effect in 2001, when the medical supplies were provided, was section 65.15 (d) (3) which stated that the eligible injured person shall submit to medical examinations when, and as often as, the company may reasonably require. There was no provision requiring the eligible person to appear for an examination under oath (EUO) until the following year, when the new regulation became effective on April 5, 2002 ( 11 NYCRR 65-3.5 [e]; A.B. Med. Serv. PLLC v. Lumbermens Mut. Cas. Co., NYLJ, Oct. 27, 2003 [App Term, 2d 11th Jud Dists]; Bronx Med. Serv. P.C. v. Lumbermans Mut. Cas. Co., NYLJ, June 13, 2003 [App Term, 1st Dept]), and, thus, defendant's EUO demands did not toll the 30-day period in which an insurer must act upon a claim or be precluded from most defenses (Insurance Law § 5106 [a]; Central Gen Hosp. v. Chubb Group of Ins. Cos., 90 NY2d 195, 199; A.B. Med. Serv. PLLC v. Eagle Ins. Co., NYLJ, Dec. 29, 2003 [App Term, 9th 10th Jud Dists]). Since there was no requirement that plaintiff's assignor appear for an examination under oath as requested by defendant, plaintiff is entitled to summary judgment.

The matter is remanded to the court below for a calculation of the statutory interest and an assessment of attorney's fees ( see Insurance Law § 5106 [a]; 11 NYCRR 65.17 [b] [6]; 65.15 [h] [1]; St. Clare's Hosp. v. Allstate Ins. Co., 215 AD2d 641).


Summaries of

Kings Med. Supply Inc. v. Geico Ins.

Appellate Term of the Supreme Court of New York, Second Department
Mar 4, 2004
2004 N.Y. Slip Op. 50904 (N.Y. App. Term 2004)
Case details for

Kings Med. Supply Inc. v. Geico Ins.

Case Details

Full title:KINGS MEDICAL SUPPLY INC., A/A/O Lakesha BARNES, Appellant, v. GEICO…

Court:Appellate Term of the Supreme Court of New York, Second Department

Date published: Mar 4, 2004

Citations

2004 N.Y. Slip Op. 50904 (N.Y. App. Term 2004)

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