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LDE MED. SERVS. v. ENCOMPASS INS.

Appellate Term of the Supreme Court of New York, Second Department
Oct 20, 2010
2010 N.Y. Slip Op. 51845 (N.Y. App. Term 2010)

Opinion

2009-1401 Q C.

Decided October 20, 2010.

Appeal from an order of the Civil Court of the City of New York, Queens County (Diane A. Lebedeff, J.), entered June 2, 2009, deemed from a judgment of the same court entered June 19, 2009 (see CPLR 5501 [c]). The judgment, entered pursuant to the June 4, 2009 order granting plaintiff's motion for summary judgment, awarded plaintiff the principal sum of $1,446.67.

ORDERED that the judgment is reversed without costs, the order granting plaintiff's motion for summary judgment is vacated and plaintiff's motion for summary judgment is denied.

PRESENT: PESCE, P.J., RIOS and STEINHARDT, JJ.


In this action by a provider to recover assigned first-party no-fault benefits, plaintiff moved for summary judgment. Defendant opposed the motion on the ground that plaintiff's assignor had failed to appear at duly scheduled examinations under oath (EUOs). The Civil Court granted plaintiff's motion for summary judgment, and this appeal by defendant ensued. A judgment was subsequently entered, from which the appeal is deemed to be taken ( see CPLR 5501 [c]).

Defendant submitted an affirmation of an associate of the law firm retained by defendant to conduct the EUOs. The affirmation set forth facts sufficient to establish that plaintiff's assignor had failed to appear at the affirmant's law office for duly scheduled EUOs ( see Stephen Fogel Psychological, P.C. v Progressive Cas. Ins. Co. , 35 AD3d 720 ; Crotona Hgts. Med., P.C. v Farm Family Cas. Ins. Co. , 27 Misc 3d 134 [A], 2010 NY Slip Op 50716[U] [App Term, 2d, 11th 13th Jud Dists 2010]). Since appearance at an EUO is a condition precedent to an insurer's liability on the policy ( see Insurance Department Regulations [ 11 NYCRR] § 65-1.1; Stephen Fogel Psychological, P.C., 35 AD3d at 722), the judgment is reversed, the order granting plaintiff's motion for summary judgment is vacated and plaintiff's motion is denied.

Pesce, P.J., Rios and Steinhardt, JJ., concur.


Summaries of

LDE MED. SERVS. v. ENCOMPASS INS.

Appellate Term of the Supreme Court of New York, Second Department
Oct 20, 2010
2010 N.Y. Slip Op. 51845 (N.Y. App. Term 2010)
Case details for

LDE MED. SERVS. v. ENCOMPASS INS.

Case Details

Full title:LDE MEDICAL SERVICES, P.C. as Assignee of KERRON ALEXANDER, Respondent, v…

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

Date published: Oct 20, 2010

Citations

2010 N.Y. Slip Op. 51845 (N.Y. App. Term 2010)