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Long Is. Multi-Medicine v. Travelers Ins.

Appellate Term of the Supreme Court of New York, Second Department
Jan 8, 2009
2009 N.Y. Slip Op. 50030 (N.Y. App. Term 2009)

Opinion

2007-717 Q C.

Decided on January 8, 2009.

Appeal from an order of the Civil Court of the City of New York, Queens County (Diane A. Lebedeff, J.), entered March 8, 2007, deemed from a judgment of the same court entered April 26, 2007 (see CPLR 5501 [c]). The judgment, entered pursuant to the March 8, 2007 order granting plaintiff's motion for summary judgment, awarded plaintiff the principal sum of $2,948.88.

Judgment affirmed without costs.

PRESENT: WESTON PATTERSON, J.P., 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, contending, inter alia, that issues of fact exist as to whether plaintiff timely submitted its claims to defendant. The court granted plaintiff's motion for summary judgment, finding that defendant waived its defense of untimeliness, since defendant failed to advise plaintiff that the claim would be reconsidered upon a showing of impossibility to timely submit the claims. This appeal by defendant ensued.

The affidavit of defendant's claims representative submitted in opposition to plaintiff's motion, and the denial of claim forms annexed thereto, demonstrate that defendant denied a number of plaintiff's claims on the ground that they were not timely submitted ( see generally Insurance Department Regulations [11 NYCRR] § 65.12). However, since none of the denial of claim forms correspond to the claim forms upon which plaintiff seeks summary judgment, defendant failed to establish that it timely denied the subject claims. As a result, defendant failed to raise a triable issue of fact with respect to the claims at issue ( see Zuckerman v City of New York, 49 NY2d 557). Accordingly, the judgment is affirmed, albeit on other grounds.

Weston Patterson, J.P., Rios and Steinhardt, JJ., concur.


Summaries of

Long Is. Multi-Medicine v. Travelers Ins.

Appellate Term of the Supreme Court of New York, Second Department
Jan 8, 2009
2009 N.Y. Slip Op. 50030 (N.Y. App. Term 2009)
Case details for

Long Is. Multi-Medicine v. Travelers Ins.

Case Details

Full title:LONG ISLAND MULTI-MEDICINE GROUP, P.C. a/a/o SUMIRA LUND, Respondent, v…

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

Date published: Jan 8, 2009

Citations

2009 N.Y. Slip Op. 50030 (N.Y. App. Term 2009)
880 N.Y.S.2d 224