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Parisien v. Nationwide Ins.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Nov 29, 2019
65 Misc. 3d 155 (N.Y. App. Term 2019)

Opinion

2017-2004 K C

11-29-2019

Jules Francois PARISIEN, M.D., as Assignee of Frandy Bolivar, Respondent, v. NATIONWIDE INS., Appellant.

Harris J. Zakarin, P.C. (Harris J. Zakarin and Alan Hollander of counsel), for appellant. The Rybak Firm, PLLC (Damin J. Toell and Karina Barska of counsel), for respondent.


Harris J. Zakarin, P.C. (Harris J. Zakarin and Alan Hollander of counsel), for appellant.

The Rybak Firm, PLLC (Damin J. Toell and Karina Barska of counsel), for respondent.

PRESENT: MICHAEL L. PESCE, P.J., MICHELLE WESTON, DAVID ELLIOT, JJ.

ORDERED that the order, insofar as appealed from, is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, defendant moved for summary judgment dismissing the complaint on the ground that it had timely denied the claim based upon plaintiff's failure to appear for three duly scheduled examinations under oath (EUOs). Plaintiff opposed the motion and cross-moved for summary judgment. Defendant argued in a reply affirmation that, by virtue of an order of the Civil Court (Richard J. Montelione, J.) dated January 6, 2017 in an action involving the same parties, plaintiff was collaterally estopped from disputing elements of defendant's case. Defendant appeals from so much of an order of the Civil Court (Harriet L. Thompson, J.) entered March 16, 2017 as denied defendant's motion, rejecting both the proof initially proffered by defendant and the claim of collateral estoppel.

Defendant's papers failed to establish, as a matter of law, that the denial of claim form had been timely mailed (see St. Vincent's Hosp. of Richmond v. Government Empls. Ins. Co. , 50 A.D.3d 1123 [2008] ). As a result, defendant did not demonstrate that it is not precluded from asserting its proffered defense. Consequently, the Civil Court properly found that defendant is not entitled to summary judgment dismissing the complaint. We incidentally note that the doctrine of collateral estoppel asserted by defendant would, in any event, not apply to the denial of the claim at issue here, as that claim was not at issue in the prior action.

Accordingly, the order, insofar as appealed from, is affirmed.

PESCE, P.J., WESTON and ELLIOT, JJ., concur.


Summaries of

Parisien v. Nationwide Ins.

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS
Nov 29, 2019
65 Misc. 3d 155 (N.Y. App. Term 2019)
Case details for

Parisien v. Nationwide Ins.

Case Details

Full title:Jules Francois Parisien, M.D., as Assignee of Frandy Bolivar, Respondent…

Court:SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS

Date published: Nov 29, 2019

Citations

65 Misc. 3d 155 (N.Y. App. Term 2019)
2019 N.Y. Slip Op. 51949
119 N.Y.S.3d 806