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State Farm Fire & Cas. Co. v. Soliman

Supreme Court of New York, First Department
Apr 13, 2023
2023 N.Y. Slip Op. 1949 (N.Y. App. Div. 2023)

Opinion

No. 39 Index No. 156332/20 Case No. 2022-00310

04-13-2023

State Farm Fire and Casualty Company, Plaintiff-Appellant, v. Bassem Soliman, D.C., et al., Defendants, BPC Chiropractic, P.C., et al., Defendants-Respondents.

Rivkin Radler LLP, Uniondale (Stuart M. Bodoff of counsel), for appellant.


Rivkin Radler LLP, Uniondale (Stuart M. Bodoff of counsel), for appellant.

Before: Renwick, A.P.J., Moulton, Shulman, Rodriguez, Pitt-Burke, JJ.

Order, Supreme Court, New York County (Barbara Jaffe, J.), entered September 21, 2021, which denied plaintiff insurer's motion for a default judgment against defendants BPC Chiropractic, P.C., Distinctive Medical, P.C., M&D Elite Pharmacy, LLC., Standard Rehab PT, P.C (collectively, the defaulting medical provider defendants), and defendants Abdanis Cameron and Angelic Santiago, unanimously reversed, on the law, without costs, the motion granted and it is declared that plaintiff has no duty to pay the defaulting medical provider defendants' claims arising out of an alleged August 29, 2019 automobile accident.

Plaintiff insurer seeks a declaratory judgment of noncoverage based, among other things, on its allegations that defendants Munoz, Cameron, and Santiago (collectively, the claimants) each breached a condition precedent to coverage by failing to appear for properly noticed Examinations Under Oath (EUOs). In support of its motion for a default judgment against the defaulting defendants, plaintiff demonstrated through admissible evidence that the claimants each breached a condition precedent to coverage by failing to appear for properly and timely noticed EUOs (see State Farm Mut. Auto. Ins. Co. v AK Global Supply Corp., 203 A.D.3d 556, 557 [1st Dept 2022]; Hertz Vehicles, LLC v Alluri, 171 A.D.3d 432, 432 [1st Dept 2019]). The documentary evidence shows that plaintiff sent the EUO scheduling letters to the claimants within 15 business days of receiving the prescribed verification forms (in this case, NF-3 forms), as required (see 11 NYCRR 65-3.5 [b]; Hertz Vehicles, LLC v Best Touch PT, P.C., 162 A.D.3d 617 [1st Dept 2018]). Contrary to the motion court's calculation, the 15-day period starts with receipt of the NF-3 forms, not the NF-2 Application for No-Fault Benefits forms (see State Farm Mut. Auto. Ins. Co., 203 A.D.3d at 557).


Summaries of

State Farm Fire & Cas. Co. v. Soliman

Supreme Court of New York, First Department
Apr 13, 2023
2023 N.Y. Slip Op. 1949 (N.Y. App. Div. 2023)
Case details for

State Farm Fire & Cas. Co. v. Soliman

Case Details

Full title:State Farm Fire and Casualty Company, Plaintiff-Appellant, v. Bassem…

Court:Supreme Court of New York, First Department

Date published: Apr 13, 2023

Citations

2023 N.Y. Slip Op. 1949 (N.Y. App. Div. 2023)