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Voelker v. Empire Blue Cross and Blue Shield

Appellate Division of the Supreme Court of New York, First Department
Nov 2, 1989
155 A.D.2d 229 (N.Y. App. Div. 1989)

Opinion

November 2, 1989

Appeal from the Supreme Court, New York County (Elliott Wilk, J.).


In this action by intervenor-respondent Benvenisty, on behalf of a purported class of Empire subscribers who were denied reimbursement for a diagnostic medical procedure known as magnetic resonance imaging (MRI) between March 29, 1984 and January 15, 1986, the court below properly determined that the statutory prerequisites for class certification had been established.

Specifically, the class was so numerous that joinder of all members was impracticable (CPLR 901 [a] [1]); questions of law and fact common to the class predominated as to whether Empire had violated contractual obligations to its subscribers by denying coverage (CPLR 901 [a] [2]); the claims of intervenor Benvenisty, a subscriber who was also denied coverage and suffered out-of-pocket loss, were typical of the class claims (CPLR 901 [a] [3]); the representative party, who had adequate funds to support the litigation and had engaged experienced counsel, fairly and adequately protected class interests (CPLR 901 [a] [4]), and a class action of all subscribers similarly situated was superior to other available methods for the fair and efficient adjudication of the controversy (CPLR 901 [a] [5]; Friar v Vanguard Holding Corp., 78 A.D.2d 83, 100 [2d Dept 1980]).

Further, the court below did not err in determining that the addition of an ERISA (Employee Retirement Income Security Act of 1974 [ 29 U.S.C. § 1001 et seq.]) cause of action in the intervenor's second amended complaint did not alter the definition of the class as previously approved. (See, ERISA § 1132 [a] [1], [B]; [e]; Firestone Tire Rubber Co. v Bruch, 489 U.S. 101, ___, 109 S Ct 948, 956; Abbarno v Carborundum Co., 682 F. Supp. 179 [WD N Y 1988].)

Finally, the court did not abuse its discretion in ruling that Empire should bear half the costs of disseminating the class notice, without prejudice to either party making application at the conclusion of trial for a reapportionment of such costs. (CPLR 904 [d] [I].)

Concur — Murphy, P.J., Milonas, Ellerin, Wallach and Rubin, JJ.


Summaries of

Voelker v. Empire Blue Cross and Blue Shield

Appellate Division of the Supreme Court of New York, First Department
Nov 2, 1989
155 A.D.2d 229 (N.Y. App. Div. 1989)
Case details for

Voelker v. Empire Blue Cross and Blue Shield

Case Details

Full title:ROBERT VOELKER, Plaintiff, and ALBERT BENVENISTY, Intervenor-Respondent…

Court:Appellate Division of the Supreme Court of New York, First Department

Date published: Nov 2, 1989

Citations

155 A.D.2d 229 (N.Y. App. Div. 1989)
546 N.Y.S.2d 613