GLM Med., P.C. v State Farm Mut. Auto. Ins. Co. |
2011 NY Slip Op 50194(U) [30 Misc 3d 137(A)] |
Decided on February 14, 2011 |
Appellate Term, Second Department |
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431. |
As corrected in part through November 4, 2011; it will not be published in the printed Official Reports. |
Appeal from an order of the Civil Court of the City of New York, Kings County (Robin S.
Garson, J.), entered August 20, 2009. The order denied defendant's motion for summary
judgment dismissing the complaint.
ORDERED that the order is reversed, without costs, and defendant's motion for summary judgment dismissing the complaint is granted.
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 plaintiff had failed to appear for scheduled examinations under oath (EUOs) or, in the alternative, that plaintiff's action was premature, in that plaintiff had not provided requested additional verification. Plaintiff submitted no written opposition to defendant's motion. The Civil Court denied defendant's motion, finding that the EUO scheduling letters were inadequate because they did not delineate the place and location of the EUO in a conspicuous manner, "i.e. bold or larger font," and that defendant had failed to establish plaintiff's nonappearance at the EUOs. This appeal by defendant ensued.
The affidavits submitted by defendant established that the EUO scheduling letters were
timely mailed in accordance with the affiants' employers' standard office practices and
procedures (see St. Vincent's Hosp. of
Richmond v Government Empls. Ins. Co., 50 AD3d 1123 [2008]; Residential
Holding Corp. v Scottsdale Ins. Co., 286 AD2d 679 [2001]; Delta Diagnostic [*2]Radiology, P.C. v Chubb Group of Ins., 17 Misc 3d 16
[App Term, 2d & 11th Jud Dists 2007]). Defendant also submitted an affirmation from one of its
attorneys, who was responsible for conducting the EUOs at issue. He alleged facts sufficient to
establish that plaintiff had failed to appear at counsel's former law office for duly scheduled
EUOs (see Stephen Fogel Psychological,
P.C. v Progressive Cas. Ins. Co., 35 AD3d 720 [2006]; W & Z Acupuncture, P.C. v Amex Assur.
Co., 24 Misc 3d 142[A], 2009 NY Slip Op 51732[U] [App Term, 2d, 11th & 13th Jud
Dists 2009]). Such an appearance at an EUO is a condition precedent to the insurer's liability on
the policy (see Insurance Department Regulations [11 NYCRR]
§ 65-1.1; Stephen Fogel Psychological, P.C., 35 AD3d at 722; 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]). Further, contrary to the Civil Court's determination, there is no
requirement that EUO scheduling letters conspicuously highlight the time and place of the EUO
by use of, among other things, a bold or larger font (see Insurance Department
Regulations [11 NYCRR] § 65-3.5 [b], [e]). Accordingly, the order is reversed and
defendant's motion for summary judgment dismissing the complaint is granted. In light of the
foregoing, we reach no other issue.
Pesce, P.J., Golia and Steinhardt, JJ., concur.
Decision Date: February 14, 2011