American Transit Ins. Co. v Perez 2014 NY Slip Op 30474(U) February 25, 2014 Sup Ct, New York County Docket Number: /11 Judge: Eileen A.

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Transcription:

American Transit Ins. Co. v Perez 2014 NY Slip Op 30474(U) February 25, 2014 Sup Ct, Ne York County Docket Number: 109131/11 Judge: Eileen A. Rakoer Cases posted ith a "30000" identifier, i.e., 2013 NY Slip Op 30001(U), are republished from various state and local government ebsites. These include the Ne York State Unified Court System's E-Courts Service, and the Bronx County Clerk's office. This opinion is uncorrected and not selected for official publication.

[* 1] SUPREME COURT OF THE STATE OF NEW YORK NEW YORK COUNTY PRESENT: HON. EILEEN Index Number: 1"09131/2011 AMERICAN TRANSIT INSURANCE vs. PEREZ, ANTONIO SEQUENCE NUMBER : 003 SUMMARY JUDGMENT Justice PART~J_5_ INDEX NO.----- MOTION DATE MOTION SEQ. NO. --- The folloing papers, numbered 1 to, ere read on this motion to/for Notice of Motion/Order to Sho Cause - Affidavits - Exhibits I No(s)..}_-_7 Ansering Affidavits - Exhibits---------------- I No(s). _... Replying Affidavits --'------------- I No(s)., Upon the foregoing papers, it is ordered that this motion is (.) ~ ::>..., ~ c : : UJ u. UJ :....J >-!!!. -..J z: ::> 0 I- I.I. "' <( (.) : ~ (!) z: : -!!2 ~..J (I)..J <( 0 0 u. zw 0 :s:: - I- I- : Oo :E LL Dated: a /as/a 011. UNFILED JUDGMENT!~~s ~u~gmefnt has not been entered by the County Clerk o ice o entry cannot be served based he obtain entry, counse1 or authorized ~ To appear ii pelsofl at lepfesentative must 1418).. 1he Judgment Clerk's Desk (Room -------.,,,...,...,.,z...;:r:! S.C.. HON. EILEEN A. RAKOWEn. 1. CHECK ONE:... 0 GCRAASNETDEIDSPOSEDD DENIED O GRA\tiTE.DN0 2. CHECK AS APPROPRIATE:... MOTION IS: Jr~ NNP-FAIRNTAL DISDP0STITHIOERN 1 0 3. CHECK IF APPROPRIATE:... SETILE ORDER 0 SUBMIT ORDER 0 DO NOT POST 0FIDUCIARY APPOINTMENT 0 REFERENCE

[* 2] SUPREME COURT OF THE STATE OF NEW YORK - NEW YORK COUNTY PRESENT: Hon. EILEEN A. RAKOWER PART 15 Justice AMERICAN TRANSIT INSURANCE COMPANY, Plaintiff, INDEX NO. MOTION DATE 109131/11 - v - MOTION SEQ. NO. 003 ANTONIO PEREZ, JAIME TORRES, AAA PHARMACY, INC.. ATLANTIC CHIROPRACTIC, P.C.. DIGGETT CHIROPRACTIC, P.C.. DOWNTOWN BRONX MEDICAL ASSOCIATES, P.C., EASTCHESTER PRECISION MEDICAL P.C., EAST PEARL ACCUPUNCTURE P.C.. HEALTHWORX MEDICAL. P.C.. INTEGRATIVE PAIN MEDICICINE MOTION CAL. NO. UNFILED JI P.C., LINCOLN MEDICAL AND MENTAL HEALTH CENTER, LONGEVITY MEDICAL SUPPLY, INC., This ud ;-:!--,.-.~ JDGMENT METRO HEAL TH PRODUCTS INC MUL Tl J gmenl I.. - and notice or ent.,,. nut ly::pn '- 0 "fr>red by th c,~" ~,,, "C e ounty Clerk SPECIALITY PAIN MANAGEMENT P.C.. NEW obtain en r I.ry Celi.net ~'.2 s_erved based hereon. T' MILLENIUM PSYCHOLOGICAL SERVICES, P.C., appear in tt, counsel or anonzed representative mus~ NEW YORK CITY HEALTH AND HOSPITALS 14.'18). erson at the Judgment Clerk's Desk (Roor~ CORPORATION, SMART REHAB PT. P.C. SOCRATES MEDICAL HEALTH P.C.. DINDO K. ZAYAS PT, Defendants. 0 I- C LL. >...J...J :'.) LL. 1- u a. en en en c:::( The folloing papers, numbered 1 to ere read on this motion for/to I PAPERS NUMBERED I Notice of Motion/ Order to Sho Cause - Affidavits - Exhibits...,_,_-7 I cj ~ Anser - Affidavits - Exhibits I 8 ~ ~~---~~~-~- -~---- Replying Affidavits Cross-Motion: D Yes X No 1 I 9 This case arises from an automobile accident on January 24, 2011 here defendants Antonio Perez ("Perez") and Jaime Torres ("Torres") allegedly received personal injuries. Plaintiff American Transit Insurance Company commenced this action by Summons and Complaint filed on August 8, 2011 seeking a declaration that Perez and Torres are not eligible insured persons entitled to no-fault benefits under American Transit Insurance Company insurance policy CAP 609248 ("the Policy"), due to alleged breach of contract by failing to appear for properly requested and scheduled medical examinations. ~.. By Order dated September 24, 2012, this Court granted Plaintiffs motion O U C for default judgment against Perez, Torres, and co-defendants Atlantic 5 t; ~Chiropractic, P.C., Diggett Chiropractic, P.C., Donton Bronx Medical ~ ~ ;3 Associates, P.C., Eastchester Precision Medical P.C., East Pearl Acupuncture P.C., Healthorx Medical, P.C., Integrative Pain Medcicine P.C., Longevity Medical l

[* 3] Suppiy, Inc., Smart Rehab PT, P.C., Socrates Iv1cdical Heaith, P.C., and Dindo K. Zayas, PT (the "Defendants") for failure to anser or appear in this action. Plaintiff did not seek a default judgment against defendants Lincoln Medical and Mental Health Center and Ne York City Health and Hospitals Corporation, AAA Pharmacy, Metro Health Products Inc., tv1ulti-speciality Pain Management, P.C., Ne Millenium Psychological Services, P.C., and Ne York City Health and Hospitals Corporation. Plaintiff no moves for an Order, pursuant to CPLR 3212, for summary judgment against defendant Ne Millenium Psychological Services, P.C. ("Ne Millenium"). Ne Millenium opposes and submits the attorney affirmation of Oleg Rybak. The proponent of a motion for summary judgment must make a prima facie shoing of entitlement to judgment as a matter of la. That party must produce sufficient evidence in admissible form to eliminate any material issue of fact from the case. Where the proponent makes such a shoing, the burden shifts to the party opposing the motion to demonstrate by admissible evidence that a factual issue remains requiring the trier of fact to determine the issue. The affirmation of counsel alone is not sufficient to satisfy this requirement. (Zuckerman v. City of Ne York, 49 N.Y.2d 557 [1980]). In addition, bald, conclusory allegations, even if believable, are not enough. (Ehrlich v. American Moninger Greenhouse Mfg. Corp., 26 N.Y.2d 255 [1970]). (Edison Stone Corp. v. 42nd Street Development Corp.,145 A.D.2d 249, 251-252 [1st Dept. 1989]). The affirmation of counsel alone is not sufficient to satisfy this requirement. (Zuckerman, supra). The No-Fault regulation contains explicit language in 11 NYCRR 65-1.1 that there shall be no liability on the part of the No-Fault insurer if there has not been full compliance ith the conditions precedent to coverage. Specifically, 11 NYCRR 65-1.1 states: No action shall lie against the Company unless, as a condition precedent thereto, there shall have been full compliance ith the terms of this coverage. The Regulation mandates at 11 NYCRR 65-1.1 that: Upon request by the Company, the eligible injured person or that person's assignee or representative shall: (b) as may reasonably be required submit to examinations 2

[* 4] under oath by any person named by the Company and subscribe the same. The failure to attend duly scheduled medical exams voids the policy ab initio. See Unitrin Advantage Ins. Co. v. Bayshore Physical Therapy, PLLC, 82 A.D.3d 559, 560 [1st Dep't 2011]. Plaintiff submits the Affidavit of Merit of Chevan Douglas, a claim represented employed by Plaintiff, hich attests to Perez and Torres' failure to appear for properly requested and scheduled examinations under oath ("EUOs"). Plaintiff also provides the affidavit of Angela Denny, a supervisor in Plaintiffs legal department, hich attests to the generation and issuance of the EUO scheduling letters, the affidavit of Luis Campbell, Plaintiffs mail room supervisor, hich attests to the mailing of the EUO scheduling letters, and the affidavits of Patrick Shea and Patrick Carr hich attest to Perez and Torres' failure to appear for the scheduled EUOs. Here, through the provided affidavits and exhibits thereto, Plaintiff has demonstrated prima facie entitlement to summary judgment. As appearances for examinations under oath ere a condition precedent to payment under the subject policy and Perez and Torres breached the requirement by failing to appear, there is no basis for coverage to defendant Ne Millenium,,as.. the~r~$1stgnee. In opposition, defendant Ne Mplenium failstq:foi's:~~;{ij~fgi~ :;~W~ftlerk r:r~ils '" '~' '' ',,,, ;.~. - ""'''"..,.: ~a"':c;d hereon. To ;.: v~.,, r,_r-,.,;- 1...,,.:T' ';\'t J/'LI ~C4 \!...,_ll U J"' "" '.. a~~d lfi\tljt:oe c.: ~ 1 «i) 'A'" 1 '' ''' ;... ~., 1 "' entative must Wherefore, It IS hereb Citaln entry, co1.msel or authonzed ~~r. rk:s Desk (Room appear in person at the Judgment er s 1418). ORDERED that Plaintiffs motion for summary judgment against defendant Ne Millenium Psychological Services, P.C., is granted; and it is further ORDERED and ADJUDGED that Plaintiff oes no duty to defendant Ne Millenium Psychological Services, P.C., to pay No-Fault claims submitted in relation to the January 24, 2011 collision referenced in the complaint involving defendants Antonio Perez and Jaime Torres. This constitutes the decision and order of the court. All other relief requested is denied. This judgment has not been entered by the County Clerk and notice of entry cannot be served based hereon. To obtain entry, counsel or authorized representative must appear in person at the Judgment Clerk's Desk (Room 3 '1418). J.S.C.

[* 5] Check one: FINAL DISPOSITION X NON-FINAL DISPOSITION Check if appropriate: [ I DO NOT POST,_l 1 J REFERENCE 4