no-fault claim (New York) · Go Syfert
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no-fault claim in New York

28 New York opinions name it 6 courts 1978–2026 3 in the last five years

The cases below were cited by New York courts in a sentence that names this issue. Sides come from how each citing opinion treated the case (Syfertize flag on that citation), so a case can appear on both: that is where the law is contested. A red or yellow chip is the case's own overall treatment.

Followed or applied (9)

CaseFollowedCited
Presbyterian Hospital v. Maryland Casualty Co.green
ny · 1997 · cited in 4 New York opinions naming this issue, 2013–2013
2 sentences

2013Co., 90 NY2d 274, 279 [1997]).

2013Co., 90 NY2d 274, 279 [1997]).

44
Eagle Insurance v. ELRAC, Inc.green
nyappdiv · 2002 · cited in 2 New York opinions naming this issue, 2015–2015
2 sentences

2015Co. v ELRAC, Inc., 291 AD2d 272, 273 [2002]; Matter of Pacific Ins.

2015Co. v ELRAC, Inc., 291 AD2d 272, 273 [2002]; Matter of Pacific Ins.

22
FAIR PRICE MED. v. Travelersgreen
ny · 2008 · cited in 3 New York opinions naming this issue, 2013–2015
2 sentences

2013Co. ( 10 NY3d at 565 ), the Court of Appeals stated that preclusion required the insurer to pay a no-fault claim it might not have been obligated to honor if timely disclaimed.

2013Co. ( 10 NY3d at 565 ), the Court of Appeals stated that preclusion required the insurer to pay a no-fault claim it might not have been obligated to honor if timely disclaimed.

13
Matter of Am. Ins. Co (Messinger)green
ny · 1977 · cited in 1 New York opinions naming this issue, 2017–2017
1 sentence

2017Co.], 43 NY2d 184, 189-190 [1977]; see generally Rembrandt Indus. v Hodges Intl., 38 NY2d 502, 504 [1976]), including the arbitration of a no-fault claim (see Clemens, 65 NY2d at 748-749; Barnett v Ives, 265 AD2d 865, 866 [1999]).

11
Rembrandt Industries, Inc. v. Hodges International, Inc.green
ny · 1976 · cited in 1 New York opinions naming this issue, 2017–2017
1 sentence

2017Co.], 43 NY2d 184, 189-190 [1977]; see generally Rembrandt Indus. v Hodges Intl., 38 NY2d 502, 504 [1976]), including the arbitration of a no-fault claim (see Clemens, 65 NY2d at 748-749; Barnett v Ives, 265 AD2d 865, 866 [1999]).

11
Barnett v. Ivesgreen
nyappdiv · 1999 · cited in 1 New York opinions naming this issue, 2017–2017
1 sentence

2017Co.], 43 NY2d 184, 189-190 [1977]; see generally Rembrandt Indus. v Hodges Intl., 38 NY2d 502, 504 [1976]), including the arbitration of a no-fault claim (see Clemens, 65 NY2d at 748-749; Barnett v Ives, 265 AD2d 865, 866 [1999]).

11
State Farm Mutual Automobile Insurance v. Mallelagreen
ny · 2005 · cited in 1 New York opinions naming this issue, 2009–2009
2 sentences

2009Co. v Mallela ( 4 NY3d 313, 319 [2005]), known to the no-fault bar as “Mallela III,” the Court of Appeals held that an insurer may withhold payment for medical services provided by “fraudulently incorporated” enterprises to which patients have assigned their no-fault claims.

2009In Mallela III, unlicensed individuals paid physicians to use their names on certificates of incorporation and other documents filed with the Department of State to establish medical service corporations ( 4 NY3d at 319 ).

11
Nassau Insurance v. Murraygreen
ny · 1978 · cited in 1 New York opinions naming this issue, 2007–2007
1 sentence

2007Co. v Murray, 46 NY2d 828, 829-830 [1978]).

11
Stark v. Goldberggreen
nyappdiv · 2002 · cited in 1 New York opinions naming this issue, 2005–2005
1 sentence

2005(See Stark v Goldberg, 297 AD2d 203, 204 [1st Dept 2002]; Axelrod v New York State Teachers’ Retirement Sys., 154 AD2d 827 [1989].) In order to establish standing in a no-fault claim, plaintiff health care providers must produce “properly executed” assignments of insurance benefits, signed by the patient naming the provider as assignee (see 11 NYCRR 65-3.11 [b] [2]; A.B.

11

Distinguished, questioned or overruled (0)

CaseNegativeCited
No negative-treatment citations attached to this issue in New York. Read the followed side critically anyway.

Also cited on this issue (26)

CaseCitedYears
People v. Martinez neutral
nyappdiv · 1976
2 sentences

1979Co. [Barrios], 54 AD2d 879 , affd 43 NY2d 685 ).

1978Co.) ( 59 AD2d 468 ). 1 It is true that both Barrios (supra) and Simmons (supra) ostensibly stand for the proposition that an arbitrator’s award of counsel fees which exceeds an underlying no-fault claim, will not be disturbed by the courts except in the case of " 'complete irrationality’ ” (Lentine v Fundaro, 29 NY2d 328, 383 ).

21978–1979
Roggio v. Nationwide Mutual Insurance green
ny · 1985
2 sentences

2026Co. ( 66 NY2d 260 [1985]), the Court of Appeals expressed its disapproval of some aspects of a No-Fault claim resulting from a motor vehicle accident being tried in court and others determined in arbitration.

2026Co. ( 66 NY2d 260 [1985]), the Court of Appeals expressed its disapproval of some aspects of a No-Fault claim resulting from a motor vehicle accident being tried in court and others determined in arbitration.

12026–2026
Astree v. New York City Transit Authority green
nyappdiv · 2006
1 sentence

2022Auth. , 31 AD3d 589 ; Lawrence v Liberty Lines Tr. , 299 AD2d 398 ; Kossifos v Liberty Lines Tr. , 277 AD2d 205 ; Zydyk v New York City Tr.

12022–2022
Amodeo v. Kolodny, P.C. green
nyappdiv · 2006
1 sentence

2022Here, the plaintiff's cause of action accrued on July 2, 2009, when the no-fault claim [*2]and personal injury action were settled without first obtaining the consent of the plaintiff's workers' compensation carrier to the settlement, as required pursuant to Workers' Compensation Law § 29(5) ( see Amodeo v Kolodny, P.C. , 35 AD3d 773, 774 ).

12022–2022
Kossifos v. Liberty Lines Transit, Inc. green
nyappdiv · 2000
1 sentence

2022Auth. , 31 AD3d 589 ; Lawrence v Liberty Lines Tr. , 299 AD2d 398 ; Kossifos v Liberty Lines Tr. , 277 AD2d 205 ; Zydyk v New York City Tr.

12022–2022
Lawrence v. Liberty Lines Transit, Inc. green
nyappdiv · 2002
1 sentence

2022Auth. , 31 AD3d 589 ; Lawrence v Liberty Lines Tr. , 299 AD2d 398 ; Kossifos v Liberty Lines Tr. , 277 AD2d 205 ; Zydyk v New York City Tr.

12022–2022
Contact Chiropractic, P.C. v. N.Y.C. Transit Auth. green
nycterr · 2018
1 sentence

2018And this Court has cited to the "applicable six-year Statute of Limitations" for such claims ( Gurnee v Aetna Life & {** 31 NY3d at 198 } Cas.

12018–2018
Viviane Etienne Medical Care v. Country-Wide Ins. green
ny · 2015
1 sentence

2018Care, P.C. , 25 NY3d at 506 ; see Fair Price Med.

12018–2018
Johnson v. Lutz green
ny · 1930
1 sentence

2008“Unless some other hearsay exception is available (Toll v State of New York, supra), admission may only be granted where it is demonstrated that the informant has personal knowledge of the act, event or condition and he is under a business duty to report it to the entrant (Johnson v Lutz, supra; cf. Model Code of Evidence rule 514).” In sum, since the documents contained in Mr. Calender’s patient file constituted hearsay, the no-fault claim form which was based on the information contained in these documents is also hearsay.

12008–2008
Axelrod v. New York State Teachers' Retirement System green
nyappdiv · 1989
1 sentence

2005(See Stark v Goldberg, 297 AD2d 203, 204 [1st Dept 2002]; Axelrod v New York State Teachers’ Retirement Sys., 154 AD2d 827 [1989].) In order to establish standing in a no-fault claim, plaintiff health care providers must produce “properly executed” assignments of insurance benefits, signed by the patient naming the provider as assignee (see 11 NYCRR 65-3.11 [b] [2]; A.B.

12005–2005
Vinings Spinal Diagnostic, P. C. v. Liberty Mutual Insurance green
nydistctnassau · 2000
2 sentences

2003Co. ( 186 Misc 2d 287 [Nassau Dist Ct 2000]), Das’s position at arbitration was that “the submission of a completed claim satisfies any prima facie requirement.” Bonetti (supra) stands for the proposition that, with limited exception, an insurer is precluded from denying a no-fault claim if it fails to timely deny it and Vinings (supra) holds that an insurer is precluded from challenging the adequacy of a claimant’s proof of “medical necessity” if it fails to timely deny the claim for no-fault benefits.

2003Co. ( 186 Misc 2d 287 [Nassau Dist Ct 2000]), Das’s position at arbitration was that “the submission of a completed claim satisfies any prima facie requirement.” Bonetti (supra) stands for the proposition that, with limited exception, an insurer is precluded from denying a no-fault claim if it fails to timely deny it and Vinings (supra) holds that an insurer is precluded from challenging the adequacy of a claimant’s proof of “medical necessity” if it fails to timely deny the claim for no-fault benefits.

12003–2003
Bonetti v. Integon National Insurance green
nyappdiv · 2000
1 sentence

2003Co. ( 186 Misc 2d 287 [Nassau Dist Ct 2000]), Das’s position at arbitration was that “the submission of a completed claim satisfies any prima facie requirement.” Bonetti (supra) stands for the proposition that, with limited exception, an insurer is precluded from denying a no-fault claim if it fails to timely deny it and Vinings (supra) holds that an insurer is precluded from challenging the adequacy of a claimant’s proof of “medical necessity” if it fails to timely deny the claim for no-fault benefits.

12003–2003
General Accident Insurance Group v. Cirucci green
ny · 1979
1 sentence

2003Group v Cirucci ( 46 NY2d 862 [1979] [per curiam]), an expert witness may testify at the trial of an action where his conclusion was made as a peer review following the timely denial of a no-fault claim.

12003–2003
Central General Hospital v. Chubb Group of Insurance Companies green
ny · 1997
1 sentence

2000Hosp. v Chubb Group, 90 NY2d 195 ; Zappone v Home Ins.

12000–2000
Santana v. City of New York green
nyappdiv · 1995
1 sentence

2000Co. v Velasquez, 211 AD2d 636 ; Matter of Wausau Ins.

12000–2000
Sinicropi v. McCabe green
nyappdiv · 1986
1 sentence

1994We agree with the IAS Court that the no-fault claim form completed by plaintiff and sent to defendant bus company, together with correspondence from the attorney directed to defendant’s claim department, "constituted in the aggregate a sufficient notice of claim [to the County] within the meaning of General Municipal Law § 50-e” (Losada v Liberty Lines Tr., 155 AD2d 337 ; Taeinelli v Liberty Lines, 123 AD2d 756 ).

11994–1994
Sibrizzi v. Mount Tom Day School green
nyappdiv · 1989
1 sentence

1994We agree with the IAS Court that the no-fault claim form completed by plaintiff and sent to defendant bus company, together with correspondence from the attorney directed to defendant’s claim department, "constituted in the aggregate a sufficient notice of claim [to the County] within the meaning of General Municipal Law § 50-e” (Losada v Liberty Lines Tr., 155 AD2d 337 ; Taeinelli v Liberty Lines, 123 AD2d 756 ).

11994–1994
Beer Garden, Inc. v. New York State Liquor Authority green
ny · 1992
1 sentence

1994Auth., supra; Matter of City world Enters. v New York State Liq.

11994–1994
Rotunno v. City of Rochester green
nyappdiv · 1986
1 sentence

1992"Before a court can determine whether an agency acted reasonably in taking a particular action it must find that the agency had authority to act in the first instance.” (Mancini v McLaughlin, 54 NY2d 860, 862 .) Under the Alcoholic Beverage Control Law, the Legislature has granted the SLA specific and particular, rather than general, rule-making authority: "the power to make rules with respect to particular subjects is specifically granted to the SLA throughout the body of the Alcoholic Beverage Control Law.” (Matter of Rotunno v City of Rochester, 120 AD2d 160, 163 , affd 71 NY2d 995 ; see, b

11992–1992
Mancini v. McLaughlin neutral
ny · 1981
1 sentence

1992"Before a court can determine whether an agency acted reasonably in taking a particular action it must find that the agency had authority to act in the first instance.” (Mancini v McLaughlin, 54 NY2d 860, 862 .) Under the Alcoholic Beverage Control Law, the Legislature has granted the SLA specific and particular, rather than general, rule-making authority: "the power to make rules with respect to particular subjects is specifically granted to the SLA throughout the body of the Alcoholic Beverage Control Law.” (Matter of Rotunno v City of Rochester, 120 AD2d 160, 163 , affd 71 NY2d 995 ; see, b

11992–1992
Rotunno v. City of Rochester green
ny · 1988
1 sentence

1992"Before a court can determine whether an agency acted reasonably in taking a particular action it must find that the agency had authority to act in the first instance.” (Mancini v McLaughlin, 54 NY2d 860, 862 .) Under the Alcoholic Beverage Control Law, the Legislature has granted the SLA specific and particular, rather than general, rule-making authority: "the power to make rules with respect to particular subjects is specifically granted to the SLA throughout the body of the Alcoholic Beverage Control Law.” (Matter of Rotunno v City of Rochester, 120 AD2d 160, 163 , affd 71 NY2d 995 ; see, b

11992–1992
Camarella v. East Irondequoit Central School Board green
ny · 1974
11989–1989
Dermatossian v. New York City Transit Authority green
ny · 1986
11989–1989
Dury v. Dunadee green
nyappdiv · 1976
11982–1982
In re the Arbitration between Country-Wide Insurance & Barrios neutral
ny · 1977
11979–1979
In re the Arbitration between Simmons & Government Employees Insurance green
nyappdiv · 1977
11978–1978

Statutes the citing opinions construe

NY § N.Y. Insurance Law § 5106 (12) NY § N.Y. Insurance Law § 5102 (8) NY § N.Y. Insurance Law § 5103 (5)

Counted by distinct opinions that both name this issue and are annotated to the section; sections every opinion cites regardless of issue are not filtered here, so read the counts against the total above.

Where else courts name it

MI 32 (1984–2025) NY 28 (1978–2026) MN 7 (1981–2015) PA 3 (1987–2006) CA 3 (1978–2025) HI 2 (2009–2011) KY 2 (1992–2004) IL 2 (2007–2007)

Opinions by the citing court's state. A doctrine retained in one state and abandoned in another shows up here as a year span that stalls.

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