January 8, 2014

Interboro Ins. Co. v Clennon (2014 NY Slip Op 00092)

Headnote

The court considered an action for a declaration that the plaintiff has no obligation to pay certain no-fault claims. The key legal issue was whether the defendants were entitled to recover no-fault benefits, as the failure to comply with the provision of an insurance policy requiring the insured to submit to an examination under oath is a material breach of the policy, precluding recovery of the policy proceeds. The court held that the plaintiff insurer established as a matter of law that it twice duly demanded an examination under oath from the appellants' assignor, who failed to appear, and that the plaintiff issued a timely denial of the claims arising from the appellants' treatment of the assignor. The appellants failed to raise a triable issue of fact as to the propriety of the demand for the examination under oath or whether the assignor actually appeared at the examination, and also failed to demonstrate that discovery might lead to relevant evidence or that the facts essential to justify opposition to the motion were exclusively within the knowledge and control of the movant. Therefore, the judgment was affirmed in favor of the plaintiff insurer.

Reported in New York Official Reports at Interboro Ins. Co. v Clennon (2014 NY Slip Op 00092)

Interboro Ins. Co. v Clennon (2014 NY Slip Op 00092)
Interboro Ins. Co. v Clennon
2014 NY Slip Op 00092 [113 AD3d 596]
January 8, 2014
Appellate Division, Second Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
As corrected through Wednesday, March 5, 2014
Interboro Insurance Company, Respondent,
v
Michael Clennon et al., Defendants, and Compas Medical, P.C., et al., Appellants.

[*1] The Rybak Firm, PLLC, Brooklyn, N.Y. (Damin J. Toell and Andrew S. Fisher of counsel), for appellants.

Law Office of Jason Tenenbaum P.C., Garden City, N.Y., for respondent.

In an action, inter alia, for a judgment declaring that the plaintiff has no obligation to pay certain no-fault claims, the defendants Compas Medical, P.C., T&J Chiropractic, P.C., Charles Deng Acupuncture, P.C., and Great Health Care Chiropractic, P.C., appeal, as limited by their brief, from so much of a judgment of the Supreme Court, Nassau County (Adams, J.), dated November 22, 2011, as, upon an order of the same court entered July 6, 2011, among other things, granting that branch of the plaintiff’s motion which was for summary judgment on the complaint insofar as asserted against those defendants, declared that those defendants were not entitled to recover no-fault benefits.

Ordered that the judgment is affirmed insofar as appealed from, with costs.

“The failure to comply with the provision of an insurance policy requiring the insured to submit to an examination under oath . . . is a material breach of the policy, precluding recovery of the policy proceeds” (Argento v Aetna Cas. & Sur. Co., 184 AD2d 487, 487-488 [1992]; see Unitrin Advantage Ins. Co. v Bayshore Physical Therapy, PLLC, 82 AD3d 559 [2011]). Here, the plaintiff insurer established as a matter of law that it twice duly demanded an examination under oath from the appellants’ assignor, who had allegedly been injured in a motor vehicle accident, that the assignor twice failed to appear, and that the plaintiff issued a timely denial of the claims arising from the appellants’ treatment of the assignor. Based upon the foregoing, the plaintiff established its prima facie entitlement to judgment as a matter of law. In opposition, the appellants failed to raise a triable issue of fact as to either the propriety of the demand for the examination under oath or whether the assignor actually appeared at the examination.

Moreover, the appellants failed to establish that summary judgment was premature in light of outstanding discovery. “A party who contends that a summary judgment motion is premature is required to demonstrate that discovery might lead to relevant evidence or [that] the facts essential to justify opposition to the motion were exclusively within the knowledge and control of the movant” (Cajas-Romero v Ward, 106 AD3d 850, 852 [2013]; see CPLR 3212 [f]). Here, in support of [*2]their contention that the plaintiff’s motion was premature, the appellants did not establish what information they hoped to discover that would demonstrate the existence of a triable issue of fact. Eng, P.J., Dillon, Dickerson and Sgroi, JJ., concur.