November 9, 2018

Barshay v 21st Century Centennial Ins. Co. (2018 NY Slip Op 51605(U))

Headnote

The insurer's unsworn claim representative statement failed to establish timely denials based on the assignor's EUO nonappearance. In this action for assigned no-fault benefits, the insurer moved for summary judgment dismissing the complaint, and the provider cross-moved for summary judgment. The purported affidavit was not sworn before a notary public and could neither establish timely denial as a matter of law nor raise a factual issue concerning timeliness. The Appellate Term, Second Department, affirmed the order denying the insurer's motion and granting the provider's cross motion. The provider's prima facie showing was not challenged on appeal and was not reviewed.

Reported in New York Official Reports at Barshay v 21st Century Centennial Ins. Co. (2018 NY Slip Op 51605(U))

[*1]
Barshay v 21st Century Centennial Ins. Co.
2018 NY Slip Op 51605(U) [61 Misc 3d 140(A)]
Decided on November 9, 2018
Appellate Term, Second Department
Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431.
This opinion is uncorrected and will not be published in the printed Official Reports.

Decided on November 9, 2018

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 2d, 11th and 13th JUDICIAL DISTRICTS


PRESENT: : MICHAEL L. PESCE, P.J., THOMAS P. ALIOTTA, DAVID ELLIOT, JJ
2016-1563 K C
Oleg Barshay, D.C., as Assignee of Maxim Savelyev, Respondent,

against

21st Century Centennial Insurance Company, Appellant.

Law Offices of Bryan Rothenberg (Konstantinos Tsirkas of counsel), for appellant. Law Offices of Damin J. Toell, P.C. (Damin J. Toell of counsel), for respondent.

Appeal from an order of the Civil Court of the City of New York, Kings County (John J. Kelley, J.), entered May 2, 2016. The order denied defendant’s motion for summary judgment dismissing the complaint and granted plaintiff’s cross motion for summary judgment.

ORDERED that the order is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from an order of the Civil Court which denied defendant’s motion for summary judgment dismissing the complaint and granted plaintiff’s cross motion for summary judgment.

Inasmuch as defendant raises no issue on appeal with respect to plaintiff’s establishment of its prima facie entitlement to summary judgment, we do not pass upon the propriety of the Civil Court’s determination with respect thereto.

Defendant’s motion for summary judgment was based upon, among other things, what purported to be an “affidavit” from defendant’s claim representative, which “affidavit” was not sworn to before a notary public (see e.g. Healthy Way Acupuncture, P.C. v Farmington Cas. Co., 49 Misc 3d 141[A], 2015 NY Slip Op 51595[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2015]), and therefore cannot be relied upon to raise an issue of fact as to the timeliness of defendant’s denial of claim forms, let alone demonstrate, as a matter of law, that defendant had timely denied the claims at issue on the ground that plaintiff’s assignor had failed to appear for duly scheduled examinations under oath.

Accordingly, the order is affirmed.

PESCE, P.J., ALIOTTA and ELLIOT, JJ., concur.


ENTER:
Paul Kenny
Chief Clerk
Decision Date: November 09, 2018