November 29, 2018

Ortho Passive Motion, Inc. v Allstate Ins. Co. (2018 NY Slip Op 51749(U))

Headnote

The relevant facts of the case were that the plaintiff, Ortho Passive Motion, Inc., was seeking to recover assigned first-party no-fault benefits from the defendant, Allstate Insurance Company. The defendant claimed, as an affirmative defense, that the insurance policy limits had been exhausted. The trial court noted that the parties had stipulated to the defendant's timely denial of the claim, and a judgment was entered in favor of the plaintiff. The defendant subsequently moved to modify the judgment on the grounds that the coverage limits of the insurance policy had been exhausted. The main issue decided by the court was whether the defendant had established an exhaustion of the coverage limits of the insurance policy at the time the claims at issue had been deemed complete. The court found that the defendant had failed to demonstrate that the policy had been exhausted at the relevant time, and therefore had not established a basis to modify the judgment. The holding of the case was that the order of the District Court denying the branch of defendant's motion seeking to modify the judgment was affirmed. This means that the judgment in favor of the plaintiff was upheld, and the defendant's motion to modify the judgment was denied.

Reported in New York Official Reports at Ortho Passive Motion, Inc. v Allstate Ins. Co. (2018 NY Slip Op 51749(U))

SUPREME COURT, APPELLATE TERM, SECOND DEPARTMENT, 9th and 10th JUDICIAL DISTRICTS

Ortho Passive Motion, Inc., as Assignee of Adan Rivera-Martinez, Respondent,

against

Allstate Insurance Company, Appellant.

Peter C. Merani, P.C. (Eric M. Wahrburg and Adam Kass of counsel), for appellant. Israel, Israel & Purdy, LLP (Ryan B. Berry of counsel), for respondent.

Appeal from an order of the District Court of Nassau County, Third District (Scott Fairgrieve, J.), dated March 1, 2017. The order, insofar as appealed from as limited by the brief, denied the branch of defendant’s motion seeking to modify a judgment of that court entered July 29, 2015, following a nonjury trial, awarding plaintiff the principal sum of $3,723.72.

ORDERED that the order, insofar as appealed from, is affirmed, with $25 costs.

In this action to recover assigned first-party no-fault benefits, defendant asserted, as an affirmative defense, that the insurance policy limits had been exhausted. At a nonjury trial, the District Court (Scott Fairgrieve, J.) noted that the parties had stipulated to, among other things, defendant’s timely denial of the claim at issue. Following the trial, a judgment was entered on July 29, 2015 awarding plaintiff the principal sum of $3,723.72. On November 7, 2016, defendant moved, insofar as is relevant to this appeal, pursuant to CPLR 5019 (a) and 5240, among others, to modify the judgment on the ground that the coverage limits of the insurance policy had been exhausted. Plaintiff opposed the motion. Defendant appeals from so much of an order of the District Court dated March 1, 2017 as denied the branch of defendant’s motion seeking to modify the judgment, citing CPLR 5240 as authority for its requested relief.

At the outset, we note that, although defendant did not deny the claim on the ground that the coverage limits of the insurance policy at issue had been exhausted, this defense is not [*2]precluded (see New York & Presbyt. Hosp. v Allstate Ins. Co., 12 AD3d 579 [2004]; Alleviation Med. Servs., P.C. v Allstate Ins. Co., 55 Misc 3d 44 [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2017]).

In support of its motion, defendant argued that there are no funds available to pay the judgment because the $50,000 policy limit in basic personal injury protection had been exhausted. Assuming, arguendo, that such contention, if established, would entitle defendant to some form of postjudgment relief (see Hospital for Joint Diseases v Hertz Corp., 22 AD3d 724 [2005]), we find that, in any event, defendant’s motion papers failed to establish an exhaustion of the coverage limits of the insurance policy at issue, as defendant failed to demonstrate that the policy had been exhausted at the time the claims at issue had been deemed complete (see 11 NYCRR 65-3.15; Nyack Hosp. v General Motors Acceptance Corp., 8 NY3d 294 [2007]; Alleviation Med. Servs., P.C., 55 Misc 3d 44). Consequently, defendant has established no basis to modify the judgment.

Accordingly, the order, insofar as appealed from, is affirmed

TOLBERT, J.P., BRANDS and RUDERMAN, JJ., concur.


ENTER:
Paul Kenny
Chief Clerk
Decision Date: November 29, 2018