This post starts the first in hopefully numerous case summaries of pertinent Appellate Division cases. The cases might not always address ground-breaking material; however, I intend to build up a sizable searchable library of cases addressing common and important issues with respect to different areas of New York law.
The first case summary involves the Second Department's recent decision concerning disclaimers within the context of New York's No-Fault law. In this case, the patient's assignee attempted to resubmit claims for medical treatment to the patient's insurer, even though the insurer had informed the patient that it had terminated her no-fault benefits before she had received the medical treatments. Notably, the Second Department held that the 30-day period in which insurers must deny a no-fault claim does not run anew if the assignee resubmits a claim that has already been denied. The assignee basically was trying to resubmit the same claims until the insurer would fail to disclaim in a timely fashion. Notably, the assignee could have sought payment of the claim through commencing an action or submitting the dispute to arbitration under Insurance Law section 5106(b).