April 20, 2017 | FC&S Insurance
Decisions Address Policy Exhaustion, Attorney Fees and Conformity CertificatesIn our June 9, 2016, No-Fault Insurance Law Wrap-Up column,1 we reported on several appellate decisions concerning an insurer’s obligation…
By David M. Barshay
11 minute read
April 12, 2017 | New York Law Journal
Decisions Address Policy Exhaustion, Attorney Fees and Conformity CertificatesIn his No-Fault Insurance Law Wrap-Up, David M. Barshay reviews recent holdings, one of which saw the Appellate Term, Second Department, in contrast with the Appellate Term, First Department, reject the argument that an insurer's denial of a claim permits it to pay subsequent claims, which can lead to policy exhaustion before the contested earlier claim is litigated or arbitrated.
By David M. Barshay
22 minute read
February 08, 2017 | New York Law Journal
Decisions Address Physician Fee Justification and Arbitration AwardsIn his No-Fault Insurance Wrap-Up, David M. Barshay analyzes a recent decision in which a physician established a relative value to bill for services but did not provide a supporting report justifying that value, along with recent decisions that involved vacating arbitration awards.
By David M. Barshay
25 minute read
December 07, 2016 | New York Law Journal
Post-Spokeo Standing and Fair Debt Collection Practices ActIn his Debtor-Creditor Rights Wrap-up, David M. Barshay surveys cases dealing with consumers' standing to sue for "procedural" violations under consumer protection statutes, particularly the Fair Debt Collections Practices Act, particularly after 'Spokeo, Inc. v. Robins', in which the U.S. Supreme Court considered whether a violation of a statutory right granted by the Fair Credit Reporting Act was a sufficient injury in fact to maintain an action in federal court. The court determined that if such injury is both "particularized" and "concrete," standing is present.
By David M. Barshay
20 minute read
October 12, 2016 | New York Law Journal
Unreasonable Delay Results in Tolling of InterestNo-Fault Insurance Law Wrap-Up Columnist David M. Barshay examines key decisions relating to the tolling of interest, where misrepresentation of military status is a precludable defense and policy cancellation.
By David M. Barshay
18 minute read
August 10, 2016 | New York Law Journal
Evidentiary Challenge on a Summary Judgment MotionIn his No-Fault Insurance Law Wrap-Up, David M. Barshay writes: The distinction between an affidavit, which is sworn to before a notary public or other public official, and an affirmation, which is subscribed and affirmed by the witness without the necessity of a notarization, while arguably a technicality, has been the subject of several no-fault related decisions.
By David M. Barshay
21 minute read
June 09, 2016 | New York Law Journal
Policy Exhaustion; Restoring Case to Trial CalendarIn his No-Fault Insurance Law Wrap-Up, David M. Barshay writes: If an insurer receives a bill for an earlier date of service, but does not pay it, and then receives and pays subsequent bills which exhaust the policy, is the insurer obligated to pay the earlier bill? Not surprisingly, there are several schools of thought as to whether an insurer must pay the earlier bill.
By David M. Barshay
11 minute read
April 14, 2016 | New York Law Journal
Office-Based Surgical Facility Fees and No-Fault InsuranceIn his No-Fault Insurance Law Wrap-Up, David M. Barshay discusses the recent Court of Appeals decision on whether a no-fault insurer is required to pay no-fault medical benefits to an office-based surgical facility not licensed under Public Health Law Article 28.
By David M. Barshay
21 minute read
February 11, 2016 | New York Law Journal
Insurance Coverage for Intentional ActsIn his No-Fault Insurance Law Wrap-Up, David M. Barshay reviews an interesting case on whether an act of self-defense by the insured resulting in fatal injuries to another person is a covered act under a liability policy, requiring the insurer to indemnify the insured for a wrongful death claim by the injured person's estate, along with several recent decisions on out-of-state policies.
By David M. Barshay
11 minute read
December 10, 2015 | New York Law Journal
Examination Under Oath and IME No-ShowIn his No-Fault Insurance Law Wrap-Up, David M. Barshay writes that generally, to prevail on a medical examination "no-show" defense, an insurer must prove both the mailing of its scheduling letters and the injured person's non-appearance. However, the Appellate Divisions are split on whether an insurer must raise the defense in a timely denial in order to preserve such defense.
By David M. Barshay
9 minute read
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