X

Thank you for sharing!

Your article was successfully shared with the contacts you provided.

The following e-filed documents, listed by NYSCEF document number (Motion 001) 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 34 were read on this motion to/for JUDGMENT — DEFAULT. DECISION ORDER ON MOTION   Upon the foregoing documents, the motion of plaintiff Hereford Insurance Company (“Plaintiff”) for entry of a default judgment against defendants A to Z Medical Care P.C., Spinal Care Chiropractic, P.C., ZQZ Acupuncture P.C., Rockaway Complete Chiropractic, P.C., Big Apple Medical Equipment, Custom Rx Pharmacy, LLC, Aris Diagnostic Medical, PLLC, New York Medical & Diagnostic Care P.C., Nanum Acupuncture P.C., Santa Barbara PT P.C., Ultimate Massage Therapy, P.C., Vallabh Medical P.C., Central Park Physical Medicine, P.C., Wellness Physical Therapy Rehabilitation, P.L.L.C., RAF Sports Chiropractic P.C., Corey Miles (“Miles”), and Caprice Beauford (“Beauford”) (together, “Defendants”) is granted on default and without opposition.1 Plaintiff is the issuer of an insurance policy issued under Policy No. CA262815 (the “Policy”), under which Miles and Beauford (together “Claimants”) made claims for no-fault benefits in connection with an alleged motor vehicle collision on January 13, 2019 (the “collision”). The remaining defendants are medical providers who have made claims to Plaintiffs as assignees of the Claimants. On July 22, 2019, Plaintiff commenced this action by filing a summons and complaint seeking declaratory and injunctive relief for present and future claims arising from the incident. All Defendants were served with process and none have answered or otherwise appeared in the action. Plaintiff now moves for entry of a default judgment against all Defendants. A plaintiff that seeks entry of a default judgment for a defendant’s failure to answer the complaint must submit proof of service of the summons and complaint upon the defendant, proof of the facts constituting the claim, and proof of the defendant’s default (CPLR 3215[a], [f]). “The standard of proof is not stringent, amounting only to some firsthand confirmation of the facts” (Feffer v. Malpeso, 210 AD2d 60, 61 [1st Dept 1994]). “[D]efaulters are deemed to have admitted all factual allegations contained in the complaint and all reasonable inferences that flow from them” (Woodson v. Mendon Leasing Corp., 100 NY2d 62, 71 [2003]). Nevertheless, “CPLR 3215 does not contemplate that default judgments are to be rubber-stamped once jurisdiction and a failure to appear have been shown. Some proof of liability is also required to satisfy the court as to the prima facie validity of the uncontested cause of action” (Guzetti v. City of New York, 32 AD3d 234, 235 [1st Dept 2006] [internal quotations and citations omitted]). Plaintiff has satisfied its burden on the motion by submitting an affirmation of its counsel, Timothy R. Bishop, Esq., with exhibits thereto, which demonstrates proof of service of the summons and complaint on all Defendants and proof of default, and the affidavits of Stephen Englert, an investigator for Plaintiff, which demonstrate proof of the facts constituting Plaintiffs’ claims. The Englert affidavit sets forth the basis for the denial of coverage, as supported by the Examination Under Oath (“EUO”) transcripts of both Claimants that are annexed thereto. As set forth in the Englert affidavit, at the time of the collision, the Claimants were occupants of the vehicle insured by Plaintiff, which was being driven by non-party Arthur Bryant (“Bryant”). The vehicle was parked when it was allegedly struck by a second vehicle. According to the police report, which is annexed to the Bishop affirmation, the vehicle’s airbags did not deploy; neither claimant reported injuries at the scene of the collision; and both refused medical treatment (Bryant aff. 7). The circumstances of the collision caused Plaintiff to request an EUO of each Claimant. At the EUOs, the Claimants testified to several circumstances that caused Plaintiff to form a founded belief that the alleged injuries of the Claimants and any subsequent No-Fault treatment submitted by the Defendants did not arise from an insured event or were not causally related to the January 13, 2019 collision, and Hereford denied all claims on that basis (id. 13). The basis of the founded belief included, inter alia, conflicting testimony from the Claimants regarding where they first learned of the clinics that provided the purported treatment for their alleged injuries; testimony that they received free treatment at the clinics and free transportation to and from the clinics; testimony that each Claimant received multiple MRIs without explanation; and testimony that they had each received treatment several times a week for months without any change in their treatment plan (id. 12). Miles also testified that he had been in two prior auto collisions in 2017, and when Plaintiff’s attorneys “presented him with eight auto accidents with his name at the addresses he provided, Miles admitted that he was involved in more than the two collisions in 2017 but stated that he could not recall how many and when they occurred” (id.). The EUO testimony provided was sufficient for Plaintiff to form a founded belief sufficient to disclaim coverage (Central Gen. Hosp. v. Chubb Group of Ins. Cos., 90 N.Y.2d 195, 199 [1997]). Plaintiffs have, therefore, demonstrated their entitlement to a default judgment. Accordingly, it is ORDERED that the motion of plaintiff Hereford Insurance Company for entry of a default judgment against defendants A to Z Medical Care P.C., Spinal Care Chiropractic, P.C., ZQZ Acupuncture P.C., Rockaway Complete Chiropractic, P.C., Big Apple Medical Equipment, Custom Rx Pharmacy, LLC, Aris Diagnostic Medical, PLLC, New York Medical & Diagnostic Care P.C., Nanum Acupuncture P.C., Santa Barbara PT P.C., Ultimate Massage Therapy, P.C., Vallabh Medical P.C., Central Park Physical Medicine, P.C., Wellness Physical Therapy Rehabilitation, P.L.L.C., RAF Sports Chiropractic P.C., Corey Miles, and Caprice Beauford is granted; and it is further ORDERED, ADJUDGED, and DECLARED that Plaintiff has no duty to pay any No Fault benefits, in the form of sums, monies, damage, awards, or benefits to A to Z Medical Care P.C., Spinal Care Chiropractic, P.C., ZQZ Acupuncture P.C., Rockaway Complete Chiropractic, P.C., Big Apple Medical Equipment, Custom Rx Pharmacy, LLC, Aris Diagnostic Medical, PLLC, New York Medical & Diagnostic Care P.C., Nanum Acupuncture P.C., Santa Barbara PT P.C., Ultimate Massage Therapy, P.C., Vallabh Medical P.C., Central Park Physical Medicine, P.C., Wellness Physical Therapy Rehabilitation, P.L.L.C., RAF Sports Chiropractic P.C., Corey Miles, and Caprice Beauford, their agents, employees, assignees, or heirs arising out of any current or future proceeding, including without limitation, arbitrations and lawsuits seeking to recover No-Fault benefits for the January 13, 2019 collision referenced in the complaint (also known as claim number 81836); and it is further ORDERED, ADJUDGED and DECLARED that Hereford has no duty to provide defense and indemnification, liability coverage, or uninsured motorists coverage to Corey Miles and Caprice Beauford, their agents, employees, assignees, or heirs arising out of any current or future proceeding, including without limitation, arbitrations and lawsuits seeking to recover for bodily injury for the January 13, 2019 collision referenced in the complaint (also known as claim number 81836); and it is further ORDERED that this action shall be marked disposed. This will constitute the decision and order of the court. CHECK ONE: X  CASE DISPOSED NON-FINAL DISPOSITION X  GRANTED DENIED GRANTED IN PART OTHER APPLICATION: SETTLE ORDER SUBMIT ORDER CHECK IF APPROPRIATE: INCLUDES TRANSFER/REASSIGN FIDUCIARY APPOINTMENT REFERENCE Dated: September 23, 2020

 
Reprints & Licensing
Mentioned in a Law.com story?

License our industry-leading legal content to extend your thought leadership and build your brand.

More From ALM

With this subscription you will receive unlimited access to high quality, online, on-demand premium content from well-respected faculty in the legal industry. This is perfect for attorneys licensed in multiple jurisdictions or for attorneys that have fulfilled their CLE requirement but need to access resourceful information for their practice areas.
View Now
Our Team Account subscription service is for legal teams of four or more attorneys. Each attorney is granted unlimited access to high quality, on-demand premium content from well-respected faculty in the legal industry along with administrative access to easily manage CLE for the entire team.
View Now
Gain access to some of the most knowledgeable and experienced attorneys with our 2 bundle options! Our Compliance bundles are curated by CLE Counselors and include current legal topics and challenges within the industry. Our second option allows you to build your bundle and strategically select the content that pertains to your needs. Both options are priced the same.
View Now
September 05, 2024
New York, NY

The New York Law Journal honors attorneys and judges who have made a remarkable difference in the legal profession in New York.


Learn More
July 22, 2024 - July 24, 2024
Lake Tahoe, CA

GlobeSt. Women of Influence Conference celebrates the women who drive the commercial real estate industry forward.


Learn More
September 06, 2024
Johannesburg

The African Legal Awards recognise exceptional achievement within Africa s legal community during a period of rapid change.


Learn More

WittKieffer is proud to partner with Mom's Meals in the search for their Director of Legal Affairs. Mom's Meals is an investor-owned compan...


Apply Now ›

Nutley Law firm concentrating in plaintiff's personal injury for plaintiff seeks an Attorney with three or more years of experience in New J...


Apply Now ›

Our client, an outstanding boutique litigation firm based in Atlanta, is seeking to add an experienced Employment Litigation Attorney to the...


Apply Now ›
06/27/2024
The American Lawyer

Professional Announcement


View Announcement ›
06/21/2024
Daily Business Review

Full Page Announcement


View Announcement ›
06/14/2024
New Jersey Law Journal

Professional Announcement


View Announcement ›