Avenue C Medical, P.C. v. Encompass Insurance

130 A.D.3d 764, 12 N.Y.S.3d 578
Appellate Division of the Supreme Court of the State of New York·Decided July 15, 2015·No. 2014-00659·Published

Opinion

In an action, in effect, pursuant to Insurance Law § 5106 (c) for a de novo determination of a claim for no-fault insurance benefits, the plaintiff appeals from an order of the Supreme Court, Kings County (Bunyan, J.), dated October 30, 2013, which granted the defendant’s motion pursuant to CPLR 3211 (a) (2) to dismiss the complaint.

Ordered that the order is affirmed, with costs.

The Supreme Court properly granted the defendant’s motion to dismiss the complaint for lack of subject matter jurisdiction. The complaint, in effect, sought a de novo determination of the plaintiff’s no-fault claim pursuant to Insurance Law § 5106 (c). “The statute permits an insurer or a claimant to institute a court action to adjudicate the dispute de novo where the master arbitrator’s award is $5,000 or greater” (Green v Liberty Mut. Ins. Co. Trust, 16 AD3d 457, 457 [2005]). Here, the master arbitrator, by vacating the arbitrator’s award in its entirety, ef *765 fectively made no monetary award, and, because the master arbitrator’s award was less than $5,000, neither party is entitled to maintain a court action to adjudicate the dispute de novo (see id.; General Acc. Fire & Life Ins. Co. v Avlonitis, 156 AD2d 424, 424 [1989]; Matter of Sansiviero v Royal Globe Ins. Co., 109 AD2d 840, 842 [1985]). Skelos, J.P., Balkin, Chambers and Miller, JJ., concur.

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Avenue C Medical, P.C. v. Encompass Insurance, 130 A.D.3d 764, 12 N.Y.S.3d 578 (N.Y. Ct. App. 2015).

130 A.D.3d 764 (Avenue C Medical, P.C. v. Encompass Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Green v. Liberty Mutual Insurance
16 A.D.3d 457 (Appellate Division of the Supreme Court of New York, 2005)
Sansiviero v. Royal Globe Insurance
109 A.D.2d 840 (Appellate Division of the Supreme Court of New York, 1985)
General Accident Fire & Life Insurance v. Avlonitis
156 A.D.2d 424 (Appellate Division of the Supreme Court of New York, 1989)