Bellmon v. Blue Cross & Blue Shield

98 Misc. 2d 445, 414 N.Y.S.2d 86, 1979 N.Y. Misc. LEXIS 2094
CourtCivil Court of the City of New York
DecidedFebruary 23, 1979
StatusPublished
Cited by2 cases

This text of 98 Misc. 2d 445 (Bellmon v. Blue Cross & Blue Shield) is published on Counsel Stack Legal Research, covering Civil Court of the City of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bellmon v. Blue Cross & Blue Shield, 98 Misc. 2d 445, 414 N.Y.S.2d 86, 1979 N.Y. Misc. LEXIS 2094 (N.Y. Super. Ct. 1979).

Opinion

OPINION OF THE COURT

Charles H. Cohen, J.

The question presented to the court, upon an agreed statement of facts, is whether plaintiff is entitled to recover against defendant for hospital expenses in the amount of $836 incurred between July 21, 1976, and July 26, 1976, by reason of injuries sustained in a motor vehicle accident on July 16, [446]*4461976, for which plaintiff had full mandatory New York no-fault coverage.

Plaintiff, an employee of the City of New York, was entitled to coverage under the city’s hospitalization contract with defendant. This contract dated July 1, 1967, contained no exclusion of benefits where mandatory no-fault benefits were available. However, on January 15, 1975, a letter sent by the defendant dated September 30, 1974, was signed by Leo Grus-kin (described in the letter as "Chief Administrator, N.Y.C. Department of Personnel”) whereby it was agreed that defendant’s coverage would apply "only when no-fault does not.”

Based upon this letter, defendant takes the position that it is not liable for the hospital expenses. Plaintiff contends that a mere letter signed by Leo Gruskin "Chief Administrator N.Y.C. Department of Personnel”, is insufficient to limit the hospitalization coverage. Defendant replies by claiming that on November 8, 1976, a properly authorized revised hospitalization contract signed by Mayor Beame on behalf of the city, was entered into between the city and defendant which contained a rider eliminating hospitalization benefits where no-fault benefits were available. Plaintiff contends that this amounts to termination of benefits pursuant to 11 NYCRR 55.2 and that such termination is ineffective for failure to comply with that regulation.

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Related

Boser v. Boser
237 A.D.2d 924 (Appellate Division of the Supreme Court of New York, 1997)
Weissman v. Blue Cross of Western New York, Inc.
116 Misc. 2d 1063 (Buffalo City Court, 1982)

Cite This Page — Counsel Stack

Bluebook (online)
98 Misc. 2d 445, 414 N.Y.S.2d 86, 1979 N.Y. Misc. LEXIS 2094, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bellmon-v-blue-cross-blue-shield-nycivct-1979.