DelRossi v. V

6 Misc. 3d 454, 2004 NY Slip Op 24462, 789 N.Y.S.2d 816, 2004 N.Y. Misc. LEXIS 2307
CourtNew York Supreme Court
DecidedOctober 14, 2004
StatusPublished

This text of 6 Misc. 3d 454 (DelRossi v. V) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DelRossi v. V, 6 Misc. 3d 454, 2004 NY Slip Op 24462, 789 N.Y.S.2d 816, 2004 N.Y. Misc. LEXIS 2307 (N.Y. Super. Ct. 2004).

Opinion

OPINION OF THE COURT

Edward D. Burke, J.

In 1999, plaintiff, Bernadette DelRossi, and her husband, John E. DelRossi, now deceased, commenced this medical malpractice action to recover damages, both direct and derivative, attributable to the personal injuries which John E. DelRossi purportedly sustained as a result of the negligence and/or acts of medical malpractice on the part of the defendants. By their complaint and bill of particulars, the plaintiff charged the defendants with negligence and malpractice in failing to diagnose and treat a renal mass in Mr. DelRossi’s right kidney in 1996 while he was being treated by the defendants for a 10-centimeter mass in the left kidney. The gravamen of the plaintiff’s claims included allegations that the failure of the defendants to diagnose and treat the right renal mass delayed proper surgical treatment thereof by some 15 months, during which time, the cancer of the right kidney metastasized to the liver and caused Mr. DelRossi’s death.

The complaint and bill of particulars originally served herein in 1999 were amended in 2002 after plaintiff, Bernadette DelRossi, had been appointed the personal representative of the estate of John E. DelRossi. By such amendments, the plaintiff, in her capacity as administratrix of the estate of John E. DelRossi, was substituted as plaintiff herein in the place and stead of the decedent. In such capacity, the plaintiff asserted claims on behalf of the decedent’s estate to recover damages for the personal injuries of John E. DelRossi prior to his death. Plaintiff, Bernadette DelRossi, as personal representative of the estate of John E. DelRossi, also asserted a new claim, on behalf of the distributees of John E. DelRossi, to recover damages attributable to his wrongful death. Plaintiff continued her indi[456]*456vidual derivative claims to recover derivative damages as the wife of the decedent incurred by her by reason of the personal injuries suffered by John E. DelRossi prior to his death.

In May of 2004, the within action was assigned to this court for trial and was settled by the parties prior to verdict. Pursuant to the terms of the settlement, the plaintiff agreed to accept the sum of $825,000 from the defendants, collectively, in full settlement of the wrongful death claim. The plaintiff also agreed to discontinue the remaining claims for damages, asserted herein by the plaintiff in her representative and individual capacities, for the personal injuries sustained by the decedent prior to his death.

By the instant application (No. 004), plaintiff requests, inter alia, that the court exercise the discretion vested in it under EPTL 5-4.6 (a) (1) and retain jurisdiction to determine all issues regarding distribution of the proceeds recoverable by the plaintiff on behalf of the decedent’s six distributees in accordance with the plaintiffs proposal for such distribution. This application is granted as the court finds that sufficient good cause exists for this court to hear and determine the instant application. Having presided over the trial of this action and the settlement struck by the parties as placed upon the record in open court and after inquiring extensively of the plaintiff, her counsel and other members of her family present at the trial, this court finds that the best interests of the parties and principles of judicial economy will be served if this court retains jurisdiction to determine the remaining portions of the plaintiffs application for relief pursuant to EPTL 5-4.1 et seq.

By the remaining portions of the instant application, the plaintiff seeks an order, pursuant to EPTL 5-4.6, approving the proposed compromise of the wrongful death claim asserted herein by the plaintiff in her capacity as administratrix of the estate of John E. DelRossi and for an order directing distribution of the settlement proceeds as proposed by the plaintiff. In this regard, the plaintiff requests that the court fix and determine payment of the plaintiffs reasonable counsel fees and allow payment of such fees and allowable costs and disbursements in the total amount of $223,660 from the settlement proceeds. The plaintiff further requests that the court declare the invalidity of the right of reimbursement and/or lien asserted by Aetna/U.S. Healthcare in the amount of $28,327.46 against the proceeds recoverable by the plaintiff in this action. Plaintiff then proposes that from the net proceeds available af[457]*457ter payment of attorney’s fees, costs and disbursements, namely the sum of $601,340, the court direct, pursuant to EPTL 5-4.4, distribution of the sum of $301,340 to the plaintiff, as wife and distributee of the deceased plaintiff, and that the remaining $300,000 be equally distributed to the five infant distributees of the decedent by the purchase of an annuity or annuity contracts providing for lump-sum payments to each child on and after the age of 21 years. Finally, the plaintiff asks that the court dispense with the posting of any bond and that it lift the restrictions contained in the plaintiffs limited letters of administration to the extent necessary to allow plaintiff to effect the settlement and distribution of the proceeds as proposed and to settle her account as administratrix for the proceeds recoverable by her in this action pursuant to SCPA 2204.

In support of her demands for an adjudication of the invalidity of the lien and/or reimbursement rights of Aetna/U.S. Healthcare (hereinafter referred to as Aetna), which provided medical benefits to John E. DelRossi prior to his death, the plaintiff joined Aetna by service of the initiatory order to show cause, by which this motion was interposed, upon Aetna’s servicing agent, Rawlings & Associates, PL.L.C. In response to such service, Rawlings & Associates, PL.L.C., on behalf of Aetna (hereinafter referred to as Aetna/Rawlings), appeared herein by service of answering papers. Therein, Aetna/Rawlings opposed the plaintiff s demands for an order extinguishing any liens or rights of reimbursements asserted by Aetna/Rawlings against the proceeds recoverable by the plaintiff in this action and demanded an order directing the plaintiff to fully reimburse Aetna/ Rawlings the $28,327.46 it paid in medical expense benefits on behalf of the decedent prior to his death.2

In support of their contentions regarding the validity of their asserted right of reimbursement for all medical benefits paid to John E. DelRossi, Aetna/Rawlings asserts that it was the administrator of an employee benefits plan which provided medical benefits to John E. DelRossi, a member of the fund, from July 1, 2000 to December 7, 2001, to defer the costs of his treatment for cancer of the kidneys and liver. Aetna/Rawlings claims that under the terms of the employee benefits plan at issue here, the plan was given a broad right to be reimbursed out [458]*458of any compensation which a plan member receives in relation to an illness for which the plan paid medical expense benefits to said member. Aetna/Rawlings cites and relies upon federal case authorities wherein the subrogation and/or right of reimbursement claims of medical benefit providers under certain employee benefits plans were found to be actionable in federal courts and determinable in accordance with federal law; namely, the Employee Retirement Income Security Act of 1974 ([ERISA] 29 USC § 1001; U.S. Healthcare, Inc. [N.Y.] v O’Brien, 868 F Supp 607 [US Dist Ct, SD NY 1994]). Review of the employee benefit plan at issue here reveals that the same does indeed contain references to ERISA.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Blue Cross & Blue Shield v. Sanders
138 F.3d 1347 (Eleventh Circuit, 1998)
Great-West Life & Annuity Insurance v. Knudson
534 U.S. 204 (Supreme Court, 2002)
Gerosa v. Savasta & Company, Inc.
329 F.3d 317 (Second Circuit, 2003)
Teichman v. Community Hospital of Western Suffolk
663 N.E.2d 628 (New York Court of Appeals, 1996)
US Healthcare, Inc.(New York) v. O'BRIEN
868 F. Supp. 607 (S.D. New York, 1994)
Nealy v. US Healthcare HMO
711 N.E.2d 621 (New York Court of Appeals, 1999)
Chitkin v. Lincoln National Insurance
879 F. Supp. 841 (S.D. California, 1995)
Singleton v. Board of Trustees, of IBEW Local 613
830 F. Supp. 630 (N.D. Georgia, 1993)
VREELAND EX REL. VREELAND v. Cardi
134 F. Supp. 2d 270 (E.D. New York, 2000)
Primax Recoveries Inc. v. Carey
247 F. Supp. 2d 337 (S.D. New York, 2002)
George v. Mt. Sinai Hospital
390 N.E.2d 1156 (New York Court of Appeals, 1979)
Kaczmarski v. Suddaby
9 A.D.3d 847 (Appellate Division of the Supreme Court of New York, 2004)
In re Acquafredda
189 A.D.2d 504 (Appellate Division of the Supreme Court of New York, 1993)
In re the Estate of Duffy
208 A.D.2d 1169 (Appellate Division of the Supreme Court of New York, 1994)

Cite This Page — Counsel Stack

Bluebook (online)
6 Misc. 3d 454, 2004 NY Slip Op 24462, 789 N.Y.S.2d 816, 2004 N.Y. Misc. LEXIS 2307, Counsel Stack Legal Research, https://law.counselstack.com/opinion/delrossi-v-v-nysupct-2004.