Pinnacle Open MRI, P.C. v. Republic Western Insurance

18 Misc. 3d 626
CourtNassau County District Court
DecidedJanuary 3, 2008
StatusPublished
Cited by1 cases

This text of 18 Misc. 3d 626 (Pinnacle Open MRI, P.C. v. Republic Western Insurance) is published on Counsel Stack Legal Research, covering Nassau County District Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pinnacle Open MRI, P.C. v. Republic Western Insurance, 18 Misc. 3d 626 (N.Y. Super. Ct. 2008).

Opinion

OPINION OF THE COURT

Andrew M. Engel, J.

This is an action to recover no-fault first-party benefits allegedly provided by the plaintiff, to its assignor, on March 13, 2002 for injuries allegedly sustained in a motor vehicle accident on February 11, 2002. It is not disputed that at the time of the alleged accident the plaintiffs assignor was occupying a motor vehicle he had rented from “U-Haul.”1

The action was commenced by the filing of a summons and complaint on April 17, 2006. The plaintiff alleges, inter alia, that it provided health care services to its assignor on March 13, 2002, that it submitted a bill for those services to the defendant (hereinafter referred to as Republic Western) subsequent to March 13, 2002, and that the bill remains unpaid. Issue was joined by the service of Republic Western’s answer on or about June 1, 2007. Although Republic Western’s answer was more than one year overdue, the plaintiff never moved for the entry of a default judgment and accepted the late service of Republic Western’s answer. Republic Western’s answer contains 35 separate affirmative defenses. Many of these affirmative defenses are boilerplate and have no application to this action. They have no business being included in Republic Western’s answer. Nevertheless, Republic Western’s 35th affirmative defense alleges that the action is barred by the applicable statute of limitations. Based thereon, Republic Western now moves for an order, pursuant to CPLR 3211 (a) (5), dismissing the complaint. The plaintiff opposes the motion.

Republic Western avers that it does not have the NF-3 claim form filed with it by the plaintiff, although Republic Western does not deny its receipt. Using the date of service of March 13, 2002, and giving the plaintiff the benefit of all 180 days it then had to file its claim, plus the maximum of 30 days Republic [628]*628Western had to pay or deny this claim, Republic Western correctly asserts that the plaintiffs cause of action ripened no later than October 9, 2002.

Republic Western alleges that it and U-Haul are wholly owned subsidiaries of a Nevada corporation known as AMERCO. According to Republic Western, it “provides U-Haul with loss adjusting and claims handling through regional [sic] across North America” (Puckett affidavit, Aug. 20, 2007, It 7); and further it “does not issue a policy of insurance to the driver but rather covers U-haul for all claims against the self-insured.” (Puckett affidavit, Aug. 20, 2007, It 9.) Republic Western explains that “[w]hen a customer rents a U-Haul vehicle in New York State, Republic Western will insure the vehicle.” (Puckett affidavit, Aug. 20, 2007, It 9.) Based thereon, Republic Western declares that it is “the self-insurer for U-Haul” (Puckett affidavit, Aug. 20, 2007, 1f 7) and that its obligations to pay no-fault first-party benefits is imposed by statute or regulation. In this respect, Republic Western suggests that it is in the same position as the Motor Vehicle Accident Indemnification Corporation (hereinafter referred to as MVAIC), and is entitled to the application of the three-year statute of limitations provided in CPLR 214 (2).

Applying this three-year statute of limitations, Republic Western argues that the latest date by which the plaintiff could commence this action, and still be timely, was October 19, 2005. According to Republic Western, having been commenced on April 17, 2006, the plaintiffs action is time-barred and must be dismissed.

The plaintiff argues, in the first instance, that Republic Western has failed to demonstrate that it is a “self-insurer.” The plaintiff suggests that the status of Republic Western and U-Haul as wholly owned subsidiaries of AMERCO does not confer self-insured status upon Republic Western. The plaintiff further points to Republic Western’s acknowledgment that it “will insure[ ]” and “covers” (Puckett affidavit, Aug. 20, 2007, 1Í 9) U-Haul vehicles. The plaintiff further suggests that there is no legal basis upon which Republic Western can be, and it is impossible for it to be, a “self-insurer” for another.

The plaintiff alternatively argues, that even if Republic Western is found to be a self-insurer, its obligations to pay for no-fault first-party benefits is “firmly rooted in contract.” (Armao affirmation, Oct. 11, 2007, If 12.) Plaintiff argues that unlike MVAIC, whose obligations are strictly imposed by statute, [629]*629Republic Western voluntarily chose to be a self-insurer, obligating itself to provide no-fault first-party benefits by virtue of Insurance Law § 5103 and the rental agreement between plaintiffs assignor and U-Haul. Under all of these circumstances, according to the plaintiff, it is entitled to the application of the six-year statute of limitations provided for by CPLR 213 (2); and, Republic Western cannot receive the benefit of a shorter statute of limitations merely because it does not issue a written insurance policy.

In reply, contradicting its earlier statements, Republic Western alleges that “U-Haul provides the funding for losses regarding its vehicles — including the no fault benefits in question.” (Federici affirmation, Nov. 26, 2007, H 4.) Reemphasizing its relationship with U-Haul and AMERCO, Republic Western notes that no insurance is sought from outside companies and that the three corporations should collectively be viewed as a single self-insured entity. Republic Western posits that the question before the court is “whether the liability [to pay first-party benefits] would not exist but for a statute.” (Federici affirmation, Nov. 26, 2007, 1Í 6.) Republic Western answers this question by arguing that unlike “[traditional automobile insurance companies” (Federici affirmation, Nov. 26, 2007, H 6) which issue policies of insurance, Republic Western is self-insured and “do[es] not issue policies containing the no-fault endorsement, and would not owe no-fault benefits but for Regulation 68.” (Federici affirmation, Nov. 26, 2007, 1! 6.) This court does not agree.

Although claiming to be self-insured, Republic Western has failed to offer any competent proof supporting this claim. In fact, Republic Western’s proof appears to be to the contrary. At the outset, it is noted that Republic Western’s answer fails to deny, and therefore admits, the allegation contained in paragraph “1” of the plaintiffs complaint, which alleges: “Defendant is an insurance company licensed to do business in the State of New York.” The court also agrees with the plaintiff that there is neither legal authority for, nor any logic to, Republic Western’s claim that it is actually the “self-insurer” of a separate legal entity.

Similarly, the business relationship among the corporate entities, Republic Western, U-Haul and AMERCO, does not establish Republic Western as a self-insurer. In fact, the affidavit of Sharon Puckett, Republic Western’s claims representative, and the AMERCO 10Q report upon which Republic Western relies, [630]*630do more to establish Republic Western as an insurer than a self-insurer. As previously noted, Ms. Puckett advises this court that “[w]hen a customer rents a U-Haul vehicle in New York State, Republic Western will insure the vehicle.” (Puckett affidavit, Aug. 20, 2007, H 9.) She similarly advises that Republic Western “covers U-Haul.” (Puckett affidavit, Aug. 20, 2007, 11 9.) Verifying that Ms.

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Bluebook (online)
18 Misc. 3d 626, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pinnacle-open-mri-pc-v-republic-western-insurance-nydistctnassau-2008.