Schonfeld v. Aetna Life Insurance & Annuity Co.

Appellate Division of the Supreme Court of New York

Schonfeld v. Aetna Life Insurance & Annuity Co.

190 A.D.2d 619, 593 N.Y.S.2d 250, 1993 N.Y. App. Div. LEXIS 1664

Appellate Division of the Supreme Court of the State of New York·Decided February 23, 1993·Published

Opinion

— Order, Supreme Court, New York County (Beverly Cohen, J.), entered on or about August 29, 1991, which, in an action for reimbursement under a major medical insurance policy, granted defendant’s motion for summary judgment, unanimously affirmed, without costs.

Summary judgment was properly granted since no issue of fact exists that the Eagle Hill School attended by plaintiff’s dyslexic child is an academic institution, not a “hospital”, as unambiguously defined in the policy (see, Zuckerberg v Blue Cross & Blue Shield, 108 AD2d 56, affd 67 NY2d 688; Simon v Colonial States Brokerage Corp., 128 AD2d 603). Given a policy that covers only defined medical treatments, not educational services, it does not avail plaintiff that a special education school, rather than a hospital, may be the “medically approved” and recognized method for remediating dyslexia. Concur — Milonas, J. P., Ellerin, Kassal and Rubin, JJ.

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

— Order, Supreme Court, New York County (Beverly Cohen, J.), entered on or about August 29, 1991, which, in an action for reimbursement under a major medical insurance policy, granted defendant’s motion for summary judgment, unanimously affirmed, without costs.

Summary judgment was properly granted since no issue of fact exists that the Eagle Hill School attended by plaintiff’s dyslexic child is an academic institution, not a “hospital”, as unambiguously defined in the policy (see, Zuckerberg v Blue Cross & Blue Shield, 108 AD2d 56, affd 67 NY2d 688; Simon v Colonial States Brokerage Corp., 128 AD2d 603). Given a policy that covers only defined medical treatments, not educational services, it does not avail plaintiff that a special education school, rather than a hospital, may be the “medically approved” and recognized method for remediating dyslexia. Concur — Milonas, J. P., Ellerin, Kassal and Rubin, JJ.

Schonfeld v. Aetna Life Insurance & Annuity Co., 190 A.D.2d 619, 593 N.Y.S.2d 250, 1993 N.Y. App. Div. LEXIS 1664 (N.Y. Ct. App. 1993).

Pincite

190 A.D.2d 619 (Schonfeld v. Aetna Life Insurance & Annuity Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Opinion

Related