NO-FAULT – AUTO POLICY – APPLICATION MISREPRESENATION – RATE EVASION – GARAGING FRAUD State Farm Fire & Cas. Co. v. AutoRx (Sup. Ct....
Showing posts with label No-Fault. Show all posts
Showing posts with label No-Fault. Show all posts
$481.30 Awarded on a $62,830.97 No-Fault Claim -- Coronary Bypass Surgery and Related Hospital Services Found Unrelated to the MVA
NO-FAULT – CAUSATION – CORONARY BYPASS SURGERY – AAA ARBITRATION DECISION Matter of United Health Services Hospital aao JK and Preferred...
Monday, October 26, 2020
Fraud
No-Fault
Preliminary Injunction
RICO
Stay of Arbitration
Unjust Enrichment
What Is New York's No-Fault Scheme Ill-Equipped to Handle? (The right answer is not "claims".)
NO-FAULT – RICO AFFIRMATIVE ACTION – PRELIMINARY INJUNCTION STAYING COLLATERAL ARBITRATIONS & LITIGATION – MOTION TO DISMISS GEICO v...
The Unopposed Loss -- Court Denies Declaratory Judgment to No-Fault Insurer Based Solely on Default of Non-Answering Defendants
NO-FAULT – HIT-AND-RUN – AFFIRMATIVE ACTION – DEFAULT JUDGMENT – DECLARATORY JUDGMENT – INJUNCTIVE RELIEF Ameriprise Ins. Co. v. Kim (2n...
Monday, July 20, 2020
Application Misrepresentation
EUO No-Show Defense
Faulty Workmanship
Fraud
Fraudulent Incorporation
Intentional Act
Mallela
No-Fault
Proof of Loss
Property
Rescission
Staged Incident
NYSSIU Legal Update 2019-2020 Edition
LEGAL UPDATE I have been privileged since incorporating the New York State Chapter of Special Investigation Units (NYSSIU) in 1997 to serv...
No-Fault Insurer's Denial Based on Rate Evasion Upheld in Arbitration
NO-FAULT – RATE EVASION – AAA ARBITRATION DECISION Matter of Classic Medical Diagnostic Rehab, P.C. aao SI and State Farm Fire & Cas....
Monday, September 9, 2019
Biomechanical Injury Causation Analysis
Expert Proof
No-Fault
Use or Operation
Denial of No-Fault Benefits Based on Biomechanical Injury Causation Analysis Report Upheld in AAA Arbitration & Master Arbitration
AMERICAN ARBITRATION ASSOCIATION – NO-FAULT – BIOMECHANICAL EXPERT OPINION – USE OR OPERATION – CAUSAL RELATIONSHIP – EMG/NCV TESTING ...
Denial of No-Fault Benefits to Assignee of Rate Evader Upheld in Arbitration
NO-FAULT – RATE EVASION – AAA ARBITRATION DECISION Matter of Bronx Chiropractic Health Services, PC aao SB and State Farm Fire & Cas. ...
Use or Operation of Bus Found to Be Proximate Cause of Passenger's Injury for New York No-Fault Purposes
NO-FAULT – USE OR OPERATION OF A MOTOR VEHICLE – COURT REVIEW OF ARBITRATION RULINGS Matter of New York City Tr. Auth. v Physical Medicin...
An EUO No-Show By Any Other Name...
NO-FAULT – EUO NO-SHOW Active Care Med. Supply Corp. v. ELRAC Inc. (NYC Civ. Ct., Kings Co., decided 11/17/2017) How many assignor EUO no-s...
The AAA Insurance Reporter & The Impact of Fraudulent Procurement of Auto Policies on New York No-Fault Claims
In 2017, after a six-year hiatus, the American Arbitration Association's New York State Insurance Division brought back a "new and ...
Sunday, January 21, 2018
11 NYCRR § 65-3.16(b)(3)
Cancellation
Divisibility
Loss of Earnings
No-Fault
Personal Umbrella
New York Court of Appeals Now Tweeting Insurance Coverage Decisions
No, not really. That's just a click-baiting title. But seriously, the court's issuance on December 14, 2017 of 259-character and 219...
Sunday, March 26, 2017
Insurance Law § 5103(b)(2)
Intoxication Exclusion
Necessary Emergency Health Services
No-Fault
Stabilization
No-Fault Insurer Found Entitled to Breakdown of What Hospital Services Constituted Necessary Emergency Health Services
NO-FAULT – NECESSARY EMERGENCY HEALTH SERVICES – STABILIZATION – INTOXICATION-CAUSED INJURIES St. Barnabas Hospital v. Government Employees ...
Declaratory Judgment Granted on Default Serves as Res Judicata of Previously Commenced Provider Recovery Claim
NO-FAULT – DECLARATORY JUDGMENT – DEFAULT JUDGMENT – RES JUDICATA Daily Med. Equip. Distrib. Ctr., Inc. v. American Tr. Ins. Co. (App. ...
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