Legal Opinion
St. Vincent's Hospital & Medical Center v. New Jersey Manufacturers Insurance
Appellate Division of the Supreme Court of the State of New York
Decided March 8, 2011PublishedCited by 4 opinions
1Opinion of the Court
*872“A proper denial of [a] claim [for no-fault benefits] must include the information called for in the prescribed denial of claim form (see 11 NYCRR 65-3.4 [c] [11]) and must ‘promptly apprise the claimant with a high degree of specificity of the ground or grounds on which the disclaimer is predicated’ ” (Nyack Hosp. v State Farm Mut. Auto. Ins. Co., 11 AD3d 664, 664 [2004], quoting General Acc. Ins. Group v Cirucci, 46 NY2d 862, 864 [1979]). However, a timely denial of a no-fault insurance medical claim alone does not avoid precluding an insurer from disclaiming or denying liability where the…
2Cases cited4 opinions
- General Accident Insurance Group v. CirucciNew York Court of Appeals · 1979
- Nyack Hospital v. Metropolitan Property & Casualty InsuranceAppellate Division of the Supreme Court of the State of New York · 2005
- Nyack Hospital v. State Farm Mutual Automobile InsuranceAppellate Division of the Supreme Court of the State of New York · 2004
- St. Barnabas Hospital v. Allstate InsuranceAppellate Division of the Supreme Court of the State of New York · 2009
3Cited by4 opinions
- NYU Hospital v. Country Wide InsuranceAppellate Division of the Supreme Court of the State of New York · 2011
- NYU-Hospital for Joint Diseases v. Allstate InsuranceAppellate Division of the Supreme Court of the State of New York · 2014
- Viviane Etienne Medical Care, P.C. v. Country-Wide Ins.Appellate Division of the Supreme Court of the State of New York · 2013
- Viviane Etienne Medical Care, P.C. v. Country-Wide Ins.Appellate Division of the Supreme Court of the State of New York · 2013