Legal Opinion
Sound Shore Medical Center v. New York Central Mutual Fire Insurance
Appellate Division of the Supreme Court of the State of New York
Decided April 10, 2013Published
1Opinion of the Court
OPINION OF THE COURT
Austin, J.
On this appeal, we are asked to determine whether a no-fault UB-04 form is the functional equivalent of a no-fault New York State Form N-F 5 (hereinafter N-F 5 form), the receipt of which triggers the 30-day period in which a no-fault insurer is required to pay or deny a claim for no-fault benefits or request further verification. For the following reasons, we answer in the negative and reverse the order of the Appellate Term of the Supreme Court for the Ninth and Tenth Judicial Districts (hereinafter the Appellate Term).
Barbara Kocourek was involved in a motor…
2Cases cited10 opinions
- Presbyterian Hospital v. Maryland Casualty Co.New York Court of Appeals · 1997
- Hospital for Joint Diseases v. Travelers Property Casualty InsuranceNew York Court of Appeals · 2007
- Mount Sinai Hospital v. Triboro Coach, Inc.Appellate Division of the Supreme Court of the State of New York · 1999
- New York & Presbyterian Hospital v. Progressive Casualty InsuranceAppellate Division of the Supreme Court of the State of New York · 2004
- New York & Presbyterian Hospital v. American Transit InsuranceAppellate Division of the Supreme Court of the State of New York · 2001
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