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No-Fault

Is the Appellate Term Really "Defendant Friendly"? Reflections on Losing No-Fault Appeals

By Jason Tenenbaum 5 min read

Why Trust This Analysis

This article is part of our ongoing no-fault coverage, with 271 published articles analyzing no-fault issues across New York State. Attorney Jason Tenenbaum brings 24+ years of hands-on experience to this analysis, drawing from his work on more than 1,000 appeals, over 100,000 no-fault cases, and recovery of over $100 million for clients throughout Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, and the Bronx. For personalized legal advice about how these principles apply to your specific situation, contact our Long Island office at (516) 750-0595 for a free consultation.

Key Takeaways

  • The Appellate Term, Second Department — the busiest appellate forum for New York no-fault litigation — is widely labeled “defendant friendly,” but a .5-for-3 day on the defense side says otherwise.
  • Appellate outcomes turn on case-specific records: the affidavits, the mailing proof, the framing of the issues below — not on systematic judicial bias.
  • Losses are data. Reading why an argument failed is often more instructive than a string of wins built on weak opposition.
  • Practitioners on both sides should build their summary judgment records as if the court owes them nothing — because it doesn’t.

Even the most experienced attorneys face days when appellate court decisions don’t go their way. The legal profession is built on advocacy, thorough preparation, and sound legal arguments — but ultimately, success depends on how judges interpret the law and apply it to specific facts. This reality is particularly evident in New York no-fault insurance law, where practitioners regularly deal with appellate decisions that can significantly impact their clients’ cases.

The Appellate Term, Second Department regularly issues decisions that shape no-fault insurance practice throughout New York. These rulings address everything from examination under oath requirements to causation standards in personal injury cases, making each decision potentially significant for practitioners in this field.

The Original Post

Jason Tenenbaum’s Analysis:

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This was just a thought as I read through the Appellate Term, Second Department, decisions that came out today. I will confess that I was .5 for 3 in today’s appellate decisions, which should be some proof that this court is not as “defendant friendly” as too many practitioners urge the bar to believe. I also am not ashamed to admit that sometimes, the chips do not stack up in your favor, even though you deep down believe they should.

That being said, the question is what happened? I will try to give some insight in some of the subsequent posts that I will be posting today, August 19, 2010.

-JT

The Appellate Term’s Place in No-Fault Litigation

For readers outside the no-fault world, some context. The overwhelming majority of first-party no-fault suits in the New York City metropolitan area are brought in the Civil Court of the City of New York and the District Courts of Nassau and Suffolk Counties. Appeals from those courts go to the Appellate Term — for the Second Department, the Appellate Term for the 2d, 11th and 13th Judicial Districts and for the 9th and 10th Judicial Districts.

Because tens of thousands of provider-versus-carrier suits move through those trial courts, the Appellate Term has effectively become the common-law engine of no-fault doctrine. Mailing presumptions, the elements of a prima facie case, IME and EUO no-show proof, verification abeyance — most of the operative rules were hammered out in short Appellate Term memoranda before the Appellate Division ever weighed in.

That volume is also why practitioners develop strong opinions about the court’s leanings. When you read every decision the court hands down — as this blog has done for years — patterns feel visible. But patterns in outcomes usually trace back to patterns in records.

Is Any Court Really “Defendant Friendly”?

The defense bar’s wins at the Appellate Term in that era were real, but they were mostly wins on proof discipline, not judicial favor. Carriers that invested in affidavit practice — claims examiners who could recite mailing procedures, doctors who could attest to no-shows from personal knowledge — won motions. Plaintiffs’ firms that mass-produced oppositions without engaging the record lost them.

Flip the record quality and the outcomes flip with it. A provider with a clean proof of mailing for its bills and a carrier with a defective denial will win, and the same “defendant friendly” court will affirm. A .5-for-3 day on the defense side is exactly what you would expect from a court deciding each appeal on its own record.

The honest conclusion: the court is record friendly. Whichever side shows up with admissible, well-organized proof tends to leave with the decision.

What Losing Appeals Teach

There is a reason this post promised follow-up analysis of the day’s losses rather than quietly ignoring them. Unfavorable decisions are the most useful reading in an appellate advocate’s diet:

  • They expose the gap between what you believed your record showed and what a cold bench saw in it.
  • They reveal where a doctrine is drifting before the drift becomes a holding.
  • They discipline case selection — knowing which records cannot be saved on appeal is as valuable as knowing which arguments win.

Candor about losses also serves clients. A lawyer who tracks his own appellate batting average — and publishes it — is giving clients a more honest picture of litigation risk than one who only recounts victories.

Practice Pointers

  • Build the record below as the appeal you may have to argue. The Appellate Term decides on the motion papers; there is no fixing a thin affidavit later.
  • Read full decision lists, not just your own cases. The Appellate Term’s weekly output is a running seminar in what proof survives scrutiny.
  • Discount “friendly court” folklore. Plan every motion as if the bench is skeptical of your side — because on any given day, it will be.

Frequently Asked Questions

What is the Appellate Term in New York?

The Appellate Term is an intermediate appellate court in the First and Second Departments that hears appeals from the New York City Civil Court and the District and County Courts. Because most no-fault suits start in those courts, the Appellate Term decides the bulk of New York’s no-fault appeals.

Why do so many no-fault decisions come from the Appellate Term, Second Department?

The Second Department’s territory covers Brooklyn, Queens, Staten Island, and Long Island — where the highest volume of no-fault billing litigation is filed. High case volume produces a steady stream of appeals and, with them, most of the doctrine governing no-fault proof.

Does losing an appeal mean the lawyer made a mistake?

Not necessarily. Appellate outcomes depend on the record made in the trial court, the state of the case law, and how a particular panel weighs both. Skilled advocates lose appeals; what matters is extracting the lesson and adjusting the proof in the next case.


Legal Update (February 2026): Since this 2010 post, New York no-fault insurance law has undergone significant regulatory changes, including updates to fee schedules, examination under oath procedures, and appellate practice standards. Practitioners should verify current Appellate Term decisions and regulatory amendments when reviewing causation standards and procedural requirements discussed in this analysis.

Legal Context

Why This Matters for Your Case

New York's no-fault insurance system, established under Insurance Law Article 51, is one of the most complex insurance frameworks in the country. Every motorist must carry Personal Injury Protection coverage that pays medical expenses and lost wages regardless of fault, up to $50,000 per person.

But insurers routinely deny valid claims using peer reviews, EUO scheduling tactics, fee schedule reductions, and coverage defenses. The Law Office of Jason Tenenbaum has handled over 100,000 no-fault cases since 2002 — from initial claim submissions through arbitration before the American Arbitration Association, trials in Civil Court and Supreme Court, and appeals to the Appellate Term and Appellate Division. Jason Tenenbaum is one of the few attorneys in the state who both writes his own appellate briefs and tries his own cases.

His 2,353+ published legal articles on no-fault practice are cited by attorneys throughout New York. Whether you are dealing with a medical necessity denial, an EUO no-show defense, a fee schedule dispute, or a coverage question, this article provides the kind of detailed case-law analysis that helps practitioners and claimants understand exactly where the law stands.

About This Topic

New York No-Fault Insurance Law

New York's no-fault insurance system requires every driver to carry Personal Injury Protection (PIP) coverage that pays medical expenses and lost wages regardless of who caused the accident. But insurers routinely deny, delay, and underpay valid claims — using peer reviews, IME no-shows, and fee schedule defenses to avoid paying providers and injured claimants. Attorney Jason Tenenbaum has litigated thousands of no-fault arbitrations and court cases since 2002.

271 published articles in No-Fault

Frequently Asked Questions

Common Questions About This Topic

3 answers from the firm's New York personal-injury and employment-law practice. Click any question to expand.

What is the Appellate Term in New York?

The Appellate Term is an intermediate appellate court in the First and Second Departments that hears appeals from the New York City Civil Court and the District and County Courts. Because most no-fault suits start in those courts, the Appellate Term decides the bulk of New York's no-fault appeals.

Why do so many no-fault decisions come from the Appellate Term, Second Department?

The Second Department's territory covers Brooklyn, Queens, Staten Island, and Long Island — where the highest volume of no-fault billing litigation is filed. High case volume produces a steady stream of appeals and, with them, most of the doctrine governing no-fault proof.

Does losing an appeal mean the lawyer made a mistake?

Not necessarily. Appellate outcomes depend on the record made in the trial court, the state of the case law, and how a particular panel weighs both. Skilled advocates lose appeals; what matters is extracting the lesson and adjusting the proof in the next case.

Was this article helpful?

Disclaimer: This article is published by the Law Office of Jason Tenenbaum, P.C. for informational and educational purposes only. It does not constitute legal advice, and no attorney-client relationship is formed by reading this content. The legal principles discussed may not apply to your specific situation, and the law may have changed since this article was last updated.

New York law varies by jurisdiction — court decisions in one Appellate Division department may not be followed in another, and local court rules in Nassau County Supreme Court differ from those in Suffolk County Supreme Court, Kings County Civil Court, or Queens County Supreme Court. The Appellate Division, Second Department (which covers Long Island, Brooklyn, Queens, and Staten Island) and the Appellate Term (which hears appeals from lower courts) each have distinct procedural requirements and precedents that affect litigation strategy.

If you need legal help with a no-fault matter, contact our office at (516) 750-0595 for a free consultation. We serve clients throughout Long Island (Huntington, Babylon, Islip, Brookhaven, Smithtown, Riverhead, Southampton, East Hampton), Nassau County (Hempstead, Garden City, Mineola, Great Neck, Manhasset, Freeport, Long Beach, Rockville Centre, Valley Stream, Westbury, Hicksville, Massapequa), Suffolk County (Hauppauge, Deer Park, Bay Shore, Central Islip, Patchogue, Brentwood), Queens, Brooklyn, Manhattan, the Bronx, Staten Island, and Westchester County. Prior results do not guarantee a similar outcome.

Filed under: No-Fault
Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

Reviewed & Verified By

Jason Tenenbaum, Esq.

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
Experience
24+ Years
Articles
2,353+ Published
Licensed In
7 States + Federal

Discussion

Comments (4)

Archived from the original blog discussion.

S
SunTzu
I really don’t think you met prima facie defense re lack of medical necessity on our appeal, but at least the result is proper.
J
JT Author
It was not medical necessity Sun, it was causation. I also think you got a free ride on this one. But you tend to pull things off against me that few seem to do, so I guess congratulations. You are a valiant warrior.
S
SunTzu
I stand corrected. Back from vacation and half brain dead today. Valiant, yes, fighting even on vacation. Thanks for the complement.
RZ
raymond zuppa
With that kind of mushy talk none of you get to play linebacker on my football team. Jack Lambert even hated his own quarterback and suggested he wear a dress — that would be Terry Bradshaw.

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