Key Takeaway
Alrof v Nationwide: timely denials and IME proof supported judgment. The Westchester-Unitrin citation concerns preclusion, not insurer misconduct.
This article is part of our ongoing ime issues coverage, with 149 published articles analyzing ime issues 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.
The citation signal caught Jason’s attention in Alrof, Inc. v Nationwide Insurance Co., decided July 28, 2011. The Appellate Term, Second Department, cited Westchester and then Unitrin with a “but see.” It granted the insurer’s cross motion in full on appeal, reversing the provider’s partial success below.
Legal Update (September 2026): In the First Department, Nationwide General v Gaines (2025) treated a proved IME no-show as a coverage defense without a timely-disclaimer prerequisite; Alrof remains a dated Second Department motion record.
Last reviewed: September 2026.
Jason Tenenbaum’s original note
Jason’s original 2011 reaction to the citation is preserved below. It is commentary, not a finding about another lawyer’s position.
Free Consultation · No Fee Unless We Win
Does this apply to your situation?
Every case is different. Get a free, confidential case review from an experienced attorney who can tell you exactly where you stand.
I can hear frequent commenter Mitch Lustig’s voice right now discussing his disdain towards Unitrin and explaining why Central General v. Chubb does not support Unitrin.
What Alrof decided, and why Unitrin appears
For the second and third causes of action, Alrof accepted proof of mailed IME requests, nonattendance from the doctor’s receptionist, and timely mailed denials. The first cause also involved a fee-schedule determination and a payment already made. It is inaccurate to describe the decision as an affirmance based only on an unexplained missed appointment.
Westchester Medical Center v Lincoln General concerned EUO nonappearance and preclusion after an untimely denial. Unitrin treated IME nonappearance as a coverage defense outside that preclusion rule. It affirmed judgment for the insurer; it was already a First Department decision in 2011.
Unitrin was not a provider-friendly ruling excusing nonattendance because of insurer misconduct. The comparison concerns preclusion, with the court, examination type and actual proof kept in view. BR Clinton’s omitted denial-mailing claim shows why that distinction mattered in another Second Department motion.
Connect to the Encyclopedia
Start with the IME no-show topic hub, then compare these related notes:
- BR Clinton: a gap in denial-mailing proof
- Apollo: proving the mandatory IME provision
- Faith: insufficient office-mailing proof
- Metro 8: the witness’s basis of knowledge
For review of a particular no-fault dispute, contact the firm with the appointment letters, relevant claim forms and motion papers.
Legal Context
Why This Matters for Your Case
New York law is among the most complex and nuanced in the country, with distinct procedural rules, substantive doctrines, and court systems that differ significantly from other jurisdictions. The Civil Practice Law and Rules (CPLR) governs every stage of civil litigation, from service of process through trial and appeal. The Appellate Division, Appellate Term, and Court of Appeals create a rich and ever-evolving body of case law that practitioners must follow.
Attorney Jason Tenenbaum has practiced across these areas for over 24 years, writing more than 1,000 appellate briefs and publishing over 2,353 legal articles that attorneys and clients rely on for guidance. The analysis in this article reflects real courtroom experience — from motion practice in Civil Court and Supreme Court to oral arguments before the Appellate Division — and a deep understanding of how New York courts actually apply the law in practice.
Keep Reading
More IME issues Analysis
Simple addition is insufficient
Jodi Jacobs's 2021 mixed appeal: four claims dismissed, one fee balance unresolved, and why the schedule alone did not prove correct code use.
May 22, 2021NF-3 is the operative document
Unitrin Direct v Beckles: the NF-3, timely IME requests and two missed examinations. Distinguish the request deadline from the examination date.
Mar 22, 2021The NF-2
Colin v Global Liberty: IME notices matched the NF-2 and NF-3. A different police-report ZIP code did not defeat the insurer's proof on this record.
Sep 25, 2020IME/EUO no-show substantiated (First Department).
Urban Well and Metro 8 accepted different witnesses' proof of missed IMEs and EUOs. Compare the 2016 decisions with later EUO affirmation evidence.
Jun 20, 2016Waiver of the Defense IME: No Interpreter, No Exam — De Sanchez v Trevz Trucking
De Sanchez v Trevz Trucking (1st Dept 2015): defendants waived their neurological IME by failing to provide an interpreter within the court-ordered deadline.
Feb 12, 2015IME No-Show Proof: Why Vendor Letters Are Hearsay in New York No-Fault Cases
Quality Psychological v Travelers: SIGNET reports did not establish actual IME nonattendance. Provider summary judgment was affirmed.
May 16, 2013Was 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 ime issues 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.