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IME no-show –> Necesity to issue timely disclaimer
IME issues

IME no-show –> Necesity to issue timely disclaimer

By Jason Tenenbaum 2 min read

Key Takeaway

Four separate 2011 decisions granted insurers summary judgment with timely-denial proof. Compare their results with the First Department's Unitrin line.

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.

Last reviewed: September 2026.

Historical note: These four 2011 Second Department opinions accepted timely-denial evidence; Gaines (2025, First Department) expressly dispensed with timely-disclaimer proof on its IME coverage record, so the title is not a current statewide rule.

All four insurers won these appeals. Parkway, Triangle, Proscan and Padova were separate October 2011 decisions granting insurer summary judgment, not consolidated cases reversing insurer victories. Each opinion accepted evidence that the IME notices and denials were properly mailed and that the assignor missed the examinations.

Jason’s original note

Parkway Imaging & Diagnostic, P.C. v Clarendon Natl. Ins. Co., 2011 NY Slip Op 51853(U)(App. Term 2d Dept. 2011).

Triangle R, Inc. v Clarendon Natl. Ins. Co.,2011 NY Slip Op 51854(U)(App. Term 2d Dept. 2011)

Proscan Imaging Buffalo v Clarendon Natl. Ins. Co., 2011 NY Slip Op 51855(U)(App. Term 2d Dept. 2011)

Padova Physical Rehab. Medicine, P.C. v Praetorian Ins. Co., 2011 NY Slip Op 51862(U)(App. Term 2d Dept. 2011).

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What each opinion decided

Parkway and Proscan granted the carrier’s motion and denied the provider’s competing motion. Triangle and Padova likewise granted dismissal to the insurers.

The opinions describe evidence from the IME scheduling service, the examining professionals, and carrier personnel responsible for denial mailing. Their common point was that this evidence satisfied the insurer’s burden. None finds a late disclaimer or states that the insurer forfeited its defense.

The original title reflects the denial-timing question in 2011. These Second Department opinions cited Westchester/Lincoln while noting the contrasting Unitrin authority. In Gaines (2025), the First Department expressly said timely disclaimer was unnecessary for the properly noticed IME nonappearances before it.

The title alone is a poor guide to the current deadline question. The forum, scheduling chronology and coverage authority matter. These four cases provide no support for a fixed 10–15-day IME notice rule or for predictions about a provider’s litigation odds.

Connect to the Encyclopedia

Start with the IME no-show case directory.

For review of a particular no-fault dispute, contact the firm with the scheduling letters, claim chronology 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.

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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.

Filed under: IME issues
Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

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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 (6)

Archived from the original blog discussion.

ML
mitchell lustig
This is further proof that the Appellate Term, Second Department is not following Unitrin and is requiring a timely denial. The good news for the insurers is that the Court is finding that the Affidavits of mailing are sufficient for both the IME scheduling letters and denials. In addition, the Court is accepting the doctor’s affidavits of non-appearance without requiring ridiculous requirements as to how the doctor0 know about the non-appearances. The amazing thing is that these cases are still coming up on appeal. You would think that the plaintiffs’ bar would learn by now and stop bringing these appeals or, at the very least, the Civil Court judges would follow the law. The same thing goes for the cases where an insurer makes a motion for summary judgment based upon a peer review or IME. It should be clear to the plaintiff’s bar and the lower courts that in order to defeat these motions, the plaintiff must produce a doctor’s affidavit.
J
JT Author
The former is correct. However, I suspect the 2nd Dept will be called into directly address Unitrin. Remember, Westchester v. Lincoln was reviewed in the defensive posture by the carrier. Unitrin was an offensive action. The Appellate Term, Second, has only heard appeals in the defensive posture. While they actually do have limited DJ jurisdiction, you would have to be off your rocker to bring such an action in Civil Court as an insurer. I believe the rules are slightly different in the offensive posture. I am not going to go through why I believe that, because I am not going to spend hours on here sparring. Regarding your second point, APlus Mercury and Pomona Geico dispel your notion. Also, Justice Steinhart’s dissent (2-1 plurality decision) awhile ago and my blunder in Hillcrest v. State Farm (2-1 plurality decision), would tend to give credence to the Plaintiff’s opposing without an affidavit of merit. However, in two supply cases, we saw an App Term, First Dept, shy away from their triable issue of fact precedent.
ML
mitchell lustig
APlus Mercury and Pomona Geico are the exception not the rule.
J
JT Author
Mitch, if I were to appeal 30 unrebutted medical necessity cases in the first department, I would lose 50% of them. This makes sense. By analogy, how many unrebutted 5102(d) motions are lost because the movant failed to establish its prima facie prove a lack of serious injury?
J
JT Author
Good seeing you in court Mitch. I was hoping to see Kurt also – but there is a rumor that he in hiding…
KL
Kurt Lundgren
I started that rumor. But maybe I am hiding ….. or just lazy. My partner is down in Court more and I am doing arbs.

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