Key Takeaway
Learn how to overcome mailing presumptions in NY no-fault insurance cases. Expert analysis of court requirements for affidavits and proof standards.
This article is part of our ongoing mailing coverage, with 63 published articles analyzing mailing 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 Appellate Term has given us a little more guidance since Pomona v. Travelers came out last year. However, Comprehensive Neurological did not meet the test on this case.
Comprehensive Neurological Servs., PA v Tri-State Consumer Ins. Co., 2012 NY Slip Op 50950(U)(App. Term 2d Dept. 2012)
“The affidavit of plaintiff’s medical billing supervisor, while explaining in general terms the office procedure followed by plaintiff in “document receipt of request into our computer system,” failed to set forth any facts tending to indicate that the affiant or anyone else in plaintiff’s billing department in fact checked the “computer system” to ascertain whether the verification letters shown to have been sent by defendant had been “documented” as received. The professed status of plaintiff’s affiant as “custodian” of the case file was insufficient, on this record and without more, to overcome the presumption of receipt created by defendant’s proof of proper mailing of its verification letters”
In trying to put this all together, there are a few trends that are evident. An affidavit of mailing does not need to recite the dates something is dispatched. A recitation of someone who knows the office procedure and generally describes it can aver that something is mailed on the date set forth on the dated correspondence or some subsequent business day will meet the burden. Added fluff in the affidavit is always welcome, but too much fluff will spawn inconsistencies and cause the affidavit to lead to complete defeat. Point of Health Acupuncture, P.C. v GEICO Ins. Co., 2010 NY Slip Op 51724(U)(App. Term 2d Dept. 2010)
An affidavit attempting to defeat the presumption of mailing has to be bill, event and document sufficient. The best discussion of this was found recently in a case I cited on here: Matter of Matter of Government Empls. Ins. Co. v Morris, 2012 NY Slip Op 03448 (2d Dept. 2012).
A double standard? I know someone is going to exclaim that this a conspiracy of the courts. I await Zuppa’s analysis.
Related Articles
- On receipt and mailing
- Understanding No-Fault Insurance Mailing Requirements: Lessons from the First Department’s “Venom” Decision
- Understanding Verification Requests in New York No-Fault Insurance Claims
- Affidavits of Non-Receipt and Default Judgment Procedures in NY Personal Injury Cases
- New York No-Fault Insurance Law
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.
About This Topic
Proof of Mailing in New York No-Fault Practice
Proof of mailing is a foundational issue in no-fault litigation. Insurers must prove timely mailing of denial forms, verification requests, and EUO scheduling letters, while providers and claimants must prove timely submission of claim forms and bills. Establishing a standard office mailing procedure through business records — and the presumption of receipt that follows — is heavily litigated. These articles examine the evidentiary standards for proving and challenging mailing in New York no-fault cases.
63 published articles in Mailing
Keep Reading
More Mailing Analysis
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Court rules that incorrect floor designation in IME notice mailing address is not fatal when building address is otherwise correct and proper mailing procedures followed.
Mar 22, 2021Non receipt
New York court case highlights importance of proper documentation when resubmitting no-fault insurance claims to avoid summary judgment dismissal.
Feb 1, 2020State Farm and Georgia – passes Appellate Term scrutiny
State Farm's Georgia mail processing system passes Appellate Term scrutiny despite mailing challenges in no-fault insurance case Maiga v State Farm.
Jun 3, 2018Make a promise in your papers and fail to keep it? Summary judgment lost
Court case shows how matching the wrong documents to an affidavit can destroy an insurance company's summary judgment motion in no-fault litigation.
Nov 17, 2015Again – a mere denial will not rebut proof that a verification demand was mailed
Court ruling clarifies that mere denial of receiving verification requests cannot overcome legal presumption of proper mailing in no-fault insurance cases.
Feb 24, 2013Be careful what you ask for: Discovery by summary judgment motion
Learn how summary judgment motions in no-fault insurance cases can backfire on carriers when discovery rules work against them in medical necessity disputes.
Sep 15, 2010Common Questions
Frequently Asked Questions
Why is proof of mailing important in no-fault litigation?
Proof of mailing is critical in no-fault cases because many defenses depend on whether documents were properly sent — including denial letters, EUO scheduling notices, IME appointment letters, and verification requests. To establish proof of mailing, the insurer typically must show standard office mailing procedures through affidavit testimony and documentary evidence such as mailing logs or certified mail receipts. A failure to prove proper mailing can be fatal to the insurer's defense.
What happens if a no-fault insurer claims it never received the bill?
The provider must prove proper mailing of the claim. Under no-fault regulations, proof of mailing by certified and regular mail creates a presumption of receipt. If the insurer claims non-receipt, the burden shifts to show the claim was never actually mailed or that there was a mail failure.
How do I prove that a no-fault bill was properly mailed?
Maintain proof of mailing through certified mail receipts, return receipts, office mailing procedures affidavits, and contemporaneous mailing logs. Courts accept business practice affidavits from office staff describing standard mailing procedures as evidence of proper mailing.
What is the deadline to submit a no-fault bill to the insurer?
Healthcare providers must submit no-fault bills within 45 days of the date of service under 11 NYCRR §65-1.1. If the insurer claims non-receipt, the provider should re-submit and maintain proof of the original timely mailing to preserve the claim.
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About the Author
Jason Tenenbaum, Esq.
Jason Tenenbaum is the founding attorney of the Law Office of Jason Tenenbaum, P.C., headquartered at 326 Walt Whitman Road, Suite C, Huntington Station, New York 11746. With over 24 years of experience since founding the firm in 2002, Jason has written more than 1,000 appeals, handled over 100,000 no-fault insurance cases, and recovered over $100 million for clients across Long Island, Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, the Bronx, and Staten Island. He is one of the few attorneys in the state who both writes his own appellate briefs and tries his own cases.
Jason is admitted to practice in New York, New Jersey, Florida, Texas, Georgia, and Michigan state courts, as well as multiple federal courts. His 2,353+ published legal articles analyzing New York case law, procedural developments, and litigation strategy make him one of the most prolific legal commentators in the state. He earned his Juris Doctor from Syracuse University College of Law.
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 mailing 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.