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A judge in Supreme Nassau on a standard no-fault matter applies Unitrin
IME issues

A judge in Supreme Nassau on a standard no-fault matter applies Unitrin

By Jason Tenenbaum 8 min read

Key Takeaway

Nassau Supreme Court applies Unitrin precedent in no-fault case, clarifying burden of proof standards for IME no-show defenses in provider litigation.

In New York no-fault insurance litigation, courts have struggled with conflicting precedents regarding the burden of proof for Independent Medical Examination (IME) defenses. The tension between the Westchester/Lincoln and Unitrin standards has created uncertainty, particularly in Nassau County where different approaches have emerged depending on whether the insurance carrier is plaintiff or defendant.

This case represents a significant development in New York No-Fault Insurance Law practice, as it shows Nassau Supreme Court applying Unitrin even when the insurance carrier is in a defensive position. The decision provides valuable language for practitioners handling IME no-show cases and clarifies evidentiary standards that have long confused the no-fault bar.

Jason Tenenbaum’s Analysis:

New York Methodist v. Country Wide, Sup Ct. Nassau Co. Index #: 3676/11

Nassau has been all over the place on the DJ front regarding the confusion between Westchester/Lincoln and Unitrin. Yet, when the carrier is a defendant, it always seemed that Nassau County Supreme Court would apply Westchester/Lincoln.

Here is a very recent case where that Court found Unitrin to be controlling precedent. The best line of the case is as follows: “laintiff’s simple argument that Defendant failed to prove that the notices were mailed to the assignor or that the assignor failed to appear at any of the scheduled IMEs is without merit.” I would use this language in all civil court opps.

Key Takeaway

This Nassau Supreme Court decision demonstrates a shift toward consistent application of Unitrin precedent regardless of the carrier’s procedural position. The court’s rejection of the plaintiff’s argument about mailing proof provides strong defensive language for insurance carriers facing IME-related challenges in no-fault litigation.


Legal Update (February 2026): Since 2012, New York courts have continued to grapple with IME defense standards, and subsequent appellate decisions may have further clarified or modified the application of Westchester/Lincoln versus Unitrin precedents in no-fault litigation. Practitioners should verify current judicial interpretations and any intervening appellate authority that may have resolved the burden of proof conflicts discussed in this post.

Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

About the Author

Jason Tenenbaum

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 (3)

Archived from the original blog discussion.

ML
mitchell lustig
You make a very valid point. However, upon a close reading of the case, I am not so sure that the Court was convinced that the denial was untimely. You could still read the case as saying that the insurer’s denial was timely, albeit the Court did not cite Weschester v. Lincoln General.
JT
Jason Tenenbaum Author
the words “of no moment” is a direct quote from unitirin.
ML
mitchell lustig
Upon further analysis, I agree with JT that the denial was late. It also appears tht the IME request was late because ti was sent more than 15-30 days after receipt of the bill. In that case, the decsion by Judge Bruno is inconsistent with Unitrin. It is often overlooked that the Court in Unitrin specifically noted that the insurer’s IME requests were mailed in accordance with the time frames set forth in the regulations, to wit, 15-30 days after receipt of the bill. See also, the decision today by the Appellate Term, First Department in Dowd v. Praetorian, 2012 N.Y. Slip Op. 51160(U) where the Court, citing Unitrin, specifically noted that the insurer properly and timely mailed the IME notices. Although Judge Bruno cited Unitrin in support of his ruling that a denial based upon an IME no-show does not have to be timely, he nevertheless ignored that part of the holding in Unitrin which requires that the IME scheduling letters be mailed in accordance with the verification protocols. More broadly, this is why Unitrin is a bad decision. On the one hand you cannot say a denial based upon the failure to appear for IME’s is a lack of coverage defense exempt from preclusion and then later in the case also say that the scheduling letters must comply with the strict time frames set forth in the verification protocols.

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