Another look at MUA
New York court ruling on MUA expert testimony qualifications in no-fault insurance cases, examining when medical experts can testify outside specialty areas.
Another look at MUA — Read More →24 articles published in December 2013
The articles below were published in December 2013 by Attorney Jason Tenenbaum and the legal team at his Long Island law office. Each article provides detailed analysis of real court decisions, statutory developments, and procedural issues in New York personal injury, no-fault insurance, and employment law.
Attorney Tenenbaum has maintained this legal blog since 2008, creating one of the most comprehensive public archives of New York insurance and personal injury case law analysis available online. Every article draws on his firsthand experience litigating cases in Nassau County District Court, Suffolk County courts, New York City Civil Court, and the Appellate Term. Unlike generic legal content, these articles cite specific case holdings, analyze judicial reasoning, and identify practical takeaways for attorneys and claimants navigating New York's complex legal landscape.
Whether you are an attorney researching a procedural question, an insurance professional evaluating a claim, or an individual trying to understand your legal rights after an accident or workplace dispute, this archive offers substantive legal analysis grounded in real New York courtroom experience. For case-specific legal advice, contact the Law Office of Jason Tenenbaum at (516) 750-0595 for a free consultation.
New York court ruling on MUA expert testimony qualifications in no-fault insurance cases, examining when medical experts can testify outside specialty areas.
Another look at MUA — Read More →New York courts require competent expert medical proof to challenge medical necessity in no-fault insurance disputes, with fair and reasonable charges being key factors.
Medical necessity disputes in major medical disputes may be raised at any time — Read More →Westchester Med. Ctr. v Allstate case analysis: prima facie requirements under Etienne standard vs. Mary Immaculate precedent in NY no-fault claims.
First Application of Etienne — Read More →Attorney questions why AAA stopped posting master arbitration decisions after October 2013, highlighting the importance of these decisions for no-fault insurance practitioners.
How come there have been no new master arbitration decisions posted on AAA’s website since October 15, 2013? — Read More →Learn what constitutes a prima facie case in New York no-fault insurance litigation. Analysis of Viviane Etienne case and burden of proof requirements for summary judgment.
What is a prima facie case? I still am unsure — Read More →New York court case where out-of-state insurance company successfully challenged personal jurisdiction under Civil Court Act 404 long-arm statute requirements.
There was no long arm jurisdiction — Read More →NY court vacates default judgment using inherent discretionary power when plaintiff failed to move for default within one year, demonstrating Woodson theory application.
Failure to enter default within one year allows vacatur of default under a Woodson theory — Read More →Court ruling clarifies that failure to serve no-fault denial in duplicate copies alone is not fatal to preserving defenses, following post-Rusk case developments.
The faiure to issue a denial in duplicate is no necessarily fatal to preserving a defense — Read More →Court ruling clarifies personal knowledge requirements for proving EUO no-shows in no-fault insurance cases, emphasizing detailed business practice affidavits.
Personal knowledge is well not too personal — Read More →New York court applies Pennsylvania law to auto insurance dispute, finding PA's protection for innocent third parties prevents policy rescission against assignor.
A choice of law analysis – PA law controls — Read More →Court ruling confirms that proper mailing procedures and attorney's personal knowledge can establish EUO no-shows, setting important precedent for no-fault insurance disputes.
EUO no-show mailing and personal knowledge substantiated — Read More →Court's inherent power to vacate default judgments in NY personal injury cases - Gurin v Pogge demonstrates when intentional defaults may be excused for substantial justice.
An intentional default excused based upon court’s inherent power to vacate defaults — Read More →Court rules arbitrator's decision non-binding when medical provider wasn't named in proceeding, highlighting importance of proper party inclusion in no-fault arbitrations.
An arbitrator’s order is not binding where the provider was not named in the underlying arbitration — Read More →Civil Court properly grants stay motion when declaratory judgment action pending - avoiding inconsistent adjudications in no-fault insurance cases.
Civil Court properly granted motion to stay when DJ action is pending — Read More →Eagle Surgical Supply v Allstate case analysis on EUO scheduling timeliness, tolling effects, and reasonableness standards in New York no-fault insurance law.
EUO tolling and reasonableness issues — Read More →New York court clarifies that insurance claim denials don't require business record authentication under CPLR 4518, as they're not submitted as recorded transactions.
The denial need not be authenticated as a busines record — Read More →Court ruling clarifies that mutual EUO rescheduling before the original date doesn't constitute a no-show, but insurers must still provide three examination opportunities.
Mutual rescheduling prior to the first no-show — Read More →Court ruling establishes that investigator affidavits and on-record statements provide sufficient proof of no-show at scheduled EUOs in no-fault insurance cases.
Proof of the no-show — Read More →Long Island court ruling on IME no-show reversals and proof requirements in New York no-fault insurance cases, featuring Jacoby Chiropractic decision.
IME no show reversal based upon the new 800 pound guerilla: proof of the no show — Read More →Court rules insurance companies don't need to produce policy documents to establish EUO provisions when accident occurred after 2002 mandatory endorsement.
The policy of insurance does not need to be included in the motion papers — Read More →Court ruling demonstrates how incomplete delivery documentation can derail a durable medical equipment provider's prima facie case for no-fault insurance benefits.
A prima facie case involving durable medical equipment — Read More →New York court ruling on EUO preclusion and EBT rights based on preserved box 18 defense in no-fault insurance cases - key timing requirements explained.
EUO preclusion and EBT’s based upon preserved box #18 defense — Read More →Appellate Term follows Second Department precedent over First Department ruling in no-fault insurance statute of limitations dispute involving self-insured entities.
Appellate Term declines to follow First Department 3-year self insured statute of limitations precedent — Read More →NY court rules medical providers must prove assignor had counsel and counsel wasn't notified of IME scheduling to challenge no-fault insurance denials.
Medical provider needs to prove that Assignor was represented by counsel and that counsel failed to receive notification of IME — Read More →The Law Office of Jason Tenenbaum publishes legal analysis on a regular basis covering developments in New York personal injury litigation, no-fault insurance disputes, employment discrimination, and related practice areas. Attorney Tenenbaum started writing about New York case law in 2008, and the blog has grown into a library of over 2,353 articles analyzing court decisions from the Appellate Term, Appellate Division, and Court of Appeals.
Topics frequently covered include the prima facie case standard in no-fault actions, the 30-day preclusion rule under Insurance Regulation 192, IME and EUO no-show defenses, summary judgment practice under CPLR 3212, default judgment standards, verification and claims submission procedures, and the serious injury threshold under Insurance Law Section 5102(d). Employment law articles address wrongful termination, workplace discrimination under the New York State Human Rights Law, wage and hour violations, and employer retaliation claims.
Each article is written for a professional audience but remains accessible to non-lawyers seeking to understand how New York courts handle specific legal issues. The firm serves clients across Long Island, including Nassau County, Suffolk County, and the five boroughs of New York City. If you have a legal question about any topic covered in these articles, call (516) 750-0595 for a free, confidential consultation.
New York's civil court system is one of the most complex in the nation, with multiple overlapping jurisdictions that affect how personal injury, no-fault insurance, and employment cases are litigated. The New York City Civil Court handles claims up to $25,000 in the five boroughs, while the District Courts in Nassau and Suffolk Counties handle similar matters on Long Island. For claims exceeding $25,000, the Supreme Court serves as the primary trial court with unlimited monetary jurisdiction. Despite its name, the Supreme Court is not the highest court in New York — that distinction belongs to the Court of Appeals, which sits in Albany and decides approximately 200 cases per year.
Appeals from Civil Court and District Court decisions go to the Appellate Term, which is divided into departments corresponding to the Appellate Division. The Appellate Term for the Second Department — which covers Nassau County, Suffolk County, Kings County (Brooklyn), Queens County, and Richmond County (Staten Island) — hears hundreds of no-fault insurance appeals each year and has developed a substantial body of case law on topics including timely denial, verification procedures, proof of mailing, fee schedule disputes, and medical necessity standards. The Appellate Division, Second Department, hears appeals from Supreme Court and from the Appellate Term, and its decisions are binding on all lower courts within its jurisdiction.
Understanding where your case falls within this system is critical. A no-fault insurance dispute involving a $3,000 medical bill will follow a very different procedural path than a $500,000 personal injury claim arising from the same automobile accident. The former is typically resolved through mandatory arbitration before the American Arbitration Association under Insurance Department Regulation 68, while the latter proceeds through Supreme Court with full discovery, independent medical examinations under CPLR 3121, depositions, and potentially a jury trial. Attorney Tenenbaum has practiced extensively in all of these venues and understands the strategic considerations unique to each.
Several statutes and regulations appear frequently in the articles archived on this page. Insurance Law Article 51 establishes New York's no-fault insurance framework, requiring every motor vehicle policy to include personal injury protection benefits covering medical expenses, lost earnings (up to $2,000 per month), and other basic economic loss up to $50,000 per person. 11 NYCRR 65-3.8 (Insurance Regulation 192) imposes a 30-day deadline on insurers to pay or deny no-fault claims after receiving proof of claim and all demanded verification, and the failure to timely deny results in preclusion of most coverage defenses.
In personal injury litigation, Insurance Law Section 5102(d) defines the categories of "serious injury" that a plaintiff must establish before recovering non-economic damages in a motor vehicle accident case. The nine categories — death, dismemberment, significant disfigurement, fracture, loss of a fetus, permanent loss of use, permanent consequential limitation, significant limitation of use, and the 90/180-day category — each have specific evidentiary requirements that have been refined through decades of appellate decisions. The Law Office of Jason Tenenbaum has litigated serious injury threshold motions in hundreds of cases and regularly writes about new developments in this area.
Employment claims in New York implicate both state and federal statutes. The New York State Human Rights Law (Executive Law Section 296) prohibits employment discrimination based on age, race, creed, color, national origin, sexual orientation, gender identity, military status, sex, disability, predisposing genetic characteristics, familial status, marital status, and domestic violence victim status. The New York City Human Rights Law provides even broader protections and applies a more liberal standard. At the federal level, Title VII of the Civil Rights Act, the Americans with Disabilities Act, and the Age Discrimination in Employment Act provide additional protections but are subject to administrative exhaustion requirements through the EEOC.
Workers' compensation cases in New York are governed by the Workers' Compensation Law and administered by the Workers' Compensation Board. Injured workers are entitled to medical treatment, lost wage benefits (typically two-thirds of the average weekly wage, subject to a statutory maximum), and permanency awards for lasting disabilities. Third-party claims — such as personal injury lawsuits against property owners or general contractors under Labor Law Sections 200, 240, and 241 — often run parallel to workers' compensation proceedings and involve complex lien and subrogation issues that require experienced legal counsel to navigate properly.
The articles in this archive analyze real decisions from courts across New York State, with a particular focus on the Appellate Term and Appellate Division decisions that establish binding precedent for trial courts on Long Island and in New York City. Whether you are an attorney preparing a motion, an insurance professional evaluating a claim, or an individual trying to understand your rights, these articles provide the detailed legal analysis that generic legal websites simply cannot offer. For personalized advice about your specific situation, contact the Law Office of Jason Tenenbaum at (516) 750-0595.
The Law Office of Jason Tenenbaum, P.C. serves clients from its office at 326 Walt Whitman Road, Suite C, Huntington Station, New York 11746. The firm represents individuals and businesses throughout Long Island — including the towns of Babylon, Islip, Brookhaven, Smithtown, Riverhead, Southampton, East Hampton, Huntington, and Oyster Bay in Suffolk County, and the cities and villages of Hempstead, Garden City, Mineola, Great Neck, Manhasset, Freeport, Long Beach, Rockville Centre, Valley Stream, Westbury, Hicksville, Massapequa, and Levittown in Nassau County. The firm also handles cases in all five boroughs of New York City: Queens, Brooklyn (Kings County), Manhattan (New York County), the Bronx, and Staten Island (Richmond County). Court appearances are regularly made at Nassau County Supreme Court in Mineola, Suffolk County Supreme Court in Riverhead, the Nassau County District Court, the Suffolk County District Court, and the New York City Civil Court throughout the five boroughs.
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