Key Takeaway
New York attorney fee limitations for no-fault insurance cases filed after February 4, 2015, including arbitration rates and maximum fee caps per regulation 11 NYCRR 65-4.6.
This article is part of our ongoing attorney fee coverage, with 16 published articles analyzing attorney fee 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.
11 NYCRR 65-4.6
The following limitations shall apply to the payment by insurers of applicants’ attorney’s fees for services necessarily performed in the resolution of no-fault disputes:
(a) If an arbitration was initiated or a court action was commenced by an attorney on behalf of an applicant and the claim or portion thereof was not denied or overdue at the time the arbitration proceeding was initiated or the action was commenced, no attorney’s fees shall be granted.
(b) If the claim is resolved by the designated organization at any time prior to transmittal to an arbitrator and it was initially denied by the insurer or overdue, the payment of the applicant’s attorney’s fee by the insurer shall be limited to 20 percent of the total amount of first-party benefits and any additional first-party benefits, plus interest thereon, for each applicant with whom the respective parties have agreed and resolved disputes, subject to a maximum fee of $1,360.
(c) For disputes subject to arbitration or court proceedings, where one of the issues involves a policy issue as enumerated on the prescribed denial of claim form (NYS form NF-10), subject to this section, the attorney’s fee for the arbitration or litigation of all issues shall be limited to a fee of up to $70 per hour, subject to a maximum fee of $1,400. In addition, an attorney shall be entitled to receive a fee of up to $80 per hour for each personal appearance before the arbitration forum or court.
(d) For all other disputes subject to arbitration or court proceedings, subject to the provisions of subdivision (a) of this section, the attorney’s fee shall be limited as follows: 20 percent of the total amount of first-party benefits and any additional first-party benefits, plus interest thereon, for each applicant per arbitration or court proceeding, subject to a maximum fee of $1,360. If the nature of the dispute results in an attorney’s fee that could be computed in accordance with the limitations prescribed in both subdivision (c) and this subdivision, the higher attorney’s fee shall be payable.
(e) Notwithstanding the limitations specified in this section, if the arbitrator or a court determines that the issues in dispute were of such a novel or unique nature as to require extraordinary skills or services, the arbitrator or court may award an attorney’s fee in excess of the limitations set forth in this section. An excess fee award shall detail the specific novel or unique nature of the dispute that justifies the award. An excess award of an attorney’s fee by an arbitrator shall be appealable to a master arbitrator.
(f) If a dispute involving an overdue or denied claim is resolved by the parties after it has been forwarded to the conciliation center of the appropriate arbitration forum or after a court action has been commenced, the attorney for the applicant shall be entitled to a fee, which shall be computed in accordance with the limitations set forth in this section.
(g) No attorney shall demand, request or receive from the insurer any payment of fees not permitted by this section.
(h) Notwithstanding any other provision of this section and with respect to billings on and after the effective date of this regulation, if the charges by a health care provider, who is an applicant for benefits, exceed the limitations contained in the schedules established pursuant to section 5108 of the Insurance Law, no attorney’s fee shall be payable by the insurer. This provision shall not be applicable to charges that involve interpretation of such schedules or inadvertent miscalculation or error.
filed Jan. 20, 2015 eff. Feb. 4, 2015.
Attorneys should be aware of the Appellate Division Rules prohibiting fees in connection with the collection of first-party no-fault benefits (22 NYCRR sections 603.7(e)(7), 691.20(e)(7), 806.13(f) and 1022.31(f)).
Related Articles
- Attorney Fee Requirements in New York No-Fault Insurance Cases
- Third DCA refuses to apply regulation 65-4.6(e) under abuse of discretion standard
- Attorney fee limitations in no-fault cases
- Interest and attorney fee calculations
- LMK Attorney Fee Calculation Problems in NY No-Fault Cases
Legal Update (February 2026): The attorney fee limitations and hourly rates specified in 11 NYCRR 65-4.6 may have been amended since this post’s publication in 2015, as the Department of Financial Services periodically updates fee schedules and maximum compensation amounts. Practitioners should verify current fee limitations, hourly rates, and maximum fee caps under the regulation’s current provisions.
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 Attorney fee Analysis
Under an abuse of discretion standard, the Third DCA refuses to apply 65-4.6(e)
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Apr 28, 2021Mallela – or was it?
Court distinguishes between Mallela defense and over-billing claims in no-fault insurance case, ruling that billing fraud doesn't qualify for extended defense timeline.
Dec 18, 2018Infants compromise order not needed to proceed in arbitration in assignee case
New York court rules that infant compromise orders aren't needed in no-fault arbitration when healthcare provider acts as assignee, not the infant patient as party.
Jun 3, 2018Malella and Attorneys fees
Court ruling on Malella defense and attorney fee calculations in NY no-fault insurance arbitration, including fraudulent incorporation claims and Article 75 proceedings.
May 25, 2017Article 75 attorneys fees are now limited
Court limits Article 75 attorney fees to $650 in no-fault insurance arbitration proceedings, raising questions about DFS regulation interpretation.
May 31, 2016$5.00 rule
Civil Court rules providers can collect no-fault insurance interest under $5 despite regulatory language, ensuring statutory penalty provisions remain effective.
May 14, 2013Common Questions
Frequently Asked Questions
How are attorney fees awarded in no-fault cases?
Under 11 NYCRR §65-4.6, if a no-fault claimant prevails at arbitration or in court, the insurer may be required to pay attorney fees. The fee schedule is set by regulation — typically 20% of the first $2,000 recovered and 10% of amounts above that, with a minimum fee. These fees are separate from and in addition to the benefits recovered.
Can I recover attorney fees in a personal injury lawsuit?
In New York, each party typically pays their own attorney fees (the "American Rule"). Exceptions exist in certain statutory claims — for example, employment discrimination cases under federal or state law may include fee-shifting provisions. In personal injury cases, the attorney fee is usually a contingency percentage agreed upon with the client.
What is the fee schedule for no-fault arbitration?
The fee schedule under Regulation 68 (11 NYCRR §65-4.6) provides for a reasonable attorney fee based on the amount recovered. The schedule is designed to ensure claimants have access to legal representation while keeping fees proportional to the recovery. Disputes over the amount of attorney fees can be resolved by the arbitrator or court.
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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 attorney fee 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.