Amendment of 11 NYCRR 68.6 coming soon
New York proposes amending 11 NYCRR 68.6 to limit out-of-state no-fault health service reimbursement to highest NYS fee schedule rates for 2016.
Amendment of 11 NYCRR 68.6 coming soon — Read More →32 articles published in September 2016
The articles below were published in September 2016 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 proposes amending 11 NYCRR 68.6 to limit out-of-state no-fault health service reimbursement to highest NYS fee schedule rates for 2016.
Amendment of 11 NYCRR 68.6 coming soon — Read More →Court applies prejudice rule when default judgment was vacated before insurer raised timely notice defense under Insurance Law § 3420(c)(2)(B).
The prejudice rule in action — Read More →Court rejected IME no-show affidavits executed 8 years after the missed appointments, emphasizing the need for contemporaneous documentation in no-fault cases.
IME no-show affidavit executed 8 years prior to the no show — Read More →Court reinforces proper procedures for proving EUO no-shows in no-fault insurance cases, citing established precedent on certified transcripts and mailing requirements.
EUO no-show substantiated again — Read More →Insurance carriers can successfully deny no-fault claims when patients fail to appear for scheduled IMEs, provided proper procedures are followed for verification requests.
IME no show – complied with Neptune, AT v. Vance and 3.5(b); 3.6(b) — Read More →Court ruling highlights insufficient affidavits in no-fault cases where mailing procedures for cancellation notices weren't properly documented by insurers.
Notice of intent to cancel – premium finance company — Read More →Pattern of Allstate mailing failures emerges in New York courts, with multiple 2016 cases showing the insurer's inability to prove timely delivery of denial letters.
Allstate mailing issues — Read More →Appellate Division grants leave to appeal in Mapfre v. Manoo declaratory judgment case, certifying question of law for Court of Appeals review.
Manoo goes up — Read More →Court rules that proving military status misrepresentation isn't enough when insurance company fails to timely deny claim in no-fault case.
Proof of military status not enough on a material misrepresentation DJ — Read More →Court rules insufficient proof of proper EUO notice and no-show in Liberty Mutual v K.O. Med case, highlighting critical requirements for no-fault insurance denials.
Proof insufficient to comply with 65-3.5(b), 65-3.6(b) — Read More →Understanding affidavit of errors in NY criminal appeals - procedural requirements for town and village court appeals when proceedings aren't stenographically recorded.
Affidavit of errors — Read More →Attorney Jason Tenenbaum reflects on former Judge Michael Ciaffa's transition to private practice and his contributions to no-fault insurance law understanding.
Former Judge Michael Ciaffa has been located — Read More →Jury finds no serious injury after plaintiff failed to disclose prison-related pain, affirming verdict against lying plaintiff in NY no-fault case.
Jury said the injury was related to a stint in prison — Read More →Court denies preliminary injunction in Liberty Mutual fraud case, finding insufficient evidence of fraudulent incorporation despite gaps in EUO testimony.
Preliminary injunction denied – the analysis is questionable — Read More →Supreme Court's ruling in State Farm v Thompson highlights strategic missteps in no-fault insurance declaratory judgment cases involving examination under oath procedures.
Supreme Court got it wrong but I saw a tactical error in the EUO — Read More →Three 2016 no-fault insurance cases demonstrate how procedural requirements under 11 NYCRR 65-3.5 can derail declaratory judgment actions seeking coverage denials.
What do these cases have in common? — Read More →Court criticizes insurance carrier's sloppy copy-and-paste affidavit with wrong policyholder name, highlighting importance of careful document preparation in rescission cases.
The Court comments on a copy and paste job — Read More →Long Island attorney discusses Article 75 petition success against AAA master arbitrator decision in IME no-show case, highlighting systemic issues in no-fault arbitration.
Another Article 75 needed to be taken against AAA — Read More →Court accepts Penal Law § 210.45 verified statements as sufficient affidavits to raise factual issues, highlighting New York's antiquated approach to sworn statements.
PL 210.45 verification is a sufficient affidavit — Read More →Court ruling clarifies that stipulating to liability doesn't trigger prejudgment interest accrual, potentially costing plaintiffs significant money in lengthy cases.
Interest when liability is stipulated — Read More →First Department rules that failure to regularly check email in e-filed cases can constitute reasonable excuse for vacating defaults, emphasizing particularized explanations.
Failure to check e-mail in e-filed case is a reasonable excuse to a default — Read More →New York declaratory judgment law: Can defendants oppose motions entirely when multiple parties are named? Analysis of standing requirements and procedural options.
Declaratory judgment – ability to oppose the motion en toto? — Read More →NY court case where plaintiff's belated video disclosure during trial led to complaint dismissal, later reversed on appeal for lack of willful conduct evidence.
The missing video — Read More →New Jersey arbitration statute requires application for Article 75 relief to compel arbitration in no-fault insurance disputes, as New York procedural law controls over substantive New Jersey law.
New Jersey arbitration statute requires an application for Article 75 relief — Read More →Court rules EUO scheduling letters don't need business records exception when offered to prove mailing, not truth of contents, expanding non-hearsay doctrine.
Another unsuccessful 4518(a) challenge — Read More →New York appellate court ruling shows claim representatives can provide sufficient affidavit evidence to prove no insurance coverage was in effect at time of accident.
Claim rep affidavit sufficient to prove no insurance in effect — Read More →New York no-fault insurance law on statutory interest tolling when providers delay prosecution of claims against insurers.
Tolling of interest — Read More →Court rules unpleaded affirmative defenses of collateral estoppel and res judicata can support summary judgment in no-fault cases without surprise or prejudice.
Unpleaded affirmative defense is sufficient — Read More →New Horizon Surgical v Allstate: Court analysis of MUA medical necessity burden of proof and expert witness testimony in New York no-fault insurance disputes.
MUA with Straniere: Part 2 — Read More →New Horizon Surgical Center v Allstate case analysis covering chiropractor MUA procedures, medical necessity burden of proof, and facility fee coverage extensions.
A lot here in a Straniere special — Read More →No-fault insurance case highlights how small-dollar disputes can escalate into costly appeals, raising questions about proportionality in litigation strategy.
Discrepancy between the judgment and the decision – decision controls — Read More →Court ruling on proper taxpayer identification requirements for no-fault insurance billing providers and when social security numbers vs EINs must be used.
An unincorporated solo practitioner using his own social security number. — 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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