“Not based on an examination”
Court rules medical affirmation insufficient when not based on patient examination and fails to rebut defendant's examining physician findings.
“Not based on an examination” — Read More →24 articles published in November 2018
The articles below were published in November 2018 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.
Court rules medical affirmation insufficient when not based on patient examination and fails to rebut defendant's examining physician findings.
“Not based on an examination” — Read More →Court ruling clarifies that insurance companies can use different expert witnesses to testify about peer review reports in no-fault cases, expanding defense flexibility.
Different peer doctor's testimony acceptable — Read More →Court ruling clarifies that insurance company's internal mail handling procedures are irrelevant when proving proper mailing of EUO scheduling letters under CPLR 3212(g).
Nexus between receipt and mailing — Read More →Court ruling establishes that preliminary conference orders are binding stipulations, requiring fraud or duress to vacate under New York law.
Preliminary Conference is deemed a stipulation — Read More →Court ruling clarifies that gaps in medical treatment only matter for causation issues when defendants fail to establish prima facie lack of causation in serious injury claims.
Gap in treatment analyzed — Read More →Court ruling on physician-patient privilege waiver in personal injury discovery - what medical records are material and necessary when claiming lost earnings.
Discovery – what is material and necessary — Read More →Second Department vacates default judgment in GEICO v Avenue C Med case, granting defendants' motion based on law office failure and miscommunication between counsel.
Default vacated — Read More →New York court clarifies that defendants can be served with legal papers even inside courtrooms, rejecting the misconception that courthouse appearances provide immunity from service.
Court approves of service in the court room — Read More →Another New York no-fault insurance case demonstrates that insurers must prove policy exhaustion with specific timing evidence to successfully defend coverage claims.
Another policy exhaustion case went nowhere — Read More →Analysis of Pavlova v Allstate case on "by report" billing requirements and verification procedures in NY no-fault insurance claims (156 chars)
The By Report paradigm — Read More →Recent NY court rulings clarify insurers don't need objective reasons to request EUOs when proving no-show defense, though proper objections can change this dynamic.
Objective reasons not necessary to prove an EUO no-show defense — Read More →Court ruling shows affidavit alone can create triable issue on verification receipt despite 120-day rule, prompting questions about documentary evidence standards.
120-day rule rebutted — Read More →New York Court of Appeals decision on staged accident claims in no-fault insurance cases, examining prima facie evidence standards and insured incident requirements.
Prima Facie Staged accident — Read More →Court rules workers compensation award creates coverage defense in no-fault cases, changing how insurers can challenge medical billing claims under NY law.
The existence of a workers compensation award is lack of coverage — Read More →Fourth Department clarifies EUO nonappearance defense as policy exclusion rather than coverage matter in Nationwide v Jamaica Wellness Medical declaratory judgment case.
Nationwide took an ax to Unitrin — Read More →Ortega v Healthcare Services Group case analysis - plaintiff's incomplete disclosure of health history leads to jury verdict favoring defendant on causation and damages.
Mr. Ortega, why did you lie to us? — Read More →Court rules on debt collection case where borrower missed one payment after paying $45,000, examining whether strict enforcement of settlement stipulation was appropriate.
Stipulation not strictly enforced — Read More →Tejada v LKQ case analysis: Court finds triable issue for significant limitation but not permanent consequential limitation in lumbar spine injury claim.
Another must read in the battle involving “significant limitation” and “permanent consequential” — Read More →Court reduces $1.15M jury award to $550K for shoulder surgery case, highlighting how trial courts evaluate excessive pain and suffering damages in personal injury claims.
Shoulder surgery with physical therapy – valued at $550,000 — Read More →Court ruling reinforces 30-day notice requirement for no-fault claims, with insurance company successfully defending late notice denial under 11 NYCRR 65-1.1.
Timely notice — Read More →NY appellate court ruling on EUO no-show requirements: insurers must prove two proper demands, two failures to appear, and timely denial for summary judgment.
A basic EUO no-show — Read More →New York court case highlights critical requirement for physicians to specify objective testing methods when measuring range of motion in no-fault threshold injury claims.
The recent examination — Read More →New York courts have evolved to accept electronic signatures on physician reports, overturning earlier restrictive precedents in personal injury litigation.
Electronic signatutres — Read More →Court rules on discretionary application of 60-day settlement order deadline, prioritizing judicial efficiency over strict procedural compliance in liability cases.
202.48 – settle an order — 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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