No-Fault Litigation Delay Tactics: Fight Back | JTNY Law

Key Takeaway

Insurance companies use delay tactics to avoid paying no-fault claims. Learn how courts combat these strategies and protect your rights. Call 516-750-0595 for help.

How Insurance Companies Use Procedural Delays to Avoid Paying Claims

If you’re pursuing a no-fault insurance claim in New York court, you may encounter various delay tactics employed by insurance companies to postpone paying legitimate claims. These tactics can stretch cases out for years, placing financial strain on injured individuals and their healthcare providers while insurance companies continue to earn interest on unpaid claims.

A recent New York court decision, Sunrise Acupuncture PC v Global Liberty Ins. Co. of N.Y., 2018 NY Slip Op 51887(U), demonstrates how courts are cracking down on insurance companies that use procedural maneuvers to create unnecessary delays. In this case, an insurance company waited nearly seven years before raising a workers’ compensation defense, only to have the court reject this transparent attempt at further delay.

The Sunrise Acupuncture Case: Seven Years of Delay

In the Sunrise Acupuncture case, Global Liberty Insurance was sued for unpaid no-fault benefits. The insurance company had included a workers’ compensation defense among eighteen other affirmative defenses in its answer back in May 2011, but then took no action on this defense for nearly seven years.

Only when the case finally reached trial did the insurance company attempt to invoke the primary jurisdiction of the Workers’ Compensation Board (WCB), claiming that the case should be delayed further while the WCB determined whether workers’ compensation applied.

The Court’s Response

The Appellate Term was not impressed by this belated attempt at delay. The court ruled: “The trial court properly denied defendant-insurer’s belated attempt to invoke the primary jurisdiction of the Workers’ Compensation Board in these consolidated first-party no-fault actions. Other than asserting the workers’ compensation statute as one of eighteen affirmative defenses in its respective May 2011 answers, defendant did not otherwise raise or pursue the workers’ compensation issue during the course of the litigation, and indeed, only raised the issue at trial, nearly seven years later.”

The court emphasized that under these circumstances, the defendant “may not, at this belated juncture, invoke the primary jurisdiction of the WCB as a means of further delaying the litigation.”

Understanding Delay Tactics in No-Fault Litigation

Common Delay Strategies

Insurance companies employ numerous tactics to delay resolution of no-fault cases:

Procedural challenges: Raising technical objections to delay substantive resolution
Multiple motions: Filing repetitive or frivolous motions to consume time and resources
Discovery disputes: Creating unnecessary disputes over document production and depositions
Jurisdictional arguments: Claiming other bodies should decide the case first
Settlement negotiations: Engaging in bad faith settlement talks to delay trial
Appeal threats: Using potential appeals to pressure settlement for less than full value

The Economics of Delay

From an insurance company’s perspective, delay can be financially advantageous:

Investment income: Money not paid out can be invested for profit
Inflation benefits: Fixed dollar claims become less expensive over time
Claimant pressure: Financial stress may force inadequate settlements
Provider dropout: Healthcare providers may stop accepting no-fault insurance
Statute of limitations: Some claims may become time-barred

Primary Jurisdiction and Workers’ Compensation Board Issues

What Is Primary Jurisdiction?

Primary jurisdiction is a legal doctrine that allows courts to defer to administrative agencies with specialized expertise when complex regulatory issues arise. In the context of no-fault insurance, this might involve:

Workers’ Compensation Board: Determining whether an injury is covered by workers’ comp instead of no-fault
Department of Financial Services: Interpreting complex insurance regulations
Department of Motor Vehicles: Resolving vehicle registration and coverage issues
Department of Health: Addressing medical provider licensing questions

When Primary Jurisdiction Is Appropriate

Courts should defer to agency expertise when:

Complex regulatory issues require specialized administrative knowledge
Uniform interpretation of regulations is needed across similar cases
Fact-finding requires agency investigative resources
Policy considerations are better addressed by the regulatory agency

When Primary Jurisdiction Is Inappropriate

Courts reject primary jurisdiction deferrals when:

The defense is raised too late in the litigation
It appears to be a delay tactic rather than a legitimate jurisdictional issue
The legal issues can be resolved without agency expertise
Deferral would cause undue prejudice to the opposing party
The agency lacks authority to resolve the specific dispute

Court System Challenges in No-Fault Cases

Calendar Management Issues

New York’s court system faces significant challenges in managing no-fault cases:

High volume: Thousands of no-fault cases are filed annually
Limited resources: Insufficient judges and court staff to handle the caseload
Scheduling delays: Long waits between court appearances and trial dates
Administrative burden: Extensive paperwork and procedural requirements

Specialized No-Fault Parts

Some New York courts have established specialized no-fault parts to address these issues:

Dedicated judges: Judges who specialize in no-fault insurance law
Streamlined procedures: Simplified processes for routine cases
Settlement conferences: Mandatory attempts to resolve cases without trial
Technology integration: Electronic filing and case management systems

Resource Constraints

Despite these efforts, many courts still struggle with:

Limited hearing time for each case
Judges handling multiple types of cases simultaneously
Inadequate support staff for case management
Outdated technology and record-keeping systems

The Impact of Litigation Delays

Effects on Injured Individuals

Prolonged litigation delays can devastate accident victims:

Medical care disruption: Providers may stop treating patients with unpaid claims
Financial hardship: Lost wages and mounting medical bills create severe stress
Recovery interference: Delayed treatment can worsen injuries and prolong recovery
Emotional toll: Prolonged legal battles add to trauma and anxiety
Limited access to care: Fewer providers willing to treat no-fault patients

Healthcare Provider Consequences

Medical providers also suffer from litigation delays:

Cash flow problems: Unpaid claims affect practice viability
Administrative burden: Extensive time spent on legal proceedings
Patient care limitations: May need to limit no-fault patient acceptance
Collection costs: Legal fees and court costs reduce actual recovery
Business uncertainty: Difficulty planning with unpredictable payment timelines

System-Wide Effects

Chronic delays undermine the entire no-fault system:

Reduced provider participation in the no-fault network
Increased costs for all participants due to litigation expenses
Erosion of public confidence in the insurance system
Pressure for legislative reforms to address system failures

Legal Standards for Addressing Delay Tactics

Waiver Doctrine

The Sunrise Acupuncture case demonstrates how courts apply waiver principles:

Timing requirements: Defenses must be raised promptly or they may be waived
Conduct-based waiver: Acting inconsistently with a claimed defense can constitute waiver
Prejudice analysis: Courts consider whether delay prejudices the opposing party
Good faith requirement: Defenses raised in bad faith may be rejected

Case Management Tools

Courts have various tools to combat delay tactics:

Scheduling orders: Firm deadlines for case milestones
Discovery limitations: Restricting scope and duration of fact-finding
Motion practice controls: Limits on repetitive or frivolous motions
Sanctions: Financial penalties for abusive litigation tactics
Default judgments: Dismissing cases or defenses for non-compliance

Judicial Discretion

Judges have broad discretion to manage their calendars and prevent abuse:

Setting trial dates and refusing adjournment requests
Limiting the scope of discovery and depositions
Expediting cases involving clear liability
Imposing costs and attorney fees for delay tactics
Referring cases for alternative dispute resolution

Strategies for Combating Delay Tactics

Aggressive Case Management

Effective attorneys combat delays through:

Early motion practice: Filing for summary judgment when liability is clear
Discovery acceleration: Pushing for quick completion of fact-finding
Deadline enforcement: Holding opposing counsel to court-imposed schedules
Sanction motions: Seeking penalties for abusive tactics
Settlement pressure: Using delay costs to motivate reasonable settlements

Procedural Vigilance

Careful attention to procedure can prevent delay tactics:

Monitoring all deadlines and statute of limitations periods
Challenging untimely defenses and procedural maneuvers
Maintaining detailed case chronologies to demonstrate delay patterns
Documenting prejudice caused by unnecessary delays
Preserving appellate issues related to case management decisions

Client Communication

Managing client expectations during prolonged litigation:

Explaining the insurance company’s economic incentives for delay
Providing regular updates on case progress and obstacles
Discussing alternative dispute resolution options
Helping clients understand their rights and options
Connecting clients with resources for interim financial assistance

Recent Developments in Delay Prevention

Regulatory Changes

New York regulators have implemented various measures to reduce delays:

Expedited payment requirements: Stricter deadlines for claim processing
Interest penalties: Higher interest rates on delayed payments
Reporting requirements: Insurance companies must report claim processing times
Market conduct examinations: Regular audits of insurer claims practices

Technology Solutions

Modern technology is helping address some delay issues:

Electronic filing systems for faster document processing
Online case management platforms for better tracking
Automated scheduling systems to reduce calendar delays
Digital evidence sharing to expedite discovery

Alternative Dispute Resolution

Increased use of ADR methods to avoid traditional litigation delays:

Arbitration: Binding resolution by neutral arbitrators
Mediation: Facilitated settlement negotiations
Administrative hearings: Streamlined procedures for routine disputes
Online dispute resolution: Internet-based platforms for small claims

Frequently Asked Questions

Q: How long should a no-fault insurance case take to resolve?

A: Simple no-fault cases should resolve within 6-12 months, while complex cases involving significant disputes might take 2-3 years. Cases that drag on for many years often involve improper delay tactics that should be challenged. If your case has been pending for an unusually long time without progress, consult with an experienced attorney.

Q: Can insurance companies be penalized for using delay tactics?

A: Yes. Courts can impose sanctions including attorney fees, costs, and interest penalties on insurance companies that engage in abusive delay tactics. Additionally, insurance regulators can fine companies for improper claims handling practices that create unnecessary delays.

Q: What should I do if my attorney seems to be allowing unnecessary delays?

A: You have the right to aggressive representation that moves your case forward efficiently. Ask your attorney to explain any delays and what steps are being taken to expedite your case. If you’re not satisfied with the response, consider seeking a second opinion from another no-fault insurance attorney.

Q: Can I get compensation for damages caused by litigation delays?

A: In some cases, yes. If insurance company delay tactics cause additional financial harm, medical complications, or other damages, these may be recoverable. However, proving damages from delay can be complex and typically requires experienced legal representation.

Q: How can I tell if delays in my case are legitimate or tactical?

A: Legitimate delays usually involve genuine legal or factual complexities that require time to resolve. Tactical delays often involve repetitive motions, last-minute procedural challenges, or defenses raised after long periods of inactivity. An experienced attorney can help you identify whether delays are justified.

Protecting Your Rights Against Delay Tactics

Early Intervention

The best defense against delay tactics is aggressive early action:

Hire experienced counsel: Attorneys familiar with insurance company tactics
Set realistic timelines: Establish reasonable expectations for case resolution
Monitor progress: Regular check-ins on case development and obstacles
Challenge delays promptly: Don’t allow unnecessary delays to become routine
Document everything: Keep records of all delays and their causes

Working with Your Attorney

Effective collaboration with your legal team includes:

Providing all necessary documents and information promptly
Attending all scheduled depositions and court appearances
Responding quickly to requests for information or decisions
Understanding your attorney’s strategy for managing the case timeline
Discussing concerns about delays as they arise

Alternative Options

When delays become excessive, consider:

Settlement negotiations: May resolve cases faster than trial
Arbitration: Binding alternative to traditional litigation
Mediation: Facilitated discussions to reach resolution
Regulatory complaints: Reporting delay tactics to insurance regulators
Bad faith claims: Additional lawsuits for improper claims handling

The Future of No-Fault Litigation Efficiency

The Sunrise Acupuncture decision reflects growing judicial intolerance for litigation abuse. Courts are increasingly willing to impose sanctions and reject belated procedural maneuvers designed to delay resolution.

Future improvements may include:

Technology integration: Better case management and scheduling systems
Specialized courts: More dedicated no-fault insurance parts
Regulatory oversight: Enhanced monitoring of litigation tactics by insurance regulators
Legislative reforms: New laws to prevent abusive delay tactics
Professional sanctions: Disciplinary action against attorneys who abuse the litigation process

These developments should help ensure that legitimate no-fault claims are resolved more quickly and efficiently, reducing the financial and emotional toll on injured individuals.

Contact Us to Combat Litigation Delays

If your no-fault insurance case has been delayed by insurance company tactics, procedural maneuvers, or court scheduling issues, you need aggressive legal representation that will push your case forward efficiently. Delay tactics are designed to wear you down and force inadequate settlements, but they can be overcome with proper legal strategy.

At the Law Offices of Jason Tenenbaum, we have extensive experience fighting insurance company delay tactics and moving no-fault cases to prompt resolution. We understand how these tactics work and have the knowledge and determination to combat them effectively.

Our approach to fighting delays includes:

Aggressive motion practice to resolve cases quickly when liability is clear
Challenging untimely defenses and procedural maneuvers
Seeking sanctions against insurance companies that engage in abusive tactics
Using expedited discovery procedures to gather evidence efficiently
Coordinating with healthcare providers to minimize treatment disruptions
Exploring alternative dispute resolution when appropriate to avoid lengthy trials

Don’t let insurance companies use delay tactics to deny you the prompt payment of your legitimate no-fault benefits. Every month of unnecessary delay costs you money and may interfere with your medical recovery.

Call 516-750-0595 for a free consultation to discuss how we can accelerate your no-fault case and get you the benefits you need now, not years from now. We’ll review your case timeline, identify any delay tactics being used, and develop an aggressive strategy to push your case to resolution.

Filed under: Procedural Issues

Combating Litigation Delay Tactics in New York No-Fault Insurance Cases