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The New York experience at the Appellate Courts from a PIP perspective: My end of year observations.
No-Fault

The New York experience at the Appellate Courts from a PIP perspective: My end of year observations.

By Jason Tenenbaum 8 min read

Key Takeaway

New York appellate court observations from a PIP attorney's perspective on rising appeal costs, electronic filing needs, and procedural challenges in 2021.

This article is part of our ongoing no-fault coverage, with 271 published articles analyzing no-fault 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.

In the post 2020 environment where an expensive record on appeal is necessary to obtain review in the Appellate Term Second Department, the volume of appeals has significantly decreased. While I favor less dumb interlocutory appeals that diminish the Appellate Term, Second Department’s previous atrocious backlog, it is unfair to force litigants to pay $5,000 in record and brief costs on these appeals. While I know the record rules are implicitly geared towards 325(d) matters, no-fault and consumer debt appeals (by the plaintiff), I think the rule has gone overboard.

I believe as we become an electronic filing state in all courts, we should seriously consider a way to compel the clerk to file an electronic record on appeal with the appropriate appellate court and to have the parties pay for the clerk’s time and effort. A modest fee to produce a record on appeal is fair. This is what they do in Florida on final appeals and it works very well.

When I seek discretionary relief, I have to assemble an appendix; again, not a terrible adventure because the CPLR and NYCRR rules regarding headings, pagination and bookmarking does not exist. We also do not have Mrs. Garrone who is the most meticulous clerk I have ever met. Parenthetically, I wish I had her attention to detail – it is one of a kind. She is also never wrong.

Back to my post, a modest increase in the Notice of Appeal fee should also be considered to balance the equities and to force the appellant to really consider whether the appeal is bona fide or just a delay/harassment tactic. As a litigant, I feel like I am being held hostage to appellate printing companies. This is not right.

Yes, I can generate my own appendix and record on appeal. I have done that many times. Actually, we cannot use an appendix at the Appellate Term (read the rules) and the NYCCCA/UDCA/UCCA/UJCA prevents us from settling our own transcripts (more nonsense). These are two terrible provisions that lower court appellants must endure that Appellate Division practitioners get to avoid.

Additionally, the technical specifications that the rules of Court and the CPLR place on the record producing and appellate brief creating makes it daunting and otherwise problematic to do it yourself. With the new bookmarking, hyperlinking and providing all cases cited in the brief provision of the Rules, the Courts are making it more prohibitive to be a self-serve appellate lawyer on a modest budget. This in turn, I think, raises due process issues and other problems. A CPLR and rule revision committee should be established at this juncture. To me, the Rules and the CPLR are out of touch with 21st century practice. While I understand that vehicles are more difficult to maintain oneself, the opposite should hold true for appellate preparation.

Should we have a new Appellate Department to deal with the Second Department backlogs? It is unfair to wait 2-3 years for matters to be decided. It almost forces litigants who know appellate intervention is necessary to resolve a matter only involving legal issues that will be resoled on de-novo standard to bring the matter in Courts sitting in the First Department because the end of the litigation is always in sight, I can actually forget about cases I have pending in the Second Department because the backlog is tremendous. Now, I do not want anyone at the Second Department to takes this as a slight. With the volume of causes that Court handles, it is impossible for them to do more.

I can also tell you as a practitioner that the backlog makes it highly unlikely that leave applications from the Appellate Term, Second Department will be granted unless the issue involves a very important matter. Think Carothers. Issues that are incorrectly decided by the Appellate Term but not significant to invoke the Appellate Division’s time will often be declined second level appeal. Consider how many times 4518 and the prima facie case requirement escaped Second Department review until Etienne? This should not be the case.

Can we dispense with paper records and paper briefs permanently? Can we compel the Clerk to produce a record on appeal or Appendix (again only when the system becomes an EFC system)? Should we consider transferring certain “technical” portions of the CPLR to the Chief Administrative Judge to allow the fluidity that is necessary to deal with changes that life and practice bring?

For instance, why does CPLR 2106 still prevent the use of “declarations” or “affirmations” by all persons? Does a Note of Issue/ Notice of Trial requirement make sense when conditions always change in what is 3-10 year of litigation? The legislature really should not be deciding the hyper-technical procedural rules that are necessary; it is a task best handled by the Judiciary.

My other question is should the types of interlocutory appeals as of right be limited to summary judgment appeals, motions that affect final judgments, certain 3211 issues, class action issues and other issues of great importance that need to be decided on an expedited basis? Perhaps discovery appeals and other procedural applications (denied defaults) should be appealable by permission only? In so doing, a showing of success on the merits and prejudice if one has to wait until the end of litigation would be the standard. This would mean a showing that will not succeed at first blush will have to wait. It would be nice if the stakeholders looked at ways of making practicing in New York less cumbersome and more fluid.

Being a multistate practitioner at this point in my life, I can acutely express where we excel and where we fail. The one feature I do like about our system, and this will sound odd, is that we have an an Appellate Term system. There is something to be said for having trial level judges decide lower court appeals. It adds a level of expertise on nuts and bolts, lower value or specifically delineated matters that we would not see if the cases were routinely handled by the Appellate Divisions.

A great example (and I am not going to go into the weeds here) is the First Department’s trying to figure out where to draw the line on “Unitrin’s” no coverage versus adherence to 65-3.5. Every case says something else. The Appellate Terms, whether you like them or not, have given us certain rules in which they usually do not vacillate. Assuming they vacillate (the new severance rule that I fell victim to), they remain consistent with their new rule.

Candidly, I do not think the system is working. Prove me wrong. Or just read this and think to yourself what we should do differently. Finally, the advantage of making this a blog entry and not a submission to the law journal is that I do not have to provide footnotes with authority to support my factual assertions. But, if you think I am factually wrong, let me know: I can support everything I am saying here.

Legal Context

Why This Matters for Your Case

New York's no-fault insurance system, established under Insurance Law Article 51, is one of the most complex insurance frameworks in the country. Every motorist must carry Personal Injury Protection coverage that pays medical expenses and lost wages regardless of fault, up to $50,000 per person.

But insurers routinely deny valid claims using peer reviews, EUO scheduling tactics, fee schedule reductions, and coverage defenses. The Law Office of Jason Tenenbaum has handled over 100,000 no-fault cases since 2002 — from initial claim submissions through arbitration before the American Arbitration Association, trials in Civil Court and Supreme Court, and appeals to the Appellate Term and Appellate Division. Jason Tenenbaum is one of the few attorneys in the state who both writes his own appellate briefs and tries his own cases.

His 2,353+ published legal articles on no-fault practice are cited by attorneys throughout New York. Whether you are dealing with a medical necessity denial, an EUO no-show defense, a fee schedule dispute, or a coverage question, this article provides the kind of detailed case-law analysis that helps practitioners and claimants understand exactly where the law stands.

About This Topic

New York No-Fault Insurance Law

New York's no-fault insurance system requires every driver to carry Personal Injury Protection (PIP) coverage that pays medical expenses and lost wages regardless of who caused the accident. But insurers routinely deny, delay, and underpay valid claims — using peer reviews, IME no-shows, and fee schedule defenses to avoid paying providers and injured claimants. Attorney Jason Tenenbaum has litigated thousands of no-fault arbitrations and court cases since 2002.

271 published articles in No-Fault

Common Questions

Frequently Asked Questions

What is New York's no-fault insurance system?

New York's no-fault insurance system, codified in Insurance Law Article 51, requires all drivers to carry Personal Injury Protection (PIP) coverage. This pays for medical expenses, lost wages (up to $2,000/month), and other basic economic loss regardless of who caused the accident, up to $50,000 per person. However, to sue for pain and suffering, you must meet the 'serious injury' threshold under Insurance Law §5102(d).

How do I fight a no-fault insurance claim denial?

When a no-fault claim is denied, you can challenge it through mandatory arbitration under the American Arbitration Association's no-fault rules, or by filing a lawsuit in court. Common defenses to denials include challenging the timeliness of the denial, the adequacy of the peer review report, or the insurer's compliance with regulatory requirements. An experienced no-fault attorney can evaluate which strategy gives you the best chance of overturning the denial.

What is the deadline to file a no-fault claim in New York?

Under 11 NYCRR §65-1.1, you must submit a no-fault application (NF-2 form) within 30 days of the accident. Medical providers must submit claims within 45 days of treatment. Missing these deadlines can result in claim denial, though there are limited exceptions for late notice if the claimant can demonstrate a reasonable justification.

What no-fault benefits am I entitled to after a car accident in New York?

Under Insurance Law §5102(b), no-fault PIP covers necessary medical expenses, 80% of lost earnings up to $2,000/month, up to $25/day for other reasonable expenses, and a $2,000 death benefit. These benefits are available regardless of fault, up to the $50,000 policy limit. Claims are paid by your own insurer — not the at-fault driver's.

Can I choose my own doctor for no-fault treatment in New York?

Yes. Under New York's no-fault regulations, you have the right to choose your own physician, chiropractor, physical therapist, or other licensed healthcare provider. The insurer cannot dictate which providers you see. However, the insurer can request an IME with their chosen doctor and may challenge the medical necessity of your treatment through peer review.

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Attorney Jason Tenenbaum

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.

24+ years in practice 1,000+ appeals written 100K+ no-fault cases $100M+ recovered

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 no-fault 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.

Filed under: No-Fault
Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

About the Author

Jason Tenenbaum

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
Experience
24+ Years
Articles
2,353+ Published
Licensed In
7 States + Federal

Legal Resources

Understanding New York No-Fault Law

New York has a unique legal landscape that affects how no-fault cases are litigated and resolved. The state's court system includes the Civil Court (for claims up to $25,000), the Supreme Court (the primary trial court for unlimited jurisdiction), the Appellate Term (which hears appeals from lower courts), the Appellate Division (divided into four Departments, with the Second Department covering Long Island, Brooklyn, Queens, Staten Island, and several upstate counties), and the Court of Appeals (the state's highest court). Each court has its own procedural requirements, local rules, and case-assignment practices that can significantly impact the outcome of your case.

For no-fault matters on Long Island, cases are typically filed in Nassau County Supreme Court (at the courthouse in Mineola) or Suffolk County Supreme Court (in Riverhead). No-fault arbitrations are heard through the American Arbitration Association, which assigns arbitrators throughout the metropolitan area. Workers' compensation claims go to the Workers' Compensation Board, with hearings at district offices across the state. Understanding which forum is appropriate for your case — and the specific procedural rules that apply — is essential for a successful outcome.

The procedural landscape in New York also includes important timing requirements that can affect your case. Most civil actions are subject to statutes of limitations ranging from one year (for intentional torts and claims against municipalities) to six years (for contract actions). Personal injury cases generally have a three-year deadline under CPLR 214(5), while medical malpractice claims must be filed within two and a half years under CPLR 214-a. No-fault insurance claims have their own regulatory deadlines, including 30-day filing requirements for applications and 45-day deadlines for provider claims. Understanding and complying with these deadlines is critical — missing a filing deadline can permanently bar your claim, regardless of how strong your case may be on the merits.

Attorney Jason Tenenbaum regularly practices in all of these venues. His office at 326 Walt Whitman Road, Suite C, Huntington Station, NY 11746, is centrally located on Long Island, providing convenient access to courts and offices throughout Nassau County, Suffolk County, and New York City. Whether you need representation in a no-fault arbitration, a personal injury trial, an employment discrimination hearing, or an appeal to the Appellate Division, the Law Office of Jason Tenenbaum, P.C. brings $24+ years of real courtroom experience to your case. If you have questions about the legal issues discussed in this article, call (516) 750-0595 for a free, no-obligation consultation.

New York's substantive law also presents distinct challenges. In motor vehicle cases, the no-fault system under Insurance Law Article 51 provides first-party benefits regardless of fault, but limits the right to sue for non-economic damages unless the plaintiff establishes a "serious injury" under one of nine statutory categories. This threshold — codified at Insurance Law Section 5102(d) — requires medical evidence showing more than a minor or subjective injury, and courts have developed detailed standards for each category. Fractures must be documented through imaging studies. Claims of permanent consequential limitation or significant limitation of use require quantified range-of-motion testing with comparison to norms. The 90/180-day category demands proof that the plaintiff was unable to perform substantially all of their usual daily activities for at least 90 of the 180 days following the accident.

In employment discrimination cases, the legal standards vary depending on whether the claim arises under state or local law. The New York State Human Rights Law employs a burden-shifting framework: the plaintiff must first establish a prima facie case by showing membership in a protected class, qualification for the position, an adverse employment action, and circumstances giving rise to an inference of discrimination. The burden then shifts to the employer to articulate a legitimate, non-discriminatory reason for its decision. If the employer meets this burden, the plaintiff must demonstrate that the stated reason is pretextual. The New York City Human Rights Law, by contrast, applies a broader standard, asking whether the plaintiff was treated less well than other employees because of a protected characteristic.

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