Opinion

Liberty Mut. Ins. Co. v. Barrett-Lord

  • 2025 NY Slip Op 31790(U)
Court
New York Supreme Court, New York County
Filed
May 15, 2025
Status
Unpublished
Author
Lori S. Sattler
Cited by
0 cases
Authority
More cited than 35.6%

The opinion

Liberty Mut. Ins. Co. v Barrett-Lord

2025 NY Slip Op 31790(U)

May 15, 2025

Supreme Court, New York County

Docket Number: Index No. 650001/2023

Judge: Lori S. Sattler

Cases posted with a "30000" identifier, i.e., 2013 NY Slip

Op 30001(U), are republished from various New York

State and local government sources, including the New

York State Unified Court System's eCourts Service.

This opinion is uncorrected and not selected for official

publication.

FILED: NEW YORK COUNTY CLERK 05/15/2025 04:38 PM INDEX NO. 650001/2023

NYSCEF DOC. NO. 60 RECEIVED NYSCEF: 05/15/2025

SUPREME COURT OF THE STATE OF NEW YORK

NEW YORK COUNTY

PRESENT: HON. LORI S. SATTLER PART 02M

Justice

---------------------------------------------------------------------------------X INDEX NO. 650001/2023

LIBERTY MUTUAL INSURANCE COMPANY, LM

GENERAL INSURANCE COMPANY, MOTION DATE 11/25/2024

Plaintiff, MOTION SEQ. NO. 002

-v-

JERRY BARRETT-LORD, 167 RX INC, ANDREW

GEWIRTZ MD, BRONX DIAGNOSTIC RADIOLOGY

PC,CARE TOUCH PT PC,EMPIRE MEDICAL &

REHABILITATION PC,FLOW RX, INC, GRACE MEDICAL

HEALTH PROVIDER PC,KNAPP ORTHO SERVICES INC,

DECISION + ORDER ON

KONATA SOLOMON STALLINGS PSYD, MACINTOSH

MEDICAL PC,MAZAL PHARMACY INC DBA MIRAGE, MOTION

NEW GENERATION ACUPUNCTURE PC,PAL MEDICAL

SUPPLIES INC, PHELAN CLANCY NP IN ADULT HEALTH

PLLC,QUAZI R MEDICAL SERVICES PC,TOTAL

ANESTHESIA PROVIDER PC,VBW SERVICES, INC

Defendant.

---------------------------------------------------------------------------------X

The following e-filed documents, listed by NYSCEF document number (Motion 002) 40, 41, 42, 43, 44,

45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58

were read on this motion to/for JUDGMENT - SUMMARY .

This declaratory judgment action arises out of a motor vehicle accident that purportedly

occurred on December 30, 2021 involving individual defendant Jerry Barrett-Lord, Jr.

(“Claimant”) in which he states that his vehicle was struck by a vehicle operated by nonparty

Mars Express Corp., which was insured by plaintiffs Liberty Mutual Insurance Company and

LM General Insurance Company (“Plaintiffs”). Claimant purportedly sought treatment from the

other defendants (collectively the “Medical Provider Defendants”), which then submitted bills to

Plaintiffs seeking reimbursement under the vehicle’s No-Fault policy. As part of the claims

investigation process, Plaintiffs timely requested that Claimant appear for Examinations Under

650001/2023 LIBERTY MUTUAL INSURANCE COMPANY ET AL vs. BARRETT-LORD JR., Page 1 of 4

JERRY ET AL

Motion No. 002

1 of 4

[* 1]

FILED: NEW YORK COUNTY CLERK 05/15/2025 04:38 PM INDEX NO. 650001/2023

NYSCEF DOC. NO. 60 RECEIVED NYSCEF: 05/15/2025

Oath (“EUOs”). The Claimant subsequently failed to appear at his EUO (NYSCEF Doc. Nos.

50-53). Plaintiffs denied the bills submitted by the Medical Provider Defendants.

Plaintiffs thereafter commenced this action seeking a declaratory judgment that it has no

obligation to reimburse the Medical Provider Defendants under the applicable No-Fault policy.

Default judgment was entered against Claimant and certain Medical Provider Defendants on

February 16, 2024 (NYSCEF Doc. No. 31). Plaintiffs now move for summary judgment against

the remaining Medical Provider Defendant, PAL Medical Supplies Inc., which does not oppose

the motion.

On a motion for summary judgment, a movant must make a prima facie showing that

they are entitled to judgment as a matter of law by tendering sufficient evidence to demonstrate

the absence of any issue of material fact (Alvarez v Prospect Hosp., 68 NY2d 320, 324 [1986]).

After the movant makes this showing, “the burden shifts to the party opposing the motion . . . to

produce evidentiary proof in admissible form sufficient to establish the existence of material

issues of fact such that trial of the action is required” (id.).

11 NYCRR § 65-1.1 requires that full compliance by an eligible injured person with the

terms of coverage in a No-Fault policy is a condition precedent to all claims against an insurance

company under the relevant policy. A claimant-defendant’s failure to submit to an EUO

constitutes a breach of a condition precedent to coverage under a No-Fault policy and vitiates the

policy (Hertz Corp. v Active Care Med. Supply Corp., 124 AD3d 411 [1st Dept 2015]). An

insurer must establish that it requested EUOs in accordance with the procedures and time frames

in the No-Fault regulations (11 NYCRR § 65-3.5) in order to deny a claim where a claimant-

defendant fails to appear for an EUO (Unitrin, 82 AD3d at 560; American Tr. Ins. Co. v

Longevity Med. Supply, Inc., 131 AD3d 841, 841-42 [1st Dept 2019]). Here, Plaintiff presents

650001/2023 LIBERTY MUTUAL INSURANCE COMPANY ET AL vs. BARRETT-LORD JR., Page 2 of 4

JERRY ET AL

Motion No. 002

2 of 4

[* 2]

FILED: NEW YORK COUNTY CLERK 05/15/2025 04:38 PM INDEX NO. 650001/2023

NYSCEF DOC. NO. 60 RECEIVED NYSCEF: 05/15/2025

sufficient evidence to meet its prima facie burden of demonstrating that the EUOs were properly

and timely noticed by submitting copies of the EUO requests and proof of Claimant’s

nonappearance (NYSCEF Doc. Nos. 50-53). Plaintiff is therefore entitled to summary judgment

against PAL Medical Supplies Inc.

Accordingly, it is hereby:

ORDERED that Plaintiffs’ motion for summary judgment is granted; and it is further

ORDERED, ADJUDGED, and DECLARED that Claimant breached a condition

precedent to coverage as established by the No-Fault Regulations and the subject policy of

insurance and accompanying No-Fault endorsement by failing to appear at his EUO; and it is

further

ORDERED, ADJUDGED and DECREED that Plaintiffs’ denial of all claims for No-

Fault benefits by defendant PAL Medical Supplies Inc. stemming from the alleged occurrence of

December 30, 2021 involving individual defendant Jerry Barrett-Lord. Jr. is valid; and it is

further

ORDERED, ADJUDGED, and DECLARED that Plaintiffs owe no duty to provide any

No-Fault reimbursements to defendant PAL Medical Supplies Inc. for any claim or bill

submitted by or on behalf of Jerry Barrett-Lord, Jr., as he breached a condition precedent to

coverage by failing to appear at his EUO; and it is further

ORDERED, ADJUDGED and DECREED that each and every part of any arbitration or

court hearing brought by defendant PAL Medical Supplies Inc. stemming from the alleged

occurrence of December 30, 2021 involving individual defendant Jerry Barrett-Lord, Jr. is

hereby permanently stayed; and it is further

650001/2023 LIBERTY MUTUAL INSURANCE COMPANY ET AL vs. BARRETT-LORD JR., Page 3 of 4

JERRY ET AL

Motion No. 002

3 of 4

[* 3]

FILED: NEW YORK COUNTY CLERK 05/15/2025 04:38 PM INDEX NO. 650001/2023

NYSCEF DOC. NO. 60 RECEIVED NYSCEF: 05/15/2025

ORDERED that the Clerk is directed to enter judgment against defendant PAL Medical

Supplies Inc.

This constitutes the Decision and Order of the Court.

5/15/2025 $SIG$

DATE LORI S. SATTLER, J.S.C.

CHECK ONE: X CASE DISPOSED NON-FINAL DISPOSITION

□

X GRANTED DENIED GRANTED IN PART OTHER

APPLICATION: SETTLE ORDER SUBMIT ORDER

□

CHECK IF APPROPRIATE: INCLUDES TRANSFER/REASSIGN FIDUCIARY APPOINTMENT REFERENCE

650001/2023 LIBERTY MUTUAL INSURANCE COMPANY ET AL vs. BARRETT-LORD JR., Page 4 of 4

JERRY ET AL

Motion No. 002

4 of 4

[* 4]

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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