Opinion

American Tr. Ins. Co. v. Emuna Inc

  • 2026 NY Slip Op 30745(U)
Court
New York Supreme Court, New York County
Filed
Feb 26, 2026
Status
Unpublished
Author
Emily Morales-Minerva
Cited by
0 cases
Authority
More cited than 39.4%

The opinion

American Tr. Ins. Co. v Emuna Inc

2026 NY Slip Op 30745(U)

February 26, 2026

Supreme Court, New York County

Docket Number: Index No. 650780/2025

Judge: Emily Morales-Minerva

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.

file:///LRB-ALB-FS1/Vol1/ecourts/Process/covers/NYSUP.6507802025.NEW_YORK.001.LBLX049_TO.html[03/11/2026 3:45:53 PM]

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

SUPREME COURT OF THE STATE OF NEW YORK

COUNTY OF NEW YORK: PART 42M

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

AMERICAN TRANSIT INSURANCE COMPANY, INDEX NO. 650780/2025

Petitioner,

MOTION DATE 04/01/2025

- V -

MOTION SEQ. NO. 001

EMUNA INC DBA VAVAR PHARMACY,

Respondent.

DECISION+ ORDER ON

MOTION

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

The following e-filed documents, listed by NYSCEF document number (Motion 001) 2, 9, 10, 11, 12, 13,

14, 15, 16

were read on this motion to/for VACATE - DECISION/ORDER/JUDGMENT/AWARD

APPEARANCES:

Larkin Farrell LLC, New York, New York (William Robert Larkin,

Esq., of counsel), for petitioner.

Gary Tsirelman, P. C. , Brooklyn, New York (Gary Tsirelman,

Esq., of counsel), for respondent.

EMILY MORALES-MINERVA, J.S.C.

In this special proceeding, petitioner AMERICAN TRANSIT

INSURANCE COMPANY moves, by notice of petition (motion sequence

number 01), pursuant to CPLR § 7511, to vacate the arbitration

award issued by Arbitrator Marianne C. Zack, Esq., and

subsequently confirmed by Master Arbitrator Robyn D. Weisman,

Esq., in favor of respondent EMUNA INC D/B/A VAVAR PHARMACY.

Respondent opposes and cross-petitions for confirmation of the

arbitration award, reasonable attorneys' fees, and costs.

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC DBA VAVAR Page 1 of 10

PHARMACY,

Motion No. 001

[* 1] 1 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

For the reasons explained below, petitioner's petition

(mot. seq. no. 01) is denied, and respondent's cross-petition is

granted, in part.

BACKGROUND

On October 25, 2022, non-party Nani Boichenko was injured

in a motor vehicle accident (see New York State Court Electronic

Filing System [NYSCEF] Doc. No. 01, petition). As a result of

the accident, Ms. Boichenko received medical treatment,

including prescribed medications from respondent EMUNA INC D/B/A

VAVAR PHARMACY during the period of March 17, 2023, through

April 15, 2023 (see id.; see also NYSCEF Doc. No. 03, lower

arbitration award, dated October 03, 2024).

Thereafter, respondent submitted no-fault benefit claims to

petitioner seeking reimbursement of the medical treatment

provided to Ms. Boichenko, but Petitioner denied reimbursement

of said claims based on lack of medical necessity (see NYSCEF

Doc. No. 01, complaint). Specifically, petitioner "rel[ied] on

the peer review report of Dr. Edward W. Weiland dated 6/23/2023

and the independent medical examination (IME) of Dr. Douglas

Unis dated 2/10/23" to support its denial (NYSCEF Doc. No. 03,

arbitration award, dated October 03, 2024, p 2). As a result of

the denial, respondent initiated arbitration with petitioner

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC DBA VAVAR Page 2 of 10

PHARMACY,

Motion No. 001

[* 2] 2 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

(see NYSCEF Doc. No. 05, motor vehicle no-fault insurance law

arbitration request form, dated June 19, 2023).

The American Arbitration Association (AAA) assigned the

action to Arbitrator Marianne C. Zack (Arbitrator Zack) pursuant

to AAA Case No. 17-23-1304-3361, and on September 09, 2024,

Arbitrator Zack conducted a hearing (see NYSCEF Doc. No. 03,

lower arbitration award). Arbitrator Zack reviewed two disputed

claims, one for $2,624.16 and the other for $1,877.04 (see id.) . 1

To support its denial of the claims, petitioner submitted the

peer review report of Dr. Edward W. Weiland, who concluded that

the medications were not medically necessary, as well as the IME

report of Dr. Douglas Unis (see id.). In rebuttal, respondent

submitted the report of Dr. Pervaiz Qureshi (see id.).

Upon conclusion of the hearing and in consideration of the

evidence and testimony submitted, Arbitrator Zack determined

that the peer review report submitted by petitioner established

that the prescribed medications were not medically necessary,

shifting the burden to respondent (see id., p 3). However, upon

consideration of respondent's "very comprehensive rebuttal" of

Dr. Pervaiz Qureshi, Arbitrator Zack found that respondent had

satisfied its "shifted burden", sufficiently proving that the

prescribed medications were medically necessary (see id.).

1 The third claim, for $4,501.20, was withdrawn without prejudice by

respondent (see NYSCEF Doc. No. 03, arbitration award).

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC DBA VAVAR Page 3 of 10

PHARMACY,

Motion No. 001

[* 3] 3 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

Accordingly, Arbitrator Zack awarded respondent $4,501.20, plus

statutory interest, attorneys' fees, and filing fees (see id.).

Petitioner appealed, and the matter was assigned to Master

Arbitrator Robyn Weisman (master arbitrator) pursuant to AAA.

Case No. 99-23-1304-3361 (see NYSCEF Doc. No. 04, master

arbitration award, dated December 04, 2024). The master

arbitrator affirmed Arbitrator Zack's decision, holding:

"The issue of medical necessity is a factual

issue. The arbitrator found sufficient

evidence to prove medical necessity. The

arbitrator awarded the amount after a

finding of medical necessity and discussed

the fact that she reviewed the evidence and

took into consideration the record and oral

arguments. The arbitrator held after

weighing the evidence submitted, the

[respondent's] evidence was more persuasive

and awarded accordingly. With respect to

the differing medical opinions, I must defer

to the Arbitrator as the arbitrator was

within her purview to weigh such evidence as

she deemed appropriate"

(id.) .

Further, the master arbitrator noted that master

arbitrators are not permitted to re-weigh evidence and may only

disturb a decision that is arbitrary, capricious, unsupported by

the record, or incorrect as a matter of law, none of which were

applicable here (see id.).

Despite the two-tier arbitration process, petitioner

commenced the instant Article 75 proceeding, seeking vacatur of

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC DBAVAVAR Page4of10

PHARMACY,

Motion No. 001

[* 4] 4 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

the $4,501.20 award pursuant to CPLR § 7511 (b) (1) (iii) 2 (see

NYSCEF Doc. No. 01, petitioner). Petitioner contends that the

"arbitrator's decision was arbitrary and capricious, without

rational basis and incorrect as a matter of law because the

arbitrator ignored petitioner's evidence" (id., p 13).

Respondent opposes and cross-petitions, seeking (1) a

confirmation of the arbitration award, (2) attorneys' fees

pursuant to 11 NYCRR § 65-4.l0(j) (4) [governing master

arbitrator procedures] in the amount of $600.00, and (3) costs

pursuant to CPLR § 8202 in the amount of $100.00 (see NYSCEF

Doc. No. 12, cross-petition).

ANALYSIS

"It is a bedrock principle of arbitration law that the

scope of judicial review of an arbitration proceeding is

extremely limited" (Frankel v Sardis, 76 AD3d 136, 139 [1st Dept

2010], citing Matter of Silverman [Benmor Coats], 61 NY2d 299

2Section 7511 of the CPLR provides, as relevant here:

"(a) An application to vacate or modify an award may be made by a party

within ninety days after its delivery to him.

"(b) Grounds for vacating.

1. The award shall be vacated on the application of a party who either

participated in the arbitration or was served with a notice of

intention to arbitrate if the court finds that the rights of that party

were prejudiced by:

(iii) an arbitrator, or agency or person making the award

exceeded his power or so imperfectly executed it that a final and

definite award upon the subject matter submitted was not

made . . . "

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC DBAVAVAR Page 5 of 10

PHARMACY,

Motion No. 001

[* 5] 5 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

[1984]). "Accordingly, an award will not be overturned unless

it is violative of a strong public policy, or is totally

irrational, or exceeds a specifically enumerated limitation on

the arbitrator's power" (Frankel, 76 AD3d at 139, quoting

Silverman, 61 NY2d at 308, and Board of Educ. of Dover Union

Free School Dist. V Dovr-Wingdale Teachers' Ass'n, 61 NY2d 913,

915 [1984]) .

An "arbitrator's interpretation of the issues and the scope

of their authority is accorded substantial deference, and [the]

Court will not overturn the decision unless there is no support

at all justifying the decision" (Roffler v Spear, Leeds &

Kellogg, 13 AD3d 308, 310 [1st Dept 2004] [emphasis added]).

Indeed, "a court cannot examine the merits of an arbitration

award and substitute its judgment for that of the arbitrator

simply because it believes its interpretation would be the

better one" (Matter of Arbitration Between Spence and State

Univ. of New York, 230 AD3d 1559, 1561 [4th Dept 2024], citing

Matter of New York State Correctional Officers & Police

Benevolent Ass'n, Inc. v State of New York, 94 NY2d 321, 326

[1999]). Therefore, "the party seeking to upset an arbitration

award bears a heavy burden" (Frankel, 76 AD3d at 140, citing

Lehman Bros., Inc. v Cox, 10 NY3d 743, 744 [2008]).

Here, the petition must be denied because petitioner has

failed to establish any cognizable ground for vacatur under CPLR

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC DBAVAVAR Page &of 10

PHARMACY,

Motion No. 001

[* 6] 6 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

7511 (b) (1) (iii). Arbitrator Zack considered the evidence

submitted by both parties and concluded that the report

submitted by respondent "provide[d] a meaningful rebuttal as to

why the conclusions set forth in both [of petitioner's] reports

were incorrect, and why he believed each medication to be

necessary" (NYSCEF Doc. No. 03, arbitration award, p 3).

Thereafter, the master arbitrator appropriately determined

that Arbitrator Zack acted within her authority in weighing the

evidence and "giv[ing] greater weight to the evidence she fe[lt]

[was] most persuasive" (NYSCEF Doc. No. 04, master arbitration

award). Mere disagreement with an arbitrator's factual findings

or the manner in which the evidence was weighed does not

constitute a basis for vacatur of an arbitration award under

CPLR § 7 511 (b) ( 1) ( iii) .

The Court now turns to respondent's unopposed cross-

petition for attorneys' fees pursuant to 11 NYCRR

§ 64-4.lO(j) (4) 3 in the amount of $600.00, and costs pursuant to

CPLR § 8202 in the amount of $100.00 (see NYSCEF Doc. No. 12,

cross-petition).

3 11 NYCRR § 65-410 (j) provides: "The following limitations shall apply to

the payment by insurers of applicant's attorney's fees for services rendered

in a master arbitration to resolve a no-fault dispute: (4) The attorney's fee

for services rendered in connection with a court adjudication of a dispute de

nova [] or in a court appeal from a master arbitration award and any further

appeals, shall be fixed by the court adjudicating the matter" (emphasis

added).

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC OBA VAVAR Page 7 of 10

PHARMACY,

Motion No. 001

[* 7] 7 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

11 NYCRR § 65-4 .10 (j) (4) "allows the prevailing party to

recover attorneys' fees 'for services rendered . in a court

appeal from a master arbitration award and any further appeals'"

(American Tr. Ins. Co. v Rutland Med. PC, 224 AD3d 531, 532 [1st

Dept 2024], quoting 11 NYCRR § 65-4.l0(j) (4)]). This applies to

attorneys' fees for "work in Supreme Court in opposing the

petition to vacate the arbitration award" as well as work

involved in appeals to the Appellate Division (id., citing

Matter of Country-Wide Ins. Co. v TC Acupuncture P.C., 179 AD3d

414, 414-415 [1st Dept 2020]; see also Geico Ins. Co. v AAAMG

Leasing Corp., 148 AD3d 703, 705 [2d Dept 2017]).

Here, non-party Gary Tsierlman, Esq., attorney for

respondent, affirms that he expended 1 hour and thirty minutes

opposing the petition, at an hourly rate of $400.00 per hour,

reflecting no-fault specialization and 27 years of experience

(see NYSCEF Doc. No. 15, affirmation in support of attorneys'

fees by Gary Tsirelman, Esq. [affirming that the "total time

spent on case review, researching, and writing of this response

to the petition is one hour and thirty minutes"], dated March

24, 2025, and Doc. No. 16, time records). The Court finds this

time reasonable, and awards attorneys' fees in the amount of

$400.00 per hour, for a total amount of $600.00 reflective of

one hour and thirty minutes of work.

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC OBA VAVAR Page 8 of 10

PHARMACY,

Motion No. 001

[* 8] 8 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

The Court declines to award costs in the amount of $100.00,

as respondent does not present statutory or case specific

authority to support this application (see generally NYSCEF Doc.

No. 14, affirmation in support).

Accordingly, it is hereby

ORDERED that the petition of petitioner AMERICAN TRANSIT

INSURANCE COMPANY to vacate the arbitration award in AAA Case

No. 17-23-1304-3361 is denied in its entirety; it is further

ORDERED that respondent's EMUNA INC D/B/A VAVAR PHARMACY

cross-petition to confirm the master arbitration award of Master

Arbitrator Robyn Weisman, which affirmed the award of Arbitrator

Marianne c. Zack, is granted, and the award is confirmed in all

respects; it is further

ORDERED that respondent EMUNA INC D/B/A VAVAR PHARMACY is

awarded the full claim amount of $4,501.20, plus statutory

interest and fees; it is further

ORDERED that respondent's EMUNA INC D/B/A VAVAR PHARMACY

cross-petition for attorneys' fees is granted, and respondent is

awarded $600.00 in attorneys' fees; it is further

ORDERED that respondent's EMUNA INC D/B/A VAVAR PHARMACY

cross-petition for costs is denied; it is further

ORDERED that petitioner shall serve a copy of this decision

and order with notice of entry upon respondent within fifteen

days from the date of this decision and order; and it is further

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC DBA VAVAR Page 9 of 10

PHARMACY,

Motion No. 001

[* 9] 9 of 10

FILED: NEW YORK COUNTY CLERK 02/27/2026 10:26 AM INDEX NO. 650780/2025

NYSCEF DOC. NO. 17 RECEIVED NYSCEF: 02/26/2026

ORDERED that the Clerk of Court shall enter judgment

accordingly.

THIS CONSTITUTES THE DECISION AND ORDER OF THE COURT.

02/26/2026

DATE

~

CHECK ONE: CASE DISPOSED NON-FINAL DISPOSITION

GRANTED 0 DENIED GRANTED IN PART □ OTHER

APPLICATION: SETTLE ORDER SUBMIT ORDER

CHECK IF APPROPRIATE: INCLUDES TRANSFER/REASSIGN FIDUCIARY APPOINTMENT □ REFERENCE

650780/2025 AMERICAN TRANSIT INSURANCE COMPANY, vs. EMUNA INC OBA VAVAR Page 10 of 10

PHARMACY,

Motion No. 001

[* 10] 10 of 10

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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