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Presbyterian Hospital v. Aetna Life Cas. Co.

Appellate Division of the Supreme Court of New York, Second Department
Dec 11, 1995
222 A.D.2d 492 (N.Y. App. Div. 1995)

Opinion

December 11, 1995

Appeal from the Supreme Court, Nassau County (Feuerstein, J.).


Ordered that the order is affirmed, with costs.

Christine Fallas was insured by the defendant under an automobile liability insurance policy which contained a nofault endorsement. In 1987 she was injured in an automobile accident. In November 1993 she was admitted to the hospital, operated by the plaintiff, for surgery on her neck. Asserting that the neck injury in 1993 was caused by the 1987 accident, the plaintiff, as assignee of Fallas's no-fault insurance benefits, filed a claim with the defendant to recover no-fault benefits for the treatment it rendered to Fallas for the 1987 accident. The defendant denied the claim asserting that the 1993 neck injury did not arise from the 1987 automobile accident. The plaintiff moved for summary judgment contending that the defendant's denial of the claim was untimely and, therefore, the defendant was precluded from defending the action. The Supreme Court denied the motion. We now affirm.

Although the parties have presented various contentions concerning the timeliness of the defendant's denial of the plaintiff's claim, this issue need not be resolved for the purposes of this appeal. Where, as here, the defense is that coverage does not exist under the policy at issue, an insurance company is not precluded from defending a claim on the merits due to a failure to issue a timely disclaimer of coverage (see, Zappone v Home Ins. Co., 55 N.Y.2d 131; Schiff Assocs. v Flack, 51 N.Y.2d 692; Presbyterian Hosp. v Atlanta Cas. Co., 210 A.D.2d 210; St. Clare's Hosp. v Allcity Ins. Co., 201 A.D.2d 718; Katz v Allstate Ins. Co., 96 A.D.2d 930; Irving M. Etkind, M.D., P.C. v Allstate Ins. Co., 124 Misc.2d 779). Thus, the plaintiff's motion for summary judgment was properly denied. Thompson, J.P., Ritter, Joy and Florio, JJ., concur.


Summaries of

Presbyterian Hospital v. Aetna Life Cas. Co.

Appellate Division of the Supreme Court of New York, Second Department
Dec 11, 1995
222 A.D.2d 492 (N.Y. App. Div. 1995)
Case details for

Presbyterian Hospital v. Aetna Life Cas. Co.

Case Details

Full title:PRESBYTERIAN HOSPITAL IN THE CITY OF NEW YORK, Appellant, v. AETNA LIFE…

Court:Appellate Division of the Supreme Court of New York, Second Department

Date published: Dec 11, 1995

Citations

222 A.D.2d 492 (N.Y. App. Div. 1995)
635 N.Y.S.2d 252

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