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James E. Freligh II, Appellant,v.Government Employees Insurance Company, Respondent.

Brief

5 Cited authorities

  1. Kurcsics v. Merchants Mut

    49 N.Y.2d 451 (N.Y. 1980)   Cited 618 times
    In Kurcsics, the court construed the phrase "first party benefits", contained in section 671 of the Insurance Law, as it related to no-fault insurance protection.

  2. Nyack Hospital v. General Motors Acceptance Corp.

    2007 N.Y. Slip Op. 2439 (N.Y. 2007)   Cited 101 times
    In Nyack Hosp. v General Motors Acceptance Corp. (8 NY3d 294 [2007]), the Court of Appeals, noting that no-fault benefits are overdue if not paid within 30 calendar days after receipt of a fully complete claim, held that the word "claims," as used in 11 NYCRR 65-3.15, the priority-of-payment regulation, does not encompass claims that are not yet complete because they have not been fully verified in accordance with 11 NYCRR 65-3.5 (b).

  3. Sharpe v. Allstate Insurance Co.

    14 A.D.3d 774 (N.Y. App. Div. 2005)   Cited 3 times
    Applying New York no-fault insurance law and granting summary judgment as against the plaintiff's "entirely speculative" claim for lost wages

  4. Section 65-3.8 - Payment or denial of claim (30-day rule)

    N.Y. Comp. Codes R. & Regs. tit. 11 § 65-3.8   Cited 617 times   1 Legal Analyses

    (a) (1) No-fault benefits are overdue if not paid within 30 calendar days after the insurer receives proof of claim, which shall include verification of all of the relevant information requested pursuant to section 65-3.5 of this Subpart. In the case of an examination under oath or a medical examination, the verification is deemed to have been received by the insurer on the day the examination was performed. (2) An insurer shall defer payment of OBEL benefits for claims submitted by or on behalf

  5. Section 65-3.16 - Measurement of no-fault benefits

    N.Y. Comp. Codes R. & Regs. tit. 11 § 65-3.16   Cited 148 times   1 Legal Analyses
    Stating that " provider of health care services is not eligible for reimbursement . . . if the provider fails to meet any applicable New York State or local licensing requirement necessary to perform such service in New York"