186 Misc. 2d 847 721 N.Y.S.2d 474

[721 NYS2d 474]

Howard M. Rombom, Ph D, P. C., as Assignee of Michael Jones, Respondent, v Interboro Mutual Indemnity Insurance Co., Appellant.

Supreme Court, Appellate Term, Second Department,

December 6, 2000

APPEARANCES OF COUNSEL

Louis J. Papa, Garden City, for appellant. Israel & Israel, L. L. P., Great Neck (Stacy Mandel Levine of counsel), for respondent.

OPINION OF THE COURT

Memorandum.

Order unanimously affirmed without costs and matter *848remanded to the court below for further proceedings in accordance with the decision herein.

Defendant’s failure to deny plaintiffs claim for no-fault benefits within 30 days of receipt of proof of claim and amount of loss sustained (see, Insurance Law § 5106; 11 NYCRR 65.15 [g] [3]) precludes defendant from asserting the affirmative defense of denial of benefits on the ground that the tests administered were “not medically reasonable and/or necessary” (see, Presbyterian Hosp. v Maryland Cas. Co., 90 NY2d 274). Since plaintiff submitted proper proof of claim, summary judgment was properly granted in his favor. The matter is accordingly remanded to the court below for a calculation of the statutory interest on the claim and attorney’s fees (see, Insurance Law § 5106 [a]; 11 NYCRR 65.15 [h] [1]; 67.17 [b] [6] [iii], [v]; see also, St. Clare’s Hosp. v Allstate Ins. Co., 215 AD2d 641; Sehgal v Royal Ins. Co., NYLJ, Apr. 15, 1999, at 31, col 4 [App Term, 9th & 10th Jud Dists]).

DiPaola, P. J., Palella and Doyle, JJ., concur.

Howard M. Rombom, Ph D, P. C. v. Interboro Mutual Indemnity Insurance
186 Misc. 2d 847 721 N.Y.S.2d 474

Case Details

Name
Howard M. Rombom, Ph D, P. C. v. Interboro Mutual Indemnity Insurance
Decision Date
Dec 6, 2000
Citations

186 Misc. 2d 847

721 N.Y.S.2d 474

Jurisdiction
New York

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