Translate
Text Highlighter

Bookmark

PDF

Share

Report a problem
AMICUS AI
Citation Codes
Equivalent Citations
citation codes
Attorney(S)
Judges
Are you a practicing lawyer?
Enhance your digital presence and reach by creating a Casemine profile.
Upload pleading to use the new AI search
Cites
Cited by
Citation Codes
Equivalent Citations
citation codes
Attorney(S)
Judges

ISAAC SHALEM et al., Individually and as Parents and Natural Guardians of DITZA SHALEM, an Infant, Plaintiffs, v. ANN TEITELBAUM et al., Defendants

ANTHONY M. LIVOTI, J.

Motion by plaintiffs to strike affirmative defense and to order defendants to furnish plaintiffs with a photostatic copy of that portion of defendants' liability policy which indicates the amount of liability coverage is granted. In this case, the insurer paid the infant plaintiff's medical expense in an amount well in excess of $500 after plaintiff supplied the proof of the fact and amount of the loss she sustained.

Subdivision 2 of section 675 Ins. of the Insurance Law provides: "Every insurer shall provide a claimant with the option of submitting any dispute involving the insurer's liability to pay first party benefits, the amount thereof or any matter which may arise under subdivision one of this section to binding arbitration".

If the insurer disputed the fact that the loss occurred or the amount thereof, it should have provided the claimant with the option of submitting these issues to binding arbitration. By paying claimant's medical expenses in excess of $500 and not exercising its right to offer the claimant the option to arbitrate, the insurer acknowledged and accepted the fact and the amount of the loss sustained and a defense which alleged that the plaintiff has failed to meet the threshold requirements as set forth in article XVIII of the Insurance Law will be stricken. (See Greenblatt v Johannssen, 80 Misc.2d 436.)

The defendants are directed to furnish plaintiffs' attorney with a photostatic copy of that portion of defendants' liability policy which indicates the amount of liability coverage within 15 days from the date of service upon defendants of a copy of the order with notice of entry.

Use AI to get other relevant cases.

Comments

SHALEM v. ANN TEITELBAUM
(Dec 4, 1975)