CHMIEL SPEAKS ON MEDICARE
Buffalo, NY-October 7, 2009 - On September 24,
2009, Michael J. Chmiel, Esq. presented at the Buffalo
Claim Association's Education Day on the topic of new
developments in Medicare. The presentation, which
took place at the Adam's Mark Hotel, centered on the
impact of Medicare liens on personal injury litigation
and the obligations that attorneys and insurance
adjusters have with regard to the federal government.
If you are interested in a presentation, or if
you have a specific matter concerning any of these
issues, please give us a call or email us at
mchmiel@cheluslaw.com. We routinely
provide evaluation
services relative to Medicare liens and set-asides.
Quick Links...
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DEFENDANTS NEED MORE THAN AN ATTORNEY AFFIRMATION AND SURVEILLANCE TAPE TO DEFEAT SUMMARY JUDGMENT
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In McHugh v. Marfoglia, --- N.Y.S.2d ----, 2009
WL 2635483 (4th Dept. 2009), the Appellate Division
unanimously reversed the order appealed from by
agreeing with the plaintiff that trial court erred in
denying plaintiff's motion seeking partial summary
judgment on the threshold issue of serious injury from
a motor vehicle accident. The Appellate Division
granted summary judgment under Insurance Law §
5102(d) for permanent consequential limitation of use
and significant limitation of use categories. Plaintiff
met his burden with respect to those two categories
by submitting objective evidence that he suffered a
disc herniation at C6-C7 that required surgical
intervention, and by submitting the affirmation of his
treating neurosurgeon who concluded that, based
upon his examination and treatment of plaintiff and his
review of plaintiff's medical records, plaintiff's injuries
were significant, permanent, and causally related to
the accident ( see LaForte v. Tiedemann, 41
AD3d 1191, 1192; see generally Toure v. Avis Rent
A Car Sys., 98 N.Y.2d 345, 353). Plaintiff also
submitted the affirmed report of the neurosurgeon
who examined him at defendants' request, who
quantified the degree of loss of range of motion in
plaintiff's cervical spine, including a 66% loss of
extension and a 50% loss of right rotation, and
correlated that loss to the normal range of motion in
the relevant areas of plaintiff's cervical spine.
Defendants failed to raise a triable issue of fact
sufficient to defeat the motion with respect to the issue
of serious injury or causation by only submitting an
attorney's affirmation and a copy of an unauthenticated
surveillance videotape.
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WIDOWER PLAINTIFF ALLOWED TO MAINTAIN DRAM SHOP ACTION WHEN DECEDENT CANNOT
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In Oursler v. Brennan, et al., 884 N.Y.S.2d 534
(4th Dept. 2009), the Appellate Division reversed the
trial court's decision and determined that genuine
issues of material fact precluded summary judgment
on issue of whether widower was entitled to recover
from seller of alcohol for alleged violations of Dram
Shop Act after widower purchased decedent two
alcoholic beverages at a party. There was also
evidence that decedent obtained her own drinks, that
the couple's friends purchased alcohol for decedent,
that the bar provided Jell-O shots directly to decedent,
and that plaintiff and decedent were apart for much of
the party. Under the Alcoholic Beverage Control Law,
it is unlawful to sell, deliver or give away alcoholic
beverages to "any visibly intoxicated person" (§ 65[2]).
New York's Dram Shop Act affords a person
injured "by reason of the intoxication" of another
person a right of action against the party that
unlawfully purveyed the alcohol (General Obligations
Law § 11-101[1]; see Mitchell v. The Shoals,
Inc., 19 N.Y.2d 338, 340-341). An intoxicated
person, or his or her estate, cannot maintain a cause
of action under the Dram Shop Act for injuries
sustained as a result of that person's own intoxication
(see Mitchell, 19 N.Y.2d at 340-341). The trial
court properly dismissed the Dram Shop Act cause of
action against the seller of the alcohol on behalf of
decedent's estate. The Fourth Department opined that
widower, however, may maintain a cause of action in
his individual capacity for loss of support as
decedent's surviving spouse (see Coughlin v.
Barker Ave. Assoc., 609 N.Y.S.2d 646). A
plaintiff "must play a much more affirmative role than
that of drinking companion to the intoxicated person
before the plaintiff may be denied recovery against the
establishment that served" the intoxicated person.
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DEFENDANT'S EXPERT DOCTORS MUST COVER ALL SERIOUS INJURY CATEGORIES TO BE GRANTED SUMMARY JUDGMENT ON THRESHOLD ISSUE
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In Colavito v. Steyer, 883 N.Y.S.2d 807 (3rd
Dept. 2009), the Appellate Division affirmed the trial
court's decision to deny defendant's motion for
summary judgment under Insurance Law §5102[d]
and §5104[a] in an action brought by plaintiff to recover
for injuries to her right shoulder allegedly sustained in
a motor vehicle accident. Defendant failed to meet his
initial burden of proving, as a matter of law, that
plaintiff did not sustain a serious injury. Defendant's
experts, relying on an MRI taken shortly after the
accident, opined that plaintiff's symptoms were related
to a preexisting condition and, thus, were not causally
related to the accident. Yet the experts failed to
address any aggravation of the preexisting condition,
which had reportedly been asymptomatic prior to the
accident. Defendant's experts did not examine the
plaintiff and did not adequately address plaintiff's
condition or limitations within the first 180 days
following the accident, a necessity to foreclose the
90/180-day category of serious injury.
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FIFTEEN MINUTE ARGUMENT AT RESTAURANT IMPOSES DUTY ON PROPERTY OWNER TO PREVENT HARM TO PATRONS
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In Boyea v. Aubin, 883 N.Y.S.2d 808 (3rd Dept.
2009), a restaurant patron and her husband brought a
negligence action against a restaurant's general
manager and restaurant owner when the plaintiff (a
patron at a restaurant owned and operated by one of
the defendants) was struck in the back of the head
during a melee that erupted between the restaurant's
general manager, defendant Aubin, and a disgruntled
customer. The altercation was preceded by a lengthy
argument between the customer's female companion
and restaurant staff regarding the service she was
receiving. This verbal dispute, which involved yelling
and cursing, escalated over a period of 15 minutes
and then erupted into a physical "brawl." Restaurant
defendants argued they could not have anticipated any
danger to plaintiff because the altercation between the
customer and Aubin was sudden and unexpected.
However, defendants' motion for summary judgment
was denied, and the Appellate Division affirmed,
stating landowners have a duty to act in a reasonable
manner so as to prevent harm to those on their
property; specifically, they have a duty to control the
conduct of third persons on their premises when they
have the opportunity to control such persons and are
reasonably aware of the need for such control. Fifteen
minutes was enough of a warning to establish such
duty.
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PROPERTY OWNER CREATING HOLE IN DRIVEWAY APRON WAS NOT AN AFFIRMATIVE ACT OF NEGLIGENCE BY CITY OF SCHENECTADY
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In Davis v. City of Schenectady, et al, 883
N.Y.S.2d 810 (3rd Dept. 2009), plaintiff was allegedly
injured when she rode her bicycle into a hole located
in a driveway apron owned by defendant Sangiovanni.
Property owner had previously contacted the City to
determine if City would patch up a 8-12" portion of the
apron. City inspected and agreed to patch up the
area, and requested the loose debris be removed
from the cracked section prior to the repair. Property
owner then removed almost the entire apron and the
City refused to undertake such an extensive repair.
Subsequently, the plaintiff had her accident. Trial
court granted summary judgment for City, and the
Third Department affirmed, stating that City did not
create a hole where none had existed previously. This
did not constitute an affirmative act of negligence on
the part of the City.
Prepared by Christopher R. Poole
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