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Picciano & Scahill, P.C. Newsletter
iNews
In this Issue
Happy St. Patrick's Day
Decisions of Note
Appellate Decisions of Interest
Featured Employee
  Deirdre A. Steele  
We honor this month Deirdre A. Steele, an exceptional paralegal who has been with the firm since 2010. Deidre is a graduate of Suffolk Community College, with a Paralegal Certificate. She works on our New York County team with Eric Flores Esq. We thank Deidre for her tireless efforts, and consider this a perfect month to honor her as Deidre also plays the bagpipes in an Irish band. Go maire tú an lá Deidre!  

 

Congratulations
ferrucci  
 Andrea Ferrucci   
for an impressive victory in an Appellate Division Second Department decision in the case of Vinston Jeansimon v. David E. Lumsden 937 N.Y.S.2d 869, issued on February 7, 2012.

 

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iNews Issue: 37              March 2012    
Happy St. Patrick's Day!
Lá Fhéile Pádraig Sona Daoibh -Happy St. Patrick's Day to all our readers. Christchurch Cathedral in Dublin, founded c. 1028, is perhaps the most famous Church in Dublin, in the heart of the City and the center of many celebrations. Fireworks go off at Christchurch New Year's Eve as they do in our own Times Square.  The Church is Anglican, part of The Church of England; not a Roman Catholic Church as the majority of the citizens are. Ireland's national police force, the Garda Siochana, are currently investigating an odd theft from Saturday, March the 3rd; the preserved heart of St. Laurence O'Toole, patron Saint of Dublin. O'Toole's heart had been displayed in the cathedral since the 13th century. It was stored in a heart-shaped wooden box and secured in a small, square iron cage on the wall of a chapel dedicated to his memory. On Saturday someone cut through two bars, pried the cage loose, and made off with the relic. Church Vergers (you may have to look that one up), Daire Daly and Frederick McKeown, have some answering to do this St. Patrick's Day. After all, how do you let an 800 year old heart be stolen from your own cathedral?  Nevertheless, Beannachtaí na Féile Páraic oraibh!
Decisions of Note

Well it wasn't a vacation but we did spend the week defending an attack against New York State Insurance Law §3420(g) alleged to be a Bill of Attainder in violation of Article 1, Section 9 of the United States Constitution. This was certainly something different than the usual coverage questions and third party actions we deal with on a daily basis. In this case the plaintiff is seeking a declaration that the spousal immunity voiding coverage found in New York State Insurance Law §3420(g) effectively singles out a particular group (married persons) inflicting a punishment of voiding their insurance liability policy. In Acorn v. The United States, 618F 3rd 125 (2010) the Second Circuit set forth three elements of a constitutional challenge to a Bill of Attainder: (1) Specification of the effective persons; (2) Punishment; and, (3) Lack of a judicial trial. The United States Supreme Court has also addressed the issue of "Punishment" indicating in Nixon v. The Administrator of General Services, et al., 433 US 425 (1977), "the classic example is death, but others include imprisonment, banishment, the punitive confiscation of property, and prohibition of designated individuals or groups from participation in specified employments or vocations". (Consolidated Edison Company of New York, Inc. v. Pataki, 292 F 3rd 338.)
 
The New York State Court of Appeals addresses the Constitutionality of this provision in the 1993 decision of Samuel Yankelevitz v. Royal Globe Insurance Company,  59 NY 2nd 928 (1983), however the Federal Court Challenge, under the U.S. Constitution  is a case of first impression. The legislative intent for the enactment of Insurance Law §3420(g) was to, "Protect insurance carriers against loss through collusive actions between husband and wife". New Amsterdam Casualty Company v. Stecker, 3 NY 2nd 1, 5-6 (1957).  We argue prohibiting collusive insurance claims is clearly within the state interest of the New York State Legislature.  In fact, the spousal exclusion set forth in Insurance Law §3420(g) was amended by the New York State Legislature in 2002 (L.2002, Ch. 584 Sec. 2) to provide for the coverage, if an additional premium was paid.  The "punishment" could easily have been alleviated by the plaintiff paying the applicable premium and obtaining the offered coverage.
 
Nevertheless we enjoyed the week with the Constitution, and we now know more about the history of a  Bill of Attainder than we did before the week began. For those Constitutional scholars amongst our readers, we began with a quote from Chief Judge Warren in  United States v. Brown, 381 US 437 (1965), "A  logical starting place for an inquiry into the meaning of the prohibition is its historical background.  The Bill of Attainder, a parliamentary act sentencing to death one or more specific persons, was a device often resorted to in 16th, 17th and 18th Century England for dealing with persons who had attempted, or threatened to attempt, to overthrow the government.  In addition to the death sentence, attainder generally carried with it a "Corruption of blood", which meant that the attained party heirs could not inherit his property.  The "Bill of Pains and Penalties" was identical to the Bill of Attainder, except that it prescribed a penalty short of death, e.g., banishment, deprivation of the right to vote, or exclusion of the designated parties' sons from parliament.  Most Bills of Attainder and Bills of Pains and Penalties name the parties to whom they were to apply; a few, however, simply described them. While some left the designated parties a way of escaping the penalty, others did not.  The use of Bills of Attainder and Bills of Pains and Penalties was not limited to England.  During the American Revolution, the legislatures of all 13 states past statutes directed against the Tories; among those statutes were a large number of Bills of Attainder and Bills of Pains and Penalties."  Stay tuned for the decision on this case; oral argument is scheduled for May 2, 2012 before Judge Bianco in the Eastern District.

Appellate Decisions of Interest
Medical Associates, P.C. a/a/o Siu Ong Lee Chan v. Interboro Insurance Company (20120-01565
Appellate Term Second Department March 2, 2012)
was an appeal filed by our office to the denial of a motion for summary judgment on the issue of medical necessity, based on a PEER review. This would have been a typical motion filed on a PIP claim, however, in response to the motion, counsel for the provider merely submitted an unsworn medical report. The lower court, ignoring prior Appellate Term precedent (Urban Radiology, P. C. v. Tri-State Consumer Insurance Co. 27 Misc 3d 140(a) 2010), denied the motion. On appeal the Appellate term reiterated, "The purpose of the PEER review report submitted by the defendant was not to attempt to prove that plaintiff's assignor was injured as documented in her medical records, or that she was treated as set forth in those records, but to establish that, assuming the facts set forth therein were true, the treatment allegedly provided was not medically necessary (Urban, supra) Consequently the defendant was not required to demonstrate that the records fell within the exception to the rule against hearsay (id.)" The motion for summary judgment was filed in 2008 on this claim; heard in 2009. The appeal was filed in 2010 and now 4 years later the relief sought in Civil Court, dismissal of the complaint, was granted. Welcome to the world of No-Fault litigation !

Read full decision here.
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nofaultJudge Smith, writing for the Court of Appeals in the November 22, 2011 decision,  Perl v. Meher, 18 N.Y.3d 208, stated "No-fault abuse still abounds today. In 2010, no-fault accounted for 53% of all fraud reports received by the Insurance Department" (Annual Report to the Governor and the Legislature of the State of New York on the Operations of the Insurance Frauds Prevention Act at 23). Apparently the U. S. Attorney's Office has also gotten the message loud and clear.
 
In an indictment that reads like the Zvenigorod white pages, on February 29, 2012   the  U.S. Attorney's office announced charges against 36 defendants. The Southern District U.S. Attorney's Office labeled the indictment the, "Largest No-Fault Automobile Insurance Fraud Case Charged to Date-- Includes 10 Doctors and Three Lawyers; Charges Also Include Racketeering and Money Laundering"
 
FBI Assistant Director in Charge Janice K. Fedarcyk said: "Our investigation uncovered a pattern of lucrative fraud exploiting New York's no-fault auto insurance system to the tune of more than a quarter-of-a-billion dollars. The criminal enterprise, while it lasted, was obscenely profitable. The scheme not only unjustly enriched the defendants and defrauded insurance companies. Auto insurance fraud is also a crime that indirectly victimizes every driver in New York." NYPD Commissioner Raymond W. Kelly said: "Our undercover officers were treated like thousands of other 'patients' receiving therapy, tests, and medical equipment they didn't need." The Clinic Controllers also referred patients to personal injury lawyers who filed bogus lawsuits on behalf of the patients and coached them on what injuries to claim in order to get as many treatments as possible. The personal injury lawyers also paid the Clinic Controllers thousands of dollars in kickbacks for these referrals.

We hope the Legislature follows this case, as the same scheme will flourish in years to come with different players. Unless the regulations are changed, New York No-Fault fields will remain lush and green for those who wish to cheat the system.

Read more here.
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Christos Tselebis v. Ryder Truck Rental 72 A.D.3d 198 APPELLATE DIVISION, FIRST DEPARTMENT February 18, 2010 has been a thorn in the side of defense counsel in the First Department for the last two years. Tselebis involved a basic two vehicle accident at an intersection controlled by a traffic light. The Lower Court denied summary judgment to the plaintiff indicating questions of fact exist as to the issue of comparative negligence. The First Department on appeal stated "Plaintiff is entitled to summary judgment on the issue of liability despite the fact that his own negligence might remain an open question. A plaintiff's culpable conduct no longer stands as a bar to recovery in an action for personal injury, injury to property or wrongful death. Under CPLR 1411, such conduct merely acts to diminish the plaintiff's recovery in proportion to the culpable conduct of the defendants."  
 
Calcano v Rodriguez was decided by the same First Department on January 12, 2012 (936 N.Y.S.2d 185). Thankfully the panel rejected the prior holding in Tselebis noting, "Binding precedent of the Court of Appeals holds that the plaintiff in a negligence action cannot obtain summary judgment as to liability if triable issues remain as to the plaintiff's own negligence and share of culpability for the accident", citing Thoma v Ronai, 82 NY2d 736, 737, 621 N.E.2d 690, 602 N.Y.S.2d 323 [1993].

Thoma stands for the proposition that a plaintiff moving for summary judgment on the issue of liability in an action for negligence must eliminate any material issue, not only as to the defendant's negligence, but also as to whether the plaintiff's own comparative negligence contributed to the incident. Citing a strong disagreement with Tselebis from the Second Department (Roman v. A1 Limousine 76 A.D. 3d 552), the First Department uttered some very welcome words, "it is not this Court's  prerogative to overrule or disregard a precedent of the Court of Appeals. Accordingly, like the Second Department, we respectfully decline to follow Tselebis."
 
Read full decision here.
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alcoholA New Year's Eve party on December 31, 2006 at the home of Michael and Susan Oliver in Gasport, New York set the stage for our State's highest Court to limit the liability of Homeowners  sued under a "Dram Shop" theory (General Obligations Law § 11-101) and common law negligence when  an intoxicated guest at the party  (Michael Stolzman) was later involved in a motor vehicle accident. (Martino v Stolzman 2012 NY Slip Op 01145 decided on February 16, 2012 by the New York Court of Appeals). The Appellate Division, Fourth Department had sustained the common law negligence theory stating, ""the Olivers knew or should have known that Stolzman left the party in a dangerous state of intoxication" and "[t]he Olivers both had an opportunity to control or at least to guide Stolzman as he exited their driveway," (see Martino v Stolzman, 74 AD3d 1764, 1765 [4th Dept 2010]).

The Court of Appeals noted, "It has long been the rule in New York that "[l]andowners in general have a duty to act in a reasonable manner to prevent harm to those on their property" (D'Amico v Christie, 71 NY2d 76, 85 [1987]). "...we agree with the dissenting Justices at the Appellate Division that "requiring social hosts to prevent intoxicated guests from leaving their property would inappropriately expand the concept of duty". The Court of Appeals dismissed both causes of action ruling the Homeowner did not have a duty to stop the intoxicated guest from leaving or to help him navigate his vehicle out of the driveway.

Read Full Decision here.
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