Country-Wide Ins. Co. v. TC Acupuncture, P.C.

Decision Date28 June 2016
Citation2016 N.Y. Slip Op. 05104,33 N.Y.S.3d 713 (Mem),140 A.D.3d 643
PartiesCOUNTRY–WIDE INS. CO., Petitioner–Respondent, v. TC ACUPUNCTURE, P.C., as assignee of Oneal Alexander, Respondent–Appellant.
CourtNew York Supreme Court — Appellate Division

Tsirelman Law Firm PLLC, Brooklyn (Stefan Belinfanti of counsel), for appellant.

Jaffe & Koumourdas, LLP, New York (Jean H. Kang of counsel), for respondent.

Order, Supreme Court, New York County (Geoffrey D. Wright, J.), entered October 23, 2015, which granted petitioner's motion to vacate a master arbitrator's award in favor of respondent, unanimously reversed, on the law, without costs, the motion denied, and the award confirmed. The Clerk is directed to enter judgment accordingly.

Respondent commenced an arbitration against petitioner insurance company for reimbursement of bills for alleged health care services rendered by respondent to Alexander Oneal. Petitioner, relying on State Farm Mut. Auto. Ins. Co. v. Mallela, 4 N.Y.3d 313, 794 N.Y.S.2d 700, 827 N.E.2d 758 (2005), asserted that it could withhold payment because respondent was fraudulently incorporated. After a hearing, an arbitrator awarded respondent full reimbursement, and found that petitioner failed to meet its burden of providing clear and convincing evidence showing that respondent was fraudulently incorporated. On appeal, the master arbitrator affirmed the arbitration award and rejected petitioner's argument that its burden of proof on its Mallela defense should have been preponderance of the evidence.

Supreme Court erred in vacating the master arbitrator's award on the ground that the master arbitrator mistakenly applied the wrong burden of proof to petitioner's Mallela defense. Even assuming, without deciding, that the master arbitrator applied the wrong burden of proof, the award is not subject to vacatur on that ground (Matter of New York State Correctional Officers & Police Benevolent Assn. v. State of New York, 94 N.Y.2d 321, 326, 704 N.Y.S.2d 910, 726 N.E.2d 462 [1999] ). Nor is there any other basis for vacatingthe award (see id.; see also CPLR 7511[b][1] ).

FRIEDMAN, J.P., SAXE, RICHTER, KAHN, JJ., concur.

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4 cases
  • Country-Wide Ins. Co. v. Bay Needle Care Acupuncture, P.C.
    • United States
    • New York Supreme Court
    • 2 Septiembre 2016
    ...evidence, may apply. Andrew Carothers, M.D., P.C. v. Progressive Ins. Co., 42 Misc. 3d at 40-41. See Country-Wide Ins. Co. v. TC Acupuncture, P.C., 140 A.D.3d 643, 643-44 (1st Dep't 2016). Had the arbitrator applied this standard, a preponderance ofthe evidence, urged by petitioner, perhaps......
  • Country-Wide Ins. Co. v. Bay Needle Care Acupuncture, P.C., 6725–6726
    • United States
    • New York Supreme Court — Appellate Division
    • 5 Junio 2018
    ...of the evidence. However, the award is not subject to vacatur under either standard (see Country–Wide Ins. Co. v. TC Acupuncture, P.C., 140 A.D.3d 643, 33 N.Y.S.3d 713 [1st Dept. 2016] ; Nationwide Affinity Ins. Co. of Am. v. Acuhealth Acupuncture, P.C., 155 A.D.3d 885, 886–887, 64 N.Y.S.3d......
  • P & S 95th St. Assocs., LLC v. Nilde Realty
    • United States
    • New York Supreme Court — Appellate Division
    • 28 Junio 2016
    ... ... part 26 N.Y.3d 1047, 22 N.Y.S.3d 409, 43 N.E.3d 766 [2015] ; Federal Ins. Co. v. Manufacturers Hanover Trust Co., 157 A.D.2d 460, 460, 549 N.Y.S.2d ... ...
  • Country-Wide Ins. Co. v. TC Acupuncture, P.C.
    • United States
    • New York Supreme Court — Appellate Division
    • 18 Febrero 2021

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