By Abdul Somad Kamis, 25 November 2021 Application Misrepresentation Declaratory Judgment Default Judgment Garaging Fraud No-Fault Rate Evasion Rate Evasion/Garaging Fraud -- Obtaining a Declaratory Judgment of No No-Fault Coverage Owed NO-FAULT – AUTO POLICY – APPLICATION MISREPRESENATION – RATE EVASION – GARAGING FRAUD State Farm Fire & Cas. Co. v. AutoRx (Sup. Ct....
By Abdul Somad Selasa, 24 November 2020 arbitration Causation No-Fault Peer Review $481.30 Awarded on a $62,830.97 No-Fault Claim -- Coronary Bypass Surgery and Related Hospital Services Found Unrelated to the MVA NO-FAULT – CAUSATION – CORONARY BYPASS SURGERY – AAA ARBITRATION DECISION Matter of United Health Services Hospital aao JK and Preferred...
By Abdul Somad Selasa, 27 Oktober 2020 Fraud No-Fault Preliminary Injunction RICO Stay of Arbitration Unjust Enrichment What Is New York's No-Fault Scheme Ill-Equipped to Handle? (The right answer is not "claims".) NO-FAULT – RICO AFFIRMATIVE ACTION – PRELIMINARY INJUNCTION STAYING COLLATERAL ARBITRATIONS & LITIGATION – MOTION TO DISMISS GEICO v...
By Abdul Somad Selasa, 04 Agustus 2020 Declaratory Judgment Default Judgment Injunctive Relief No-Fault The Unopposed Loss -- Court Denies Declaratory Judgment to No-Fault Insurer Based Solely on Default of Non-Answering Defendants NO-FAULT – HIT-AND-RUN – AFFIRMATIVE ACTION – DEFAULT JUDGMENT – DECLARATORY JUDGMENT – INJUNCTIVE RELIEF Ameriprise Ins. Co. v. Kim (2n...
By Abdul Somad Selasa, 21 Juli 2020 Application Misrepresentation EUO No-Show Defense Faulty Workmanship Fraud Fraudulent Incorporation Intentional Act Mallela No-Fault Proof of Loss Property Rescission Staged Incident NYSSIU Legal Update 2019-2020 Edition LEGAL UPDATE I have been privileged since incorporating the New York State Chapter of Special Investigation Units (NYSSIU) in 1997 to serv...
By Abdul Somad Kamis, 09 Januari 2020 Application Misrepresentation arbitration EUO No-Fault Rate Evasion No-Fault Insurer's Denial Based on Rate Evasion Upheld in Arbitration NO-FAULT – RATE EVASION – AAA ARBITRATION DECISION Matter of Classic Medical Diagnostic Rehab, P.C. aao SI and State Farm Fire & Cas....
By Abdul Somad Selasa, 10 September 2019 Biomechanical Injury Causation Analysis Expert Proof No-Fault Use or Operation Denial of No-Fault Benefits Based on Biomechanical Injury Causation Analysis Report Upheld in AAA Arbitration & Master Arbitration AMERICAN ARBITRATION ASSOCIATION – NO-FAULT – BIOMECHANICAL EXPERT OPINION – USE OR OPERATION – CAUSAL RELATIONSHIP – EMG/NCV TESTING ...
By Abdul Somad Selasa, 27 Agustus 2019 Application Misrepresentation arbitration EUO No-Fault Rate Evasion Denial of No-Fault Benefits to Assignee of Rate Evader Upheld in Arbitration NO-FAULT – RATE EVASION – AAA ARBITRATION DECISION Matter of Bronx Chiropractic Health Services, PC aao SB and State Farm Fire & Cas. ...
By Abdul Somad Senin, 26 Februari 2018 No-Fault Use or Operation Use or Operation of Bus Found to Be Proximate Cause of Passenger's Injury for New York No-Fault Purposes NO-FAULT – USE OR OPERATION OF A MOTOR VEHICLE – COURT REVIEW OF ARBITRATION RULINGS Matter of New York City Tr. Auth. v Physical Medicin...
By Abdul Somad Rabu, 24 Januari 2018 EUO EUO No-Show Defense No-Fault An EUO No-Show By Any Other Name... NO-FAULT – EUO NO-SHOW Active Care Med. Supply Corp. v. ELRAC Inc. (NYC Civ. Ct., Kings Co., decided 11/17/2017) How many assignor EUO no-s...
By Abdul Somad Senin, 22 Januari 2018 Defense Preclusion Fraudulent Misrepresentation No-Fault Rate Evasion The AAA Insurance Reporter & The Impact of Fraudulent Procurement of Auto Policies on New York No-Fault Claims In 2017, after a six-year hiatus, the American Arbitration Association's New York State Insurance Division brought back a "new and ...
By Abdul Somad Januari 22, 2018 11 NYCRR § 65-3.16(b)(3) Cancellation Divisibility Loss of Earnings No-Fault Personal Umbrella New York Court of Appeals Now Tweeting Insurance Coverage Decisions No, not really. That's just a click-baiting title. But seriously, the court's issuance on December 14, 2017 of 259-character and 219...
By Abdul Somad Senin, 27 Maret 2017 Insurance Law § 5103(b)(2) Intoxication Exclusion Necessary Emergency Health Services No-Fault Stabilization No-Fault Insurer Found Entitled to Breakdown of What Hospital Services Constituted Necessary Emergency Health Services NO-FAULT – NECESSARY EMERGENCY HEALTH SERVICES – STABILIZATION – INTOXICATION-CAUSED INJURIES St. Barnabas Hospital v. Government Employees ...
By Abdul Somad Senin, 28 Desember 2015 Declaratory Judgment Default Judgment No-Fault Res Judicata Declaratory Judgment Granted on Default Serves as Res Judicata of Previously Commenced Provider Recovery Claim NO-FAULT – DECLARATORY JUDGMENT – DEFAULT JUDGMENT – RES JUDICATA Daily Med. Equip. Distrib. Ctr., Inc. v. American Tr. Ins. Co. (App. ...