Avenue C Medical, P.C. v. Encompass Insurance — 130 A.D.3d 764

Majority

p. 764

Avenue C Medical, P.C., as Assignee of Alejandro Romero-Garcia, Appellant, v Encompass Insurance of MA, Respondent.

[12 NYS3d 578]

In an action, in effect, pursuant to Insurance Law § 5106 (c) for a de novo determination of a claim for no-fault insurance benefits, the plaintiff appeals from an order of the Supreme Court, Kings County (Bunyan, J.), dated October 30, 2013, which granted the defendant’s motion pursuant to CPLR 3211 (a) (2) to dismiss the complaint.

Ordered that the order is affirmed, with costs.

The Supreme Court properly granted the defendant’s motion to dismiss the complaint for lack of subject matter jurisdiction. The complaint, in effect, sought a de novo determination of the plaintiff’s no-fault claim pursuant to Insurance Law § 5106 (c). “The statute permits an insurer or a claimant to institute a court action to adjudicate the dispute de novo where the master arbitrator’s award is $5,000 or greater” (Green v Liberty Mut. Ins. Co. Trust, 16 AD3d 457 , 457 [2005]). Here, the master arbitrator, by vacating the arbitrator’s award in its entirety, ef

p. 765

fectively made no monetary award, and, because the master arbitrator’s award was less than $5,000, neither party is entitled to maintain a court action to adjudicate the dispute de novo (see id.; General Acc. Fire & Life Ins. Co. v Avlonitis, 156 AD2d 424 , 424 [1989]; Matter of Sansiviero v Royal Globe Ins. Co., 109 AD2d 840 , 842 [1985]). Skelos, J.P., Balkin, Chambers and Miller, JJ., concur.

Cases cited

Green v. Liberty Mutual Insurance 16 AD3d 457 N.Y. App. Div. 2005-03-14 at 457 p. 764
General Accident Fire & Life Insurance v. Avlonitis 156 AD2d 424 N.Y. App. Div. 1989-12-11 at 424 p. 765
Sansiviero v. Royal Globe Insurance 109 AD2d 840 N.Y. App. Div. 1985-03-18 at 842 p. 765

Statutes and regulations cited

Insurance Law p. 764