COURT
DECISIONS
Please feel
free to review the following court decisions, which illustrate
both our proven litigation track record and the breadth of the
cases that our attorneys have handled:
Favorable Decision (November
22, 2005). Our client, a durable medical equipment supplier, obtained
a favorable decision from an Administrative Law Judge in a Medicare
Part B appeal. CMS denied Medicare payments to our client that
provided motorized wheelchairs and accessories to several beneficiaries
in 2001 and 2002. We appealed the decision of the hearing officer
upholding the denials and the Administrative Law Judge ordered
reimbursement to our client in seventeen of the twenty-two cases.
Rockefeller
v. Albany Welding Supply Co., Inc., Columbia County Supreme
Court, Index No. 2226-00 (October 25, 2002). Plaintiffs commenced
this action against our client, among others, when an acetylene
gas cylinder filled by our client allegedly leaked, resulting
in an explosion and fire. Concluding that plaintiffs had failed
to establish a material fact as to whether the cylinder’s
valve was defective, the Court granted our client’s motion
for summary judgment (which was heavily reliant on expert proof).
Beeble
v. Society for the Sisters of St. Joseph, Albany County
Supreme Court, Index No. 4100-00 (October 24, 2002). Plaintiffs
brought this slip-and-fall action stemming from a fall on our
client’s property. Finding that there was no evidence in
the record that the property owner had either actual or constructive
notice of an icy condition in its parking lot, and that our client
should be absolved of liability based upon the “storm-in-progress”
doctrine, the Court granted our client’s motion for summary
judgment and dismissed the action in its entirety.
Hudes
v. Vytra Health Plans Long Island, Inc., et al., 295
A.D.2d 788 (3d Dept. 2002). Three doctors of chiropractic medicine
and two chiropractic patients sued four other health maintenance
organizations (including our client) and three third-party administrators
of chiropractic services, contending that certain HMO practices
regarding payment for chiropractic services and utilization management
of chiropractic services violated the New York Public Health Law.
The Court granted defendants’ motion to have the lawsuit
dismissed.
Green
v. Newmar Corporation, Attorney General Case No. 29866
(May 15, 2002). Through this Lemon Law arbitration, our clients,
the purchasers of a motor home, secured a full refund of the purchase
price (approximately $125,000.00) of the defective vehicle.
Stasack
v. Capital District Physicians’ Health Plan, Inc.,
290 A.D.2d 866 (3d Dept. 2002). Plaintiff brought a breach of
contract action against our client, a health maintenance organization,
claiming that it had improperly denied coverage for his LASIK
eye surgery. Finding that plaintiff had failed to raise a material
issue of fact with respect to the issue of “medical necessity,”
our client’s motion for summary judgment was granted, and
plaintiff’s claim was dismissed.
Matter
of Mohawk Book Company, Ltd. v. State University of New York,
288 A.D.2d 574 (3d Dept. 2001). Our client was an off-campus bookstore
looking to secure, through the New York Freedom of Information
Law, records from a State university regarding the texts and course
materials that students were required to buy for their classes
at the university. The appellate court ruled that the university
was required to disclose these records to our bookstore client.
Walters
v. Winnebago Industries, Inc., Attorney General Case
No. 28779 (August 9, 2001). Through this Lemon Law arbitration,
the claimants sought a refund of the purchase price (approximately
$130,000.00) on a motor home manufactured by our client. Concluding
that the claimants had failed to establish that there were problems
with the vehicle that still existed and which “substantially
impaired” the value of claimants’ vehicle, the arbitrator
ruled in favor of the manufacturer.
Gersten
v. Hunt, et al., Schenectady County Supreme Court, Index
No. 94-1038 (June 26, 2001). After construction for a multimillion-dollar
expansion of a large shopping center had began, our client, the
sponsor of the project, was faced with an easement claim which,
if successful, would have halted construction. Initially, the
court denied plaintiff’s motion for a preliminary injunction,
which would have stopped the center’s expansion, and eventually
dismissed the action in its entirety.
Gray
v. Faculty-Student Association of Hudson Valley Community College,
Inc., 186 Misc. 2d 404 (Sup. Ct., Rensselaer Cty. 2000).
Our client was the former editor of a student newspaper who sought,
through the New York Freedom of Information Law (“FOIL”),
copies of invoices evidencing the purchase price of books sold
in the faculty-student association-operated campus bookstore.
Concluding that the invoices were records subject to disclosure
under FOIL, the Court ordered the association to disclose the
information to our client, whose student newspaper was investigating
the possibility of price-gouging in the bookstore.
Matter
of New York State Conference of Blue Cross and Blue Shield Plans
v. Muhl,
253 A.D.2d 158 (3d Dept. 1999). New York’s unique program
for subsidized excess medical malpractice insurance (Hospital
Excess Liability Pool) generated a series of lawsuits by health
insurers challenging a hospital bill “add-on” which
financed the program. We were retained by a leading excess medical
malpractice insurance carrier to defend the constitutionality
of the program and to oppose the health insurers’ claim
for a $170 million refund of premiums. Favorable appellate court
rulings, in combination with legislative action, resulted in dismissal
of the health insurers’ lawsuits.
Basco
v. Builders Square, Inc., Albany County Supreme Court,
Index No. 7123-94 (November 6, 1997). Plaintiff bought an action
against our client, a national home improvement chain. Plaintiff
sought $1.7 million in damages, claiming that he was injured when
fiberglass insulation fell on his head. Investigation of plaintiff’s
medical history revealed that he had concealed a prior back injury.
The court not only granted defendants’ motion for summary
judgment, but required plaintiff to pay all attorney’s fees
incurred defending against his fraudulent claim.
Homier
Distributing Co., Inc. v. City of Albany, 90 N.Y.2d 153
(1997). Our client was an Indiana-based corporation that is engaged
in the business of wholesaling and retailing (typically during
relatively short intervals in localities across the United States)
hardware, electrical tools and related consumer products. The
City of Albany imposed a transient retail business tax upon our
client as a result of a four-day sale that it conducted at a rented
facility within the City. The Court of Appeals unanimously held
that the City’s transient retail business tax was an impermissible
violation of the Commerce Clause of the United States Constitution.
Matter
of Big Tree Energy Partners v. Bradford, 219 A.D.2d 27
(3d Dept. 1996). The New York Public Service Commission (“PSC”)
refused to compel Rochester Gas & Electric Corporation (“RG&E”)
to purchase natural gas from our client, a Rochester-area producer
of indigenous natural gas, at the highest price RG&E paid
for out-of-state natural gas, as required by a contract between
our client and RG&E. Our client’s Article 78 petition
was granted, with the courts finding that the PSC had acted arbitrarily
in refusing to compel RG&E to purchase indigenous natural
gas at a price equal to the highest price that RG&E paid for
non-New York natural gas.
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