Concord Direct, Inc., as Assignee of Simone Burchell, Respondent, v. Ameriprise Insurance Company, Appellant. (2022)

ORDERED that the order is affirmed, with $25 costs.

In this action by a provider to recover assigned first-party no-fault benefits, defendant appeals from an order of the Civil Court denying defendant's motion which had sought summary judgment dismissing the complaint on the ground that plaintiff's assignor had procured the subject insurance policy by making a material misrepresentation as to the garaging of one of the three vehicles covered under the insurance policy, and as to the address of one of the two drivers covered under the policy.

"A misrepresentation is material if the insurer would not have issued the policy had it known the facts misrepresented. To establish materiality as a matter of law, the insurer must present documentation concerning its underwriting practices, such as underwriting manuals, bulletins, or rules pertaining to similar risks, that show that it would not have issued the same policy if the correct information had been disclosed in the application" (Interboro Ins. Co. v Fatmir, 89 AD3d 993, 994 [2011] [internal quotation marks and citations omitted]).

Upon a review of the record, we find that defendant failed to establish as a matter of law that it would not have issued the policy in question, as neither the examination under oath testimony of the assignor nor the declaration page of the insurance policy establish that the assignor made a misrepresentation on her application for insurance. In any event, defendant did not demonstrate that the purported misrepresentation was material, as the underwriting eligibility guidelines included with its motion papers fail to show that defendant "would not have issued the same policy if the correct information had been disclosed" (id. [internal quotation marks omitted]; see also e.g. Alignment Chiropractic, P.C. v Travelers Home & Mar. Ins. Co., 68 Misc 3d 131[A], 2020 NY Slip Op 50994[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2020]; Commitment Care, P.T., P.C. v Travelers Home & Mar. Ins. Co., 64 Misc 3d 136[A], 2019 NY Slip Op 51157[U] [App Term, 2d Dept, 2d, 11th & 13th Jud Dists 2019]; cf. Varshavskaya v Metropolitan Life Ins. Co., 68 AD3d 855 [2009]).

Defendant's remaining contention lacks merit.

Accordingly, the order is affirmed.

ALIOTTA, P.J., TOUSSAINT and BUGGS, JJ., concur.

ENTER:

Paul Kenny

Chief Clerk

Decision Date: December 2, 2022