New York's highest court of appeals has held that no-fault insurers cannot deny no-fault benefits where they unilaterally determine that a provider has committed misconduct based upon alleged fraudulent conduct. The Court held that this authority belongs solely to state regulators, specifically New York's Board of Regents, which oversees professional licensing and discipline. This follows a similar recent ruling in Florida reported in this publication.
Interesting Quote
We are alleging that the CCE told the school what they had to do to become accredited, and the school had an extremely long period of time to comply but just failed to do so. Therein, they breached their fiduciary duties to the students of the school. - Dr. Joseph Hoffman,PC, attorney for 75 Life students in lawsuits against the chiropractic college, Dr. Sid Williams, and the board of trustees. (Source: Marietta Daily Journal, Nov. 1, 2002)