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.
Jennifer Hess, DC, MPH, PhD
Dr. Jennifer Hess is a research associate and ergonomist at the Labor Education and Research Center (LERC) of the University of Oregon. Prior to her current position, Dr. Hess maintained a full-time chiropractic practice emphasizing ergonomics, injury prevention and musculoskeletal rehabilitation.