Supreme Court New York County Justice Lyle E. Frank issued a preliminary injunction preventing the City of New York continuing to require certain beneficiaries of Senior Care, a Medicare supplement plan offered by the City of
New York to its current and retired
employees, and their eligible dependents, to collect $15 co-payments then being charged.
The City appealed but the Appellate Division unanimously affirmed the Supreme Court's ruling.
The Appellate Division opined:
1. "Supreme Court properly determined that plaintiffs, who are mostly retirees
and likely to be on a fixed income, would suffer irreparable harm — delaying or
foregoing medical care, and inability to pay certain expenses, including
necessities such as utilities — if they were required to continue paying the
co-payments pending determination of this action," citing LaForest v
Former Clean Air Holding Co., Inc., 376 F3d 48, [2d Circuit 2004];
and
2. "Supreme Court properly determined
that on this record plaintiffs established a likelihood of success on the
merits".
The Appellate Division's decision is set out below:
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Bianculli v City
of New York Off. of
Labor Relations
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2023 NY Slip Op
02822
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Decided on May 25, 2023
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Appellate Division,
First Department
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Published by New York State Law Reporting
Bureau pursuant to Judiciary Law § 431.
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This opinion is uncorrected and subject to revision before
publication in the Official Reports.
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Decided and Entered: May 25, 2023
Before: Webber, J.P., Kern, Oing, Scarpulla, Rodriguez, JJ.
Index No. 160234/22 Appeal No. 291 Case No. 2023-00232
[*1]MargaretAnn Bianculli etc. et al., Plaintiffs-Respondents,
v
The City of New York Office of Labor Relations et al., Defendants-Appellants.
Pillsbury Winthrop Shaw Pittman LLP, New York
(James M. Catterson of counsel), for EmblemHealth, Inc., and Group Health
Incorporated (GHI), appellants.
Sylvia O. Hinds-Radix, Corporation Counsel, New York
(Chole K. Moon of counsel), for The City of New York Office of Labor Relations
and The City of New York, appellants.
Walden Macht & Haran LLP, New York
(Jacob S. Gardener of counsel), and Pollack Cohen LLP, New
York (Steve Cohen of counsel), for respondents.
Order, Supreme Court, New York County (Lyle E. Frank, J.), entered January
11, 2023, which granted plaintiffs' CPLR 6301 motion for an order preliminarily
enjoining defendants from charging co-payments to Senior Care health insurance
plan beneficiaries, unanimously affirmed, without costs.
This action relates to $15 co-payments charged to beneficiaries of Senior
Care, a Medicare supplement plan offered by defendant the City of New York to
its current and retired employees and their dependents, partially administered
by defendant Group Health Incorporated (GHI), a subsidiary of defendant
EmblemHealth, Inc. (together, Emblem).
We decline to disturb the preliminary injunction. Contrary to defendants'
contentions, the injunction was prohibitory, not mandatory, and thus, was not
subject to a heightened standard. The injunction prohibits defendants from
continuing to collect co-payments and does not mandate specific conduct by them
(State of New York v Town of Haverstraw, 219 AD2d 64, 65-66 [2d Dept
1996]; see generally Second on Second CafÉ, Inc. v Hing Sing
Trading, Inc., 66 AD3d 255, 264 [1st Dept 2009]).
Supreme Court properly determined that on this record plaintiffs established
a likelihood of success on the merits. The court properly determined that
plaintiffs, who are mostly retirees and likely to be on a fixed income, would
suffer irreparable harm — delaying or foregoing medical care, and inability to
pay certain expenses, including necessities such as utilities — if they were
required to continue paying the co-payments pending determination of this
action (e.g. LaForest v Former Clean Air Holding Co., Inc., 376 F3d 48,
55-56 [2d Cir 2004]). Although most of the affiants averring to the nature of
the harm were not named plaintiffs, defendants do not dispute that plaintiffs
are likely to obtain class certification, which is supported by allegations in
the complaint, and they do not dispute that the affiants would be members of
the class (see id. at 57). Absent any contrary argument by defendants on
the motion, it was reasonable for the court to conclude that the affiants were
representative of the putative class (see id. at 58).
The court providently determined that the balance of equities favored
plaintiffs. Although plaintiffs delayed in filing this action, defendants'
showings regarding hardship were conclusory and limited to routine administrative
actions, and not as burdensome as the hardship to plaintiffs if the injunction
were denied.
We have considered defendants' remaining arguments and find them unavailing.
THIS CONSTITUTES THE DECISION AND ORDER OF THE SUPREME COURT, APPELLATE
DIVISION, FIRST DEPARTMENT.
ENTERED: May 25, 2023