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  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
  • K O an Infant by his parents and natural guardians GARNER OH and TAMARA PETROVIC v. Benjamin M. Lawsky in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND, Emily Prober as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND Tort document preview
						
                                

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(FILED: KINGS COUNTY CLERK 0172672015 12:39 PM INDEX NO. 500899/2015 NYSCEF DOC. NO. 2 RECEIVED NYSCEF: 02/13/2015 SUPREME COURT OF THE STATE OF NEW YORK. COUNTY OF KINGS woeee cnet ce cee nneenenennennnnnneeenennnnentennnnncnnceennenene! x In the Matter of the Application of : Index No: 500899/2015 KAS OH, an Infant by his parents and Natural Guardians GARNER OH and TAMARA PETROVIC, : AMENDED Plaintiff-Petitioners : NOTICE OF PETITION : PURSUANT TO CPLR For a Judgment Under Article 78 of the CPLR : ARTICLE 78 -against- BENJAMIN M. LAWSKY in his Official capacity as Superintendent of the New York State Department of Financial Services and as Administrator of the NEW YORK STATE MEDICAL INDEMNITY FUND and EMILY PROBER, as the duly authorized representative of AliCare, Third Party Administrator of the NEW YORK. STATE MEDICAL INDEMNITY FUND Defendant-Respondent west tena nnn nnn ene n enn nnnneeeenmeneneneneneX, TO THE ABOVE NAMED RESPONDENTS: PLEASE TAKE NOTICE that, upon the annexed Complaint and Petition, duly Verified on the 21* day of January 2015, and the exhibits attached thereto, the undersigned shall move at the Court house of the New York State Supreme Court, County of Kings located at 360 Adams Street, Brooklyn, NY 11201 before an IAS judge to be assigned on the day of March, 2015 or as soon thereafter as counsel can be heard for an Order of Judgment pursuant to Article 78 of the Civil Practice Law and Rules: a) Declaring that the determination of Emily Prober, duly authorized representative of AliCare, Third Party Administrator designated by Benjamin Lawsky, Superintendent of Financial Services as Third Party Administrator of the Medical Indemnity Fund pursuant to Pub. Health L. §2999-i (2) and 10 NYCRR §69 — 10.1(p), denying the application of enrollment of KAS OH, a neurologically injured infant determined to be eligible for enrollment into the NEW YORK. STATE MEDICAL INDEMNITY FUND by Order of Hon. Marsha Steinhardt, Supreme Court, Kings County dated October 15, 2014 in accordance with Newb) ¢) a) e) 8) h) York Public Health Law §2999-h(1) is invalid, unenforceable and constitutes an ultra vires act without any statutory or regulatory authority and is in violation of and contrary to the public policy underlying Chapter 59 of the Laws of 2011 amending Public Health Law Article 29-D Title 4 establishing the New York State Medical Indemnity Fund as well as Article I section 6 of the Constitution of the State of New York; the Fourteenth Amendment to the Constitution of the United States and is in direct violation of the Separation of Powers doctrine. Directing and compelling Respondents/Defendants to immediately rescind their unlawful determination that KAS OH is ineligible for enrollment in the New York State Medical Indemnity Fund, and Compelling Respondents to immediately accept the Application of KAS OH for enrollment in the New York State Medical Indemnity Fund in accordance with the lawful Order of Hon. Marsha Steinhardt, Supreme Court, Kings County dated October 15, 2014 which determined that KAS OH qualified for enrollment in accordance with Public Health Law §2999-h(1). Annulling the w/tra vires determination of Emily Prober dated November 20, 2014 that KAS OH did not qualify for enrollment in the Medical Indemnity Fund Declaring that Respondent/Defendants have not constitutional authority to make determinations concerning the eligibility for enrollment of KAS OH into the Medical Indemnity Fund; Declaring that the Respondents generally, and Emily Prober and/or AliCare specifically, are without statutory or regulatory authority under Public Health Law Article 29-D Title 4 or the Regulations promulgated pursuant to Public Health L. §2999-j(15) to make independent determinations as to the eligibility of KAS OH or any other judicially determined qualified plaintiff for enrollment in the Medical Indemnity Fund Declaring that Public Health Law Article 29-D, Title 4 and the Regulations promulgated thereunder do not authorize the Respondents to determine sua sponte that KAS OH, or any infant similarly situated, does not qualify for enrollment into the New York State Medical Indemnity Fund once a determination has been made by the Court in accordance with provisions of Pub. Health L. §2999-h(1) and (4); Declaring that once a determination has been made by a jury or court that an infant is a qualified plaintiff by virtue of having sustained a birth related neurological injury, under Public Health Law § 2999-h(4) the Superintendent or his designee are without authority to overrule, supplant override or ignore such determination; Declaring that the Respondents’ determination that KAS OH is not eligible for enrollment in the New York State Medical Indemnity Fund, which determinationwas made without any hearing or other enumerated procedure, violates the petitioners rights to due process under Article I section 6 of the Constitution of the State of New York and the Fourteenth Amendment to the Constitution of the United States. i) Declaring that the Respondents’ determination that KAS OH is not eligible for enrollment in the New York State Medical Indemnity Fund violates the separation of powers doctrine by substituting the judgment of a member of the Executive Branch for the judgment of a member of the Judiciary. Jj) Declaring that legislation authorizing that a legal determination be made bya member of the Judiciary cannot authorize a member of the Executive branch of government sua sponte to overrule or disregard such judicial determination because to do so violates the Separation of Powers doctrine; k) Declaring generally that the Respondents are not empowered or authorized to review a determination of a member of the Judiciary and substitute their own determination because to do so violates the Separation of Powers doctrine. 1) For such other and further relief as this court deems just and proper. PLEASE TAKE FURTHER NOTICE that pursuant to CPLR §7804 (c) an answer and any supporting papers must be served on the undersigned no later than five (5) days before the return date set forth above. Dated: February 12, 2015 To: New York, New York Christine Nash, Of Counsel Charles E. Kutner, Of Counsel 1500 Broadway 21" Floor New York, NY 10036 (212) 486-4244 Attorneys For Petitioners KAS OH, An Infant by his Parents and Natural Guardians GARNER OH And TAMARA PETROVIC Eric T, SchneidermanAttorney General, State of New York Office of the Attorney General 120 Broadway 24" Floor New York, New York 12224 Benjamin Lawsky Superintendent, N.Y.S. Department of Financial Services One State Street New York, NY 10004-1511 Emily Prober AliCare, Inc, 333 Westchester Ave White Plains, NY 10604