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HORTENCIA BOTERO, Appellant, v. FIDELITY NATIONAL INSURANCE COMPANY, Appellee.

4 Fla. L. Weekly Supp. 440a

Insurance -- Personal injury protection -- Insured alleging insurer acted against her rights when it settled physician's bill for amount less than eighty percent of the amount originally billed -- Nothing in record supports insured's contention that she was required to make co-payment in amount equalling twenty percent of original bill, rather than twenty percent of lower bill negotiated by insurer

Continue ReadingHORTENCIA BOTERO, Appellant, v. FIDELITY NATIONAL INSURANCE COMPANY, Appellee.
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WENDY WILLIAMSON, Appellant, vs. FORTUNE INSURANCE COMPANY, Appellee.

4 Fla. L. Weekly Supp. 510a

Insurance -- Personal injury protection -- After the fact finding that diagnostic neurological tests were of no use or value in treatment of insured did not support trial court's conclusion that diagnostic tests did not constitute necessary medical service -- Paper review unaccompanied by physical examination not sufficient basis for recommendation that benefits for chiropractic treatment be terminated -- After the fact determination that insured received no benefit from last visit with chiropractor does not absolve insurer from liability for expense where last visit was medically necessary

Continue ReadingWENDY WILLIAMSON, Appellant, vs. FORTUNE INSURANCE COMPANY, Appellee.
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YEILYN GARCIA, a minor, by and through her mother and next friend, ISABEL BETANCOURT, Plaintiff, v. U.S. SECURITY INSURANCE COMPANY, INC., a foreign insurer, Defendant.

4 Fla. L. Weekly Supp. 869a

Insurance -- Personal injury protection -- Deductible -- Dependent relatives residing in insured's household -- Where minor and her family shared living space with insureds, who were relatives of minor's mother, for short period after arriving from Cuba, depended upon insureds for sustenance for only two days before receiving charitable and governmental assistance, and contributed to household expenses until such time as they became able to support themselves and move out, minor was not financially dependent upon insured at time of accident and was not liable for payment of PIP deductible which would apply to dependent relative living in insured's household

Continue ReadingYEILYN GARCIA, a minor, by and through her mother and next friend, ISABEL BETANCOURT, Plaintiff, v. U.S. SECURITY INSURANCE COMPANY, INC., a foreign insurer, Defendant.
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RONALD BOWMAN, Appellant, vs. ARMOR INSURANCE COMPANY, a Florida corporation, Appellee.

4 Fla. L. Weekly Supp. 375a

Insurance -- Personal injury protection -- PIP policy's provision requiring insured to submit to recorded statement or examination under oath prior to payment of PIP benefits does not violate Florida's No-Fault Act -- Policy provision for recorded statements in no way precludes prompt recovery -- Insured's failure to submit to recorded statement or examination under oath constituted failure to comply with condition precedent, and therefore insured was precluded from receiving PIP benefits

Continue ReadingRONALD BOWMAN, Appellant, vs. ARMOR INSURANCE COMPANY, a Florida corporation, Appellee.
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RAYMOND GAUVREAU, Appellant, v. FORTUNE INSURANCE CO., Appellee.

4 Fla. L. Weekly Supp. 380a Insurance -- Personal injury protection -- Wrongful withholding of benefits -- Appellate court must assume lower court decided factual issues correctly where party seeking reversal for insufficiency of evidence failed to provide transcript of proceedings before lower court or stipulated statement of facts as substitute for transcript -- Summary judgment was properly granted in favor of insurer as matter of law where plaintiff never provided insurer with medical bills at issue prior to filing lawsuit -- Insurer has no obligation to pay benefits to insured until thirty days after claimant supplies proof that covered loss occurred and proof of amount of loss

Continue ReadingRAYMOND GAUVREAU, Appellant, v. FORTUNE INSURANCE CO., Appellee.
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FRANCES SARCONE, Appellant, vs. PAUL SOUTHERN, JUDY SCHUNN, and JAMES DUFFY, PLAN COMMITTEE FOR MEDCHOICE GROUP LIFE AND DISABILITY INSURANCE PROGRAM, Appellee.

4 Fla. L. Weekly Supp. 134a

Employer-employee relations -- Employee benefit plans -- Employee who received workers' compensation benefits for work-related injury was specifically precluded by provisions of plan document from receiving short-term disability benefits for same injury -- Plan document, which expressly precluded payment of short-term disability benefits for injury or illness covered by workers' compensation, controlled over summary description of plan, which did not mention restrictions on eligibility for employees receiving workers' compensation benefits -- No genuine inconsistency, uncertainty or ambiguity exists with regard to provisions of plan document precluding payment of disability benefits to workers' compensation recipients

Continue ReadingFRANCES SARCONE, Appellant, vs. PAUL SOUTHERN, JUDY SCHUNN, and JAMES DUFFY, PLAN COMMITTEE FOR MEDCHOICE GROUP LIFE AND DISABILITY INSURANCE PROGRAM, Appellee.
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WILLIAM E. DUNLAP, Plaintiff, vs. NEW YORK LIFE INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 862a

Insurance -- Disability -- Insured's action against insurer for accrued benefits -- Insurer's motion for stay of state court action pending resolution of previously filed declaratory judgment action which had been removed to federal court is denied -- In interest of justice, case should not be stayed where there is no prospect of early resolution of federal court case and insured will suffer substantial prejudice if he is indeed disabled and entitled to disability benefits under the policy -- Denial of motion is without prejudice to renewal of motion should issue of repudiation of policies be revisited in federal case or if it is established, through discovery in instant case, that repudiation in fact occurred

Continue ReadingWILLIAM E. DUNLAP, Plaintiff, vs. NEW YORK LIFE INSURANCE COMPANY, Defendant.
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KEVIN RALPH DALDORF, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a/s/o CLYDE METCALF and CLYDE METCALF, Appellees.

4 Fla. L. Weekly Supp. 627b

Torts -- Insurance -- Automobile insurer's subrogation action against tortfeasor seeking to recover expenses of rental vehicle when insured's pleasure vehicle had been totally destroyed -- Loss of use is recoverable as an element of damages when a pleasure vehicle has been totally destroyed by a tortfeasor

Continue ReadingKEVIN RALPH DALDORF, Appellant, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a/s/o CLYDE METCALF and CLYDE METCALF, Appellees.
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RICKY GONZALEZ, etc., Plaintiff, v. MIDLAND RISK INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 844a

Insurance -- Automobile -- Property damage -- Insurer who has accepted insured's rights to proceed against tortfeasor through subrogation has no duty to assert insured's claim for deductible or to account or pay its insured from any recovery obtained from tortfeasor or tortfeasor's insurer -- By electing to proceed against collision insurer instead of against tortfeasor, and by assigning rights to proceed against tortfeasor to insurer, insured elected to assume burden of recovering the deductible

Continue ReadingRICKY GONZALEZ, etc., Plaintiff, v. MIDLAND RISK INSURANCE COMPANY, Defendant.
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JOSE M. RODRIGUEZ and JOSE ANGEL RODRIGUEZ, individually and on behalf of all others similarly situated, Plaintiffs, v. UNION AMERICAN INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 260a

Insurance -- Automobile -- Cancellation of policy after insured failed to respond to notice of additional premium -- Insurer violated statute when it cancelled plaintiff's policies several weeks after cancellation date specified in notice and charged an additional premium for the improper coverage period -- Both statute and provisions of insurance policy required that, in assessing an additional premium, insurer notify insured of date on which policy will be cancelled if insured takes no action

Continue ReadingJOSE M. RODRIGUEZ and JOSE ANGEL RODRIGUEZ, individually and on behalf of all others similarly situated, Plaintiffs, v. UNION AMERICAN INSURANCE COMPANY, Defendant.
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ONELIA MARIA ALEMAN, individually and on behalf of all others similarly situated, Plaintiffs, vs. ARIES INSURANCE COMPANY, Defendants.

4 Fla. L. Weekly Supp. 257a

Insurance -- Automobile -- Cancellation of policy -- Once insurer discovers that it charged an incorrect premium, insurer must send insured notice of the additional amount due -- Notice must outline three options specified in statute and must include date policy will be cancelled in the event insured fails to timely respond to notice -- Insurer violated statute when it cancelled plaintiff's policies several weeks after cancellation date specified in notice and charged an additional premium for the improper coverage period

Continue ReadingONELIA MARIA ALEMAN, individually and on behalf of all others similarly situated, Plaintiffs, vs. ARIES INSURANCE COMPANY, Defendants.
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DAVID J. SWYGERT, Appellant, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, a Corporation, Appellee.

4 Fla. L. Weekly Supp. 524a

Insurance -- Personal injury protection -- Error to deny attorney's fees and costs incurred by insured in connection with injured party's PIP claim where insurer initially denied coverage and filed third-party complaint against its insured seeking declaration that there was no coverage due to alleged misrepresentations on application, but subsequently voluntarily dismissed its suit against insured and settled with claimant for full amount claimed under policy

Continue ReadingDAVID J. SWYGERT, Appellant, v. PROGRESSIVE AMERICAN INSURANCE COMPANY, a Corporation, Appellee.
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NEW HAMPSHIRE INDEMNITY COMPANY, Appellant, vs. PINNACLE MEDICAL, INC., d/b/a ISO DATA DIAGNOSTICS, Appellee.

4 Fla. L. Weekly Supp. 753a

Insurance -- Personal injury protection -- Written notice of claim -- Attorney's fees -- Personal injury protection benefits are deemed overdue if they are not paid within thirty days after the insurer is furnished ``written notice of the fact of a covered loss and the amount of same'' -- Where Health Insurance Claim Form submitted by one of insured's health care providers indicated insured's condition was related to an auto accident, indicated a date which was either the date of injury or date insured first noticed symptoms of injury, contained personal information about insured, contained amount of loss, and listed the claim number that insurer assigned to the claim, the form contains sufficient information to constitute ``written notice'' of claim for covered loss and the amount of loss -- Where insurer has received written notice of the claim, burden is on insurer to investigate and then to pay the claim within thirty days from the date of receipt of written notice if it cannot prove it was not responsible for payment -- Where insurer failed to pay the claim within the requisite thirty days, insured's health care provider was entitled to an award of costs and attorney's fees

Continue ReadingNEW HAMPSHIRE INDEMNITY COMPANY, Appellant, vs. PINNACLE MEDICAL, INC., d/b/a ISO DATA DIAGNOSTICS, Appellee.
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FLORIDA DIAGNOSTIC INSTITUTE, INC. (as Assignee of Ulysses Alexander), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, an Insurance Company authorized to do business in Florida, Defendant.

4 Fla. L. Weekly Supp. 172a

Attorney's fees -- Insurance -- Personal injury protection -- Arbitration -- Policy provision's definition of ``prevailing party'' for purposes of entitlement to attorney's fees arising from arbitration proceeding is void as against public policy and unenforceable as matter of law

Continue ReadingFLORIDA DIAGNOSTIC INSTITUTE, INC. (as Assignee of Ulysses Alexander), Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, an Insurance Company authorized to do business in Florida, Defendant.
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THE CHIROPRACTIC CENTRE, P.A., Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 168a

Attorney's fees -- Insurance -- Personal injury protection -- Arbitration -- Health care provider who prevailed in arbitration is entitled to attorney's fees notwithstanding that amount awarded was less than the amount claimed -- Policy provision that there is no ``prevailing party'' in arbitration if amount awarded by arbitrators is less than full amount of claim asserted cannot override clear mandate of statute entitling prevailing party to attorney's fees and costs

Continue ReadingTHE CHIROPRACTIC CENTRE, P.A., Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.
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ROGES LORJUSTE, Plaintiff, v. ARMOR INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 180a

Attorney's fees -- Insurance -- Attorney's fees awarded to plaintiff in action to collect personal injury protection benefits after considering relevant factors, including novelty and complexity of case, counsel's skill, customary fee, results obtained, and time limitations imposed by the circumstances -- Use of contingency risk multiplier is appropriate under circumstances -- No fees awarded for time spent preparing for litigation of entitlement issue

Continue ReadingROGES LORJUSTE, Plaintiff, v. ARMOR INSURANCE COMPANY, Defendant.
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WILLIE HOLCOMB, Plaintiff, v. FORTUNE INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 479a

Insurance -- Personal injury protection -- Attorney's fees -- Insured's action against insurer -- Offer of judgment -- Insurer cannot make an offer of judgment and recover attorney's fees against an insured in a first-party PIP case -- Question certified -- Section 627.428 governs award of attorney's fees in PIP cases -- Insured's motion to strike insurer's offer of judgment is granted

Continue ReadingWILLIE HOLCOMB, Plaintiff, v. FORTUNE INSURANCE COMPANY, Defendant.
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BERMAN VOLTAIRE, Appellant, vs. FORTUNE INSURANCE COMPANY, Appellee.

4 Fla. L. Weekly Supp. 381a

Insurance -- Personal injury protection -- Attorney's fees -- Insured's action against insurer -- Where jury found insured entitled to $1000 in damages for his medical bills, but insured recovered nothing because policy had $2000 deductible, insured was not entitled to award of attorney's fees

Continue ReadingBERMAN VOLTAIRE, Appellant, vs. FORTUNE INSURANCE COMPANY, Appellee.
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JUAN J. VILLALOBOS, Plaintiff, vs. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.

4 Fla. L. Weekly Supp. 218a

Attorney's fees -- Insurance -- Personal injury protection -- Voluntary dismissal of insurer's counterclaim constituted an adjudication on the merits where insurer had voluntarily dismissed initial suit raising similar claims and involving same transaction -- Because adjudication on the merits occurred with voluntary dismissal of insurer's counterclaim, judgment was, in effect, entered for insured, precluding insurer from relitigating the issue and allowing insured to retain benefits previously paid -- Insured entitled to recover attorney's fees incurred in defense of counterclaim

Continue ReadingJUAN J. VILLALOBOS, Plaintiff, vs. UNITED SERVICES AUTOMOBILE ASSOCIATION, Defendant.
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JERRY LOPEZ, Plaintiff, vs. FORTUNE INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 226a

Attorney's fees -- Insurance -- Insured entitled to attorney's fees incurred in defending judgments entered in his favor against insurer's motions to have judgments set aside and fees incurred in collecting, executing or obtaining satisfaction of judgments -- Contingency risk multiplier applies to defense of post-judgment motions to have judgments set aside, but does not apply to time expended in furtherance of execution, collection or satisfaction of judgments -- Insured awarded costs, expert witness fees, and interest

Continue ReadingJERRY LOPEZ, Plaintiff, vs. FORTUNE INSURANCE COMPANY, Defendant.
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ERICK JOSEPH, Plaintiff, v. ALLSTATE INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 325b

Insurance -- Attorney's fees -- Insured seeking award of attorney's fees and costs following resolution of insured's suit against insurer for unpaid medical bills -- Insured not entitled to fee award for counsel's presuit activity of filing earlier lawsuit which was voluntarily dismissed -- Multiplier of 1.75 applied to fee award -- Insured's attorney entitled to fee award for time spent arguing for application of a multiplier

Continue ReadingERICK JOSEPH, Plaintiff, v. ALLSTATE INSURANCE COMPANY, Defendant.
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DELOUIS LALOI, Plaintiffs, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 805a

Insurance -- Personal injury protection -- Attorney's fees -- Contingency multiplier -- Time and labor -- Plaintiff may obtain attorney's fees for litigating entitlement to attorney's fees, but not for litigating the amount of the fee -- Establishing entitlement to the use of a multiplier is an entitlement issue in which the client retains an interest -- Issues of multiplier, prejudgment interest, and market rate found to be issues of entitlement -- Time and labor -- Duplication of effort -- Where the billing statements of co-counsel are consistent with efforts to properly coordinate activities to save time and maximize the talents of each attorney to better represent the client, there is no duplication of effort and the attorneys made efficient use of their time and labor -- Novelty of issues -- Where a case involves several novel issues, which if supported by the facts will result in losing the case, the time spent is justified -- An attorney's requested hourly rate that is well within the range of fees charged in the community for similar work and by attorneys of similar skill and reputation is reasonable -- Contingency risk multiplier -- A multiplier is appropriate in cases where the insurance company contests a PIP case and the court finds that it would have been difficult if not impossible for PIP plaintiff to get proper legal representation on a contested PIP case without a contingency contract, and that attorneys of skill and reputation would not accept such cases without a contingency fee multiplier -- Where co-counsel shared the work and risk and testified they could not have achieved the same results without working as a team, they should share the same multiplier -- Expert witness fees -- Court has no discretion to deny the attorney expert witness fees -- Prejudgment interest on attorney's fees and costs shall accrue from the date of resolution of the case

Continue ReadingDELOUIS LALOI, Plaintiffs, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.
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LUDESTE DORELUS, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.

4 Fla. L. Weekly Supp. 668a

Attorney's fees -- Insurance -- Personal injury protection -- Contingency risk multiplier -- After assessment of pertinent factors, case merits application of risk multiplier of 1.5, despite lack of complexity of legal issues -- Evidence supports plaintiff's argument that relevant marketplace limits ability of litigants of plaintiff's financial strata to hire competent counsel for PIP suits of this nature without incentive of risk multiplier

Continue ReadingLUDESTE DORELUS, Plaintiff, vs. ALLSTATE INDEMNITY COMPANY, Defendant.
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MICHALE RIVERS, Plaintiff, vs. INTEGON GENERAL INSURANCE CORPORATION, Defendant.

4 Fla. L. Weekly Supp. 663a

Attorney's fees -- Insurance -- Attorney's fees awarded to insured who prevailed in suit against insurer arising out of delay in payment of personal injury protection benefits -- Fees for legal assistant work disallowed on ground that no testimony was introduced directly or through expert witnesses concerning those fees -- Application of 1.5 contingency risk multiplier is appropriate under circumstances -- Hourly rate of $250 deemed appropriate in view of attorneys' knowledge, skill and experience -- Plaintiff may not recover for attorney time spent as result of plaintiff's own misconduct, acts of omission or lack of cooperation, or for time attorneys spent litigating whether contingency risk multiplier should be factored into fee award -- Court declines to award fees for hired attorney's fees expert

Continue ReadingMICHALE RIVERS, Plaintiff, vs. INTEGON GENERAL INSURANCE CORPORATION, Defendant.
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JACQUELINE FORESTE, Plaintiff, v. ARMOR INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 490a

Attorney's fees -- Insurance -- Personal injury protection -- Insured awarded attorney's fees incurred in action against insurer -- Number of hours claimed is reasonable -- Issues involved were somewhat novel and complex in that insurer raised defense that insured had made material misrepresentations in insurance application by failing to disclose resident relatives and defense that insured made material misrepresentations when applying for benefits -- Market rate applicable to case is that charged in community for cases concerning principally tort and contract issues -- Application of contingency risk multiplier of 2.0 is appropriate under circumstances -- Insured entitled to award of fees incurred in litigating issue of entitlement to attorney's fees -- Issue of whether or not multiplier should be used is ``entitlement'' issue -- Insured entitled to award of prejudgment interest on attorney's fees from date of entitlement -- Where insurer entered into settlement with insured for benefits and interest on specified date, but failed to pay settlement amount within twenty days, insurer is required to pay additional interest on full settlement amount as penalty for delay

Continue ReadingJACQUELINE FORESTE, Plaintiff, v. ARMOR INSURANCE COMPANY, Defendant.
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CRUZ E. GUILCAPI, Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 788b

Insurance -- Automobile -- Physical damage -- Assistance and cooperation -- Where policy did not specifically list the giving of a statement as a condition precedent to filing a lawsuit or give notice to insured that he must deliver a statement prior to legal action, insured at no time prior to filing the suit refused to submit a written or sworn statement, and insured waited on two occasions for insurer's representative to call him for the requested statement, insured did comply with the cooperation requested in the investigation of his claim -- By its own conduct, insurer waived right to assert breach of cooperation clause as defense to coverage

Continue ReadingCRUZ E. GUILCAPI, Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.
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PEDRO CASTRO, Appellant, v. FORTUNE INSURANCE CO., Appellee.

4 Fla. L. Weekly Supp. 438c

Insurance -- Personal injury protection -- Trial court erred in finding that insured had validly assigned rights under policy to medical providers where plain language of policy prohibited assignment without written consent of insurer, and record revealed that insurer had not given written consent

Continue ReadingPEDRO CASTRO, Appellant, v. FORTUNE INSURANCE CO., Appellee.
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SHERYL ROSS, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 165a

Insurance -- Personal injury protection -- Motion to dismiss insured's breach of contract claim against insurer on ground that dispute should be resolved through binding arbitration is denied -- Statute providing for arbitration of disputes between insurer and any person providing medical services or supplies does not apply to dispute between insured and insurer -- Insurer failed to prove existence of any assignment of PIP benefits from insured to health care providers -- Motion to dismiss claim for declaratory relief on issue of whether policy provides PIP coverage for chiropractic treatment is denied

Continue ReadingSHERYL ROSS, Plaintiff, v. USAA CASUALTY INSURANCE COMPANY, Defendant.
  • Post category:Volume 4

BIOTRONIX LABORATORIES, INC. D/B/A ISO DATA DIAGNOSTICS, Appellant, vs. OAK CASUALTY INSURANCE COMPANY, Appellee.

4 Fla. L. Weekly Supp. 762a

Arbitration -- Insurance -- Personal injury protection -- Insurer waived right to arbitrate dispute with medical services provider by filing answer, affirmative defenses, and demand for jury trial

Continue ReadingBIOTRONIX LABORATORIES, INC. D/B/A ISO DATA DIAGNOSTICS, Appellant, vs. OAK CASUALTY INSURANCE COMPANY, Appellee.
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TIMOTHY L. BATES, Appellant, v. STATE OF FLORIDA, Appellee. 20th Judicial Circuit in and for Lee County.

4 Fla. L. Weekly Supp. 632a

Criminal law -- Driving under influence -- Argument -- Prosecutor's remark to jury asking ``How can you even equate the honesty of law enforcement officers to that of the defendant,'' patently improper -- Prosecutor may never attempt to sway jury to believe the testimony of police officers merely because they are police officers -- Reversal not required where error not preserved for appeal by objection and argument not so egregious as to constitute fundamental error

Continue ReadingTIMOTHY L. BATES, Appellant, v. STATE OF FLORIDA, Appellee. 20th Judicial Circuit in and for Lee County.
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PINNACLE MEDICAL, INC. d/b/a ISO Data Diagnostics, Plaintiff, v. SECURITY NATIONAL INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 571a

Arbitration -- Insurance -- Personal injury protection -- Statute requiring insurers to include within each PIP policy a provision offering arbitration as an option for dispute resolution does not require mandatory binding arbitration of all disputes between medical providers and insurers -- Binding arbitration not required absent an agreement between medical provider and insurer in which they specifically contract for arbitration of dispute or an assignment in which medical provider has made specific reference to statute and its arbitration option, thus evidencing an intent to arbitrate

Continue ReadingPINNACLE MEDICAL, INC. d/b/a ISO Data Diagnostics, Plaintiff, v. SECURITY NATIONAL INSURANCE COMPANY, Defendant.
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O.G.D. DIAGNOSTIC AND REHABILITATIVE SERVICES, Plaintiff, v. FORTUNE INSURANCE COMPANY, Defendant.

4 Fla. L. Weekly Supp. 567a

Arbitration -- Insurance -- Personal injury protection -- Statute requiring insurers to include within each PIP policy a provision offering arbitration as an option for dispute resolution does not require mandatory binding arbitration of all disputes between medical provider assignees and insurers -- Assignee of PIP benefits may not be compelled to arbitrate dispute with insurer where assignee is neither party to insurance contract nor an intended third party beneficiary, unless insured has agreed to binding arbitration as condition to recovery -- Motion to dismiss assignee's suit and to compel arbitration is denied

Continue ReadingO.G.D. DIAGNOSTIC AND REHABILITATIVE SERVICES, Plaintiff, v. FORTUNE INSURANCE COMPANY, Defendant.
  • Post category:Volume 4

PHYSICIANS DIAGNOSTIC AND REHAB, INC., Appellant, v. PROGRESSIVE CASUALTY INSURANCE COMPANY, Appellee.

4 Fla. L. Weekly Supp. 509c

Arbitration -- Insurance -- Personal injury protection -- Statute requiring insurers to include within each PIP policy a provision offering arbitration as an option to dispute resolution does not provide for mandatory arbitration -- Assignee of policy which did not contain a provision requiring arbitration of claims between insurer and insured was not required to submit to binding arbitration

Continue ReadingPHYSICIANS DIAGNOSTIC AND REHAB, INC., Appellant, v. PROGRESSIVE CASUALTY INSURANCE COMPANY, Appellee.
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ANTONIO COSTA, Appellant, vs. FIDELITY NATIONAL INSURANCE COMPANY, Appellee. 11th Judicial Circuit in and for Dade County, Appellate Division.

4 Fla. L. Weekly Supp. 130a

Arbitration -- Insurance -- Personal injury protection -- Dispute between insurer and medical services provider who has accepted assignment of benefits was required to be resolved by arbitration under terms of policy -- Although no written assignment of benefits had been made, trial court could infer the existence of valid assignment from fact that medical services provider presented its bill to insurer and requested that payment be made directly to provider rather than insured -- Order granting motion to dismiss and to compel arbitration is affirmed

Continue ReadingANTONIO COSTA, Appellant, vs. FIDELITY NATIONAL INSURANCE COMPANY, Appellee. 11th Judicial Circuit in and for Dade County, Appellate Division.
  • Post category:Volume 4

SUSAN JOYCE and KEVIN SKOLNICK, Plaintiffs/Appellants, vs. FORTUNE INSURANCE COMPANY, a Florida corporation, Defendant/Appellee.

4 Fla. L. Weekly Supp. 377a

Insurance -- Personal injury protection -- Applicant for insurance was required to disclose name of fiancee who was living with him at time of application and who was not registered owner of a vehicle -- Insurer was justified in denying coverage for injuries sustained by fiancee in accident that occurred while she was operating vehicle where omission of fiancee's name from application prevented insurer from investigating fiancee's driving record, and insurer would not have issued policy had it discovered fiancee's poor driving record -- Questions on application were not ambiguous with respect to requirement that applicant disclose names of anyone living in household who was not registered owner of a vehicle -- Applicant not required to disclose fiancee's name in response to request for ``Names of All Licensed Drivers and/or Drivers of Vehicle'' where fiancee's license was suspended at time of application and she did not at that time drive the insured vehicle -- Insurer not required to rescind policy in order to deny coverage for fiancee's injuries

Continue ReadingSUSAN JOYCE and KEVIN SKOLNICK, Plaintiffs/Appellants, vs. FORTUNE INSURANCE COMPANY, a Florida corporation, Defendant/Appellee.