43 Fla. L. Weekly D1588d
249 So. 3d 779
Insurance — Personal injury protection — Deductible — Statute requires that deductible be applied to 100% of expenses and losses before reducing amount paid pursuant to statutory reimbursement limitation — Conflict certified — Question certified: When calculating the amount of PIP benefits due an insured, does section 627.739(2) require that the deductible be subtracted from the total amount of medical charges before applying the reimbursement limitation under section 627.736(5)(a)1.b., or must the reimbursement limitation be applied first and the deductible subtracted from the remaining amount?
PROGRESSIVE SELECT INSURANCE COMPANY, Petitioner, v. FLORIDA HOSPITAL MEDICAL CENTER A/A/O JOSE SANCHEZ, Respondent. 5th District. Case No. 5D17-3540. July 13, 2018. Petition for Certiorari Review of Decision from the Circuit Court for Orange County Acting in its Appellate Capacity. Counsel: Douglas H. Stein, of Association Law Group, P.L., Miami, for Petitioner. Chad A. Barr and Heather M. Kolinsky, of Law Office of Chad A. Barr, P.A., Altamonte Springs, and Robert J. Hauser, of Pankauski Hauser PLLC, West Palm Beach, for Respondent.
(PER CURIAM.) Progressive Select Insurance Company (“Progressive”) petitions for a writ of certiorari regarding an order issued by the circuit court sitting in its appellate capacity in favor of Florida Hospital Medical Center (“Florida Hospital”) a/a/o Jose Sanchez. Progressive seeks certiorari because of the circuit court’s affirmance that Sanchez’s personal injury protection (“PIP”) deductible should be applied to 100% of Florida Hospital’s total medical charges before reducing the amount paid by Progressive pursuant to the statutory reimbursement limitation provided in section 627.736(5)(a)1.b., Florida Statutes (2013).
This case is identical to our recent decisions in Progressive Select Insurance Co. v. Florida Hospital Medical Center a/a/o Parent, 236 So. 3d 1183, 1192 (Fla. 5th DCA 2018), and Progressive Select Insurance Co. v. Florida Hospital Medical Center a/a/o Pena, 236 So. 3d 1182, 1182 (Fla. 5th DCA 2018). In those cases, we denied Progressive’s petitions for writs of certiorari, concluding:
Section 627.739(2)[, Florida Statutes (2014),] currently requires that the deductible be applied to 100% of the expenses and losses, and that is the version the circuit court properly applied. We see no divergence from the correct law in the circuit court’s decision, and we see no violation of a clearly established principle of law that results in a miscarriage of justice.
Parent, 236 So. 3d at 1192. We also certified a question of great public importance:
WHEN CALCULATING THE AMOUNT OF PIP BENEFITS DUE AN INSURED, DOES SECTION 627.739(2), FLORIDA STATUTES, REQUIRE THAT THE DEDUCTIBLE BE SUBTRACTED FROM THE TOTAL AMOUNT OF MEDICAL CHARGES BEFORE APPLYING THE REIMBURSEMENT LIMITATION UNDER SECTION 627.736(5)(a)1.b., OR MUST THE REIMBURSEMENT LIMITATION BE APPLIED FIRST AND THE DEDUCTIBLE SUBTRACTED FROM THE REMAINING AMOUNT?
Id. The Florida Supreme Court has accepted jurisdiction. Progressive Select Ins. Co. v. Fla. Hosp. Med. Ctr., No. SC18-278, 2018 WL 2064894, at *1 (Fla. Mar. 20, 2018). At the time of this opinion, it has not yet rendered its decision.
After we issued our opinions in Parent and Pena, the Fourth District Court reached a contrary result in several of its cases and certified conflict with our decisions. State Farm Mut. Auto. Ins. Co. v. Care Wellness Ctr., LLC, 240 So. 3d 22, 31 (Fla. 4th DCA 2018); USAA Gen. Indem. Co. v. Gogan, 238 So. 3d 937, 937 (Fla. 4th DCA 2018); Progressive Select Ins. Co. v. Blum, 238 So. 3d 852, 853 (Fla. 4th DCA 2018). We accordingly certify conflict with Care Wellness Center, Gogan, and Blum and certify the same question that we previously certified in Parent as one of great public importance.
PETITION DENIED; CONFLICT CERTIFIED; QUESTION CERTIFIED. (SAWAYA, PALMER, and LAMBERT, JJ., concur.)
