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Volume 12

Case Search

REGINA JORDAN, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

12 Fla. L. Weekly Supp. 583b

Insurance — Personal injury protection — Discovery — Failure to comply — Sanctions — Where insured has been trying unsuccessfully for two years to obtain information on amount of money insurer has paid to medical providers who conducted independent medical evaluation and peer review, and insurer’s conduct has come perilously close to but has not quite reached level of egregious conduct necessary to invoke ultimate sanction of striking insurer’s pleadings, striking insurer’s experts and imposition of monetary sanctions are appropriate

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DR. HOWARD A. HOCHMAN, Appellant, vs. HARTLEY CHIROPRACTIC CENTER, on behalf of Tammi Williams, Plaintiff/Appellee, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant/Appellee.

12 Fla. L. Weekly Supp. 422a

Insurance — Personal injury protection — Discovery — Depositions — Failure to appear — Error to impose sanction of attorney’s fees and costs against nonparty expert witness for failure to appear at deposition without finding witness in contempt — Fact that witness declined option of having contempt hearing does not obviate need for finding of contempt to support imposition of sanctions — Further, award of sanctions was premature where witness was not given opportunity to comply with order granting motion to compel entered three days earlier

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R.J. TRAPANA, M.D., P.A., a Florida Corporation (assignee of Saint-Ristal, Vanessa), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

12 Fla. L. Weekly Supp. 990a

Insurance — Personal injury protection — Explanation of benefits — Insurer’s “non-compliance letter” which does not state reason for denial of charges is not sufficient as itemized specification of unpaid charges/EOB — Medical provider may maintain action for breach of contract for failure to furnish EOB — No merit to argument that provider cannot maintain action because it cannot establish damages where critical question in action is existence of breach of contract and damages, which may be nominal, are for jury to determine after determination of liability — Moreover, action seeks relief in form of specific performance, which does not require showing of damages

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NORTHEAST FLORIDA NEUROLOGY CLINICS, INC. (as assignee of Brad Crow), Plaintiff, vs. PROGRESSIVE EXPRESS INSURANCE COMPANY, a foreign corporation, Defendant.

12 Fla. L. Weekly Supp. 1069b

Insurance — Personal injury protection — Demand letter — Where demand letter was sufficiently specific to allow insurer’s claims representative to understand what claim was referenced and identity of provider claiming not to have been paid, it is irrelevant that demand letter was sent by provider’s billing agency — Insurer’s motion for summary judgment is denied

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PROGRESSIVE EXPRESS INSURANCE COMPANY, Appellant, vs. MICHELET POLYNICE, Appellee.

12 Fla. L. Weekly Supp. 1015b

Insurance — Personal injury protection — Demand letter — Insured complied with all material requirements of demand letter by specifying that unpaid claim at issue was mileage, the exact mileage due, and the date range in which transportation expense was incurred — Finding that letter was sufficiently specific is supported by fact that insurer made payment for exact amount claimed, with interest, but did not include statutory penalty and postage

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