Volume 14

Case Search

HEALTHY LIFE MEDICAL CENTER, INC., as assignee of Enrique Escalante, Plaintiff, vs. MERCURY INSURANCE COMPANY OF FLORIDA, Defendant.

14 Fla. L. Weekly Supp. 100c

Insurance — Personal injury protection — Discovery — Depositions — Sanctions — Insurer’s motion for sanctions against medical provider that objected to request to depose provider’s owner is denied where insurer did not provide reasonable explanation for failing either to set deposition or file motion to compel for twelve months after provider’s objection, and provider agreed to provide owner for deposition at reasonable time before hearing and did so — Coverage — Affirmative defenses — Amendment — Denial — Motion to amend answer to assert fourteen additional affirmative defenses is denied where insurer filed motion one year after suit was filed, insurer failed to offer any explanation for delay, insurer knew or should have known of defenses at time original answer was filed or shortly thereafter, and new defenses would prejudice medical provider and inject new issues into case which were not raised in pleadings or discovery and which are calculated to cause further delay and defeat provider’s motion for summary judgment with paper issues — Conclusory defenses are insufficient as matter of law

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PROGRESSIVE EXPRESS INSURANCE COMPANY, Petitioner, v. ST. GERMAIN CHIROPRACTIC, as assignee of ERNESTO LOPES, Respondent.

14 Fla. L. Weekly Supp. 758a

Insurance — Personal injury protection — Discovery — Depositions — In granting motion for clarification of ruling that trial court departed from essential requirements of law by compelling deposition sought to find out how insurer determined reasonable charges, appellate court determines that issues raised in pleadings and joint pretrial statement include reasonableness of charges but maintains that reasons underlying amount insurer pays on claims is totally irrelevant because it is medical provider’s burden to prove reasonableness of charges rather than insurer’s burden to disprove reasonableness

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PROGRESSIVE EXPRESS INSURANCE COMPANY, Petitioner, v. ST. GERMAIN CHIROPRACTIC, as assignee of ERNESTO LOPES, Respondent.

14 Fla. L. Weekly Supp. 757a

NOT FINAL VERSION OF OPINION
Subsequent Changes at 14 Fla. L. Weekly Supp. 758a

Insurance — Personal injury protection — Discovery — Depositions — Where reasonableness of medical provider’s charges is not in dispute, deposition of member of insurer’s steering committee to find out how insurer determined amount it would pay PIP providers seeks irrelevant information, and order compelling deposition departs from essential requirements of law — Even if reasonableness of charges were at issue, provider would still not be entitled to take deposition because reasons and motives underlying insurer’s actions are not relevant to claim for benefits

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FLORIDA HEALTH AND CHIROPRACTIC MEDICINE, as assignee of BARBARA RAMOS, Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

14 Fla. L. Weekly Supp. 95a

Insurance — Personal injury protection — Discovery — Depositions — Failure to attend — Where insurer has shown deliberate and contumacious disregard of court’s authority, bad faith, willful disrespect or gross indifference to court order and deliberate callousness by failing to follow three prior orders requiring insurer’s claims adjuster to appear at depositions, insurer’s pleadings are stricken

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UNITRIN DIRECT INSURANCE COMPANY, Plaintiff, v. RENANDE HIPPOLITE, Defendant.

14 Fla. L. Weekly Supp. 51a

Insurance — Personal injury protection — Declaratory action — Discovery — Depositions — Failure to attend — Where insured failed to cooperate with insurer in investigation of claim by failing to attend multiple depositions, including deposition ordered by court, and gave incomplete or misleading testimony regarding claims history and accident allegedly caused by phantom vehicle, no PIP coverage exists — Insurer is relieved of all obligations to insured, any other named insured or any omnibus insured for any damages received as result of alleged accident — Civil judgment entered against insured

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UNITED AUTOMOBILE INSURANCE COMPANY, a Florida corporation, Appellant, vs. ALDO GONZALEZ, Appellee.

14 Fla. L. Weekly Supp. 631b

Insurance — Personal injury protection — Default — Vacation — Excusable neglect — Failure of attorney’s secretary to retrieve bailiff’s voice mail message advising that case would start that afternoon constitutes excusable neglect where neglect is that of secretary, not attorney, and secretary was assigned to work for three attorneys on day of trial

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