Volume 14

Case Search

SALEM LEFILS, Appellant, vs. PROGRESSIVE CONSUMERS INSURANCE COMPANY, Appellee.

14 Fla. L. Weekly Supp. 917a

Insurance — Personal injury protection — Demand letter — Where insured served demand letter on individual other than person designated with Department of Insurance to receive demand letters on behalf of insurer, dismissal was appropriate — Statutory service requirement is not waived by showing that insurer was not harmed by service of demand letter on wrong person

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RAPID REHABILITATION, INC., (Verona A. Graham, Patient), Plaintiff, vs. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

14 Fla. L. Weekly Supp. 180a

Insurance — Personal injury protection — Demand letter — Sufficiency — Where medical provider is disputing full amount of claims submitted, and insurer made no payments at all on claims, provider was only required to submit either an itemized statement specifying amount, date of treatment and type of benefit claimed to be due or HCFA forms to fulfill statutory demand letter requirements — Where provider’s demand letter included both itemized statement and HCFA forms, and insurer’s failure to provide response indicating that demand letter was not in compliance breached PIP contract and statute, affirmative defense regarding sufficiency of demand letter is stricken

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FOUNTAIN IMAGING OF WEST PALM BEACH, LLC (a/a/o CHARLOTTE JENNINGS), Appellant, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Appellee.

14 Fla. L. Weekly Supp. 614a

Insurance — Personal injury protection — Demand letter — Where demand letter from unaccredited MRI provider demanded payment at rate applicable to accredited MRI provider, amounts claimed to be owed were not accurate or reasonable, and demand letter and claim were insufficient as matter of law — Summary judgment in insurer’s favor affirmed

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JORGE L. SANCHEZ, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

14 Fla. L. Weekly Supp. 395b

Insurance — Personal injury protection — Demand letter — Demand letters submitted to insurer by medical providers, and demand letters submitted to insurer by insured’s attorney on behalf of medical providers, were defective where they were submitted after medical providers had revoked assignment of benefits and reassigned all benefits and potential cause of action to insured — Insured lacked standing to file action against insurer for nonpayment of benefits where insured failed to comply with statutory requirement to furnish demand letter — Final summary judgment entered in favor of insurer

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LUIS A. HERNANDEZ, Appellant, v. PROGRESSIVE EXPRESS INSURANCE COMPANY, Appellee.

14 Fla. L. Weekly Supp. 232c

Insurance — Personal injury protection — Demand letter — Lost wages — Demand letter for wage loss claim did not comply with statutory requirements where letter stated number of weeks insured was out of work, multiplied by salary, but did not indicate dates on which insured was out of work after surgery — Appellate court will not entertain argument that section 627.736(11) is unconstitutional for retroactively materially changing insurance contract by requiring presuit demand letter where issue was not raised before trial court

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MARIA CATALINA OBANDO, Appellant, v. STATE FARM FIRE AND CASUALTY COMPANY, Appellee.

14 Fla. L. Weekly Supp. 932a

Insurance — Personal injury protection — Declaratory judgment — Insurer’s obligation to provide PIP log on presuit request from insured — No error in entering summary judgment in favor of insurer in insured’s declaratory action seeking PIP log where there is nothing in record to suggest that insured is disputing that bill was correctly applied to deductible or that coverage has been exhausted, and insured received requested information in explanation of benefits forms

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