Volume 15

Case Search

FIDEL S. GOLDSON, D.C., P.A., a Florida Corporation (assignee of Campbell, Kemal), Plaintiff, v. STATE FARM FIRE AND CASUALTY COMPANY, Defendant.

15 Fla. L. Weekly Supp. 845b

Insurance — Personal injury protection — Declaratory judgment — Assignee medical provider may maintain actions for declaratory relief and breach of contract to determine or enforce right to copy of PIP policy and declarations page under section 627.4137 — No merit to arguments that insurer satisfied obligation by furnishing information to insured, that statute applies only to third-party claims, that assignment of benefits does not specifically assign right to policy and declarations page, or that provider failed to comply with preconditions of section 627.736

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ROBERT AYERS, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 1031a

Insurance — Personal injury protection — Declaratory judgment — PIP log — Where insurer was not required to provide PIP log to insured, insured never requested PIP log, insurer nonetheless provided log to insured presuit, and there is no present controversy regarding coverage or payment of medical bills, insurer is entitled to summary judgment in declaratory action for PIP log

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GULF COAST INJURY CENTER NORTH, L.L.C. d/b/a GULF COAST INJURY CENTER (As Assignee of ROBERTO ALBIZAR), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 929b

Insurance — Personal injury protection — Declaratory judgment — PIP insurer is not required to provide PIP log to assignee/medical provider upon pre-suit request — There is no basis for provider’s claim that insurer breached contract by failing to furnish requested policy information — Knowledge of policy and declarations page previously furnished to assignor/insured is imputed to provider, and insurer indicated in response to demand letter that it had provided requested documents — Explanation of benefits — Insurer did not breach policy by failing to provide EOB where insurer did not deny or reduce any charges but paid charges until exhaustion of policy limits, at which time insurer provided EOB

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JKR REHAB & WELLNESS A/A/O OCARIS FERNANDEZ, Plaintiff, vs. PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 483a

Insurance — Personal injury protection — Declaratory judgment — Motion to dismiss action seeking determination of whether insurer had right to unilaterally recode medical provider’s charges is denied where determination will resolve actual dispute at issue in case — Fact that provider can obtain complete relief in another pending civil action does not preclude declaratory judgment

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DADE INJURY REHABILITATION CENTER, a Florida Corporation (assignee of James, Monique), Plaintiff, v. UNITED AUTOMOBILE INSURANCE COMPANY, Defendant.

15 Fla. L. Weekly Supp. 725a

Insurance — Personal injury protection — Explanation of benefits — Failure to provide EOB is material breach of PIP contract — Motion to dismiss counts claiming breach of contract and seeking declaratory relief regarding failure to provide EOB is denied — Argument that medical provider failed to furnish disclosure and acknowledgment form not considered in ruling on motion to dismiss because argument is outside four corners of pleadings and relates to other dates of service

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