STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Plaintiff, vs. MIAMI-DADE COUNTY, Defendant.
16 Fla. L. Weekly Supp. 868a
Online Reference: FLWSUPP 169STAT3
Insurance — Personal injury protection — Reimbursement by insurer of commercial vehicle
16 Fla. L. Weekly Supp. 868a
Online Reference: FLWSUPP 169STAT3
Insurance — Personal injury protection — Reimbursement by insurer of commercial vehicle
16 Fla. L. Weekly Supp. 469a
Online Reference: FLWSUPP 165DISCO
Insurance — Personal injury protection — Reimbursement by insurer of commercial vehicle — Where insured of PIP carrier was injured in accident while driving sedan owned by his employer and insured through commercial motor vehicle policy, PIP carrier was not entitled to reimbursement of PIP benefits pursuant to section 627.7405, which allows for reimbursement to PIP carriers of private passenger vehicles by insurer of commercial vehicles involved in accident — Under statutory definition, sedan is private passenger vehicle regardless of use
16 Fla. L. Weekly Supp. 1173a
Online Reference: FLWSUPP 1612MARU
Insurance — Personal injury protection — Pretrial exhibit list using overly broad “any and all” language is stricken
16 Fla. L. Weekly Supp. 103a
Insurance — Personal injury protection — No merit to argument that insurer was required to pay 10% penalty not just on benefits due, but on benefits plus interest
16 Fla. L. Weekly Supp. 854b
Online Reference: FLWSUPP 169LEVY
Insurance — Personal injury protection — Notice of loss — Disclosure and acknowledgment form — Where medical provider used self-generated D&A form rather than standard form adopted by the Department of Financial Services, and insured did not sign D&A form on initial date of treatment, provider did not provide insurer with notice of covered loss
16 Fla. L. Weekly Supp. 93a
Insurance — Personal injury protection — Notice of loss — Disclosure and acknowledgment form — Nothing in sections 627.736(4) or (5) suggests that D&A form is written notice of covered loss or that failure to provide form precludes payment to medical provider — No merit to argument that section 627.736(5)(e) is rendered useless in absence of remedy for insurer for not providing form where statute serves purpose of insuring informed consent of patient to services rendered — Motion for rehearing denied
16 Fla. L. Weekly Supp. 92b
Insurance — Personal injury protection — Notice of loss — Disclosure and acknowledgment form — Nothing in sections 627.736(4) or (5) suggests that D&A form is written notice of covered loss or that failure to provide form precludes payment to medical provider — No merit to argument that section 627.736(5)(e) is rendered useless in absence of remedy for insurer for not providing form where statute serves purpose of insuring informed consent of patient to services rendered — Motion for rehearing denied
16 Fla. L. Weekly Supp. 37b
Insurance — Personal injury protection — Notice of loss — Disclosure and acknowledgment form — Insurer did not waive right to raise affirmative defense of failure to submit D&A form by failing to issue explanation of benefits
16 Fla. L. Weekly Supp. 176a
Online Reference: FLWSUPP 162TYSON
Insurance — Personal injury protection — Notice of loss — Disclosure and acknowledgment form — Medical provider that did not furnish D&A form to insurer failed to provide written notice of covered loss — Insurer is not estopped from asserting D&A form defense by initialing paying claims and then denying further payment based on independent medical examination — Medical provider opposing motion for summary judgment concerning failure to provide D&A form must present counter-evidence sufficient to reveal genuine issue of material fact, not merely assert that issue exists
16 Fla. L. Weekly Supp. 351a
Online Reference: FLWSUPP 164MITIA
Insurance — Personal injury protection — Notice of loss — Disclosure and acknowledgment form is legally sufficient where form lists service as “physical therapy” and attached HCFA form and medical records list actual CPT codes rendered
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