Volume 23

Case Search

HEALTH DIAGNOSTICS OF FORT LAUDERDALE, LLC, d/b/a STAND UP MRI OF FORT LAUDERDALE (a/a/o ESTHER TORRES), Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant.

23 Fla. L. Weekly Supp. 648a

Online Reference: FLWSUPP 2306ETORInsurance — Small claims — Jury trial — Insurer in small claims case waived right to jury trial where medical provider did not demand jury trial at time it commenced case, and insurer did not demand jury trial within 5 days of service of complaint or at pretrial conference

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CESAR JAVELLANA AND SANDRA JAVELLANA, Plaintiff, vs. TOWER HILL SIGNATURE INSURANCE CO., Defendant.

23 Fla. L. Weekly Supp. 1031a

Online Reference: FLWSUPP 2310JAVEInsurance — Homeowners — Motion for directed verdict arguing that insurer’s payment of its adjuster’s estimate of actual cash value of insureds’ loss satisfied as matter of law insurer’s contractual obligation to pay “at least” actual cash value of loss is denied — No merit to argument that insurer is not obligated to make additional payments until and unless repairs to property are undertaken where insurer’s obligation to pay at least true actual cash value of loss exists irrespective of whether insureds elect to use payment for repairs

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SKY BELL ASSET MANAGEMENT, LLC and SKY BELL SELECT, L.P., Plaintiffs, vs. NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA, and FEDERAL INSURANCE CO., Defendants.

23 Fla. L. Weekly Supp. 535a

Online Reference: FLWSUPP 2306SKYBInsurance — Fidelity bonds — Coverage — Loss resulting from dishonest or fraudulent acts committed by employee acting alone or in collusion with others and committed with manifest intent to cause insured to sustain such loss or to obtain financial benefit for employee or another person or entity — Action against insurer by insured, which operated a “fund of funds” in the business of investing its clients’ capital with third-party investment advisors, who would select and manage the ultimate investments — Managers of funds in which insured invested were “employees” as defined by bond, which incorporated parties’ express agreement that “underlying managers” would fit within definition of “employees” — Standard of proof governing question of whether employee acted with “manifest intent” to cause loss is satisfied either by proof that it was employee’s purpose or desire to cause the insured to sustain a loss or by proof that the employee knew the loss was substantially certain to result from the employee’s conduct — Lack of due diligence is not a defense to coverage — Financial benefit — Language in bonds stating that financial benefit does not include salaries, commissions, fees bonuses, promotions, awards, profit sharing, pensions or other employee benefits earned in normal course of business does not encompass compensation secured by employees as direct consequence of their fraudulent conduct, even if it is of “type” an employee would earn in normal course of business — Discovery of employee dishonesty claims during bond period — Under policy language at issue, relevant question is not whether insured actually discovered its dishonesty claims during bond period, but whether, during the bond period, insured possessed facts which would cause a reasonable person to assume that a covered loss had been or will be incurred — Insurer not entitled to summary judgment on basis of insured’s admission that it did not discover its employee dishonesty claims until after the policy had terminated because factual issues exist as to what facts insured possessed during bond period which, when viewed objectively, would cause reasonable person to assume employee dishonesty — Proof of loss — If insured breached notice provision, prejudice to insurer will be presumed, but may be rebutted by showing that insurer has not been prejudiced by lack of notice — Because insurer argued only that insured’s failure to file proof of loss, standing alone, precluded suit, insurer is not entitled to summary judgment on proof of loss issue — Loss arising out of wire transfers — Although bonds provided that coverage arising out of wire transfers on behalf of employee would arise only if the wire transfers requested were approved in writing by an employee of the named insured listed on the declaration page, and employees in this case engaged in fraudulent conduct by, in part, “use” of the wires, that does not mean insured’s loss was one “arising out of” those transactions — Compensable damages — Insurer not entitled to summary judgment based on its contention that insured failed to prove compensable damages where insurer failed to affirmatively establish the absence of any genuine issue of material fact on the question of whether insured suffered any covered loss — Claim to setoff for collateral recoveries can be fully addressed post-trial if verdict is rendered in favor of insured

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HALLANDALE OPEN MRI, INC., A/A/O JEAN MARCELLUS, Appellant, v. UNITED AUTOMOBILE INSURANCE COMPANY, Appellee.

23 Fla. L. Weekly Supp. 316b

Online Reference: FLWSUPP 2304MARCInsurance — Personal injury protection — Coverage — Injuries sustained by claimant while occupying insured’s motor vehicle — Exclusions — Claimant was not owner of motor vehicle with respect to which security was required by No-Fault Law at time of accident where accident occurred during sunset or gap period when PIP law had expired and PIP coverage was not required, but optional — Trial court erred in entering final judgment in favor of insurer

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ROSAMUND COUTTS, Plaintiff, vs. FLORIDA PENINSULA INSURANCE COMPANY, Defendant.

23 Fla. L. Weekly Supp. 1012b

Online Reference: FLWSUPP 2310COUTInsurance — Homeowners — Motions for directed verdict or new trial following jury verdict in favor of insured who suffered damage to wood flooring due to broken water supply line under house are denied — Verdict form — No merit to argument that new trial is required because trial court used verdict form that did not refer to policy exclusion for loss due to constant or repeated seepage or leakage over 14 or more days where verdict form proposed by insurer that asked first if loss was due to sudden or accidental release of water and, if response to first question was yes, then asked if loss was due to constant and repeated seepage for more than 14 days would have been confusing and posed risk of inconsistent verdict — Moreover, there is no reasonable probability that claimed error in verdict form contributed to verdict where insurer failed to prove that damage, which was caused by burst water supply line, was caused by seepage or leakage within meaning of policy exclusion or that loss could only have occurred over period of 14 or more days — Evidence — Trial court asking insurer’s expert to clarify his opinion as to whether loss was sudden or occurred over extended period does not warrant new trial — Work product — No merit to argument that trial court erred in admitting damage estimate prepared by insurer’s adjuster into evidence where adjuster testified that estimate was prepared in ordinary course of business and not in anticipation of litigation, and admission of estimate did not prejudice insurer — No merit to argument that jury’s verdict is contrary to parties’ stipulation that due to broken supply line home was exposed to water for 14 or more days where policy exclusion does not apply simply because home was exposed to water for more than 14 days, it applies only if loss resulted from one of specified seepage or leakage conditions, which was not proven

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