Volume 26

Case Search

PROFESSIONAL MEDICAL BUILDING GROUP, INC., a/a/o Manuel Prado, Plaintiff, vs. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign corporation, Defendant.

26 Fla. L. Weekly Supp. 139a

Online Reference: FLWSUPP 2602PRADInsurance — Personal injury protection — Declaratory action — Motion for reconsideration of order denying motion to dismiss count of complaint that seeks declaratory relief regarding unpaid portion of PIP claims is denied where challenged order was agreed to between parties, and insurer has failed to show that order was entered based on error, coercion or injustice — Moreover, fact that medical provider has another remedy at law does not preclude judgment for declaratory relief

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CRESPO & ASSOCIATES, P.A., a.a.o. Amirali Bhannadia, Plaintiff, v. STATE FARM MUTUAL INSURANCE COMPANY, Defendant.

26 Fla. L. Weekly Supp. 233a

Online Reference: FLWSUPP 2603BHANInsurance — Personal injury protection — Insurer’s motion for final summary judgment on ground that policy PIP benefits have been exhausted is denied where plaintiff is not seeking PIP benefits, but a declaratory judgment on the issue of whether policy clearly and unambiguously elected schedule of maximum charges payment calculation method, in which case provider would be prohibited from balance billing the insured for amounts not paid by insurer, or whether fact-dependent payment calculation method described in section 627.736(5)(a) applied — Regardless of whether benefits are exhausted, bona fide, actual, and present practical need for declaration exists

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PROGRESSIVE SELECT INSURANCE COMPANY, Appellant, v. LAMON WADE, Appellee.

26 Fla. L. Weekly Supp. 481a

Online Reference: FLWSUPP 2606WADEInsurance — Personal injury protection — Coverage — Medical expenses — Declaratory actions — Standing — Insured had standing to seek declaratory relief where insurer was in doubt as to amount of coverage insured was entitled to based on dispute as to whether he suffered emergency medical condition — Trial court did not err in entering summary judgment determining that insured suffered emergency medical condition — However, trial court erred in awarding insured remainder of PIP benefits where insured did not satisfy pre-suit demand letter requirements

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PROFESSIONAL MEDICAL BUILDING GROUP, INC. a/a/o Niurka Zamora, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign corporation, Defendant.

26 Fla. L. Weekly Supp. 33a

Online Reference: FLWSUPP 2601ZAMOInsurance — Personal injury protection — Coverage — Declaratory judgments — Court has jurisdiction to consider count in which provider seeks a declaration regarding whether policy at issue is clear and unambiguous and to insurer’s chosen methodology of reimbursement

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PROGRESSIVE SELECT INSURANCE COMPANY, Appellant, v. LAMON WADE, Appellee.

26 Fla. L. Weekly Supp. 347a

Online Reference: FLWSUPP 2605WADEInsurance — Personal injury protection — Declaratory action — Coverage — Emergency medical condition — Where parties disputed whether insured had suffered emergency medical condition that would entitle him to receive more PIP benefits, insured had standing to seek declaratory relief — Trial court erred in awarding insured remainder of available PIP benefits where insured did not satisfy presuit demand letter requirements

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HEALTH SOURCE OF BRANDON, as assignee of, Thomas Frey, Plaintiff, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a Foreign corporation, Defendant.

26 Fla. L. Weekly Supp. 414a

Online Reference: FLWSUPP 2605FREYInsurance — Where medical provider’s attorney filed amended petition for declaratory relief only minutes before hearing on motion to dismiss original petition, and facts indicate that primary purpose of filing amended petition was to cause unreasonable delay, insurer’s motion for sanctions is granted

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