Delta Cas. Co. v. Pinnacle Medical, Inc.

721 So. 2d 321
CourtDistrict Court of Appeal of Florida
DecidedOctober 2, 1998
Docket97-1429, 97-1588 and 97-3093
StatusPublished
Cited by8 cases

This text of 721 So. 2d 321 (Delta Cas. Co. v. Pinnacle Medical, Inc.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Delta Cas. Co. v. Pinnacle Medical, Inc., 721 So. 2d 321 (Fla. Ct. App. 1998).

Opinion

721 So.2d 321 (1998)

DELTA CASUALTY COMPANY, Nationwide Mutual Fire Insurance Company, and Bankers Insurance Company, Appellants,
v.
PINNACLE MEDICAL, INC., etc., and M & M Diagnostics, Inc., et al., Appellees.

Nos. 97-1429, 97-1588 and 97-3093.

District Court of Appeal of Florida, Fifth District.

October 2, 1998.
Rehearing Denied November 12, 1998.

*322 Clay W. Schacht and Christopher S. Reed of Jack, Wyatt, Tolbert & Thompson, P.A., Maitland, for Appellants Delta Casualty Company and Nationwide Mutual Fire Insurance Company.

Brian D. DeGailler of Litchford & Christopher, Orlando, for Appellant Bankers Insurance Company, etc.

Harley N. Kane of Greenspan & Kane, Boca Raton, for Appellee Pinnacle Medical, Inc., etc.

Mark Tischhauser, Tampa, for Appellee M & M Diagnostics, Inc., et al.

EN BANC

DAUKSCH, Judge.

This is a consolidated appeal. Appellants, insurance companies, timely appeal the county court's orders denying their motions to dismiss and compel arbitration and declaring a portion of section 627.736(5), Florida Statutes (1995) to be unconstitutional as violative of Article I, Section 9 of the Constitution of the State of Florida. In Pinnacle Medical, Inc. v. Delta Casualty Co., the first case before the county court, the court certified the following question to be of great public importance:

Does the arbitration requirement of section 627.736(5) violate Article I, Section 9, of the Florida Constitution?

The county court's order in Delta sets forth the factual basis and the court's reasoning for declaring section 627.736(5) to be unconstitutional in each of these cases as follows:

In this action plaintiff, Pinnacle Medical, Inc. (Pinnacle) alleges that it provided medical treatment to Jacques Louis Raymond, who was injured in an automobile accident. Raymond was insured by a personal injury protection (PIP) insurance policy issued by defendant, Delta Casualty Co. (Delta). In return for his treatment, Raymond assigned his right to receive benefits under the policy to Pinnacle. Pinnacle submitted his medical bills to Delta, which refused to pay them. Pinnacle, as Raymond's assignee, now brings this action for breach of the insurance contract.
Delta asserts that this action must be referred to binding arbitration in accordance with section 627.736(5), Florida Statutes. Because the arbitration portion of that statute violates Article I, Section 9 of the Florida Constitution, that provision is unenforceable, and Delta's request to have the Court order this dispute to binding arbitration is denied.
The legislature has broad power to regulate business, especially the insurance business. See Hughes v. Professional Ins. Corp., 140 So.2d 340 (Fla. 1st DCA 1962)[sic]. Such legislation, however, must be reasonably related to a legitimate legislative objective. Lasky v. State Farm Ins. Co., 296 So.2d 9 (Fla.1974).
Most owners of a motor vehicle required to be registered in Florida must buy PIP insurance. § 627.733, Fla. Stat. Under the statutory PIP scheme, the insured is assured *323 of receiving certain medical, disability, and death benefits, but loses the common law right to sue a negligent party for those same damages. § 627.736(3), Fla. Stat. To further the purpose of the law, section 627.736(5) requires that a medical provider charge only a reasonable amount for services rendered to an insured and that those benefits are to be paid directly to the provider if the insured so directs on a form approved by the Department of Insurance. The issue presented in the present action involves the amendment to that statute effected by Ch. 90-119, Sec. 40, Laws of Florida. This act added the following language to the statute:
Every insurer shall include a provision in its policy for personal injury protection benefits for binding arbitration of any claims dispute involving medical benefits arising between the insurer and any person providing medical services or supplies if that person has agreed to accept assignment of personal injury protection benefits....
Under Lasky the Court must determine whether this act is reasonably related to a legitimate legislative objective. The act requires a contest between a medical provider-assignee and an insurer to be resolved by arbitration while those between an insured and insurer may be resolved in court. In other words, the act allows access to the court for claims for or against the insured, but denies it for claims for or against the medical provider. It is readily apparent that the objective of the act is to deny the right to litigate certain legitimate claims in court based on who owns the claim. Given the people's right to redress wrongs in court provided by Article I, Section 21, Florida Constitution, such an objective cannot be considered a legitimate one. Therefore, the act violates the parties' substantive due process rights under Article I, Section 9, of the Florida Constitution.[1]
For the forgoing reasons, Chapter 90-119, Section 42, Laws of Florida codified in section 627.736(5), Florida Statutes, is hereby declared unconstitutional and unenforceable as being in violation of the due process provision of the Florida Constitution. Accordingly, Delta's request to order Pinnacle's claim to binding arbitration is denied.

In its order, the county court relied on Lasky v. State Farm Ins. Co., 296 So.2d 9 (Fla.1974). In Lasky, the supreme court held that a party challenging the constitutionality of a statute has the burden of proving that it is invalid. As the Lasky court observed, the test used to determine whether a statute is violative of the due process clause "is whether the statute bears a reasonable relation to a permissible legislative objective and is not discriminatory, arbitrary or oppressive." Id. at 15. In order to determine whether the statute bears a reasonable relation to the legislative objectives underlying its enactment, it is necessary to look at those objectives. Id. In doing so, a court should focus on whether the means chosen are constitutional rather than the legislature's wisdom in choosing the means used or whether the chosen means will accomplish the intended goals. Id. at 15-16.

Conceding that there is an absence of legislative history pertaining to section 627.736(5), appellants contend that the legislature's dual classification scheme, consisting of the insured, who is allowed to sue the insurance company in court, and the medical providers accepting an assignment of benefits, who are provided the reasonable alternative *324 of arbitration, a common and widelyaccepted method of dispute resolution, nevertheless bears a reasonable relation to the permissible legislative objectives of regulating the insurance industry and of reducing congestion in the court system, scheduling delays and automobile insurance premiums.

Appellants further contend that the legislature's abolishment of the medical providers' common law or statutory right of access to courts for redress of a particular injury is proper because it provided them with the reasonable alternative of arbitrating their disputes. See Kluger v. White, 281 So.2d 1 (Fla.1973) (legislature is without power to abolish common law or statutory[2]

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721 So. 2d 321, Counsel Stack Legal Research, https://law.counselstack.com/opinion/delta-cas-co-v-pinnacle-medical-inc-fladistctapp-1998.