Gomez v. Allied Professionals Insurance Company

CourtDistrict Court, S.D. Florida
DecidedJanuary 27, 2022
Docket1:19-cv-24994
StatusUnknown

This text of Gomez v. Allied Professionals Insurance Company (Gomez v. Allied Professionals Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gomez v. Allied Professionals Insurance Company, (S.D. Fla. 2022).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA

Case No. 19-cv-24994-BLOOM/Louis

ANIBAL GOMEZ,

Plaintiff,

v.

ALLIED PROFESSIONALS INSURANCE COMPANY,

Defendant. _________________________/

OMNIBUS ORDER ON PLAINTIFF’S MOTION TO REOPEN AND DEFENDANT’S MOTION FOR SANCTIONS

THIS CAUSE is before the Court upon Plaintiff Anibal Gomez’s (“Plaintiff”) Motion to Reopen Case or, in the Alternative, Determine Conflict of Law, ECF No. [31] (“Motion to Reopen”), filed on November 10, 2021and Defendant Allied Professionals Insurance Company’s (“Defendant”) Motion for Sanctions Pursuant to 28 U.S.C. § 1972 and the Court’s Inherent Powers, ECF No. [37] (“Motion for Sanctions”), filed on December 17, 2021 (collectively, “Motions”).1 The Court has carefully reviewed the Motions, the record in this case, the applicable law, and is otherwise fully advised. For the reasons set forth below, the Motions are denied. I. BACKGROUND This matter stems from a lawsuit Plaintiff initiated in the Eleventh Judicial Circuit in and for Miami-Dade County, Florida against Defendant on November 11, 2019, ECF No. [1-1].

1 Regarding the instant Motions, Defendant filed an Opposition to Plaintiff’s Motion to Reopen, ECF No. [36] (“Defendant’s Response”), to which Plaintiff filed a Reply, ECF No. [41] (“Plaintiff’s Reply”). Additionally, Plaintiff filed a Response in Opposition to Defendant’s Motion for Sanctions, ECF No. [42] (“Plaintiff’s Response”), to which Defendant filed a Reply, ECF No. [43] (“Defendant’s Reply”). The Motions are ripe for the Court’s consideration. Defendant removed the case to this Court on December 4, 2019, ECF No. [1], based upon diversity jurisdiction pursuant to 28 U.S.C. §§ 1332, 1441, and 1446. According to the Complaint, ECF No. [1-1], Defendant issued an insurance policy to its insured, Dr. Anthony Batillo (“Dr. Batillo”), “to cover and indemnify Dr. Batillo for professional liability for injuries arising out of the rendering of or the failure to render chiropractic services,”

with a policy limit of $1,000,000.00 per incident. Id. ¶¶ 4-5. While the policy was in effect, Plaintiff underwent chiropractic treatment with Dr. Batillo and suffered a dissection of his right internal carotid artery, which caused him to suffer an ischemic stroke. Id. ¶ 7. Plaintiff alleges that Defendant was timely notified of the negligence claim against Dr. Batillo and had sufficient information to timely tender the $1,000,000.00 policy limits. Id. ¶ 8. He maintains that Defendant “knew or should have known” that the value of Plaintiff’s claim, “if not settled promptly, presented a risk of certain financial exposure” “well in excess of the” policy limit. Id. ¶ 10. He adds that he provided Defendant “with at least three opportunities” to settle the claim within the policy limits, id. ¶ 11, but those demands were rejected or ignored. Id. ¶¶ 12-13.

Plaintiff alleges that on November 14, 2018, he obtained a final judgment against Dr. Batillo for approximately $3.7 million. Id. ¶ 14.2 In his view, Defendant should have timely tendered the $1,000,000.00 policy limit to settle the underlying claim because “[d]oing so would have been proper pursuant to settled Florida bad faith law.” Id. ¶ 16. The Complaint alleges a single count for common law bad faith based on Defendant’s alleged breach of its duties of good faith to Dr. Batillo, including its failure to settle Plaintiff’s claim within policy limits “when it could have and should have done so.” See id. ¶¶ 18-24.

2 On March 25, 2020, the Court granted Plaintiff’s unopposed motion for leave to amend paragraphs 23 and 24 of the Complaint by interlineation, ECF Nos. [21] and [22], to allege that Plaintiff was also awarded $841,947.15 in attorney’s fees and costs, plus statutory interest, against Dr. Batillo in the underlying action. On March 17, 2020 Defendant filed a Motion to Compel Arbitration and Stay Proceedings, ECF No. [20] (“Motion to Compel”), requesting that the Court compel arbitration to occur in California and to stay proceedings in the Southern District of Florida pursuant to the Federal Arbitration Act, 9 U.S.C. § 1 et seq. (“FAA”), and Section V.C of the subject insurance policy. See ECF No. [20]; see also ECF No. [20-1] at § V.C. On May 6, 2020, the Court entered an Order

granting the Motion to Compel. ECF No. [27] (“Order”). In that Order, the Court determined that while Plaintiff is not a signatory to the underlying contract, he is nonetheless bound by the arbitration provision at issue under both equitable estoppel and admitted third-party beneficiary theories. Id. at 11. Specifically, the Court explained that “[b]y seeking such benefits arising from the policy’s provisions, Plaintiff is estopped from avoiding the burdens of the same policy.” Id. at 11. The Court further noted “that Plaintiff’s bad faith claim is ‘not separate and distinct from’ but is ‘derivative of’ a potential claim Dr. Batillo could bring based on the policy.” (citation omitted)). Relevant to the instant Motion to Reopen, the Court also held that an arbitrable issue exists. Specifically, the Court rejected Plaintiff’s contention that an arbitrable issue did not exist because

California courts do not recognize third-party bad faith insurance claims. Id. at 16-17. The Court explained: The Complaint asserts a Florida common law third-party bad faith claim against Defendant. Plaintiff cites no authority for the implied proposition that an arbitrator in California cannot hear claims arising under Florida law. Nor does he identify any authority for the related proposition that an arbitrator in California cannot hear claims under another state’s law that are not recognized under California law.

The arbitration provision, moreover, broadly states that it applies to a dispute or claim “with respect to any of the terms or provisions of this Policy, or with respect to the performance by any of the parties to the Policy[.]” See Section V.C. And it explicitly directs that arbitration will occur in California. Plaintiff, thus, fails to show how the instant dispute, which arises from Defendant’s alleged breach of duties owed to Dr. Batillo under the policy, falls outside the ambit of that provision. The Court further recognizes that other courts have approved arbitrating Florida based insurance disputes in California under this arbitration clause. “Faced with a facially valid arbitration agreement, the burden is on the party opposing arbitration to demonstrate that the agreement is invalid or the issue otherwise non-arbitrable.” Plaintiff has not met his burden on this point and the Court finds that an arbitrable issue exists.

Id. (internal citations omitted).

Plaintiff thereafter initiated arbitration proceedings with the American Arbitration Association (“AAA”) against Defendant, alleging a single cause of action for common law, third- party bad faith. At the scheduling conference held on June 25, 2021, the parties jointly moved the arbitration panel to determine whether Florida or California law should apply to the arbitration proceeding pursuant to the choice of law provision in the policy.3 ECF No. [31-1] at 1; see also ECF No. [36-5] at 1. Specifically, the choice of law provision provides: R. Choice of Law.

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Gomez v. Allied Professionals Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gomez-v-allied-professionals-insurance-company-flsd-2022.