Government Employees Insurance Co. v. Gomez-Cortes

CourtDistrict Court, S.D. Florida
DecidedMay 12, 2022
Docket1:20-cv-21558
StatusUnknown

This text of Government Employees Insurance Co. v. Gomez-Cortes (Government Employees Insurance Co. v. Gomez-Cortes) 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
Government Employees Insurance Co. v. Gomez-Cortes, (S.D. Fla. 2022).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA

Case No. 20-21558-Civ-WILLIAMS/TORRES

GOVERNMENT EMPLOYEES INSURANCE CO., GEICO INDEMNITY CO., GEICO GENERAL INSURANCE COMPANY and GEICO CASUALTY CO.,

Plaintiffs,

v.

JOSE DEJESUS GOMEZ-CORTES, M.D., et al,

Defendants. _____________________________________/

ORDER ON PLAINTIFFS’ MOTION FOR SANCTIONS AND DEFAULT JUDGMENT

This matter is before the Court on Government Employees Insurance Co., GEICO Indemnity Co., GEICO General Insurance Company, and GEICO Casualty Co.’s (collectively, “GEICO” or “Plaintiffs”) motion to strike answer and for entry of default judgment against Defendants Pain Relief Clinic of Homestead Corp. (“Pain Relief Clinic”) and Daniel Collazo Lopez (“Collazo”) (collectively “Defendants”). [D.E. 195]. Defendants failed to file a response in opposition and the time to do so has now elapsed. Therefore, Plaintiffs’ motion is now ripe for disposition.1 After careful consideration of the motion and the record presented, Plaintiffs’ motion for

1 On January 18, 2022, the Honorable Kathleen M. Williams referred Plaintiffs’ motion to the Undersigned Magistrate Judge for disposition. [D.E. 201]. sanctions and default judgment against Defendants is GRANTED. I. BACKGROUND

GEICO commenced this action on April 13, 2020 against Defendants and their co-Defendants. [D.E. 1]. GEICO, a group of insurance companies, alleges that Collazo submitted fraudulent no-fault (“PIP”) insurance billing to GEICO. The complaint specifically alleges that Collazo submitted the fraudulent PIP billing through his Florida healthcare clinic Pain Relief Clinic. This PIP billing allegedly falsely represented that the underlying healthcare services were lawfully provided, lawfully billed to GEICO, and were eligible for reimbursement under Florida’s no-

fault insurance laws. However, GEICO alleges that the healthcare services were not lawfully provided, lawfully billed, or eligible for PIP reimbursement because: (i) the vast majority of the purported “physical therapy” services that Defendants billed to GEICO were performed—if performed at all—by unsupervised massage therapists; (ii) Defendants falsely represented that the services had been performed under the direct supervision licensed physician, when in fact they had not; and (iii) the billing for the services misrepresented the nature, extent, and medical necessity of the

services, and in many cases falsely represented that the pertinent healthcare services actually had been performed at all. Although Defendants answered the Complaint on May 3, 2021, [D.E. 111], they have failed to defend this action thereafter. Plaintiffs allege that Defendants failed to appear for their depositions and have violated multiple Court Orders in the process. [D.E. 195, p. 2]. Accordingly, Plaintiffs now move the Court to strike Defendants’ answer and for entry of default judgment pursuant to Rules 37 and 55 of the Federal Rules of Civil Procedure. II. APPLICABLE PRINCIPLES AND LAW

The Federal Rules of Civil Procedure provide the Court with the authority to impose a variety of sanctions on a party who fails to comply with a discovery order. See Fed. R. Civ. P. 37(b)(2)(A). Specifically, the Court may impose one or more of the following sanctions: (i) Directing that the matters embraced in the order or other designated facts be taken as established for purposes of the action, as the prevailing party claims;

(ii) Prohibiting the disobedient party from supporting or opposing designated claims or defenses, or from introducing designated matters in evidence;

(iii) Striking pleadings in whole or in part;

(iv) Staying further proceedings until the order is obeyed;

(v) Dismissing the action or proceeding in whole or in part;

(vi) Rendering a default judgment against the disobedient party;

(vii) Treating as contempt of court the failure to obey any order except an order to submit to a physical or mental examination.

Id. “Rule 37 sanctions are intended to prevent unfair prejudice to the litigants and insure the integrity of the discovery process.” Gratton v. Great Am. Commc'ns, 178 F.3d 1373, 1374-75 (11th Cir. 1999) (citation omitted). The Court enjoys “broad discretion to fashion appropriate sanctions for violation of discovery orders[.]” Malautea v. Suzuki Motor Co., 987 F.2d 1536, 1542 (11th Cir. 1993). However, “in fashioning sanctions, courts should ensure that the sanctions are just and proportionate to the offense.” Wallace v. Superclubs Props., Ltd., 2009 WL 2461775, at *5 (S.D. Fla. Aug. 10, 2009) (internal quotation marks and citations omitted). The “severe sanction of a dismissal or default judgment is appropriate only as a last resort, when less drastic sanctions would not ensure compliance with the

court's orders.” U.S. v. 32%2C Scorpion Go-Fast Vessel, 339 F. App'x 903, 905 (11th Cir. 2009) (noting that the court is not required to first impose lesser sanctions if doing so would be ineffective) (citation and quotations omitted); see also Griffin v. Aluminum Co. of Am., 564 F.2d 1171, 1172 (5th Cir. 1977) (“Dismissal of a complaint with prejudice is such a drastic remedy that a district court should apply it only in extreme circumstances.”) (citations omitted). Further, dismissing the action or

rendering a default judgment pursuant to Rule 37(b) is justified only if a party willfully or in bad faith failed to obey a court order. See id. (discussing the sanction of dismissal) (citation omitted); Fountain v. U.S., 725 F. App'x 891, 893 (11th Cir. 2018) (discussing the sanction of dismissal and noting that a party's disregard of responsibilities also justifies dismissal) (citation omitted); Maus v. Ennis, 513 F. App'x. 872, 878 (11th Cir. 2013) (discussing the sanction of default judgment) (citation omitted). A dismissal or default judgment is not justified if the party’s failure to

comply was the result of simple negligence, a misunderstanding, or an inability to comply. See 32%2C Scorpion Go-Gast Vessel, 339 F. App'x at 905 (discussing the sanction of dismissal) (citation omitted). In addition, Rule 55 of the Federal Rules of Civil Procedure sets forth a two- step process for obtaining default judgment. First, when a defendant fails to plead or otherwise defend a lawsuit, the clerk of court is authorized to enter a clerk’s default. See Fed. R. Civ. P. 55(a). Second, after entry of the clerk’s default, the court may enter default judgment against the defendant so long as the defendant is not an infant or incompetent person. Fed. R. Civ. P. 55(b)(2). “The effect of a default

judgment is that the defendant admits the plaintiff’s well-pleaded allegations of fact, is concluded on those facts by entry by the judgment, and is barred from contesting on appeal the facts thus established.” Buchanan v. Bowman, 820 F.2d 359, 361 (11th Cir.

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Government Employees Insurance Co. v. Gomez-Cortes, Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-co-v-gomez-cortes-flsd-2022.