H & H DESIGN BUILDERS v. Travelers Indem.

639 So. 2d 697, 1994 Fla. App. LEXIS 6996, 1994 WL 363872
CourtDistrict Court of Appeal of Florida
DecidedJuly 15, 1994
Docket93-2503
StatusPublished
Cited by19 cases

This text of 639 So. 2d 697 (H & H DESIGN BUILDERS v. Travelers Indem.) 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
H & H DESIGN BUILDERS v. Travelers Indem., 639 So. 2d 697, 1994 Fla. App. LEXIS 6996, 1994 WL 363872 (Fla. Ct. App. 1994).

Opinion

639 So.2d 697 (1994)

H & H DESIGN BUILDERS, INC., Appellant,
v.
TRAVELERS' INDEMNITY COMPANY, Appellee.

No. 93-2503.

District Court of Appeal of Florida, Fifth District.

July 15, 1994.

*698 Patrick A. McGee, of McGee, Perez & Powers, P.A., Orlando, for appellant.

Peter M. Bernhardt, of Barry L. Miller, P.A., Orlando, for appellee.

GRIFFIN, Judge.

This is the appeal of a final judgment entered in favor of Travelers' Indemnity Company ("Travelers") in an action for "open account." Because of defects in Travelers pleadings and proof, we reverse in part.

Travelers provided H & H Builders ("H & H") with workers' compensation insurance coverage for two annual policy periods pursuant to a written policy. The first policy period ran from June 29, 1988 to June 29, 1989, and the second ran from June 29, 1989 to June 29, 1990. The contract required H & H to pay an estimated premium at the beginning of each policy period which was based, in part, on estimates of the number of persons, including subcontractors, engaged in work for which Travelers would be liable for workers' compensation coverage. The final premium under the policy was to be calculated at the end of the policy period, using the employer's actual experience. Once this calculation was made, H & H was required to pay the difference if the final premium calculation was greater than the estimated premium previously paid by H & H. To facilitate calculation of the actual premium, the policy provided:

You will keep records of information needed to compute premium. You will provide us with copies of those records when we ask for them. You will let us examine and audit all your records that relate to this policy. These records include ledgers, journals, registers, vouchers, contracts, tax reports, payroll and disbursement records, and programs for storing and retrieving data. We may conduct the audits during regular business hours during the policy period and within three years after the policy period ends. Information developed by audit will be used to determine final premium.

H & H paid $4,474 in estimated premiums for the first policy period. It was later billed for an additional $4,683 in earned premiums for this period. For the second period, H & H paid an estimated annual premium of $6,020. At the end of this policy period, Travelers apparently tried to conduct an audit *699 but claims that H & H refused to provide the necessary records.

Travelers brought suit on an open account[1] in September 1991 to recover the $4,683 which remained unpaid for the original policy period. Attached to the complaint was an invoice showing total premium, premium paid and balance due. H & H moved to dismiss the complaint on the ground that the complaint and attachment did not state a claim for failure to pay an open account; rather, that the attachment was no more than a bill for premiums due pursuant to the parties' contract for insurance coverage.

This action was originally brought in county court, but in February 1992 Travelers filed a motion to transfer the action to circuit court. Travelers had apparently decided to add a claim for additional premiums allegedly due at the end of the second policy period. The court granted the motion to transfer, and Travelers filed an amended complaint in circuit court in March 1992. It also followed the "open account" form and sought damages in a lump sum of $15,847, apparently representing the $4,683 which remained unpaid for the original policy period, plus $11,164 for the second policy period, together with interest at the rate of twelve percent. The only attachment to the amended complaint for open account was a copy of an internal "premium record" showing $11,164.00 due for the "89/90" policy period.

H & H filed a second motion to dismiss, contending that the complaint failed to state a cause of action because there was no true statement of account attached to the complaint which would support an open account cause of action. The lower court granted the motion. Travelers then refiled a virtually identical second amended complaint, again seeking damages of $15,847 allegedly due on account since June 29, 1989. The attachment, however, was different. The new attachment was titled a "statement of account," dated October 31, 1991. It included the premiums claimed for both policy periods, showed amounts credited and the $15,847 net balance due. There was no detail showing the components of the calculation.

This time, instead of moving to dismiss the complaint, H & H denied the material allegations of the complaint and asserted as its sole affirmative defense that the complaint failed to state a cause of action because exhibit "A" attached to the complaint did not reflect either an open account relationship or the settlement of an open account.

The case proceeded to trial on March 1, 1993. Although it had not been alleged in the complaint, during his opening statement Travelers' counsel stated: "The evidence will show that the Plaintiff attempted in good faith to audit for the second year, however, the Defendant denied us access to their records in order to conduct the audit. Therefore, a bill for premium was rendered pursuant to Florida Statute on the estimate."

During trial, Travelers' counsel offered evidence, through a custodian of the records of Travelers' audit department, that an audit had been conducted for the first policy period, which showed that H & H owed $4,683 in additional premiums for this period. Concerning the second policy period, the records custodian was permitted, over objection, to testify that Travelers' had attempted to conduct an audit, but that H & H had failed and/or refused to provide the records necessary for the proposed audit. He then testified that Travelers closed out the account by tripling the estimated premium under the "Florida Statutes." At this point, Travelers' counsel asked the court to take judicial notice of section 440.381(8), Florida Statutes (Supp. 1990), which provides:

If an employer fails to provide reasonable access to payroll records for a payroll verification audit, the employer shall pay a premium to the carrier or self-insurer not to exceed three times the most recent estimated annual premium.

H & H's counsel immediately objected to the recovery of any premiums based on this statute, since it had not been pleaded by Travelers in its complaint and had not been referenced *700 in the pretrial compliance.[2] Upon questioning by the court, Travelers' counsel admitted that he had not learned that Travelers had used the statute as the basis to triple the estimated premiums until the Friday before trial and that, accordingly, he had not pled the statute nor mentioned it in his pretrial compliance. However, he argued that it was not necessary to plead the statute since it merely explained how Travelers calculated the amount shown on its "statement of account." The court agreed with Travelers that Travelers was entitled to proceed under the statute and took judicial notice of it.

H & H moved for involuntary dismissal at the close of Travelers' case in chief on several grounds, and reiterated that Travelers' sole cause of action was one based on an open account and that no such claim had been adequately pled or proved. Travelers contended that it had correctly pled and established the elements of an action for open account and that it was not required to bring an action for breach of contract.

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Bluebook (online)
639 So. 2d 697, 1994 Fla. App. LEXIS 6996, 1994 WL 363872, Counsel Stack Legal Research, https://law.counselstack.com/opinion/h-h-design-builders-v-travelers-indem-fladistctapp-1994.