JOSE RAMOS RODRIGUEZ v. THE RESPONSIVE AUTO INSURANCE COMPANY

CourtDistrict Court of Appeal of Florida
DecidedAugust 9, 2023
Docket22-1384
StatusPublished

This text of JOSE RAMOS RODRIGUEZ v. THE RESPONSIVE AUTO INSURANCE COMPANY (JOSE RAMOS RODRIGUEZ v. THE RESPONSIVE AUTO INSURANCE COMPANY) 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
JOSE RAMOS RODRIGUEZ v. THE RESPONSIVE AUTO INSURANCE COMPANY, (Fla. Ct. App. 2023).

Opinion

Third District Court of Appeal State of Florida

Opinion filed August 9, 2023. Not final until disposition of timely filed motion for rehearing.

________________

No. 3D22-1384 Lower Tribunal No. 20-23761 CC ________________

Jose Ramos Rodriguez, Appellant,

vs.

The Responsive Auto Insurance Company, Appellee.

An appeal from the County Court for Miami-Dade County, Lawrence D. King, Judge.

Christian Carrazana, P.A., and Christian Carrazana, for appellant.

The Vaccaro Law Firm, P.A., and Charles L. Vaccaro (Davie), for appellee.

Before EMAS, MILLER, and LOBREE, JJ.

MILLER, J. Appellant, Jose Ramos Rodriguez, challenges a final summary

judgment rendered on the basis that appellee, The Responsive Auto

Insurance Company, properly rescinded his insurance policy because his

application contained material misrepresentations. On appeal, Rodriguez

contends Responsive was estopped from relying upon the falsity of his

answers to avoid liability because the agent preparing the application

completed the relevant fields without first eliciting his input. Adhering to the

seminal Florida Supreme Court decision in All Florida Surety Co. v. Coker,

88 So. 2d 508 (Fla. 1956), along with other supporting authorities, we affirm

the well-reasoned decision under review.

BACKGROUND

Rodriguez, a Lyft driver, applied for an automobile insurance policy

from Responsive. The application contained a section entitled, “NOTICE TO

APPLICANT: READ THIS SECTION CAREFULLY,” which required answers

to the following questions:

Is (are) any vehicle(s) listed on this application used for hire (taxi, limo, etc.), commercial or business purposes, delivery (pizza, newspaper, etc.), or used in the course or scope of your employment other than traveling to and from work?

Are you or any drivers or residents employed in the livery, delivery, limousine or taxi service, including operators employed to transport nursery or school children, migrant workers, hotel/motel guests, patients or members of a van pool?

2 Both questions were answered in the negative, and, elsewhere in the

application, Rodriguez omitted his occupational and employment

information. He then electronically signed and dated the application. In

doing so, he certified:

I have read each of the questions . . . and answered all questions truthfully. I realize that any incorrect information may constitute a material misrepresentation, which may result in my Insurance coverage being voided or my claim being denied.

....

. . . The applicant(s) represents the statements and answers made in this application to be true, complete and correct and agrees that any policy may be issued or renewed in reliance upon the truth, completeness and correctness of such statements and answers. The applicant(s) further understands that falsity, incompleteness, or incorrectness may jeopardize the coverage under such policy so issued or renewed in accordance with Section 627.409, [Florida Statutes].

. . . I hereby state that each vehicle listed on this application and any vehicle endorsed to my policy at a later date is not and will not be used for business or commercial purposes. Including, traveling to multiple job location[s] in a single day, transporting patients, clients, merchandise, supplies, tools or employees or making deliveries or pickups. I further state that I am not paid mileage, gas, maintenance, insurance nor do I receive any reimbursement or compensation from my employer and do not claim a tax deduction for business use of any vehicle listed on this policy. During the policy term, if I begin using any of the insured vehicles for business purpose[s] I will notify the company within 14 days. Business use represents an unacceptable risk in our private passenger auto program.

3 Responsive issued an insurance policy, and the following month,

Rodriguez was involved in an automobile accident. After obtaining medical

treatment, he executed an assignment of benefits in favor of his medical

provider. The medical provider then submitted a claim for benefits to

Responsive on his behalf.

While investigating the claim, Responsive learned Rodriguez was a

Lyft driver, and he used his vehicle for business purposes. Responsive

refused to pay the claim, rescinded the policy, and refunded all premium

payments and policy fees.

The medical provider filed a declaratory action against Responsive.

Litigation commenced, and Rodriguez was substituted as party plaintiff. The

parties subsequently filed competing motions for summary judgment.

Relying upon the inaccuracies in the application, Responsive sought to avoid

liability on material misrepresentation grounds. Rodriguez, in turn, argued

that Responsive was estopped from avoiding liability because the preparing

agent completed the relevant fields on her own initiative.1 The trial court

conducted a hearing on the motions, at the conclusion of which it granted

1 The agent attested she translated the entire application and transcribed Rodriguez’s answers verbatim.

4 summary judgment in favor of Responsive by way of a carefully crafted

thirteen-page final summary judgment order. The instant appeal ensued.

STANDARD OF REVIEW

We conduct a de novo review of a final summary judgment. Feldman

v. Schocket, 47 Fla. L. Weekly D1930, D1930–31 (Fla. 3d DCA Sept. 21,

2022). This analysis is guided by Florida’s so-called “new” summary

judgment standard, under which the trial court should only deny summary

judgment where there is a genuine dispute as to a “material fact” and “the

evidence is such that a reasonable jury could return a verdict for the

nonmoving party.” In re Amends. to Fla. Rule of Civ. Proc. 1.510, 317 So.

3d 72, 75 (Fla. 2021) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242,

248 (1986)).

ANALYSIS

“Florida law . . . gives an insurer the unilateral right to rescind its

insurance policy on the basis of misrepresentation in the application of

insurance.” Gonzalez v. Eagle Ins. Co., 948 So. 2d 1, 2 (Fla. 3d DCA 2006).

To this end, section 627.409, Florida Statutes (2020), provides, in relevant

part:

(1) Any statement or description made by or on behalf of an insured or annuitant in an application for an insurance policy or annuity contract, or in negotiations for a policy or contract, is a representation and not a warranty. Except as provided in

5 subsection (3), a misrepresentation, omission, concealment of fact, or incorrect statement may prevent recovery under the contract or policy only if any of the following apply:

(a) The misrepresentation, omission, concealment, or statement is fraudulent or is material to the acceptance of the risk or to the hazard assumed by the insurer.

(b) If the true facts had been known to the insurer pursuant to a policy requirement or other requirement, the insurer in good faith would not have issued the policy or contract, would not have issued it at the same premium rate, would not have issued a policy or contract in as large an amount, or would not have provided coverage with respect to the hazard resulting in the loss.

Under this statutory provision, a misstatement or omission need not be

intentional. It “must only be material.” Nationwide Mut. Fire Ins. Co. v.

Kramer, 725 So.

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JOSE RAMOS RODRIGUEZ v. THE RESPONSIVE AUTO INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jose-ramos-rodriguez-v-the-responsive-auto-insurance-company-fladistctapp-2023.