LIBERTY MUTUAL INSURANCE COMPANY v. PAN AM DIAGNOSTIC SERVICES, INC. d/b/a PAN AM DIAGNOSTIC OF ORLANDO a/a/o CLAUDINE JEAN

CourtDistrict Court of Appeal of Florida
DecidedAugust 17, 2022
Docket21-2156
StatusPublished

This text of LIBERTY MUTUAL INSURANCE COMPANY v. PAN AM DIAGNOSTIC SERVICES, INC. d/b/a PAN AM DIAGNOSTIC OF ORLANDO a/a/o CLAUDINE JEAN (LIBERTY MUTUAL INSURANCE COMPANY v. PAN AM DIAGNOSTIC SERVICES, INC. d/b/a PAN AM DIAGNOSTIC OF ORLANDO a/a/o CLAUDINE JEAN) 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
LIBERTY MUTUAL INSURANCE COMPANY v. PAN AM DIAGNOSTIC SERVICES, INC. d/b/a PAN AM DIAGNOSTIC OF ORLANDO a/a/o CLAUDINE JEAN, (Fla. Ct. App. 2022).

Opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

LIBERTY MUTUAL INSURANCE COMPANY, Appellant,

v.

PAN AM DIAGNOSTIC SERVICES, INC. d/b/a PAN AM DIAGNOSTIC OF ORLANDO a/a/o CLAUDINE JEAN, Appellee.

No. 4D21-2156

[August 17, 2022]

Appeal from the County Court for the Seventeenth Judicial Circuit, Broward County; John D. Fry, Judge; L.T. Case No. CONO-19-012705.

Hinda Klein of Conroy Simberg, Hollywood, for appellant.

Douglas H. Stein of Douglas H. Stein, P.A., Coral Gables, for appellee.

CONNER, J.

Appellant, Liberty Mutual Insurance Company (“the Insurance Company”), appeals the trial court’s order awarding attorney’s fees and costs together with interest to Appellee, Pan Am Diagnostic Services, Inc. d/b/a Pan Am Diagnostic of Orlando a/a/o Claudine Jean (“the Provider”). Remarkably, suit was filed because 14 cents of statutory interest was not paid when the Insurance Company paid an overdue personal injury protection (“PIP”) benefit. The pennies worth of unpaid interest eventually resulted in an award of attorney’s fees and costs to the Provider in the amount of $24,028.27. Because we determine that statutory interest payable pursuant to section 627.736(4)(d), Florida Statutes (2019), is not an insurance policy or PIP benefit which entitles an insured or an insured’s assignee to attorney’s fees under sections 627.428(1) or 627.736(8), Florida Statutes (2019), we reverse.

Background

The Provider, as the insured’s assignee, sued the Insurance Company for failure to pay the correct amount of statutory interest due under section 627.736(4)(d), Florida Statutes (2019), when the Insurance Company issued the overdue payment for the Provider’s medical services rendered to the insured. The alleged amount of additional interest owed was 14 cents. The complaint also sought attorneys’ fees under section 627.428, Florida Statutes (2019).

The Insurance Company answered that all benefits and interest due and owing were paid presuit. The Insurance Company also raised the affirmative defense of failure to satisfy the condition precedent of providing a presuit demand. The Insurance Company asserted that no attorney’s fees or costs were owed because no benefits, interest, penalties, or postage were due at the time the complaint was filed.

The Provider moved for partial summary judgment, asserting that because the Insurance Company failed to pay the correct interest amount on the overdue PIP benefit as required by section 627.736(4)(d), and suit was filed to enforce payment of the correct interest amount, the Provider was entitled to attorney’s fees in addition to the 14 cents owed for interest.

The Insurance Company also moved for summary judgment, raising alternative arguments, one of which was that entitlement to attorney’s fees under section 627.428 is limited to prosecution of suits which result in recovery of insurance “benefits,” and here, the only issue before the trial court was whether the PIP interest constituted a PIP “benefit.” The Insurance Company argued that if the interest is deemed a PIP benefit, then a presuit demand letter was a required condition precedent to the filing of the complaint. However, if unpaid interest is not deemed be a PIP benefit, then no PIP benefits were at issue in this suit and the Provider was required to bear its own attorney’s fees.

The Provider responded to the Insurance Company’s motion, asserting that the statutory requirement to serve a presuit demand letter applied to suits for benefits payment, and not to interest payment. The Provider again maintained its entitlement to attorney’s fees, in that a judgment entered in favor of the insured or its assignee in a dispute against the insurer entitles the insured or the assignee to attorney’s fees.

The trial court granted the Provider’s motion for summary judgment and entered final judgment in the Provider’s favor for the 14 cents owed for interest, reserving jurisdiction to determine entitlement to attorney’s fees. The Provider moved for attorney’s fees pursuant to sections 627.736(8) and 627.428, Florida Statutes (2019). The trial court awarded the Provider $24,028.27 in attorney’s fees, clerical fees, taxable costs, and an expert witness fee. After the Insurance Company’s motion for reconsideration was denied, the Insurance Company gave notice of appeal.

2 Appellate Analysis

The standard of review of a trial court’s ruling on a party’s entitlement to attorneys’ fees based on the interpretation of a statute is de novo. S. Fla. Pain & Rehab. of W. Dade v. Infinity Auto Ins. Co., 318 So. 3d 6, 8 (Fla. 4th DCA 2021).

Our analysis begins with section 627.428(1), Florida Statutes (2019), which governs entitlement to attorney’s fees for insurance litigation regarding policy provisions. Section 627.428(1) provides:

Upon the rendition of a judgment or decree by any of the courts of this state against an insurer and in favor of any named or omnibus insured or the named beneficiary under a policy or contract executed by the insurer, the trial court or, in the event of an appeal in which the insured or beneficiary prevails, the appellate court shall adjudge or decree against the insurer and in favor of the insured or beneficiary a reasonable sum as fees or compensation for the insured’s or beneficiary’s attorney prosecuting the suit in which the recovery is had.

§ 627.428(1), Fla. Stat. (2019) (emphasis added). Under the statute’splain wording, the threshold requirement for an award of fees under section 627.428(1) is “a judgment or decree . . . under a policy or contract executed by the insurer.” Id.

However, the Provider has not shown that its entitlement to interest on the late payment of PIP benefits is grounded upon any policy or contractual provision.

For PIP litigation, section 627.736(8), Florida Statutes (2019), addresses entitlement to attorney’s fees:

Applicability of provision regulating attorney fees.--With respect to any dispute under the provisions of ss. 627.730- 627.7405 between the insured and the insurer, or between an assignee of an insured’s rights and the insurer, the provisions of ss. 627.428 and 768.79 apply, except as provided in subsections (10) and (15) . . . .

3 § 627.736(8), Fla. Stat. (2019) (emphasis added). 1 Thus, to determine entitlement to fees pursuant to section 627.736(8), we are confronted with the meaning of the statutory language, “[w]ith respect to any dispute under the provisions of ss. 627.730-627.7405.” Id.

In the first statute in the designated series, the legislature has made it clear that “[s]ections 627.730-627.7405 may be cited and known as the ‘Florida Motor Vehicle No-Fault Law.’” § 627.730, Fla. Stat. (2019). In the second statute in the series, the legislature has defined the purpose of the Florida Motor Vehicle No-Fault Law:

The purpose of ss. 627.730-627.7405 is to provide for medical, surgical, funeral, and disability insurance benefits without regard to fault, and to require motor vehicle insurance securing such benefits, for motor vehicles required to be registered in this state and, with respect to motor vehicle accidents, a limitation on the right to claim damages for pain, suffering, mental anguish, and inconvenience.

§ 627.731, Fla. Stat. (2019) (emphasis added).

The other key statutory sections in the series for our analysis are sections 627.736(1), (4)(b) and (d), Florida Statutes (2019). Section 627.736(1) requires that PIP policies afford three types of benefits: (1) medical benefits; (2) disability benefits; and (3) death benefits. § 627.736(1), Fla. Stat. (2019). Section 627.736(4) provides that benefits due from an insurer under sections 627.730-627.7405 are primary, except benefits received under any workers’ compensation law. § 627.736(4), Fla. Stat. (2019).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Loeffler v. Roe
69 So. 2d 331 (Supreme Court of Florida, 1953)
Florida Dept. of State v. Martin
916 So. 2d 763 (Supreme Court of Florida, 2005)
Sanchez v. State Farm Florida Ins. Co.
997 So. 2d 1209 (District Court of Appeal of Florida, 2008)
Winter Garden Citrus v. Parrish
438 So. 2d 472 (District Court of Appeal of Florida, 1983)
Eureka Corp. v. Guardian Trust Co.
139 So. 198 (Supreme Court of Florida, 1932)
A. R. Douglass, Inc. v. McRainey, as Admrx.
137 So. 157 (Supreme Court of Florida, 1931)
GONZALEZ v. COCONUT KEY HOMEOWNERS ASSOC., INC.
246 So. 3d 428 (District Court of Appeal of Florida, 2018)
Coleman v. State
126 So. 3d 1199 (District Court of Appeal of Florida, 2012)
Milton v. Blackshear
8 Fla. 161 (Supreme Court of Florida, 1858)
Florida National Bank of Jacksonville v. Bisson ex rel. Bisson
240 So. 2d 870 (District Court of Appeal of Florida, 1970)
Wilkerson v. Wilkerson
717 So. 2d 1118 (District Court of Appeal of Florida, 1998)
L.H. v. State
803 So. 2d 862 (District Court of Appeal of Florida, 2002)

Cite This Page — Counsel Stack

Bluebook (online)
LIBERTY MUTUAL INSURANCE COMPANY v. PAN AM DIAGNOSTIC SERVICES, INC. d/b/a PAN AM DIAGNOSTIC OF ORLANDO a/a/o CLAUDINE JEAN, Counsel Stack Legal Research, https://law.counselstack.com/opinion/liberty-mutual-insurance-company-v-pan-am-diagnostic-services-inc-dba-fladistctapp-2022.