ROBERT J. HANOPOLE, D.C., P.A. a/a/o NATALIA BUSTAMANTE v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY

CourtDistrict Court of Appeal of Florida
DecidedAugust 10, 2022
Docket21-1019
StatusPublished

This text of ROBERT J. HANOPOLE, D.C., P.A. a/a/o NATALIA BUSTAMANTE v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY (ROBERT J. HANOPOLE, D.C., P.A. a/a/o NATALIA BUSTAMANTE v. STATE FARM MUTUAL AUTOMOBILE 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
ROBERT J. HANOPOLE, D.C., P.A. a/a/o NATALIA BUSTAMANTE v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, (Fla. Ct. App. 2022).

Opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

ROBERT J. HANOPOLE, D.C., P.A., a/a/o NATALIA BUSTAMANTE, Appellant,

v.

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.

No. 4D21-1019

[August 10, 2022]

Appeal from the County Court for the Seventeenth Judicial Circuit, Broward County; Robert W. Lee, Judge; L.T. Case No. COCE20-027093.

John C. Daly and Christina M. Kalin of Daly & Barber, P.A., Plantation, for appellant.

Marcy Levine Aldrich and Nancy A. Copperthwaite of Akerman LLP, Miami, for appellee.

GERBER, J.

In this personal injury protection (“PIP”) action, the provider—to whom the insured allegedly assigned her PIP benefits—appeals from the county court’s order dismissing the provider’s action with prejudice. The county court dismissed the provider’s action because the provider had failed to attach to its complaint a copy of the insured’s alleged written assignment of benefits. The provider argues no such requirement exists. We agree with the provider and therefore reverse.

Procedural History

The provider filed a one-count complaint against the insurer for breach of contract based on the insurer’s non-payment of the insured’s medical bills. Regarding the provider’s standing to file suit in the insured’s shoes, the provider pertinently alleged:

[The insured] equitably assigned to [the provider] and/or also executed a written assignment of … certain benefits payable pursuant to the policy of insurance issued by [the insurer]. A copy of the [a]ssignment has been previously furnished to the [insurer].

(emphases added).

In response, the insurer filed a motion to dismiss for lack of standing. The insurer pertinently argued:

Pursuant to Fla. R. Civ. P. 1.130, the [provider] has an obligation to attach any instruments or documents that give rise to [the] basis for the claim and moreover which give [the provider] legal standing to bring the claim. As of the filing of this lawsuit, the [provider] has failed to attach a valid assignment of benefits to the … [c]omplaint.

Florida Statute § 627.736 [requiring automobile insurance policies to include PIP benefits] allows medical providers to file suit directly against an insurance carrier whenever there is a dispute regarding payment of a medical bill for medical services rendered by [the provider] to the patient. However, Florida law mandates that the medical provider have a valid assignment of benefits at the time it files suit against the [insurer].

In this case the [provider] failed to attach a valid assignment of benefits to the [c]omplaint and therefore does not have standing to bring suit.

(paragraph numbering and internal citation deleted).

The county court held a hearing on the motion. At the hearing, the provider’s counsel argued that the provider was not required to have attached to its complaint a copy of the insured’s alleged written assignment. The provider’s counsel argued that, instead, the provider was permitted to have merely alleged in its complaint the assignment’s existence, which allegation must be accepted as true on review of the insurer’s motion to dismiss. According to the provider’s counsel:

If [the insurer] want[s] a written assignment of benefits [it] can ask for that in discovery or [it] can move in summary judgment but that is not proper on a motion to dismiss. It’s the four corners of the [complaint] and [the provider] would ask that [the court] deny the [insurer’s motion to dismiss].

2 At this point, the county court repeatedly asked the provider’s counsel whether the provider possessed the insured’s written assignment of benefits, as the provider had alleged in the complaint. However, rather than candidly answering the county court’s question, the provider’s counsel refused to answer on the basis that the provider was not required to have produced any written assignment at this stage of the litigation. Instead, the provider’s counsel reiterated, “[I]f [the insurer] want[s] [the written assignment] in discovery[,] I can provide it.”

The county court, apparently frustrated by the provider’s counsel’s lack of candor regarding whether the provider possessed the insured’s written assignment of benefits, granted the insurer’s motion to dismiss the action with prejudice, followed by a brief written order to that effect.

The Parties’ Arguments on Appeal

This appeal followed. The provider summarizes its argument on appeal, in pertinent part, as follows:

On a motion to dismiss the court must assume all the allegations in the complaint are true. The [c]omplaint sufficiently set forth that the [p]rovider had standing through an equitable assignment and/or written assignment. Florida law is clear that lack of standing is a defense which is [properly] raised in a responsive pleading and should not be considered at the pre-answer stage of litigation.

The insurer summarizes its response as follows:

Th[is] Court should affirm the county court’s [d]ismissal [o]rder in part and … reverse it in part. The Court should affirm the dismissal of the [c]omplaint for failure to allege the basis of [the provider’s] standing to sue [the insurer]. And the Court should reverse the dismissal with prejudice.

[The insurer] properly raised the threshold issue of standing in its [m]otion to [d]ismiss, and the county court properly asked [the provider] to clarify its standing—especially in view of the conflicting allegations in the [c]omplaint [regarding whether the assignment was equitable or written].

Based on the limited record in this appeal, the Court does not have to decide now whether [the provider] can demonstrate standing under the PIP [s]tatute through an

3 equitable assignment. But if the Court were to address this issue, it should find that the [s]tatute requires a written assignment of benefits.

The provider replies, in pertinent part, as follows:

The Florida Rules [of Civil Procedure] and [case] law allow for parties to plead inconsistent theories or claims in a complaint which is what was done here. Accordingly, a dismissal WITHOUT prejudice is also inappropriate.

[Further,] [n]owhere in the PIP [s]tatute does it state that a plaintiff is required to attach a written assignment benefits to the complaint. … Of course, an assignment is the basis of a provider’s standing to bring a lawsuit altogether and of course an assignment is required to bring and maintain the lawsuit. Had the Florida Legislature intended to require a written assignment be attached to complaint, it would have done so. It is inappropriate to add requirements to the PIP [s]tatute that do not exist.

(internal footnote and citations omitted).

Our Review

Our review is de novo. See Burgess v. N. Broward Hosp. Dist., 126 So. 3d 430, 433 (Fla. 4th DCA 2013) (“The standard of review of orders granting motions to dismiss with prejudice is de novo.”); Agee v. Brown, 73 So. 3d 882, 885 (Fla. 4th DCA 2011) (“We review orders of dismissal based on a lack of standing de novo.”). We also must accept the complaint’s factual allegations as true. See Schneiderman v. Baer, 334 So. 3d 326, 330 (Fla. 4th DCA 2022) (“In assessing the adequacy of the pleading of a claim, the court must accept the facts alleged therein as true and all inferences that reasonably can be drawn from those facts must be drawn in favor of the pleader.”) (citation omitted).

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

Related

Jeff-Ray Corp. v. Jacobson
566 So. 2d 885 (District Court of Appeal of Florida, 1990)
In Re Amendments to Fla. Rules Civ. Proc.
604 So. 2d 1110 (Supreme Court of Florida, 1992)
Safeco Ins. Co. of America v. Ware
401 So. 2d 1129 (District Court of Appeal of Florida, 1981)
Progressive Exp. v. McGRATH CHIROPRACTIC
913 So. 2d 1281 (District Court of Appeal of Florida, 2005)
Hartford Ins. Co. v. ST. MARY'S HOSP.
771 So. 2d 1210 (District Court of Appeal of Florida, 2000)
Parkway General Hospital v. Allstate Ins. Co.
393 So. 2d 1171 (District Court of Appeal of Florida, 1981)
City of Parker v. State
992 So. 2d 171 (Supreme Court of Florida, 2008)
Karn v. COLDWELL BANKER RESIDENTIAL REAL ESTATE INC.
705 So. 2d 680 (District Court of Appeal of Florida, 1998)
Hill v. Davis
70 So. 3d 572 (Supreme Court of Florida, 2011)
Wells Fargo Bank, N.A. v. Bohatka
112 So. 3d 596 (District Court of Appeal of Florida, 2013)
Burgess v. North Broward Hospital District
126 So. 3d 430 (District Court of Appeal of Florida, 2013)
Agee v. Brown
73 So. 3d 882 (District Court of Appeal of Florida, 2011)
Marianna & Blountstown Railroad v. Maund
62 Fla. 538 (Supreme Court of Florida, 1911)

Cite This Page — Counsel Stack

Bluebook (online)
ROBERT J. HANOPOLE, D.C., P.A. a/a/o NATALIA BUSTAMANTE v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robert-j-hanopole-dc-pa-aao-natalia-bustamante-v-state-farm-fladistctapp-2022.