STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. NOB HILL FAMILY CHIROPRACTIC a/k/a MICHAEL J. COHEN, D.C., P.A. a/a/o KENRICK GRANT

CourtDistrict Court of Appeal of Florida
DecidedSeptember 29, 2021
Docket21-0204
StatusPublished

This text of STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. NOB HILL FAMILY CHIROPRACTIC a/k/a MICHAEL J. COHEN, D.C., P.A. a/a/o KENRICK GRANT (STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. NOB HILL FAMILY CHIROPRACTIC a/k/a MICHAEL J. COHEN, D.C., P.A. a/a/o KENRICK GRANT) 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
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. NOB HILL FAMILY CHIROPRACTIC a/k/a MICHAEL J. COHEN, D.C., P.A. a/a/o KENRICK GRANT, (Fla. Ct. App. 2021).

Opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellant,

v.

NOB HILL FAMILY CHIROPRACTIC a/k/a MICHAEL J. COHEN, D.C., P.A. a/a/o KENRICK GRANT, Appellee.

No. 4D21-204

[September 29, 2021]

Appeal from the County Court for the Seventeenth Judicial Circuit, Broward County; Florence Taylor Barner, Judge; L.T. Case Nos. COCE 06- 016458 (54) and CACE 17-022012.

Nancy W. Gregoire of Birnbaum, Lippman & Gregoire, PLLC, Fort Lauderdale, for appellant.

Joseph R. Dawson of Law Offices of Joseph R. Dawson, P.A., Fort Lauderdale, for appellee.

FORST, J.

Appellant State Farm Automobile Insurance Company (“Insurer”) appeals the trial court’s final judgment for Appellee Nob Hill Chiropractic a/k/a Michael Cohen, D.C., P.A. (“Provider”), in an action concerning personal injury protection (“PIP”) benefits. On appeal, Insurer contends that the trial court erred in three respects: (1) excluding one of its expert witnesses pursuant to the law of the case doctrine; (2) excluding that same witness under Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 (1993); and (3) excluding a separate expert witness based upon Insurer’s violation of several pre-trial orders. On Insurer’s first issue, we affirm without further discussion. As to the trial court’s exclusion of Insurer’s two expert witnesses, we reverse and remand, as discussed below.

Background Kenrick Grant (“Insured”) was involved in a rear-end motor vehicle accident, allegedly sustaining injury. Insured sought treatment from Provider, assigning Provider the right to PIP benefits under his applicable insurance policy. Pursuant to the assignment, Provider requested payment from Insurer, but purportedly did not receive “proper payment.” Consequently, Provider filed a one-count complaint against Insurer for breach of contract. In response, Insurer filed an Answer and Affirmative Defenses, asserting that Insured’s treatment “was in whole or in part, not reasonable, necessary nor related to the subject accident of this claim.”

Over the course of the next ten years, litigation ensued as to whether certain treatment provided by Provider was reasonable,1 related, and necessary. During that time span, a county court judge twice entered final judgment in Provider’s favor, and the Seventeenth Judicial Circuit—in its appellate capacity—twice reversed final judgment based on the trial court erroneously granting summary judgment.

As is relevant for appellate purposes, following the appellate court’s second reversal, the appellate court remanded the case back to the trial court because the affidavits of Insurer’s two expert witnesses (Dr. Charles (Ted) Bain and Dr. Michael Mathesie) created genuine issues of material fact “on the relatedness and necessity of [Provider’s] treatment.” It is from the resulting proceedings concerning these experts that Insurer now takes issue.

A. Proceedings Concerning Dr. Bain

Dr. Bain was Insurer’s accident reconstructionist and causation expert, who was prepared to testify that Insured “was involved in a very low speed rear-end motor vehicle collision . . . [and] was not subjected to forces or accelerations that would cause injury.” Upon remand, the trial court granted Provider’s motion for a Daubert hearing as to Dr. Bain, holding a two-day Daubert hearing thereafter. At the hearing, Dr. Bain—a biomechanical engineer and medical doctor—testified as to his qualifications and the methodology involved in his injury causation analysis. 2

1 After the first appeal, Insurer stipulated that the prices charged by Provider were reasonable. Thus, only the relatedness and necessity of certain treatments remained. 2 In short, Dr. Bain testified that he first sought to “quantify the event.” To that

end, Dr. Bain attested that he: (1) looked at photographs and the repair estimate of the subject vehicle; (2) purchased bumpers from identical vehicle models involved in the accident; (3) placed said bumpers into a hydraulic press; and (4)

2 After Dr. Bain’s testimony, the parties presented their respective arguments as to such testimony’s reliability. Provider argued in pertinent part that Dr. Bain’s injury causation analysis was “semi-junk science,” that Dr. Bain was unfamiliar with several significant variables that would have impacted the force applied to Insured, and that Dr. Bain never physically examined Insured and had an opinion contrary to several other doctors. Ultimately, the trial court concluded the hearing without making an oral ruling.

Roughly two months later, the trial court entered an “Order Granting [Provider’s] Daubert Challenge . . . .” Within the order, the court found that Insurer had met its “prima facie burden to show that Dr. Bain ha[d] the minimal qualifications needed as an expert biomechanical engineer.” However, the court rejected the contents of Dr. Bain’s proposed testimony, stating:

While couched as an opinion on injury causation, Dr. Bain is essentially testifying as to [Insured’s] medical condition without ever having examined [Insured] nor relying on any other sufficient data or reliable methodology. This Court is not convinced that Dr. Bain’s testimony is based upon reliable principles or methods and is clearly not based on sufficient data, therefore, the Court is not persuaded that Dr. Bain’s testimony will, in fact, assist the trier of fact, but would more likely confuse the trier of fact as to [the] cause of [Insured’s] injuries in this action.

Insurer moved for reconsideration, arguing that while the court had rejected Dr. Bain’s injury causation analysis, the court had not considered

pushed the components together to “generate forces and . . . damage greater than what we see on the pictures in the repair estimate.” “[U]sing math and physics formulas,” Dr. Bain was then able to calculate the speed that the impacting vehicle would have needed to be going to generate the necessary force and damage upon Insured’s vehicle. According to Dr. Bain’s calculations, this amounted to a rate of speed under 5.2 miles per hour.

With the speed and impact force in mind, Dr. Bain testified that he conducted a biomechanical analysis to determine how Insured would have responded to the forces involved in the accident. At the accident’s calculated speed, Dr. Bain attested that the resulting forces would be “very, very low” and would not have caused any structural injury to Insured’s spine, neck, or lower back.

3 Dr. Bain’s opinion’s admissibility as it related to “the impact force and speed of the adverse vehicle involved in the motor vehicle accident.” At the ensuing hearing on the motion, the court noted that it had “neglect[ed] to include the other portion of the order” where it also struck Dr. Bain concerning the speed and force of impact. However, the trial court never reduced this ruling to writing in an amended order.

Nevertheless, the court reiterated its finding that Dr. Bain “did not satisfy the Daubert standard with respect to showing that . . . [his testimony] was based on reliable principles and methods applied scientifically to the appropriate fashion in this case.” In support of this finding, the court specifically stated that it was concerned about the sources used by Dr. Bain in forming his opinion, noting that one of the studies Dr. Bain relied upon “was found not to be really reliable or trustworthy.” Although the court was unable to recall exactly which study was unreliable or untrustworthy, it made a general ruling that the basis of Dr. Bain’s opinion and “the basis of the studies and the testimony . . . were not sufficient . . .

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STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. NOB HILL FAMILY CHIROPRACTIC a/k/a MICHAEL J. COHEN, D.C., P.A. a/a/o KENRICK GRANT, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-mutual-automobile-insurance-company-v-nob-hill-family-fladistctapp-2021.