The Prudential Insurance Company of America v. Gardina

District Court, M.D. Florida·Decided August 8, 2025·No. 6:23-cv-01125·Unknown

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA ORLANDO DIVISION

THE PRUDENTIAL INSURANCE COMPANY OF AMERICA,

Plaintiff,

v. Case No: 6:23-cv-1125-JSS-DCI

CAROL GARDINA and GEORGE GARDINA,

Defendants. ___________________________________/ ORDER Defendants renew their motion for judgment as a matter of law pursuant to Federal Rule of Civil Procedure 50(b) and move for a new trial pursuant to Federal Rule of Civil Procedure 59. (Dkt. 243.) Plaintiff opposes the motion. (Dkt. 251.) Upon consideration, the court denies the motion. BACKGROUND Defendants Carol Gardina and George Gardina are married. (Dkt. 228 at 45:18–20.) On February 8, 2002, Plaintiff issued two long-term care insurance policies to Defendants, one to Mr. Gardina and one to Mrs. Gardina. (Dkts. 202-1, 202-2.) The policies provided long-term care benefits to Defendants if they had a chronic illness or disability as defined in the policies. (Dkt. 202-1 at 6; Dkt. 202-2 at 6.) The policies required Defendants to undergo reassessment of their health to determine continuing eligibility under the policies. (Dkt. 222 at 87:18–89:23; Dkt. 202-1 at 15, Dkt. 202-2 at 15.) These assessments were typically conducted by a registered nurse. (Dkt. 222 at 87:18–20.) At these assessments, Defendants were required to accurately provide health information so Plaintiff’s assessors could complete benefit eligibility

forms. (See Dkts. 202-6, 202-14, 202-20, 202-22, 202-28.) Because Mrs. Gardina also claimed she had a severe cognitive impairment as defined by her policy, she was required to provide accurate information during the cognitive test portion of her eligibility reassessments. (Dkt. 202-1 at 6; Dkt. 202-18 at 6–10; Dkt. 202-20 at 7–11; Dkt. 202-24 at 5–8; Dkts. 202-62, 202-63.)

Following an investigation, Plaintiff suspected that the Gardinas conspired to defraud Plaintiff. (Dkts. 202-57, 202-73, 202-74.) On June 14, 2023, Plaintiff filed this action. (Dkt. 1.) Plaintiff believed that the Gardinas provided inaccurate information regarding their health on their claim forms and during benefit eligibility assessments. Plaintiff also suspected that the Gardinas staged demonstrations regarding their health

during the assessments to appear to Plaintiff that they met the policies’ criteria for benefits. (Dkt. 25 ¶¶ 1–7.) Plaintiff paid Ms. Gardina under her policy from 2002 to 2023. (Dkt. 202-121.) Plaintiff sought legal and equitable damages against Defendants for the following claims: fraudulent misrepresentation (count I), fraudulent concealment (count II), declaratory judgments that Defendants are not entitled to

coverage under the policies (count III - Mrs. Gardina; count IV - Mr. Gardina), declaratory judgments that Defendants’ policies are void (count V - Mrs. Gardina; count VI - Mr. Gardina); and civil conspiracy (count VII). (Dkt. 25 ¶¶ 90–131.) Defendants counterclaimed, seeking damages against Plaintiff for breach of contract for denying Defendants’ claims for benefits under their policies (count I - Mrs. Gardina; count II - Mr. Gardina). (Dkt. 33.) The court conducted a nine-day jury trial in March 2025. (Dkts. 165, 169, 172, 180, 181, 186, 190, 195, 196.) During trial,

but before the case was submitted to the jury, Defendants moved for judgment as a matter of law, pursuant to Federal Rule of Civil Procedure 50(a). (Dkt. 188.) The court denied the motion. (Dkt. 194.) Following closing statements, the court instructed the jury. (Dkt. 196 at 1; Dkt. 197.) The jury deliberated and reached a verdict for Plaintiff and against Defendants. (Dkts. 198, 200.)

Specifically, regarding Plaintiff’s claims for fraudulent misrepresentation and concealment, the jury found that Defendants knowingly made fraudulent misrepresentations and concealments regarding Mrs. Gardina’s health that Plaintiff detrimentally relied on in approving her for benefits. (Dkt. 198 at 1–2.) The jury also found that Defendants’ fraudulent misrepresentations and concealments with respect

to Mrs. Gardina’s policy continued past June 14, 2019. (Id. at 3.) For Mr. Gardina’s policy, the jury found that Mr. Gardina knowingly made fraudulent misrepresentations and concealments regarding his health that Plaintiff detrimentally relied on in approving him for benefits. (Id. at 1.) As for Plaintiff’s civil conspiracy

claim, the jury found that the Gardinas conspired to defraud Plaintiff. (Id. at 2.) The jury determined that Ms. Gardina’s last unlawful act or lawful act done by unlawful means done in furtherance of the conspiracy was on May 3, 2023, and Mr. Gardina’s was on December 1, 2024. (Id. at 3.) The jury found by clear and convincing evidence that Mr. Gardina was guilty of intentional misconduct such that punitive damages should be awarded. (Id. at 4.) As to Defendants’ breach of contract counterclaims, the jury found that Defendants defrauded Plaintiff, which Plaintiff relied on and caused it to change its position for the worse. (Id. at 5.)

The jury awarded Plaintiff $1,930,129 in compensatory damages owed by Ms. Gardina and $12,496 in compensatory damages owed by Mr. Gardina. (Id. at 4.) After the jury rendered this verdict, the court proceeded with the punitive damages phase of the trial against Mr. Gardina. (Dkt. 196 at 2.) The jury heard additional evidence

from the parties before the court further instructed the jury on punitive damages. (Id.; Dkt. 199.) After deliberating, the jury awarded Plaintiff $20 in punitive damages owed by Mr. Gardina. (Dkt. 200.) APPLICABLE STANDARDS A. Rule 50(b)

Federal Rule of Civil Procedure 50(a)(2) provides that a party may move for judgment as a matter of law “before the case is submitted to the jury.” Fed. R. Civ. P. 50(a)(2). “The motion must specify the judgment sought and the law and facts that entitle the movant to the judgment.” Id. If a district court does not grant the motion under Rule 50(a), the movant may file “a renewed motion” under Rule 50(b) after

trial. Fed. R. Civ. P. 50(b). “‘The standard for granting a renewed motion for judgment as a matter of law under Rule 50(b) is precisely the same as the standard for granting the pre-submission motion under [Rule] 50(a).’” McGinnis v. Am. Home Mortg. Servicing, Inc., 817 F.3d 1241, 1254 (11th Cir. 2016) (alteration adopted) (quoting Chaney v. City of Orlando, 483 F.3d 1221, 1227 (11th Cir. 2007). A Rule 50(b) motion may be granted—and judgment as a matter of law

entered— only if “‘there is no legally sufficient evidentiary basis for a reasonable jury to find’ for the non-moving party.” Chaney, 438 F.3d at 1227 (quoting Lipphardt v. Durango Steakhouse of Brandon, Inc., 267 F.3d 1183, 1186 (11th Cir. 2001)); accord Lipphardt, 267 F.3d at 1186 (explaining that a district court may “not second-guess the

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