White v. Reserve Insurance Company

299 So. 2d 661
CourtDistrict Court of Appeal of Florida
DecidedMay 7, 1974
DocketT-362
StatusPublished
Cited by20 cases

This text of 299 So. 2d 661 (White v. Reserve 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
White v. Reserve Insurance Company, 299 So. 2d 661 (Fla. Ct. App. 1974).

Opinion

299 So.2d 661 (1974)

Christine WHITE, Appellant,
v.
RESERVE INSURANCE COMPANY, a Foreign Insurance Corporation, Appellee.

No. T-362.

District Court of Appeal of Florida, First District.

May 7, 1974.
Rehearing Denied June 20, 1974.

William H. Clark, of Harrell, Wiltshire, Bozeman, Clark & Stone, Pensacola, for appellant.

Robert P. Gaines, of Beggs, Lane, Daniel, Gaines & Davis, Pensacola, for appellee.

BOYER, Judge.

On March 3, 1972, Christine White, the appellant, was severely injured in an automobile accident in which the driver of the other vehicle was at fault. Mrs. White subsequently settled her personal injury claim with the insurer of the tort-feasor's vehicle for $10,000. She concluded her settlement without the assistance of an attorney.

At the time of the accident Mrs. White was insured by Reserve Insurance Company, the appellee, under a policy of automobile liability insurance containing the "no-fault" endorsement prescribed by the Florida Automobile Reparations Reform Act.

Because Reserve Insurance Company had not paid any personal injury protection *662 benefits (PIP), Mrs. White employed an attorney to bring action for her "no-fault benefits." Suit was filed against Reserve Insurance Company in September, 1972. The action against Reserve resulted in payment to Mrs. White of the total sum of $1904.60, of which $1725.10 represented medical bills that should have been paid under the PIP benefits, and $179.50 represented attorney's fees and costs incurred by Mrs. White in bringing the action against Reserve.

When Mrs. White advised Reserve that the action against the third-party tort-feasor had been settled many months before, Reserve counterclaimed for a recovery of the sums it had paid under its "no-fault" coverage. A hearing was held in which the lower court received evidence concerning the nature and extent of the injuries sustained by Mrs. White, and expert testimony to the effect that if the third-party tort-feasor or his insurer had responded for the full value of Mrs. White's claim, she would have received at least $25,000.

In the action below Reserve took the position that F.S. 627.736(3)(a), F.S.A., requires that it be reimbursed to the full extent of its payment of PIP benefits. Mrs. White contended that 627.736(3)(a) and (3)(b) require that the insurer receive an equitable distribution of the proceeds of the settlement with the third-party tort-feasor, the amount of the distribution to be determined in the discretion of the lower court.

The trial judge entered an order finding that the provisions of F.S. 627.736(3)(a), F.S.A., and F.S. 627.736(3)(b), F.S.A., are in conflict and inconsistent. The court concluded that (3)(a) applies where recovery is more than the medical payments paid under the personal injury protection benefits while (3)(b) applies when less than the amount of the medical payments is received from the tort-feasor's insurer. The court declined to make an equitable distribution and entered a judgment requiring that Mrs. White return to Reserve the full sum paid to her.

This appeal was taken. The point to be resolved by us is whether the Florida Automobile Reparations Reform Act requires that the "no-fault" insurer be reimbursed by its insured according to an equitable distribution of the proceeds of the settlement with the tort-feasor when suit has been filed by the insured against the "no-fault" carrier and the amount of recovery from the tort-feasor by the insured exceeds the amount paid under the "no-fault" coverage.

In two paragraphs, the Florida Automobile Reparations Reform Act provides for reimbursement of a "no-fault" insurer (which has paid PIP benefits) from proceeds of a recovery from a tort-feasor. As set forth in the official compiled volume of the Florida Statutes, the first paragraph, numbered 627.736(3) (a), reads as follows:

(3) Insurer's rights of reimbursement and indemnity. —
(a) No subtraction from personal protection insurance benefits will be made because of the value of a claim in tort based on the same bodily injury, but after recovery is realized upon such a tort claim, a subtraction will be made to the extent of the recovery, exclusive of reasonable attorneys' fees and other reasonable expenses incurred in effecting the recovery, but only to the extent that the injured person has recovered said benefits from the tort-feasor or his insurer or insurers. If personal protection insurance benefits have already been received, the claimant shall repay to the insurer or insurers, out of the recovery, a sum equal to the benefits received, but not more than the recovery, exclusive of reasonable attorneys' fees and other reasonable expenses incurred in effecting the recovery, but only to the extent that the injured person has recovered said benefits from the tort-feasor or his insurers or insurer. The insurer or insurers shall have a lien on the recovery to this extent. No recovery by an injured *663 person or his estate for loss suffered by him will be subtracted in calculating benefits due a dependent after the death, and no recovery by a dependent for loss suffered by the dependent after the death will be subtracted in calculating benefits due the injured person except as provided in paragraph (1)(c).

The next succeeding paragraph, numbered 627.736(3)(b), reads as follows:

(b) The insurer shall be entitled to reimbursement of any payments made under the provisions of this subsection, based upon such equitable distribution of the amount recovered as the court may determine, less the pro rata share of all court costs expended by the plaintiff in the prosecution of the suit to recover such amount against a third-party tort-feasor, including a reasonable attorney's fee for the plaintiff's attorney. The proration of the reimbursement shall be made by the judge of a trial court handling the suit to recover damages in the third-party action against the tort-feasor upon application therefor and notice to the carrier.

All who have had occasion to interpret these two paragraphs find the language confusing. (See State Farm Automobile Insurance Co. v. Hauser, Fla.App.3rd 1973, 281 So.2d 563, and Reyes v. Banks et al., Fla.App. 4th 1974, 292 So.2d 39.) Paragraph (3)(a) appears to provide a full return to the "no-fault" insurer to the extent that the injured person has recovered personal injury protection benefits from the tort-feasor or his insurer. Paragraph (3)(b) plainly provides that the return to the "no-fault" insurer shall be based upon an equitable distribution of the amount recovered from the tort-feasor or his insurer, the distribution to be made by a trial court.

It is pertinent to note that the language set forth in the official compiled volume of the Florida Statutes (and Florida Statutes Annotated) differs from the language actually enacted by the legislature as set forth in Laws of 1971, Ch. 71-252. The paragraph numbered 627.736(3)(b), as actually enacted, reads as follows:

"(b) The insurer shall be entitled to reimbursement of any payments made under the provisions of subsection (3) of this section based upon such equitable distribution of the amount recovered as the court may determine less the pro rata share of all court costs expended by the plaintiff in the prosecution of the suit to recover such amount against a third-party tort feasor including a reasonable attorney's fee for the plaintiff's attorney." (Laws of 1971, Ch. 71-252, § 7(3)(b). Emphasis added.)

The equivalent language found in Florida Statutes and Florida Statutes Annotated states:

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