Posts Tagged ‘insurance claim settlement’

No ‘PIP time machine’ for auto insurance claim, says Miami-Dade court

Saturday, July 17th, 2010

Been in a car accident? No insurance policy? No problem. At least that is one driver’s thought when she bought insurance from United Automobile Insurance Company (UAIC) after her daughter was injured in a collision.

Now, more than four years and seven months later, a Miami-Dade County circuit court, sitting in its appellate capacity, says that county court judge Teretha Thomas erred when she found a UAIC adjuster could promise coverage despite there being no insurance policy in effect.

A driver was involved in an accident on Dec. 7, 2005, at 7:55 a.m., in which her daughter was a passenger, according to court records. At 10:23 a.m., the driver purchased an insurance policy with UAIC. The next day, the daughter began receiving treatment for injuries allegedly received in the accident, and made a claim for payment through UAIC.

When the medical provider submitted the bill, UAIC did not pay and was sued. When the provider’s attorney, Todd A. Landau, took the deposition of UAIC’s claims adjuster, that person erroneously said the company had no issue with regard to coverage.

Landau argued to Judge Thomas that the adjuster’s testimony meant UAIC had no objection to paying the claim. The judge agreed and ordered a judgment before the lawsuit went to trial.

UAIC appealed and three circuit court judges sitting in their appellate capacity agreed that UAIC never promised to pay the medical bills. The judges unanimously ruled that while insurance coverage cannot be forfeited, it also cannot be created where it doesn’t exist. And any agreement to change the effective date – or time – of coverage cannot come after a lawsuit is filed.

It’s obvious to us that any responsible driver that you should have insurance before you get behind the wheel. You cannot force an insurance company to pay for an accident when no insurance policy was purchased or in effect. That’s plain common sense.

The appellate court agreed with our reasoning and granted UAIC’s motion for attorney fees. The court found the appeal was frivolous as there was no reasonable basis in fact or law to uphold Landau’s argument that coverage should exist despite no insurance policy being in effect. Landau wrote a check to UAIC for $15,250.

Plaintiff attorney asks for a penny, judge says no

Wednesday, March 3rd, 2010

Chalk one up for common sense. A lawsuit for 1 cent has been tossed out of Miami-Dade County Court.

“The case was another example of how far some plaintiff attorneys will go to collect fees and the trouble it takes to get rid of nuisance lawsuits,” said Richard Parrillo, Sr., founder and CEO of United Automobile Insurance Company (UAIC).

“Plaintiff attorneys look to put thousands of dollars in their pockets even if their clients receive 1 cent or less,” said Parrillo. “This misuse of the Personal Injury Protection (PIP) law wastes taxpayers’ money and judges’ time. The Florida legislature needs to clear the courts of worthless lawsuits.”

Attorney Daniel Davidovic of Shuster & Saben LLC in Miami had sued UAIC in 2009 in Miami-Dade County Court on behalf of Chiro Group LLC, a Miami Lakes chiropractor; its patient was a UAIC policyholder. Damage to that driver’s vehicle in an August 2008 accident was $50, according to a police report.

According to a transcript from a court hearing in Feburary 2010, the claim was that United’s payments to Chiro Group LLC were short by one penny. Basic PIP covers 80 percent of an injured person’s medical bills and 60 percent of lost wages up to a maximum of $10,000.

At that hearing, Miami-Dade County Court Judge Linda Singer-Stein dismissed the lawsuit after listening to arguments from UAIC and Miami attorney Jeffrey Altman, who claimed he now represented Chiro Group LLC. The judge said of the 1-cent shortage on one check: “The difference is immaterial.”

But it wasn’t that simple, or unusual. UAIC has repeatedly found that plaintiff attorneys file PIP lawsuits over a few dollars. Their reward: fat fees. Altman, for example, has been paid $375 an hour on other cases, according to a UAIC analysis of court records. Davidovic of Shuster & Saben was also seeking fees.

Altman’s client had cashed the benefit checks a year before the court hearing. The penny was owed because of a rounding error, said Altman, who does business as The Law Office of Jeffrey Altman.

Judge Singer-Stein asked Altman why he didn’t contact UAIC when he found a math error. His response: “It is not our job,” he said, according to a court transcript. “If they don’t pay, we get to file suit.”

Altman did not want to repay costs that UAIC had incurred in defending the suit. He claimed at the hearing that he acted in good faith and so both sides should just walk away. The judge said she would think about whether Altman should pay up. In the meantime, policyholders at UAIC are footing the bill.

Time, money wasted in Broward County lawsuit for $2.60 in PIP billing claim

Tuesday, December 29th, 2009

Make the lawsuit go away. An MRI clinic wants the cash equivalent of a half-gallon of milk and is adding to the caseload of a Broward County court to get it.

It’s another example of how plaintiff attorneys in personal injury protection cases are using the legal system as a way to rack up legal fees even if the contested amount is minuscule. United Automobile Insurance Co. is committed to fighting lawsuits that waste taxpayer money, keep drivers’ premiums high and force insurance companies to defend themselves against ridiculous claims.

In this case, what the client wins might win would be a tiny fraction of what its attorney, Steven Lander of Lander & Goldman in Fort Lauderdale, stands to receive. Florida needs legal reforms that eliminate the financial incentive to sue first, negotiate second.

Lander’s client, which does business as Florida Open MRI, submitted a bill in August 2009 to United Auto for services the clinic says it performed on a United Auto policyholder. The next month, the insurance company paid $1,804.86 in PIP benefits, $30.86 in interest and $186.03 for demand postage and penalties. Lander’s client deposited the checks and in October sued for an additional $2.60 in benefits.

As with similar cases in other county courts, the there is a legal doctrine that literally translates from Latin as “the law does not care about small things.” Clearly, this is one of those small things — unless one figures in the legal fees for the plaintiff attorney.

But that is not a reason to sue. A dispute over enough dimes to buy a gallon of regular gas should not add to the overscheduled, overtaxed courts. The plaintiff has not raised a constitutional issue or claimed that fundamental rights have been violated. This is about money, and not much of it.

How do we prevent plaintiff attorneys from wasting the time of judges and attorneys with inappropriate lawsuits? United Auto is seeking sanctions under Florida law. If Florida Open MRI and Lander lose, they could each be responsible for half of United Auto’s legal fees. To send a punch to the pocketbook of both parties, the Broward County court judge will have to find that there was a complete absence of a justiciable (legally appropriate) issue of either law or fact raised by the lawsuit.

The dispute should never have come to this point.

United Automobile Insurance Company finds abuse of PIP-related appeals in South Florida courts

Thursday, December 17th, 2009

United Automobile Insurance Company, a property and casualty insurer focusing on automobile insurance and premium finance,  has launched a blog that reveals how the South Florida courts are misused in personal injury protection lawsuits. United Auto Courts Report (http://www.unitedautocourtsreport.com/blog)   highlights the questionable conduct of plaintiffs, their attorneys and judges in Miami-Dade and Broward counties in PIP-related lawsuits.

“For too long, PIP plaintiffs and their attorneys have used the legal system to enrich themselves at the expense of Florida’s hard-working residents who pay some of the highest rates in the country,” said UAIC founder and CEO, Richard Parrillo, Sr. “Sadly, many county court judges have done little or nothing to stop these abuses. We intend to shine a bright light on all of them.”

The blog launched Dec. 14 by reporting that one plaintiff attorney appealed a court settlement on a personal injury protection (PIP) payment for an additional $1.19. Attorney George David of George A. David, P.A., Coral Gables, is seeking that tiny amount for his client plus legal fees for himself of about $400 an hour. Legal precedents say he should not be wasting the court’s time and the taxpayer’s money.

“This is just one example of how the court system is used as money machine for plaintiffs and their lawyers” said Parrillo. “The public needs to know just how far fraud and abuse have spread in the PIP system and courts. Through our reporting, we hope to see meaningful reform of Florida’s insurance laws and legal system.”

United Automobile Insurance Company has been at the forefront of fighting this monumental fraud problem in the Florida Legislature and in county, circuit and appellate courts. But this battle has been very expensive and seemingly unwinnable in part to what the company sees as an uneven playing field in Miami-Dade and Broward County courts.

The United Auto Courts Report blog updates its readers on the cases, verdicts and appellate decisions that impact the state of Florida’s automobile insurance market.

Lawsuit on auto insurance claim proceeds even though amount being sought is…who knows?

Thursday, December 17th, 2009

Here is a lawsuit that needs to go away, if for no other reason that it is a waste of time and money. A client of Coral Gables attorney George David of George A. David, P.A., has sued in Miami-Dade County court for as little as 17 cents as and no more than $9.63. Just how much? No one knows. David is not saying.

This type of litigation has prompted United Automobile Insurance Company to step up its fight against needless and unjustified billing of auto insurance claims. Ultimately, policyholders, taxpayers, and insurers pay the costs of large demands for tiny sums. Court reform is needed to clear the dockets for more substantial matters of law and speed the justice system.

The dispute started almost five years ago, when a United Auto policyholder sought reimbursement for an MRI related to an automobile accident claim. After deductions and such, the company issued three checks: one for $139.83 for benefits, a second for $30.89 in interest expenses, and a third for $19.19 in demand penalty and postage fees.

Did that satisfy the customer? Apparently not. In March 2008, David sued on behalf of the client, claiming extra interest was due. Three months later, the three checks were cashed and David did not specify a dollar figure. As of early December 2009, the lawsuit was still pending but the claim amount remained a mystery.

As part of the lawsuit, a litigation adjuster calculated just how much more might be owed to David’s client. The answer: as little as 17 cents and no more than $9.63.

United Auto has asked the judge to throw out the lawsuit, arguing in part that, “One can only conclude that the lawsuit was filed solely for the purpose of billing attorney fees.”

In Miami-Dade County Court, judges routinely award attorneys fees ranging from $300 to $500 per hour for simple fender-bender accidents.

An isolated incident? No. In May 2009, the 13th Circuit Court heard an appeal from a medical provider for an additional 89 cents in interest. The court ruled against the provider, saying it had used the wrong interest formula.

Administrative Judge James M. Barton, who was on the panel that heard the appeal, wrote in his opinion that attorneys for both sides, a county court and the circuit court had spent considerable energy on the case. He stated, “In my view, the time has come to say, ‘Enough!’” The court should not spend its time on unimportant matters. Barton also noted that as long ago as 1858 the Florida Supreme Court refused to send back to trial a demand for less than $11 in interest.

“The court showed good judgment then. It’s time for all Florida courts to follow the same practice.”

“The PIP fraud is just so prevalent, and we believe it is driven 100 percent by the staggering legal fees being awarded to PIP attorneys representing unscrupulous storefront clinics and imaging centers,” said Richard Parrillo, Sr., Founder and CEO of United Auto Insurance Company.  “There is no question that these cooperative arrangements amount to organized PIP fraud rings, but unfortunately, the laws are full of loopholes and the penalties for committing the fraud equate to a slap on the wrist.  Something needs to be done about this untenable situation that is costing Florida’s drivers hundreds of millions of dollars each year.”

Wasting the court’s time and money: an appeal for $1.19

Monday, December 14th, 2009

Is it worth suing over $1.19?

One Miami-Dade attorney seems to think so, especially when you can bill about $400 an hour in legal fees.

Attorney George David of George A. David, P.A., Coral Gables, is asking a panel of appeals court judges in Miami-Dade Circuit Court for $1.19 — plus his fees, of course — in payment related to an auto accident injuries claim. At issue is not whether his client got paid, it did, but whether the client was shortchanged. David says “yes” in his appeal, but legal precedents say he should not be wasting the court’s time and the taxpayer’s money.

Miami-Dade County Court Judge Lawrence King had awarded David’s client, Stand-Up MRI of Miami, $16.38 in interest on a bill payment. United Automobile Insurance Co. sent a check for $20. The response? Not that the judge erred in calculating the interest owed; that was never contested. The amount billed was also not contested.

Rather than asking the county court to correct its judgment, David appealed to circuit court, claiming a little more interest and a lot more in legal fee.

The law has a term for minuscule differences that waste court and professional time: De minimis no curat lex, which translates to “the law does not care about small things.” Disputes over a dollar or two, or even 10, do not deserve the court’s time. And taxpayers should not accommodate attorneys who waste the money spent processing such appeals.

In fact, the Florida Bar has sanctioned attorneys for such behavior. One attorney appealed for an additional 23 cents in 2007. The Florida Bar complained about his behavior to the Florida Supreme Court, which barred the attorney for 91 days. In its opinion, the Court said of the attorney, “The pettiness of his behavior hurt his clients, the opposing party, and ultimately, the profession…”

Sadly, that incident was not an isolated one. And this is not David’s only instance of running the legal meter for matters worth no one’s time.

United Auto is committed to fighting needless and unjustified billing of auto insurance claims in an effort to reduce the financial burden on its policyholders, the general public and the company. The company will expose abuses of the insurance system and the courts in an effort to promote reform of the legal system.