blue logo
March 2010 

Error to Enter Summary Judgment in Rear-End Collision Where Question of Sudden Lane Change
       In this First District case, the Court considered whether the decedent driver of a vehicle who struck the rear of the Defendant's tow truck was subject to the presumption of negligence in Florida on the part of the rear driver in a rear-end collision.
       blood tubesThe Court found that, although the driver of the car which struck the rear of the tow truck died in the accident, there was a sufficient question of fact regarding whether the actions of the lead driver fit into one of the three established general categories which have been found to effectively rebut the presumption of negligence in these accidents:
1.   An abrupt and arbitrary stop in a place where it   could not reasonably be expected, or an unexpected change of lanes;
2.   A mechanical failure, such as sudden brake failure, that causes the rear driver to collide with the lead driver; and
3.   The lead vehicle is illegally and, therefore, unexpectedly stopped.
       The Court found in this matter that since there was a question as to whether the tow truck had suddenly changed lanes and reduced its speed, it was inappropriate to enter summary judgment in favor of the tow truck.
 
Itiat v. Foskey, 35 Fla. L. Weekly D313 (Fla. 1st DCA, 2/5/10).

Homeowners:  Order for Appraisal Premature Where Coverage Dispute Remained
       The Fourth District Court of Appeals recently issued an opinion stating that where a coverage issue remains, specifically, whether or not the claim was a "supplemental claim to a prior claim" an order for appraisals was not supported.  In this case, the homeowners filed a claim following damage sustained in Hurricane Wilma, were paid on the claim and the file was closed.  Two years later, the homeowners submitted a "supplemental" claim for damages "discovered" by a public adjuster.

 blood tubes       The carrier requested a sworn proof of loss, as well as examinations under oath in connection with the new claim.
       The trial court in this case ordered the parties to obtain appraisals, pursuant to the policy provisions, without allowing evidence to be presented regarding the dispute as to coverage or regarding the failure to provide sworn proof of loss and participate in examinations under oath.
       The Fourth DCA held that it was premature to order parties to obtain an appraisal, inasmuch as there were disputes regarding coverage and compliance with the policy provisions by the insured.
 
Sunshine State Insurance Company v. Corridori, 35 Fla. L. Weekly D289 (Fla. 4th DCA, 2/3/10
).

 
PIP Perspective
Medical Provider Bound by EUO Requirement in PIP Claim
       Shaw v. State Farm  is an excellent opinion from the 5th DCA which has affirmed the right of the carrier to investigate claims by taking the Examination Under Oath of an assignee who is seeking benefits under the PIP provisions of a policy.  In this case, State Farm's policy required that a person or organization making a claim under No-Fault Coverage, must at their option, submit to an examination under oath, provide a statement under oath... as reasonably often as they require.  
       This decision is beneficial for PIP carriers as it allows the invocation of the duty to cooperate to get the medical provider to sit for an EUO pre-suit and, if they do not appear and the same is set in compliance with Amador, then a claim may be jeopardized by their failure to cooperate.  
       In Shaw, the insured assigned all benefits due and owing under the applicable policy of insurance to the medical provider and, by assigning his rights to the same provider, thereby obligated the provider to comply with all provisions of the applicable policy of insurance.  The medical provider failed to appear for an EUO pre-suit, despite an obligation to do so, and the claim was denied.  The Court ruled based upon the plain policy language and the governing case law that State Farm was entitled to take the EUO of the provider, pre-suit, in compliance with Amador, and, if the provider failed to appear for the same, the ramifications of the failure to cooperate were the same as if the assignor had failed to appear.  
 
Shaw v. State Farm, 34 Fla. L. Weekly D 2189 (Fla., 5th DCA, 10/23/09)
 
For More Information
 
Contact Shawn Spellacy directly. Email or telephone 954.463.3008.

In This Issue
Error to Enter Summary Judgment...
Homeowners: Order for Appraisal Premature...
PIP Perspective: Medical Provider Bound by EUO...
Attorney Spotlight   

fasking

       William "Eric" Fasking heads up Kirwan & Spellacy's newest office, located in Winter Haven.  Eric has an extensive insurance claims background, holds a CPCU designation and has more than 10 years experience as an attorney in insurance defense litigation matters.
        A native of Illinois, he received his B.S. from Illinois Wesleyan University, cum laude, and J.D. from William Mitchell College of Law, cum laude.
       Mr. Fasking resides with his wife and son in Winter Haven.
 
Kirwan & Spellacy is a full-service defense litigation firm serving the diverse needs of the insurance and business community throughout Florida.       
 
Practice Areas include:
 
Automobile Liability/ Uninsured Motorist

Commercial Premises & General Liability
 
Examinations Under Oath
 
Homeowners' &
Liability Claims
 
Insurance Law
 
Personal Injury Protection
 
Special Investigative Unit/Fraud
 
Subrogation
 
Workers' Compensation
 
Education
 
Kirwan & Spellacy provides state-certified continuing education and seminars on relevant topics as a courtesy to our clients.
 
Locations
 
Fort Lauderdale

888 S.E. 3rd Avenue
Suite 301
Fort Lauderdale, FL 33316
(954) 463-3008
 
Miami
19 West Flagler Street
Suite 1100
Miami, FL 33130
(786) 275-3140

Jupiter
275 Toney Penna Drive
Suite 1, Jupiter, FL 33458
(561) 615-0333
 
Winter Haven
595 Cypress Gardens Blvd., Suite 320
Winter Haven, FL   33880 
(863) 508-1684

 
 

 

 

logo letters