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Recent Florida DCA Opinion Summaries
By Erich Von Unruh, Esq.
A recent DCA opinion on assignment of insurance determined that only the insured can be required to submit to an Examination Under Oath (EUO). Also, a recent opinion determined when attorney's fees are awardable in homeowner's cases. Both of these issues have been recently ruled on in the Fifth and Second District Courts of Appeals, and the following is a summary of these decisions.
The Fifth District Court of Appeal in, Shaw D.C., P.A., Etc., Et. Al., v. State Farm Fire and Casualty Company, et al, 35 Fla. L. Weekly D1020a (May 7, 2010), determined that an assignee, like the chiropractic clinic in this case, has no duty to submit to an Examination Under Oath in a PIP case. The clinic accepted an assignment of benefits from Renard St. Louis, State Farm's insured, and State Farm attempted to take Dr. Shaw's Examination Under Oath. The Court specifically held that the duty to submit to an EUO only applies to the insured.
The dissent in this case opined that State Farm, by this ruling, has lost its contract rights under the policy to enforce the EUO provision against assignees. The dissent also warns that this decision will affect PIP policies with similar EUO clauses. This case shows that the Court is divided and both sides have strong arguments. However, at this time, the Court has sided with the clinics and held that they are not required to sit for an Examination Under Oath if they are merely an assignee of the rights to payment under a PIP policy of Insurance. The Court has asked the Florida Supreme Court to review its opinion in this case. The Second District Court of Appeal, in Hill v. State Farm Florida Insurance Company, 35 FLA. L. Weekly D1041a (May 7, 2010), stated that attorney's fees and costs are awardable in a homeowner's case if the insured has, in good faith, filed suit to force an insurer to adjust their claim. However, if they have filed suit to seek attorney's fees for the normal processing of adjusting claims attorney's fees and costs are not awardable. The Court specifically addresses the attorneys for the appellants and states that they have misconstrued the Court's previous rulings in Goff v. State Farm, 999 So. 2d 684, (Fla., 2nd DCA,(2008) in that they asserted that if the claims process is merely difficult they are not entitled to attorney's fees. The Court clarifies their previous holding and states that if the parties are no longer working to resolve the claim within the contract because the adjusting process breaks down, then attorney's fees are awardable. It appears from this ruling that if it can be shown that steps were being taken in the process of adjusting the claim and that it had not broken down prior to the suit being filed, attorneys fees would not be awardable.
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PIP Cases: Expert Fees for Treating Physicians
By Mathew Watkins, Esq.
Over the recent years, courts have awarded expert witness fees to the Plaintiff's treating physician's deposition testimony. However, while there is a split of authority on this issue, the tide is turning, as more courts have taken a different approach, opining that treating physicians are not entitled to expert witness fees for deposition testimony. These courts reason that the issue is controlled by Florida Rules of Civil Procedure 1.280 and 1.390. More specifically, these courts held that a treating physician is not an expert witness under Rules 1.280 or 1.390(a), and therefore is not entitled to an expert witness fee pursuant to Rule 1.390(c). These courts stress that Rule 1.280 permits discovery of facts known and opinions held by experts that were acquired or developed in anticipation of litigation or for trial. See Fla. R. Civ. P. 1.280(b)(4). The courts note that a treating physician gains information and develops an opinion in the ordinary course of caring for a patient, rather than in anticipation of litigation or for trial as specified in Rule 1.280. Under this analysis, a treating physician is a fact witness who is entitled to a regular witness fee for giving testimony. The court in United Automobile Insurance Company v. Duncan held that the trial court erred when awarding expert witness fees for deposing the Plaintiff's treating physician. United Automobile Insurance Company v. Duncan, 17 Fla. L. Weekly Supp. 329 (Fla. 11th Jud. Cir. (Appellate) February 11, 2010). In conforming with the reasons above, the court opined that Florida Rules of Civil Procedure 1.280(4) and 1.390(c) authorize expert witness fees for those witnesses who acquire or develop knowledge "in anticipation of litigation or for trial." However, they concluded that treating physicians do not obtain their information for the purpose of litigation, but rather in the course of making their patients well. As such, treating physicians are treated as fact witnesses and are not entitled to charge expert witness fees. The court in Schenna v. State Farm previously held that treating physicians are not entitled to expert witness fees for deposition testimony. Schenna v. State Farm Mutual Automobile Insurance Co., 17 Fla. L. Weekly Supp. 301 (Fla. 18th Jud. Cir., May 4, 2009). The court reasoned that because this was a straightforward PIP action, the doctors will not be required to render opinions on issues such as permanency, disability, future medical bills and so forth. Additionally, some of their relevant testimony will be purely factual, such as date of treatment and complaints as related by the Plaintiff. Moreover, in almost every PIP case, the treating is also the Plaintiff by virtue of an assignment from the named insured. Finally, in United Automobile Insurance Company v. Pines Total Healthcare, Inc., the court also relied on the fact that the treating physician is an ordinary fact witness, and a result, is not entitled to an expert witness fee for their deposition. United Automobile Insurance Company v. Pines Total Healthcare, Inc., 17 Fla. L. Weekly Supp. 414a (Fla. 11th Jud. Cir. (Appellate), March 9, 2010). Plaintiffs asserting that a treating physician is entitled to an expert fee argue that it is the nature of the proffered testimony that determines whether a treating physician is an expert or ordinary fact witness for purposes of the one expert per specialty rule. Progressive Express Ins. Co. v. Prof. Med. Group, Inc. a/a/o Jurden Ugalde, 10 Fla. L. Weekly Supp. 973 (Fla. 11th Cir. Ct. Oct. 14, 2003). If an expert specifically retained for use at trial has expressed or will express opinions regarding the applicability of the professional standard of care, testimony given by treating physicians on the same issue will be precluded by the one expert per specialty rule. See The Florida Bar, Expert Witnesses, MALP FL-CLE 9-1 § 9.10 (2006). Thus, a treating physician can be considered an expert, restrict the number of expert witnesses available in a specialty, and may be entitled to an expert witness fee under the Florida Rules of Civil Procedure. This argument was most recently noted in United Automobile Insurance Company v. Florida Wellness & Rehabilitation Center, Inc., Case No. 08-162 AP. L.C. (Fla. 11th Jud. Cir. (Appellate) March 16, 2010). The court held where an insurer sought to depose a treating physician regarding medical treatment and care of the insured, the trial court did not err in granting motion to compel payment of an expert witness fee. In light of the above reasoning, the Court did not find that the trial court erred in finding that the treating physician would fall within the definition of an expert witness, thereby entitling him to an expert witness fee. In sum, there is clearly conflicting authority regarding the issue of awarding expert witness fees for the deposition testimony of the treating physician. While judges have certified this issue to be one of great public importance, there has not been a clear ruling from the district courts of appeals on this issue. |
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Attorney Spotlight

Mathew F. Watkins, of the Fort Lauderdale office, was admitted to the Florida Bar in 2008. Mr. Watkins received his Bachelor of Arts in Advertising from Michigan State University in 2005 and his Juris Doctorate degree from Nova Southeastern University, Shepard Broad Law Center in 2008. He has over three years experience in the insurance industry, first as a law clerk and then as an Associate for Kirwan & Spellacy. |
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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
Liability Claims
Personal Injury Protection
Special Investigative Unit/Fraud
Subrogation
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Education
Kirwan & Spellacy provides state-certified continuing education and seminars on relevant topics as a courtesy to our clients.
Course offerings include:
Proposals for Settlement: Changes & Fundamentals
Effective Use of Florida Statute 57.105
Fighting Fraud: Use of Investigative Techniques in Claims Handling and Litigation |
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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
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Contact Shawn Spellacy directly.
Email or telephone 954.463.3008.
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