UNITED AUTOMOBILE INSURANCE COMPANY, Appellant,
v.
Ciceron TIENNA, Appellee.
District Court of Appeal of Florida, Fourth District.
Hinda Klein of Conroy, Simberg & Ganon, P.A., Hollywood, for appellant.
Jeffrey A. Nussbaum of Law Office of Jeffrey A. Nussbaum, P.A., Davie, for appellee.
KAHN, LISA D., Associate Judge.
Ciceron Tienna alleges that he sustained injuries in an automobile accident on October 2, 1995. On or about October 30, 1995, Tienna submitted a claim for personal injury protection (PIP) benefits with United Automobile Insurance Company (UAI). When the insurance company refused to pay the medical bills submitted, Tienna sued. Tienna's amended complaint contained three (3) counts: count I, breach of contract; count II, failure to comply with section 627.736, Florida Statutes (1995); and count III, bad faith. The bad faith claim was abated pending the outcome of the PIP action.
Tienna filed a motion for partial summary judgment, arguing that UAI failed to comply with section 627.736(4)(b). This section requires PIP benefits to be paid within thirty (30) days after an insurer is furnished written notice of a covered loss (a claim). However, payment is not overdue after thirty days if the "insurer has reasonable proof to establish that the insurer is not responsible for the payment." § 627.736(4)(a), Fla. Stat. (1995). Section 627.736(7)(a) further provides that PIP benefits may not be withdrawn "unless the insurer first obtains a report by a physician licensed under the same chapter as the treating physician whose treatment authorization is sought to be withdrawn, stating that treatment was not reasonable, related, or necessary." In opposition to Tienna's motion, UAI filed the affidavits of two doctors who attested, inter alia, that Tienna's injuries may have been from a previous accident and that the treatment was not reasonable, related, or necessary.
The trial court granted Tienna's motion for partial summary judgment on counts I and II, relying on Perez v. State Farm Fire and Casualty Co.,
On May 4, 2000, the trial court entered an order on the final partial summary judgment of counts I and II. The order states that "[t]he Court determines, sitting in its factual capacity, finds [sic] the case of Perez v. State Farm, 3rd DCA Case No. 991481 Dade County directly on point and Plaintiff is entitled to damages in the amount of $6,935.00 plus statutory interest at a rate of 10% a year for which let execution issue." When the trial court rendered its final partial summary judgment ruling, it was required to follow the decision in Perez.[2] However, subsequent to the entry of the order on the final partial summary judgment, this court issued its decision in AIU Insurance Co. v. Daidone,
The conflicting opinions in the numerous physician affidavits submitted in this matter create genuine issues of material fact regarding whether the treatment Tienna received was reasonable, related, or necessary. UAI physicians have attested that Tienna's injuries may not be related to the October 2, 1995, accident, but may be from a previous accident. Therefore, partial summary judgment on this issue was premature and must be reversed.[4]
FARMER and TAYLOR, JJ., concur.
NOTES
Notes
[1] The trial court's Order states: "This Court finds that the case of [Perez v. State Farm 3d DCA Case No. 991481] Opinion filed October 13, 1999, though from the Third District Court of Appeal is directly on point. There is no case specifically to the contrary in the Fourth District Court of Appeal, though Defendant argues that [Fortune Insurance Company v. Everglades Diagnostics
[2] See State v. Hayes,
[3] The Daidone panel's decision was also in direct, though not express, conflict with the Third District's decision in United Automobile Insurance Co. v. Viles,
[4] UAI also appeals the trial court's entering a partial final summary judgment on two counts of Tienna's amended complaint, and awarding Tienna damages that were subject to execution before the conclusion of the case. This is moot. Count III for bad faith has been abated and is still considered pending. Generally, partial final judgments are premature and erroneous. See Del Castillo v. Ralor Pharmacy, Inc.,
