PIP claim (Florida) · Go Syfert
← Florida issues

PIP claim in Florida

44 Florida opinions name it 2 courts 1977–2026 10 in the last five years

The cases below were cited by Florida courts in a sentence that names this issue. Sides come from how each citing opinion treated the case (Syfertize flag on that citation), so a case can appear on both: that is where the law is contested. A red or yellow chip is the case's own overall treatment.

Followed or applied (20)

CaseFollowedCited
POLO HOLDINGS v. Village of Wellingtongreen
fladistctapp · 2005 · cited in 4 Florida opinions naming this issue, 2011–2021
2 sentences

2021See also Palm Beach Polo Holdings, Inc. v. Vill. of Wellington, 904 So. 2d 652, 653 (Fla. 4th DCA 2005) (PFS which included general release of all damages “brought or not brought” in the lawsuit was ambiguous where 6 other claims and lawsuits were pending between the parties); Nichols, 932 So. 2d at 1079–80 (PFS served by insurer to insured was ambiguous when it sought to release all claims “arising out of” a PIP claim, where insured also had a UM claim pending against the insurer); Matrisciani v. Garrison Prop. & Cas.

2021See also Palm Beach Polo Holdings, Inc. v. Vill. of Wellington, 904 So. 2d 652, 653 (Fla. 4th DCA 2005) (PFS which included general release of all damages “brought or not brought” in the lawsuit was ambiguous where 6 other claims and lawsuits were pending between the parties); Nichols, 932 So. 2d at 1079–80 (PFS served by insurer to insured was ambiguous when it sought to release all claims “arising out of” a PIP claim, where insured also had a UM claim pending against the insurer); Matrisciani v. Garrison Prop. & Cas.

44
State Farm Mut. Auto. Ins. Co. v. Nicholsgreen
fla · 2006 · cited in 5 Florida opinions naming this issue, 2007–2021
2 sentences

2021See also Palm Beach Polo Holdings, Inc. v. Vill. of Wellington, 904 So. 2d 652, 653 (Fla. 4th DCA 2005) (PFS which included general release of all damages “brought or not brought” in the lawsuit was ambiguous where 6 other claims and lawsuits were pending between the parties); Nichols, 932 So. 2d at 1079–80 (PFS served by insurer to insured was ambiguous when it sought to release all claims “arising out of” a PIP claim, where insured also had a UM claim pending against the insurer); Matrisciani v. Garrison Prop. & Cas.

2021See also Palm Beach Polo Holdings, Inc. v. Vill. of Wellington, 904 So. 2d 652, 653 (Fla. 4th DCA 2005) (PFS which included general release of all damages “brought or not brought” in the lawsuit was ambiguous where 6 other claims and lawsuits were pending between the parties); Nichols, 932 So. 2d at 1079–80 (PFS served by insurer to insured was ambiguous when it sought to release all claims “arising out of” a PIP claim, where insured also had a UM claim pending against the insurer); Matrisciani v. Garrison Prop. & Cas.

35
Flores v. Allstate Ins. Co.green
fladistctapp · 2002 · cited in 3 Florida opinions naming this issue, 2006–2012
2 sentences

2012Shelton essentially resolved a similar question raised in this court's earlier holding in Flores v. Allstate Insurance Co., 833 So.2d 172 (Fla. 2d DCA 2002), in which we noted that a secondary issue of a PIP claim in a UM action could prejudicially outweigh any probative value under section 90.403.

2012Shelton essentially resolved a similar question raised in this court's earlier holding in Flores v. Allstate Insurance Co., 833 So.2d 172 (Fla. 2d DCA 2002), in which we noted that a secondary issue of a PIP claim in a UM action could prejudicially outweigh any probative value under section 90.403.

23
Donovan v. ST. FARM FIRE AND CAS. CO.green
fladistctapp · 1991 · cited in 3 Florida opinions naming this issue, 1991–2003
2 sentences

2003Co., 574 So.2d 285, 286 (Fla. 2d DCA 1991) (finding that statute of limitations began to run when insurer declined to make further payments after initially accepting a PIP claim, making payments thereon for three years, and then refusing further benefits).

2003Co., 574 So.2d 285, 286 (Fla. 2d DCA 1991) (finding that statute of limitations began to run when insurer declined to make further payments after initially accepting a PIP claim, making payments thereon for three years, and then refusing further benefits).

23
Freedom Life Ins. Co. of America v. Wallantgreen
fladistctapp · 2004 · cited in 2 Florida opinions naming this issue, 2024–2026
2 sentences

2026Co. of Am. v. Wallant, 891 So. 2d 1109, 1117 (Fla. 4th DCA 2004) (noting that “(b)(2) certification does not extend to cases in which the appropriate final relief relates 6 exclusively or predominantly to money damages” (quotation omitted)); IDS I, 263 So. 3d at 124 (“To quantify the claims of the putative class members will require a comprehensive and distinct analysis of each underlying PIP claim and automobile accident.

2024Co. of Am. v. Wallant, 891 So. 2d 1109, 1117 (Fla. 4th DCA 2004) (noting that “(b)(2) certification does not extend to cases in which the appropriate final relief relates exclusively or predominantly to money damages” (quotation omitted)); IDS I, 263 So. 3d at 124 (“To quantify the claims of the putative class members will require a comprehensive and distinct analysis of each underlying PIP claim and automobile accident.

22
Ids Property Casualty Ins. Co. v. Mspa Claims 1green
fladistctapp · 2018 · cited in 2 Florida opinions naming this issue, 2024–2026
2 sentences

2026Co. of Am. v. Wallant, 891 So. 2d 1109, 1117 (Fla. 4th DCA 2004) (noting that “(b)(2) certification does not extend to cases in which the appropriate final relief relates 6 exclusively or predominantly to money damages” (quotation omitted)); IDS I, 263 So. 3d at 124 (“To quantify the claims of the putative class members will require a comprehensive and distinct analysis of each underlying PIP claim and automobile accident.

2024Co. of Am. v. Wallant, 891 So. 2d 1109, 1117 (Fla. 4th DCA 2004) (noting that “(b)(2) certification does not extend to cases in which the appropriate final relief relates exclusively or predominantly to money damages” (quotation omitted)); IDS I, 263 So. 3d at 124 (“To quantify the claims of the putative class members will require a comprehensive and distinct analysis of each underlying PIP claim and automobile accident.

22
Trumbull Insurance Co. v. Wolentarskigreen
fladistctapp · 2009 · cited in 2 Florida opinions naming this issue, 2017–2017
2 sentences

2017Co., 2 So.3d at 1055 (finding that plaintiff's PIP claim did not relate back to original negligence and uninsured/underinsured claims where original claims concerned collision of school bus with plaintiff's vehicle and PIP claim concerned insurer’s failure to pay medical providers certain contracted benefits); W.

2017Co., 2 So. 3d at 1055 (finding that plaintiff’s PIP claim did not relate back to original negligence and uninsured/underinsured claims where original claims concerned collision of school bus with plaintiff’s vehicle and PIP claim concerned insurer’s failure to pay medical providers certain contracted benefits); W.

22
State Farm Mut. Auto. Ins. Co. v. Leegreen
fla · 1996 · cited in 2 Florida opinions naming this issue, 2001–2003
2 sentences

2003Co. v. Lee, 678 So.2d 818, 820 (Fla.1996) (emphasis added) (concluding that the statute of limitations runs from time the insurer denies the PIP claim because this is the date that the contract is breached) (quoting Levy v. Travelers Ins.

2001Co. v. Lee, 678 So.2d 818, 821 (Fla.1996) (holding that, once thirty days elapsed after receipt of the Lees' PIP claim, "and no benefits were paid on the claim, assuming they were properly due, [5] State Farm had effectively breached their contract with [the Lees].").

22
Levy v. Travelers Ins. Co.green
fladistctapp · 1991 · cited in 2 Florida opinions naming this issue, 1996–2003
2 sentences

1996A cause of action for a PIP claim, like a cause of action for an uninsured/underinsured motorist claim, "stems from the plaintiff's right of action against the tortfeasor" and, thus, arises on the date of the accident. 530 So.2d at 390-91 (emphasis added). [2] The Third District, on the other hand, has subscribed to the position taken earlier by *820 the Fourth District in Levy v. Travelers Insurance Co., 580 So.2d 190 (Fla. 4th DCA 1991).

1996A cause of action for a PIP claim, like a cause of action for an uninsured/underinsured motorist claim, "stems from the plaintiff's right of action against the tortfeasor" and, thus, arises on the date of the accident. 530 So.2d at 390-91 (emphasis added). [2] The Third District, on the other hand, has subscribed to the position taken earlier by *820 the Fourth District in Levy v. Travelers Insurance Co., 580 So.2d 190 (Fla. 4th DCA 1991).

12
Fladd v. Fortune Ins. Co.green
fladistctapp · 1988 · cited in 2 Florida opinions naming this issue, 1991–1996
2 sentences

1996A cause of action for a PIP claim, like a cause of action for an uninsured/underinsured motorist claim, "stems from the plaintiff's right of action against the tortfeasor" and, thus, arises on the date of the accident. 530 So.2d at 390-91 (emphasis added). [2] The Third District, on the other hand, has subscribed to the position taken earlier by *820 the Fourth District in Levy v. Travelers Insurance Co., 580 So.2d 190 (Fla. 4th DCA 1991).

1996A cause of action for a PIP claim, like a cause of action for an uninsured/underinsured motorist claim, "stems from the plaintiff's right of action against the tortfeasor" and, thus, arises on the date of the accident. 530 So.2d at 390-91 (emphasis added). [2] The Third District, on the other hand, has subscribed to the position taken earlier by *820 the Fourth District in Levy v. Travelers Insurance Co., 580 So.2d 190 (Fla. 4th DCA 1991).

12
State Farm Fire & Cas. Co. v. Palmagreen
fla · 1990 · cited in 1 Florida opinions naming this issue, 2023–2023
1 sentence

2023Co. v. Palma, 555 So. 2d 836 (Fla. 1990) (“Palma III”).

11
Hartford Ins. Co. v. ST. MARY'S HOSP.green
fladistctapp · 2000 · cited in 1 Florida opinions naming this issue, 2022–2022
2 sentences

2022Mary's Hosp., Inc., 771 So. 2d 1210, 1212 (Fla. 4th DCA 2000) (a PIP claim cannot be brought in the absence of the statutorily required written assignment of benefits without which an assignee lacks “standing to bring suit against [the insurer] pursuant to Florida's No Fault law or the insurance contract between [the insurer] and the insured motorist”).

2022Mary's Hosp., Inc., 771 So. 2d 1210, 1212 (Fla. 4th DCA 2000) (a PIP claim cannot be brought in the absence of the statutorily required written assignment of benefits without which an assignee lacks “standing to bring suit against [the insurer] pursuant to Florida's No Fault law or the insurance contract between [the insurer] and the insured motorist”).

11
Bosem v. Commerce & Industry Insurance Co.green
fladistctapp · 2010 · cited in 1 Florida opinions naming this issue, 2022–2022
1 sentence

2022Co., 35 So. 3d 944, 945 (Fla. 3d DCA 2010) (concluding that evidence of insurance fraud necessitated summary judgment in favor of provider as to entire PIP claim comprising two “separate and distinct” claims for medical expenses and lost wages, since “[a]llowing for payment of one portion of a claim would nonsensically allow an insured to engage in a ‘cost-benefit analysis’ with respect to the contemplation of such fraud,” and “[t]he ‘arising from’ and ‘relating to’ language [in section 627.736(4)(h)] clearly seeks to encompass all claims pertaining to a single event resulting in purported los

11
Allstate Ins. Co. v. Kaklamanosgreen
fla · 2003 · cited in 1 Florida opinions naming this issue, 2021–2021
1 sentence

2021Co v. Kaklamanos, 843 So. 2d 885, 892 (Fla. 2003) (noting “the statute of limitations runs from the time the insurer denies the PIP claim because this is the date that the contract is breached” (citing State Farm Mut.

11
State Farm Mutual Automobile Insurance Co. v. Rhodes & Anderson, D.C., P.A.green
fladistctapp · 2008 · cited in 1 Florida opinions naming this issue, 2016–2016
2 sentences

2016Co. v. Rhodes & Anderson, D.C., P.A., 18 So.3d 1059, 1064 (Fla. 2d DCA 2008) (recognizing that a PIP claim can be “denied because the claim was unrelated, medically unnecessary, or unreasonable”).

2016Co. v. Rhodes & Anderson, D.C., P.A., 18 So.3d 1059, 1064 (Fla. 2d DCA 2008) (recognizing that a PIP claim can be “denied because the claim was unrelated, medically unnecessary, or unreasonable”).

11
Livingston v. Malevergreen
fla · 1931 · cited in 1 Florida opinions naming this issue, 2009–2009
2 sentences

2009First, we reject the notion that the late filed amendment to add a PIP claim and a request for related attorneys’ fees relates back to the beginning of this action. “[W]hen a cause of action set forth in an amended pleading in a pending litigation is new, different, and distinct from that originally set up, there is no relation back.” Livingston v. Malever, 103 Fla. 200 , 137 So. 113, 118 (1931); W.

2009First, we reject the notion that the late filed amendment to add a PIP claim and a request for related attorneys’ fees relates back to the beginning of this action. “[W]hen a cause of action set forth in an amended pleading in a pending litigation is new, different, and distinct from that originally set up, there is no relation back.” Livingston v. Malever, 103 Fla. 200 , 137 So. 113, 118 (1931); W.

11
Morton v. Heathcockgreen
fladistctapp · 2005 · cited in 1 Florida opinions naming this issue, 2009–2009
11
Chiropractic v. United Automobile Insurance Co.green
fladistctapp · 2009 · cited in 1 Florida opinions naming this issue, 2009–2009
2 sentences

2009Co., 21 So.3d 858, 861 (Fla. 3d DCA 2009) (“In short, an insurer may deny a PIP claim in whole or in part either before or after that claim becomes ‘overdue [because not paid within thirty days]’ provided it has ‘reasonable proof that it is not responsible for payment.”); United Auto.

2009Co., 21 So.3d 858, 861 (Fla. 3d DCA 2009) (“In short, an insurer may deny a PIP claim in whole or in part either before or after that claim becomes ‘overdue [because not paid within thirty days]’ provided it has ‘reasonable proof that it is not responsible for payment.”); United Auto.

11
ALLSTATE INS. CO., INC. v. Campbellgreen
fladistctapp · 2003 · cited in 1 Florida opinions naming this issue, 2005–2005
11
Farley v. Gateway Insurance Companygreen
fladistctapp · 1974 · cited in 1 Florida opinions naming this issue, 1977–1977
11

Distinguished, questioned or overruled (0)

CaseNegativeCited
No negative-treatment citations attached to this issue in Florida. Read the followed side critically anyway.

Also cited on this issue (20)

CaseCitedYears
United Auto. Ins. Co. v. Rodriguez green
fla · 2001
2 sentences

2009ANALYSIS A. First Certified Question The first certified question addresses whether, following the 2001 amendment to section 627.736(4)(b), a “report,” obtained by the insurer pursuant to section 627.736(7)(a) to deny benefits on the ground that the treatment was not reasonable, related, or necessary, is a “valid report” if it was not obtained by the insurer within thirty days of receipt of the claim. 1 In United Automobile Insurance Co. v. Rodriguez, 808 So.2d 82 (Fla.2001), which interprets the 1997 version of section 627.736, the Florida Supreme Court addressed whether an insurer that fails

2009ANALYSIS A. First Certified Question The first certified question addresses whether, following the 2001 amendment to section 627.736(4)(b), a “report,” obtained by the insurer pursuant to section 627.736(7)(a) to deny benefits on the ground that the treatment was not reasonable, related, or necessary, is a “valid report” if it was not obtained by the insurer within thirty days of receipt of the claim. 1 In United Automobile Insurance Co. v. Rodriguez, 808 So.2d 82 (Fla.2001), which interprets the 1997 version of section 627.736, the Florida Supreme Court addressed whether an insurer that fails

22003–2009
Dowd v. Geico General Insurance Co. neutral
fladistctapp · 2017
1 sentence

2025The Third District concluded the discrepancy between the limited proposal and the much broader release created an ambiguity because “the plaintiff may still have had a viable PIP claim against Geico and it is unclear under the terms of the releases whether such a claim was intended to be included among those being released.” Id. at 774 .

12025–2025
Menendez v. Progressive Express Insurance Co. green
fla · 2010
2 sentences

2023Id.

2023Id.

12023–2023
Nationwide Mutual Fire Insurance Co. v. Pollinger green
fladistctapp · 2010
2 sentences

2021A PFS was presented by the UM insurer’s attorney which stated that the insured “will dismiss [defendant insurer] from all claims, causes of action, and damages arising from the incident or accident giving rise to this lawsuit and will dismiss this lawsuit with prejudice.” Id. at 891 .

2021A PFS was presented by the UM insurer’s attorney which stated that the insured “will dismiss [defendant insurer] from all claims, causes of action, and damages arising from the incident or accident giving rise to this lawsuit and will dismiss this lawsuit with prejudice.” Id. at 891 .

12021–2021
SOCC, P.L. v. State Farm Mutual Automobile Insurance Co. green
fladistctapp · 2012
2 sentences

2021Id. at 910 .

2021Id. at 910 .

12021–2021
STATE FARM MUTUAL AUTO INS. CO v. CARE WELLNESS CENTER, LLC, a/a/o VIRGINIA BARDON-DIAZ green
fladistctapp · 2018
2 sentences

2018Because it found that the Legislature had "established what is reasonable through the adoption of" the schedule of maximum charges, the Fourth District determined that "there is no PIP claim until the provider's bill is reduced, if necessary, to the amount set forth in section 627.736(5)(a) 1." Id. at 29 .

2018And "[i]f there is no PIP claim until the amount is reduced to the amount found to be reasonable by the legislature, then there is nothing to apply the deductible to until the amount is reduced." Id.

12018–2018
Ivey v. Allstate Ins. Co. green
fla · 2000
2 sentences

2016Id.

2016Id.

12016–2016
Sendy Enivert v. Progressive Select Insurance Company green
ca11 · 2015
2 sentences

2016The insurer asked the court “to read into the statute an affirmative obligation on the part of the insured to obtain a medical provider’s determination one way or the other about whether the condition was an emergency in order to receive any benefits at all.” Id. at 586 .

2016The insurer asked the court “to read into the statute an affirmative obligation on the part of the insured to obtain a medical provider’s determination one way or the other about whether the condition was an emergency in order to receive any benefits at all.” Id. at 586 .

12016–2016
State Farm Mutual Automobile Insurance Co. v. Pressley green
fladistctapp · 2010
2 sentences

2015Pressley, 28 So.3d at 108 .

2015Pressley, 28 So.3d at 108 .

12015–2015
United Automobile Insurance Co. v. Kendall South Medical Center green
fladistctapp · 2011
2 sentences

2013Id. at 544 .

2013Id. at 544 .

12013–2013
Goldman v. State Farm Fire Gen. Ins. Co. green
fladistctapp · 1995
2 sentences

2011The decision in Goldman v. State Farm General Fire Insurance Co., 660 So.2d 300 (Fla. 4th DCA 1995), review denied, 670 So.2d 938 (Fla.1996), also was not decided based on the PIP statute or a PIP analysis.

2011The decision in Goldman v. State Farm General Fire Insurance Co., 660 So.2d 300 (Fla. 4th DCA 1995), review denied, 670 So.2d 938 (Fla.1996), also was not decided based on the PIP statute or a PIP analysis.

12011–2011
Central Magnetic Imaging Open MRI of Plantation, Ltd. v. State Farm Fire & Casualty Insurance Co. green
fladistctapp · 2009
2 sentences

2010Magnetic Imaging, we noted that our case law before the 2001 amendment at issue clearly permitted “‘peer review reports’ and squarely held that an insurer was not required to obtain an IME before denying a PIP claim.” Id. at 784 (citing Nationwide Mut.

2010Magnetic Imaging, we noted that our case law before the 2001 amendment at issue clearly permitted “‘peer review reports’ and squarely held that an insurer was not required to obtain an IME before denying a PIP claim.” Id. at 784 (citing Nationwide Mut.

12010–2010
Mercy Hosp., Inc. v. Johnson green
fladistctapp · 1983
2 sentences

2009Thus, in Mercy Hospital, 431 So.2d at 688 , the court concluded that an attorney’s claim that he had spent 5563 hours negotiating three loans was “inherently incredible.” The same must be said as to counsel’s claim that he spent more than three entire work weeks doing nothing but litigating a PIP claim added at the end of an action (settled for all of $30,000) brought primarily against the School Board to recover for the alleged negligence of a bus driver.

2009Thus, in Mercy Hospital, 431 So.2d at 688 , the court concluded that an attorney’s claim that he had spent 5563 hours negotiating three loans was “inherently incredible.” The same must be said as to counsel’s claim that he spent more than three entire work weeks doing nothing but litigating a PIP claim added at the end of an action (settled for all of $30,000) brought primarily against the School Board to recover for the alleged negligence of a bus driver.

12009–2009
Nichols v. State Farm Mut. green
fladistctapp · 2003
12006–2006
Jones v. State Farm Mut. Auto. Ins. Co. green
fladistctapp · 1997
12001–2001
State v. Cronin green
fladistctapp · 2000
12001–2001
Bonfiglio v. American Vehicle Insurance Co. neutral
fladistctapp · 1996
11997–1997
Royal Indemnity Co. v. GOVT. EMP. INS. CO. green
fladistctapp · 1975
11996–1996
State Farm Mut. Auto. Ins. Co. v. Kilbreath green
fla · 1982
11996–1996
Hendry Tractor Co. v. Fernandez green
fla · 1983
11986–1986

Statutes the citing opinions construe

FL § 627.736 (27) FL § 768.79 (7) FL § 95.11 (5) FL § 627.727 (4) FL § 627.733 (4) FL § 627.737 (4) FL § 627.730 (3) FL § 627.732 (3) FL § 768.76 (3)

Counted by distinct opinions that both name this issue and are annotated to the section; sections every opinion cites regardless of issue are not filtered here, so read the counts against the total above.

Where else courts name it

FL 44 (1977–2026) NJ 34 (1979–2025) MI 23 (1992–2026) MA 23 (1996–2014) OR 10 (2007–2025) MD 9 (1992–2018) WA 6 (2006–2019) CO 6 (1988–2012) TX 3 (2001–2018) GA 2 (1984–1992) DE 2 (1982–2013) OH 2 (2011–2012)

Opinions by the citing court's state. A doctrine retained in one state and abandoned in another shows up here as a year span that stalls.

← Caselaw search · G Cite Topics · Brief Check