HOWARD LEVY, APPELLANT,
v.
THE TRAVELERS INSURANCE COMPANY AND AETNA CASUALTY AND SURETY COMPANY, APPELLEES

Fla. 4th DCA | 1991-04-10
No. 90-0273
HERSEY, C.J., concurs., FRANK, RICHARD H., Associate Judge, dissents, with opinion.
580 So. 2d 190 Florida District Court of Appeal, Fourth District (1991) Positive Treatment
Cited by 17 cases

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Synopsis

Howard Levy appealed a dismissal of his personal injury protection (PIP) insurance claim based on the five-year statute of limitations. The Fourth District Court of Appeal held that the statute of limitations for a breach of contract action on an insurance policy begins to run from the date of the breach (when benefits become overdue), not from the date of the accident.


Holding

The court held that the statute of limitations for a PIP breach of contract claim commences upon the breach of the insurance contract—specifically when benefits become overdue—not upon the date of the accident. The order dismissing Levy's complaint was reversed as erroneous.


Headnotes

[1] The statute of limitations for an action based on an insurer's failure to pay personal injury protection (PIP) benefits begins to run when the insurer breaches its obliga…

[2] In contract cases, the cause of action accrues and the statute of limitations begins to run from the time of the breach.

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Key Quotes

“the statute of limitations applicable to an action against an automobile insurer for breach of contract for failure to pay PIP benefits commenced to run on the date of the accident, rather than the date when benefits under the policy became overdue”

States the opposing argument that the court rejected

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Facts & Procedural History

Howard Levy sustained injuries in an automobile accident and held policies with Travelers Insurance Company and Aetna Casualty & Surety Company that i…

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Opinion of the Court
DOWNEY, Judge.

DOWNEY, Judge.

The insured, Howard Levy, appeals from a final order dismissing his complaint against appellees, Travelers Insurance Company and Aetna Casualty & Surety Company, in which he sought personal injury protection (PIP) benefits. Levy, who sustained injuries in an automobile accident, alleged that he had automobile insurance policies with Travelers and Aetna that included PIP coverage in full effect at the time of the accident. He claimed that he applied for benefits under the policies but that Travelers and Aetna refused to pay them. The trial court dismissed Levy’s complaint based on the five-year statute of limitations, section 95.11(2)(b), Florida Statutes (1981).

All of the parties agree that the five-year statute of limitations is applicable to this contract action. They differ, however, in the event which triggers the commencement of the five-year period. Appellees contend the statute commences tolling upon the occasion of the accident giving rise to the claim; while appellant argues that the statute does not commence running until the contract is breached. We hold that the tolling of the five-year statute of limitations commences upon the breach of the insurance contract.

In opting for the date of accident as the critical date, appellees rely upon Fladd v. Fortune Insurance Company, 530 So. 2d 388 (Fla.2d DCA 1988), wherein the Second District Court of Appeal held that the five-year statute of limitations applicable to an action against an automobile insurer for breach of contract for failure to pay PIP benefits commenced to run on the date of the accident, rather than the date when benefits under the policy became overdue. The Fladd case, in turn, relied upon State Farm Mutual Automobile Insurance Co. v. Kilbreath, 419 So. 2d 632 (Fla.1982), in arriving at its conclusion. Kilbreath involved a cause of action for uninsured motorist (UIM) coverage, which the supreme court described as a cause of action that stems from plaintiffs right of action against the tortfeasor and, thus, arises on the date of the accident. As the court said in that case, “the uninsured motorist statute gives the insured the same cause of action against the insurer that he has against the uninsured/underinsured third party tortfeasor for damages for bodily injury.” Id. at 632, 633.

The cause of action in this case is a first party claim in contract for failure to pay the contractual obligation for personal injuries sustained, regardless of fault. The coverage is mandated by section 627.736(1), Florida Statutes (1981), in all policies complying with the security requirements of section 627.733, Florida Statutes. With regard to the payment of PIP benefits, section 627.736(4)(b) provides:

Personal injury protection insurance benefits paid pursuant to this section shall be overdue if not paid within 30 days after the insurer is furnished written notice of the fact of a covered loss and of the amount of same.

It is apparent that, pursuant to the statute, the insurer has no obligation to pay benefits to the insured until thirty days after receipt of the insured’s claim. We see no reason to depart from the usual and customary rules regarding the application of the statute of limitations tó insurance contracts unless there is an exception brought about by the nature of the claim, as in the UIM instance set forth in Kilbreath. For a clear exposition of the dichotomy involved in application of the statute of limitations to tort and contract claims, see Fradley v. County of Dade, 187 So. 2d 48 (Fla.3d DCA 1966). The issue presented here has also been examined and elucidated in Micha v. Merchants Mut. Ins. Co., 463 N.Y.S.2d 110, 94 A.D.2d 835 (3 Dept.1983), wherein the court stated:

Turning now to the accrual date, it is the general rule that “[i]n contract cases, the cause of action accrues and the Statute of Limitations begins to run from the time of the breach * * * * (Krassner & Co. v. City of New York, 46 N.Y.2d 544, 550, 415 N.Y.S.2d 785, 389 N.E. 2d 99). Application of this principle mandates rejection of the accrual date urged by defendant, for at the time of the accident defendant owed no contractual obligation to pay first-party benefits, and, therefore, it had not yet breached any contractual obligation. Defendant’s obligation to pay the first-party benefits required by its policy arose “as loss [was] incurred” and benefits “are overdue if not paid within thirty days after the claimant supplies proof of the fact and amount of loss sustained” (Insurance Law, § 675, subd. 1; see, also, Montgomery v. Daniels, 38 N.Y.2d 41, 47, 378 N.Y.S.2d 1, 340 N.E. 2d 444). Interest on the benefits begins to accrue when the payment is overdue (Young v. Utica Mut. Ins. Co., 86 A.D.2d 764, 448 N.Y.S.2d 83), and we conclude that an insured’s cause of action to recover the unpaid benefits accrues at the same time.

See also Rowland v. Safeco Insurance Co. of America, 634 P.Supp. 613 (M.D.Fla.1986); Special Tax School Dist. No. 1 of Orange County v. Hillman, 179 So. 805, 131 Fla. 725 (1938).

Accordingly, while recognizing conflict with the decision in Fladd v. Fortune Insurance Company, 530 So. 2d 388 (Fla.2d DCA 1988), we hold that the order appealed from is erroneous in that it relies upon the date of the accident giving rise to the PIP claim rather than the date of the breach of the contract by the insurers.

REVERSED.

HERSEY, C.J., concurs.

FRANK, RICHARD H., Associate Judge, dissents, with opinion.

Dissent
FRANK, Associate Judge,

FRANK, Associate Judge,

dissenting.

I adhere to my concurrence in Fladd v. Fortune Insurance Company, 530 So. 2d 388 (Fla.2d DCA 1988).


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Cited By

  • Allstate Ins. Co. v. Keely Kaklamanos, 843 So. 2d 885 (Fla. 2003)
    …Ins. Co. 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. Co., 580 So. 2d 190, 191 (Fla. 4th DCA 1991)). The Second District has similarly explained that actions for PIP benefits “are to be governed by the general principles of contract law.” Donovan v. State Farm Fire & Cas. Co., 574 So. 2d 285, 286 (Fla. 2d DCA 1991) (findi…
  • Blumberg v. USAA Cas. Ins. Co., 790 So. 2d 1061 (Fla. 2001)
    …on accrues — i.e., when the insurer breaches the obligation to pay. See Passman v. State Farm Fire & Cas. Co., 779 So. 2d 323, 325 (Fla. 2d DCA 1999); State Farm Mut. Auto. Ins. Co. v. Lee, 678 So. 2d 818, 821 (Fla.1996); Levy v. Travelers Ins. Co., 580 So. 2d 190, 191 (Fla. 4th DCA 1991). Moreover, if the insurer puts the insured on notice that it will no longer pay benefits, this constitutes an anticipatory repudiation, giving rise to a cause of action for breach of contract and commencing the running of th…
  • …ortfeasor” 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). Levy held that the limitations period begins to run on the date of the insurer’s alleged breach of contract — i.e., the date when PIP benefits under the policy become overdue.3 In its opinion, the Levy court concluded that Fladd…

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