MAGNETIC IMAGING SYSTEMS, I, LTD., APPELLANT,
v.
PRUDENTIAL PROPERTY & CASUALTY INSURANCE COMPANY, APPELLEE

Fla. 3d DCA | 2003-03-12
No. 3D02-888
Before SCHWARTZ, C.J., and LEVY, and WELLS, JJ.
847 So. 2d 987 Florida District Court of Appeal, Third District (2003) Positive Treatment
Cited by 5 cases

AI-generated. These summaries, headnotes, and key points are machine-generated and may contain errors or omissions. Always verify against the full opinion text below. Not legal advice.

Synopsis

Magnetic Imaging Systems, a medical provider assignee of PIP insurance benefits, appealed a summary judgment denying it attorney's fees after Prudential Insurance paid late PIP benefits. The court reversed, holding that Prudential's payment after suit was filed constituted a confession of judgment entitling Magnetic to attorney's fees under Florida law.


Holding

Magnetic is entitled to attorney's fees as the prevailing party. An insurer's payment of PIP benefits after suit is filed operates as a confession of judgment entitling the assignee to fees under section 627.428(1). The invalidation of the arbitration statute does not change this result, as general PIP law provides outcome-oriented fee awards whenever judgment is entered in favor of the insured or assignee.


Headnotes

[1] An insurer's payment of PIP benefits after a lawsuit is filed, but before a judgment is rendered, operates as a confession of judgment, entitling the prevailing party to…

[2] An assignee of PIP benefits is entitled to attorney's fees under section 627.428(1), Florida Statutes, when the insurer pays the benefits after suit is filed.

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Key Quotes

“An insurer cannot escape the penalty of attorney's fees simply by ignoring an outstanding medical bill, paying it when an arbitration demand is made and then arguing that arbitration was not held because full payment of benefits was subsequently made.”

Establishes that insurers cannot avoid fee liability by delaying payment until arbitration is demanded and then paying before arbitration proceeds.

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Facts & Procedural History

Magnetic Imaging Systems accepted assignment of PIP insurance benefits from patients and sued Prudential for failing to pay interest on late-paid bene…

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Opinion of the Court
WELLS, J.

WELLS, J.

Magnetic Imaging Systems I, Ltd. (“Magnetic”) appeals a final summary judgment in favor of Prudential Property & Casualty Insurance Company (“Prudential”) in which the lower court found that Magnetic was not entitled to a fee award. We disagree and reverse.

Magnetic is a medical service provider that accepts assignment of PIP insurance benefits from its patients. As the assignee of such benefits, Magnetic is entitled to receive PIP payments directly from insurers. On April 18, 1995, Magnetic filed suit against Prudential Insurance Corporation of America (“Prudential of America”), alleging that the insurer had regularly failed to pay interest on late-paid PIP benefits as required by sections 627.736(4)(b) and (c), Florida Statutes (1995).1

Magnetic brought suit as the assignee of one of its patients and, as a putative class representative, sought to certify a class consisting of two subgroups: (1) individual insureds to whom interest on late PIP benefits had not been paid; and (2) medical-provider assignees (like itself) to which interest on late PIP benefits had not been paid. After a little more than a year of litigation, Prudential of America moved for summary judgment, arguing that Prudential, not Prudential of America, had issued the insurance policy involved in the action, and that Prudential had timely paid the patient-assignor’s benefits as mandated by section 627.736(4)(b). Rather than ruling on the motion for summary judgment, the lower court permitted Magnetic to amend its complaint to substitute Prudential for Prudential of America and to substitute a different patient-assignor, Felix Gentile (whose PIP benefits presumably had not been timely paid), for the patient-assignor named in the original complaint.

Upon substitution, Prudential promptly moved to compel arbitration claiming that disputes “between the insurer and any person providing medical services ... [who] has agreed to accept assignment of [PIP] benefits” had to be arbitrated under section 627.736(5), Florida Statutes (1995). The request was granted; but, before arbitration could begin, two things occurred. First, in August 1998, Prudential tendered a check for $22.12, the amount purportedly due as interest on Mr. Gentile’s late-paid benefits. Second, in February 2000, the Florida Supreme Court held that the provision pursuant to which the action had been referred to arbitration, section 627.736(5), was unconstitutional. See Nationwide Mut. Fire Ins. v. Pinnacle Med., Inc., 753 So. 2d 55 (Fla.2000). Consequently, and at Magnetic’s request, the trial court’s previous orders compelling arbitration were vacated, and the matter was returned to circuit court.

Following a skirmish over whether the action should be dismissed for lack of prosecution while the arbitration was pending, Prudential moved for summary judgment claiming that the forms executed by Magnetic’s assignor did not constitute a valid assignment. Prudential also argued that its tender of payment extinguished the entire claim.

On February 27, 2002, the lower court entered final summary judgment in Prudential’s favor, concluding that the action should have been dismissed following Prudential’s tender of interest due on the late-paid benefits without provision for payment of Magnetic’s attorney’s fees, because: (1) Magnetic had inappropriately sought to litigate rather than arbitrate as mandated by section 627.736(5); and (2) Magnetic had incurred no fees between the time arbitration was ordered and the time payment was tendered. For the following reasons, we disagree and reverse.

In Central Magnetic Imaging v. State Farm Mut. Auto. Ins. Co., 745 So. 2d 405, 407 (Fla. 3d DCA 1999), this court held that an insurer’s payment of PIP benefits demanded by a medical provider assignee following commencement of arbitration constituted a settlement which “is equivalent to a confession of judgment,” entitling the assignee to an award of attorney’s fees as the prevailing party under section 627.736(5). This court also rejected the notion that an insurer could escape a fee award under 627.736(5) by holding out until an arbitration demand is made, and then paying benefits before action is taken in the arbitration proceeding:

An insurer cannot escape the penalty of attorney’s fees simply by ignoring an outstanding medical bill, paying it when an arbitration demand is made and then arguing that arbitration was not held because full payment of benefits was subsequently made.

Id. (citation omitted).

The fact that little occurred following referral of this case to arbitration did not, therefore, negate Magnetic’s entitlement to a fee award. Moreover, Magnetic’s entitlement to a fee award was not limited to recovering for services rendered only after arbitration was ordered. See Criterion Ins. Co. v. Gutierrez, 319 So. 2d 70 (Fla. 3d DCA 1975) (affirming an award of fees for services incurred both before an action to recover PIP benefits was filed and after an offer of judgment was made). Accordingly, Prudential’s tender of payment entitled Magnetic to a fee award.

The Florida Supreme Court’s invalidation of section 627.736(5), and its prevailing party fee provision, does not change this result. Section 627.428(1), Florida Statutes (2002), provides that in any dispute “which leads to judgment against the insurer in favor of the insured, attorney’s fees shall be awarded to the insured.” Ivey v. Allstate Ins. Co., 774 So. 2d 679, 684 (Fla.2000). As the Florida Supreme Court has explained, current PIP law (as evidenced by sections 627.428(1) and 627.736(8)) “is outcome-oriented. If a dispute arises between an insurer and an insured, and judgment is entered in favor of the insured, he or she is entitled to attorney’s fees.” Id. at 684. Where an insurer makes payment of a claim after suit is filed, but before a judgment is rendered, such payment operates as a confession of judgment, entitling the insured to an attorney’s fee award. See id. at 684-85. These general principles apply not only to disputes between insurers and their insureds, but also to disputes between insurers and those like Magnetic, to whom PIP benefits have been assigned. See § 627.736(8), Fla. Stat. (2001) (confirming that section 627.428 applies to disputes “between an assignee of an insured’s rights and the insurer”); Superior Ins. Co. v. Libert, 776 So. 2d 360, 365-66 (Fla. 5th DCA 2001)(finding that an assignee of an insured’s PIP benefits was entitled to attorney’s fees under section 627.428(1), where the insurer paid the benefits after suit was filed); see also Roberts v. Carter, 350 So. 2d 78, 79 (Fla.1977)(noting that attorney’s fees are available under section 627.428(1) to assignees of an insured). Magnetic was entitled to a fee award.

We also find no merit in Prudential’s argument that the forms executed by Magnetic’s assignor did not constitute a valid assignment of benefits. This is especially so since Prudential obtained an order compelling Magnetic, as assignee, to arbitrate by affirmatively alleging that arbitration was mandatory “between the insurer and any person providing medical services ... [who] has agreed to accept assignment of [PIP] benefits.”

Accordingly, the summary judgment denying Magnetic a fee award is reversed and this cause remanded for further proceedings consistent with this opinion.

Reversed and remanded.

. Sections 627.736(4)(b) and (c), Florida Statutes (1995), in pertinent part provided:

(b) 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....

(c) All overdue payments shall bear simple interest at the rate of 10 percent per year.


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  • Allstate Ins. Co. v. Regar, 942 So. 2d 969 (Fla. 2d DCA 2006)
    …other types of disputes against insurers. See, e.g., Roberts v. Carter, 350 So. 2d 78, 79 (Fla.1977); All Ways Reliable Bldg. Maint., Inc. v. Moore, 261 So. 2d 131, 132 (Fla.1972); Magnetic Imaging Sys., I, Ltd., v. Prudential Prop. & Cas. Ins. Co., 847 So. 2d 987, 989-90 (Fla. 3d DCA 2003); Superior Ins. Co. v. Libert, 776 So. 2d 360, 365 (Fla. 5th DCA 2001). “[A]n assignee of an insurance claim stands to all intents and purposes in the shoes of the insured and logically should be entitled to an attorney’s f…
  • Travelers OF Fla. v. Stormont, 43 So. 3d 941 (Fla. 3d DCA 2010)
    …kes payment of a claim after suit is filed, but before a judgment is rendered, such payment operates as a confession of judgment, entitling the insured to an attorney’s fee award.” Magnetic Imaging Syst., I, Ltd. v. Prudential Prop. & Cas. Ins. Co., 847 So. 2d 987, 990 (Fla. 3d DCA 2003). The insurer relies on cases which are not on point. In Federated National, 937 So. 2d at 199, the appraisal award was issued and the insurer paid the award in full. After payment in full, the insured filed a motion to confi…
  • Baker Fam. Chiropractic, LLC v. Liberty Mut. Ins. Co., 356 So. 3d 281 (Fla. 5th DCA 2023)
    …arena has changed repeatedly. No-Fault initially provided for attorney’s fees to the prevailing party; then it became a one-way street where only prevailing insureds could recover fees. See Magnetic Imaging Sys. v. Prudential Prop. & Cas. Ins. Co., 847 So. 2d 987, 989 (Fla. 3d DCA 2003); Forthuber, 229 So. 3d at 899. The current version of §627.736(8) explicitly permits attorney fee awards to assignees of the insureds. The Legislature implemented other changes to recognize and permit recovery by either sid…

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