DORAL HEALTH CENTER, P.A., A/A/O ESPERANZA ESCARIZ
v.
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
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.
Doral Health Center, as assignee of insurance benefits, appealed summary judgment orders granting State Farm's motion for final judgment in two consolidated cases arising from a 2012 automobile accident. The court affirmed the judgment, holding that Doral Health failed to preserve its arguments for appellate review by not presenting specific legal arguments to the trial court in written form or by other adequate means.
The court affirmed the summary judgment, finding that Doral Health failed to preserve its arguments for appellate review. The court held that merely filing deposition transcripts without written response, legal argument, or documented presentation to the trial court is insufficient to preserve an issue for appeal.
[1] An issue is not preserved for appellate review unless the specific legal argument or ground is presented to the trial court through motion or paper allowing the appellate…
[2] Filing deposition transcripts in opposition to summary judgment without stating their significance or providing any argument does not adequately preserve an issue for app…
Previewing 2 of 5 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“In order to be preserved for further review by a higher court, an issue must be presented to the lower court and the specific legal argument or ground to be argued on appeal or review must be part of that presentation if it is to be considered preserved.”
Establishes the fundamental requirement that appellate issues must have been specifically presented to the trial court with clear legal arguments.
Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceFollowing a June 2012 automobile accident, insureds Ernesto Fiallo and Esperanza Escariz had State Farm policies with $10,000 Personal Injury Protecti…
The full statement of facts, procedural history, and disposition for this case are member content.
Join FLexlaw to unlock all legal intelligence© FLexlaw, Inc. — AI-generated enrichments are proprietary. All rights reserved.
Explore caselaw by topic → Browse Deductible cases and more on FLexlaw
Appeals from the County Court for Miami-Dade County, Catherine M. Pooler, Senior Judge. Best & Menendez, and Virginia M. Best and Johanna M. Menendez, for appellants. Cole, Scott & Kissane, P.A., and Thomas L. Hunker, Michael A. Rosenberg (Plantation), and Sarah Hafeez (Fort Lauderdale), for appellee. Before LOGUE, SCALES, and LOBREE, JJ.
LOGUE, J.
In these consolidated appeals, Doral Health Center, P.A., as assignee of the insureds Ernesto Fiallo and Esperanza Escariz, appeals from two county court orders granting final summary judgment in favor of State Farm Mutual Automobile Insurance Company. We affirm.
The insurance claims that led to these appeals arise from an automobile accident in June 2012. At the time, the insureds had a policy with State Farm which included Personal Injury Protection benefits in the amount of $10,000, with a $1,000 deductible for each insured. After the accident, the insureds received medical services from various providers, including Doral Health. Each insured executed an assignment of benefits in favor of Doral Health.
Doral Health submitted claims to State Farm for its medical bills totaling $886.44 for Escariz and $880.08 for Fiallo on July 20, 2012, and August 2,
2012. Prior to Doral Health submitting its claims, two other medical providers
(Fiallocare Therapy Center Inc. and YH Imaging Inc.) had also submitted claims to State Farm. State Farm denied all claims because the insureds had failed to comply with the terms of their policy by not attending their examination under oath.1 Because these claims were denied by State Farm, the insureds’ deductible remained unsatisfied.
In 2013, Doral Health brought this action to recover its medical bills.
Thereafter in 2018, once the statute of limitations2 ran on the claims submitted by Fiallocare Therapy and YH Imaging, State Farm moved for summary judgment asserting that the $1,000 deductible applied to Doral Health’s bills assuming they were the next compensable bills. In support of its motion, State Farm filed an affidavit from a claims adjuster with personal knowledge of the disputed claims.
Doral Health did not file a written response to State Farm’s motion.
Instead, Doral Health filed a notice of identification of evidence and attached the deposition transcripts of one of the insureds and of the claims adjuster. In its notice, Doral Health asserted that the deposition transcripts were to be 1 At oral argument, Doral Health conceded that the insureds had failed to attend their examination under oath as required under the policies. 2 The applicable statute of limitations provides that an action for breach of an insurance contract must be filed within five years of the cause of action accruing. § 95.11(2)(b), Fla. Stat. (2013). The breach occurs upon an insurer’s denial of a claim. Allstate Ins. Co 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. Auto. Ins. Co. v. Lee, 678 So. 2d 818, 820 (Fla. 1996))). Therefore, an insured or provider has five years in which to bring an action against the insurer for payment after a claim is denied.
presented as evidence in opposition to State Farm’s motion at a scheduled hearing, but it did not state the significance of the evidence or provide any argument. After the hearing, for which there is no transcript in the record as there was no court reporter present, the trial court granted State Farm’s motion in two unelaborated orders and entered judgment in its favor in each case. Doral Health did not move for rehearing. These appeals followed.
Doral Health argues the trial court erred in granting final summary judgment because State Farm misapplied the deductible to Doral Health’s bills after the statute of limitations ran on the other providers’ medical bills.
State Farm, however, responds by contending that Doral Health did not preserve its argument for appellate review. We are forced to agree.
“In order to be preserved for further review by a higher court, an issue must be presented to the lower court and the specific legal argument or ground to be argued on appeal or review must be part of that presentation if it is to be considered preserved.” Sunset Harbour Condo. Ass’n v. Robbins, 914 So. 2d 925, 928 (Fla. 2005) (citation omitted). While a transcript of a summary judgment hearing is not necessary to preserve an issue for appeal, the issue must still be “presented to the court through some other motion or paper, allowing the appellate court to be sure that the issue was actually raised and ruled on at some point.” Black Point Assets, Inc. v. Fed. Nat’l Mortg. Ass’n, 220 So. 3d 566, 568–69 (Fla. 5th DCA 2017); see also Bertolotti v. Dugger, 514 So. 2d 1095, 1096 (Fla. 1987) (“In order to preserve an issue for appellate review, the specific legal argument or ground upon which it is based must be presented to the trial court.”). Otherwise, the appellate court is unable to determine whether the trial court was given an opportunity to review and consider the same issues raised on appeal. See Aills v. Boemi, 29 So. 3d 1105, 1108–10 (Fla. 2010) (noting errors not raised in the trial court are not properly preserved for appeal); Broadfoot v. Broadfoot, 791 So. 2d 584, 585 (Fla. 3d DCA 2001) (“As a general rule, we decline to consider claims which were not presented in the first instance in the trial court.”).
In the record before us, we do not know what arguments Doral Health made to the trial court so we cannot determine whether or not the trial court erred in rejecting those arguments. Doral Health did not file a written response to State Farm’s motion, file a transcript of the hearing below, have a trial court approve a statement of the proceedings prepared in accordance with Florida Rule of Appellate Procedure 9.200(b)(5), ensure its argument was referenced in the trial court orders under review, or move for rehearing in a manner that might document whatever argument it made. The mere filing of deposition transcripts in opposition to a summary judgment motion, without any reference to their significance to the motion or to the arguments to be presented at the hearing, is not enough to inform this Court what arguments Doral Health made to the trial court.
Affirmed.
Cases With Similar Vibessemantic neighbors from the corpus
Citator
Cited By
-
Divine v. Commissioner OF Internal Revenue, 500 F.2d 1041 (2d Cir. 1974)…side the federal tax field. I agree also with the majority’s rejection of many of the Commissioner’s arguments on the merits. Nevertheless, I think that the Tax Court was right in Sid Luckman, 50 T.C. 619 (1968), and in its unanimous decision here, 59 T.C. 152 (1972), and that the Seventh Circuit erred in reversing in Luckman v. C.I.R., 418 F. 2d 381 (7 Cir. 1969). The question in this case reduces to whether the “opportunity cost” incurred by Rapid in issuing the stock to the employees at less than its…1 / 3
Authorities Cited
- Allstate Ins. Co. v. Keely Kaklamanos, 843 So. 2d 885 (Fla. 2003)
- Aills v. Luciano Boemi, M.D., 29 So. 3d 1105 (Fla. 2010)
- Sunset Harbour Condo. Ass'n v. Robbins, 914 So. 2d 925 (Fla. 2005)
- Bertolotti v. Dugger, 514 So. 2d 1095 (Fla. 1987)
- State Farm Mut. Auto. Ins. Co. & State Farm Fire & Cas. Co. v. Kunbok LEE and Gisun Lee, 678 So. 2d 818 (Fla. 1996)
- Broadfoot v. Rocio E. Broadfoot, 791 So. 2d 584 (Fla. 3d DCA 2001)
- Black Point Assets, Inc. v. Fed. Nat'l Mortg. Ass'n ("Fannie MAE"), 220 So. 3d 566 (Fla. 5th DCA 2017)