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MBT's reported insurance coverage cases. - Meckler Bulger Tilson ...

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Florida<br />

Supreme Court<br />

Derius v. Allstate Indem. Co., 837 So.2d 406 (Fla. 2003) (whether<br />

Personal Injury Protection insurers are barred from defenses to claims<br />

where the insurers did not assert such defenses before the expiration of the<br />

statutory “thirty day” payment requirement for benefits under Florida<br />

law).<br />

United Auto. Ins. Co. v. Rodriguez, 808 So.2d 82 (Fla. 2001) (whether<br />

Personal Injury Protection insurers are barred from defenses to claims<br />

where the insurers did not assert such defenses before the expiration of the<br />

statutory “thirty day” payment requirement for benefits under Florida<br />

law).<br />

Court of Appeals<br />

Allstate Ins. Co. v. Holy Cross Hosp., Inc., 895 So.2d 1241 (Fla.Dist.Ct.<br />

App. 4th Dist. 2005) (statutory interpretation regarding the legality of<br />

Personal Injury Protection insurers' agreements with health care provider<br />

networks to permit insureds access to reduced, negotiated rates for<br />

medical services covered by Personal Injury Protection <strong>insurance</strong>).<br />

Advanced Diagnostics Testing v. Allstate Ins. Co., 2004 WL 2347554<br />

(Fla.Dist.Ct. App. 3 Dist. Oct. 20, 2004) (interpretation of the Florida<br />

Personal Injury Protection law imposing certain fee schedule limitations<br />

for covered MRI services).<br />

Allstate Ins. Co. v. Kaklamanos, 843 So. 2d 885 (Fla. 2003) (standing of<br />

health care providers as assignees of Personal Injury Protection <strong>insurance</strong><br />

benefits to challenge determinations regarding whether medical care<br />

services for which the benefits were sought were billed at reasonable rates<br />

as required by Florida law).<br />

Nationwide Mut. Fire Ins. Co. v. Central Florida Physiatrists, P.A., 851<br />

So.2d 762 (Fla.Dist.Ct. App. 5th Dist. 2003) (statutory interpretation<br />

regarding the legality of Personal Injury Protection insurers' agreements<br />

with health care provider networks to permit insureds access to reduced,<br />

negotiated rates for medical services covered by Personal Injury<br />

Protection <strong>insurance</strong>).<br />

Nationwide Mut. Ins. Co. v. Jewell, 862 So.2d 79 (Fla.Dist.Ct. App. 2nd<br />

Dist. 2003) (statutory interpretation regarding the legality of Personal<br />

Injury Protection insurers' agreements with health care provider networks<br />

18

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