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Articles Posted in Insurance Law

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Jeffrey P. Gale, P.A. // Avoiding the PIP Setoff/Offset in Florida Vehicle Crash Cases

Florida Motor Vehicle No-Fault insurance (“Personal Injury Protection” or “PIP”) is a form of medical insurance used for motor vehicle crashes. It is mandatory on vehicles registered in Florida. It covers owners, certain family members and passengers, and pedestrians. The typical policy limit is $10,000 reduced by deductibles ranging from $500 to $2,000. PIP does not compensate the…

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Jeffrey P. Gale, P.A. // Florida PIP Coverage for Foreign Country Medical Care

Personal Injury Protection (PIP) is a type of insurance coverage that is mandatory on operational motor vehicles registered in Florida. See Florida statute 627.736. It provides “protection to the named insured, relatives residing in the same household, persons operating the insured motor vehicle, passengers in the motor vehicle, and other…

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Jeffrey P. Gale, P.A. // Florida UM Coverage Terms Must (at least) Equal Those of BI

Uninsured/Underinsured motor vehicle insurance (UM/UIM) – Florida Statute 627.727 — covers losses covered by bodily injury liability insurance (BI) but not available because the at-fault party did not maintain BI (UM) or the BI limit is insufficient to cover the full extent of the damages (UIM). Subsection (2) of the UM/UIM statute provides that…

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Jeffrey P. Gale, P.A. // Beware of Republican Shell Game on Pre-Existing Conditions

In the upcoming healthcare debate, watch carefully for a Republican shell game. In his 60 Minutes interview, Trump professed support for prohibiting insurance carriers from denying coverage for preexisting medical conditions. Left unsaid is whether carriers will be allowed to charge higher premiums based on preexisting conditions, a practice banned under…

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Jeffrey P. Gale, P.A. // Basics of Florida Motor Vehicle Insurance Coverage

Florida law requires every owner or registrant of an operable personal use motor vehicle to maintain Personal Injury Protection (PIP) and Property Damage (PD) – Liability insurance. See Florida Statute 627.733 Required security. While other types of coverage are available under the standard Florida motor vehicle insurance policy, these are the only two that are mandatory. While a premium…

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Jeffrey P. Gale, P.A. // Florida Uber Insurance Issues

Uber is an app-based transportation service company. The company arranges for service through private motor vehicle owners. Naturally, some Uber drivers cause accidents. However, Uber does not require its Florida drivers to maintain bodily injury (BI) liability insurance. (BI is a type of liability insurance which compensates for personal injuries and economic losses caused by an at-fault…

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Jeffrey P. Gale, P.A. // Florida Car Crash Law — Permanency Before Bad Faith

Florida Statute §627.737(2) provides that a plaintiff may recover tort damages for pain, suffering, mental anguish, and inconvenience because of injury arising out of the use of a motor vehicle only if that injury or disease consists in whole, or in part of: (a) significant and permanent loss of an important…

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Jeffrey P. Gale, P.A. // Hold Hospitals’ Feet to the Fire

Most Florida hospitals and many doctors have contracts with health insurance companies to provide services to covered insureds at discounted rates. The arrangement requires those providers to bill the carriers for covered services without seeking payment from insureds through self-pay and other sources such as third party liability insurance. Some contracts allow…

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Jeffrey P. Gale, P.A. // Florida’s Bad Faith Law Supposed to Keep Insurance Companies in Line

Insurance companies selling coverage in Florida have a fiduciary obligation to protect their insureds from judgments exceeding the limits of their insurance policies. Berges v. Infinity Ins. Co., 896 So.2d 665 (Fla. 2004). The obligation was well articulated in Boston Old Colony Insurance Co. v. Gutierrez, 386 So.2d 783 (Fla.1980):…

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Florida Supreme Court Addresses Failure to Attend Uninsured/Underinsured (UM) CME

I have blogged here ad nauseam about the continual conflict between insurance companies and their insureds over claims. While carriers insist upon receiving premium payments timely, their all too common approach to the claims process is delay and deny. Carriers have at their disposal a bag of tools designed to…

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