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Florida Insurance Defense Questions & Answers
1 Answer | Asked in Health Care Law, Insurance Bad Faith and Insurance Defense for Florida on
Q: Clinic said they accepted my insurance, are billing me almost a year later. Insurance says they’re out of network.

I wouldn’t have gone if they hadn’t told me they accepted my insurance. Now I have a bill for $568. If they didn’t accept my insurance, why do I have records of my ‘co-pays’ of $40 and $20 (standard for my insurance)? Not only that, but I had to seek treatment elsewhere because they... View More

Jeffrey Snyder
Jeffrey Snyder
answered on Apr 2, 2020

First, get the explanation of benefits from your health insurance. Did the provider even send their bills to the health insurance at all? It sounds like they may be trying to "balance bill" you, which is illegal.

1 Answer | Asked in Insurance Bad Faith and Insurance Defense for Florida on
Q: According to Florida Statute 768.28 in a civil case against citizens insurance ( under FL CFO) are fees capped at 25%?

The insurance is state run so the state office under Florida s Chief Financial Officer has to approve any settlement the state was the only one offering property insurance for obtaining a mortgage in march 2010 there was no other option for insurance it became a negligence claim after they offered... View More

Charles M.  Baron
Charles M. Baron
answered on Mar 31, 2020

768.28 imposes restrictions on tort claims (such as negligence) against State and local government entities. A claim against your own insurance company (that is, a first party claim) for breach of its insurance policy is a contract claim, rather than a tort claim. Without doing the research, my... View More

2 Answers | Asked in Banking, Business Law and Insurance Defense for Florida on
Q: work comp insurance thru a payroll company.

Hello I have a small business with a work comp insurance thru a payroll company. I had a injured worker and the payroll company was paying the injured working. Without telling me the payroll company started paying the injured work thru my bank account. The total they have taken out of my account... View More

Bruce Alexander Minnick
Bruce Alexander Minnick
answered on Mar 10, 2020

This may not be the advice you are seeking but I am giving it to anyway--because you really need it:

The main difference between successful small businesses and those that fail within a relatively short period of time is good legal advice. The owners of most successful small businesses...
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2 Answers | Asked in Car Accidents and Insurance Defense for Florida on
Q: Can a person sue my insurance in a accident if no one was at fault
Josh Corriveau
Josh Corriveau
answered on Feb 27, 2020

Yes. In some cases liability is disputed (i.e., how the accident happened). If the other driver claims the accident was your fault or you did not comply with the rules of the road, the other driver may sue for damages. In Florida, you may also be a percentage at fault. For instance, a jury may find... View More

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1 Answer | Asked in Insurance Defense for Florida on
Q: HELP! Subrogation defense case??

I was involved in an accident where I struck the corner of a trailer (not the vehicle) and the two occupants in the vehicle (not the policyholders) are now claiming bodily injury. At the scene of the accident, they said they were not injured and they resumed work following the accident. GEICO is... View More

Terrence H Thorgaard
Terrence H Thorgaard
answered on Jan 10, 2020

Do you have insurance? If so, contact you insurance company immediately and get them to take care of it.

I find it hard to believe that they are asking that you pay $50 per month on a $400 k claim. that wouldn't be a drop in the bucket; you'd never pay it off at that rate.

1 Answer | Asked in Business Law, Insurance Bad Faith and Insurance Defense for Florida on
Q: As a life insurance agent, can I donate half my commissions to any parents at my daughter's school who purchases?

My daughter is in the Winter Park High School Band and we are always doing fundraisers. How much do we really make on selling coupon books or wrapping paper!?! I would like to approach the band director and offer to donate half my commissions to the band for any and all parents, grandparents,... View More

Bruce Alexander Minnick
Bruce Alexander Minnick
answered on Oct 23, 2019

This is not a legal question; and I am unaware of any federal or state law that would prevent you from giving away all of the commissions you earn on all the insurance sale you make to all of your customers. Responding to your specific question: The only "problem" I can see is going to... View More

2 Answers | Asked in Civil Litigation, Contracts, Insurance Bad Faith and Insurance Defense for Florida on
Q: Is there a way that I can sue my step mother for withholding my deceased fathers insurance. If I have proof he had

Is there a way that I can sue my step mother for withholding my deceased fathers insurance. If I have proof he had Insurance and told his mother, sisters, brother and kids what he had? Is there any way possible to sue her in any way?

Linda Liang
Linda Liang
answered on Aug 16, 2019

If you have reasons to believe that your step mother is not beneficiary of the insurance and she claimed the insurance proceeds, yes, you can.

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3 Answers | Asked in Civil Litigation, Contracts, Insurance Bad Faith and Insurance Defense for Florida on
Q: insurance company voided my policy for misrepresentation on application. should i cash refund check, is that admission

is that admission of guilt, they stated that when i filed out my application online (which i actually did over the phone with an agent, i answered the question falsely, but agent did ask me for much information. i am being sued due to accident my son had and i received refund. should i cash or... View More

Linda Liang
Linda Liang
answered on Aug 15, 2019

The victim is suing you or the insurance company? If it is the Victim who is suing, you need to know you have no coverage at least at this moment. As far as whether cashing the check means admission, it is arguable because they reject your application for the reasons they believe it is true. You... View More

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3 Answers | Asked in Traffic Tickets, Car Accidents, Insurance Defense and Intellectual Property for Florida on
Q: My sister crashed into a lady's car, while no major damage recorded by the cop the lady is suing us for over 10K+ estim.

My sister had a minor car accident when she hit an old lady's car while changing lanes, but it wasnt a major accident as it only scratched the lady's car. The cop gave my sister just a warning as it was her first accident and the damage was really low, even the lady said she wasn't... View More

Griffin Klema
Griffin Klema
answered on May 3, 2019

I would be pleased to discuss how you can defend the case: 202-713-5292 (cell).

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3 Answers | Asked in Intellectual Property and Insurance Defense for Florida on
Q: How can i retrieve property that has been turned over to the state Escalator?

My wife has been deceased. i received a letter from Human Insurance staining that fifty eight dollars and ninety seven cents is in the State Spectator position. How can I retrieve the above property? I can provide copies of marriage and death certificate.

Thanks for your kind attention.

Griffin Klema
Griffin Klema
answered on Mar 22, 2019

This is not an intellectual property question (or insurance defense), but rather a personal property issue. It's unclear from your question what you're referring to. State Spectator? I've never heard of such a thing. Maybe ask the insurance company that sent you the letter what to do?

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1 Answer | Asked in Products Liability, Insurance Bad Faith and Insurance Defense for Florida on
Q: My outside air conditioning unit caught on fire & was put out by the fire department. No one knows what caused it.

My home insurance will cover it less my deductible. In the mean time the manufacturer has agreed to replace it if I sign a release. Can I accept both offers legally?

Tim Akpinar
Tim Akpinar
answered on Feb 14, 2019

If the manufacturer agrees to replace it, then it would seem there is no longer a loss for insurance to cover. If you choose the insurance company's payment, you have the deductible to consider. Insurance carriers will offset their payments, or choose not to issue payment, if a loss is already... View More

2 Answers | Asked in Civil Rights, Insurance Defense, Probate and Public Benefits for Florida on
Q: How can I get a lawyer to assist with getting homeowner's insurance to respond after Irma damage and or management?

It has been over a year already since Irma hurricane and my mother has yet received any services for the damages. Her case remains open but my day to day concern is that her inside roof is falling and at any time can collapse. The insurance tell me you need to contact your property management and... View More

David M. Goldman
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answered on Jan 7, 2019

Consult with a property attorney who deals with hurricane damage.

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2 Answers | Asked in Criminal Law, Insurance Defense and Intellectual Property for Florida on
Q: Can criminal Lawyers file a law suit?
Terrence H Thorgaard
Terrence H Thorgaard
answered on Oct 27, 2018

Sure. Attorneys licensed to practice law in Florida (or in any other state for that matter) are not limited to any particular area of law, such as criminal, civil, etc. Many however emphasize such a particular area of the law, but they are not prohibited from practicing in other areas.

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2 Answers | Asked in Personal Injury, Car Accidents, Insurance Bad Faith and Insurance Defense for Florida on
Q: Rear ended on the hwy in Florida totaled car/Insurance wants to pay 5dys rental/plus car.What are we owed?! It's 21days?

Hi on Aug 1 my husband was driving our Unregistered but insured in California SUV on the hwy in Florida when we got rear ended by a careless driver/Police report. We have major bumper damage as well as frame etc.I was taken to the hospital by ambulance/checked out and released..Insurance delayed... View More

Camille Brooks Ibrahim
Camille Brooks Ibrahim
answered on Aug 21, 2018

Feel free to contact our Miami Location at 305 405-5372 and ask for Sarah or Kathryn, I believe they can discuss potential further options for you.

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1 Answer | Asked in Workers' Compensation, Civil Rights, Insurance Bad Faith and Insurance Defense for Florida on
Q: Workers Comp case Nurse Wants To Go in with me to my appointed Doctor's Appointment. Is she allowed?

Injured 2 years ago and still receiving treatment and therapy. I have a followup appointment with the doctor and the assign case nurse called me telling me she was going to be with me on my next followup appointment. Is this someting they could do?

Anna Katherine Stone
Anna Katherine Stone
answered on Jul 25, 2018

Workers' Comp can assign a Nurse Case Manager to your file. We refer to them as the NCM. The NCM can meet with your doctors with or without you present. However, as a matter of practice, I send a letter to the carrier and NCM (if one is assigned) advising them I represent the claimant and... View More

1 Answer | Asked in Insurance Defense and Social Security for Florida on
Q: I’ve been on disability for 14 yrs, throat cancer, receiving SS and suplimental insurance. Aetna is now calling.

Concerned that they will try to ask questions not concerning why I’m disabled. My main issue is talking. Had my voice box removed. Worried theyll ask questions trying to stop payments. Are they allowed to ask questions about my physical being? I am 59 yrs old. Can not afford a lawyer.... View More

Terrence H Thorgaard
Terrence H Thorgaard
answered on May 24, 2018

Require them to send you a letter containing their questions.

1 Answer | Asked in Car Accidents and Insurance Defense for Florida on
Q: Involved in an accident. cost are way above insurance limits. Going to be sued. Can they go after my wife also?

It seems i am at fault. It was my car in my name. I was driving. Insurance is in both names. Can wife be sued also? is there any protection for her rights in this?

Andy Wayne Williamson
Andy Wayne Williamson
answered on Feb 6, 2018

If the car was titled in just your name only and you were driving the. They can only sue you as you wife’s names is not on the title to the automobile.

1 Answer | Asked in Civil Litigation, Insurance Defense and Traffic Tickets for Florida on
Q: I got pulled over ,and ticket for no proof of insurance . I

I have car insurance and a another vehicle under my name with insurance but the car I got stopped with didn’t I kept prolonging it because work and kids I didn’t take it serious so they send me letter told me I have Week to show proof than

DMV said they suspended it and I need sr22 and... View More

Chris White
Chris White
answered on Dec 4, 2017

I give free consultations over the phone (888)620-7888. Have a nice day!

1 Answer | Asked in Criminal Law, Traffic Tickets, Car Accidents and Insurance Defense for Florida on
Q: What can you do, what do I do?...

I was in a car accident while driving a car registered to a family member didn't know they had no car insurance they said it was my car and my license was taken for not having insurance on my car which was actually theirs and registered to them I didn't know about my license being taken I... View More

Andy Wayne Williamson
Andy Wayne Williamson
answered on Nov 9, 2017

Absolutely no way to say without reviewing the case file. Since you have a Hearing date already set. You need to get offline and into an attorney’s office ASAP and hire an attorney to look into all of this and start getting it corrected.

Good luck.

1 Answer | Asked in Insurance Bad Faith, Insurance Defense and Consumer Law for Florida on
Q: I have car insurance and was driving for Uber until I’ve been told I need commercial insurance. Uber insures my car for

100.000 when app is on and 1 million when someone is in car. The only time I use my insurance driving home. Why would I need to be insurance commercial. And what would happen if I did drive as is

Terrence H Thorgaard
Terrence H Thorgaard
answered on Nov 6, 2017

The short answer is that you need commercial coverage if Uber requires it.

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