Legal Opinion · Dissent

Allstate Insurance Company v. Orthopedic Specialists, etc.

Supreme Court of Florida

Decided January 26, 2017No. SC15-2298Published

1DissentPariente, J.

I dissent and would adopt the Fourth District’s well-reasoned decision in Orthopedic Specialists v. Allstate Insurance Co„ holding that the policy language in the Allstate personal injury protection (PIP) policy is “inherently unclear” and did not properly provide legally sufficient notice to the insured or medical providers of the insurer’s election to use the permissive Medicare fee schedule. 177 So.3d 19, 20-21 (Fla. 4th DCA 2015). If an insurer elects to use the Medicare fee schedule as the standard for reimbursement, “the insurer must clearly and unambiguously draft a policy provision to…

2Cases cited7 opinions

  1. Geico General Insurance Co. v. Virtual Imaging Services, Inc.Supreme Court of Florida · 2013
  2. Berkshire Life Ins. Co. v. AdelbergSupreme Court of Florida · 1997
  3. State Farm Fire & Cas. v. Deni Assoc.District Court of Appeal of Florida · 1996
  4. Allstate Fire & Casualty Insurance v. Stand-Up MRI of Tallahassee, P.A.District Court of Appeal of Florida · 2015
  5. Orthopedic Specialists, as Assignee of Kelli Serridge v. Allstate Insurance CompanyDistrict Court of Appeal of Florida · 2015

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