Charter Oak Fire Ins. Co. v. Regalado

Decision Date16 November 1976
Docket NumberNo. 75--1533,75--1533
Citation339 So.2d 277
PartiesCHARTER OAK FIRE INSURANCE COMPANY, a Foreign Corporation, Appellant, v. Benito REGALADO, Appellee.
CourtFlorida District Court of Appeals

High, Stack, Davis & Lazenby and Alan R. Dakan, Miami, for appellant.

Horton, Perse & Ginsberg, Ratiner & Glinn, Miami, for appellee.

Before PEARSON, HENDRY and NATHAN, JJ.

PEARSON, Judge.

The appellant is the Charter Oak Fire Insurance Company and is the appellee's automobile insurance carrier. The action arose out of a dispute between the appellee, Benito Regalado, who is the insured, and the insurance company concerning the company's liability for the payment of personal injury protection benefits. The insured brought an action for recovery of losses claimed due under that provision of his policy. The company responded and claimed that it was not liable for any personal injury protection benefits because the insured was receiving paymens of workmen's compensation benefits. The position of the company at that time was that it was not liable for any payment until workmen's compensation benefits had been exhausted and then only if the workmen's compensation payments received for medical benefits were less in amount than the amount payable under the personal injury protection provision of the Automobile Reparations Reform Act, Florida Statutes, § 627.736. The trial court, after extensive discovery, entered a summary final judgment and held as follows:

'2. Pursuant to the provisions of the Florida Automobile Reparations Reform Act, workman's compensation benefits received by the claimant are credited against the Personal Injury Protection benefits paid by a Personal Injury Protection insurer and not credited against the amount of coverage, to wit: $5,000.00, afforded by the Personal Injury Protection carrier.

'3. Payments made in accordance with the provisions of the Automobile Reparations Reform Act must be made when they become due and in the ordinary course of business and the carrier owing such payments may not require the insured to exhaust workman's compensation benefits prior to applying for Personal Injury Protection benefits.

'4. The record here reflects that to date Personal Injury Protection benefits in the amount of $8,851.01 have been accrued by the plaintiff. The plaintiff has received from its workman's compensation carrier $6,474.05 in benefits. Therefore, the defendant currently owes the plaintiff $2,376.96 representing the difference between the total amount of damages accrued and the amount paid by workman's compensation benefits.'

The thrust of the insurance company's contention in its brief is that an insurer is not required to pay personal injury protection benefits before the insured exhausts workmen's compensation benefits to which he is entitled. However, upon oral argument, appellant did not argue in support of the point as stated, but conceded that the insured did not have to exhaust all workmen's compensation prior to receiving personal injury protection benefits. He urged, instead, that in regard to all medical expenses, the intent of the personal injury protection provision of the statutes was that workmen's compensation payments should be held to cover all medical expenses where applicable and that the insured should be held to a recovery of medical expenses at the rate, and according to the schedule, set out in the workmen's compensation statute.

Appellant bases his argument upon Section 627.736(4), Florida Statutes, which reads as follows:

'BENEFITS; WHEN DUE.--Benefits due from an insurer under §§ 627.730--627.741 shall be primary, except that benefits received under any workmen's compensation law shall be credited against the benefits provided by subsection (1) and be due and...

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10 cases
  • Kovarnik v. Royal Globe Ins. Co.
    • United States
    • Florida District Court of Appeals
    • 11 Octubre 1978
    ...a prerequisite to receiving P.I.P. benefits. Fine v. Travelers Ins. Co., 342 So.2d 848 (Fla. 3d DCA 1977); Charter Oak Fire Ins. Co. v. Regalado, 339 So.2d 277 (Fla. 3d DCA 1976). Therefore the defendant's initial response to plaintiff's claim for P.I.P. benefits, if it could be reasonably ......
  • Vega v. Travelers Indem. Co.
    • United States
    • Florida District Court of Appeals
    • 9 Febrero 1988
    ...v. State Farm Fire & Casualty Co., 489 So.2d 147 (Fla. 4th DCA), rev. denied, 496 So.2d 143 (Fla.1986); Charter Oak Fire Ins. Co. v. Regalado, 339 So.2d 277 (Fla. 3d DCA 1976). While the credibility of an expert witness and the weight of his testimony are for the jury to determine, Fay v. M......
  • Alava By and Through Alava v. Allstate Ins. Co., 85-2818
    • United States
    • Florida District Court of Appeals
    • 12 Noviembre 1986
    ...living elsewhere." Like the Automobile Reparations Reform Act, which broadens insurance coverage, see Charter Oak Fire Insurance Co. v. Regalado, 339 So.2d 277 (Fla. 3d DCA 1976), recent case law, liberally construing "resident of your household" clauses, acknowledges and approves of a vari......
  • Sun Bank/South Florida, N.A. v. Baker
    • United States
    • Florida District Court of Appeals
    • 23 Febrero 1994
    ...to consider the explicit language of section 440.13(3), Florida Statutes (1987). Moreover, it relied on Charter Oak Fire Insurance Co. v. Regalado, 339 So.2d 277 (Fla. 3d DCA 1976), which was decided before the enactment of the limiting language similar to sections 440.13(4)(a) and (f) and ......
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