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Filing # 15298687 Electronically Filed 06/26/2014 04:42:31 PM
14-4824
CENTRAL THERAPY CENTER, INC., a/a/o
ERICHE GARCIA,
Plaintiff,
vs.
PROGRESSIVE SELECT INSURANCE
COMPANY,
Defendant.
IN THE COUNTY COURT IN AND FOR
MIAMI-DADE COUNTY, FLORIDA
CIVIL DIVISION
CASE NUMBER: 14-02253 CC 26 (04)
FLORIDA BAR NO.: 76619
PLAINTIFF'S MOTION TO STRIKE AND/OR PLAINTIFF’S MOTION FOR MORE
DEFINITE STATEMENTS TO THE DEFENDANT’S ANSWER AND AFFIRMATIVE
DEFENSES
COMES NOW, Plaintiff, CENTRAL THERAPY CENTER, INC., a/a/o ERICHE GARCIA,
by and through the undersigned counsel, and pursuant to Fla. R. Civ. P. 1.140(b), Fla. R. Civ. P.
1.140(e), and Fla. R. Civ. P. 1.140(f), files this, its Motion to Strike and/or Plaintiff's Motion For
More Definite Statements to the Defendant’s Answer and Affirmative Defenses, and as grounds
thereof would state as follows:
STATEMENT OF FACTS
1. The present action involves Plaintiff's claim for Personal Injury Protection (PIP) benefits
from Defendant in connection with the medical services provided to Defendant's insured.
Nu
On or about October 25, 2013, ERICHE GARCIA, sustained personal injuries related to
the operation, maintenance, or use of a motor vehicle in Miami-Dade, Florida.3. On or about November 5, 2013, ERICHE GARCIA verbally assigned benefits and/or
executed an Assignment of Benefits to Plaintiff, transferring her rights and interests
under this policy of insurance with the Defendant to Plaintiff, who in exchange for said
Assignment provided ERICHE GARCIA with medical services.
4. Plaintiff then timely submitted bills within 30 days as required by Fla. Stat.
627.736(4)(b).
On or about April 30, 2014 Plaintiff filed suit to compel Defendant to render the payment
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on the overdue bills.
6. On or about June 9, 2014, Defendant filed its Answer, Affirmative Defenses. However,
Defendant's affirmative defenses are unacceptably vague or otherwise improperly plead
and, as such, Plaintiff is unable to sufficiently respond to them.
7. Therefore, Plaintiff requests that this Honorable Court enter an Order striking
Defendant's Affirmative Defenses, or in the alternative, enter an Order requiring the
Defendant to provide a more definite statement for its affirmative defenses.
AFFIRMATIVE DEFENSES
8. In its Affirmative defense ({ 2 of its Answer and Affirmative Defenses); the Defendant
alleges that *...Plaintiff is subject to the terms, conditions, limitations, endorsements,
exclusions and effective dates of any applicable insurance agreement.”
9. In its Affirmative defense (4 3 of its Answer and Affirmative Defenses), the Defendant
alleges that “...Plaintiff is subject to the terms, conditions and limitations of the Florida
Motor Vehicle No-Fault Law.”
10. This is not an affirmative defense.11. It has long been an axiom Florida Law that “[a]n affirmative defense is a defense which
admits the cause of action, but avoids liability, in whole or in part, by alleging an excuse,
justification, or other matter negating or limiting liability.” St. Paul Mercury Ins. Co. v.
Coucher, 837 So. 2d 483, 487 (Fla. Dist. Ct. App. 5th Dist. 2002), (citing Fla. E. Coast
Ry. Co. v. Peters, 72 Fla. 311, 73 So. 151 (Fla. 1916)).
12. In this case the Defendant’s “affirmative defense” does not admit the action, does not
avoid any degree of liability, in whole or in part, and fails to state an excuse, justification
or other matter negating or limiting liability.
13. Therefore this defense should be stricken.
14. In its Affirmative defense (4 5 of its Answer and Affirmative Defenses), the Defendant
alleges that “...the assignment attached to the Complaint is legally defective and Plaintiff
lacks standing to proceed with the instant action.”
15. This defense should be stricken as it is too vague to permit Plaintiff to intelligibly
respond.
16. Florida Courts soundly hold that the principles of pleading which apply to plaintiff's
complaint apply equally to all affirmative defenses raised in an answer. See Walker vy.
Walker, 254 So. 2d 832 (Fla. Ist DCA 1971); Zito v. Washington Fed. Sav. and Loan
Ass'n of Miami Beach, 318 So. 2d 175 (Fla. 3d DCA 1975). A plaintiff is as much
entitled to the certainty required in the pleading of a defense as is a defendant to be
apprised of the nature of the plaintiff's claim. Zito, 318 So.2d at 176; Walker, 254 So. 2d
at 834-835. The degree of certainty required in an Answer is that the defendant must set
forth the facts in a manner as to reasonably inform the plaintiff of what is proposed to be
proved in order to provide the plaintiff with a fair opportunity to meet the defense and19,
prepare his evidence accordingly. See Zito, 318 So. 2d at 176; Citizens Nat'l Bank of
Orlando y. Youngblood, 296 So, 2d 92 (Fla. 4th DCA 1974).
. The Plaintiff would concede that the pleading of ideas and conclusions are permissible
when they are pleaded in conjunction with ultimate facts. While conclusions do not
necessarily make a pleading bad, they serve no useful purpose unless supported by facts
which tend to support the conclusion. Ellison v. City of Ft. Lauderdale, 175 So.2d 198
(Fla. 1965). In fact, when supported by ultimate facts, conclusions serve a very important
function in pointing out the inference which the pleader intends to rely upon. /d. at 200.
However, pleading conclusions of law unsupported by allegations of ultimate fact is
legally insufficient. Bliss v. Carmona, 418 So.2d 1017 (Fla. 3d DCA 1982); see also
Cady v. Chevy Chase Sav. and Loan, Inc., 528 So.2d 136 (Fla. 4th DCA 1988) (holding
affirmative defenses that are nothing more than conclusory are not good defenses to the
complaint).
. Defendant’s affirmative defense is an exceedingly vague allegation. Though Defendant,
alleges that the assignment attached to the Complaint is legally defective; Defendant fails
to provide the basis for its allegations (i.e., the evidence on which it relies to allege).
Defendant fails to state in what way, if any, such assignment is legally deficient.
Defendant fails to provide the basis as to its allegation that such assignment is at all
deficient.
As demonstrated supra, Plaintiff is entitled to a degree of certainty in the pleading of a
defense that is sufficient to apprise Plaintiff of the nature of the defense, which standard
requires that Defendant set forth facts in a manner that reasonably informs Plaintiff of20.
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26.
27.
what it is that Defendant intends to prove, so as to provide Plaintiff a fair opportunity to
meet the defense and prepare its evidence accordingly.
As also demonstrated supra, while the pleading of conclusions of law is permissible, it is
only so when the pled conclusions of law are pled in conjunction with facts which
ultimately support the conclusion of law.
. Defendant’s bare allegation is not an objectively known “fact” but rather, is a mere
conclusion of law.
Defendant fails to provide the specific basis of its otherwise wholly unsupported
conclusion of law. Via its vague styling of its affirmative defense, Defendant has failed
to provide Plaintiff any opportunity whatsoever to meet the defense and prepare its
evidence accordingly.
In this case the Defendant's “affirmative defense” does not admit the action, does not
avoid any degree of liability, in whole or in part, and fails to state an excuse, justification
or other matter negating or limiting liability.
Therefore this defense should be stricken.
. In its Affirmative defense (| 10 of its Answer and Affirmative Defenses), the Defendant
alleges that *... Plaintiff failed to serve a valid pre-suit demand letter pursuant to Fla.
Stat. 627.736(10). Plaintiff is precluded from asserting this action for the underlying
benefits.”
This defense should be stricken as it is too vague to permit Plaintiff to intelligibly
respond.
Defendant’s affirmative defense is an exceedingly vague allegation. Though Defendant
alleges that Plaintiff failed to serve a valid pre-suit demand letter, Defendant fails to28.
29.
30.
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provide the basis for its allegations (i.e., the evidence on which it relies to allege).
Defendant fails to state in what way, if any, the demand letter received by Defendant was
not valid. Defendant fails to state what basis it relies on in alleging that such demand
letter is not valid.
As demonstrated supra, Plaintiff is entitled to a degree of certainty in the pleading of a
defense that is sufficient to apprise Plaintiff of the nature of the defense, which standard
requires that Defendant set forth facts in a manner that reasonably informs Plaintiff of
what it is that Defendant intends to prove, so as to provide Plaintiff a fair opportunity to
meet the defense and prepare its evidence accordingly.
As also demonstrated supra, while the pleading of conclusions of law is permissible, it is
only so when the pled conclusions of law are pled in conjunction with facts which
ultimately support the conclusion of law.
Defendant's bare allegation is not an objectively known “fact” but rather, is a mere
conclusion of law. Plaintiff certainly maintains that the treatment provided was lawful
and not in excess of the patient’s medical needs.
. Defendant fails to provide the specific basis of its otherwise wholly unsupported
conclusion of law. Via its vague styling of its affirmative defense, Defendant has failed
to provide Plaintiff any opportunity whatsoever to meet the defense and prepare its
evidence accordingly.
. Therefore this defense should be stricken.
. In its Affirmative defense ({ 14 of its Answer and Affirmative Defenses), the Defendant
alleges that *...Plaintiff failed to provide the required documentation to support its claim
that the services allegedly rendered were reasonable, necessary and related to the alleged34,
35.
36.
38.
automobile accident set forth in the Complaint, Plaintiff is precluded from asserting this
action for the underlying benefits.”
This defense should be stricken as it is too vague to permit Plaintiff to intelligibly
respond.
Defendant's affirmative defense is an exceedingly vague allegation. Though Defendant
alleges that Plaintiff failed to provide the required documentation to support its claim;
Defendant fails to provide the basis for its allegations (i.e., the evidence on which it relies
to allege). Defendant fails to state what documentation, if any, was not provided;
Defendant fails to state under what authority it has maintained the allegation that Plaintiff
failed to provide these documents and is thus precluded from this action.
As demonstrated supra, Plaintiff is entitled to a degree of certainty in the pleading of a
defense that is sufficient to apprise Plaintiff of the nature of the defense, which standard
requires that Defendant set forth facts in a manner that reasonably informs Plaintiff of
what it is that Defendant intends to prove, so as to provide Plaintiff a fair opportunity to
meet the defense and prepare its evidence accordingly.
. As also demonstrated supra, while the pleading of conclusions of law is permissible, it is
only so when the pled conclusions of law are pled in conjunction with facts which
ultimately support the conclusion of law.
Defendant's bare allegation is not an objectively known “fact” but rather, is a mere
conclusion of law. Plaintiff certainly maintains that the treatment provided was lawful
and not in excess of the patients medical needs.
. Defendant fails to provide the specific basis of its otherwise wholly unsupported
conclusion of law. Via its vague styling of its affirmative defense, Defendant has failedto provide Plaintiff any opportunity whatsoever to meet the defense and prepare its
evidence accordingly.
40. Therefore this defense should be stricken.
41. In its Affirmative defense (4 18 of its Answer and Affirmative Defenses), the Defendant
alleges that “...[t]he policy at issue, clearly and unambiguously elected the permissive
Medicare Fee Schedule methodology for calculating reimbursements, based on the
language contained within A085 endorsement, which has been properly incorporated into
the subject policy of insurance. .”
42. This is not an affirmative defense.
43. In this case the Defendant’s “affirmative defense” does not admit the action, does not
avoid any degree of liability, in whole or in part, and fails to state an excuse, justification
or other matter negating or limiting liability.
44, Therefore this defense should be stricken.
45. In the alternative, this Court should enter an order requiring Defendant to provide a more
definite statement of its allegations. Fla. R. Civ. P. 1.140(e) entitled “Motion for More
Definite Statement” requires that:
If a pleading to which a responsive pleading is permitted is so vague or
ambiguous that a party cannot reasonably be required to frame a responsive
pleading, that party may move for a more definite statement before
interposing a responsive pleading. The motion shall point out the defects
complained of and the details desired. If the motion is granted and the order
of the court is not obeyed within 10 days after notice of the order or such other
time as the court may fix, the court may strike the pleading to which the
motion was directed or make such order as it deems just.
46. Defendant's affirmative defense contains mere conclusions of law that are unsupported
by any factual evidence and as such are “so vague [and] ambiguous that [Plaintiff] cannot
reasonably be required to frame a responsive pleading.”47. Therefore, Defendant must be required to specifically identify those defenses which it
alleges are viable and valid defenses against Plaintiff's claims.
WHEREFORE, the Plaintiff respectfully requests that this Honorable Court grant this
Motion to Strike and/or in the alternative, Motion for More Definite Statement herein, and
award any and all other relief the Court deems just and proper.
CERTIFICATE OF SERVICE
IT HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished
on this ZG _ day of Sune. 2014, to: Randall B. Bishop, Esq., Law Offices of Neil V.
Singh, to SFPIPHC@Progressive.com & RBishop1@Progressive.com, by email.
CORREDOR, HUSSEINI & SNEDAKER, P.A.
Attorney for Plaintiff
9130 S. Dadeland Blvd.
Datran Center II, Suite 1202
Miami, Florida 33156
Telephone No. 305-670-1880
Fascimile No. 305-670-1985
Email: service@corredorhusseinilaw.com