Court Opinion

ID: 73363
Source: CourtListenerOpinion
Date Created: 2010-04-26 08:06:00+00
Date Added: 2024-06-11T14:59:21.203646
License: Public Domain

United States Court of Appeals,

                                          Eleventh Circuit.

                                            No. 95-4521.

              Harvey BURGER, Gail Burger, Plaintiffs-Appellees, Cross-Appellants,

                                                  v.

   TIME INSURANCE COMPANY, INCORPORATED, a foreign corporation, Defendant-
Appellee, Cross-Appellee.

                                           Dec. 16, 1998.

Appeals from the United States District Court for the Southern District of Florida. (No. 92-7127-
CIV-WDF), Wilkie D. Ferguson, Jr., Judge.

Before TJOFLAT and BARKETT, Circuit Judges, and GODBOLD, Senior Circuit Judge.

       PER CURIAM:

       Appellant Time Insurance Co. ("Time") appeals from a judgment entered on a jury verdict

awarding Harvey and Gail Burger $ 50,000 in compensatory damages and $ 1 in punitive damages.

Burger cross-appealed the district court's grant of summary judgment to Time on Burger's malicious

prosecution claim and an evidentiary ruling of the district court.

       On appeal, Time argues that the jury awarded compensatory damages for emotional distress,

which, it claims, are not compensable under Florida law for this claim. In our initial decision in this

case, we concluded that this question was not dictated by the clear and controlling precedent of the

Supreme Court of Florida. Accordingly, we certified the following question to the Supreme Court

of Florida:

       (1) WHETHER THE DAMAGES ALLEGED BY APPELLEE QUALIFY AS
       COMPENSATORY DAMAGES UNDER FLA. STAT. § 624.155(7)? ALTERNATIVELY,
       WHETHER THE TYPE OF EMOTIONAL DISTRESS ALLEGED BY APPELLEE
       QUALIFIES AS DAMAGE THAT IS A "REASONABLY FORESEEABLE RESULT" OF
       A VIOLATION OF FLA. STAT. § 624.155, AND THUS SERVES AS AN APPROPRIATE
       BASIS FOR COMPENSATORY DAMAGES UNDER THE STATUTE?
Burger v. Time Ins. Co., 115 F.3d 880, 882 (11th Cir.1997).

        The Florida Supreme Court rephrased the question as follows:

        WHAT ALLEGATIONS AND STANDARDS OF RECOVERY ARE NECESSARY TO
        SUSTAIN THE RECOVERY OF DAMAGES FOR EMOTIONAL DISTRESS IN A
        CLAIM UNDER SECTION 624.155(1)(b)(1) AGAINST A HEALTH INSURANCE
        COMPANY?

Time Ins. Co. v. Burger, 712 So.2d 389, 392 (Fla.1998). In answering this question, the Florida

Supreme Court held that, to support a recovery, the plaintiff would have to prove

        (1) that the bad-faith conduct resulted in the insured's failure to receive necessary or timely
        health care; (2) that, based upon a reasonable medical probability, this failure caused or
        aggravated the insured's medical or psychiatric condition; and (3) that the insured suffered
        mental distress related to the condition or the aggravation of the condition. In order for the
        insured to recover, these allegations will have to be substantiated by testimony of a qualified
        health care provider.

Id. at 393. Because the parties did not have the benefit of this standard at the time they developed

the evidence in this case, we reverse and remand for a new trial in accordance with the standard

enunciated by the Florida Supreme Court.

         Turning to Burger's cross-appeal, we affirm the grant of summary judgment to Time on

Burger's malicious prosecution claim. The district court properly applied the general rule that a

malicious prosecution claim does not lie " "if the defendant merely gives a statement to the proper

authorities, leaving the decision to prosecute entirely to the uncontrolled discretion of the officer ....'

" McCraney v. Barberi, 677 So.2d 355, 357 (Fla. 1st DCA 1996) (quoting Orr v. Belk Lindsey

Stores, Inc., 462 So.2d 112, 114 (Fla. 5th DCA 1985)). The facts show that Time turned Burger's

file over to the Fraud Division of the Florida Department of Insurance, which, in turn, referred the

matter to the State Attorney's Office of Broward County. Burger has failed to point us to any

evidence in the summary judgment record that Time gave " "information which [it] knew to be false

                                                    2
and so unduly influence[d] the authorities....' " Id. Although Burger claims that Time failed to

disclose exculpatory facts, Burger has not shown that Time did so with malicious intent.1

       Accordingly, the judgment of the district court is AFFIRMED IN PART AND REVERSED

IN PART and the case is REMANDED for further proceedings consistent with this opinion.2

   1
    Because we are remanding for a new trial, we have no occasion to review Burger's challenge
to evidentiary rulings made during the first trial.
   2
    Because Burger has not prevailed in this appeal, we deny Burger's motion for appellate
attorney's fees. We also deny his motion to strike Time's appendix.

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