Burger v. Time Insurance Co., Inc.

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.
3