documenbtos descriptivo

Civil Remedy Notice of Insurer Violations
Filing Number:

265984

Filing Accepted:

8/27/2014

Warning! Information submitted as part of this civil remedy notice is a public record. Dataentered into
this form will be displayed on the DFS website for public review. Please DO NOT enter Social Security
Numbers, personal medical information, personal financial information or any otherinformation you do not
want available for public review.
The submitter hereby states that this notice is given in order to perfect the rights of the person(s)
damaged to pursue civil remediesauthorized by Section 624.155, Florida Statutes.
Complainant
Name:

MEDICAL WELLNESS SERVICES INC

Street Address:

5999 BISCAYNE BLVD. C/O NEIL GONZALEZ, ESQ

City, State Zip:

MIAMI, FL 33137Email Address:

NGONZALEZ@NGONZALEZLAW.COM

Complainant Type:

Other

Insured
Name:

DIAZ ALEIDA

Policy #:

090105200038461

Claim #:

2012460000174415

Attorney
Name:

NEILM GONZALEZ

Street Address:

5999 BISCAYNE BLVD.

City, State Zip:

MIAMI, FL 33137

Email Address:

NGONZALEZ@NGONZALEZLAW.COM

Notice Against
Insurer Type:

Authorized InsurerName:

MERCURY INDEMNITY COMPANY OF AMERICA

Street Address:
City, State Zip:

,

Please identify the person or persons representing the insurer who are most responsible for/knowledgeable ofthe
facts giving rise to the allegations in this notice.

Type of Insurance:
DFS-10-363
Rev. 11/2007

Auto

Civil Remedy Notice of Insurer Violations
Filing Number:

265984

Reason forNotice
Reasons for Notice:
Claim Delay
Claim Denial
Unfair Trade Practice
Unsatisfactory Settlement Offer
PURSUANT TO SECTION 624.155, F.S. please indicate all statutory provisions alleged to havebeen violated.
624.155(1)(b)(1)

Not attempting in good faith to settle claims when, under all the circumstances,
it could and should have done so, had it acted fairly and honestly toward its...