Delgado v. Prudential Insurance Company of America et al, No. 1:2011cv20520 - Document 65 (S.D. Fla. 2012)

Court Description: MEMORANDUM OF DECISION. Signed by Judge K. Michael Moore on 2/29/2012. (rg1)

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I THE UNI N TED STATES DI STRI COURT CT FO R T H E SO U TH ER N D I STRI T O F FLO R I C DA Ca eN o.11 c 20520- M M s - vK J OHNNI ABETO DELGADO,a g din E s uar a f GEM M A CAN DOLI adia e ad t or TA, s bld ul, Pl ntf, ai if VS. THE PRU DEN TI L I SU M N CE CO .OF A N AM ERI , nd GUARDI HEALTH CAM CA a AN PROV I DERS l C . N , Dee f ndan s t. / M EM O R AN D U M O F DEC I O N SI 1 . I NTR O D U C TI N O Thi matri b f r teCo t o d cso f lo n ao ed y n nj r til ed s te s e o e h ur f r e iin ol wig n a , o -u y ra h l M onda J y, anua y 23,201 i M i , orda Pli if J r 2, n ami Fl i . a ntf, ohnni De ga a i a t gua di e l do, ctng s he r f Ge aCa ia,s kse t bl r le a d gesag ns De e nt Gua di n or mm ndolt ee quia e e if nd ama ai t f nda s r a He lh aePrviesl c (s ad a ' a T Pr d n ilI u a eCo a yo Ameia at c r o d r n . t r in' nd he u e ta ns rnc mp n f rc Gu ) (t ude i '. i pr ntal' ) Ge mmaCa doiawa e l y da an reb Gu r in.J itPrtilS i a 5( n l t s mp o e s u s y a da o n era tp. t ECF No.56) Guadinofeede oy slf i urnc unde a Empl eeReieme l ome . r a fr mpl ee ie ns a e rn oy tr nt nc Se urt Ac ( SA)g r dpln wihPr nta a t cl msa nitaorandi urr 1 . c iy t ERI ovene a t ude il s he ai dmi sr t ns c . The pl n of e ed lf i ur nc c r e f G e m a Ca a f r ie ns a e ove ag or m ndolt a he hus nd,Esa n ia nd r ba t ba Ca ia. J. Atis i t sc s a et tpe ofc r e a s it wih t pln.Thepl ndolt .. s ue n hi a e r wo y s ove ag s oca ed t he a do of e ed De nd Ter Lie co r ge on Es a n Candolt w hi woul pa G e m a fr pe ent m f ve a t ba ia ch d y m 1 Ca iabe tt uponhe hus nd' deah.L. Thepln as pr d lf i urncec a e ndolt neis r ba s t d a a lo ovied ie ns a over on Ge aCa iawhih i l d a ac e e a e be ft pa e i t e ntoft r i mm ndolt c nc ude n c l r t d ne is ym nt n he ve e m nal ile s(çc eeae b n ft' L- Gu r inwa r s n i ef re r ligise ly e i t l s f c lrtd e e is). d ad a s epo sbl o n oln t mp o e s n h n a a plna Ge a nd mmaCa iae oledo Mach 1 2009.J , ndolt nr l n r 7, #Tr gialy,on Aprl1 2009,Esa n Ca ia s Gemm aCa iaa t i a c l i 2, t ba ndolt hot ndolt nd her da ht r a t n t k hi own lf by t ni t g on hi ef L. Ge ma Ca iawas ug e , nd he oo s ie ur ng he un ms l. ds m u ndolt hos t lz d f onem ont and ma ge t s vve t s i He da e s vved a we 1 piai e or h, na d o ur i he hootng. r ught r ur i s . l a 6. d. t Ge aCa ias mm ndolt ough be isunde t De nde Ter Liec a polc on t neft r he pe nt m f over ge iy Esa Ca ia,a e c e apa tban ndolt nd xpe t d ymentof$1 00 fom t tpolc Thi i be a ewhe 50, 0 r ha i y. s s c us s e ole i t pl n,s elc e t r e vea to loptona c r of$1 000, on he nr ld n he a he e t d o ec i ddii na i l ove age 25, bey t $25, i basc c r ge l a 5.Pnl ntalonl pai $25, i cove a ont polc he 000 n i ove a . d. t de i y d 000 n r ge he iy be aus i cli d t ti had notr ceved a t de ofI ur biiy' f m t twa r quied c e t a me ha t e i nk Evi nce ns a lt ' or ha s e r t bes it d on be l ofEsa n Ca ia.1 a 6. Ge ma Ca ia cai st the o ubm te haf t ba ndolt d. t m ndolt l m ha r e oye Guar a ne rpr de he wih t r quie f m . l mpl r din ve ovi d r t he e r d or d. Gemma Ca ia a s s htpa e ofac elr t d de t be ft fom t i ur nc ndolt lo oug ym nt c e a e a h ne is r he ns a e polc covei he pes nal JL Pr nta de edt cli basdon isase s ntt t iy rng r ro ly. . ude il ni he am e I t ss me ha Gemma Ca iadi notm e tt polc de i ton oft e m i ly i1'whe s s it d t ndolt d e he iy fnii s r na l 1' t n he ubm te he cai ni mont a trt s i l at7. l m ne hs fe he hootng. d. J ohnni Degado,a tng asgua di n f Gemm aCa ia who i now dia ed,tl d e l ci r a or ndolt , s s bl i e t o s pa a e s t i t s c e and t Cour c olda ed t ca e be us t y bo h a i e fo w e r t uis n hi as , he t ons i t he s s ca e he t r s r t s m e n l us ofope a i f c s Se Se em be 1 2011 Pa r e s Or r Ca eN o.1l c he a uc e r tve a t . e pt r 6, , pe l s de , s -v 2077 ( No. ) Ge 4 ECF 31. mmaCandolt sfrtgr ofcamsse fom Pr denta' de a f ia' is oup li tms r u ils nil 2 I I I pa ymentofDe ndentTer Liebe ison t polc c rngEsa n Ca ia. Asar u pe m f neft he i y ove i t ba ndolt es oft sde al Ge aCa iaa kst Cour t f hi a e t bl r m e unde 29U. C hi ni , mm ndolt s he t o as on n quia e e dy r S. j1 3 4 ) wh ri Gu r a a P u e ta wo db r q rdt c n ie t er q iieEv d e 1 2 3 1 e en adin nd r d n il ul e e uie o o sd r h e ust i e ofI ur biiyf m rtoa tvel Ame dCompl, t7( No.9) ns a lt or er ci y. nde .a ECF . Ge aCa ia' o he cai a eba ed upon Pr nta ' de a ofpa ntoft mm ndolt s t r l ms r s ude i ls ni l yme he ac e e a e be isfom he lf i ur nc polc She s e da ag agans Pr c l r t d neft r r ie ns a e iy. e ks m es i t udentalf i or fii t pa t ebeneis Ame dCompl,Cas No.11c 2077 a p.5( No.1 . alng o y hes tt. nde . e -v- 4, t ECF 3) TheCour,ha ng f l c i e t t tmony a doc nt r e de e r c ve a ti l a t vi uly onsder d he esi nd ume a y vi nc e ei d t ra , we la t a i a e lw a ar l s he pplc bl a nd gume sofcouns ,or a wrte now fndst tPl i if nt el al nd it n, i ha antf s ala en ti o h rcamsa j d me ts alb e trdi fv ro Gu r ina d h l tk ohng n e li nd u g n h l e nee n a o f ad a n Pr nta . ude il I. I D I U SSI N SC O & Pl ntf Cli Ag ns Gua di n ai ifs am ai t r a Durng t ti lGua di pr s nt aco oft 2009 Be ft Enr l e W averFo i he ra r an e e ed py he ne is olm nt i sgne by Ge aCa ia Ad i Rec. tba Ca ia Ex.1a 0001 2 Die l a v i d mm ndolt . m n. Esa n ndolt t 00. r cty bo 1A ci la ton m a be br ht... vi c i y oug ( byapa tci ntbe fcay, fducir 3) ri pa , neiil or i ay ( t e j i a ya t rp a t ewhc v oae a yp o ii no ti s b h p e r A) o n on n c o r ci ih i lts n r v so f h s u c a tr c t t m s oft pl n,or he er he a ( t o anohe a o it e tbl rle B) o bti t r pprprae quia e eif ()t rdr ss hvi ai or i o e es uc oltons (i t e orea pr sonsoft ss i) o nf c ny ovii hi ubcha erort tr oft pln .. . pt he e ms he a 29U. C.j 1 32( ) S. 1 3. 2Thi e bi w aspr ded a pa toft A dm i s r tve Re or ofEs a n Ca s xhi t ovi s r he ni ta i c d t ba ndolt pr vi ia o de by Pr nta. Ho ude i l weve ,be us t Ac w ldgme / avers ton oft f m wasilgi r ca e he kno e ntW i ec i he or le bl on t c pr de De e nt obt i d ano he cop and t Pa tesa r d t ha t txt he opy ovi d, f nda s ane t r y he ri g ee o ve he e oft ts c i r ad i o t Cour ' r cor Tr 85: 8 9. ha e ton e nt he ts e d. . 8- 6: 3 I Gemma Ca ia' sgna ur i a ac ndolt s i t e s n knowl m e a wave t tpr des edg nt nd i r ha ovi , Ac knowldg e / aver l elc i co r ges lundert nd a ag e t tl e m ntW i : f e tng ve a , sa nd r e ha am a yi frt covea s lce a ppl ng o he rges ee td bove, nd; )Tha a c r c whih a (1 t ny onta t c ma b is e t mewil es b e t oalhetr a dc ndto so t eGr u y e su d o lb u j c t 1t ems n o i n f h o p i A gr ent.... eem ThePa tesa eet tt Gr Agr eme t tt sa nowldgm e r e st i t ri gr ha he oup e nt ha hi ck e nt ef r o s he Pr den i I ur e Pln pr dedt t Cour a Pr nta ' Exhi t1a 000302.Thepolc u tal ns anc a ovi o he t s ude ils bi t i c ea l r quiest ti t e pl ee el c sco r ge on hers l ry e r ha f he m oy e t ve a pous t ti a e ha s bove t i he ' non- m e ca 'lm i t tEvi nc ofl ur biiy mus bes di l' i t ha de e ns a lt t ubmit t Pr ntal Ther i no dipu ted o ude i . es s t tGe ma Candolt ne rpr ded t sEvi nceofI ur biiy f m on be l ofhe ha m ia ve ovi hi de ns a lt or ha f r hus nd. W ha i a diput i whehe Gua di pr vi d Ge ma Ca iawih t sf r a ba t s t s e s t r r an o de m ndolt t hi o m n i or d he oft r uie e t ti be s it d i or rt e ol Esa n Ca ia i nf me r he eq r m nt ha t ubm te n de o nr l t ba ndolt n cove a a ve t non- ediallm i. r ge bo he m c i t l pr e i e de et ti di pr de t Evi nceofl ur lt f m t Ge a n es ntng vi nc ha t d ovi he de ns abiiy or o mm Ca iaa notfed he oft r quie ntt s i t f m i or rt obti c a , ndolt nd ii r he e r me o ubm t he or n de o a n over ge Gua di n e iie t si ony fom isDiecorofHuma Re our e ,J neHaddoc Ha r a lct d e tm r t r t n s cs a k. ddock t tfed t ts ta edt M im iBe h i M a c 2009 t enr lempl yee i Gua di n' esii ha he r vel o a ac n r h o ol o sn r a s be i pln.Tr 1 9: 6- 21: 1 Sheex ai d t hersa fpr d e olmentpac t f neft a .1 1 1 2 . pl ne hat t f ovi ed nr l ke s or e h e oye ,i l ng Gemm aCa ia, t tt epa ke si ude t e olm e t ac mpl e ncudi ndolt and ha hos c t ncl d he nr l n f m sa t a tona evi nc ofi ur biiy f m t tne d t be fle outi or t or nd he ddii l de e ns a lt or ha ede o ild n der o elc i r as c r be e t nc e ed ove age yond t $25, ba i cove ag f he s e Ha k t si d he 000 sc r e or r pous . ddoc e tse t ton M a c 1 2009, hem e i vi ly wih Ge aCa iaa e ai d t i ur n e ha r h 7, s t ndi dual t mm ndolt nd xpl ne he ns a pl a t the el c i t pur ha e t hi r l velofc an nd ha r e ton o c s he ghe e over ge on he h ba w oul r qui a r us nd d e r s i s on oft Evi nc ofl ur biiy f r quied b Pr ntal Tr 1 : 1 5. ubm s i he de e ns a lt onn e r y ude i , . 21 22- 23: 4 1 I Ha ddoc a tonaly poi e outhe ha k ddii l nt d r ndwrtng on Ge aCa ia' 2009 Be is ii mm ndolt s neft Enr l e W ave Fo m ,asf t re de eofhe m e tng wih Gemm aCa ia Tr olm nt i r r urhe vi nc r ei t ndolt . . 1 1 1 1 31: 7- 34: 9. Ast etiro fc i t sc s ,h Co r ma ma e u g nsrg r n t ce i lt f h re f a t n hi a e te u t y k j d me t e adig he rdbii y t wine s t co ebef r i. SeeCa o- l n v. tsRihar on.I ,993 F. 1 he t s es hat m oe t r Ga va Curi c ds nc. 2d 500, 1 0 ( 1hCi. 9 3 (i n Ch i Beg l c v. meM ii Co.8 F.d 1 5 1 3 n. 5 4 1 t r 1 9 ) ct g rs r . n . Ac i nng , 93 2 23 , 2 8 2 ( 1hCi.1 9 )(e o nzn t thec u t s weg t ee i e c a dma ec e iiiy 1 t r 9 0 r c g iig ha t o r mu t ih h v d n e n k r db l t deemi tons) A wines't tmonyma bebeive i f li pa tore ieydicoune tr nai l. t s esi y le d n ul,n r, ntrl s td. SeeM ooev.Chesoea & Ohi Rv. ,3 U. 573,576( 951 . r a ke o Co. 40 S. 1 ) The Co tf ur ound Ha ddoc sa ountofhe m e tngwih Ge aCa iac edi e a k' cc r ei t mm ndolt r bl n e de et tGua di di i f c pr de Ge ma Ca iawih t ne es a y f mst el t vi nc ha r an d n a t ovi m ndolt t he c s r or o ec hi rco a Ha ghe ver ge. ddockt tfe i de alr r ng t i o m a i pa ke st tGua di esiid n t i ega di he nf r ton c t ha r an pr deddurng t conf r nc i he d f e o esi M a c 2009. Ge ma Ca ia' own ovi i he e e e t l or mplye n r h m ndolt s t tmony a knowl d t s a tnded t tc e enc alhough s saed t s ne r esi c edge hat he te ha onf r e, t he t t hat he ve t w ih Ha t ddoc i vi ly, k ndi dual Ge aCa ia' cl m i f t runde m i d by he sgnaur on t 2009Be ft mm ndolt s ai s urhe r ne r i t e he ne i Enr l tW averFonn. Hersg t e a knowldge t ts unde sa t tt polc i olmen / i inaur c e s ha he rt nds ha he iy s s b e t otetr a dc n iinso teGr u Ag e me tt a i P u nilsI s rn ePln u j c t h ems n o dto f h o p re n ,h t s r de ta' n u a c a whih c e ry sat t ts m us s i a Evi nc ofl ur biiyf r f he s ei o d r c l a l t es ha he t ubm t n de e ns a lt o m or r pous n r t e ol i t hiherlve ofbe st . o nr l n he g e l ne s Ge ma Ca ia' c e ofa ton f e tbl r i a i tGua din t r f e f is m ndolt s aus c i or quia e elef gans r a he e or a l. 1 Pli ifsCl m Aga ns Pr antf ai i t udenta f Ac elr td Bene s i l or c e ae ût The i ur e pl n i t sc e i a ERI g ns mw a n hi as s n SA over d pl n a Pr ntali t c a m s ne a nd ude i s he l i 5 a nita ort tr vi cli sa et ra o so dia ovest .TheSupr m eCou dmi sr t ha e ews am nd ihe ppr ve r s ppr hem e ha e t bls d t e ditnc sanda dsf r vi wi a ERI pln admi sr t ' dec son. s sa ihe hr e si t t r or e e ng n SA a nita ors ii Th yae ( )d n v wheet epa d e n tg a ttea mi itao ds rto ( )abtay e r : 1 e o o, r h ln o s o rn h d nsrt r icein; 2 r irr a dc p ii u , eet eplng a t t ea miitao dicein; n ( )h ihe e a btay n a rco s wh r h a rn s h d n sr tr srto a d 3 eg tn d r i r r a c prcous whe et pl n gr nt t a nita ordic e i butt a i sr t hasa nd a i i , r he a a s he dmi sr t s r ton, he dm nita or confi ofitr t Ca v. t LieI .Co.59 F. 1l 11 1196( 1hCi.201 lct nees. pone Aena f ns , 2 3d 89, 951 t r 0) (ii FiesoneTie& Rubbe Co.v.Br h,489U. 1 ,1 ( 9).TheElve t Cic t ctng r t r r uc S. 01 09 198 ) e nh r ui pr vi sasx- tp a ys st gui dititc t i r e ng a a i sr t ' be is o de i se nal i o de src ours n eviwi n dm nitaors neft de ii 3 c son. 3 These i e l i an a i sr t ' d son ou lne i Ca tps n vauatng dm nita ors ecii ti d n nonear e: () Ap l t d n v sa ad t d tr n wh t rt e cam a mi srt r 1 py he e o o tnd r o eemie ehe h li d nitao ' s be ft- ni decso i ' ong'(. ,hec t sgr swiht admi srt ' neisde al iin ss wr 'ie.t our dia ee t he nitaors d cso ) i i i n t te e dteiq iya d afr t ed cso e iin ;f t s o ,h n n h n ur n fim h e iin. ( l t a nitaorsdecso i fc i S novowr 't deer newhehe 2) fhe dmi srt ' iin n a tsç de ong, hen t mi ' tr h wa v se wihd s rto i r ve n cams i n te dj dca iqur a d e s e td t icein n e iwig li ;f o, n u iil n iy n r ve s t de son. e r e he cii ( l t admi srt ' decson i ' novo wr 'a he wasve td wih 3) f he nitaors ii s i de ong' nd se t dic e i i r viwi cai , t n de e m i whe he d e onabl' gr s r ton n e e ng l ms he t r ne t r t as r e' ounds s re i ( nce rviw hi decson unde t mor defrnta abirr a uppo td t he , e e s ii r he e ee il r tay nd c prcoussa r . a ii tnda d) ( I no ras bl gr 4) f e ona e ounds e s, t e t i r a rves t xit hen nd he nquiy nd e re he a i sr t ' de son;i r a ona e g ounds do e s,t n de e mi i he dm nita ors cii f e s bl r xit he t r ne f ope a e unde ac lc ofi e e t rtd r onfit ntr s. ()I t r i noconfi ,t e t i r a afr t decson. 5 f hee s lct hen nd he nquiy nd fim he ii ()l t r i ac lc ofi ees,t a yhei tnedar taya c prcous 6 f hee s ontit ntr t hen ppl ghe bir r nd a ii r viw t t de son t a fr orde i. e e o he cii o fim ny t Ca pone,592F. a 11 (iai omit . 3d t 95 cttons ted) 6 l I 1 g I 1 Pr nta i bot t cl m sad i sr t f t spl a t i ur r who pa t ude i l s h he ai m nitaor or hi an nd he ns e , ys he c am s Thi d lr er quie t ti Pr nta ,a cai a i sr t , i acli i va i i l i . s ua ol e r s ha f ude il s l ms dm nitaor fnds am s ld t mus t n pa t cai ntfom isowncofe s The Supr m eCour i M e r Lie I . v. t he y he l ma r t fr. e t n to. f ns Co. Glnn,de twiht smet ofst ton.554U. 1 11 ( S. e al t he a ype iuai S, 05, 5 U. 2008) Mer Lie . to f l ur nceCo.wa bot t i ur randt cli sa nita orf a ERI gove nedpln. ns a s h he ns e he am dmi sr t or n SA r a TheCour i tuc e t ti s i tnc C co lc s d $ wei d asa f c ori t nsr t d ha n uch nsa es i nfit houl be ghe a at n deemi ngwhehe t ei a a eofdicei ''l ( uoi Fieso Tie& Rubbe Co tr ni t r her s n bus s rton.' d. q tng r tne r r v,Br h,489U. 1 ,115( S.1 (iai omitdl. uc S. 01 U. 989) ctton te ) l t i tntc e,t i ur nc polc doc e sr ve lt tPr nta i ve td wih n he nsa as he ns a e iy um nt e a ha ude il s se t dic e i i r viwi c am sunde t spln. Se Ti t v. i e St Lie I . , s r ton n e e ng l i r hi a e ppit Relanc d. f ns Co.457 F.d 1 2 ,1 3 - 4( 1h Ci. 0 6 ( ingLe is nv Rein eSt Liel s Co.2 5F.d 3 2 7 2 3 3 1 t r 2 0 ) ct i vn o . la c d. f n . , 4 3 1 21 1 2 ( 1h Ci. 0 ) ThsCo r rv e Pr d n ilsd cso u d rt eh ihe d 3 , 3 5 1 t r 2 01. i u t e iws u e ta ' e iin n e h eg tne a bir r a ca i oussa r c z oft c lc t tPr enta f esi beng bot t r ta y nd prci t nda d, ogniant he onfit ha ud i l ac n i h cli sa m i sr t ra t i ur ri t sc e.Pr am d nita o nd he ns e n hi as udentala g t ti di notabus t s i r ues ha t d e hi dic eton,a t tisdec son wa ne t rabir r no ca i ous buti t ad wasr s bl s r i nd ha t ii s ihe r ta y r prci , nse ea ona e Pr nta ' ad i sr tver co d e er d i o e de e a ti li c t t twhie ude i ls m nita i e r nt e nt vi nc t ra ndi aes ha l Ge aCa ia washos t lz i Aprl2009, s. ddoc t af e tone Die t mm ndolt pia ied n i M Ha k, he or men i d r c or Huma Res ce a Gua di n,s n our s t r a ubmit d acai on Gemma Ca ia' behaf f rpa m e o te lm ndolt s l, o y nt a ce er t d de t be ft . Tr 60: 62: 9. Pr nta det r i d t tHaddoc s s bm i s on c l a e a h ne is . 3- 1 ude i l e m ne ha k' u s i wa i ompl t be a e i lc aPr nta f nn known a a Atendi Physc a s nc ee c us t a ked ude il o s n t ng iin Cetfc tonFor (t riiai For '.Pnl nta Ex.2,Admi Rec. t000029.Ge riiai m Ccetfc ton m') de il n. a mma Ca ia' c pl t d a i a i w asfna l s it d t Pr ntalon J nua y 6, 0. 1 ndolt s om e e pplc t on i ly ubm te o ude i a r 201 d. 000230232. Thea iato i l d aCe tfc ton For sgne b Dr Dougl sSl kof .1 . pplc i n nc ude rii a i m i d y . as ot f 7 1 ! 1 ë ! ' a 0001 1 TheCe tfc ton For i i lr epa ta q si nar pr vi d by Pr nta , t t 00- 07. ri a i m s n a g r ue to ie o de ude il b Ge aCa ia' s ison i l sfvepag ofat c r c dsde a lng he a rva i mm ndolt s ubm s i nc ude i es ta hed e or t ii r ri l n t ta auni,s eq nteme ge ybr i s ge yt r m o ahemorhagea g hot he r um t ubs ue r nc an ur r o e ve r nd uns woundde i,a pos- rtvesaus Lu Thefrtpageoft Cetfcai For sae ,$ brs nd topeai tt . ds is he rii ton m tts é T quaiyfrabe i,yourpaintmus havealf e ca yoft l ( 2)monhsorl s lf o neft te t ie xpe tnc weve 1 t es. Doe yo pai m e tt sr quie t ' L. On De mbe 23,2009,ni mont a trt s ur tent e hi e r men ?' ds . ce r ne hs fe he s tnga Gemma Ca ia' s e ntr c r Dr Sl kof sgne t Ce tfcai hoo i nd ndolt s ubs que e ove y, , ot f i d he rii ton For a a we e i ' o t q si n ofwhe he Ge aCa iaha a lf e m nd ns r d ç t he ue to no' t r mm ndolt d ie xpec a y of t nc t vem o hsorls . l Ge ma Ca iahadbe n dicha ge fom t hos t f wel nt e s d. m ndolt e s r d r he pial or a oxi t l ei m o hs a wa r c rng,a Dr Sl kof i c ton o t f m ppr ma ey ght nt , nd s e ove i nd . ot fs ndia i n he or r l c st ts di notha a lf ex c a y oft vem o hso l sa t tpoi . Oneof efe t ha he d ve ie pe t nc wel nt r es t ha nt Pr de ilsphysc a ,Dr Al r Kowalki r vi we Ge aCandolt scli on J nua y 1 , u nta ' ii ns , be t s , e e d mm ia' am a r 201 J .t000003- Dr Kowalkictda afr dDr Slt psDe e r23, 0. . a i 4. . s ie nd fime . okof c mbe 2009, as es me . Dr Kowas not d, s s nt . lki e Thei ur d i 9 mont sa uspos g hotwo t t he d a a a st be ns e s hs tt t uns und o he a nd ppe r o sa e. The e a e no medialr or t s t bl r r c ec ds o uppor a dignos sorcondii t t t ny a i ton ha woul r ul i alf e c a y of1 m o hso l s .l a ton,he physc a d es t n ie xpe t nc 2 nt r e s n ddii r ii n, Dr Sl kof, d notopi t tt i ur d' e . ot f di ne ha he ns e s xpeca y i 1 mont orl s tnc s 2 hs es . I d. Pr nta de ed t cl m and Gemma Ca ia s e ude il ni he ai ndolt ubs quenl a y ppeae pr di a ld, ovi ng n afi vi fom Dr M alom Buloc he te tng ph i in when s r pore t t hos t lon fda t r . c l k, r r a i ysca he e td o he pia Aprl1 2009. L. a 0 89. Dr Buloc sa fdavi saes i 2, d t 001 . o . l k' fi t t t , Ge ma Ca ia s f r d aguns twound t herhea on Aprl1 2009,a m ndolt ufe e ho o d i 2, nd h da e te l sro sb an ij r a ar s l.Be a s o teg n h two n a n x rmey e iu ri nu y s e ut c u e f h u s o u d o Aprl1 2009,s wa c aos and i a t r piaor f iur M edi ly, n i 2, he s om t e n cu e es r t y a l e. cal s wa notexpecedt s vi Mor lkel t nnot(heewa lara ona e he s t o ur ve. e i y ha t r s e s bl 8 I 1 ! 5 ! i i I : deg eeofmedial oba lt s woul no ha lve mor t n aye .Thef ct r c pr biiy he d t ve i d e ha ar a t ts i s ila i t y i a m iac e. ha he s tl lve oda s r l I d. De piet se de ,on J nua y 5,2011 t Cl msAdmi sr t he d fr t he pr r s t hi vi nce a r , he ai nita or l im o r ' r i Sheag n de e Ge ma Candolt scai ,a c td t f c t ts di i f c s vi e ulng. ai nid m ia' l m nd ie he a t ha he d n a t ur t or al asvald gr he de , i oundsf t de al Pr nta Ex. Admi Re at1 000230or he ni . ude il 2, n. c. 7 32. Atti t Pl i ifc l d Dr Buloc who t sii d t i hi opi on,Ge a ral he antf ale . l k, e tfe hat n s ni mm Ca iadi notha m or t n t vemont t lvewhe s e e edhi c r upon a val t ndolt d ve e ha wel hs o i n he nt r s ae ni t hos t .Tr 26: 27: Howe r Dr Bulo a it d t tt r co dpr dedt t he pial . 3- 1. ve , . l ck dm te ha he e r ovi o he Cl i sAd i sr t rwoul nothaver veae t sdi nosst tGe ma Ca ia ha l s am m nita o d e ld hi ag i ha m ndolt d es t t e ve m ont t lve. Tr 31: 31 24. The Cou ts c tc l quere D r Buloc Sl t e han w l hs o i . 7- : r pe ii aly i d . l k, ss he a hi i t no e t twe epr par d con e nyt ng n he t s ha r e e t mpor ne l wih t tea me - a t e no s a ousy t he r t nt - nd hos t ae 1 t 1 8- fo whiha o j ci eo tiera e o t o en tsc ud ge nt a t i r 03 o 0 - rm c n be tv u sd e d r f h s oe o l la h t hs i vi lwasnotg ng t s vvem or t n oneye ?'To whih Dr Buloc r pled,i ndi dua oi o ur i e ha ar ' c , l k e i $ No, sr t r snot' l i he e' . d. ' TheCl i sAdmi sr t ' i talde i i wa t r f r gr am nita ors nii c son s he e o e ounde i t e denc d n he vi e be or he .Upon a f e r ppea,t Cl msAdmi sr t ha t a fda tofDr Bulock t tsaed l he ai nita or d he fi vi . l ha t t t twhe s r po td t t hos t a wa unde hi ca e Ge aCa iadi notha a ha n he e re o he pial nd s r s r , mm ndolt d ve lf e c a y be ie xpe t nc yond t l mont . Howe r a t poi a whi h t sappe t plc i we ve hs ve , t he nt t c hi al ook a e J nua y2011 ni mont a trt i de ,t Cl msAd i sr t ras hadt bene i of a r , ne hs fe he nci nt he ai m nita o lo he ft knowi t tGe aCa iaha i f c szvi d.The Cl msAdm i sr t alo had Dr ng ha mm ndolt d n a t tr ve ai nita or s . Sl t fsD e m be 2009,o ni n t tGem m a Ca ia di notha l s t n t ve m on h a kof ce r pi o ha ndolt d ve e s ha wel t t lve. Fa d w ih t s i or aton, he C l i sA dm i s r t de e m i d t tGem m a o i ce t hi nf m i t am ni ta or t r ne ha 9 I 1 ! i p 1 ! l 1 E k Ca iawa note i bl t r ei a elr t be is.Thi de so wasnet ra bir r ndolt s lgi e o ec ve cc e aed neft s ciin ihe r ta y c prcousa i due t beafimed. a ii nd s o fr Pli ipscai f da esagans Pr de ilf f ii t pa a ceer t de t antf l m or mag i t u nta or a lng o y c l aed a h be ft i t r or de e ne is s he ef e ni d. 11 1. C O N CL USI N O Fort f eg ng r as ,t Cour f l o fnd t teihe Gua di n orPr nta ar he or oi e ons he t aist i ha t r r a ude il e la e f Pli ifscli s Fi J ibl or antf' am . nal udgme wilb e e e f De enda sby s pa at Or r nt l e nt r d or f nt e r e de . DN ADODRDiCabst ailit ( oFba, OEN REE nh ea m,odh yfeuy m r Mi Fra2 rr HA M O OR E UNI TED STATES DI STRI J CT UDGE . CC* A1 couns ofr cor 1 el e d 10

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