Medical Treatment & Bills

What is a letter of protection?

Attorney-Reviewed Answer
Reviewed by Jeff T. Gorman, Criminal Defense Attorney & Former 19th Circuit Prosecutor (Fla. Bar #538183). Last reviewed: September 2026
Short Answer
An arrangement where a provider treats you now and is paid from your settlement — and Florida law now defines it broadly and regulates it closely.

A provider agrees to render treatment in exchange for a promise of payment from any judgment or settlement, rather than billing insurance or you directly.

The definition is functional. Florida law defines an LOP as any arrangement of that kind, regardless of what it's called. A provider can't avoid the rules by naming the agreement something else. If there's an agreement to treat and not bill your insurance, it's an LOP.

Why they exist. Someone without health insurance, or whose PIP is exhausted, needs an MRI and physical therapy now. An LOP makes that possible.

What Florida now requires. Before you can claim those medical expenses as damages, you must disclose the letter itself, all billings itemized and properly coded, whether the receivable was sold to a factoring company, and whether your attorney referred you to the provider.

That disclosure is a condition precedent. Fail it and you can lose the ability to claim those bills at all.

Keep every document. The disclosure requirements are strict and the penalty is losing the bills. ---

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This page answers a common question for general informational purposes and is not legal advice, and no attorney-client relationship is formed by reading it. Florida law changes; while this answer is reviewed by a licensed Florida attorney, the right answer depends on the specific facts of your situation — consult an attorney. Serving Martin, St. Lucie, Palm Beach, Indian River, and Okeechobee Counties.