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Fortune v. First Protective Ins. Co.
Court of Appeal of Florida, Second District
September 4, 2020, Opinion Filed
Case No. 2D19-2209
Reporter
2020 Fla. App. LEXIS 12540 *
Sheehe & Associates, P.A., Miami, for Appellee.
PATTI FORTUNE and JEREMY DOMIN, Appellants, v.
FIRST PROTECTIVE INSURANCE COMPANY d b a
FRONTLINE INSURANCE, Appellee.
Notice: Decision text below is the first available text from
the court; it has not been editorially reviewed by
LexisNexis. Publisher's editorial review, including
Headnotes, Case Summary, Shepard's analysis or any
amendments will be added in accordance with
LexisNexis editorial guidelines.
Core Terms
cure, notice, estimate, invoking
Opinion
[*1] Opinion filed September 4, 2020.
Appeal from the Circuit Court for Collier
County; Elizabeth V. Krier, Judge.
John H. Pelzer of Greenspoon Marder LLP, Fort
Lauderdale; and Jeremy F. Tyler and Jonathan B.
Aversano of Greyer Fuxa Tyler Attorneys at Law,
Sunrise, for Appellants.
Jay M. Levy and Ryan L. Marks of Jay M. Levy, P.A.,
Miami; and Karen D. Fultz and Phillip J. Sheehe of
SILBERMAN, Judge.
Patti Fortune and Jeremy Domin (the Homeowners) filed
a bad faith action pursuant tosection 624.155, Florida
Statutes (2017), against First Protective Insurance
Company d/b/a Frontline Insurance (the Insurer)
concerning a claim that arose from losses caused by
Hurricane Irma. The Homeowners appeal a final
summary judgment[1] in favor of the Insurer which
determines as a matter of law that the Insurer cured a
Civil Remedy Notice of Insurer's Violations (CRN) by
invoking the appraisal process before the CRN was filed
and by paying the appraisal award more than sixty days
after the CRN was filed. Because pursuing the appraisal
process does not constitute a cure of the violations
alleged, we reverse and remand for further proceedings.
The Homeowners' property was insured by a policy [*2]
with the Insurer. After suffering losses from Hurricane
Irma on September 10, 2017, they timely filed a claim
with the Insurer. The Insurer investigated the loss and
determined that after applying the policy's deductible and
depreciation, the amount of the loss was $3,013.20. The
Homeowners presented the Insurer with their public
adjustor's estimate of what they alleged were the full
scope of necessary repairs.
The Insurer then invoked the appraisal process
pursuant to the policy on December 27, 2017. Section I
of the policy contains a provision that either party may
demand a mediation or appraisal of the loss if the
parties "fail to agree on the settlement regarding the
loss." The policy also provides that "unless there has
been full compliance with all of the terms under Section
I of this policy," the Homeowners cannot bring an action
against the Insurer.
On January 8, 2018, the Homeowners filed a CRN
alleging violations ofsection 624.155(1)(b)(1) and section
626.9541(1)(i), Florida Statutes (2017). One of those
allegations was that the Insurer made a lowball
Page 2 of 5
2020 Fla. App. LEXIS 12540, *2
offer and "flagrantly breached" its duty to attempt in
good faith to settle claims, as required bysection
624.155(1)(b)(1). The Homeowners asserted that the
Insurer was given the opportunity to inspect the loss
[*3] and was placed on notice of the severity of the
damage. They contended that the Insurer failed to
identify the full scope of necessary repairs that was
corroborated by the public adjustor's estimate which
"dwarfed" the Insurer's estimate. The Homeowners
alleged that the Insurer refused to reassess its payment
of benefits and the basis for payment and that the
Insurer "turn[ed] a blind eye and refuse[d] to properly
adjust and settle the claim."
The Insurer generally denied the allegations, claiming
that it did not owe any insurance proceeds to the
Homeowners under the "insurance policy at this time."
Further, the Insurer stated that it had not committed any
acts of bad faith and that it had sought appraisal to
resolve the parties' dispute as to the amount of loss. The
Insurer also asserted that it would be unable to cure any
alleged violations based on the "vague and general
demands" in the CRN. The Insurer did not pay any
damages within sixty days of the filing of the CRN.
The Homeowners' appraiser and the neutral umpire set
the amount of the loss, and an appraisal award was
entered on June 1, 2018, in the total amount of
$121,516.55. On July 17, 2018, the Insurer paid the net
amount [*4] owed of $110,067.35.
On October 25, 2018, the Homeowners filed their
complaint that sought relief for insurer bad faith under
section 624.155(1)(b)(1). They alleged that the Insurer
had "failed to promptly, fully, and adequately pay [the
Homeowners] under the Policy and 'low-balled' [their]
damage estimate." Further, they alleged that the Insurer
had failed to pay damages within sixty days of receipt of
the CRN, assection 624.155(3)(d)[2] requires.
The Insurer filed a motion to dismiss or, in the
alternative, a motion for summary judgment, to which the
Homeowners filed a response in opposition. The Insurer
asserted that it "fully cured the alleged bad faith during
the cure period set forth under Florida Statutes by
complying with the appraisal process, which resolved the
dispute between the parties and was agreed to by [the
Homeowners] as demonstrated in the Appraisal Award
dated June 1, 2018."
After a hearing on the Insurer's motion, the trial court
determined that the Insurer was entitled to summary
judgment.[3] The court's written ruling states "[t]hat, as a
matter of law, [the Insurer] cured the Civil Remedy
Notice of Insurer's Violations by its invocation of the
appraisal process, in accordance with the applicable
insurance [*5] policy, before [the Homeowners'] filing
of the Civil Remedy Notice of Insurer's Violation and by
[the Insurer's] subsequent payment of the appraisal
award." The trial court denied the motion to dismiss as
moot.
On appeal, the Homeowners contend that the trial court
erred in concluding that the Insurer cured the CRN
merely by invoking the appraisal process and then
paying the appraisal award outside the sixty-day time
limit ofsection 624.155(3)(d). They contend that the
pendency of an appraisal does not affect how an insurer
must respond to a CRN.
Section 624.155(1)(b)(1), provides a civil remedy for an
insurer's bad faith and provides as follows:
(1) Any person may bring a civil action against an insurer
when such person is damaged:
. . .
(b) By the commission of any of the following acts by the
insurer:
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
insured and with due regard for her or his interests[.]
The statute also provides a civil remedy for violations of
specific provisions of section 626.9541.
624.155(1)(a)(1). As a condition precedent to filing an
action, the plaintiff must give the Florida Department of
Financial Services [*6] and the insurer sixty days' written
notice of a violation. 624.155(3)(a). The CRN must
provide the specific statutory provision allegedly violated,
the facts giving rise to the violation, the names of
involved individuals, any relevant policy language, and a
statement that giving the notice perfects the right to
pursue the civil remedysection 624.155 authorizes.
624.155(3)(b).
The statute gives an insurer a cure period which provides
that "[n]o action shall lie if, within 60 days after filing
notice, the damages are paid or the circumstances giving
rise to the violation are corrected." 624.155(3)(d). If a
"payment is owed on the contract," the insurer can "cure
the claimed bad faith by paying the benefits owed on the
insurance contract."Vest v. Travelers Ins. Co., 753 So.
2d 1270, 1275 (Fla. 2000).
Page 3 of 5
2020 Fla. App. LEXIS 12540, *6
The prerequisites to file a statutory bad faith action are:
"(1) determination of the insurer's liability for coverage;
(2) determination of the extent of the insured's
damages; and (3) the required notice must be filed
undersection 624.155(3)(a)." Landers v. State Farm
Fla. Ins. Co., 234 So. 3d 856, 859 (Fla. 5th DCA),review
denied, No. SC18-292,2018 WL 6839539 (Fla. Dec. 31,
2018). An appraisal award satisfies the first two
requirements. Id.; see alsoHunt v. State Farm Fla. Ins.
Co., 112 So. 3d 547, 549 (Fla. 2d DCA
2013)(recognizing that an appraisal award satisfies the
condition precedent of "a determination of liability and
extent of damages owed" [*7] (quotingVest, 753 So. 2d
at 1276)).
Section 624.155 does not prevent the insured from
sending a CRN prior to a determination of liability or
damages.Vest, 753 So. 2d at 1275; Landers, 234 So. 3d
at 856. The Florida Supreme Court in Vest further
explained:
Nor is the insurer's appropriate response to that notice
depend[e]nt on such a determination. The insurer's
appropriate response is based upon the insurer's good-
faith evaluation of what is owed on the
insurancecontract. What is owed on the contract is in
turn governed by whether all conditions precedent for
payment contained within the policy have been met. An
insurer, however, must evaluate a claim based upon
proof of loss required by the policy and its expertise in
advance of a determination by a court or arbitration.
753 So. 2d at 1275-76 (emphasis added). Thus, the
Insurer's response was not dependent on the
determination of damages, in this case by way of
appraisal. The Insurer was required to evaluate the claim
based upon the policy's required proof of loss "and its
expertise in advance of a determination" of damages. Id.
The statutory claim for bad faith "is founded upon the
obligation of the insurer to pay when all conditions under
the policy would require an insurer exercising good faith
and fair dealing towards its insured to [*8] pay."Id. at
1275. Thus, an insurer must "timely evaluate and pay
benefits owed on the insurancepolicy." Id.; see
alsoBryant v. GeoVera Specialty Ins. Co., 271 So. 3d
1013, 1022 (Fla. 4th DCA 2019)(quotingVest, 753 So. 2d
at 1275). Of course, a mistaken denial of payment does
not necessarily mean that the insurer acted in bad faith.
SeeVest, 753 So. 2d at 1275. But the issue of good faith
or bad faith is usually a question for the finder of fact. Id.;
see alsoLanders, 234 So. 3d at 860 (recognizing that it
remained to be resolved as a question of fact whether
the insurer acted in bad faith when it resolved the
claim).
In Landers, a bad faith action regarding a sinkhole claim,
Landers alleged, among other violations, "claim delay
and low-balling."234 So. 3d at 858. He "filed his CRN
before the appraisal process was complete," and the
insurer failed to cure the alleged violation within the sixty-
day period.Id. at 860. The insurer argued that the CRN
was invalid because "a condition precedent to payment-
determining the amount of loss through appraisal-had not
been fulfilled."Id. at 858. The appellate court disagreed
and stated that "[p]reventing an insured from filing a CRN
before coverage and liability have been conclusively
established would frustrate the purpose of the statute by
further delaying the time necessary to assess and pay
out claims and
discouraging insurers [*9] from taking timely,
independent action on claims."Id. at 860. For instance,
Landers asserted that if the insurer had "properly
investigated his claim, it would have known that the
subsurface repair plan was inadequate." Id.The appellate
court reversed the final summary judgment in favor of the
insurer and remanded for further proceedings. Id.
Even if a policy requires the mediation or appraisal
process to occur prior to suit being filed, an appraisal is
not a condition precedent to the insurer fulfilling its
obligation to fairly evaluate the claim and to either deny
coverage or to offer an appropriate amount based on that
fair evaluation. Seeid. at 859-60. A fair evaluation would
be evidence that an insurer did not act in bad faith. But a
lowball offer made in bad faith is not cured by an insurer
ultimately paying what it is later found to owe via the
appraisal process.
The language ofsection 624.155(3)(d) does not toll the
cure period until an appraisal is completed. Although not
applicable here, an amendment tosection
624.155,effective July 1, 2019, see Ch. 2019-108, 6, 18,
Laws of Fla., reinforces the Homeowners' position that
seeking an appraisal is not a cure to a failure to attempt
to timely settle a claim in good faith. The [*10] legislature
added a newsection 624.155(3)(f) which states, "A notice
required under this subsection may not be filed within 60
days after appraisal is invoked by any party in a
residential property insurance claim." This new provision
affects the time when an insured can file a CRN but does
not treat an appraisal or payment of an appraisal award
as a cure of any violations alleged in the CRN. And, as
the Homeowners argue, if an insured cannot file a bad
faith action until the appraisal award is
Page 4 of 5
2020 Fla. App. LEXIS 12540, *10
made, seeBryant, 271 So. 3d at 1022, but the appraisal
process cures a bad faith violation as a matter of law,
then it places insureds in a catch-22 situation. It would
allow an insurer to act in bad faith without consequence
in settling claims as long as the insurer later pays the
appraisal award within the time set by the
insurancepolicy.
The Insurer asserts that when the CRN does not state
the amount necessary to cure the alleged bad faith, the
Insurer's invocation of the appraisal process constitutes
a corrective action within the meaning ofsection
624.155(3)(d). Noteworthy here is that although the
Homeowners' CRN did not state a specific cure amount,
it did state that they had provided their public adjustor's
estimate to the Insurer which covered "the [*11] full
scope of necessary repairs to the direct and ensuing
damages." Thus, the Insured had the public adjuster's
estimate and knew the amount the Homeowners sought.
Neither the statute nor this court's precedent requires the
CRN to contain a specific amount sought to cure the
alleged bad faith. See 624.155(3)(b);Hunt, 112 So. 3d at
548.
The Insurer relies upon 316,Inc. v. Maryland Casualty
Co., 625 F. Supp. 2d 1187 (N.D. Fla. 2008), to support
its position that because the CRN did not contain a cure
amount, the Insurer cured the CRN by invoking the
appraisal process under the policy before the cure period
expired. This court has addressed 316 and determined
that a specific cure amount is not a requirement for the
CRN undersection 624.155(3)(b).SeeHunt, 112 So. 3d at
550-551.
In addition, the issue on summary judgment that the trial
court determined in 316 was that the insurer had not
acted in bad faith as a matter of law.625 F. Supp. 2d at
1195. Discussing 316, the Middle District has rejected
an insurer's argument that "316 stands for the
proposition that when the insurer follows the appraisal
process as set forth in the policy and promptly pays the
agreed upon appraisal amount, the insurer will not be
held as having acted in bad faith." Fox Haven of Foxfire
Condo. IV Ass'n v. Nationwide Mut. Fire Ins. Co., No.
2:13-cv-399-FtM-29CM, 2015 WL 667935, at *5 (M.D.
Fla. Feb. 17, 2015). [*12] The Fox Haven court
determined that "the ruling in 316 is not that broad" and
that the "court's conclusion that the insurer had acted in
good faith was based primarily on the fact that the
insurer 'paid almost sixty-percent of the final award in
advance of the appraisal process.' " Id. (quoting 316,625
F. Supp. 2d at 1193).
Here, the trial court did not resolve on summary
judgment whether the Insurer acted in bad faith, which is
generally for the finder of fact to determine. SeeVest, 753
So. 2d at 1275. Instead, the trial court determined as a
matter of law that the Insurer cured the CRN by
invocation of the appraisal process and subsequent
payment of the appraisal award after the cure period.
The Insurer contends that invoking appraisal met the
cure provision which states, "No action shall lie if, within
60 days after filing notice, the damages are paid or the
circumstances giving rise to the violation are
corrected."624.155(3)(d) (emphasis added). The
Insurer contends that it corrected the circumstances
giving rise to the violation such that a bad faith claim
could not proceed. But in Vest, the Florida Supreme
Court stated, "The insurer then has sixty days in which
to respond [to the CRN] and, if payment is owed on the
contract, [*13] to cure the claimed bad faith by paying
the benefits owed on the insurance contract."753 So.
2d at 1275. Thus, when payment is owed, the cure is
paying the benefits owed. As the Homeowners argue,
the statutory language "or the circumstances giving rise
to the violation are corrected" insection 624.155(3)(d)
would apply to other violations not involving the
payment of benefits.
For instance, the Homeowners also alleged a violation
ofsection 626.9541(1)(i)(3)(a) for "[f]ailing to adopt and
implement standards for the proper investigation of
claims." The Homeowners requested that the Insurer
create and implement such standards as a remedy. The
implementation of such standards would show that "the
circumstances giving rise to the violation are corrected."
624.155(3)(d). But an alleged payment violation would
require payment within the sixty-day cure period.
In summary, at issue here is the alleged violation of
"[n]ot attempting in good faith to settle claims when,
under all the circumstances, [the Insurer] could and
should have done so, had it acted fairly and honestly
towards its Insured, and with due regard for her or his
interests." We conclude that the Insurer's invocation of
the appraisal process and payment of the appraisal
award after the cure [*14] period expired did not cure,
as a matter of law, an alleged violation for failing to
attempt to settle claims in good faith. Therefore, we
reverse the final summary judgment entitled "Order
Granting Defendant's Motion for Summary Judgment"
and remand for further proceedings in which the
Homeowners can pursue their action for bad faith. We
express no opinion on the factual issue of whether the
Insured acted in bad faith.
Page 5 of 5
2020 Fla. App. LEXIS 12540, *14
Reversed and remanded.
VILLANTI and LaROSE, JJ., Concur.
[1]The trial court's order is entitled, "Order Granting
Defendant's Motion for Summary Judgment." However,
the order contains words of finality, and the
Homeowners are thus appealing a final summary
judgment. SeeWalters v. CSX Transp., 778 So. 2d 396,
396 n.1 (Fla. 2d DCA 2001).
[2]In an amendment effective July 1, 2019, this provision
is now contained insection 624.155(3)(c). See Ch. 2019-
108, 6, 18, Laws of Fla. Note also that the sixty-day
period begins when the notice is electronically filed, not
when it is received. SeeHarper v. GEICO Gen. Ins. Co.,
272 So. 3d 448, 451 (Fla. 2d DCA 2019).
[3]As the Homeowners note, the Insurer did not file any
summary judgment evidence contemplated by Florida
Rule of Civil Procedure 1.510(c). Rather, the Insurer
appears to have relied on the allegations in the
complaint and exhibits to the complaint, arguing the
issue as a motion to dismiss and asking for summary
judgment [*15] in the alternative.
End of Document

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Fortune v. first protective ins. co. 2020 fla. app. le

  • 1. No Shepard’s SignalTM As of: September 4, 2020 4:31 PM Z Fortune v. First Protective Ins. Co. Court of Appeal of Florida, Second District September 4, 2020, Opinion Filed Case No. 2D19-2209 Reporter 2020 Fla. App. LEXIS 12540 * Sheehe & Associates, P.A., Miami, for Appellee. PATTI FORTUNE and JEREMY DOMIN, Appellants, v. FIRST PROTECTIVE INSURANCE COMPANY d b a FRONTLINE INSURANCE, Appellee. Notice: Decision text below is the first available text from the court; it has not been editorially reviewed by LexisNexis. Publisher's editorial review, including Headnotes, Case Summary, Shepard's analysis or any amendments will be added in accordance with LexisNexis editorial guidelines. Core Terms cure, notice, estimate, invoking Opinion [*1] Opinion filed September 4, 2020. Appeal from the Circuit Court for Collier County; Elizabeth V. Krier, Judge. John H. Pelzer of Greenspoon Marder LLP, Fort Lauderdale; and Jeremy F. Tyler and Jonathan B. Aversano of Greyer Fuxa Tyler Attorneys at Law, Sunrise, for Appellants. Jay M. Levy and Ryan L. Marks of Jay M. Levy, P.A., Miami; and Karen D. Fultz and Phillip J. Sheehe of SILBERMAN, Judge. Patti Fortune and Jeremy Domin (the Homeowners) filed a bad faith action pursuant tosection 624.155, Florida Statutes (2017), against First Protective Insurance Company d/b/a Frontline Insurance (the Insurer) concerning a claim that arose from losses caused by Hurricane Irma. The Homeowners appeal a final summary judgment[1] in favor of the Insurer which determines as a matter of law that the Insurer cured a Civil Remedy Notice of Insurer's Violations (CRN) by invoking the appraisal process before the CRN was filed and by paying the appraisal award more than sixty days after the CRN was filed. Because pursuing the appraisal process does not constitute a cure of the violations alleged, we reverse and remand for further proceedings. The Homeowners' property was insured by a policy [*2] with the Insurer. After suffering losses from Hurricane Irma on September 10, 2017, they timely filed a claim with the Insurer. The Insurer investigated the loss and determined that after applying the policy's deductible and depreciation, the amount of the loss was $3,013.20. The Homeowners presented the Insurer with their public adjustor's estimate of what they alleged were the full scope of necessary repairs. The Insurer then invoked the appraisal process pursuant to the policy on December 27, 2017. Section I of the policy contains a provision that either party may demand a mediation or appraisal of the loss if the parties "fail to agree on the settlement regarding the loss." The policy also provides that "unless there has been full compliance with all of the terms under Section I of this policy," the Homeowners cannot bring an action against the Insurer. On January 8, 2018, the Homeowners filed a CRN alleging violations ofsection 624.155(1)(b)(1) and section 626.9541(1)(i), Florida Statutes (2017). One of those allegations was that the Insurer made a lowball
  • 2. Page 2 of 5 2020 Fla. App. LEXIS 12540, *2 offer and "flagrantly breached" its duty to attempt in good faith to settle claims, as required bysection 624.155(1)(b)(1). The Homeowners asserted that the Insurer was given the opportunity to inspect the loss [*3] and was placed on notice of the severity of the damage. They contended that the Insurer failed to identify the full scope of necessary repairs that was corroborated by the public adjustor's estimate which "dwarfed" the Insurer's estimate. The Homeowners alleged that the Insurer refused to reassess its payment of benefits and the basis for payment and that the Insurer "turn[ed] a blind eye and refuse[d] to properly adjust and settle the claim." The Insurer generally denied the allegations, claiming that it did not owe any insurance proceeds to the Homeowners under the "insurance policy at this time." Further, the Insurer stated that it had not committed any acts of bad faith and that it had sought appraisal to resolve the parties' dispute as to the amount of loss. The Insurer also asserted that it would be unable to cure any alleged violations based on the "vague and general demands" in the CRN. The Insurer did not pay any damages within sixty days of the filing of the CRN. The Homeowners' appraiser and the neutral umpire set the amount of the loss, and an appraisal award was entered on June 1, 2018, in the total amount of $121,516.55. On July 17, 2018, the Insurer paid the net amount [*4] owed of $110,067.35. On October 25, 2018, the Homeowners filed their complaint that sought relief for insurer bad faith under section 624.155(1)(b)(1). They alleged that the Insurer had "failed to promptly, fully, and adequately pay [the Homeowners] under the Policy and 'low-balled' [their] damage estimate." Further, they alleged that the Insurer had failed to pay damages within sixty days of receipt of the CRN, assection 624.155(3)(d)[2] requires. The Insurer filed a motion to dismiss or, in the alternative, a motion for summary judgment, to which the Homeowners filed a response in opposition. The Insurer asserted that it "fully cured the alleged bad faith during the cure period set forth under Florida Statutes by complying with the appraisal process, which resolved the dispute between the parties and was agreed to by [the Homeowners] as demonstrated in the Appraisal Award dated June 1, 2018." After a hearing on the Insurer's motion, the trial court determined that the Insurer was entitled to summary judgment.[3] The court's written ruling states "[t]hat, as a matter of law, [the Insurer] cured the Civil Remedy Notice of Insurer's Violations by its invocation of the appraisal process, in accordance with the applicable insurance [*5] policy, before [the Homeowners'] filing of the Civil Remedy Notice of Insurer's Violation and by [the Insurer's] subsequent payment of the appraisal award." The trial court denied the motion to dismiss as moot. On appeal, the Homeowners contend that the trial court erred in concluding that the Insurer cured the CRN merely by invoking the appraisal process and then paying the appraisal award outside the sixty-day time limit ofsection 624.155(3)(d). They contend that the pendency of an appraisal does not affect how an insurer must respond to a CRN. Section 624.155(1)(b)(1), provides a civil remedy for an insurer's bad faith and provides as follows: (1) Any person may bring a civil action against an insurer when such person is damaged: . . . (b) By the commission of any of the following acts by the insurer: 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 insured and with due regard for her or his interests[.] The statute also provides a civil remedy for violations of specific provisions of section 626.9541. 624.155(1)(a)(1). As a condition precedent to filing an action, the plaintiff must give the Florida Department of Financial Services [*6] and the insurer sixty days' written notice of a violation. 624.155(3)(a). The CRN must provide the specific statutory provision allegedly violated, the facts giving rise to the violation, the names of involved individuals, any relevant policy language, and a statement that giving the notice perfects the right to pursue the civil remedysection 624.155 authorizes. 624.155(3)(b). The statute gives an insurer a cure period which provides that "[n]o action shall lie if, within 60 days after filing notice, the damages are paid or the circumstances giving rise to the violation are corrected." 624.155(3)(d). If a "payment is owed on the contract," the insurer can "cure the claimed bad faith by paying the benefits owed on the insurance contract."Vest v. Travelers Ins. Co., 753 So. 2d 1270, 1275 (Fla. 2000).
  • 3. Page 3 of 5 2020 Fla. App. LEXIS 12540, *6 The prerequisites to file a statutory bad faith action are: "(1) determination of the insurer's liability for coverage; (2) determination of the extent of the insured's damages; and (3) the required notice must be filed undersection 624.155(3)(a)." Landers v. State Farm Fla. Ins. Co., 234 So. 3d 856, 859 (Fla. 5th DCA),review denied, No. SC18-292,2018 WL 6839539 (Fla. Dec. 31, 2018). An appraisal award satisfies the first two requirements. Id.; see alsoHunt v. State Farm Fla. Ins. Co., 112 So. 3d 547, 549 (Fla. 2d DCA 2013)(recognizing that an appraisal award satisfies the condition precedent of "a determination of liability and extent of damages owed" [*7] (quotingVest, 753 So. 2d at 1276)). Section 624.155 does not prevent the insured from sending a CRN prior to a determination of liability or damages.Vest, 753 So. 2d at 1275; Landers, 234 So. 3d at 856. The Florida Supreme Court in Vest further explained: Nor is the insurer's appropriate response to that notice depend[e]nt on such a determination. The insurer's appropriate response is based upon the insurer's good- faith evaluation of what is owed on the insurancecontract. What is owed on the contract is in turn governed by whether all conditions precedent for payment contained within the policy have been met. An insurer, however, must evaluate a claim based upon proof of loss required by the policy and its expertise in advance of a determination by a court or arbitration. 753 So. 2d at 1275-76 (emphasis added). Thus, the Insurer's response was not dependent on the determination of damages, in this case by way of appraisal. The Insurer was required to evaluate the claim based upon the policy's required proof of loss "and its expertise in advance of a determination" of damages. Id. The statutory claim for bad faith "is founded upon the obligation of the insurer to pay when all conditions under the policy would require an insurer exercising good faith and fair dealing towards its insured to [*8] pay."Id. at 1275. Thus, an insurer must "timely evaluate and pay benefits owed on the insurancepolicy." Id.; see alsoBryant v. GeoVera Specialty Ins. Co., 271 So. 3d 1013, 1022 (Fla. 4th DCA 2019)(quotingVest, 753 So. 2d at 1275). Of course, a mistaken denial of payment does not necessarily mean that the insurer acted in bad faith. SeeVest, 753 So. 2d at 1275. But the issue of good faith or bad faith is usually a question for the finder of fact. Id.; see alsoLanders, 234 So. 3d at 860 (recognizing that it remained to be resolved as a question of fact whether the insurer acted in bad faith when it resolved the claim). In Landers, a bad faith action regarding a sinkhole claim, Landers alleged, among other violations, "claim delay and low-balling."234 So. 3d at 858. He "filed his CRN before the appraisal process was complete," and the insurer failed to cure the alleged violation within the sixty- day period.Id. at 860. The insurer argued that the CRN was invalid because "a condition precedent to payment- determining the amount of loss through appraisal-had not been fulfilled."Id. at 858. The appellate court disagreed and stated that "[p]reventing an insured from filing a CRN before coverage and liability have been conclusively established would frustrate the purpose of the statute by further delaying the time necessary to assess and pay out claims and discouraging insurers [*9] from taking timely, independent action on claims."Id. at 860. For instance, Landers asserted that if the insurer had "properly investigated his claim, it would have known that the subsurface repair plan was inadequate." Id.The appellate court reversed the final summary judgment in favor of the insurer and remanded for further proceedings. Id. Even if a policy requires the mediation or appraisal process to occur prior to suit being filed, an appraisal is not a condition precedent to the insurer fulfilling its obligation to fairly evaluate the claim and to either deny coverage or to offer an appropriate amount based on that fair evaluation. Seeid. at 859-60. A fair evaluation would be evidence that an insurer did not act in bad faith. But a lowball offer made in bad faith is not cured by an insurer ultimately paying what it is later found to owe via the appraisal process. The language ofsection 624.155(3)(d) does not toll the cure period until an appraisal is completed. Although not applicable here, an amendment tosection 624.155,effective July 1, 2019, see Ch. 2019-108, 6, 18, Laws of Fla., reinforces the Homeowners' position that seeking an appraisal is not a cure to a failure to attempt to timely settle a claim in good faith. The [*10] legislature added a newsection 624.155(3)(f) which states, "A notice required under this subsection may not be filed within 60 days after appraisal is invoked by any party in a residential property insurance claim." This new provision affects the time when an insured can file a CRN but does not treat an appraisal or payment of an appraisal award as a cure of any violations alleged in the CRN. And, as the Homeowners argue, if an insured cannot file a bad faith action until the appraisal award is
  • 4. Page 4 of 5 2020 Fla. App. LEXIS 12540, *10 made, seeBryant, 271 So. 3d at 1022, but the appraisal process cures a bad faith violation as a matter of law, then it places insureds in a catch-22 situation. It would allow an insurer to act in bad faith without consequence in settling claims as long as the insurer later pays the appraisal award within the time set by the insurancepolicy. The Insurer asserts that when the CRN does not state the amount necessary to cure the alleged bad faith, the Insurer's invocation of the appraisal process constitutes a corrective action within the meaning ofsection 624.155(3)(d). Noteworthy here is that although the Homeowners' CRN did not state a specific cure amount, it did state that they had provided their public adjustor's estimate to the Insurer which covered "the [*11] full scope of necessary repairs to the direct and ensuing damages." Thus, the Insured had the public adjuster's estimate and knew the amount the Homeowners sought. Neither the statute nor this court's precedent requires the CRN to contain a specific amount sought to cure the alleged bad faith. See 624.155(3)(b);Hunt, 112 So. 3d at 548. The Insurer relies upon 316,Inc. v. Maryland Casualty Co., 625 F. Supp. 2d 1187 (N.D. Fla. 2008), to support its position that because the CRN did not contain a cure amount, the Insurer cured the CRN by invoking the appraisal process under the policy before the cure period expired. This court has addressed 316 and determined that a specific cure amount is not a requirement for the CRN undersection 624.155(3)(b).SeeHunt, 112 So. 3d at 550-551. In addition, the issue on summary judgment that the trial court determined in 316 was that the insurer had not acted in bad faith as a matter of law.625 F. Supp. 2d at 1195. Discussing 316, the Middle District has rejected an insurer's argument that "316 stands for the proposition that when the insurer follows the appraisal process as set forth in the policy and promptly pays the agreed upon appraisal amount, the insurer will not be held as having acted in bad faith." Fox Haven of Foxfire Condo. IV Ass'n v. Nationwide Mut. Fire Ins. Co., No. 2:13-cv-399-FtM-29CM, 2015 WL 667935, at *5 (M.D. Fla. Feb. 17, 2015). [*12] The Fox Haven court determined that "the ruling in 316 is not that broad" and that the "court's conclusion that the insurer had acted in good faith was based primarily on the fact that the insurer 'paid almost sixty-percent of the final award in advance of the appraisal process.' " Id. (quoting 316,625 F. Supp. 2d at 1193). Here, the trial court did not resolve on summary judgment whether the Insurer acted in bad faith, which is generally for the finder of fact to determine. SeeVest, 753 So. 2d at 1275. Instead, the trial court determined as a matter of law that the Insurer cured the CRN by invocation of the appraisal process and subsequent payment of the appraisal award after the cure period. The Insurer contends that invoking appraisal met the cure provision which states, "No action shall lie if, within 60 days after filing notice, the damages are paid or the circumstances giving rise to the violation are corrected."624.155(3)(d) (emphasis added). The Insurer contends that it corrected the circumstances giving rise to the violation such that a bad faith claim could not proceed. But in Vest, the Florida Supreme Court stated, "The insurer then has sixty days in which to respond [to the CRN] and, if payment is owed on the contract, [*13] to cure the claimed bad faith by paying the benefits owed on the insurance contract."753 So. 2d at 1275. Thus, when payment is owed, the cure is paying the benefits owed. As the Homeowners argue, the statutory language "or the circumstances giving rise to the violation are corrected" insection 624.155(3)(d) would apply to other violations not involving the payment of benefits. For instance, the Homeowners also alleged a violation ofsection 626.9541(1)(i)(3)(a) for "[f]ailing to adopt and implement standards for the proper investigation of claims." The Homeowners requested that the Insurer create and implement such standards as a remedy. The implementation of such standards would show that "the circumstances giving rise to the violation are corrected." 624.155(3)(d). But an alleged payment violation would require payment within the sixty-day cure period. In summary, at issue here is the alleged violation of "[n]ot attempting in good faith to settle claims when, under all the circumstances, [the Insurer] could and should have done so, had it acted fairly and honestly towards its Insured, and with due regard for her or his interests." We conclude that the Insurer's invocation of the appraisal process and payment of the appraisal award after the cure [*14] period expired did not cure, as a matter of law, an alleged violation for failing to attempt to settle claims in good faith. Therefore, we reverse the final summary judgment entitled "Order Granting Defendant's Motion for Summary Judgment" and remand for further proceedings in which the Homeowners can pursue their action for bad faith. We express no opinion on the factual issue of whether the Insured acted in bad faith.
  • 5. Page 5 of 5 2020 Fla. App. LEXIS 12540, *14 Reversed and remanded. VILLANTI and LaROSE, JJ., Concur. [1]The trial court's order is entitled, "Order Granting Defendant's Motion for Summary Judgment." However, the order contains words of finality, and the Homeowners are thus appealing a final summary judgment. SeeWalters v. CSX Transp., 778 So. 2d 396, 396 n.1 (Fla. 2d DCA 2001). [2]In an amendment effective July 1, 2019, this provision is now contained insection 624.155(3)(c). See Ch. 2019- 108, 6, 18, Laws of Fla. Note also that the sixty-day period begins when the notice is electronically filed, not when it is received. SeeHarper v. GEICO Gen. Ins. Co., 272 So. 3d 448, 451 (Fla. 2d DCA 2019). [3]As the Homeowners note, the Insurer did not file any summary judgment evidence contemplated by Florida Rule of Civil Procedure 1.510(c). Rather, the Insurer appears to have relied on the allegations in the complaint and exhibits to the complaint, arguing the issue as a motion to dismiss and asking for summary judgment [*15] in the alternative. End of Document