Civil Remedy Notice of Insurer Violations
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Filing Number:     788502
Filing Accepted:  10/24/2024
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Complainant
Last/Business Name *  
RASALUCH, LLC   First Name  
Street Address * 7500 SW 144 ST
City, State Zip * PALMETTO BAY, FL 33158
Email Address * KARINA@LWSLEGAL.COM
Complainant Type: * Third Party
Insured
Last/Business Name*   BOCA COVE HOME CONDOMINIUM ASSOCIATION INC   First Name  
Policy # * AMC-35174-06 Claim #* 4235778
Attorney
Attorney is Applicable
Last Name* SCHLEY II First Name * DALE Initial W
Street Address* 6111 BROKEN SOUND PARKWAY NW, SUITE 330
City, State Zip* BOCA RATON , FL 33487
Email Address * DALE@LWSLEGAL.COM
Violation
Insurer Type *   Authorized Insurer Unauthorized Insurer
 
Insurer Name*   AMERICAN COASTAL INSURANCE COMPANY
NAIC Company Code 12968
 
Name of individual responsible for violation (if any):* STEPHEN WHITTEN (SEDGWICK CLAIMS)
Type of Insurance * Commercial Property & Casualty   
Reason for Notice *
Claim Delay
* Statutory provision(s) which the insurer allegedly violated.
 
626.9541(1)(i)(3)(e) Failing to affirm or deny full or partial coverage of claims, and, as to partial coverage, the dollar amount or extent of coverage, or failing to provide a written statement that the claim is being investigated, upon the written request of the insured within 30 days after proof-of-loss statements have been completed.
* Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.

N/A - Third Party Claimant
 
* Facts and circumstances giving rise to the violation.
Enter all words or phrases (one at a time) that should be used to filter.

Claimant is a unit owner within Boca Grove Condominium and suffered property damage. Insurance coverages, policy declarations/copy, and determinations for coverage for July 10, 2024, date of loss were requested in writing on August 1, 2024. No insurance coverage disclosure or policy copy was ever made available. To date, no coverage determination has been provided. Claimant has cooperated with all inspection and access requests for Carrier's adjusters. Carrier has not administered nor adjusted the claim in a timely or good faith fashion accordance with statutory requirements.
Comments
User Id Date Added Comment
azesch@amcoastal.com 10-30-2024 American Coastal Insurance Company ("AmCoastal") acknowledges the Complainant's withdrawal of this Notice on October 30, 2024. To the extent necessary, AmCoastal denies the allegations in the Notice because they do not reflect the facts and circumstances of the claim in question, and AmCoastal denies that it violated Section 626.9541(1)(i)(3)(e) or any other section of the Florida Statutes. In addition, the Notice is not valid on its face because it does not meet the requirements of Section 624.155(3)(b). ALEXANDER ZESCH MANAGING ATTORNEY – CLAIMS American Coastal Insurance Company azesch@amcoastal.com
dale@lwslegal.com 10-30-2024 Since filing this Civil Remedy Notice, the Claimant has received the coverage determination and underlying basis for the carrier's coverage decision in this matter. As such, the Complainant, Rasaluch, LLC, hereby withdraws this Civil Remedy Notice in its entirety.
Acknowledgement
* The submitter hereby states that this notice is given in order to perfect the rights of the person(s) damaged to pursue civil remedies authorized by Section 624.155, Florida Statutes.

Before submitting a Notice using this system, please verify that all text has been entered correctly and completely. Once the Notice has been submitted, the text cannot be changed or deleted.




DFS-10-363
Rev. 10/14/2008