Civil Remedy Notice of Insurer Violations
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Filing Number:     791284
Filing Accepted:  11/11/2024
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Complainant
Last/Business Name *  
MARSHALL   First Name   MICHELLE
Street Address * 1026 W LAKE DAMON DRIVE
City, State Zip * AVON PARK, FL 33825
Email Address * HRHMWM@GMAIL.COM
Complainant Type: * Insured
Insured
Last/Business Name*   MARSHALL   First Name   MICHELLE
Policy # * FLP616868 Claim #* 1443879-241013
Attorney
Attorney is Applicable
Last Name* ROYER First Name * CHRISTOPHER Initial W
Street Address* 350 EAST LAS OLAS BOULEVARD, SUITE 800
City, State Zip* FORT LAUDERDALE , FL 33301
Email Address * PLEADINGS-JJS@KRUPNICKLAW.COM
Violation
Insurer Type *   Authorized Insurer Unauthorized Insurer
 
Insurer Name*   ASI PREFERRED INSURANCE CORP.
NAIC Company Code 13142
 
Name of individual responsible for violation (if any):* CECILY CROWLEY
Type of Insurance * Residential Property & Casualty   
Reason for Notice *
Claim Denial
* Statutory provision(s) which the insurer allegedly 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 insured and with due regard for her or his interests.
* Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.

7. Loss Assessment a. We will pay up to the amount shown on the Declarations Page for your share of loss assessment charged during the policy period against you by a corporation or association of property owners, when the assessment is made as a result of direct loss to the property, owned by all members collectively, caused by a Peril Insured Against under Coverage A – Dwelling, other than earthquake or land shock waves or tremors before, during or after a volcanic eruption.
 
* Facts and circumstances giving rise to the violation.
Enter all words or phrases (one at a time) that should be used to filter.

Claimant's homeowners association levied an assessment to all property owners in the amount of $2,000 to cover the balance of roof repairs caused by a hurricane. The claim was denied based upon what the underlying homeowner's association's insurance carrier paid. However, no where in the clause above does it say that this payment would be conditioned upon payment by a third party. It clearly states that it will "pay up to the amount shown on the Declarations Page for your share of loss assessment charged during the policy period against you by a corporation or association of property owners, when the assessment is made as a result of direct loss to the property, owned by all members collectively, caused by a Peril Insured Against under Coverage A – Dwelling, other than earthquake or land shock waves or tremors before, during or after a volcanic eruption." The roof was clearly damaged due to a hurricane and the claimant submitted proof of payment of her share of the loss assessment for roof damages yet the claim was denied based upon what the underlying carrier determined.
Comments
User Id Date Added Comment
darryl_j_roles@progressive.com 11-27-2024 While ASI Preferred Insurance Corp believes that the Civil Remedy Notice fails to comply with the requirements of Florida Statute §624.155 and Florida Case law, it has responded to the notice in writing to KRUPNICK, CAMPBELL, MALONE, BUSER, SLAMA, HANCOCK PA, on November 27, 2024. Pursuant to F.S. 624.155(3)(e), please accept this notice on the disposition of the alleged violations contained in the Civil Remedy Notice occurred on November 15, 2024.
mmarshall@krupnicklaw.com 11-18-2024 This matter has been resolved between the parties. Progressive is paying the disputed claim.
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