Filing Number: 793743
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| Filing Accepted: 11/21/2024 |
| Last/Business Name
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JOSE ENRIQUE DIAZ
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First Name |
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GEISY LISTE CARNERO AND |
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| Street Address
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1506 NE 37TH STREET |
| City, State Zip
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CAPE CORAL,
FL
33909
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| Email Address
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N/A |
| Complainant Type:
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Insured |
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| Last/Business Name* |
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JOSE ENRIQUE DIAZ |
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First Name |
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GEISY LISTE CARNERO AND |
| Policy # * |
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08728595 - 2 |
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Claim #* |
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202410006756 |
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Attorney is Applicable
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| Last Name* |
ELIMELECH
First Name *
REBECCA
Initial
R
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| Street Address* |
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1500 N.E. 162ND ST. |
| City, State Zip* |
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MIAMI
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FLORIDA
33162
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| Email Address * |
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RELIMELECH@ILGPA.COM |
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| Insurer Type
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Authorized Insurer
Unauthorized Insurer
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| Insurer Name |
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| Insurer Name* |
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SLIDE INSURANCE COMPANY
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| Insurer Name* |
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| Street Address* |
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| City, State Zip* |
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,
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NAIC Company Code 17227 |
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| Name of individual responsible for violation (if any):*
N/A
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| Type of Insurance
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Residential Property & Casualty
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| Reason for Notice
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Claim Delay
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Unsatisfactory Settlement Offer
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Unfair Trade Practice
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Statutory provision(s) which the insurer allegedly violated.
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| 624.155(1)(b)(1) |
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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.
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| 624.155(1)(b)(3) |
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Except as to liability coverages, failing to promptly settle claims, when the obligation to settle a claim has become reasonably clear, under one portion of the insurance policy coverage in order to influence settlements under other portions of the insurance policy coverage.
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| 626.9541(1)(i)(3)(a) |
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Failing to adopt and implement standards for the proper investigation of claims.
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| 626.9541(1)(i)(3)(c) |
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Failing to acknowledge and act promptly upon communications with respect to claims.
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Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
SECTION I – PROPERTY COVERAGES
A. Coverage A – Dwelling
1. We cover:
a. The dwelling on the "residence premises" shown in the Declarations, including structures attached to the dwelling; and
b. Materials and supplies located on or next to the "residence premises" used to construct, alter or repair the dwelling or other structures on the "residence premises".
B. Coverage B – Other Structures
1. We cover other structures on the "residence premises" set apart from the dwelling by clear space. This includes structures connected to the dwelling by only a fence, utility line, or similar connection.
SECTION I – PERILS INSURED AGAINST
A. Coverage A – Dwelling and Coverage B – Other Structures
1. We insure against risk of direct loss to property described in Coverages A and B only if that loss is a physical loss to property.
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Facts and circumstances giving rise to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
Geisy Liste Carnero and Jose Enrique Diaz (hereinafter the “Insureds”), paid for a policy of insurance with Slide Insurance Company (hereinafter, “Insurer”) bearing policy number 08728595 - 2 (the “Policy”). The Policy provides coverage for damage to the Insureds’ property located at 1506 NE 37th Street, Cape Coral, FL 33909 (the “Property”), including the significant damage that occurred as a result of Hurricane Helene on or about September 26, 2024 (the “loss”). Specifically, the Insureds’ Property sustained substantial damage to their roof, causing leaks, as well as damage to the interior and exterior of their home. The homeowners’ roof has missing and lifted shingles. The screens on their lanai are damaged. There are water stains in multiple rooms on the ceiling and there is a crack along the ridge on the ceiling in the living room. The homeowners need a tarp for their roof.
The Insureds contacted the Insurance Litigation Group, P.A. (hereafter, ILGPA), who promptly reported the Insureds’ claim to the Insurer. On November 7, 2024, the Insurer sent a letter to the Insureds advising that the damages to the Property totaled $12,703.69. In this letter, the Insurer states that their investigation revealed wind damage on all slopes of the roof and interior water damage to the ceilings and drywall in multiple rooms, front, back, left and right elevations have damage to the soffit and fascia repairs. ILGPA conducted a thorough inspection of the property and compiled an estimate of damages. ILGPA, on behalf of the Insureds, forwarded said estimate which fully detailed the Insureds’ damages and total $82,309.00. However, the Insurer refuses to resolve the Insureds’ claim and pay for all damages to the Property.
The Insurer’s conduct is in bad faith and violates Florida’s statutes concerning the adjustment of insurance claims. First, Florida Statute § 624.155(1)(B)(1) requires good faith in the settlement of claims. The Insurer is in violation of this Statute for failing to provide a reasonable repair estimate. What is more, the Insurer violated Florida Statute § 624.155(1)(b)(3) by failing to promptly settle the claim, when the obligation to settle the claim became reasonably clear. Again, the Insurer failed to make a good faith offer to settle this claim and failed to account for the full scope of the damages. They failed to respond to the estimate provided by ILGPA, on the Insureds’ behalf, in a timely manner. They are obligated to provide coverage for all damages to the Insureds’ Property, and not attempt to resolve this claim with lowball offers.
Additionally, the Insurer’s conduct violates Florida Statute § 626.9541, which prohibits unfair settlement practices. More specifically, the Insurer has violated Florida Statute § 626.9541(1)(i)(3)(a) by failing to adopt and implement standards for the proper investigation of claims. The Insurer sent Kruger Disaster Recovery to install a tarp on the Insureds’ roof. On October 9, 2024, Kruger Disaster Recovery put the cover on the roof. Subsequently, during Hurricane Milton, the cover fell off. Kruger Disaster Recovery caused damage by stepping on sandbags to hold the tarp down. This destroyed the Insureds’ roof. Further, the Insurer has violated Florida Statute § 626.9541(1)(i)(3)(c) by failing to acknowledge and act promptly with the Insureds and its counsel. As mentioned above, the Insurer failed to account for the full scope of the damages and has additionally failed to respond to the estimate provided by ILGPA, on behalf of the Insureds, in a timely manner, delaying the resolution of this claim. Had the Insurer done so, it would have immediately settled this claim on a fair and reasonable basis and provided full coverage to its Insureds.
Therefore, to cure the defects outlined in this Civil Remedy Notice, the Insurer must: (1) create and implement adequate guidelines for the proper investigation and evaluation of claims and for the training and supervision of employees, which will avoid future statutory violations and avoid this from occurring in the future; (2) immediately tender all insurance proceeds due and owing its Insureds under the Policy in the amount of $82,309.00 (less the deductible and any prior payments), plus all statutory interest; (3) act fairly and honestly towards its Insureds and with due regard for their interests in attempting to settle their Insureds’ claim; (4) hold the claim open in the event that its errors and delay does or may cause the Insureds to suffer either further loss and/or damage; and, (5) stipulate to the Insureds’ entitlement to attorney’s fees and court costs pursuant to Florida Statutes §§ 627.428 and 626.9373.
Acknowledgment
This notice is given in order to perfect the right to pursue the civil remedy authorized by Florida Statutes section 624.155, should Slide Insurance Company fail to cure the violations set forth in this Civil Remedy Notice within the given cure period.
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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.
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DFS-10-363
Rev. 10/14/2008
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