Filing Number: 794768
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| Filing Accepted: 12/2/2024 |
| Last/Business Name
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SAWH
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First Name |
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CHRISTINA |
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| Street Address
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1238 LAKE PIEDMONT CIR |
| City, State Zip
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APOPKA,
FL
32703
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| Email Address
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BRANDON@STEWARTLEGALTEAM.COM |
| Complainant Type:
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Insured |
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| Last/Business Name* |
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FRONTLINE INSURANCE |
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First Name |
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| Policy # * |
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3597647695 |
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Claim #* |
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01000117679 |
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Attorney is Applicable
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| Last Name* |
STEWART
First Name *
BRANDON
Initial
J
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| Street Address* |
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P.O. BOX 947844 |
| City, State Zip* |
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MAITLAND
,
FL
32794
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| Email Address * |
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BRANDON@STEWARTLEGALTEAM.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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FRONTLINE INSURANCE UNLIMITED 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 10074 |
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| Name of individual responsible for violation (if any):*
NICHOLAS PALERMO
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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 Denial
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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)(2) |
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Making claims payments to insureds or beneficiaries not accompanied by a statement setting forth the coverage under which payments are being made.
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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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Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
Your policy, HOMEOWNERS 3 – SPECIAL FORM HO 00 03 05 11 as modified by SPECIAL
PROVISIONS – FLORIDA FIM 00 23 11 21 and LIMITED FUNGI, WET OR DRY ROT, OR
BACTERIA COVERAGE FIM 00 13 06 21, states in relevant part:
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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.
Date of Loss:
September 9th, 2024
Notice of Civil Remedy Against Frontline Insurance for Wrongful Denial of Claim
This Civil Remedy Notice ("Notice") is being filed in accordance with Section 624.155 of the Florida Statutes, concerning Frontline Insurance's denial of a claim made by the undersigned insured, Christina Sawh, for water damage sustained to her property. The claim was filed on September 26th, 2024, for water damage that occurred as a result of leaks from a broken drain line in the kitchen and master bedroom areas of the insured property.
Facts of the Claim:
On September 9th, 2024, Christina Sawh discovered significant water damage in the kitchen cabinets, master bedroom, bathroom, and closet areas of her home. The water intrusion caused substantial damage, leading to bacterial growth and the formation of mold throughout the affected areas.
Christina made payment to a handyman to replace a garbage disposal, which was later shown to have been a symptom of the underlying leak. The claim for water damage was filed on September 26th, 2024, following the discovery of this damage.
Frontline Insurance conducted an initial inspection of the property, and a second inspection was performed by an engineer employed by the insurer. The engineer removed the dishwasher and discovered that the drain line had multiple holes, which were the source of the water intrusion.
Despite the clear evidence that the damage was caused by a sudden and accidental water loss, Frontline Insurance denied the claim, asserting that the damage was due to "continuous seepage of water" and that the holes in the hose were allegedly caused by rodents.
Statutory Violations:
Florida Statutes Section 627.70131 – Standards for Acknowledging and Responding to Claims: Frontline Insurance violated this statute by failing to timely acknowledge and act upon the claim in good faith. Upon receiving the claim on September 26th, 2024, Frontline Insurance had a duty to acknowledge the claim within 14 days and provide written notice of the decision to the insured. The insurer failed to do so within the statutory time frame, causing unnecessary delays.
Florida Statutes Section 627.7014 – Loss Payment: Under Florida law, an insurer is required to pay valid claims for losses covered by the policy within 90 days of the date of loss, unless the insurer can provide a reasonable explanation for the delay. Frontline Insurance’s failure to pay for the damages or provide any reasonable explanation for its denial constitutes a violation of this statute.
Florida Statutes Section 624.155 – Unfair Claims Settlement Practices: Frontline Insurance has engaged in unfair settlement practices by denying the claim without a proper investigation. The denial letter cites "continuous seepage of water" and blames the damage on rodent activity, both of which were not substantiated by the evidence presented. The insured’s claim is for sudden and accidental water damage, and the insurer’s refusal to honor it is in bad faith and inconsistent with the terms of the policy.
Florida Statutes Section 627.155 – Bad Faith: Frontline Insurance has acted in bad faith by failing to honor the legitimate claim of the insured. The insurer’s denial, based on unsupported claims of rodent damage and “continuous seepage,” is an unreasonable and unjustified rejection of the claim. The evidence clearly shows that the water damage was a result of sudden and accidental discharge from the broken drain line, and the insurer’s actions suggest an intent to avoid paying the claim rather than investigating it fairly.
Florida Statutes Section 627.702 – Coverage for Water Damage: Frontline Insurance has wrongfully denied coverage for water damage that is explicitly covered under the policy. The policy provides coverage for sudden and accidental water damage, which the insured’s loss clearly falls under. The insurer’s refusal to honor this coverage constitutes a breach of contract.
Demand for Cure:
In accordance with Florida Statutes Section 624.155, the undersigned insured demands that Frontline Insurance cure its wrongful denial of the claim. Specifically, the insurer must:
Immediately approve and pay the claim in full, including any reasonable costs for repairs, replacement, and remediation of mold and water damage.
Reimburse the insured for any costs incurred in the repair of the damage and the hiring of professionals to address the mold and bacterial contamination.
Correct any erroneous statements made in the denial letter, particularly the claim that the damage was caused by rodents and continuous seepage.
Provide the insured with a written explanation of the basis for any remaining dispute regarding the cause of loss.
If Frontline Insurance fails to cure this violation within 60 days of the filing of this Civil Remedy Notice, the undersigned reserves the right to pursue any and all available legal remedies, including but not limited to a bad faith claim, breach of contract, and any claims for consequential damages.
Conclusion:
This Civil Remedy Notice serves as a formal notice of the wrongful denial of the claim for water damage sustained by Christina Sawh, in violation of the applicable Florida statutes governing insurance claims. The insured respectfully requests that Frontline Insurance remedy the violations described above to avoid further legal action.
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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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