Filing Number: 797350
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| Filing Accepted: 12/18/2024 |
| Last/Business Name
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PREFERRED STORAGE PLANTATION, LLC
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First Name |
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| Street Address
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4551 W. SUNRISE BLVD. |
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PLANTATION,
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33313
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| Email Address
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TSPENO@PRD-REALTY.COM |
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Insured |
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| Last/Business Name* |
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PREFERRED STORAGE PLANTATION, LLC |
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First Name |
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VALORIE |
| Policy # * |
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IBP1008586 |
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Claim #* |
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5500494728 |
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Attorney is Applicable
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| Last Name* |
CHAVIN
First Name *
VALORIE
Initial
S
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| Street Address* |
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12955 BISCAYNE BOULEVARD, SUITE 201 |
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NORTH MIAMI
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FL
33181
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| Email Address * |
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VCHAVIN@CMSLAWGROUP.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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VANTAGE RISK SPECIALTY INSURANCE COMPANY
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| Insurer Name* |
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,
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NAIC Company Code 16275 |
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| Name of individual responsible for violation (if any):*
LAURA BUCHER
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| Type of Insurance
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Commercial 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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Other
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Violation of Florida Administrative Code 69B-220.201
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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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| 626.9541(1)(i)(2) |
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A material misrepresentation made to an insured or any other person having an interest in the proceeds payable under such contract or policy, for the purpose and with the intent of effecting settlement of such claims, loss, or damage under such contract or policy on less favorable terms than those provided in, and contemplated by, such contract or policy.
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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)(b) |
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Misrepresenting pertinent facts or insurance policy provisions relating to coverages at issue.
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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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| 626.9541(1)(i)(3)(d) |
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Denying claims without conducting reasonable investigations based upon available information.
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| 626.9541(1)(i)(3)(g) |
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Failing to promptly notify the insured of any additional information necessary for the processing of a claim.
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| 626.9541(1)(i)(3)(h) |
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Failing to clearly explain the nature of the requested information and the reasons why such information is necessary.
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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.
After suffering a devastating fire loss that not only damaged the Insured’s building but also caused a significant negative interruption to its business, the Insured was forced to endure a needlessly protracted and combative adjustment to finally receive just compensation for the overwhelming damage to its building through a compromised settlement. Once the claim was finally resolved with respect to the damage to the Insured’s Building, the Insured felt hopeful that it would be similarly compensated for the substantial loss of business income it experienced as a result of the loss. Sadly, the Insurance Company refused to uphold its contractual obligations and instead sought to punish its Insured for challenging its position on the scope and amount of the Insured’s loss. In retaliation for the Insured’s refusal to accept the Carrier’s initial undervaluation of the property damage claim, the Carrier unreasonably delayed the adjustment of the Insured’s claim for business interruption and after months of inaction, finally issued an egregiously low valuation that will not come close to compensating its Insured for the actual, documented loss of business income sustained during the time business operations were suspended as the Insured recovered from the fire loss. Moreover, in an flagrant breach of the Non-Disparagement Agreement entered into between the parties to effectuate a compromise of the simple scope and amount dispute relating to the Building damage, the Insurance Company’s desk adjuster was quick to violate the agreement and spread false and malicious accusations about the Insured to the Insured’s broker/agent at BB Insurance, accusing the Insured of “appearing to pocket the money,” and recommending to the underwriter and agent that the Property is a “bad risk.” The desk adjuster’s defamatory statements violate both the Parties’ settlement agreement and Florida law:
(1) UNFAIR METHODS OF COMPETITION AND UNFAIR OR DECEPTIVE ACTS. — The following are defined as unfair methods of competition and unfair or deceptive acts or practices:
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(c) Defamation.—Knowingly making, publishing, disseminating, or circulating, directly or indirectly, or aiding, abetting, or encouraging the making, publishing, disseminating, or circulating of, any oral or written statement, or any pamphlet, circular, article, or literature, which is false or maliciously critical of, or derogatory to, any person and which is calculated to injure such person.
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(e) False statements and entries.—
1. Knowingly:
a. Filing with any supervisory or other public official,
b. Making, publishing, disseminating, circulating,
c. Delivering to any person,
d. Placing before the public,
e. Causing, directly or indirectly, to be made, published, disseminated, circulated, delivered to any person, or placed before the public,
any false material statement.
2. Knowingly making any false entry of a material fact in any book, report, or statement of any person, or knowingly omitting to make a true entry of any material fact pertaining to the business of such person in any book, report, or statement of such person.
See Fla. Stat. § 626.9541(1)(c)-(e). To date, the Insured is still without the compensation it needs and deserves and has further been damaged by the Insurance Company’s unwarranted, disparaging, and embarrassing comments.
In addition to the above statutory language violated, the Insured believes the following policy language may be at issue:
SECTION I – PROPERTY
A. Coverage
We will pay for direct physical loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.
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5. Additional Coverages
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f. Business Income
(1) Business Income
(a) We will pay for the actual loss of Business Income you sustain due to the necessary suspension of your “operations” during the “period of restoration.” The suspension must be caused by direct physical loss of or damage to property at the described premises. The loss or damage must be caused by or result from a Covered Cause of Loss.
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(b) We will only pay for loss of Business Income that you sustain during the “period of restoration” and that occurs within 12 consecutive months after the date of direct physical loss or damage. We will only pay for ordinary payroll expenses for 60 days following the date of direct physical loss or damage, unless a greater number of days is shown in the Declarations.
(c) Business Income means the:
(i) Net income that would have been earned or incurred if no physical loss or damage had occurred, but not including any Net Income that would likely have been earned as a result of an increase in the volume of business due to favorable business conditions caused by the impact of the Covered Cause of Loss on customers or on other businesses; and
(ii) Continuing normal operating expenses incurred, including payroll.
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E. Property Loss Conditions
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6. Loss Payment
In the event of loss or damage covered by this policy:
. . .
g. Provided you have complied with all the terms of this Policy, we will pay for covered loss or damage upon the earliest of the following:
(1) Within 20 days after we receive the sworn proof of loss and reach written agreement with you or
(2) within 30 days after we receive the sworn proof of loss and:
(a) There is an entry of a final judgment; or
There is a filing with an appraisal award or a mediation settlement with us.
(3) Within 60 days of receiving notice of an initial, reopened or supplemental claim, unless we deny the claim during that time or factors beyond our control reasonably prevent such payment. If a portion of the claim is denied, then the 60-day time period for payment of claim relates to the portion of the claim that is not denied.
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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.
The Insured, Preferred Storage Plantation, LLC (the “Insured”) owns a storage facility insured by a businessowners policy issued by Vantage Risk Specialty Insurance Company (the “Insurance Company” or the “Carrier”). The Policy provides coverage for damages caused by fire, as well as for the loss of business income sustained due to the necessary suspension of business operations during the period of restoration following a loss. On April 30, 2024, a fire broke out in a storage unit within the Insured’s property causing extensive smoke damage and activating the facility’s internal sprinkler system. The property was badly damaged by the fire, heavy smoke, and sprinkler and hose water used to extinguish the flames.
The magnitude of the loss resulted in hundreds of thousands of dollars’ worth of repairs and mitigation to restore the Property to its pre-loss condition. The Insured’s business was interrupted from May 2024 through August 2024 during the time the Property was damaged and undergoing repairs. Despite the Insured’s desire to repair the Property and resume normal business operations as quickly as possible, the process was slowed by the Carrier’s unnecessary escalation of the simple scope and amount dispute. The dispute dragged on for months and resulted in both parties retaining counsel. Thankfully, once attorneys became involved, the parties were able to negotiate an amicable resolution of the scope and amount dispute relating to the damage to the Insured’s Building, but left open the claim for interruption of the Insured’s business while the parties exchanged information. As part of the parties’ settlement of the Building claim, the parties entered into a Non-Disparagement Agreement in which they agreed “that they will not make nor will they direct any other person or entity to make any derogatory, defamatory or disparaging statements of any kind about the other in any form or in any manner or medium, including without limitation, all non-verbal, verbal and written communications; print and electronic media; internet; television; terrestrial, satellite or internet radio; and/or social networking platforms and services.”
Just as it had during the initial adjustment of the claim for damage to the Property, the Insured fully cooperated with the Insurance Company’s investigation and supplied all information necessary for the Insurance Company to value the interruption to the Insured’s business during the time following the loss. The Insured engaged Burrell & Associates, certified public accountants, to provide a detailed analysis of the loss of income and extra expenses incurred by the Insured as a result of the loss. After careful and considered analysis and review of financial statements, income statements, distribution reports, general ledgers, and other business records, Burrell & Associates conservatively estimated the Insured experienced a loss of income of $73,929.00 for the months of May through August 2024. In addition, it determined the Insured incurred $20,776.00 in extra expenses, including payroll expenses for additional staff and management to assist tenants in moving from impacted units into vacant units. In total, the Insured experienced $94,948.00 total loss of income and extra expenses, supported by facts and business records. The Insured furnished the Insurance Company with all documents and records supporting its claim for loss of business income following the loss.
Had the Insurance Company upheld its contractual duty to the Insured, it would have acknowledged the detailed analysis prepared by Burrell & Associates and the supporting documentation and would have issued payment to compensate the Insured for the loss. Instead, the Insurance Company has chosen to punish its Insured for disagreeing with its initial undervaluation of the property damage claim, and in retaliation has failed and refused to properly compensate the Insured for the business income lost as a direct result of the covered fire loss. Despite receiving all the information necessary to adjust the claim, the Insurance Company unnecessarily delayed the adjustment and failed to issue any update or respond to the Insured’s inquiries for a status on the Carrier’s coverage position and/or payment of the Insured’s business income loss. Finally, after months of inaction, on December 17, 2024, the Insurance Company issued correspondence to the Insured advising that “Vantage Risk has evaluated [the] claim for reimbursement and determined that [the Insured’s] loss of business income is in the amount of $7,216.” Wholly disregarding the documentation provided by the Insured confirming that its business operations were severely impacted from May 2024 through at least August 2024, the Insurance Company instead unilaterally determined the claim should cover only the period from May 4, 2024, through May 21, 2024. The Insurance Company relied on its own outcome-oriented expert, Meaden & Moore (“M&M”), who – unsurprisingly – far undervalued the Insured’s claim for loss of income. M&M’s flawed evaluation of the Insured’s business interruption loss gave every benefit possible to the Carrier – resulting in an unfair valuation of the Insured’s loss. M&M was improperly instructed to calculate the Insured’s loss up to May 21, 2024, which failed to take into account the Property’s condition and the status of repairs being performed at that time through July, 2024. M&M claimed a decrease in rent from 2023 to 2024 for February through March, but ignored the January increase in rent. It also failed to consider the fact that several units were unavailable in February and March, which contributed to the decrease in the year-over-year rent. With distorted consideration of the Insured’s documented losses, the Insurance Company has committed to belatedly issuing an egregiously low payment that fails to properly compensate the Insured.
Despite the Insured’s full and complete cooperation during the initial protracted adjustment and again during the Carrier’s subsequent failure to properly adjust the claim for interruption to the Insured’s business, the Carrier has continually failed to uphold its contractual obligations to its Insured. The Insurance Company has remained resolute in its objective to punish its Insured for disagreeing with the Insurance Company’s deficient valuation and unreasonable delay of the adjustment of its significant loss, resulting in the abject failure to issue adequate monies towards the interruption of the Insured’s business.
In addition to its refusal to properly adjust and pay the Insured for its lost business income, the Insurance Company maintained its pattern and practice of disparaging its Insured in violation of both the Non-Disparagement Agreement and Florida law. Before the ink even dried on the Non-Disparagement Agreement executed between the parties, the Insurance Company’s desk adjuster took the first opportunity to retaliate against the Insured. Determined to punish the Insured for its refusal to acquiesce and accept the Carrier’s initial undervaluation of the Building damage, Ms. Bucher wholly disregarded the Agreement and contacted the Insured’s broker/agent at BB Insurance, accusing the Insured of “appearing to pocket the money,” defaming its Insured by casting its Insured in a bad light with its broker with whom it has a 30+ year business relationship. Moreover, Ms. Bucher’s resolve to retaliate against the Insured manifested in her recommendation to the underwriter that the Property is a “bad risk,” negatively impacting the Insured’s ability to obtain continued coverage at comparable rates. Ms. Bucher’s misrepresentations, falsely accusing the Insured of suspect and fraudulent activity in relation to its insurance claim, have defamed and harmed the Insured’s business reputation, and put it at imminent risk of serious financial harm.
Moreover, the derogatory and defamatory statements made by Ms. Bucher as an agent of the Insurance Company constitutes unfair or deceptive acts or practices in direct violation of Florida Statutes § 626.9541, which prohibits knowingly making statements that are false or maliciously critical of, or derogatory to, any person, and which is calculated to injure such person, and Florida Statutes § 624.155(1)(a)(1), which provides a civil remedy for anyone damaged by an insurer’s violation of § 626.9541. Ms. Bucher, and by extension, the Carrier, violated the statutes by vengefully spreading false accusations about the Insured with the express purpose of harming the Insured’s business relationships and reputation. The off-color and disparaging remarks about the Insured have damaged the Insured’s reputation and could result in a significant negative financial impact.
The Insurance Company’s retaliatory actions of refusing to properly compensate the Insured for its lost business income and making false and disparaging statements related to the Insured are violative of Florida law. The failure to properly investigate, adjust, and fully compensate the Insured for its claim for interruption to its business during the period of restoration following the admittedly covered loss evidences the Insurance Company’s violation of section 626.9541(1)(i)(3)(a), Florida Statutes, which requires the Insurance Company to “adopt and implement standards for the proper investigation of claims. The Carrier’s misrepresentation of pertinent facts and insurance policy provisions relating to coverages at issue constitutes a violation of 626.9541(1)(i)(3)(b). The Insurance Company’s unreasonable failure to promptly and completely settle the claim establishes violations of sections 626.9541(1)(i)(4), 624.155(1)(b)(1), and 624.155(1)(b)(3). Further, the Insurance Company violated section 626.9541(1)(i)(2), Florida Statutes (“A material misrepresentation made to an insured or any other person having an interest in the proceeds payable under such contract or policy, for the purpose and with the intent of effecting settlement of such claims, loss, or damage under such contract or policy on less favorable terms than those provided in, and contemplated by, such contract or policy”). The Insurance Company also violated section 626.9541(1)(c), Florida Statutes, which provides that it is an unfair and deceptive act or practice to “knowingly make[] . . . [a] statement, . . . which is false or maliciously critical of, or derogatory to, any person and which is calculated to injure such person.”
The actions taken by the Insurance Company in the handling and adjustment of the claim giving rise to the violations addressed herein, including the established pattern of unreasonably delaying the adjustment, relying on biased and outcome-oriented adjusters and experts to undervalue the claim, refusing to issue adequate monies for the loss of business income experienced during the period of restoration following the admittedly covered loss, disregarding the Insured’s evidence of the actual damages experienced, and undermining the professionalism of the Insured in violation of the signed Non-Disparagement Agreement and Florida law as a means of punishing and retaliating against the Insured occur with such frequency as to indicate a general business practice and these acts are willful, wanton, and in gross disregard for the rights of its Insured. Further, the combative, antagonistic, demeaning and unprofessional comments and conduct portrayed by the Insurance Company’s representative, Ms. Bucher, should not be condoned by the Carrier, especially given the Non-Disparagement Agreement between the parties. Ms. Bucher’s retaliatory comments casting the Insured in a negative light could have a significant financial impact on the Insured’s business relationships, and the spreading of such unwarranted rumors should not be tolerated.
The Insurance Company’s actions amount to, but are not limited to:
A. “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;” (Fla. Stat. 624.155(1)(b)(1).
B. “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;” (Fla. Stat. sec. 624.155(1)(b)(3))
C. Claim Delay;
D. Claim Denial; and
E. Unfair Trade Practices
The Insurance Company’s actions further amount to unfair claim settlement practices:
1. A material misrepresentation made to an insured or any other person having an interest in the proceeds payable under such contract or policy, for the purpose and with the intent of effecting settlement of such claims, loss, or damage under such contract or policy on less favorable terms than those provided in, and contemplated by, such contract or policy; (Fla. Stat. 626.9541(1)(i)(2)).
2. Committing or performing with such frequency as to indicate a general business practice any of the following:
a. Failing to adopt and implement standards for the proper investigation of claims; (Fla. Stat. 626.9541(1)(i)(3)(a))
b. Misrepresenting pertinent facts or insurance policy provisions relating to coverages at issue; (Fla. Stat. 626.9541(1)(i)(3)(b))
c. Failing to acknowledge and act promptly upon communications with respect to claims; (Fla. Stat. 626.9541(1)(i)(3)(c))
d. Denying claims without conducting reasonable investigations based upon available information; (Fla. Stat. 626.9541(1)(i)(3)(d))
e. Failing to promptly notify the insured of any additional information necessary for the processing of a claim; (Fla. Stat. 626.9541(1)(i)(3)(g))
f. Failing to clearly explain the nature of the requested information and the reasons why such information is necessary; (Fla. Stat. 626.9541(1)(i)(3)(h)).
3. Failing to pay undisputed amounts of partial or full benefits owed under first-party property insurance policies within 90 days after an insurer receives notice of a residential property insurance claim, determines the amounts of partial or full benefits, and agrees to coverage, unless payment of the undisputed benefits is prevented by an act of God, prevented by the impossibility of performance, or due to actions by the insured or claimant that constitute fraud, lack of cooperation, or intentional misrepresentation regarding the claim for which benefits are owed. (Fla. Stat. 626.9541(1)(i)(4)).
In addition to the above statutory violations, the Insurance Company’s adjuster violated the following ethical requirements of Florida Administrative Code 69B-220.201:
(3) Code of Ethics . . . An adjuster shall put the duty for fair and honest treatment of the claimant above the adjuster’s own interests in every instance. The following are standards of conduct that define ethical behavior, and shall constitute a code of ethics that shall be binding on all adjusters:
(b) An adjuster shall treat all claimants equally.
2. An adjuster shall adjust all claims strictly in accordance with the insurance contract.
(c) An adjuster shall not approach investigations, adjustments, and settlements in a manner prejudicial to the insured.
(d) An adjuster shall make truthful and unbiased reports of the facts after making a complete investigation.
(e) An adjuster shall handle every adjustment and settlement with honesty and integrity, and allow a fair adjustment or settlement to all parties without any remuneration to himself except that to which he is legally entitled.
(f) An adjuster, upon undertaking the handling of a claim, shall act with dispatch and due diligence in achieving a proper disposition of the claim.
(o) An adjuster shall not undertake the adjustment of any claim concerning which the adjuster is not currently competent and knowledgeable as to the terms and conditions of the insurance coverage, or which otherwise exceeds the adjuster’s current expertise.
In Florida, the work of adjusting insurance claims engages the public trust. During the adjustment of the Insured’s claim, the Insurance Company breached this duty by failing to adhere to and comply with the above referenced obligations. To cure the defects outlined above, the Insurance Company must:
A. Tender all insurance proceeds due and owing to the Insured that would reasonably compensate the Insured for the interruption to its business suffered during the period of restoration following the covered loss;
B. Timely communicate with the Insured’s representative(s) to complete the adjustment of the loss by participating in good faith negotiations to reach an agreement relating to the parties’ scope and amount dispute;
C. Immediately issue payment for statutory interest for any late payments;
D. Act fairly and honestly towards the Insured and with due regard for its interests;
E. Hire a fair, unbiased, and qualified adjuster(s) and expert(s) to properly assess the Insured’s damages;
F. Timely and substantively respond to the Insured’s representative(s)’s communications;
G. Issue a full and complete payment and provide a written explanation and detail of the payment issued;
H. Clearly explain the nature of any outstanding requested information, including what specifically the Insurance Company is seeking in order to value and issue payment for the interruption to the Insured’s business following the loss, and the reasons why such information is necessary;
I. Timely adjust the claim with the Insured and avoid/limit any additional delay, costs, and prejudice that the Insurance Company’s conduct above has caused and continues to cause the Insured;
J. Cease and desist from all disparaging communications regarding the Insured and its ownership;
K. Retract in writing any disparaging statements made regarding the Insured, its ownership, its insurance claim and/or the property made to the Insured’s insurance agent, the underwriters and any other third parties (
L. Refrain from non-renewing the Insured as retaliation for its disagreement with the Insurance Company’s valuation of its Claim;
M. Participate in good faith claims adjustment to avoid the Insured incurring unnecessary costs of attorneys, appraisal, and/or litigation.
This Civil Remedy Notice is given to perfect the right to pursue the civil remedy authorized by this section.
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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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