Filing Number: 804000
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| Filing Accepted: 1/29/2025 |
| Last/Business Name
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WULF / STEHBERGER
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First Name |
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SHARON AND GARY |
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| Street Address
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4202 61ST PLACE EAST |
| City, State Zip
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BRADENTON,
FL
34203
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| Email Address
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SWULF2@YAHOO.COM |
| Complainant Type:
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Insured |
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| Last/Business Name* |
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WULF / STEHBERGER |
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First Name |
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SHARON AND GARY |
| Policy # * |
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SIC3226466 |
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Claim #* |
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202410007352 |
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Attorney is Applicable
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| Last Name* |
ROSS
First Name *
VANESSA
Initial
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| Street Address* |
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2501 S. TAMIAMI TRAIL |
| City, State Zip* |
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SARASOTA
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FLORIDA
34239
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| Email Address * |
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ESERVICE@ROSSLEGALFL.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):*
JASMINE PERRYMAN AND KINLEE PUGH, AND ALL OTHER ADJUSTERS, SUPERVISORS, MANAGEMENT AND INDIVIDUALS ASSOCIATED WITH OR RETAINED BY SLIDE INSURANCE COMPANY INVOLVED IN THE CLAIM.
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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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Unsatisfactory Settlement Offer
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Claim Denial
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Claim Delay
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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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| 626.9541(1)(i)(3)(d) |
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Denying claims without conducting reasonable investigations based upon available information.
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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.
Dwelling Coverage provisions
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".
Perils Insured Against
We insure against risk of direct physical loss to
property described in Coverages A and B.
Loss Payment
We will adjust all losses with you. We will pay you
unless some other person is named in the policy
or is legally entitled to receive payment. Loss will
be payable 60 days after we receive your proof of
loss and:
1. Reach an agreement with you;
2. There is an entry of a final judgment; or
3. There is a filing of an appraisal award with us.
Loss Settlement
In this Condition C., the terms "cost to repair or
replace" and "replacement cost" do not include
the increased costs incurred to comply with the
enforcement of any ordinance or law, except to
the extent that coverage for these increased costs
is provided in E.11. Ordinance Or Law under Section
I – Property Coverages. Covered property
losses are settled as follows:
1. Property of the following types:
a. Personal property;
b. Awnings, carpeting, household appliances,
outdoor antennas and outdoor equipment,
whether or not attached to buildings;
c. Structures that are not buildings; and
d. Grave markers, including mausoleums;
at actual cash value at the time of loss but not
more than the amount required to repair or replace.
2. Buildings covered under Coverage A or B at
replacement cost without deduction for depreciation,
subject to the following:
a. If, at the time of loss, the amount of insurance
in this policy on the damaged building
is 80% or more of the full replacement cost
of the building immediately before the loss,
we will pay the cost to repair or replace, after
application of any deductible and without
deduction for depreciation, but not
more than the least of the following
amounts:
(1) The limit of liability under this policy that
applies to the building;
(2) The replacement cost of that part of the
building damaged with material of like
kind and quality and for like use; or
(3) The necessary amount actually spent to
repair or replace the damaged building.
If the building is rebuilt at a new premises,
the cost described in (2) above is limited to
the cost which would have been incurred if
the building had been built at the original
premises.
b. If, at the time of loss, the amount of insurance
in this policy on the damaged building
is less than 80% of the full replacement
cost of the building immediately before the
loss, we will pay the greater of the following
amounts, but not more than the limit of liability
under this policy that applies to the
building:
(1) The actual cash value of that part of the
building damaged; or
(2) That proportion of the cost to repair or
replace, after application of any deductible
and without deduction for depreciation,
that part of the building
damaged, which the total amount of insurance
in this policy on the damaged
building bears to 80% of the replacement
cost of the building.
c. To determine the amount of insurance
required to equal 80% of the full replacement
cost of the building immediately before
the loss, do not include the value of:
(1) Excavations, footings, foundations,
piers, or any other structures or devices
that support all or part of the building,
which are below the undersurface of the
lowest basement floor;
(2) Those supports described in (1) above
which are below the surface of the
ground inside the foundation walls, if
there is no basement; and
(3) Underground flues, pipes, wiring and
drains.
d. We will pay no more than the actual cash
value of the damage until actual repair or
replacement is complete. Once actual repair
or replacement is complete, we will
settle the loss as noted in 2.a. and b.
above.
However, if the cost to repair or replace the
damage is both:
(1) Less than 5% of the amount of insurance
in this policy on the building; and
(2) Less than $2,500;
we will settle the loss as noted in 2.a. and
b. above whether or not actual repair or replacement
is complete.
e. You may disregard the replacement cost
loss settlement provisions and make claim
under this policy for loss to buildings on an
actual cash value basis. You may then
make claim for any additional liability according
to the provisions of this Condition
C. Loss Settlement, provided you notify us
of your intent to do so within 180 days after
the date of loss.
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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.
In Florida, the work of adjusting insurance claims engages the public trust. Slide Insurance Company (“INSURER”) has breached the public’s trust by its adjustment of Sharon Wulf and Gary Stehberger (“INSURED”) claim of loss. Slide Insurance Company’s mailing address is 4221 W. Boy Scout Blvd Suite 200, Tampa, FL 33607.
INSURER has failed to create and implement adequate guidelines for the proper investigation and evaluation of claims, claims handling, and for training and supervision of employees resulting in statutory violations as set forth above. INSURER has failed and/or refused to thoroughly, accurately, and completely investigate and evaluate the INSURED’S insurance claim for damages.
INSURER has failed to promptly settle the INSURED’S insurance claim when the obligation to settle the insurance claim had become reasonably clear. To date, notwithstanding the INSURED’S pleas otherwise, INSURER has continued to refuse to acknowledge its obligation to conduct a proper investigation, and to tender the full amount of insurance monies due and owing its INSURED under the policy.
This claim involves the INSUREDS’ property located at 4202 61st Place East, Bradenton, FL 34203 which sustained significant damage from wind on or about October 9, 2024. The INSUREDS immediately reported the loss to INSURER and allowed for inspection.
The INSUREDS suffered damage to the roof, exterior, and interior of the property. INSURER inspected the property and accepted coverage for the claim, however they estimated the loss to total just $24,013.27. The INSUREDS’ hurricane deductible is $10,060.00. Depreciation (recoverable, non-recoverable and paid when incurred) is $9,423.23. Payment was issued in the amount of $6,558.81.
The INSUREDS retained Claim Rescue LLC. to assist with determining the amount of damage sustained to the property. Claim Rescue prepared an estimate in the amount of $185,727.04. The INSUREDS are owed additional insurance benefits in order to return the property to pre-loss condition.
Therefore, demand is hereby made as follows:
Estimate $185,727.04
Less Prior Payments $6,558.81
Less Deductible $10,060.00
TOTAL $169,108.23
The concept of insurance is that the insurer will investigate and grant timely and prompt indemnity or security against a contingent loss. Florida Statute §624.02 defines “insurance” as a contract whereby one undertakes to indemnify another or pay or allow a specified amount or a determinable benefit upon determinable contingencies. Inherent in that definition is the fact that payment must be made timely and promptly so that the INSURED may mitigate their damages and be put back into the position they were in prior to the loss as quickly as possible. INSURER has breached this duty.
The INSURED was, and still is, forced to expend out of pocket monies to submit her insurance claim, e.g., retaining an attorney and other experts to force INSURER to honor its obligations under the insurance policy and to pay all the insurance proceeds due and owing to them.
INSURER has refused and/or failed to tender all the insurance proceeds due and owing to the INSURED. INSURER’s refusal and/or failure to settle the insurance claim when under all circumstances it could have and should have done so had it acted fairly and honestly towards the INSURED is wrongful conduct. Furthermore, the INSURED contends that INSURER’s adjusters and/or representatives financially benefit from such wrongful conduct.
This notice is given in order to perfect the right to pursue the civil remedy authorized by Fla. Stat. §624.155.
Therefore, to cure the defects outlined in this Civil Remedy Notice, 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 as set forth above, and prevent this from occurring in the future;
(2) INSURER must create and implement adequate guidelines for the proper investigation and evaluation of these types of claims and for the training and supervision of employees with regard to these claims to ensure that the claims handling procedure with regard to these types of losses are adequate to prevent other Insureds from being treated unfairly and wrongfully;
(3) INSURER must tender to the INSURED $169,108.23 as set forth above; and,
(4) INSURER must act fairly and honestly towards its INSURED and with due regard for her interests in attempting to settle its INSURED’S claim.
Attachments: PA estimate and proposed complaint
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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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