Filing Number: 806038
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| Filing Accepted: 2/10/2025 |
| Last/Business Name
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VORONOV
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First Name |
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VLADIMIR |
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| Street Address
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629 FIDDLELEAF CIRCLE |
| City, State Zip
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MELBOURNE,
FL
32904
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| Email Address
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WITHHELD |
| Complainant Type:
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Insured |
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| Last/Business Name* |
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VORONOV |
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First Name |
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VLADIMIR |
| Policy # * |
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6614619949 |
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Claim #* |
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010000106510 |
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Attorney is Applicable
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| Last Name* |
GRICHENER
First Name *
ULYANA
Initial
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| Street Address* |
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800 E BROWARD BLVD, SUITE 510 |
| City, State Zip* |
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HOLLYWOOD
,
FLORIDA
33001
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| Email Address * |
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UG@WEKLAW.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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FIRST PROTECTIVE 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 10897 |
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| Name of individual responsible for violation (if any):*
SHAVONDA CARADINE,
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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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Claim Delay
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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)(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)(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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Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
2. Your Duties After Loss. In case of a loss to
covered property, you must see that the following
are done. These duties must be performed either
by you, an "insured" seeking coverage, or a
representative of either:
a. Give immediate notice to us or our agent.
(1) If your policy provides hurricane or
windstorm coverage, then see the Notice
of Claim Condition to determine by when
you must file a claim after a loss due to
hurricane or windstorm.
. . .
Except for Reasonable Emergency Measures
taken under Additional Coverage 2., there is
no coverage for repairs that begin before the
earlier of:
(a) 72 hours after we are notified of the
loss;
(b) The time of loss inspection by us; or
(c) The time of other approval by us.
b. (1) To the degree reasonably possible, retain
the damaged property; and
(2) Allow us to inspect, subject to b.(1)
above, all damaged property prior to its
removal from the "residence premises".
. . .
e. Protect the property from further damage.
The following must be performed:
(1) Take reasonable emergency measures
that are necessary to protect the covered
property from further damage, as
provided under Additional Coverage 2.
A reasonable emergency measure under
e.(1) above may include a permanent
repair when necessary to protect the
covered property from further damage or
to prevent unwanted entry to the
property. To the degree reasonably
possible, the damaged property must be
retained for us to inspect.
(2) Keep an accurate record of repair
expenses.
f. Cooperate with us in the investigation of a
claim.
. . .
h. As often as we reasonably require:
(1) Show the damaged property;
(2) Provide us with records and documents
we request and permit us to make
copies;
(3) Any and all "insureds" must submit to
recorded statements when requested by
us;
. . .
(5) Permit us to take samples of damaged
and undamaged property for inspection,
testing, and analysis; and
. . .
The duties above apply regardless of whether
you, an "insured" seeking coverage, or a
representative of either retains or is assisted by a
party who provides legal advice, insurance
advice or expert claim advice, regarding an
insurance claim under this Policy.
. . .
8. Suit Against Us is deleted and replaced by the
following
8. Suit Against Us. No action can be brought
against us unless there has been full compliance
with all of the terms under Section I of this policy
and the action is started within 5 years after the
date of loss.
. . .
Notice of Claim
If your policy provides hurricane or windstorm
coverage, then a claim, supplemental claim or
reopened claim for loss or damage caused by
hurricane or other windstorm must be given to us in
accordance with the terms of this policy and within
three years after the hurricane first made landfall or a
windstorm other than a hurricane caused the
damage. (Supplemental claim or reopened claim
means an additional claim for recovery from us for
losses from the same hurricane or other windstorm
which we have previously adjusted pursuant to the
initial claim.)
This condition concerning time for submission of
claim does not affect any limitation for legal action
against us as provided in this policy under the Suit
Against Us Condition including any amendment to
that condition
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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.
Vladimir Voronov (Insured) purchased a policy of homeowners insurance from First Protective Insurance Company d/b/a Frontline Insurance Company (Frontline), policy number 6614619949, with effective policy period of October 14, 2022 through October 14, 2023. On or about April 26, 2023, while the subject policy was in full force and effect, the Insured’s property located at 629 Fiddleleaf Circle, Melbourne, Florida 32904 suffered a loss as a result of a wind and/or hailstorm. Specifically, the property suffered roof, window, interior and screen enclosure damages. Sometime towards November 2023 when a piece of ceiling fell in the living area, the Insured, a military individual who frequently travels for work and for the military, undertook action. The Insured searched for help to make repairs immediately and came across a public adjusting firm that performed a thorough inspection and apprised that of further damages to the roof and interior which the Insured had not realized at first. The claim was promptly reported to Frontline who acknowledged the loss and assigned claim number 010000106510.
The Insured undertook to protect the property from further damage by retaining tarping services, water mitigation services and mold remediation services. All documentation for theses services were provided to Frontline. The Insured also provided a number of documents to Frontline showcasing that they property was free from damage prior to the date of loss and in fact, that Frontline has deems the property insurable with an inspection report provided at policy inception with proof of any issues taken care of and the property was water tight before the loss.
Frontline has the property inspected on December 19, 2023. Frontline then re-inspected the property on March 21, 2024. On April 22, 2024, Frontline denied the claim without providing an engineer’s findings or report.
The Insured’s public adjusting firm, Sky Property Claims Adjusting inspected the property, took photographs and prepared an estimate of $54,816.15 to put the property back to its pre-loss condition. The estimate and photographs were provided to Frontline for review and assessment. Frontline was also provided with tarping, water mitigation and mold remediation photographs, dryout logs, and invoices, and a sworn proof of loss. Frontline stayed steadfast in their denial of the loss. The Insureds frustrated with their insurance company to whom they have dutifully been paying their annual policy premiums only to be turned away when they suffered a covered loss, were forced to seek legal counsel.
The Insurer's actions amount to but are not limited to the following: 1. Claim delay 2. Not treating the Insured with good faith claims conduct 3. Looking for ways to deny recovery to the Insured 4. Shifting the burden of investigating onto the Insured 5. Conducting inadequate investigations.
Therefore, to cure the defects outlined in this civil remedy notice, the Insurer must: (1). Admit full coverage for the Insured's loss. (2). Tender full benefits owed to the Insured under the insurance contract.
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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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