Filing Number: 807198
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| Filing Accepted: 2/17/2025 |
| Last/Business Name
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CERAZIN MICHAUD
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First Name |
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SARETTE MERVILUS AND |
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| Street Address
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5410 LITTLE DIPPER COURT |
| City, State Zip
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GREENACRES,
FL
33463
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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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CERAZIN MICHAUD |
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First Name |
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SARETTE MERVILUS AND |
| Policy # * |
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SIC3139824 |
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Claim #* |
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202410010015 |
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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
,
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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| 626.9541(1)(i)(3)(e) |
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Failing to affirm or deny full or partial coverage of claims, and, as to partial coverage, the dollar amount or extent of coverage, or failing to provide a written statement that the claim is being investigated, upon the written request of the insured within 30 days after proof-of-loss statements have been completed.
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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.
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".
SECTION I – PERILS INSURED AGAINST
A. Coverage A – Dwelling and Coverage B – Other Structures
1. We insure against risk of direct physical loss to property described in Coverages A and B.
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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.
Sarette Mervilus and Cerazin Michaud (hereinafter the “Insureds”), paid for a policy of insurance with Slide Insurance Company (hereinafter, “Insurer”) bearing policy number SIC3139824 (the “Policy”). The Policy provides coverage for damage to the Insureds’ property located at 5410 Little Dipper Court, Greenacres, FL 33463 (the “Property”), including the significant damage that occurred as a result of hail on or about March 3, 2024 (the “loss”). Specifically, the Insureds’ Property sustained substantial wind damage, roof damage, floor damage and water intrusion in the girl's bedroom, office, living room, and laundry room.
The Insureds subsequently contacted the Insurance Litigation Group, P.A. (hereafter, ILGPA), who reported the Insureds’ claim to the Insurer. On November 27, 2024, the Insurer sent a letter to the Insureds advising that the damages to the Property totaled $0.00 based on their inspection of the damage. On January 28, 2025, the Insurer issued a letter to the Insureds stating that they are proceeding with their adjustment of the claim under a reservation of rights as the Insurer is requesting documentation and a recorded statement with the Insureds. 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 $55,456.95. 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. Furthermore, the Insurer ignored several attempts from the Insureds to comply with the Insurer’s request for a recorded statement. On February 13, 2025, ILGPA, on behalf of the Insureds, called the Insurer four times to conduct the recorded statement as scheduled. ILGPA left a voicemail after each attempt as the Insurer failed to answer the phone. 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. 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. Although the Insurer requested a recorded statement with the Insureds, the Insurer failed to respond to the Insureds to conduct the recorded statement on the scheduled date. Moreover, 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. Also, the Insurer violated Florida Statute § 626.9541(1)(i)(3)(e) by failing to affirm or deny full or partial coverage of the claim. Furthermore, the Insurer violated Florida Statute § 626.9541(1)(i)(3)(g) by failing to promptly notify the Insureds of any additional information necessary for the processing of a claim. The Insurer sent a letter to the Insureds requesting documentation on January 28, 2025, over three months after the claim was reported.
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 $55,456.95 (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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