Filing Number: 809226
|
| Filing Accepted: 3/3/2025 |
| Last/Business Name
*
|
|
|
| Street Address
*
|
|
3739 EAGLE HAMMOCK DRIVE |
| City, State Zip
*
|
|
SARASOTA,
FL
34240
|
| Email Address
*
|
|
HUYCKMS@GMAIL.COM |
| Complainant Type:
*
|
|
Insured |
|
| Last/Business Name* |
|
HUYCK |
|
First Name |
|
MICHAEL |
| Policy # * |
|
H3FL000067943 |
|
Claim #* |
|
202412019119 |
|
Attorney is Applicable
|
| Last Name* |
GROOVER
First Name *
JEFF
Initial
|
| Street Address* |
|
400 N. ASHLEY DRIVE, SUITE 1900 |
| City, State Zip* |
|
TAMPA
,
FL
33602
|
| Email Address * |
|
JG@GMA.LAW |
|
|
| Insurer Type
*
|
|
Authorized Insurer
Unauthorized Insurer
|
|
|
| Insurer Name |
|
|
| Insurer Name* |
|
SLIDE INSURANCE COMPANY
|
| Insurer Name* |
|
|
| Street Address* |
|
|
| City, State Zip* |
|
,
|
|
NAIC Company Code 17227 |
|
|
| Name of individual responsible for violation (if any):*
JACOBY ANTOINE
|
| Type of Insurance
*
Residential Property & Casualty
|
|
|
| Reason for Notice
*
|
|
Claim Delay
|
|
Unsatisfactory Settlement Offer
|
|
Other
:
Violation of Fla. Stat. 627.70131(7)(a)
|
|
Other
:
Violation of Fla. Stat. 627.7142
|
|
Other
:
Violation of Fla. Stat. 627.70131(1)(a)
|
|
|
*
Statutory provision(s) which the insurer allegedly violated.
|
|
|
| 626.9541(1)(i)(4) |
|
Failing to pay undisputed amounts of partial or full benefits owed under first-party property insurance policies within 60 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 factors beyond the control of the insurer as defined in s. 627.70131(5).
|
|
*
Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
Mr. Huyck cannot cite the specific policy language violated because he did not receive a full copy of the insurance policy from Slide. Porcelli v. OneBeacon Ins. Co., Inc., 635 F. Supp. 2d 1312, 1319 (M.D. Fla. 2008) (holding that an insured cannot be required to provide specific policy language where the insurance company fails to provide a copy of the insurance policy to the insured). However, Mr. Huyck references the policy’s Loss Payment provision, which is supposed to track the language of Florida Statutes § 627.70131(7)(a). Section 627.70131(7)(a) states, “Within 60 days after an insurer receives notice of an initial, reopened, or supplemental property insurance claim from a policyholder, the insurer shall pay or deny such claim or a portion of the claim unless the failure to pay is caused by factors beyond the control of the insurer.” This 60-day requirement is identified in the Homeowner Claim Bill of Rights at Florida Statutes § 627.7142 (stating, “YOU HAVE THE RIGHT TO: . . . 4. Within 60 days, subject to any dual interest noted in the policy, receive full settlement payment for your claim or payment of the undisputed portion of your claim, or your insurance company’s denial of your claim.” Failure to do so amounts to bad faith. See Florida Statutes § 626.9541(1)(i)(4). Additionally, under Florida law, “insurance policies are deemed to incorporate applicable statutes, and conflicting policy provisions must give way.” Heritage Prop. & Cas. Ins. Co. v. Condo. Assn. of Gateway H. Apts. Inc., 344 So. 3d 52, 55 (Fla. 3d DCA 2021). Therefore, the cited statutory provisions are part and parcel of the insurance policy at issue.
|
| |
*
Facts and circumstances giving rise to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
Dear Sir or Madam,
This civil remedy notice pertains to Slide Insurance Company’s failure to make a claim determination within 60 days of the claim being reported and its failure to acknowledge claim communication within 7 calendar days. Specifically, Mr. Huyck’s public adjuster, Justin Davis, announced his representation to Slide on December 10, 2024. In response to the letter of representation, claim examiner Jacoby Antoine sent Mr. Davis an email on January 9, 2024 that stated, “I am the newly assigned adjuster on claim. We are still waiting on report for tile roof to move forward with the claims process. If you have any questions or concerns, please give me a call. Thank you!” As an initial matter, Mr. Antoine’s acknowledgement email to Mr. Davis came more than 7 calendar days after submission, which violates Florida Statutes § 627.70131(1)(a) and the Homeowner Claims Bill of Rights codified at Florida Statutes § 627.7142. As a secondary matter, neither Mr. Antoine nor Slide have communicated with Mr. Davis or Mr. Huyck in any capacity since Mr. Antoine’s email dated January 9, 2025. This lack of communication continued following Mr. Davis’ submission of a damage estimate on January 14, 2025 and two follow up emails on February 6, 2025 and February 10, 2025. To date, Slide has not made a claim determination within 60 days of the claim being reported, which violates the loss payment provision of the insurance policy and Florida Statutes § 627.70131(7)(a), Florida Statutes § 627.7142, and Florida Statutes § 626.9541(1)(i)(4).
As demonstrated above, the person responsible for the statutory violations and policy violations is Jacoby Antoine and his (unknown) supervisor, who has apparently failed to properly supervise him or monitor his claims.
Mr. Huyck cannot cite the specific policy language violated because he did not receive a full copy of the insurance policy from Slide. Porcelli v. OneBeacon Ins. Co., Inc., 635 F. Supp. 2d 1312, 1319 (M.D. Fla. 2008) (holding that an insured cannot be required to provide specific policy language where the insurance company fails to provide a copy of the insurance policy to the insured). However, Mr. Huyck references the policy’s Loss Payment provision, which is supposed to track the language of Florida Statutes § 627.70131(7)(a). Section 627.70131(7)(a) states, “Within 60 days after an insurer receives notice of an initial, reopened, or supplemental property insurance claim from a policyholder, the insurer shall pay or deny such claim or a portion of the claim unless the failure to pay is caused by factors beyond the control of the insurer.” This 60-day requirement is identified in the Homeowner Claim Bill of Rights at Florida Statutes § 627.7142 (stating, “YOU HAVE THE RIGHT TO: . . . 4. Within 60 days, subject to any dual interest noted in the policy, receive full settlement payment for your claim or payment of the undisputed portion of your claim, or your insurance company’s denial of your claim.” Failure to do so amounts to bad faith. See Florida Statutes § 626.9541(1)(i)(4). Additionally, under Florida law, “insurance policies are deemed to incorporate applicable statutes, and conflicting policy provisions must give way.” Heritage Prop. & Cas. Ins. Co. v. Condo. Assn. of Gateway H. Apts. Inc., 344 So. 3d 52, 55 (Fla. 3d DCA 2021). Therefore, the cited statutory provisions are part and parcel of the insurance policy at issue.
This notice is provided to perfect a right to pursue the civil remedy authorized by Florida Statute §624.155. Therefore, to cure the defects outlined in this specific Civil Remedy Notice, Slide must immediately contact Mr. Huyck’s public adjuster to discuss the claim, open coverage for this loss since more than 60 days have elapsed since the claim was reported, and pay statutory interest pursuant to Florida Statute § 627.70131 from the date the claim was reported until payment is made.
A copy of this letter and filed form submitted to the DFS will be provided to Slide Insurance Company. To the extent Slide has any questions, please do not hesitate to contact the undersigned or Mr. Huyck’s public adjuster Justin Davis. We appreciate your immediate attention to this matter.
Sincerely,
/s/ Jeff Groover
Jeffrey D. Groover, Esq.
Ardalan Montazer, Esq.
For the Firm
Cc: Michael Huyck (via email)
Justin Davis (via email)
|
|
*
|
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.
|
DFS-10-363
Rev. 10/14/2008
|