Filing Number: 810361
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| Filing Accepted: 3/10/2025 |
| Last/Business Name
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MARINER VILLAGE CONDO ASSOCIATION INC.
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First Name |
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| Street Address
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1380, 1390, AND 1400 BEACH ROAD |
| City, State Zip
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ENGLEWOOD,
FL
34223
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| Email Address
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BILLJAGXKE@AOL.COM |
| Complainant Type:
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Insured |
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| Last/Business Name* |
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MARINER VILLAGE CONDO ASSOCIATION INC. |
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First Name |
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| Policy # * |
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FIC1-000206427 |
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Claim #* |
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05000001210 |
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Attorney is Applicable
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| Last Name* |
FANTETTI
First Name *
KELLY
Initial
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| Street Address* |
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109 S. EDISON AVENUE |
| City, State Zip* |
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TAMPA
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FL
33606
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| Email Address * |
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KFANTETTI@STOCKHAMLAWGROUP.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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FRONTLINE INSURANCE UNLIMITED 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 10074 |
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| Name of individual responsible for violation (if any):*
DONNA BRYANT-ROBINSON, JULIA ARNETT, BRIAN BAILEY
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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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Unsatisfactory Settlement Offer
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Claim Delay
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Unfair Trade Practice
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Other
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Improper Investigation
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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)(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.
All Risk Provisions of the Policy
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.
10. Loss Payment provision
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 upon the earlier of the following:
a. 20 days after we receive your proof of loss and reach written agreement with you; or
b. 60 days after we receive your proof of loss and:
(1)There is an entry of a final judgment; or
(2) There is a filing of an appraisal award or a mediation settlement with us.
1. If payment is not denied, within 90 days after:
1. We receive notice of an initial, supplemental or reopened claim;
2. We agree to coverage; and
3. We determine the amount of benefits.
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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. Frontline Insurance Unlimited Company (“FRONTLINE”) has breached the public’s trust by its adjustment of Mariner Village Condo Association Inc.’s (“Insureds”) claim of loss. FRONTLINE’s address is 500 International Parkway, Lake Mary, FL 32795.
FRONTLINE 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. FRONTLINE has failed and/or refused to thoroughly, accurately, and completely investigate and evaluate the Insured’s insurance claim for damages.
FRONTLINE 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, FRONTLINE 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 Insured’s property located at 1380, 1390, and 1400 Beach Road, Englewood, FL 34223, which sustained catastrophic damage from Hurricane Ian on September 28, 2022.
FRONTLINE has accepted coverage for this loss and has issued 16 checks to the Insured totaling $1,490,363.92. However, the Insured’s damages are much greater than FRONTLINE has paid.
Association’s Payments
The Insured has directly paid out vendors $794,909.23 as follows:
Jeff Plumly $167.21
Mark Reineke $777.52
D. Martin Plumbing $1,653.50 Work at Unit 1380 caused by Ian
Tropical Irrigation $850.00
JES $200,000.00
JES $200,000.00
JES $300,000.00
JES $70,025.00
Sedgwick Valuation Services $400.00
Rubber Tree Flooring $8,936.00
Rubber Tree Flooring $8,500.00
Jeff Plumly (Fence) $3,600.00
Total Recoverable Paid by Assc. $794,909.23
Lanais
The lanai repairs were paid directly by the owners (not the Association) and need to be reimbursed by the Association, as follows:
1380 – Unit 1 $1,800.00
1380 – Unit 2 $0.00
1380 – Unit 3 $1,700.00
1380 – Unit 4 $1,875.00
1390 – Unit 1 $2,400.00
1390 – Unit 3 $1,924.00
1390 – Unit 4 $2,236.00
Total – Lanais $11,935.00
There is also a separate window replacement proposal from Lemon Bay Glass to an owner, Jeff Plumly, for the wind damage to the windows in that unit. That work still needs to be done.
Plumly Window Proposal $56,418.82
The Insured retained a Public Adjuster, Strategic Claim Consultant (“SCC”), to assist in presenting its claim to FRONTLINE. At the beginning of the claim, the Association made a couple of initial payments directly to the mitigation company (Advanced Property Restoration) and the General Contractor (JES). After that, all payments to these companies were made by SCC.
Strategic Claim Consultant (“SCC”) (PA) Payments
Advanced Property Restoration $126,681.24
Advanced Property Restoration $270,000.00
JES Draw $182,720.61
JES Draw $199,657.16
Total SCC Payments to Vendors $779,059.01
J.E.S., Inc. is the Association’s General Contractor. The original contract with JES for all repairs was for exterior repairs only and totaled $1,130,326.86. The contract was later changed to incorporate the interior repairs, bringing the new contract sum to $1,743,867.16. However, to date, JES has been paid only $1,152,402.77. Therefore, $591,464.39 remains outstanding to JES. See below.
Association Payment $200,000.00
Association Payment $200,000.00
Association Payment $300,000.00
Association Payment $70,025.00
SCC Payment $182,720.61
SCC Payment $199,657.16
JES has been paid to date $1,152,402.77
JES Contract $1,743,867.16
JES has been paid to date $1,152,402.77
Still Owed to JES $591,464.39
The Insured is still owed $743,422.53 for incurred costs as follows:
Still Owed to the Association
All Recoverable Payments made by Association $794,909.23
Lanai repairs made by owners $11,935.00
Plumly Window Proposal $56,418.82
All Vendor Payments made by PA $779,059.01
Amount still owed to JES $591,464.39
$2,233,786.45
Less Prior Payments $1,490,363.92
Still Owed to the Association $743,422.53
All of this documentation has been provided to FRONTLINE, and the Association’s President has submitted to an examination under oath. Nevertheless, FRONTLINE still refuses to tender payment or even participate in a mediation to try to reach a resolution. Instead, FRONTLINE has advised that it intends to propound additional document and EUO requests which are unnecessary.
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 its damage and be put back into the position it was in prior to the loss as quickly as possible. FRONTLINE has breached this duty.
The Insured was, and still is, forced to expend out of pocket monies to submit its insurance claim, e.g., retaining a public adjuster, an attorney, and other experts to force FRONTLINE to honor its obligations under the insurance policy and to pay all the insurance proceeds due and owing.
FRONTLINE has refused and/or failed to tender all the insurance proceeds due and owing to the Insured. FRONTLINE’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 FRONTLINE’s adjusters and/or representatives financially benefit from such wrongful conduct.
In Florida, the work of adjusting insurance claims engages the public trust. During the adjustment of the Insured’s claim, FRONTLINE breached this duty by failing to adhere to and comply with the above referenced obligations. To cure the defects outlined above, FRONTLINE must promptly tender all insurance proceeds due and owing to the Insured that would reasonably place the Insured back into its pre-loss condition, including the tender of accrued interest due and owing to the Insured. FRONTLINE must also promptly and timely communicate with the Insured’s representative(s) to complete the adjustment of the Insured’s loss by participating in good faith negotiations to reach an agreement relating to the parties’ dispute.
This notice is given in order to perfect the right to pursue the civil remedy authorized by Fla. Stat. §624.155.
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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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