Filing Number: 810631
|
| Filing Accepted: 3/11/2025 |
| Last/Business Name
*
|
|
|
| Street Address
*
|
|
4820 CHRISTENSEN RD |
| City, State Zip
*
|
|
FORT PIERCE,
FL
34981
|
| Email Address
*
|
|
KBOER@TCRPC.ORG |
| Complainant Type:
*
|
|
Insured |
|
| Last/Business Name* |
|
BOER |
|
First Name |
|
KATHRYN |
| Policy # * |
|
SIC3072269 |
|
Claim #* |
|
202410012602 |
|
Attorney is Applicable
|
| Last Name* |
ALTMAN
First Name *
ALEXIS
Initial
|
| Street Address* |
|
925 SOUTH FEDERAL HIGHWAY, 7TH FLOOR |
| City, State Zip* |
|
BOCA RATON
,
FL - FLORIDA
33432
|
| Email Address * |
|
AALTMAN@KPATTORNEY.COM |
|
|
| 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):*
ROSS BARBER
|
| Type of Insurance
*
Residential Property & Casualty
|
|
|
| Reason for Notice
*
|
|
Unsatisfactory Settlement Offer
|
|
Unfair Trade Practice
|
|
Claim Delay
|
|
|
*
Statutory provision(s) which the insurer allegedly violated.
|
|
|
| 624.155(1)(b)(1) |
|
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.
|
| 624.155(1)(b)(3) |
|
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.
|
| 626.9541(1)(i)(3)(a) |
|
Failing to adopt and implement standards for the proper investigation of claims.
|
| 626.9541(1)(i)(3)(b) |
|
Misrepresenting pertinent facts or insurance policy provisions relating to coverages at issue.
|
| 626.9541(1)(i)(3)(c) |
|
Failing to acknowledge and act promptly upon communications with respect to claims.
|
| 626.9541(1)(i)(3)(d) |
|
Denying claims without conducting reasonable investigations based upon available information.
|
|
*
Specific policy language that is relevant to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
loss settlement provision
|
| |
*
Facts and circumstances giving rise to the violation.
Enter all words or phrases (one at a time) that should be used to filter.
Slide Insurance Company (“Slide”) has not attempted in good faith to settle the insureds’ claim when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insureds and with due regard for their interests. The carrier refuses to pay the complete covered loss amount due under the policy. The carrier is required to properly investigate and adjust claims and cannot place that burden upon the insureds. This was made clear by the appellate court and the Florida Supreme Court in Allstate Indemnity Co. v. Ruiz, 899 So. 2d 1121 (Fla. 2005)(“The Legislature has clearly chosen to impose on the insurance companies a duty to use good faith and fair dealing in processing and litigating the claims of their insureds…”).
This claim arises from the devastation caused by Hurricane Milton, which wreaked havoc and decimation in Florida. Kathryn Boer (“insured”) immediately put the carrier on notice of the damages to her home. The carrier sent out a field adjuster who inspected the home. Thereafter, an extremely low ball payment was made in the amount of $8,400.00 solely for damages to the barn that was in the rear of the property. The roof was ripped off at least ¾ of the way and remaining composite tiles were severely damaged, a tree had also fell on the roof caving in the structure. A contractor said the minimum repair cost would be close to $17,000, roof and walls, including the 2 car garage door and opener that was only 4 years old ($4,000).
The rest of the home had extensive damage including significant debris, tree limbs and branches on the roof that also destroyed the gutter. During and after the storm the insured had water coming in from the living room and bathroom hallway ceilings. The living room ceiling began bulging and then split along the drywall seam dumping throughout the living room ruining an 8 x 10 rug, soaked through the baseboards and laminate wood flooring. Water also began entering through the roof between the walls of the Mud Room adjacent to the Living Room. The Bathroom Hallway began leaking from ceiling inside wall – and water pooled at the baseboard on floor. Kitchen floor had water pool up causing the floor to buckle. It is clear that the estimator that was sent out by Slide was in no way qualified to assess damage. Slide has been systematically under paying Hurricane claims as part of a generalized practice for its own financial gain. The insured provided an estimate in the amount of $113,014.09, however Slide has continued to fail to pay the insured.
Pursuant to Florida Statute §624.155(1)(b)(1), the carrier has failed to settle the claim in good faith when it could and should have done so. Slide is well aware of the damage of the insured’s home. The carrier has put its financial interest before the interest of its insured and turned a blind eye to the damage, low-balled the Claim, and callously delayed the claim process. The carrier has not shown a good faith intention to pay what was owed but rather has underpaid the claim for financial gain and profit.
Pursuant to Florida Statute §626.9541(1)(i)(3)(a), Slide has a duty to adopt and implement standards for the proper investigation of claims. Ross Barber displayed a lack of knowledge, improper training, and/or intent to underpay with his initial estimate.
Florida law mandates that insurers and adjusters do not mislead the Insured. Florida Insurance companies that fail to follow these Florida laws and regulations, designed to protect consumers, do not only breach their duties under the policy of insurance but do so in bad faith. In violation of Florida Statute §626.9541(1)(i)(3)(b), Slide has continued to mislead not only this insured but many other victims of Hurricane Ian by taking their adjuster’s estimates and significantly reducing the estimates for a financial gain. Slide has intentionally misrepresented the available coverage under the policy.
All the aforementioned are part of what appears to be an ongoing pattern and practice of behavior of the carrier that it demonstrates a wanton and reckless disregard for the insureds’ rights and a pattern and practice of bad faith claims practices to its insureds across the state of Florida. Therefore, to cure the defects outlined in this Civil Remedy Notice, the carrier must:
1.) Pay the indemnity portion in the amount of $ $113,014.09minus any applicable deductibles or prior payments;
2.) Pay all emergency services retained by the insureds;
3.) Pay Additional living expenses;
4.) Pay damaged contents
5.) Pay the statutory interest on the amount of unpaid damages from the date of loss to the date payment is finally made.
Please do not hesitate to contact the undersigned at (561)-892-9988 if you have any questions or concerns.
Sincerely,
Alexis Altman
|
|
*
|
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
|