Filing Number: 813792
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| Filing Accepted: 3/31/2025 |
| Last/Business Name
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WYATT
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First Name |
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ROBIN R. |
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| Street Address
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14910 CAMARGO PLACE |
| City, State Zip
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LAKEWOOD RANCH,
FL
34202
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| Email Address
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ROBIN@WYATTANDCOMPANY.COM |
| Complainant Type:
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Insured |
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| Last/Business Name* |
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WYATT |
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First Name |
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ROBIN R. |
| Policy # * |
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OIC3037253-00 |
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Claim #* |
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24FLHOV0017157 |
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Attorney is Applicable
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| Last Name* |
FANTETTI
First Name *
KELLY
Initial
A
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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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FLORIDA
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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OLYMPUS 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 12954 |
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| Name of individual responsible for violation (if any):*
ASHLEE CALIFF, KIANNA REDDICK, GARRETT WICKS
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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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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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Insufficient 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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| 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)(d) |
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Denying claims without conducting reasonable investigations based upon available information.
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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.
Loss Settlement
d. We will initially pay the actual cash value of the loss, less any applicable deductible. We will then pay any remaining amounts necessary to perform the actual repair or replacement as work is performed and expenses are incurred . . .
I. Loss Payment
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, and we have not elected our option to repair.
Our Option
1. At our option, in lieu of issuing any loss payment, if we choose to exercise our option:
b. For losses insured for replacement cost . . . we may elect to repair or replace any or all of the damaged property with material of like kind and quality without deduction for depreciation.
2. If we choose to exercise our option, we will provide written notice to you no later than 30 days after our inspection of the loss.
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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. Olympus Insurance Company (“OLYMPUS”) has breached the public’s trust by its adjustment of Robin R. Wyatt’s (“INSURED”) claim of loss. Olympus Insurance Company’s address is P.O. Box 16005, Jacksonville, Florida 32246
OLYMPUS 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. OLYMPUS has failed and/or refused to thoroughly, accurately, and completely investigate and evaluate the INSURED’S insurance claim for damages.
OLYMPUS 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, OLYMPUS 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. Rather, OLYMPUS has denied the claim, in part, without conducting a reasonable investigation of the available information.
This claim involves the INSURED’S property located at 14910 Camargo Place, Lakewood Ranch, Florida 34202, which sustained significant damage from Hurricane Milton on October 9, 2024. The INSURED had damage to her roof, gutters, garage door, windows, screen enclosure, stucco, and interior ceilings.
Within days of the hurricane, the INSURED promptly reported her claim to OLYMPUS, and she attempted to mitigate her damages by having her roof tarped and her screen enclosure repaired. She paid $60.00 for the screen repairs and $1,200.00 for the roof tarping, for a total of $1,260.00. The INSURED also retained a public adjuster to help her assess her damages.
On October 17, 2024, instead of sending a licensed adjuster out to inspect the INSURED’S claim, OLYMPUS sent a roofing contractor, Southern Safe Construction, which showed up at the INSURED’S property without notice and while she was not home. She arrived home to find complete strangers up on her roof without her consent.
The INSURED’S public adjuster complained to OLYMPUS about this unnoticed and inappropriate inspection, and as a result, OLYMPUS arranged for a reinspection wherein Southern Safe was supposed to inspect the damages jointly with the public adjuster (PA). This inspection took place on October 22, 2024. However, the representative from Southern Safe, Steve Rozado, refused to get on the roof with the PA so that they could review the damages together. Mr. Rozado claimed that he had seen everything he needed to see during his unauthorized inspection on October 17, 2024; however, he admitted that he did not look under the tarping, did not confirm how the tile was installed, did not determine the brand/make of tile, did not assess the type of underlayment, and did not take measurements.
Thereafter, on November 13, 2024, the PA provided OLYMPUS with an itemized estimate of the damages and a signed proof of loss from the INSURED. On November 16, 2024, OLYMPUS rejected the proof of loss, despite that no OLYMPUS adjuster had ever inspected the property, and both inspections by Southern Safe had been wholly inadequate.
That same day, OLYMPUS sent a letter to the INSURED invoking its option to repair the property in violation of the policy. The policy states that OLYMPUS can invoke its option to repair within 30 days after OLYMPUS has inspected the property; however, to date, no adjuster on behalf of OLYMPUS has ever inspected the INSURED’S property.
The letter from OLYMPUS also states that the roof and screen damage are covered, and it advises that OLYMPUS will be sending a payment of $800, after the application of the $1000 deductible. However, in the letter, OLYMPUS miscalculated the cost of the repairs. In notes that the tarp was $1,200.00 and the screen repairs were $60.00, but it incorrectly states that this total is $1,800.00. Finally, OLYMPUS advised the INSURED that it would be sending an engineer to inspect the property.
Thereafter, OLYMPUS retained Paul Davis Restoration to prepare an estimate of the interior repairs, and on November 19, 2024, PDR sent an invoice to the INSURED improperly requesting payment directly from her for the estimate. OLYMPUS was notified of this issue, but PDR continued to send this invoice, most recently on March 13, 2025.
Also on November 19, 2024, Southern Safe contacted the INSURED to advise that the claim had been “approved,” but no detail was provided as to what was “approved.” On November 25, 2024, Cameron Bradley of Southern Safe clarified that OLYMPUS had approved a roof repair, but he provided no estimate or scope for the proposed repairs.
On November 26, 2024, the INSURED’S public adjuster sent a detailed letter to OLYMPUS outlining his concerns over the way that the claim was being handled. Furthermore, he outlined the INSURED’S concerns over OLYMPUS using Southern Safe to conduct the repairs, given their poor investigation, as well as their extremely poor online reviews. Finally, he notified OLYMPUS of their math error regarding the $800.00 payment. OLYMPUS never responded to this letter.
Thereafter, the claim was delayed for nearly two months while the INSURED awaited the engineering inspection. SDII Global finally inspected the property on January 22, 2025. The engineer identified 13 chipped tiles, 47 fractured tiles, and 21 tiles previously repaired or replaced. In one area of the report, the engineer claims that there were no missing tiles, but in another area of the report, she acknowledged 3 missing cap tiles. Nevertheless, the report somehow concludes that only 24 of the damaged tiles were related to the hurricane. The engineer also acknowledged that there was a large section of tarping that she was unable to look under, and therefore, there could be additional damage underneath the tarp.
SDII concluded that the roof can be repaired, without providing any guidance on how the roof should be repaired or what tile can be used for the repair. SDII then determined that the interior damages in the office and living room were unrelated to the hurricane, but the engineer admits that there was a large tarp on the roof in this area that she did not look under.
Despite this poor engineering inspection, on January 30, 2025, OLYMPUS sent a letter to the INSURED advising that the interior damages were being denied. OLYMPUS still did not provide an estimate or scope for the roof repairs.
Therefore, the INSURED was forced to retain counsel. The Stockham Law Group sent a letter of representation to OLYMPUS on February 25, 2025, and OLYMPUS acknowledged the letter the next day. Nevertheless, Southern Safe and OLYMPUS have continued to communicate directly with the INSURED without including her counsel.
On March 11, 2025, counsel for the INSURED again requested an estimate or scope of work from Southern Safe. Garrett Wicks, an adjuster for OLYMPUS, responded back the same day and, for the first time, provided a proposed scope, but it was wholly inadequate to put the insured on notice of the work that Southern Safe intends to do at her home. Therefore, counsel for the insured requested a more detailed proposal for the full scope of work.
On March 13, 2025, OLYMPUS adjuster Kianna Reddick advised that she would request a more detailed scope from Southern Safe, but it has now been more than two weeks, and nothing has been provided.
The INSURED has since retained her own roofing expert, Steven Thomas from Roof Leak Detection Company, who identified fractured and wind shifted tiles, tiles with corner breaks, point load fracturing, and wind displaced cap tiles. He also noted that approximately 10% of the tiles had been loosened at the fasteners. The damages to the roof spanned nearly every slope of the roof. Mr. Thomas noted that because the roof was mechanically fastened, with nails/screws through the underlayment, the underlayment would need to be repaired anywhere that tiles were repaired. However, placing new underlayment over existing underlayment creates a back lap that allows water to get into seems and provides a potential source for additional water intrusion. Mr. Thomas also noted that the roof tiles on the INSURED’S roof had been discontinued and were no longer being manufactured. Given the widespread nature of the damages and the lack of availability of the tile, Mr. Thomas recommended a complete roof replacement.
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 her damages and be put back into the position she was in prior to the loss as quickly as possible. OLYMPUS has breached this duty.
The INSURED was, and still is, forced to expend out of pocket monies to submit her insurance claim, e.g., retaining an attorney and other experts to force OLYMPUS to honor its obligations under the insurance policy and to pay all the insurance proceeds due and owing to her.
OLYMPUS has refused and/or failed to tender all the insurance proceeds due and owing to the INSURED. INSURER’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 OLYMPUS’ adjusters and/or representatives financially benefit from such wrongful conduct.
Therefore, to cure the defects outlined in this Civil Remedy Notice, OLYMPUS must (1) Promptly tender all insurance proceeds due and owing to the Insureds that would reasonably place the Insured back into the pre-loss condition, including the tender of accrued interest due and owing to the Insureds; (2) Promptly and timely communicate with the Insured’s representatives to complete the adjustment of the Insured’s loss by participating in good faith negotiations to reach an agreement relating to the parties’ dispute over coverage, scope and amount.
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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