Filing Number: 828359
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| Filing Accepted: 6/24/2025 |
| Last/Business Name
*
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MAGNOLIA'S MARKET ON THE BAY
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First Name |
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| Street Address
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2395 N. BEACH ROAD |
| City, State Zip
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ENGLEWOOD,
FL
34223
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| Email Address
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STEVEN@PLG.LAWYER |
| Complainant Type:
*
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Insured |
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| Last/Business Name* |
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MAGNOLIA'S MARKET ON THE BAY |
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First Name |
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| Policy # * |
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1071353975 |
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Claim #* |
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05000002855 |
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Attorney is Applicable
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| Last Name* |
HOFFMAN
First Name *
STEVEN
Initial
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| Street Address* |
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1790 HIGHWAY A1A, SUITE 209 |
| City, State Zip* |
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SATELLITE BEACH
,
FL
32937
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| Email Address * |
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STEVEN@PLG.LAWYER; HALEY@PLG.LAWYER |
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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):*
FRONTLINE INSURANCE UNLIMITED D/B/A FRONTLINE INSURANCE’S ADJUSTERS, EMPLOYEES, REPRESENTATIVES, AGENTS, VENDORS, AND/OR ENGINEERS AND CONTRACTORS WHO HANDLED THE CLAIM, SPECIFICALLY THE DESK ADJUSTER
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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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Claim Denial
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Unfair Trade Practice
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Other
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Misrepresentation
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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)(b) |
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Misrepresenting pertinent facts or insurance policy provisions relating to coverages at issue.
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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.
The Policy language relevant to the violations includes all applicable loss payment, duties after loss, and coverage provisions of Policy Number 1071353975, including the declarations page and all endorsements to the Policy.
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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.
Claim #05000002855; DOL: October 9, 2024
Magnolia’s Market on the Bay (“Insured”) is the owners of a property with a policy of insurance issued by Frontline Insurance Unlimited d/b/a Frontline Insurance (“Carrier”). The Insured’s business is located at 2395 N. Beach Road, Englewood, FL 34223 (the “Property”). On October 9, 2024, Hurricane Milton caused extensive damage to the Property. The Insured timely reported an insurance claim for this damage to the Carrier and fully cooperated with all requests for inspection and information. Insured provided all requested documentation, if any, and complied with all post loss policy conditions reasonably and timely requested. The Insureds obtained representation from a public adjuster and an estimate for repair of the building for $228,353.26, with supporting documentation and photographs.
Upon reporting the loss, the Carrier assigned a field adjuster who inspected the Property and prepared an estimate for the covered damages in the amount of $8,581.82 that came in under the Insured’s applicable hurricane deductible. This is a gross undervaluation for repair to a property damaged by a hurricane.
The Insured also advised the Carrier they would be submitting a claim for business income loss. The Carrier denied the Insured’s claim for business income loss stating that the policy only affords coverage for damages when there is a direct physical loss of, or damage to, covered property caused by a cover cause of loss. The Carrier incorrectly stated the Insured advised that the business was closed due to flood and power outage. This is incorrect as upon information and belief the representative for the Insured notified the Carrier during their recorded statement that the reason for the business interruption was due to the wind from Hurricane Milton. The Carrier has also refused to provide the Insured with a copy of their recorded statement, even after requests for same.
Section 624.02, Florida Statutes, defines insurance as a contract whereby one undertakes to indemnify another or pay or allow a specified amount or a determinable benefit based on determinable contingencies. Inherent is the fact that payment must be made timely and promptly so that Insured may mitigate their damages and be put back into the position they were in prior to the loss as quickly as possible. The Carrier has breached this duty by refusing to properly and timely adjust the loss. The Carrier has more than enough information and is still refusing to accept full coverage for this claim. This continued and repeated reckless claim delay, unfair claim handling, failure to communicate, and failure to settle a claim in full that they should have, will result in a significant punitive damage award.
The Carrier can avoid a lawsuit for bad faith by immediately accepting full coverage under the subject insurance policy and by paying the Insureds $228,353.26 for repair to the building plus $64,301.93 for the business income loss, minus the deductible. Further, the Carrier should pay the interest accrued from notice of the claim until the date that the Carrier pays $292,655.19, per Section 627.70131 Florida Statutes.
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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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