Alvarez v. State Farm Florida Ins. Co.

CourtDistrict Court of Appeal of Florida
DecidedApril 17, 2019
Docket17-2261
StatusPublished

This text of Alvarez v. State Farm Florida Ins. Co. (Alvarez v. State Farm Florida Ins. Co.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alvarez v. State Farm Florida Ins. Co., (Fla. Ct. App. 2019).

Opinion

Third District Court of Appeal State of Florida

Opinion filed April 17, 2019. Not final until disposition of timely filed motion for rehearing.

________________

No. 3D17-2261 Lower Tribunal No. 12-24244 ________________

Jose Alvarez and Hilda Alvarez, Appellants/Cross-Appellees,

vs.

State Farm Florida Insurance Company, Appellee/Cross-Appellant.

An Appeal from the Circuit Court for Miami-Dade County, Pedro Echarte Jr., Judge.

Alvarez, Feltman & DaSilva, PL, and Brian C. Costa and Paul B. Feltman, for appellants/cross-appellees.

Law Office of Ubaldo J. Perez, Jr., P.A.; Russo Appellate Firm, P.A., and Elizabeth K. Russo, for appellee/cross-appellant.

Before EMAS, C.J., and LOGUE and HENDON, JJ.

HENDON, J. Jose Alvarez and Hilda Alvarez (“Homeowners”) seek to reverse the final

judgment in favor of State Farm Florida Insurance Company (“State Farm”) with

no entitlement to damages, and the subsequent order denying their motion to set

aside the verdict and enter judgment in their favor, or to enter a judgment

notwithstanding the verdict, or to grant them a new trial. We affirm.

In 2009, the Homeowners experienced kitchen drain problems. The plumber

replaced and re-routed the kitchen drain line. The Homeowners continued to

experience bathroom backups and made attempts to correct the drainage problems.

In 2010, with the assistance of a public adjuster, the Homeowners filed a claim

with Appellee State Farm on their all-risk policy. State Farm’s claim

representative investigated and denied coverage in part based on the Homeowners’

statement that the toilets had not overflowed, that they had the kitchen drain lines

repaired, and there was no water damage to the interior of their home. State Farm

reported finding no accidental direct physical loss, thus no covered claim, and sent

two letters in November 2010 and April 2011 confirming denial of coverage to the

Homeowners. The denial of coverage letters noted that the Homeowners were not

claiming any direct water damage loss inside the house. The Homeowners did not

seek to appeal the decision or contradict the letters of denial.

In March of 2012, the Homeowners’ public adjuster sent State Farm a

sworn proof of loss signed by the Homeowners asserting that a water damage loss

2 occurred in 2009, and attesting to loss in the amount of $82,967.92. State Farm’s

claim reviewer noted that the 2009-10 inspector’s report indicated no interior water

damage, just slow toilets and a repaired kitchen J-pipe and drainage. In 2013,

State Farm conducted an extensive re-inspection of the Homeowners’ home and

found nothing to indicate water damage, except a small warping of one lower

cabinet toe-kick, attributed not to water damage but to improper installation.

The Homeowners filed a complaint against State Farm for breach of

contract. State Farm answered, citing policy exclusions, and the defense that the

Homeowners had made material misrepresentations in pursuing their claim relating

to the scope and amount of loss claimed. In response to the Homeowners’ motion

for summary judgment on coverage, the trial court entered an order granting the

Homeowners’ motion for partial summary judgment (identifying the issue as one

of “liability,” rather than “coverage”) and reserved only the question of damages

for the jury. Upon the original trial judge’s retirement, a successor judge was

appointed to the case. The successor judge denied the Homeowners’ motion for

summary judgment on State Farm’s misrepresentation defense, allowing that issue

to proceed to trial. Discovery included reports from the original 2010 insurance

inspection, as well as proof that the Homeowners had made application to Citizens

for homeowners insurance certifying the home had no existing damage, in direct

contradiction to their sworn proof of loss to State Farm.

3 At trial, the successor judge ruled that the case would proceed on the issue

of damages and the issue of material misrepresentation.1 The verdict form asked

the jury to determine whether the Homeowners made a material misrepresentation

1 The jury instructions provided:

Both parties agree that Plaintiffs, Jose Alvarez and Hilda Alvarez, and Defendant, State Farm Florida Insurance Company, entered into a contract wherein plaintiff agreed to pay premiums to defendant, and defendant agreed to insure plaintiffs’ home against damage.

The Court has already determined that coverage exists under State Farm’s policy of insurance. State Farm’s remaining defense is that plaintiffs have made material misrepresentations regarding the scope and amount of loss. Overestimating the value, a mistake, or inadvertence is not sufficient to void the policy. The jury must decide whether plaintiffs made material misrepresentations of fact sufficient to void the policy. If not, then the jury is to determine the amount that the defendant must pay.

. . ..

On Defendant’s, State Farm’s defense, the issue for your determination is whether plaintiffs violated the concealment or fraud condition of the policy. The policy provision pertinent to this defense states as follows.

Section 1 and section 2 conditions, No. 2, Concealment or Fraud. The policy is void as to you and any other insured if you or any other insured under this policy has intentionally concealed or misrepresented any material fact or circumstance relating to this insurance, whether before or after a loss. If you find for Defendant, State Farm, on this defense, then your verdict will be for State Farm and against plaintiffs.

However, if the greater weight of the evidence does not support State Farm’s defense and does … support the claim of plaintiffs, your verdict should be for plaintiffs and against State Farm[.] (emphasis added).

4 to State Farm “by exaggerating the extent of the loss” and how much damages

should be awarded. During their deliberations, the jury asked the trial court the

following question: “If we decide the plaintiff made a material misrepresentation,

can we still give plaintiff compensation?” The court advised the jury, “[i]n answer

to your question, be advised that I have given you all the law that applies to this

case.” The jury ultimately found that yes, the Homeowners had materially

misrepresented the facts, and awarded the Homeowners $6,000 (the amount State

Farm’s plumber testified the kitchen drain repairs would cost).

State Farm filed a motion for final judgment with no entitlement to damages.

The Homeowners filed a motion to set aside the verdict and to enter JNOV. The

trial court granted State Farm’s motion and denied the Homeowners’ motion. This

appeal followed.

Analysis.

The State Farm insurance policy on the Homeowners’ dwelling contained a

valid provision voiding the policy upon material misrepresentation of fact by the

insured. The jury found that the Homeowners violated that provision by making

material misrepresentations of fact in their claim to State Farm. The fact that the

jury proceeded to award damages does not alter the outcome on appeal. As a

matter of law, the finding of material misrepresentation voids coverage for the

claim. See Schneer v. Allstate Indem. Co., 767 So. 2d 485, 489 (Fla. 3d DCA

5 2000) (holding that an insureds' fraudulent misrepresentations as to their contents

claim voided their homeowner's policy in its entirety and thus voided the dwelling

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