Casa Besilu LLC v. Bahamas First General Insurance Ltd.

CourtDistrict Court, S.D. Florida
DecidedApril 23, 2021
Docket1:20-cv-24766
StatusUnknown

This text of Casa Besilu LLC v. Bahamas First General Insurance Ltd. (Casa Besilu LLC v. Bahamas First General Insurance Ltd.) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Casa Besilu LLC v. Bahamas First General Insurance Ltd., (S.D. Fla. 2021).

Opinion

United States District Court for the Southern District of Florida Casa Besilu LLC and Benjamin ) Leon Jr., Plaintiffs, ) ) v. ) Civil Action No. 20-24766-Civ-Scola ) Federal Insurance Company and ) others, Defendants. ) Order on Motion to Dismiss This matter is before the Court upon the Defendants’ motion to dismiss the Plaintiffs’ complaint. For the reasons stated below, the Court denies the Defendants’ motion. (ECF No. 29.) 1. Background The Plaintiffs, Casa Besilu LLC and Benjamin Leon, Jr., bring this action against the Defendants Bahamas First General Insurance Ltd. (“Bahamas First”), Federal Insurance Company (“Federal”), and Chubb & Son Inc. (“Chubb”) relating to damage caused to the Plaintiffs’ property located at Lot #35, Block #1, Treasure Cay, Abaco, Bahamas (the “Bahamas Property”) by Hurricane Dorian. In support of their claims against the Defendants, the Plaintiffs state that in September 2017, they approached Chubb and Federal in order to obtain insurance for the Bahamas Property. (ECF No. 1, at ¶ 19.) Given the location of the property, Chubb and Federal engaged with Bahamanian insurance agencies to obtain adequate coverage from a Bahamanian insurance company. (Id., at ¶¶ 22-24.) The Plaintiffs state they never communicated directly with the Bahamanian agencies engaged by Chubb and Federal. (Id., at ¶ 25.) In order to obtain adequate coverage for the Plaintiffs, at Chubb and Federal’s request, the Plaintiffs prepared a draft insurance application which they provided to Chubb asking Chubb to obtain “comprehensive liability and property coverage, including a dwelling coverage limit of $2,000,000 and flood coverage.” (Id., at ¶ 26.) Notwithstanding the Plaintiffs’ request for flood coverage, the Plaintiffs allege that Chubb ultimately procured a policy, effective from October 12, 2017 through October 12, 2018 which had a $2,000,000 dwelling coverage limit, but which lacked flood coverage. (Id., at ¶ 28.) Upon the policy’s renewal, Chubb and Federal representative Rick Albers inspected the Bahamas Property to determine if the property was adequately insured. (Id., at ¶ 29.) In July 2018, Albers determined that the property was underinsured, and recommended increasing the coverage limit to $3,506,688. (Id., at ¶ 30.) Alberts also recommended that the Plaintiffs expand the property’s fire alarm system, install electronic gate access, install a water leak detection system, and disclose information to the local fire department. (Id., at ¶ 31.) While the Plaintiffs asked Chubb and Federal if the Bahamas Property required any other coverages and despite the property’s “proximity to the ocean, the risk of flood damage in a hurricane-prone area, and the Insureds’ prior request for flood coverage,” Chubb and Federal did not raise the issue of flood coverage. (Id., at ¶¶ 34-35.) Despite the availability of flood coverage, including through Bahamas First, Chubb and Federal did not have flood coverage added to the Plaintiffs’ policy. (Id., at ¶¶ 36-41.) The policy in place at the time the Bahamas Property was damaged by Hurricane Dorian was issued by Bahamas First under Policy No. 5538-4122, effective from October 12, 2018 through October 12, 2019 (the “Policy”). (Id., at ¶ 42.) Chubb and Federal reinsured the Policy through its affiliates or subsidiaries. (Id., at ¶ 45.) Due to Chubb and Federal’s status as reinsurer, the Plaintiffs allege that Chubb and Federal gained a personal and financial interest in the Policy that was adverse to the Plaintiffs’ interests, because an indemnity payment to the Plaintiffs would cause a loss to Chubb and Federal. (Id. at ¶ 47.) The Plaintiffs also allege that Chubb and Federal’s status as reinsurer created a fiduciary duty between these Defendants and Bahamas First, that conflicted with its pre-existing relationship with the Plaintiffs. (Id., at ¶ 48.) The Plaintiffs state that after the Bahamas Property was damaged by Hurricane Dorian, the Plaintiffs promptly notified the Defendants who opened a claim under Claim No. 040419044014. (Id., at ¶¶ 49-50.) The Defendants engaged Engineering Systems Inc. (“ESI”) to provide an engineering opinion as to the cause and origin of the damage to the Bahamas Property. ESI concluded the damage was caused by wind, storm surge, and non-event related damage, which included looting. (Id., at ¶¶ 51-53.) Following receipt of ESI’s report, Bahamas First recognized coverage for wind and rainwater damage, denied coverage for flood, storm surge, and mold, and did not address any coverages for damages caused by looting. (Id., at ¶¶ 54-56.) The Defendants’ loss estimators calculated the total cost of all repairs would be $2,500,525.32, attributing $998,852.88 to wind and rainwater and $1,501,672.44 to storm surge, which Bahamas First contended was not covered by the Policy. (Id., at ¶¶ 57-58.) The estimate did not address looting. (Id., at ¶ 59.) Bahamas First offered to pay the Plaintiffs $823,519.88 for the Plaintiffs’ losses, after applying the Policy’s 5% wind deductible. (Id., at ¶ 60.) The Plaintiffs’ state that Bahamas First later increased its offer to $827,228.63, but state that neither offer covered any losses stemming from looting. (Id., at ¶¶ 60- 62.) The Plaintiffs further state that Chubb and Federal, as reinsurers, interfered with Bahamas First’s settlement of its claim with the Plaintiffs by causing Bahamas First to calculate wind damage separately from storm surge damage, even though both forms of damage were caused by a hurricane in an unbroken sequence of events, and therefore “should be treated as hurricane damage.” (Id., at ¶¶ 66-71.) The Plaintiffs state that in the spring of 2020, Chubb and Federal took over the Plaintiffs’ claim and made settlement offers excluding storm surge, on the basis that the Plaintiffs “did not ‘request[] flood coverage, nor was flood coverage purchased.’” (Id., at ¶¶ 73-75.) Chubb reaffirmed Bahamas First’s $827,228.63 offer, arguing the Plaintiffs failed to obtain flood coverage through Chubb. (Id., at ¶ 80.) The Plaintiffs allege nine causes of action in their complaint against various of the Defendants. Count I of the complaint, for breach of a written contract, is alleged with respect to Bahamas First. Count II (breach of oral contract); Count III (breach of fiduciary duty); Count IV (tortious interference); and Count V (gross negligence) are alleged against Federal. The Plaintiffs allege the same causes of action against Chubb as they do against Federal in Counts VI through IX of the complaint. 2. Legal Standard A. Rule 12(b)(6) When considering a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6), the Court must accept all of the complaint’s allegations as true, construing them in the light most favorable to the plaintiff. Pielage v. McConnell, 516 F.3d 1282, 1284 (11th Cir. 2008). A pleading need only contain “a short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). “[T]he pleading standard Rule 8 announces does not require detailed factual allegations, but it demands more than an unadorned, the-defendant-unlawfully-harmed-me accusation.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quotation omitted). A plaintiff must articulate “enough facts to state a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007).

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Bluebook (online)
Casa Besilu LLC v. Bahamas First General Insurance Ltd., Counsel Stack Legal Research, https://law.counselstack.com/opinion/casa-besilu-llc-v-bahamas-first-general-insurance-ltd-flsd-2021.