Cruz v. Cooperativa de Seguros Multiples de Puerto Rico, Inc.

76 So. 3d 394, 2011 Fla. App. LEXIS 20827, 2011 WL 6934528
CourtDistrict Court of Appeal of Florida
DecidedDecember 30, 2011
DocketNo. 2D11-1826
StatusPublished
Cited by9 cases

This text of 76 So. 3d 394 (Cruz v. Cooperativa de Seguros Multiples de Puerto Rico, Inc.) 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
Cruz v. Cooperativa de Seguros Multiples de Puerto Rico, Inc., 76 So. 3d 394, 2011 Fla. App. LEXIS 20827, 2011 WL 6934528 (Fla. Ct. App. 2011).

Opinion

LaROSE, Judge.

Francisco Cruz and Niurka Chirino (collectively, “the Homeowners”) petition for certiorari review of a nonfinal order denying their motion to lift a stay of proceedings in their lawsuit against their insurer, Cooperativa de Seguros Multiples de Puer-to Rico, Inc. Because petitioners have shown no irreparable harm, we dismiss the petition. See Jaye v. Royal Saxon, Inc., 720 So.2d 214, 215 (Fla.1998); Parkway Bank v. Fort Myers Armature Works, Inc., 658 So.2d 646, 649 (Fla. 2d DCA 1995). Alternatively, the Homeowners petition for a writ of mandamus declaring that the mandatory stay provision of section 627.7074(11), Florida Statutes (2010), is unconstitutional. We deny the alternative petition; the stay provision is sufficiently intertwined with substantive provisions of the statute so that there is no unconstitutional usurpation of the Florida Supreme Court’s rulemaking authority. See art. V, § 2(a), Fla. Const.

Factual Background

After receiving the Homeowners’ sinkhole claim, Cooperativa recommended repair work at an estimated cost of about $60,000. The Homeowners responded [396]*396with a lawsuit for breach of contract. Coo-perativa invoked the “neutral evaluation” procedures set forth in section 627.7074, which provided, in pertinent part, as follows:

627.7074. Alternative procedure for resolution of disputed sinkhole insurance claims.—
(4) Neutral evaluation is nonbinding, but mandatory if requested by either party. A request for neutral evaluation may be filed with the department [of Financial Services] by the policyholder or the insurer on a form approved by the department.
(5) Neutral evaluation shall be conducted as an informal process in which formal rules of evidence and procedure need not be observed.... All parties shall participate in the evaluation in good faith.
(6) The insurer shall pay the costs associated with the neutral evaluation.
(7) Upon receipt of a request for neutral evaluation, the department shall provide the parties a list of certified neutral evaluators. The parties shall mutually select a neutral evaluator from the list and promptly inform the department. If the parties cannot agree to a neutral evaluator within 10 business days, the department shall appoint a neutral evaluator from the department list.... The neutral evaluation conference shall be held within 45 days after the receipt of the request by the department.
(11) Any court proceeding related to the subject matter of the neutral evaluation shall be stayed pending completion of the neutral evaluation.
(18) The recommendation of the neutral evaluator is not binding on any party, and the parties retain access to court. The neutral evaluator’s written recommendation is admissible in any subsequent action or proceeding relating to the claim or to the cause of action giving rise to the claim.
(14) If the neutral evaluator first verifies the existence of a sinkhole and, second, recommends the need for and estimates costs of stabilizing the land and any covered structures or buildings and other appropriate remediation or structural repairs, which costs exceed the amount that the insurer has offered to pay the policyholder, the insurer is liable to the policyholder for up to $2,500 in attorney’s fees for the attorney’s participation in the neutral evaluation process ....
(15) If the insurer timely agrees in writing to comply and timely complies with the recommendation of the neutral evaluator, but the policyholder declines to resolve the matter in accordance with the recommendation of the neutral evaluator pursuant to this section:
(b) The insurer is not liable for attorney’s fees under s. 627.428 or other provisions of the insurance code unless the policyholder obtains a judgment that is more favorable than the recommendation of the neutral evaluator.

Section I of the insurance policy’s sinkhole loss coverage endorsement contained comparable language:

(E) Neutral Evaluation
Following receipt by us of a report from a professional engineer or professional geologist on the cause of loss and recommendations for stabilizing the land and building and foundation repairs, or if we deny your claim, either party may file a request with the Florida Department of Financial Services (the Department) for [397]*397neutral evaluation in accordance with the rules established by the Department. In this event, you and we shall mutually select a neutral evaluator from a list maintained by the Department. If you and we fail to agree to a neutral evaluator -within 10 business days, the Department shall appoint a neutral evaluator. The neutral evaluation conference shall be held within 45 days after receipt of the request by the Department. The recommendation of the neutral evaluator will not be binding on you or us.
We will pay the costs associated with the neutral evaluation.
G. Suit Against Us
No action can be brought against us unless there has been full compliance with all of the terms under Section I of this policy and the action is started within 5 years after the date of loss; except that the time for filing suit is extended for a period of 60 days following the conclusion of the neutral evaluation process or 5 years, whichever is later.

The statute and the policy contemplate no litigation during the neutral evaluation process.

Cooperativa moved to stay the lawsuit pending completion of the neutral evaluation. See § 627.7074(11). The Department provided a list of certified evaluators. See § 627.7074(7). Cooperativa chose five and asked the Homeowners whether they would agree to one of them and agree to a stay. The Homeowners balked. At the hearing on the motion to stay, the Homeowners argued that a stay was inappropriate because neutral evaluation likely would not be completed within forty-five days. See § 627.7074(7). The trial court granted the stay and directed the parties to govern themselves according to section 627.7074. Undeterred, the Homeowners moved for reconsideration, asserting that the mandatory stay provision, section 627.7074(11), was facially unconstitutional as a violation of the separation of powers doctrine— more particularly, an infringement of the Florida Supreme Court’s exclusive rule-making authority. The trial court denied the motion.

Cooperativa asked the Department to select a neutral evaluator because the Homeowners accepted none of Cooperati-va’s five choices. The Department assigned a succession of evaluators. See § 627.7074(7). The Homeowners rejected the first three. Cooperativa rejected the fourth. The Homeowners rejected a fifth. They advised Cooperativa that they would seek further judicial intervention before proceeding with neutral evaluation.

The Homeowners then moved to lift the stay, arguing that because the neutral evaluation did not occur within forty-five days from the Department’s receipt of the request, the statute no longer permitted the stay. The trial court denied the motion. The Homeowners filed the certiorari petition now before us.

Irreparable Harm

Free access — add to your briefcase to read the full text and ask questions with AI

Related

HUTCHINS v. SCT TRADING, LLC, 8831 W. HILLSBOROUGH AVE, INC.
District Court of Appeal of Florida, 2024
Agency for Health Care Administration v. South Broward Hospital District
206 So. 3d 826 (District Court of Appeal of Florida, 2016)
Flaig Ex Rel. Palmcrest Homes of Tampa Bay, LLC v. Sullivan
141 So. 3d 1274 (District Court of Appeal of Florida, 2014)
Rodriguez v. Smith
141 So. 3d 217 (District Court of Appeal of Florida, 2014)
Citizens Property Insurance Corp. v. Trapeo
136 So. 3d 670 (District Court of Appeal of Florida, 2014)
GEICO Indemnity Co. v. DeGrandchamp
99 So. 3d 625 (District Court of Appeal of Florida, 2012)
State Farm Florida Insurance Co. v. Buitrago
100 So. 3d 85 (District Court of Appeal of Florida, 2012)

Cite This Page — Counsel Stack

Bluebook (online)
76 So. 3d 394, 2011 Fla. App. LEXIS 20827, 2011 WL 6934528, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cruz-v-cooperativa-de-seguros-multiples-de-puerto-rico-inc-fladistctapp-2011.