Curtis v. Tower Hill Prime Insurance Co.

154 So. 3d 1193, 2015 Fla. App. LEXIS 398, 2015 WL 159254
CourtDistrict Court of Appeal of Florida
DecidedJanuary 14, 2015
Docket2D13-689
StatusPublished
Cited by4 cases

This text of 154 So. 3d 1193 (Curtis v. Tower Hill Prime Insurance 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
Curtis v. Tower Hill Prime Insurance Co., 154 So. 3d 1193, 2015 Fla. App. LEXIS 398, 2015 WL 159254 (Fla. Ct. App. 2015).

Opinion

NORTHCUTT, Judge.

Robert and Darlene Curtis sued Tower Hill Prime Insurance Co. in a dispute over a sinkhole insurance claim. They appeal a final summary judgment in favor of Tower Hill. We reverse and remand for further proceedings.

The Curtises owned a home that was insured under a policy issued by Tower Hill. 1 During the policy term, the Curtis- *1195 es made a claim for damage under the policy’s sinkhole coverage. Tower Hill retained an engineering company to investigate, and the engineering company concluded that the cause was sinkhole activity, which was covered by virtue of a Sinkhole Loss Coverage endorsement. 2 The insurance company obtained estimates to stabilize the land and building at a cost of $93,000 to $95,000. In contrast, estimates secured by the Curtises ranged from $193,090 to $342,210. These costs were in addition to that of making cosmetic repairs to the home, which was estimated by Tower Hill at $24,218 and by the Curtises at $36,818.

After receiving the repair estimates obtained by the Curtises, Tower Hill initiated a neutral evaluation, a statutory procedure applicable to sinkhole claims and referenced in the policy’s sinkhole endorsement. The property owners then filed suit in circuit court. Their complaint alleged, in part, that the insurance company “denied the claim as a sinkhole loss and/or refused to honor the claim or pay benefits to the Plaintiffs or loss payees/third-party beneficiaries as provided for in the insurance policy.” In response to the complaint, Tower Hill filed three separate motions for summary judgment. The circuit court granted two of the motions and denied the third. Final judgment was thereafter entered in favor of Tower Hill.

We review summary judgments de novo, see Trinidad v. Fla. Peninsula Ins. Co., 121 So.3d 433, 437 (Fla.2013), applying the well-established standard that “[sjummary judgment is proper if there is no genuine issue of material fact and if the moving party is entitled to a judgment as a matter of law,” Volusia Cnty. v. Aberdeen at Ormond Beach, L.P., 760 So.2d 126, 130 (Fla. 2000). For the following reasons, we conclude that Tower Hill’s summary judgment motions were not well taken.

The two motions granted by the circuit court were captioned “No Payment Owed” and “Violation of Section 627.7074(10), Florida Statutes, and ‘Suit Against Us’ Provision,” respectively. In the former motion, Tower Hill maintained that the claim was not ripe because no payment was due under the policy and, therefore, it had not breached the contract of insurance. This motion was based on the “Loss Payment” provision in the Florida endorsement, which provided as follows:

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. Loss will be payable:
a. Twenty (20) days after we receive your proof of loss and reach written agreement with you; or
b. Sixty (60) days after we receive your pro.of of loss; and:
(1) There is an entry of a final judgment; or
(2) There is a filing of an appraisal award or mediation settlement with us.
c. Within 90 days of receiving notice of a property insurance claim. We will pay or deny such claims, or portions thereof, unless there are factors beyond our control that would reasonably prevent payments.

Tower Hill relies on Geico General Insurance Co. v. Grad, 849 So.2d 1196, 1199 (Fla. 4th DCA 2003), for the proposition that “[a]n insurer’s refusal to meet an insured’s demand for payment under a policy is not a breach if no payment is then *1196 due.” Thus, it contends, the Curtises cannot maintain a breach-of-contract suit until the time for payment under the loss-payment provision has come and gone without payment. But Tower Hill reads the complaint too narrowly and Grad too broadly.

Grad was a venue case, and it analyzed the plaintiffs cause of action to determine where it accrued for venue purposes. Id. at 1197. The Fourth District held that the claim was not for breach of contract; rather, it noted that the insured alleged an action “for a determination of her entitlement to, and amount of, damages.” Id. at 1197. “Although Graci’s action against Geico is, indeed, an action on the contract of insurance, it is not an action for a breach of that contract; rather, it is an action filed pursuant to the contract.” Id. at 1199. Thus, the cause of action accrued in the county where the accident occurred.

Here, the Curtises filed an action on the insurance contract to determine their entitlement to and amount of damages. The loss-payment provision of the policy did not render the suit premature; indeed, that provision expressly contemplated that there might be a final judgment — presumably stemming from a lawsuit — before payment was due. But certainly, even when an insurance suit is filed prematurely, final summary judgment would not be the appropriate remedy where, as here, the insurance company has admitted coverage. See Shuck v. Bank of Am., N.A., 862 So.2d 20, 24-25 (Fla. 2d DCA 2003) (discussing circumstances when premature suits should be either abated or dismissed without prejudice). The circuit court erred in granting this motion for summary judgment. See Panjikaran v. State Farm Fla. Ins. Co., 77 So.3d 1278, 1280 (Fla. 2d DCA 2012) (reversing summary judgment when it was “unclear whether the parties dispute the amount of loss or a denial of coverage”).

Tower Hill’s other successful summary judgment motion contended that, by filing suit just after the insurer initiated a neutral evaluation, the Curtises violated the stay imposed by the neutral evaluation statute and breached the “Suit Against Us” provision in the insurance contract. 3 Tower Hill asserted that neutral evaluation was a condition precedent under the policy because it was referenced in the Sinkhole Loss Coverage endorsement. It further argued that the Curtises’ filing of suit violated the neutral evaluation stay and thereby violated the Suit Against Us provision in the Florida endorsement, which stated that “[n]o action can be brought unless the policy provisions have been complied with and the action is started within five (5) years after the date of loss.”

The legislature has established a statutory neutral evaluation process applicable to sinkhole insurance claims. The statute includes a stay provision that provides as follows: “Regardless of when noticed, any court proceeding related to the subject matter of the neutral evaluation shall be stayed pending completion of the neutral evaluation and for 5 days after the filing of the neutral evaluator’s report with the court.” § 627.7074(10), Fla. Stat. (2011). 4 Notably, the statute does not by its terms preclude the filing of a lawsuit. *1197

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Bluebook (online)
154 So. 3d 1193, 2015 Fla. App. LEXIS 398, 2015 WL 159254, Counsel Stack Legal Research, https://law.counselstack.com/opinion/curtis-v-tower-hill-prime-insurance-co-fladistctapp-2015.