Florida Insurance Guaranty Association, Inc. v. Frank

158 So. 3d 745, 2015 Fla. App. LEXIS 2352, 2015 WL 719056

• Court: District Court of Appeal of Florida
• Decided: February 20, 2015
• Docket: 2D13-5453
• Status: Published

Opinion

NORTHCUTT, Judge.

Florida Insurance Guaranty Association, Inc., appeals a nonfinal order compelling an appraisal of a sinkhole claim by Donna Frank. As explained in this court’s recent opinion in Florida Insurance Guaranty Ass’n v. de la Fuente, 158 So.3d 675, 2015 WL 72273, (Fla. 2d DCA Jan. 7, 2015), appraisal is not available under the amended statute applicable to this case.

Few facts are necessary to resolve the limited issue before us. Frank was insured by Homewise Preferred Insurance Company, and she filed suit against Home-wise after it denied her claim for sinkhole damage. When Homewise was declared insolvent on November 4, 2011, FIGA assumed responsibility for handling the claim. FIGA later admitted that Frank had a sinkhole loss, but the parties disagreed about the method necessary to repair the damage. Ultimately, the circuit court granted Frank’s motion to compel an appraisal, a process provided for in the Homewise insurance policy.

FIGA argues that appraisal is not appropriate under section 631.54(3)(c), Florida Statutes (2011). Part of the FIGA Act, §§ 631.50-70, Fla. Stat. (2011), this statute excludes from the definition of covered claim “[a]ny amount payable for a sinkhole loss other than testing deemed appropriate by the association or payable for the actual repair of the loss.” § 631.54(3)(c). It also prevents FIGA from paying the policyholder directly. Id. In de la Fuente, we addressed a similar case in which FIGA was handling a claim following Homewise’s insolvency, and this court held that the 2011 statute was applicable. 158 So.3d at 679 (relying on Fla. Ins. Guar. Ass’n v. Bernard, 140 So.3d 1023 (Fla. 1st DCA), review denied, No. SC14-1416, 2014 WL 6883 868 (Fla. Dec. 5, 2014), to hold that the applicable version of the FIGA Act was the one in effect on the date the insurance company was declared insolvent). Further, de la Fuente held that “requiring FIGA to participate in the appraisal process is at odds with FIGA’s statutory mandate to pay only for the actual cost of repair for a covered sinkhole loss.” Id. at 680-81.

Accordingly, we reverse the nonfinal order compelling appraisal and remand for further proceedings. As this court did in de la Fuente, we certify the following questions of great public importance:

I. DOES THE DEFINITION OF “COVERED CLAIM” IN SECTION 631.54(3), FLORIDA STATUTES, EFFECTIVE MAY 17, 2011, APPLY TO A SINKHOLE LOSS UNDER A HOMEOWNERS’ POLICY THAT WAS ISSUED BY AN INSURER BEFORE THE EFFECTIVE DATE OF THE NEW DEFINITION WHEN THE INSURER WAS ADJUDICATED TO BE INSOLVENT AFTER THE EFFECTIVE DATE OF THE NEW DEFINITION?

II. DOES THE STATUTORY PROVISION LIMITING FIGA’S MONETARY OBLIGATION TO THE AMOUNT OF ACTUAL REPAIRS FOR A SINKHOLE LOSS PRECLUDE AN INSURED FROM OBTAINING AN APPRAISAL AWARD DETERMINING THE “AMOUNT OF LOSS” IN ACCORDANCE WITH THE TERMS OF THE HOMEOWNERS’ POLICY OF INSURANCE?

Id.

Reversed and remanded.

SILBERMAN and VILLANTI, JJ„ Concur.