Florida Insurance Guaranty Association, Inc. v. Maya

162 So. 3d 1118, 2015 Fla. App. LEXIS 5812, 2015 WL 1809563
CourtDistrict Court of Appeal of Florida
DecidedApril 22, 2015
Docket2D13-5750
StatusPublished

This text of 162 So. 3d 1118 (Florida Insurance Guaranty Association, Inc. v. Maya) 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
Florida Insurance Guaranty Association, Inc. v. Maya, 162 So. 3d 1118, 2015 Fla. App. LEXIS 5812, 2015 WL 1809563 (Fla. Ct. App. 2015).

Opinion

WALLACE, Judge.

Florida Insurance Guaranty Association, Inc. (FIGA), appeals a nonfinal order compelling appraisal concerning the repair of cosmetic damages caused by a sinkhole to a residence owned by Fernando Maya and Millie Maya. Although we conclude that the Mayas’ activities in litigating their claim did not amount to a waiver of appraisal, we reverse the order and remand for farther proceedings based on this court’s recent decision in Florida Insurance Guaranty Ass’n v. de la Fuente, 158 So.3d 675 (Fla. 2d DCA 2015).

I. THE FACTUAL AND PROCEDURAL BACKGROUND

In 2008, the Mayas reported suspected sinkhole activity at their home in Tampa to their insurer, HomeWise Preferred Insurance Company. HomeWise initially denied the claim based on two reports from SDII Global Corporation (SDII), an engineering firm randomly selected by Home-Wise from a list of approved contractors. SDII initially reported that there was no evidence of sinkhole activity at the Mayas’ residence. In a second report, SDII said that there was indeed sinkhole activity but that this was not the cause of the damage to the Mayas’ home. SDII determined that the damage was caused by normal settlement and the aging of materials used in construction. Ultimately, the Mayas filed an action for breach of the insurance contract against HomeWise. Shortly thereafter, on November 4, 2011, Home-Wise went into receivership.

Before HomeWise failed, the Mayas had hired two firms that confirmed that sinkhole activity was the cause of the damage. One of these firms recommended underpinning to correct the structural damage to the home. A third firm documented above-ground damage resulting from the sinkhole activity that would also have to be repaired. (Repairs to above-ground damage caused by sinkhole activity are commonly referred to in the industry as “cosmetic repairs” and are handled separately from the sinkhole remediation and foundation repairs.) Also before HomeWise’s demise, in March, 2011, the Mayas had obtained a repair estimate from Champion Foundation Repair Systems for the remediation and stabilization of the home’s foundation. Champion’s estimate was for $145,300 to $169,300. The Mayas also obtained an estimate for the cosmetic repairs from a contractor named Triad, which estimated the cost of the cosmetic repairs at about $80,000.

After FIGA was appointed as receiver for HomeWise, the Mayas forwarded the Champion contract to FIGA and demanded payment. FIGA wrote to the Mayas’ counsel and explained that before it could do anything, the Mayas must “submit for consideration the cost of the stabilization repairs once you enter into a contract to complete the repairs according to the specifications in the engineering report from SDII global that is being provided to you. A reasonable advance payment will be provided to your contractor before the work is performed.” The letter also informed counsel that the Mayas could submit another claim for additional damages discovered after the stabilization repairs were completed. Finally, the letter informed counsel that any contractor doing the work would be required to coordinate with SDII, which would monitor the process and provide certification that the work was completed according to the specifications contained in SDH’s report.

*1120 Once again, the Mayas demanded payment. Next, they filed an amended complaint naming FIGA as a defendant. FIGA filed an answer and affirmative defenses. After some discovery occurred, the Mayas relented and told FIGA that they would proceed with the remediation and foundation repairs in accordance with the procedure that FIGA had outlined.

However, on February 8, 2013, before the remediation and foundation repairs were complete, the Mayas’ attorney made a demand by letter on FIGA for a check payable to the Mayas for the estimated cost of cosmetic repairs. The Mayas threatened FIGA with further legal action if it did not tender a check directly to them, within ten days of the letter, for the cost of “cosmetic damages.” The letter informed FIGA that the Mayas intended to act as their own contractor. FIGA responded, noting that because the remediation and stabilization repairs had not yet been completed, addressing the issue of the cosmetic repairs was premature. In a second letter, FIGA provided the Mayas with a post-stabilization cosmetic repair estimate prepared by Neumann Construction. Once again, FIGA told the Mayas that it would pay whatever contractor the Mayas hired to perform the cosmetic repairs.

On May 18, 2013, the Mayas responded by demanding appraisal under the terms of the insurance policy. The Mayas filed their motion to compel appraisal three months later on August 5, 2013. Relying on the 2011 amendment to the definition of “covered claim” contained in section 631.54(3), Florida Statutes, FIGA argued that appraisal was inappropriate because, among other things, the effect of the amendment was to prohibit any direct payment to the Mayas for their sinkhole loss. In considering the Mayas’ motion to compel appraisal, the trial court ruled that even if FIGA was correct about its inability to write an advance check to the insureds, this circumstance would not prevent appraisal in accordance with the terms of the contract. FIGA also argued that the Mayas had waived their right to demand an appraisal by their litigation activities. Without addressing FIGA’s waiver argument directly, the trial court entered an order compelling appraisal. In its written order, the trial court did not make any findings of fact or law. This appeal followed. 1

II. THE STANDARD OF REVIEW

With regard to an order compelling appraisal, we review the trial court’s factual findings under a competent, substantial evidence standard. Our review of the trial court’s application of the law to the facts is de novo. Where, as in this case, the trial court made no findings of fact or law with regard to the question of waiver, we apply the relevant law to the facts in the record. See Fla. Ins. Guar. Ass’n v. Castilla, 18 So.3d 703, 704 (Fla. 4th DCA 2009); see also Fla. Ins. Guar. Ass’n v. Branco, 148 So.3d 488, 493 (Fla. 5th DCA 2014) (“Here, while the trial court made no findings of fact on the issue of waiver, the facts are not in dispute. Therefore, we review the waiver issue de novo.”). Our review of the question of the applicability of the 2011 amendment to section 631.54(3) to the Mayas’ rights under their policy is a question of statutory construction that we review de novo. See W. Fla. Reg’l Med. Ctr., Inc. v. See, 79 So.3d 1, 8 (Fla.2012).

III. DISCUSSION

A. The Issue of Waiver

FIGA argues that the Mayas waived any entitlement to appraisal based upon their litigation activities. We disagree.

*1121 “A waiver of the right to seek appraisal occurs when the party seeking appraisal actively participates in a lawsuit or engages in conduct inconsistent with the right to appraisal.” Fla. Ins. Guar. Ass’n v. Rodriguez, 153 So.3d 801, 303 (Fla. 5th DCA 2014) (citing Branco, 148 So.3d at 493). “[T]he primary focus is whether [the insureds] acted inconsistently with their appraisal rights.” Id. (quoting

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Related

Florida Insurance Guaranty Ass'n v. Castilla
18 So. 3d 703 (District Court of Appeal of Florida, 2009)
Florida Insurance Guaranty Association v. de la Fuente
158 So. 3d 675 (District Court of Appeal of Florida, 2015)
Florida Insurance Guaranty Ass'n Ex Rel. Homewise Preferred Insurance Co. v. Waters
157 So. 3d 437 (District Court of Appeal of Florida, 2015)
Florida Insurance Guaranty Ass'n v. Bernard
140 So. 3d 1023 (District Court of Appeal of Florida, 2014)
Florida Insurance Guaranty Ass'n v. Branco
148 So. 3d 488 (District Court of Appeal of Florida, 2014)
Crabtree v. BASF Building Systems, LLC
153 So. 3d 793 (Supreme Court of Alabama, 2013)
West Florida Regional Medical Center, Inc. v. See
79 So. 3d 1 (Supreme Court of Florida, 2012)

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Bluebook (online)
162 So. 3d 1118, 2015 Fla. App. LEXIS 5812, 2015 WL 1809563, Counsel Stack Legal Research, https://law.counselstack.com/opinion/florida-insurance-guaranty-association-inc-v-maya-fladistctapp-2015.