Healthy Food Experts, LLC v. Amguard Insurance Company

CourtDistrict Court of Appeal of Florida
DecidedJune 10, 2026
Docket4D2025-0181
StatusPublished

This text of Healthy Food Experts, LLC v. Amguard Insurance Company (Healthy Food Experts, LLC v. Amguard Insurance Company) 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
Healthy Food Experts, LLC v. Amguard Insurance Company, (Fla. Ct. App. 2026).

Opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

HEALTHY FOOD EXPERTS, LLC, Appellant,

v.

AMGUARD INSURANCE COMPANY, Appellee.

No. 4D2025-0181

[June 10, 2026]

Appeal from the Circuit Court for the Nineteenth Judicial Circuit, Martin County; Elizabeth Ann Metzger, Judge; L.T. Case No. 432023CA001559CAAXMX.

Matthew Struble of StrubleCohen, Indialantic, for appellant.

Julius F. Parker, III of Butler Weihmuller Katz Craig LLP, Tallahassee, for appellee.

GERBER, J.

After the insurer paid a breach of contract jury verdict for the insured, the insured brought a bad faith action against the insurer for having failed to settle the claim pre-suit. The insurer filed a motion to dismiss the insured’s bad faith action, and the circuit court granted that motion with prejudice. The circuit court, relying on Fridman v. Safeco Insurance Co. of Illinois, 185 So. 3d 1214 (Fla. 2016), reasoned that the insured’s “damages [were] fixed by the judgment in the [breach of contract] [s]uit, which [the insurer] has paid,” and that the insured could “recover no additional damages beyond those awarded in the [breach of contract] [s]uit.”

On appeal, the insured argues the circuit court “erred by ruling that a jury verdict rendered in an underlying claim for contractual damages precludes a subsequent bad faith claim for extra contractual damages. … Contrary to the [circuit] court’s ruling, the finding in Fridman, that a damage determination in the underlying suit is binding, actually establishes … a condition precedent to prosecute a first-party bad faith action.” (internal quotation marks and citation omitted). Applying de novo review, we agree with the insured’s argument. See Carrasco v. Jimenez, 419 So. 3d 640, 642–43 (Fla. 4th DCA 2025) (“When reviewing an order granting a motion to dismiss, we apply a de novo standard of review.”). Thus, we reverse the circuit court’s final order dismissing the insured’s bad faith action.

We present this opinion in five sections: 1. The insured’s policy and claim; 2. The insured’s breach of contract suit and civil remedy notice; 3. The insured’s bad faith suit; 4. The parties’ arguments on appeal; and 5. Our review.

1. The Insured’s Policy and Claim

Our description of the insured’s policy and claim is derived from the insured’s operative bad faith complaint, which the circuit court was required to accept as true for purposes of considering the insurer’s motion to dismiss. See Carrasco, 419 So. 3d at 643 (“A motion to dismiss for failure to state a cause of action should be granted only if the movant can establish beyond any doubt that the claimant could prove no set of facts whatever in support of [the] claim. This analysis requires the court [to] accept the facts alleged therein as true and to draw all [reasonable] inferences ... in favor of the pleader.”) (alteration in original; internal citations and quotation marks omitted).

The insurer issued a commercial insurance policy covering the insured’s restaurant. The policy included coverage for business personal property (up to $30,000), business income (up to $1,000,000), and food spoilage (up to $10,000). The policy also covered direct physical loss or damage caused by “collapse,” including collapses caused by “[d]ecay that is hidden from view” and “[u]se of defective material or methods in construction” which contributed to the collapse.

While the policy was in effect in 2017, the restaurant’s dining area ceiling collapsed. The fire department deemed the property to be unsafe. Later that day, the insured reported the claim to the insurer.

The insurer hired an engineer to inspect the property. The engineer’s report pertinently concluded: (1) “[t]he ceiling damage occurred when the wood substructure supporting the outer layer of drywall ceiling finishes became detached from the supporting plaster ceiling”; (2) “[t]he detachment of the wood substructure from the supporting plaster ceiling can be attributed to improperly fastening the wood substructure to the

2 wood roof rafters”; and (3) “the observed ceiling damage was a sudden and accidental occurrence” and “there did not appear to be any physical evidence that would have indicated that the displacement of the ceiling finishes was imminent.”

The engineer’s findings and observations were included in a report which the insurer’s field adjuster submitted to the insurer. The field adjuster’s report ultimately concluded “the cause of this loss was due to improper installation of the drywall ceiling.” The field adjuster estimated the insured’s recoverable losses at $60,000, which included $16,000 in business personal property, $30,000 in gross sales, $10,000 in food spoilage, and $4,000 in fine arts. The field adjuster’s report also noted the insured had reported $45,687.90 in food spoilage and $190,070 in lost business income. The field adjuster asked the insurer to “advise if you will be extending coverage to this loss.”

Two months later, the insurer sent the insured a letter denying coverage for the insured’s losses for business personal property and business income. The insurer stated it would provide coverage for only the insured’s food spoilage losses. The insurer’s letter did not include the engineer’s or the field adjuster’s reports or otherwise notify the insured of the engineer’s and the field adjuster’s conclusions.

2. The Insured’s Breach of Contract Suit and Civil Remedy Notice

In 2018, the insured sued the insurer for breach of contract. That action went to trial in 2022. The jury found defective construction and hidden decay had caused the collapse. The jury also found the “value of the damages sustained by [the insured] as a result of the subject loss” was $31,330. The verdict form did not request the jury to attribute that value to any specific loss type. Following the circuit court’s entry of final judgment for the insured based on the jury’s verdict, the insurer appealed.

While the insurer’s appeal was pending, the insured filed a civil remedy notice (“CRN”) with the Florida Department of Financial Services. The insured’s CRN alleged the following statutory violations: (1) a section 624.155(1)(b)1. violation for “[n]ot attempting in good faith to settle claims when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for her or his interests”; (2) a section 626.9541(1)(i)3.a. violation for “[f]ailing to adopt and implement standards for the proper investigation of claims”; (3) a section 626.9541(1)(i)3.b. violation for “[m]isrepresenting pertinent facts or insurance policy provisions relating to coverages at issue”; (4) a section 626.9541(1)(i)3.d. violation for “[d]enying claims without conducting

3 reasonable investigations based upon available information”; (5) a section 626.9541(1)(i)3.f. violation for “[f]ailing to promptly provide a reasonable explanation in writing to the insured of the basis in the insurance policy, in relation to the facts or applicable law, for denial of a claim or for the offer of a compromise settlement”; and (6) a section 626.9541(1)(i)3.g. violation for “[f]ailing to promptly notify the insured of any additional information necessary for the processing of a claim.”

The insured’s CRN alleged the following facts supported the violations:

[The insurer] denied the claim by representing that its [a]djuster and [e]ngineer [had] determined the claim was not covered.

When [the field adjuster’s and the engineer’s] reports were eventually obtained, after the claim was denied and after years of litigation, it was revealed that [the insurer’s] denial omitted pertinent portions of the reports.

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Bluebook (online)
Healthy Food Experts, LLC v. Amguard Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/healthy-food-experts-llc-v-amguard-insurance-company-fladistctapp-2026.