MARC SAVOY and ROSE HELLER SAVOY v. AMERICAN PLATINUM PROPERTY AND CASUALTY INSURANCE

CourtDistrict Court of Appeal of Florida
DecidedJune 21, 2023
Docket22-0411
StatusPublished

This text of MARC SAVOY and ROSE HELLER SAVOY v. AMERICAN PLATINUM PROPERTY AND CASUALTY INSURANCE (MARC SAVOY and ROSE HELLER SAVOY v. AMERICAN PLATINUM PROPERTY AND CASUALTY INSURANCE) 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
MARC SAVOY and ROSE HELLER SAVOY v. AMERICAN PLATINUM PROPERTY AND CASUALTY INSURANCE, (Fla. Ct. App. 2023).

Opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

MARC SAVOY and ROSE HELLER SAVOY, Appellants,

v.

AMERICAN PLATINUM PROPERTY & CASUALTY INSURANCE, Appellee.

No. 4D22-411

[June 21, 2023]

Appeal from the Circuit Court for the Fifteenth Judicial Circuit, Palm Beach County; John S. Kastrenakes, Judge; L.T. Case No. 50-2019-CA- 013557-XXXX-MB.

Charles H. Bechert, III, of Bechert & Associates, P.A., Pompano Beach, for appellants.

Elizabeth K. Russo of Russo Appellate Firm, P.A., Miami, for appellee.

CONNER, J.

The appellant homeowners appeal a final summary judgment in favor of the appellee, their homeowners’ insurance company. The homeowners argue the trial court erred in: (1) finding the insurer was not required to show prejudice where the homeowners breached a condition precedent to suit; (2) considering the affidavit of the insurer’s corporate representative as summary judgment evidence; and (3) granting summary judgment when a factual dispute existed as to whether the homeowners were aware the insurer had requested a sworn proof of loss. Based on the language in the policy and the caselaw, the insurer properly concedes error as to the first issue raised. Finding merit in the homeowners’ argument for reversal as to the second issue (the corporate representative’s insufficient affidavit), we reverse and remand for further proceedings. By reversing on the first two issues, we do not reach the third issue.

Background

In 2017, the insurer issued a homeowners’ insurance policy to the homeowners. The same year, the homeowners sustained property damage during Hurricane Irma and sought recovery under the policy. The homeowners retained a public adjuster to assist with their claim.

In September 2017, the public adjuster reported the homeowners’ claim to the insurer and emailed its representation letter to the insurer, advising it had a new office address in Fort Myers, Florida, and a new post office box address in LaBelle, Florida. The insurer sent a letter to the homeowners at the property address two days later, acknowledging receipt of the claim and advising the homeowners of their duties after loss, including making repair and keeping accurate records.

The insurer completed an inspection of the property in October 2017.

In December 2017, the insurer sent a document request letter to the public adjuster at its old address. The letter requested the public adjuster’s compliance with policy conditions, including a “signed, sworn Proof of Loss.” Less than two weeks later, the insurer’s field adjuster emailed the public adjuster, memorializing an earlier phone conversation and requesting that the public adjuster either “submit an estimate of repairs” or withdraw the claim.

A short time later, the field adjuster emailed the public adjuster again and repeated his request. The public adjuster replied the next day and advised that he would be writing an estimate in early January 2018.

The insurer sent a formal letter to the homeowners at the property address on December 20, 2017. The letter advised that the insurer had still not received a sworn proof of loss or any repair receipts and requested documentation in compliance with the policy’s post-loss conditions. Having still not received any documentation, the insurer sent another letter to the homeowners at the property address on December 28, 2017. Additionally, the December 28 letter was emailed to the homeowners and the public adjuster. The letter further advised that, based on the field adjuster’s estimate, the homeowners’ damages were well below the policy deductible. Thus, the insurer concluded that although the policy covered the homeowners’ claimed damages, they were not entitled to recovery.

The homeowners sued the insurer for breach of contract for failing to make payment under the policy. The insurer raised the homeowners’ failure to provide a sworn proof of loss in compliance with their duties under the policy as an affirmative defense. The insurer also alleged it was prejudiced in its ability to fully investigate the alleged loss due to the lack of a sworn proof of loss. The homeowners did not reply or otherwise object to the insurer’s affirmative defense.

2 The insurer moved for summary judgment based on the homeowners’ failure to provide a sworn proof of loss. Specifically, the insurer argued the homeowners’ failure to satisfy their post-loss contractual obligation to submit a sworn proof of loss prior to instituting the lawsuit presumptively prejudiced the insurer as a matter of law. Notably, the insurer did not argue actual prejudice. Instead, the insurer also argued that, based on the pre-suit policy requirements, “[i]f the insured did not provide a proof of loss, that is the end of the analysis and the insured may not recover.” 1

In support of its motion, the insurer filed an affidavit from one of its corporate representatives. In his affidavit, the corporate representative made conclusory statements as to the elements of the business records exception to the hearsay rule:

I am the person with knowledge of this matter and records maintained by [the insurer]. The records of acts or events contained in [the insurer’s] claim file regarding this matter and business records of [the insurer] are made at or near the time of the occurrence by, or from information transmitted by a person with knowledge and kept regularly as a normal business activity. It is the regular practice of [the insurer] to make such memorandum, report, record, or data compilation. Based upon the business records of [the insurer], I state the following statements of facts.

Additionally, he stated his knowledge was “based upon my review of [the insurer’s] file” and that he was “serving as Corporate Representative in these actions for [the insurer].” He did not provide any further basis for his knowledge or indicate his employment. The affidavit made numerous factual statements about the sequence of events surrounding the claim. Attached to the affidavit were many of the relevant communications between the insurer, the public adjuster, and the homeowners, including the December 2017 emails between the insurer’s field adjuster and the public adjuster.

The homeowners’ written opposition to the summary judgment motion argued the policy specifically required the insurer to show prejudice, and their alleged noncompliance with any policy provisions was a question of fact. The homeowners also argued the trial court should disregard the corporate representative’s affidavit because it was not properly verified or

1 To the extent the trial court agreed with this argument in granting summary judgment, the insurer concedes error on appeal.

3 sworn and did not lay sufficient facts to satisfy the requirements of the business records exception.

In support of their opposition, the homeowners attached the deposition transcripts of the field adjuster and the corporate representative. The homeowners also filed a demonstrative aid responding to each of the insurer’s asserted undisputed facts. As to the public adjuster’s December 2017 emails with the field adjuster, the homeowners cited the field adjuster’s testimony that he had no recollection of the exchange. The homeowners also argued the public adjuster’s response about sending an estimate in January had “no material bearing on the issues in this case.” Further, the homeowners moved to strike the corporate representative’s affidavit and attachments.

The trial court heard the motions to strike and for summary judgment at the same time. At the hearing, the insurer pointed to its communications with the public adjuster and the homeowners as proof it sufficiently requested the proof of loss.

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Cite This Page — Counsel Stack

Bluebook (online)
MARC SAVOY and ROSE HELLER SAVOY v. AMERICAN PLATINUM PROPERTY AND CASUALTY INSURANCE, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marc-savoy-and-rose-heller-savoy-v-american-platinum-property-and-casualty-fladistctapp-2023.