Paxton v. Great American Insurance

650 F. Supp. 2d 1208, 2009 U.S. Dist. LEXIS 85392, 2009 WL 2868843
CourtDistrict Court, S.D. Florida
DecidedApril 20, 2009
DocketCase 08-81431-CIV-ZLOCH
StatusPublished

This text of 650 F. Supp. 2d 1208 (Paxton v. Great American Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Paxton v. Great American Insurance, 650 F. Supp. 2d 1208, 2009 U.S. Dist. LEXIS 85392, 2009 WL 2868843 (S.D. Fla. 2009).

Opinion

ORDER

WILLIAM J. ZLOCH, District Judge.

THIS MATTER is before the Court upon Defendant’s Motion For More Definite Statement Or In The Alternative Motion To Dismiss Or Abate In Favor Of Appraisal (DE 2). The Court has carefully reviewed said Motion and the entire court file and is otherwise fully advised in the premises.

Plaintiffs had an insurance policy with the Defendant. During Hurricane Wilma in 2005, their house sustained severe damage. The Defendant agreed to pay for some of the damage. But the Parties could not agree on the value of the damage and whether certain expenses the Plaintiffs incurred in repairing the damage are covered by the policy. In effort to establish liability and receive the full value of the policy Plaintiff filed suit.

In the instant Motion (DE 2) Defendant raises several issues. First, it argues that the Complaint is too vague for it to formulate an Answer, which it is not. Second, Defendant argues that Plaintiffs *1210 must submit their claim concerning the value of the damages for an appraisal, and it moves the Court to stay these proceedings pending the resolution of the appraisal process. In response, Plaintiffs take the position that Defendant has waived its right to enforce the appraisal process against them by failing to abide by Florida Statute § 627.7015(2). Florida law requires Insurance companies to provide claimants with certain information concerning the claims process. Plaintiffs have attached their Affidavits asserting that Defendant failed to provide them with the information prescribed by Florida Law. See DE 4 & 5. These Affidavits are unrefuted by Defendant. Therefore, it stands as established that Defendant failed to abide by Florida Law on this issue, and it has waived its ability to invoke the appraisal process. Fla. St. § 627.7015(2). Additionally, Defendant has failed to attach a verified copy of the policy between it and Plaintiffs that spells out the conditions precedent to either party filing suit, despite indicating that one would be filed. See DE 2. Thus, Defendant’s instant Motion is denied in all regards.

Accordingly, after due consideration, it is

ORDERED AND ADJUDGED that Defendant’s Motion For More Definite Statement Or In The Alternative Motion To Dismiss Or Abate In Favor Of Appraisal (DE 2) be and the same is hereby DENIED.

OMNIBUS ORDER

THIS MATTER is before the Court upon Defendant’s Motion For Reconsideration (DE 14), Plaintiffs’ Motion For Summary Judgment (DE 22), Plaintiffs’ Motion For Attorney’s Fees and Costs (DE 21), and Plaintiffs’ Motion To Strike (DE 26). The Court has carefully reviewed said Motions and the entire court file and is otherwise fully advised in the premises.

This case was originally filed in Florida state court and was later removed to this Court. Plaintiffs had an insurance policy with the Defendant, and during Hurricane Wilma in 2005, their home sustained severe damage. The Defendant agreed to pay for some of the damage, but the Parties could not agree on the value of the damage and whether certain expenses the Plaintiffs incurred in repairing their homes were covered by the policy they had with Defendant. In an effort to establish liability and receive the full value of the damages that their property incurred Plaintiffs filed suit.

Defendant previously moved to dismiss the suit or in the alternative to have the case stayed while a formal appraisal took place. See DE 2. In response, Plaintiffs argued that Defendant had waived its right to enforce the appraisal process against them by failing to abide by Florida Statutes § 627.7015(2). That law requires insurance companies to provide claimants with certain information concerning the claims process. If this information is not turned over, the “insured shall not be required to submit to or participate in any contractual loss appraisal process of the property loss damage as a precondition to legal action for breach of contract against the insurer.” Fla. Stat. § 627.7015(7). In support of their waiver argument, Plaintiffs attached Affidavits to the Response asserting that Defendant failed to provide them with the information prescribed by Florida Law. See DE Nos. 4 & 5.

In its Reply, Defendant did not respond to Plaintiffs’ argument that it had waived its right to seek an appraisal. Based on Plaintiffs’ argument, the statute, and the un-refuted Affidavits, the Court found that “Defendant failed to abide by Florida Law on this issue, and it has waived its ability to invoke the appraisal process. Fla. Stat. § 627.7015(2).” DE 11, p. 2. The Court *1211 also commented on Defendant’s briefing of the issues in this case, in particular its failure to provide the Court with a verified copy of the policy at issue. Id.

Defendant now moves the Court to reconsider its prior Order on the basis that Plaintiffs’ policy is a commercial policy and therefore it is excluded from the provisions of Fla. Stat. § 627.7015(2). This argument was not previously raised by Defendant. The decision whether to grant or deny a motion to reconsider lies within the discretion of the Court. Lamar Adver. of Mobile, Inc. v. City of Lakeland, Florida, 189 F.R.D. 480, 489 (M.D.Fla.1999). A court is justified in reconsidering a prior order when (1) there is an intervening change of law; (2) new evidence is available; or (3) there is a need to correct clear error or manifest injustice. Id. However, at a minimum, “[a] motion to reconsider must demonstrate why the court should reconsider its decision and ‘set forth facts or law of a strongly convincing nature to induce the court to reverse its prior decision.’ ” Id. (quoting Cover v. Wal-Mart Stores, Inc., 148 F.R.D. 294 (M.D.Fla.1993)); see also Socialist Workers Party v. Leahy, 957 F.Supp. 1262, 1263 (S.D.Fla.1997). Defendant argues that in clear error the Court misapplied the waiver provision of Fla. Stat. § 627.7015(7) and that manifest injustice would result by letting it stand. The Court disagrees.

Defendant may be correct that commercial policies are excluded from the waiver provision of Fla. Stat. § 627.7015(1), but that issue was not raised in response to Plaintiffs’ Response. And it was Defendant’s, not anyone else’s, fault that this was never raised. Moreover, its assertion is now being made under the assumption that the policy at issue is a commercial policy: there is nothing in the record that establishes this is a commercial policy. In support of its stance that the policy at issue is a commercial policy, Defendant has submitted an Affidavit from Mark Miller, a Claims Specialist for Defendant. In it, he summarily states that the policy is a commercial farm policy. DE 12, p. 4.

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Related

Socialist Workers Party v. Leahy
957 F. Supp. 1262 (S.D. Florida, 1997)
Cover v. Wal-Mart Stores, Inc.
148 F.R.D. 294 (M.D. Florida, 1993)

Cite This Page — Counsel Stack

Bluebook (online)
650 F. Supp. 2d 1208, 2009 U.S. Dist. LEXIS 85392, 2009 WL 2868843, Counsel Stack Legal Research, https://law.counselstack.com/opinion/paxton-v-great-american-insurance-flsd-2009.