REBECCA HUGHES v. UNIVERSAL PROPERTY & CASUALTY INSURANCE COMPANY

District Court of Appeal of Florida·Decided November 22, 2023·No. 23-0296·Published

Opinion

SIXTH DISTRICT COURT OF APPEAL STATE OF FLORIDA

Case No. 6D23-296

Lower Tribunal No. 2021-CA-002048

REBECCA HUGHES,

Appellant,

v.

UNIVERSAL PROPERTY & CASUALTY INSURANCE COMPANY,

Appellee.

Appeal from the Circuit Court for Collier County.

Elizabeth V. Krier, Judge.

November 22, 2023

PER CURIAM.

This case concerns whether a statutory pre-suit notice requirement, enacted after an insurance policy’s issuance, applies to an even later-filed action for breach of that policy.1 Bound by precedent, we find that it does not.

Appellant, Rebecca Hughes (“the Insured”), purchased a property insurance policy from Appellee, Universal Property & Casualty Insurance Company (“the

1 This case was transferred from the Second District Court of Appeal to this Court on January 1, 2023.

Insurance Company”), and sustained an alleged loss before the enactment of section 627.70152, Florida Statutes (2021). She filed her lawsuit, however, after section 627.70152’s enactment.

Section 627.70152 requires an insured who desires to sue his or her property insurance carrier to file a pre-suit notice of intent to litigate with the Department of Financial Services before suing. If the insured fails to do so, section 627.70152 mandates that a court dismiss without prejudice2 any suit brought by the insured for which pre-suit notice was required.

In this case, shortly after the statute’s effective date, the Insured sued the Insurance Company for breach of her property insurance policy without first filing a pre-suit notice under section 627.70152. The Insurance Company moved to dismiss based on the Insured’s failure to file the pre-suit notice, which the trial court granted.

On appeal, the Insured contends that the trial court erred by holding that she had to file the pre-suit notice before bringing her lawsuit. Relying on the Florida Supreme Court’s unanimous decision in Menendez v. Progressive Express

2 We have jurisdiction because the trial court’s order disposed of the Insured’s complaint and required her to file a separate lawsuit. See Deutsche Bank Nat’l Tr. Co. v. Quinion, 198 So. 3d 701, 703 (Fla. 2d DCA 2016) (citing Hinote v. Ford Motor Co., 958 So. 2d 1009, 1010 (Fla. 1st DCA 2007) (“The order of dismissal is clearly final when, for instance, the claim could only be pursued by filing a new complaint . . . .”)). We review de novo the trial court’s dismissal of the Insured’s complaint. See id.

Insurance Co., 35 So. 3d 873 (Fla. 2010), the Insured argues that section 627.70152 is a substantive statute that cannot apply to a claim brought under an insurance policy purchased before the statute’s enactment. For the reasons explained below, and even though we might decide differently if writing on a blank slate, we conclude that we are bound by Menendez and its progeny. We therefore reverse and certify conflict with Cole v. Universal Property & Casualty Insurance Co., 363 So. 3d 1089 (Fla. 4th DCA 2023).

Section 627.70152, Florida Statutes (2021)

When the Insured filed her lawsuit in August 2021, section 627.70152 contained eight interrelated subsections. 3 We begin by discussing the relevant provisions and their relation to each other.

Section 627.70152(1) states that “[t]his section applies exclusively to all suits not brought by an assignee arising under a residential or commercial property insurance policy . . . .”

Section 627.70152(3)(a) creates the pre-suit notice requirement:

As a condition precedent to filing a suit under a property insurance policy, a claimant must provide the department with written notice of intent to initiate litigation on a form provided by the department. Such notice must be given at least 10 business days before filing suit under the policy, but may not be given before the insurer has made a

3 Section 627.70152 was amended in May 2022 and again in December 2022.

Throughout this opinion, the Court discusses section 627.70152 as it read when the Insured filed the lawsuit below in August 2021.

determination of coverage under s. 627.70131. . . . The notice must state with specificity all of the following information:

1. That the notice is provided pursuant to this section.

2. The alleged acts or omissions of the insurer giving rise to the suit, which may include a denial of coverage.

3. If provided by an attorney or other representative, that a copy of the notice was provided to the claimant.

4. If the notice is provided following a denial of coverage, an estimate of damages, if known.

5. If the notice is provided following acts or omissions by the insurer other than denial of coverage, both of the following:

a. The presuit settlement demand, which must itemize the damages, attorney fees, and costs.

b. The disputed amount.

Section 627.70152(3)(b) tolls the statute of limitations, in certain circumstances, for claims subject to the pre-suit notice requirement. That subsection provides that “[s]ervice of a [pre-suit] notice tolls the time limits provided in s. 95.11 for 10 business days if such time limits will expire before the end of the 10-day notice period.”

Section 627.70152(4) imposes a duty on insurers to create procedures to investigate and evaluate claims asserted in pre-suit notices and to respond in writing to such notices:

An insurer must have a procedure for the prompt investigation, review, and evaluation of the dispute stated in the notice and must investigate each claim contained in the notice in accordance with the Florida

Insurance Code. An insurer must respond in writing within 10 business days after receiving the notice specified in subsection (3). The insurer must provide the response to the claimant by e-mail if the insured has designated an e-mail address in the notice.

Section 627.70152(4)(a) requires that “[i]f an insurer is responding to a notice served on the insurer following a denial of coverage by the insurer, the insurer must respond by: 1. Accepting coverage; 2. Continuing to deny coverage; or 3. Asserting the right to reinspect the damaged property.” § 627.70152(4)(a)1.–3., Fla. Stat. (2021). The statute then explains that “[i]f the insurer responds by asserting the right to reinspect the damaged property, it has 14 business days after the response asserting that right to reinspect the property and accept or continue to deny coverage.” § 627.70152(4)(a)3. The statute of limitations is further tolled while the insurance company reinspects the property:

The time limits provided in s. 95.11 are tolled during the reinspection period if such time limits expire before the end of the reinspection period. If the insurer continues to deny coverage, the claimant may file suit without providing additional notice to the insurer.

Id.

Section 627.70152(4)(b) requires insurers that did not completely deny coverage of an initial claim to respond to a pre-suit notice with a settlement offer or by demanding that the claimant participate in an alternative dispute resolution process:

If an insurer is responding to a notice provided to the insurer alleging an act or omission by the insurer other than a denial of coverage, the

insurer must respond by making a settlement offer or requiring the claimant to participate in appraisal or another method of alternative dispute resolution.

If the insurer demands that the insured participate in an alternative dispute resolution process, this subsection provides for further tolling of the statute of limitations on the insured’s claim during the alternative dispute resolution process:

The time limits provided in s. 95.11 are tolled as long as appraisal or other alternative dispute resolution is ongoing if such time limits expire during the appraisal process or dispute resolution process.

§ 627.70152(4)(b).

Section 627.70152(5) imposes a penalty of dismissal without prejudice for claimants who file suit without first providing the required pre-suit notice:

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REBECCA HUGHES v. UNIVERSAL PROPERTY & CASUALTY INSURANCE COMPANY, (Fla. Ct. App. 2023).

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