Slater v. Hartford Insurance Co. of the Midwest

26 F. Supp. 3d 1239, 2014 WL 2700835, 2014 U.S. Dist. LEXIS 80868
CourtDistrict Court, M.D. Florida
DecidedJune 13, 2014
DocketCase No. 3:13-cv-345-J-34JBT
StatusPublished
Cited by4 cases

This text of 26 F. Supp. 3d 1239 (Slater v. Hartford Insurance Co. of the Midwest) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Slater v. Hartford Insurance Co. of the Midwest, 26 F. Supp. 3d 1239, 2014 WL 2700835, 2014 U.S. Dist. LEXIS 80868 (M.D. Fla. 2014).

Opinion

ORDER

MARCIA MORALES HOWARD, District Judge.

This case is a breach of contract action brought by property owners Timothy and Deborah Slater (“Slaters” or “Plaintiffs”) against insurer Hartford Insurance Company of the Midwest (“Hartford”) for failure to pay under the terms of a flood insurance policy. The ease is before the Court on Plaintiffs’ Motion for Partial Summary Judgment and Memorandum of Law (Doc. 28; Plaintiffs’ Motion), and De[1242]*1242fendant, Hartford Insurance Company of the Midwest’s Motion for Summary Judgment and Incorporated Memorandum. (Doc. 36; Defendant’s Motion) (collectively “Motions”). The parties have filed responses in opposition to the respective motions, (Doc. 31; Defendant’s Response and Doc. 38; Plaintiffs’ Response), and, with leave of Court, Plaintiffs have filed a reply in support of their Motion. (Doc. 35; Plaintiffs’ Reply). The Motions are ripe for consideration.

I. Background

A. The National Flood Insurance Program

This action arises out of a flood insurance policy issued pursuant to the National Flood Insurance Program. (“NFIP”). See 42 U.S.C. § 4001 et seq. The NFIP is a federally supervised and guaranteed insurance program administered by the Federal Emergency Management Agency (“FEMA”), pursuant to the National Flood Insurance Act of 1968, as amended, id. (“NFIA”), and corresponding regulations.1 See 44 C.F.R. §§ 59.1-77.2; see also Flamingo S. Beach I Condo. Ass’n, Inc. v. Selective Ins. Co. of Southeast, 492 Fed.Appx. 16, 17-18 (11th Cir.2012); Cameiro Da Cunha v. Standard Fire Ins. Co./Aetna Flood Ins. Program, 129 F.3d 581, 583 (11th Cir.1997). Pursuant to 42 U.S.C. § 4081(a) of the NFIA, FEMA created the Write-Your-Own Program (“WYO Program”), which allows private insurers to issue and administer flood insurance policies under the NFIP to assist FEMA in its statutory duty to administer the NFIP. See Newton v. Capital Assurance Co., 245 F.3d 1306, 1308 (11th Cir.2001) (citing 42 U.S.C. § 4081(a)). The WYO Program allows private insurance companies (“WYO insurers”) to issue Standard Flood Insurance Policies (“SFIP”) in their own names, while serving as fiscal agents of the United States. See 42 U.S.C. § 4071(a)(1); 44 C.F.R. § 62.23(f-g) (the “Arrangement”); see also Flamingo S. Beach, 492 Fed.Appx. at 18; Shuford v. Fid. Nat’l Prop. & Cas. Ins. Co., 508 F.3d 1337, 1339 (11th Cir.2007).2 Under the WYO Program, “the federal government underwrites the policies and private WYO carriers perform significant administrative functions including ‘arrang[ing] for the adjustment, settlement, páyment and defense of all claims arising from the policies.’ ” Campo v. Allstate Ins. Co., 562 F.3d 751, 754 (5th Cir.2009) (citation omitted). However, while these WYO policies “are written by private firms, the federal government acts as the guarantor and reinsurer,” and SFIP claims are ultimately paid by the United States Treasurey. Flamingo S. Beach, 492 Fed.Appx. at 18; see also Shuford, 508 F.3d at 1342-43; Newton, 245 F.3d at 1311; 44 C.F.R. Pt. 62, App. A, art. 111(D)(1).

Hartford is a WYO Program carrier participating in the NFIP. (Doc. 36-1; Holmes Aff. ¶¶ 4, 23). As such, the flood insurance policies issued by Hartford are SFIPs, issued pursuant to the NFIA. Holmes Aff. ¶ 4. Thus, Hartford “appears in this action in a fiduciary capacity as the fiscal agent of the United States.” Flamingo S. Beach, 492 Fed.Appx. at 18 (citing 44 C.F.R. § 62.23(f-g)); see Shuford, 508 F.3d at 1339, 1343 (citing 42 U.S.C. § 4071(a)(1)).

[1243]*1243B. The Plaintiffs’ Flood Insurance Policy3

On September 30, 2011, the Plaintiffs purchased flood insurance in the form of a SFIP from Hartford for their home in Neptune Beach, Florida. (Doc. 38-1); see also Holmes Aff. ¶ 3.4 The premium for the coverage was $365.00, and Plaintiffs purchased policy limits of $250,000 for the structure and $100,000 for the personal property, both subject to a $1,000 deductible. (Doc. 38-1); (Doc. 38-2; 08/27/12 First Proof of Loss); Holmes Aff. ¶ 3. The Slaters’ SFIP is a Dwelling Form policy, which is published in the Code of Federal Regulations at 44 C.F.R. Pt. 61, App. A(l); (see also Doc. 1-1; Policy).5 Under the Policy, an insured must take certain steps in the case of a flood loss. 44 C.F.R. Pt. 61, App. (1), art. VII.J. Of particular relevance here, the insured must file a Proof of Loss “[wjithin 60 days after the loss.” Id. art. VII.J.4. The claimant’s Proof .of Loss “must be signed and sworn by the insured and provide the insurer with nine specific pieces of information, including the specifications of damaged buildings, detailed repair estimates, and a brief explanation of how the loss happened.” Sutor v. FEMA Nos. 06-1371, 07-2477, 2009 WL •4268457, at *4 (E.D.Pa. Nov. 23, 2009) (citing 44 C.F.R. Pt. 61, App. A(l), art. VII.J.4.a.i.) The SFIP provides, in part:

4. Within 60 days after the loss, send us a proof of loss, which is your statement of the amount you are claiming under the policy signed and sworn to by you, and which furnishes us with the following information:
a. The date and time of loss;
b. A brief explanation of how the loss happened;
f. Specifications of damaged buildings and detailed repair estimates;
i. The inventory of damaged personal property....

44 C.F.R. Pt. 61, App. A(l), art. VII.J.4. The SFIP also provides that

7. The insurance adjuster whom we hire to investigate your claim may furnish you with a proof of loss form, and she or he may help you complete it. However, this is a matter of courtesy only, and you must still send us a proof of loss within 60 days after the" loss even if the adjuster does not furnish the form or help you complete it.

Id. art. VII.J.7. Additionally, the SFIP provides that

This policy cannot be changed nor can any of its provisions be waived without the express written consent of the Federal Insurance Administrator. No ac[1244]

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26 F. Supp. 3d 1239, 2014 WL 2700835, 2014 U.S. Dist. LEXIS 80868, Counsel Stack Legal Research, https://law.counselstack.com/opinion/slater-v-hartford-insurance-co-of-the-midwest-flmd-2014.