Florida Appeals Court Rules in Favor of HCI, Emphasizing Homeowners’ Post-Loss Responsibilities

A recent ruling by the 1st District Court of Appeals in Florida has brought some relief to insurers facing complaints from policyholders. The court overturned a significant jury award of $541,257 against Homeowners Choice Property and Casualty Insurance Co. This decision emphasizes the responsibilities that homeowners have after a loss.

The case involved homeowners Thomas and Rebecca Clark, who filed a claim following damage to their vacation home caused by Hurricane Sally in 2020. The court found that the Clarks failed to provide proper notice for part of their claim and did not adequately protect their property from further damage after the storm. Additionally, they could not prove the loss of rental value and did not demonstrate how the insurer failed to pay the actual cash value of their claim.

Judge Thomas Winokur noted that the Clarks did not present enough evidence to support their claims against the insurer. The court highlighted that the insureds breached their post-loss duties, which were deemed material to the case. This ruling underscores the idea that insurance policies are contracts, and policyholders must fulfill their obligations to receive full compensation.

The Clarks initially reported damage to their home, which included a torn-off roof, missing siding, and water damage. Homeowners Choice responded quickly, reminding them to make reasonable repairs and to document any damaged personal items. An adjuster estimated the loss at $76,634, leading to a payment of $59,656 after depreciation and deductibles. However, the Clarks later hired a public adjuster who claimed a much higher loss, but this estimate came ten months after the storm.

The appeals court found that the Clarks took too long to address the damage and failed to provide necessary documentation for their claims. They did not show that any delays in notifying the insurer caused harm. The court also pointed out that the claims for personal items lacked receipts and included questionable items, such as a washing machine that was still functional.

The ruling is significant for the Florida property insurance industry, which is currently facing scrutiny from lawmakers and the public. It could help reduce litigation and claims costs in the future. However, some worry that this decision might make it harder for homeowners already dealing with the stress of hurricane damage to meet their obligations.

Overall, the court’s decision serves as a reminder for policyholders to understand their responsibilities and ensure they comply with their insurance policies after a loss. It also highlights the importance of timely and accurate communication with insurance companies.