CASTLE KEY INSURANCE COMPANY
v.
MARK FISCHER

Fla. 1st DCA | 2021-03-16
No. 20-1621
Florida District Court of Appeal, First District (2021)

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Synopsis

The appellate court reversed a lower court's decision, holding that an insurer's partial payment of a claim does not waive its right to demand appraisal. The case clarifies when an insurer can compel appraisal after a dispute arises over the extent of covered damages.


Holding

No, the trial court erred. When an insurer does not "wholly deny" coverage but accepts partial payment, appraisal is appropriate and should not be denied.


Headnotes

[1] An insurer that partially accepts coverage by tendering payment while denying coverage for other portions of a claim has not wholly denied coverage and may compel apprais…

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Key Quotes

“Castle Key argues that appraisal is appropriate because it accepted partial coverage on the insured’s claim. We agree and reverse.”

States the core issue and the appellate court's conclusion.

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Facts & Procedural History

Mark Fischer's property was damaged by Hurricane Michael. His insurer, Castle Key, accepted some damage but denied coverage for fences, trees, and lan…

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Opinion of the Court
M.K. Thomas

OSTERHAUS, J.

Castle Key Insurance Company appeals a nonfinal order denying its motion to abate litigation and compel appraisal. Castle Key argues that appraisal is appropriate because it accepted partial coverage on the insured’s claim. We agree and reverse.

Mark Fischer filed a claim with his insurer, Castle Key, after his Panama City property sustained damage from Hurricane Michael. Castle Key tendered a check admitting coverage for some damage while declining to cover damage to fences, trees, and landscape attached to the property. Fischer tendered a proof of loss much higher than Castle Key’s estimate, and Castle Key demanded appraisal pursuant to the homeowner’s insurance

policy. Fischer then sued Castle Key, and Castle Key moved to abate the litigation and compel appraisal. The trial court denied the motion.

We review a nonfinal order denying a motion to compel appraisal de novo. State Farm Fla. Ins. Co. v. Sheppard, 268 So. 3d 1006, 1007 (Fla. 1st DCA 2019) (citing MKL Enters. LLC v. Am. Traditions Ins. Co., 265 So. 3d 730, 731 (Fla. 1st DCA 2019)).

Here, Castle Key paid a portion of the claim by tendering a check to Fischer but denied coverage for other damage to the property. Like our decisions in Sheppard and MKL Enterprises, the insurer did not “wholly deny” coverage, and thus appraisal is appropriate and should not have been denied. See Sheppard, 268 So. 3d at 1007 (reversing trial court’s denial of motion to compel appraisal where insurer paid for water damage but declined to cover costs of repairing leaky pipes that caused the water damage); MKL Enters., 265 So. 3d at 731 (finding insurer did not “wholly deny” coverage because it tendered a check, admitting coverage for some damage while declining to cover all repair costs).

We also reject Fischer’s waiver and ripeness arguments. Castle Key did all it needed to do before demanding appraisal and did not act inconsistently with its appraisal right. It promptly investigated Fischer’s claim, partially accepted coverage, and tendered a check. Later, it sent a mediation notice at the first indication of a dispute between the parties after receiving a letter of representation from Fischer’s counsel. See State Farm Fla. Ins. Co. v. Lime Bay Condo., Inc., 187 So. 3d 932, 936 (Fla. 4th DCA 2016) (recognizing that the mediation notice requirement in § 627.7015(2), Florida Statutes, ripens only after the insurer is put on notice that there is a dispute involving a material issue of fact); People’s Tr. Ins. Co. v. Lavadie, 306 So. 3d 285, 290 (Fla. 3d DCA 2020) (same). Castle Key then demanded appraisal within one week after the filing of Fischer’s proof of loss showing the parties to be far apart on the issue of the amount of the loss.

Accordingly, we REVERSE the trial court’s order denying Castle Key’s motion to abate litigation and discovery and compel appraisal and REMAND with instructions to enter an order granting Castle Key’s motion.

B.L. THOMAS and M.K. THOMAS, JJ., concur. _____________________________


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