CITIZENS PROPERTY INSURANCE CORPORATION
v.
OLGA TIO
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The appellate court affirmed a jury verdict in favor of an insured homeowner against her property insurer. The court held that the insurer's argument that a statute limited damages despite its breach of contract was unavailing.
No, section 627.7011(3) governs an insurer's post-loss obligations in adjusting and settling claims and does not limit a policyholder's remedies for an insurer's breach of an insurance contract.
[1] An insurer's obligation under a replacement cost policy to pay actual cash value and then replacement cost value as repairs are incurred does not limit a policyholder's r…
[2] A trial court may allow a jury to consider replacement cost value damages in a breach of insurance contract action when the insurer has wrongfully denied coverage.
Previewing 2 of 4 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“Section 627.7011(3), however, governs an insurer’s post-loss obligations in adjusting and settling claims covered by a replacement cost policy, and does not operate as a limitation on a policyholder’s remedies for an insurer’s breach of an insurance contract.”
This quote establishes the court's central holding regarding the inapplicability of the statute to limit damages in a breach of contract case.
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Join FLexlaw to unlock all legal intelligenceOlga Tio's property sustained water damage and her insurer, Citizens Property Insurance Corporation, initially denied coverage. After Tio sued for bre…
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SCALES, J.
Citizens Property Insurance Corporation (“Citizens”), the defendant below, appeals a final judgment entered after a jury verdict in favor of its insured, the plaintiff, Olga Tio. Finding no error by the trial court, we affirm.
Background
In 2015, a residential property owned by Tio and insured by Citizens under a replacement cost policy suffered water damage, caused by a collapsed drain line. After Citizens received timely notice of the claim and conducted its investigation, Citizens denied coverage for the loss. Citizens initially maintained that the damage to Tio’s property was not caused by the collapsed drain line, but rather, was caused by constant water leakage over time, a cause not covered by Tio’s policy of insurance. Tio then sued Citizens for breach of the insurance contract.
During the discovery phase of the litigation, Citizens changed course and advised Tio that it was stipulating that the loss was covered. Two months later, Tio filed a motion for partial summary judgment, seeking to establish that her property sustained a covered loss. Citizens responded to Tio’s motion by advising the trial court that it had conceded coverage. Citizens also filed a cross-motion for summary judgment asserting that it was entitled to final judgment because the actual cash value of Tio’s loss was less than the $2500 deductible in Tio’s insurance policy.
The trial court denied Tio’s partial summary judgment motion as moot and also denied Citizens’s summary judgment motion, allowing the case to proceed to trial on damages only. On the same day, the trial court granted Citizens’s motion in limine to limit the evidence of damages to actual cash value. Citizens asserted that Tio was not entitled to any consideration of replacement cost value damages because Tio had not undertaken any repairs to the subject property. Tio sought rehearing and reconsideration of this latter order granting Citizen’s motion in limine. The trial court granted Tio’s rehearing motion, thereby allowing the jury to hear the parties’ competing valuations of Tio’s loss.
Citizens presented evidence that it characterized as the actual cash value of Tio’s loss (valuing the loss at $2,304.85), while Tio presented what she characterized as the replacement cost value damages (valuing the loss at $92,381). Notably, Citizens did not object to the jury instructions that described to the jury how it could value the damages sustained by Tio for her loss.
Ultimately, the jury rendered a verdict in favor of Tio, concluding that she had suffered covered losses of $70,000. After calculating pre-judgment interest, the trial court entered a final judgment for Tio and against Citizens for a total amount of $78,979.70. Citizens timely appealed the final judgment and the trial court’s denial of Citizen’s motion for a new trial and, in the alternative, motion for remittitur. Analysis
Citizens issued Tio a replacement cost property insurance policy. Pursuant to section 627.7011(3) of the Florida Statutes1 – a statute governing adjustment of losses under a replacement cost policy – when an insurer issues a replacement cost policy, the insurer is required initially to pay to its insured at least the actual cash value of the covered loss, less the deductible. After it meets this statutory obligation, the insurer is required to pay its insured for repairs as the insured incurs repair costs, also known as the replacement cost value.
On appeal and without citation to authority, Citizens makes the rather creative, though unavailing, argument that, when an insurer wrongfully denies coverage of a claim – causing its insured to file suit against the insurer for breaching the insurance contract – section 627.7011(3) limits the breach of contract damages a jury may award, as if the insurer had not breached the insurance contract. Citizens suggests that, after breaching the policy, it may enforce the terms of the policy at its convenience.
(3) In the event of a loss for which a dwelling or personal property is insured on the basis of replacement costs: (a) For a dwelling, the insurer must initially pay at least the actual cash value of the insured loss, less any applicable deductible. The insurer shall pay any remaining amounts necessary to perform such repairs as work is performed and expenses are incurred.
§627.7011(3), Fla. Stat. (2015).
Section 627.7011(3), however, governs an insurer’s post-loss obligations in adjusting and settling claims covered by a replacement cost policy, and does not operate as a limitation on a policyholder’s remedies for an insurer’s breach of an insurance contract. Citizens contracted with Tio to provide coverage for a direct loss to property covered by the policy. After Citizens breached that contractual obligation, the trial court properly instructed the jury on how to value the insured’s relevant damages, and the jury rendered a verdict for Tio that was supported by competent substantial evidence. See Indep. Fire Ins. Co. v. Lugassy, 593 So. 2d 570, 571 (Fla. 3d DCA 1992) (concluding that substantial competent evidence supported a jury verdict in a breach of insurance contract trial).2
The trial court neither erred when it entered the final judgment for Tio nor when it denied Citizens’ post-trial motions for a new trial and remittitur. Affirmed.
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Join FLexlaw to unlock all legal intelligenceAuthorities Cited
- Indep. Fire Ins. Co. v. Jacques Lugassy and Debra Lugassy, 593 So. 2d 570 (Fla. 3d DCA 1992)