MARIANA GRACIA
v.
SECURITY FIRST INSURANCE COMPANY
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In the post-loss context, an insurer seeking to void an insurance policy under a concealment or fraud provision must establish that the insured's false statements were made with intent to mislead and were material; these factual questions preclude summary judgment and must be resolved by a jury.
[1] A trial court may not weigh the credibility of evidence or determine factual issues when ruling on a motion for summary judgment.
[2] Forfeiture of insurance coverage under a post-loss concealment or fraud provision requires proof of the insured's intent to mislead.
Previewing 2 of 6 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“But a different standard is applied to false statements in the post-loss context, requiring proof of intent to mislead, as the Third and Fourth District Courts recently held.”
Establishes the distinction between pre-loss and post-loss misrepresentation standards under Florida law.
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Join FLexlaw to unlock all legal intelligenceGracia purchased a home in Orlando in 2016 and obtained homeowner's insurance from Security First. A 2015 pre-purchase inspection report documented ro…
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IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT NOT FINAL UNTIL TIME EXPIRES TO FILE MOTION FOR REHEARING AND DISPOSITION THEREOF IF FILED
MARIANA GRACIA,
Appellant,
v. Case No. 5D21-1456 LT Case No. 2018-CA-000942-O SECURITY FIRST INSURANCE COMPANY, Appellee.
________________________________/
Opinion filed September 9, 2022 Appeal from the Circuit Court for Orange County, Kevin B. Weiss, Judge. Melissa A. Giasi, of Giasi Law, P.A., Tampa, for Appellant. Angela C. Flowers, of Kubicki Draper, P.A., Ocala, for Appellee. PER CURIAM.
Mariana Gracia appeals the trial court’s grant of final summary judgment in favor of Security First Insurance Company (“Security First”). The trial court found Gracia had made affirmative misrepresentations regarding the pre-loss condition of her property, warranting forfeiture of coverage under the concealment or fraud provision of her homeowner’s insurance policy. We reverse.
In 2016, Security First issued an insurance policy to Gracia for her home located in Orlando, Florida. The policy was effective from May 2016 to May 2017. Gracia reported a loss due to roof damage allegedly caused by a storm that occurred in April 2017. Security First investigated the claim and extended approximately $11,000 in coverage for damages. However, Gracia then submitted a sworn proof of loss, claiming more damages than what Security First had covered. After Security First denied the full amount, Gracia filed suit alleging breach of contract and seeking additional damages to cover roof repairs and interior water damage.
During her deposition, Gracia revealed that a home inspection had been performed in 2015, prior to her purchasing the property. When asked the results of the inspection, she stated, “Everything was good” and that the “roof was in good condition.” After Security First obtained the 2015 inspection report, it amended its affirmative defenses to include the concealment or fraud provision of the policy, as the inspection report indicated that the property had roof and interior ceiling damage in 2015. The inspection report contained photographs revealing the damage and specifically noted roof leaks around the chimney, water damage in the attic, and interior ceiling damage caused by water—areas consistent with those noted by Gracia in her instant claim.
Security First moved for summary judgment on several grounds but focused exclusively on its concealment or fraud defense at the summary judgment hearing. It argued that forfeiture of coverage was warranted because Gracia had made false material statements during her deposition concerning the pre-loss condition of her home. Gracia countered that to the best of her knowledge, the damages sought in her instant claim arose from the 2017 storm and were different than the damages reflected in the 2015 inspection report. She also argued that the existence of the inspection report did not automatically establish that she had made intentional misrepresentations.
The trial court agreed with Security First. In applying the new summary judgment standard, the court found that it was permitted to “weigh the credibility of the evidence presented,” and in doing so, found that Gracia’s explanation was not credible in light of the 2015 inspection report and its photographs of the property. As such, it found that Security First was entitled to summary judgment as a matter of law. This appeal followed. The issue on appeal is whether, to justify forfeiture of coverage under the policy’s concealment or fraud provision, Security First was required to establish that Gracia’s statements regarding the pre-loss condition of her property were made with the intent to mislead. Our standard of review is de novo. Chandler v. Geico Indem. Co., 78 So. 3d 1293, 1296 (Fla. 2011) (noting de novo standard of review when trial court’s summary judgment ruling turns on interpretation of insurance contract). Because this case was decided under the new Florida Rule of Civil Procedure 1.510, summary judgment is appropriate when “the evidence is such that a reasonable jury could not return a verdict for the nonmoving party.” In re Amends. to Fla. R. Civ. P. 1.510, 317 So. 3d 72, 75 (Fla. 2021) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986)). The trial court interpreted this new standard as allowing it to weigh and judge the credibility of the evidence. While no longer an absolute prohibition— depending on the nature of the evidence—the general rule remains intact: credibility determinations and weighing the evidence “are jury functions, not those of a judge,” when ruling on a motion for summary judgment. Anderson, 477 U.S. at 255; see also A.L. ex rel. D.L. v. Walt Disney Parks & Resorts US, Inc., 900 F. 3d 1270, 1289 (11th Cir. 2018) (noting that under federal summary judgment rule, “[t]he court does not weigh conflicting evidence or determine the credibility of witnesses” (citations omitted)). This case is not an exception to that general principle.1 The insurance provision at issue provides:
3. Concealment or Fraud
a. The entire policy will be void if, whether before or after a loss, any “insured” has: (1) Intentionally concealed or misrepresented any material fact or circumstance; (2) Engaged in fraudulent conduct; or (3) Made false material statements; relating to this insurance.
Gracia argues that where Security First relied upon subsection (3) of the concealment or fraud provision, it was required to meet its initial burden of establishing that her statements were made with an intent to mislead and were material. She contends there was no such showing and that the trial court effectively decided these fact questions when it granted summary judgment. We agree.
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Join FLexlaw to unlock all legal intelligenceAuthorities Cited (16 total)
- Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (U.S. 1986)
- Scott v. Harris, 550 U.S. 372 (U.S. 2007)
- United States Fire Ins. Co. v. Mrs. T. D. Dickerson, 82 Fla. 442 (Fla. 1921)
- Johnson v. Life Ins. Co. of Ga., 52 So. 2d 813 (Fla. 1951)
- Blue Cross AND Blue Shield OF Alabama v. Weitz, 913 F.2d 1544 (11th Cir. 1990)
- In re Amendments to Fla. Rule of Civil Procedure 1.510, 317 So. 3d 72 (Fla. 2021)
- Rethell Byrd Chandler v. GEICO Indem. Co., 78 So. 3d 1293 (Fla. 2011)
- Fleming v. Peoples First Fin. Sav. & Loan Ass'n, 667 So. 2d 273 (Fla. 1st DCA 1995)
- Universal Prop. & Cas. Ins. Co. v. Jamon A. Johnson and Chaka Johnson, 114 So. 3d 1031 (Fla. 1st DCA 2013)
- A.L. v. Walt Disney Parks & Resorts US, Inc., 900 F.3d 1270 (11th Cir. 2018)