114 So. 3d 257
Fla. Dist. Ct. App.2013Background
- Cheethams filed an all-risk homeowners policy claim with Southern Oak after water damage to their home; insurer denied citing Water Damage exclusion A.3. b.
- Policy provides Section I Perils Insured Against, with an exception to the deterioration rule for accidental discharge from within a plumbing system on the residence premises.
- Water Damage exclusion A.3 defines water-related losses excluded, including backups through sewers or drains and water below ground; the exclusion differentiates from the plumbing-system discharge exception.
- Evidence showed a pipe under the residence premises deteriorated, causing debris to block it, leading to waste water backflow into the residence.
- Trial court granted a directed verdict for Southern Oak, applying the exclusion; Cheethams appealed, seeking reversal and remand.
- The court ultimately held the policy was not ambiguous and that A.3.b did not apply, reversing and remanding for further proceedings.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Is the all-risk policy ambiguous regarding coverage for deterioration-caused discharge within a plumbing system and the exclusion for water damage? | Cheethams argue the exception to deterioration covers accidental discharge from within the plumbing system, making A.3.b inapplicable. | Southern Oak argues the policy language is unambiguous and A.3. Water Damage excludes the claimed loss. | Policy not ambiguous; A.3.b not applicable. |
| Does the exclusion apply when a pipe within the residence plumbing deteriorates and causes in-system backflow into the residence? | Cheethams contend the backflow results from deteriorated pipe inside the plumbing system, which is covered under the exception. | Southern Oak maintains the water damage exclusion covers such in-situ backflow as originating outside the plumbing system. | Loss is covered under the policy, not barred by A.3. |
| Should the directed verdict for the insurer be sustained given the policy interpretation? | Cheethams rely on the coverage afforded by the exception for deteriorated plumbing within the residence premises. | Southern Oak asserts the exclusion language controls and the claim falls outside coverage. | Dismissal reversed and remanded for further proceedings. |
Key Cases Cited
- Fayad v. Clarendon Nat’l Ins. Co., 899 So.2d 1082 (Fla. 2005) (issue of whether loss comes within an exclusionary clause is a question of law)
- Diaz v. Impex of Doral, Inc., 7 So.3d 591 (Fla. 3d DCA 2009) (de novo review of directed verdict on coverage questions)
- State Farm Mut. Auto. Ins. Co. v. Parrish, 873 So.2d 547 (Fla. 5th DCA 2004) (interpretation of insurance contracts is a question of law)
- Liberty Mut. Ins. Co. v. Weiss, 790 So.2d 475 (Fla. 3d DCA 2001) (ambiguous exclusionary clauses construed against insurer)
- Old Dominion Ins. Co. v. Elysee, Inc., 601 So.2d 1245 (Fla. 1st DCA 1992) (sewer/drain meaning and location in relation to insured premises)
