Citizens Property Insurance Corporation v. Munoz
158 So. 3d 671
| Fla. Dist. Ct. App. | 2014Background
- Hector and Alba Munoz discovered structural cracks in their insured home in Dec. 2009 and reported a claim to Citizens Property Insurance in Jan. 2010.
- Citizens ordered a statutorily required sinkhole evaluation from Madrid Engineering, which concluded there was no sinkhole; Citizens denied the claim.
- The Munozes obtained a contrary report from SDII concluding the damage was from a sinkhole but did not provide that report to Citizens before suing in May 2011.
- At trial the Munozes presented evidence of sinkhole damage; Citizens moved for directed verdict arguing its engineer's statutorily presumed report precluded liability absent a contrary report before suit.
- The jury found for the Munozes; the trial court had also instructed that the policy remained an "all risks" policy despite a sinkhole endorsement, shifting burden to the insurer to prove excluded causes.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether insured was required to provide a contrary engineering report to insurer before suing after insurer’s statutorily compliant sinkhole report | Munoz: No statutory or policy obligation to produce a contrary report before filing suit | Citizens: Its engineer’s report is presumptively correct under §627.7073 and Munozes should have provided contrary expert before suit; thus directed verdict warranted | Denied. Court held Munozes not required to give Citizens a contrary report prior to suit; insurer’s statutorily presumed report does not foreclose litigation or automatically entitle insurer to judgment |
| Proper allocation of burden of proof given an "all risks" policy with a sinkhole endorsement | Munoz: Endorsement does not convert the underlying all‑risks policy into named‑perils; insured must prove loss and then insurer must prove exclusions apply | Citizens: Sinkhole endorsement narrows coverage and should be treated as named‑peril for sinkhole, shifting burdens differently | Held for Munozes. Following Hudson, the endorsement narrowed an exclusion but did not change the all‑risks nature; insured must show loss during policy period, then insurer must prove excluded cause |
Key Cases Cited
- Universal Ins. Co. of N. Am. v. Warfel, 82 So. 3d 47 (Fla. 2012) (statutory presumption for insurer's engineer's report does not foreclose litigation over sinkhole damage)
- Hudson v. Prudential Prop. & Cas. Ins. Co., 450 So. 2d 565 (Fla. 2d DCA 1984) (endorsement narrowing an exclusion does not convert an all‑risks policy into a named‑perils policy; burden shifts to insurer to prove excluded cause)
- Allstate Ins. Co. v. Kaklamanos, 843 So. 2d 885 (Fla. 2003) (a specific refusal to pay a claim is the breach that gives rise to a cause of action)
- Strubble v. United Serv. Auto. Ass'n, 110 Cal. Rptr. 828 (Cal. Ct. App. 1973) (endorsement narrowing an exclusion should not change the all‑risks character of the underlying policy)
