LoBello v. State Farm Florida Insurance Co.
152 So. 3d 595
| Fla. Dist. Ct. App. | 2014Background
- Anthony and Patricia LoBello noticed cracking in their 2002 home beginning in late 2004; they initially treated cracks as ordinary settlement and repaired them.
- After consulting a public adjuster, they submitted a sinkhole claim to State Farm on February 20, 2008; EUOs were taken in July 2008 and State Farm denied coverage in November 2008 for late notice and asserted prejudice.
- The LoBellos sued in May 2009 alleging breach of contract and failure to perform required sinkhole testing; State Farm asserted untimely notice as an affirmative defense.
- The circuit court twice found genuine issues of material fact as to when the LoBellos should have known a claim would arise and granted partial summary judgment to the LoBellos on State Farm’s investigative duties.
- Later, relying on Kroener and Hochberg, the circuit court granted State Farm a final summary judgment dismissing the LoBellos’ claim; the LoBellos appealed.
- The appellate court reversed, holding that a factual issue on timeliness remained and that the court must apply the two-step Macias prejudice analysis if notice is found untimely.
Issues
| Issue | LoBello's Argument | State Farm's Argument | Held |
|---|---|---|---|
| Timeliness of notice under "immediate notice" policy clause | Notice was not required in 2004 because the LoBellos reasonably believed cracking was ordinary settlement; timeliness is fact-dependent | Cracking first appeared in 2004 so notice was untimely (multi-year delay) and as a matter of law barred the claim under Kroener/Hochberg | Material fact exists whether notice was timely; jury must decide timeliness; summary judgment on timeliness improper |
| Effect of untimely notice — need to prove prejudice | If notice untimely State Farm must still show prejudice; insured may rebut presumed prejudice | Kroener purportedly bars late claims without addressing prejudice | Court requires two-step Macias analysis: if notice untimely prejudice is presumed but insured can rebut; circuit court erred by skipping prejudice analysis |
| Reliance on Kroener/Hochberg as controlling law | Those cases are distinguishable and cannot override controlling Supreme Court and district precedent requiring fact-specific timeliness inquiry | Kroener/Hochberg provide rule supporting summary judgment for delay | Court rejects State Farm’s broad reading of Kroener/Hochberg; those cases do not create a bright-line bar and cannot override controlling precedent |
| Final judgment after interlocutory rulings | Earlier interlocutory orders left timeliness a genuine factual dispute and granted partial relief to LoBellos; final judgment inconsistent | Final judgment based on later-cited authorities resolves case as matter of law | Appellate court held trial court improperly entered final summary judgment without resolving factual disputes; reversal and remand required |
Key Cases Cited
- State Farm Mut. Auto. Ins. Co. v. Ranson, 121 So.2d 175 (Fla. 2d DCA 1960) (purpose of notice/proof provisions and insurer's right to timely investigation)
- Am. Fire & Cas. Co. v. Collura, 163 So.2d 784 (Fla. 2d DCA 1964) ("immediate notice" read as "as soon as practicable"; reasonableness depends on circumstances)
- Ideal Mut. Ins. Co. v. Waldrep, 400 So.2d 782 (Fla. 3d DCA 1981) (timeliness of notice is fact-specific; notice required when occurrence should lead reasonable person to believe a claim would arise)
- Bankers Ins. Co. v. Macias, 475 So.2d 1216 (Fla. 1985) (untimely notice gives rise to presumption of prejudice, which insured may rebut)
- Kroener v. Fla. Ins. Guar. Ass’n, 63 So.3d 914 (Fla. 4th DCA 2011) (district court decision referenced by parties; later limited by subsequent authority)
- Hochberg v. Thomas Carter Painting, Inc., 63 So.3d 861 (Fla. 3d DCA 2011) (construction-defect decision cited by State Farm for inference of notice on manifestation)
- 1500 Coral Towers Condo. Ass’n v. Citizens Prop. Ins. Corp., 112 So.3d 541 (Fla. 3d DCA 2013) (applies two-step timeliness–prejudice framework)
