348 So.3d 641
Fla. Dist. Ct. App.2022Background
- Mendota insured Shabria Brown, whose windshield was replaced by At Home Auto Glass, LLC (Home Auto Glass); Brown assigned her insurance claim to Home Auto Glass.
- Home Auto Glass submitted a claim for $2,175.46; Mendota paid $899.91 and requested appraisal if parties could not agree on amount owed.
- Home Auto Glass sued Mendota after disagreement; Mendota moved to compel appraisal under the policy appraisal clause, seeking appraisal only on the monetary amount owed (not the physical extent of damage).
- The trial court denied the motion, concluding the policy’s definition of “loss” equated to physical damage and appraisal was improper where physical damage was not disputed.
- On appeal, the court dismissed Mendota’s challenge to the denial of the motion to dismiss as nonappealable but exercised jurisdiction to review denial of the motion to compel appraisal and reversed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Appealability of denial of motion to dismiss | Trial-court order denying dismissal is appealable (implicit) | That part of the order is not appealable | Dismissed appeal of motion to dismiss as not appealable |
| Whether appraisal applies when only monetary amount of payment is disputed | “Loss” means physical damage only; no appraisal when extent of physical damage is undisputed | "Amount of the loss" includes monetary cost to repair/replace; appraisal covers disagreement on amount owed | Appraisal may be compelled; "amount of the loss" includes cost to repair/replace and extent of covered damage |
| Whether policy language is ambiguous about “loss” | If ambiguous, interpret against drafter; ambiguity favors insured so no appraisal | Language reasonably includes repair/replacement costs; reading otherwise renders clause meaningless | No ambiguity that prevents appraisal; construing clause to exclude repair cost would make appraisal clause meaningless |
| Public policy, cost-doctrine, and constitutional challenges to appraisal clause | Appraisal provision creates economic deterrent, violates public policy, fees statute, jury right, access to courts, due process | Appraisal clauses are valid; fees can be awarded post-appraisal; appraisal is a long-recognized mechanism | Rejected public-policy and constitutional challenges; appraisal clause valid and enforceable |
Key Cases Cited
- State Farm Fire & Cas. Co. v. Licea, 685 So. 2d 1285 (Fla. 1996) (appraisal includes determinations of cost of repair or replacement)
- Johnson v. Nationwide Mut. Ins. Co., 828 So. 2d 1021 (Fla. 2002) (when coverage admitted but amount disputed, appraisers determine amount to be paid)
- Citizens Prop. Ins. Corp. v. River Manor Condo. Ass’n, 125 So. 3d 846 (Fla. 4th DCA 2013) (appraisers determine amount of loss; court decides coverage issues)
- U.S. Fid. & Guar. Co. v. Romay, 744 So. 2d 467 (Fla. 4th DCA 1999) (appraisal addresses actual cash value and amount of loss; issues narrowly restricted)
- Cincinnati Ins. Co. v. Cannon Range Partners, Inc., 162 So. 3d 140 (Fla. 2d DCA 2014) (appraiser determines extent of covered damage and amount to be paid)
- Auto-Owners Ins. Co. v. Anderson, 756 So. 2d 29 (Fla. 2000) (policy construction: read as whole and interpret ambiguities against drafter)
- First Floridian Auto & Home Ins. Co. v. Myrick, 969 So. 2d 1121 (Fla. 2d DCA 2007) (attorney’s fees may be awarded where claim resolved through appraisal)
- Williams v. Oken, 62 So. 3d 1129 (Fla. 2011) (limitation on appealability of certain nonfinal orders)
