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State Farm Florida Insurance Co. v. Phillips
134 So. 3d 505
| Fla. Dist. Ct. App. | 2014
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Background

  • In July 2010 State Farm issued the Phillipses a homeowners policy containing a general loss payment clause and a separate sinkhole/catastrophic ground cover collapse loss-settlement clause.
  • The general loss payment clause provided payment 20 days after proof of loss and agreement, or 60 days after proof of loss upon entry of a final judgment or filing of an appraisal award.
  • The sinkhole loss-settlement clause (modeled on Fla. Stat. § 627.707(5)(b)) allowed the insurer to limit payment to actual cash value for subsurface repairs until the insured entered a contract for building stabilization/foundation repairs, after which the insurer must pay repair costs as work is performed.
  • In February 2011 a sinkhole damaged the Phillipses’ home; an appraisal established the loss amounts, including subsurface stabilization and foundation repairs.
  • The trial court ordered State Farm to pay replacement cost for subsurface repairs before the Phillipses had contracted for those repairs; State Farm appealed, arguing the policy (which incorporated the statutory language) authorized a holdback until the insured contracted for repairs.

Issues

Issue Plaintiff's Argument (Phillips) Defendant's Argument (State Farm) Held
Whether State Farm may withhold replacement-cost payment for subsurface sinkhole repairs until the insured enters into a contract for those repairs Policy and statute are permissive only; State Farm must pay replacement cost once appraisal fixes the loss Policy incorporates § 627.707(5)(b) and thereby may limit payment to ACV until the insured contracts for repairs, then pay as work is performed Reversed in part: insurer may withhold replacement-cost payment until insured contracts for stabilization/foundation repairs because policy incorporated the statutory alternative payment method

Key Cases Cited

  • State Farm Fla. Ins. Co. v. Nichols, 21 So.3d 904 (Fla. 5th DCA 2009) (held insurer could not use statutory payment method where policy did not incorporate it)
  • Kingsway Amigo Ins. Co. v. Ocean Health, 63 So.3d 63 (Fla. 4th DCA 2011) (statutory permissive payment methods must be clearly elected in the policy)
  • Geico Indem. Co. v. Virtual Imaging Servs., Inc., 79 So.3d 55 (Fla. 3d DCA 2011) (policy must clearly and unambiguously elect alternative statutory payment method)
  • Discover Prop. & Cas. Ins. Co. v. Beach Cars of W. Palm, Inc., 929 So.2d 729 (Fla. 4th DCA 2006) (interpretation principles and giving effect to all policy provisions)
  • U.S. Fire Ins. Co. v. J.S.U.B., Inc., 979 So.2d 871 (Fla.) (requirement to give effect to every contract provision)
Read the full case

Case Details

Case Name: State Farm Florida Insurance Co. v. Phillips
Court Name: District Court of Appeal of Florida
Date Published: Feb 14, 2014
Citation: 134 So. 3d 505
Docket Number: No. 5D13-583
Court Abbreviation: Fla. Dist. Ct. App.