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