Hеrman Clifton appeals the final summary judgment entered in favor of his homeowner’s insurance company, United Casualty Insurance Co., in this breach of contract action arising out of damage that Clifton’s home suffered during Hurricane Charley. Because there were disputed issues of material fact as to whether Clifton was forced to file suit to resolve his dispute with United Casualty, United Casualty was not entitled to summary judgment in its favor. Accordingly, we reverse and remand for further proceedings.
Clifton’s residence was damaged by Hurricane Charley on August 13, 2004, and Clifton promptly filed a claim with United Casualty for the damage. United Casualty sent an adjuster, who inspected the damage and adjusted the claim. After applying the deductible and pоssibly some depreciation, United Casualty paid Clifton $3054.22 for the damage it determined was the result of Hurricane Charley.
According to Clifton, after receiving this payment, he notified United Casualty that the payment was insufficient to pay for the necessary repairs to his residence. He asserted that he had repeatedly disputed the amount of the loss with both Unitеd Casualty and its local agent and had requested that someone from United Casualty reinspect his residence and consider paying additional policy proceeds. According to Clifton, United Casualty ignored his requests, and only after he received no response to his requests for over three years did he file suit on November 15, 2007. The complaint allegеd that United Casualty had breached the insurance contract by failing to pay the full amount necessary to repair the damage to Clifton’s residence caused by Hurricane Charley.
United Casualty answered Clifton’s complaint and raised affirmative defenses, including that Clifton had failed to comply with the conditions precedent to bringing the suit and that his claim was barred by accord and satisfaction. United Casualty also alleged that it had paid Clifton all of the proceeds to which he was entitled under the policy. Along with its answer and affirmative defenses, United Casualty filed a motion seeking to invoke the appraisal clause of its policy with Clifton. The court granted the motion seeking appraisal, and Clifton and Unitеd Casualty engaged in the appraisal process provided for by the policy. The appraisal process resulted in an award in favor of Clifton of $18,744.24.
Clifton subsequently filed a motion to confirm the appraisal award and for entry of judgment, and he sought an award of attorney’s fees. After paying the appraisal award, United Casualty filed a motion to dismiss Clifton’s complaint, contending that the dispute between the parties had been resolved by the appraisal process and that no triable issues remained to be litigated. In support of that motion, United
Shortly thereafter, and before the trial court had ruled on either pending motion, United Casualty withdrew its motion to dismiss and the accompanying affidavit. In their place, United Casualty filed a motion for summary judgment and a separate response to Clifton’s motion for attorney’s fees. Concerning the motion for attorney’s fees, United Casualty argued that it was not responsible for those fees because it had not wrongfully withheld any insurance benefits. It reiterated its assertions that it had no knowledge that Clifton was dissatisfied with the initial claim payment until suit was filed, although it no longer supported those assertions with any record evidence.
In the motion for summаry judgment, United Casualty alleged that it was entitled to judgment in its favor because it had paid the amounts due in accordance with the terms of the policy and thus Clifton could not prove that it breached the policy. United Casualty also alleged that Clifton could not prove that he had suffered any damages because United Casualty had now paid Clifton all of the amounts due under the policy.
In response to United Casualty’s motion for summary judgment, Clifton filed an affidavit asserting that he had repeatedly notified both United Casualty and its local agent that the original claim payment was insufficient to cover all of his damages. Clifton asserted that United Casualty “refused to respond” to his pleas for additional policy proсeeds until after Clifton filed suit.
At the hearing on United Casualty’s motion for summary judgment, the trial court was faced with Clifton’s unrebutted affidavit asserting that he had expressed dissatisfaction with the settlement of his claim in a timely manner and that United Casualty had ignored his requests for further action on his claim until after he filed suit. United Casualty disputed these facts, but the only evidence supporting its position had been withdrawn. Further, the record clearly showed that United Casualty had paid significant sums to Clifton in settlement of his claim after suit was filed. Despite this record evidence, the trial court granted summary judgment in favor of United Casualty, finding that because United Casualty had complied with the payment terms in the policy, it had not breached the policy and was entitled to judgment in its favor. This appeal is the result of that ruling.
As a general proposition, “[a] movant is entitled to summary judgment ‘if the pleadings, depositions, answers to interrogatories, admissions, affidavits, and other materials as would be admissible in evidence on file show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.’ ”
Estate of Githens ex rel. Seaman v. Bon Secours-Maria Manor Nursing Care Ctr., Inc.,
However, the confession of judgment rule is not absolute. Instead, “[w]hile Florida law does hold that payments are treated as confessions of judgment where an insurer first disputes the claim and then settles, the existence of a bona fide dispute and not the mere
possibility
of a dispute, is a crucial condition precedent to such a holding.”
Tristar Lodging, Inc. v. Arch Speciality Ins. Co.,
For example, in
Myrick,
the insured filed a claim for sinkhole damage to her residence.
In response to the suit, First Floridian invoked the appraisal provision of the policy. Id. The parties went through the appraisal process, and First Floridian ultimately paid Myrick a total of $102,000 pursuant to the appraisal. Id. Myrick then sought an award of attorney’s fees, which the trial court granted. Id.
On appeal, First Floridian argued that Myrick should not be awarded attorney’s fees under the confession of judgment rule because her suit was unnecessary. Id. at 1124. It argued that she could have made further inquiries of First Floridian or invoked the appraisal process herself rather than filing suit. Id. This court disagreed, noting that First Floridian was aware that Myrick did not agree with its initial estimate and thаt First Floridian did nothing to resolve the dispute. Id. It did not respond to her questions and did not invoke the appraisal clause at that time. Id. Thus, because Myrick’s action was not filed for an improper purpose but rather to resolve a bona fide dispute with First Floridian, Myrick was entitled to an award of attorney’s fees under the confession of judgment rule.
Similarly, in
Lewis,
the Lewises filed а claim with their homeowner’s insurance carrier for damage to their home due to Hurricane Wilma.
On appeal, the Fourth District rejected Universal’s argument that the suit was not necessary and thus that the Lewises were not entitled to fees under the confession of judgment rule.
Id.
In doing so, the court noted that “whether suit is filed before or after the invocation of the appraisal process is not determinative of the insured’s right to fees.”
Id.
at 1082. Instead, the question is whether the suit was filed following a dispute with the insurer for the legitimate purpose of resolving that dispute.
Id.
If so, an award of fees was proper regardless of whether the insurer timely paid the appraisal award.
See also Goff v. State Farm Fla. Ins. Co.,
What can be glеaned from these cases is that an insurer that is aware of a dispute with its insured cannot simply ignore that dispute, wait until the insured files suit to demand appraisal, pay any subsequent appraisal award, and then maintain that the payment does not constitute a confession of judgment as a matter of law. On the other hand, if an insurer is not on notice that the claim or рayment is disputed, the insured generally will be unable to show that he or she was “forced” to file suit, and a subsequent post-suit payment by the insurer may not constitute a confession of judgment. While this does not mean that the insured is required to invoke the appraisal clause prior to suit, it does mean that the insured must, at a minimum, clearly notify his or her insurer in a timely fashion of his or her dissаtisfaction with the amounts paid.
In light of this controlling case law, it is clear that summary judgment in favor of United Casualty was inappropriate. Clifton’s affidavit asserts that he told United Casualty repeatedly that he was dissatisfied with the claim payment and that United Casualty repeatedly ignored his requests for further payment. On the other hand, United Casualty asserts, without any supporting evidence, that it was wholly unaware of any dispute with Clifton until after suit was actually filed. United Casualty also asserts, again without any supporting evidence, that Clifton’s suit was filed for an improper purpose because he was aware that other similar cases had been referred to appraisal. If Clifton’s version of the facts is correct, United Casualty’s pаyment operates as a confession of judgment, and it is not entitled to summary judgment in its favor. If United Casualty’s version of the facts is correct, then it may be entitled to summary judgment. In either case, genuine issues of material fact precluded entry of summary judgment in favor of either party at the time of the summary judgment hearing. 1
We note that our resolution of this case in this manner is whоlly consistent with this court’s decision in
Goff,
upon which both parties rely in this appeal. In
Goff,
State Farm initially paid the Goffs $4522.81 for the actual cash value of the hurricane damage to their residence.
On appeal, this court reversed, finding that State Farm’s post-suit payment operated as a confession of judgment. Given that State Farm was aware of the Goffs’ disagreement with State Farm’s payments but failed to invoke the appraisal process to resolve the dispute, this сourt found that the Goffs’ suit was “necessary” to resolve the dispute.
Contrary to Clifton’s argument here, the Goff opinion does not stand for the proposition that any post-suit payment automatically operates as a confession of judgment. Instead, when considered in its factual context, the Goff opinion held that State Farm’s payment operated as a confession of judgment because State Farm was aware that the Goffs disputed the settlement of the claim but it took no steps to resolve that dispute. The Goffs’ suit forced State Farm’s hand, and thus the suit was “necessary” to obtain policy benefits. The Goff decision is also entirely consistent with the holdings of Myrick, Lewis, Wilson, and Meadows MRI that an insurer that knows of a dispute with its insured, takes no steps to resolve that dispute, and then makes a post-suit payment of additional poliсy proceeds confesses to judgment by that post-suit payment.
Finally, we reject United Casualty’s argument that its payment should not operate as a confession of judgment because it never denied Clifton’s claim. When an insurer is aware that an insured disputes the settlement of a claim and the insurer fails to respond in any fashion to the insured’s demands for further actiоn, that failure has the legal effect of denying coverage.
See Sanchez v. Am. Ambassador Cas. Co.,
In sum, the disputed issue of material fact concerning whether Clifton was “forced” to file suit precluded summary judgment in favor of United Casualty. Therefore, we reverse and remand for further proceedings.
Reversed and remanded.
Notes
. We note that our decision would have been the same on these facts even if United Casualty had not withdrawn Warnock's affidavit. United Casualty’s payment after suit was filed was prima facie evidence of a confession of judgment. United Casualty filed a motion for summary judgment arguing, in essencе and without proof, that its payment was not a confession of judgment because Clifton's suit was unnecessary. Clifton refuted this assertion with his affidavit. While we note that United Casualty did not support its allegations with proof, we also note under these facts that any proof offered would have simply added to the fact questions, given Clifton’s affidavit. Thus, the withdrawal of Warnock’s affidavit is not dispositive of the propriety of summary judgment here.
