JAMES D. WHITTEMORE, District Judge.
This dispute involves the denial of a claim for sinkhole loss made under a homeowner's policy issued by Liberty Mutual to the Franquis. The dispute focuses on the construction of an undefined term in the sinkhole loss coverage provision of the policy. Before the Court is Plaintiffs' Motion for Summary Judgment Pursuant to Joint Stipulation of Fact (Dkt. 47) and Defendant's opposition (Dkt. 55). Notwithstanding the Joint Stipulation of Fact (Dkt. 39) and the parties' attempts to narrow the issues for trial, they remain at odds with respect to what constitutes "structural damage," as that term is used in the policy to define "sinkhole loss." And notwithstanding my earlier construction of the term "structural damage," the parties disagree on what constitutes "damage to the structure."
Considering the parties' renewed arguments, and particularly in light of Defendant's contention that "in the event that this Court instructs the jury that the term `structural damage' means something other than simply `damage to the structure' then material issues of fact remain as to whether Plaintiffs have met their burden," my construction of the term "structural damage" in the policy as "damage to the structure" (see Dkt. 22) remains incomplete, in that it fails to distinguish between cosmetic damage to the building's structure and damage to the structural components of the building.
Finding that the phrase "structural damage to the building" should be construed as "damage to the structural components of the building, excluding damage that is cosmetic in nature," Defendant's Motion for Summary Judgment (Dkt. 11) is DENIED, Plaintiffs' Motion for Partial Summary Judgment (Dkt. 17) is
The homeowner's policy issued by Liberty Mutual contains the following language providing coverage for damage caused by sinkholes:
(Dkt. 11-1 at 30) (emphasis added).
Plaintiffs' claim for sinkhole damage to their residence was denied by Liberty Mutual, which took the position that the damage did not constitute "sinkhole loss" as defined in the policy. Specifically, Liberty Mutual informed Plaintiffs that their residence had not sustained "structural damage" and the policy did not provide coverage for "wear and tear, latent defect, and settling" (Dkt. 18-2 at 1). Plaintiffs filed suit against Liberty Mutual alleging breach of contract, which was removed to this Court. Liberty Mutual answered and filed a Counterclaim for declaratory judgment that the policy does not provide coverage unless the loss includes "damage that impairs the structural integrity of the building" (Dkt. 3 at 10 ¶ 40).
Both parties thereafter filed motions for summary judgment. In Liberty Mutual's motion (Dkt. 11), it argued that the five-part definition of "structural damage" in the May 17, 2011 amendments to § 627. 706, Florida Statutes, should be applied retroactively. It also argued that the term "structural damage" as used in the policy is not ambiguous and should be afforded its plain meaning, which Liberty Mutual argues is consistent with the revised definition in § 627. 706. The motion was denied on all grounds (Dkt. 15).
After Liberty Mutual's motion was denied, Plaintiffs filed their motion for partial summary judgment (Dkt. 17). Plaintiffs sought (1) an order granting partial summary judgment on the breach of contract claim based on Liberty Mutual's failure to conduct an investigation as required by § 627.707, Florida Statutes; (2) an order granting partial summary judgment on Plaintiffs' argument that the definition of"structural damage" in§ 627.706 cannot be applied retroactively; and (3) an order granting partial summary judgment on the proper definition of "structural damage." The motion was denied on the first ground but granted on the second and third (Dkt. 22). Specifically, it was reiterated that the definition of "structural damage" found in the 2011 amendments to § 627. 706 could not be applied retroactively. Secondly, the term "structural damage" was found to be unambiguous and construed as "damage to the structure" (see Dkt. 22 at 3).
After the pretrial conference, the parties filed their "Joint Stipulation of Fact and Plaintiffs' Request for Verdict on Facts" (Dkt. 39), purportedly based on the construction of the term "structural damage" as "damage to the structure." The parties stipulated to only three facts: (1) there is damage to the structure; (2) Liberty Mutual's expert cannot eliminate sinkhole activity as a cause of the damage to the building; and (3) the cost to repair all present damage and damage anticipated by Plaintiffs' experts is $42,433.11 (Dkt. 39 at 3). The parties contended that these stipulated facts left no further factual determinations for the jury. Plaintiffs then filed a motion for summary judgment based on the stipulation, which is pending.
District courts may "correct . . . a mistake arising from oversight or omission whenever one is found in a judgment, order, or other party of the record . . . on motion or on its own, with or without notice." Fed. R. Civ. P. 60(a). Summary judgment is appropriate where "there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). "A genuine factual dispute exists only if a reasonable fact-finder `could find by a preponderance of the evidence that the [non-movant] is entitled to a verdict.'" Kernel Records Oy v. Mosley, 694 F.3d 1294, 1300 (11th Cir. 2012) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252 (1986)). A fact is material if it may affect the outcome of the suit under the governing law. Allen v. Tyson Foods, Inc., 121 F.3d 642, 646 (11th Cir. 1997).
Two distinct issues are presented, both concerning the proper construction of the sinkhole loss clause in the policy. First, Liberty Mutual again argues that the definition of"structural damage" in § 627. 706, Florida Statutes, should be applied retroactively to Plaintiffs' policy. Second, although Plaintiffs and Liberty Mutual both contend that the term "structural damage to the building" is unambiguous, they disagree on how the term should be interpreted.
In the Order denying Liberty Mutual's motion for summary judgment (Dkt. 15), Defendant's retroactivity argument was expressly rejected, based on this Court's order in Bay Farms Corp. v. Great Am. Alliance Ins. Co., 835 F.Supp.2d 1227 (M.D. Fla. 2011) (Whittemore, J.). In Bay Farms, I determined that the definition in the 2011 amendments to § 627.706 could not be applied retroactively to policies issued prior to the effective date of the amendments. There is no reason to depart from this conclusion.
In Florida, an insurance policy is considered a contract and ordinary contract principles therefore govern the policy's interpretation and construction. Graber v. Clarendon Nat'l Ins. Co., 819 So.2d 840, 842 (Fla. 4th DCA 2002), The interpretation of an insurance policy, including a determination and resolution of any ambiguity, are questions of law. Id.; Dahl-Eimers v. Mut. of Omaha Life Ins. Co., 986 F.2d 1379, 1381 (11th Cir. 1993) (citing Sproles v. Am. States Ins. Co., 578 So.2d 482, 484 (Fla. 5th DCA 1991); Gulf Tampa Drydock Co. v. Great Atl., Ins. Co., 757 F.2d 1172, 1174 (11th Cir. 1985)).
In general, coverage clauses in insurance policies are interpreted in the broadest possible manner to effect the greatest amount of coverage. Westmoreland v. Lumbermens Mut. Cas. Co., 704 So.2d 176, 179 (Fla. 5th DCA 1997). In contrast, exclusionary clauses are strictly construed in a manner that affords the broadest possible coverage. Id. And insurance polices are construed in accordance with their plain language. Auto-Owners Ins. Co. v. Anderson, 756 So.2d 29, 34 (Fla. 2000). As with other contracts, an insurance policy should receive a construction that is "reasonable, practical, sensible, and just." Gen. Star Indem. Co. v. W. Fla. Village Inn, Inc., 874 So.2d 26, 29-30 (Fla. 2d DCA 2004). And terms in a policy "should be read in light of the skill and experience of ordinary people." Id.
Importantly, for purposes of the instant motions, when a term is left undefined in a policy or the policy fails to include qualifying or exclusionary language, an insurer cannot insist upon a narrow, restrictive interpretation of the coverage provided. Nat'l Merch. Co., Inc. v. United Service Auto. Ass'n, 400 So.2d 526, 530 (Fla. 1st DCA 1981). When a word or phrase remains undefined, common everyday usage determines its meaning. Nateman v. Hartford Cas. Ins. Co., 544 So.2d 1026, 1028 (Fla. 3d DCA 1989). The terms in an insurance policy "should be construed in light of the skill and experience of ordinary people." Brill v. Indianapolis Life Ins. Co., 784 F.2d 1511, 1513 (11th Cir.1986).
That a word or phrase is not defined in the policy, however, does not render that term or phrase ambiguous and in need of interpretation. State Farm Fire & Cas. Co. v. CTC Dev. Corp., 720 So.2d 1072, 1076 (Fla. 1998). "Courts may not rewrite contracts or add meaning to create an ambiguity." Dahl-Eimers, 986 F.2d at 1382 (citing State Farm Mut. Auto. Ins. Co. v. Pridgen, 498 So.2d 1245, 1248 (Fla. 1986)). There must be "a genuine inconsistency, uncertainty, or ambiguity in meaning [that] remains after resort to the ordinary rules of construction." Excelsior Ins. Co. v. Pomona Park Bar & Package Store, 369 So.2d 938, 942 (Fla. 1979).
Policy language is ambiguous if it "is susceptible to more than one reasonable interpretation, one providing coverage and the other limiting coverage." Travelers Indem. Co. v. PCR Inc., 889 So.2d 779, 785 (Fla. 2004). When language in a policy is ambiguous, the ambiguity must be resolved in favor of the insured by adopting a reasonable interpretation of the policy language that provides coverage, as opposed to one that would limit coverage. PCR, 889 So. 2d at 785-86. In other words, ambiguous policy provisions are interpreted liberally in favor of the insured and strictly against the insurer. Anderson, 756 So. 2d at 34. And relevant here, differing interpretations of the same provision are evidence of ambiguity, particularly when a term is not explicitly defined or clarified by the policy. Dahl-Eimers, 986 F.2d at 1382 (citing Grissom v. Commercial Union Ins. Co., 610 So.2d 1299 (Fla. 1st DCA 1992)).
Both parties contend that the phrase "structural damage to the building" is unambiguous and should be read according to its plain meaning. They disagree, however, on how the phrase should be read. Unsurprisingly, the interpretation asserted by each party favors that party, one providing coverage and the other restricting coverge. This difference of opinion is itself evidence of ambiguity. Dahl-Eimers, 986 F.2d at 1382.
Neither the term "structural damage" nor "structural damage to the building" is defined in the policy. "In construing terms appearing in insurance policies, Florida courts commonly adopt the plain meaning of words contained in legal and non-legal dictionaries." Watson v. Prudential Property & Cas. Ins. Co., 696 So.2d 394, 396 (Fla. 3d DCA 1997) (citing Brill, 784 F .2d at 1513). The
This second definition in the
This conclusion does not end the analysis, however. Although cosmetic damage is reasonably excluded under the construed terms of the policy, the extent of damage required to trigger the sinkhole loss provision remains problematic. On the one hand, the phrase "structural damage to the building" could be interpreted as requiring damage that impairs the integrity of the building through harm to the load-bearing parts and material that ensure the building's integrity. See, e.g., Bonitch v. LibertyMut. Fire Ins. Co., Case No. 8:12-cv-770-T-26TBM, Dkt. 69 at 1 (M.D. Fla. Sep. 27, 2013); Gonzalez v. Liberty Mut. Fire Ins. Co., ___ F. Supp. 2d ___, No. 8:12-cv-02549-SDM-EAJ, 2013 WL 5913515 (M.D. Fla. Oct. 31, 2013).
In sum, the phrase "structural damage to the building" is "susceptible to more than one reasonable interpretation, one providing coverage and the other limiting coverage," and is therefore ambiguous. PCR Inc., 889 So. 2d at 785.
As part of a coverage clause, the phrase "structural damage to the building" must be interpreted in the broadest possible manner to effect the greatest amount of coverage, while providing a reasonable, practical, and sensible interpretation consistent with the intent of the parties. Westmoreland, 704 So. 2d at 179; Siegle, 819 So. 2d at 736. And as discussed, the ambiguity must be resolved in favor of Plaintiffs. PCR, 889 So. 2d at 785-786. Nonetheless, a plain and sensible reading of the phrase does not allow recovery for damage that is merely cosmetic or aesthetic, or for damage to those parts of the house that are not structural in nature, such as decorations or fittings. Accordingly, the phrase "structural damage to the building" will be construed as meaning "damage to the structural components of the building, excluding damage that is cosmetic in nature." Whether damage is "cosmetic in nature" and whether damage is to the "structural components" of the building are questions of fact for the jury.
As a result of this more complete construction of the policy language, the two previous Orders addressing motions for summary judgment are due to be vacated. Three motions for summary judgment are therefore pending: Defendant's Motion for Summary Judgment (Dkt. 11); Plaintiffs' Motion for Partial Summary Judgment (Dkt. 17); and Plaintiffs' Motion for Summary Judgment Pursuant to Joint Stipulation of Fact (Dkt. 47).
Liberty Mutual's motion for summary judgment argues that the definition of "structural damage" contained in the 2011 amendments to § 627.706 should apply retroactively and, alternatively, that the phrase "structural damage to the building" is not ambiguous and should be construed as "damage that impairs the structural integrity of the building." Both of these contentions are rejected supra, and the motion (Dkt. 11) is therefore due to be denied. The statutory definition of"structural damage" in the 2011 amendments to§ 627.706, Florida Statutes may not be applied retroactively to Plaintiffs' policy, which was issued prior to the effective date of those amendments.
Plaintiffs' motion for partial summary judgment seeks (1) an order granting partial summary judgment on the breach of contract claim on the basis of Liberty Mutual's failure to conduct an investigation as required by § 627.707, Florida Statutes; (2) an order granting partial summary judgment on Plaintiffs' argument that the definition of"structural damage" in§ 627.706 cannot be applied retroactively; and (3) an order granting partial summary judgment on the proper definition of "structural damage." The third ground for relief requests that the term "structural damage" be construed as "damage to the structure."
For the reasons discussed supra, Plaintiffs are entitled to partial summary judgment on the second ground, but not the third. The only issue remaining, therefore, is whether Plaintiffs are entitled to partial summary judgment on their claim that Liberty Mutual violated § 627. 707 (see Dkt. 17).
As Liberty Mutual correctly argues (see Dkt. 19), § 627. 707 does not provide an independent cause of action against an insurance company for failing to hire a contractor to perform a geotechnical investigation to exclude sinkhole activity as a contributing cause of the loss. In QBE Insurance Corp. v. Chalfonte Condominium Apartment Association, Inc., the Florida Supreme Court explained that the "primary guide in determining whether the Legislature intended to create a private cause of action is the `actual language used in the statute.'" 94 So.3d 541, 551 (Fla. 2012) (quoting Borden v. E.-Euro. Ins. Co., 921 So.2d 587, 595 (Fla. 2006)). There is nothing in the text of§ 627. 707 "from which one can deduce that the Legislature intended an insured to have a private right of action against an insurer" for failing to hire a contractor to perform a geotechnical investigation. Id. Summary judgment will therefore be denied on this contention.
Plaintiffs' Motion for Partial Summary Judgment (Dkt. 17) is therefore due to be granted in part and denied in part.
Relying on the previous Orders interpreting the term "structural damage" as "damage to the structure," the parties entered into a Joint Stipulation of Fact and Plaintiffs' Request for Verdict on Facts (Dkt. 39). Because Plaintiffs' most recent motion for summary judgment (Dkt. 47) is based on the earlier, incomplete construction of the policy, the motion is denied as moot.
The phrase "structural damage" is ambiguous, and is construed and interpreted as "damage to the structural components of the building, excluding damage that is cosmetic in nature."
Accordingly, the Order denying Defendant's Motion for Summary Judgment (Dkt. 15) and the Order granting in part and denying in part Plaintiffs' Motion for Summary Judgment (Dkt. 22) are
A status conference will be conducted on