WETHERELL, J.
Florida Insurance Guaranty Association, Inc. (FIGA), appeals the final summary judgment ordering it to pay approximately $237,000 directly to Tammy Bernard for sinkhole loss to her home. FIGA argues that the trial court erred in determining that its liability for this loss was governed by the 2010 definition of "covered claim" in section 631.54(3), Florida Statutes, rather than the more restrictive definition in the 2011 version of the statute. We agree. Accordingly, we reverse the final summary judgment.
Bernard's home was insured under a homeowner's policy issued by First Home Insurance Company (First Home) on May 28, 2010. The policy covered structural damage to the home caused by sinkhole activity, but limited First Home's obligation to pay for any necessary subsurface repairs until Bernard entered into a contract for the performance of the repairs.
On November 20, 2010, while the policy was in full force and effect, Bernard discovered
On November 18, 2011, a Consent Order was entered by the Leon County Circuit Court adjudicating HomeWise insolvent and appointing the Department of Financial Services as the receiver of HomeWise for purposes of liquidation. The order stayed all pending litigation against Home-Wise, including Bernard's suit, and also triggered FIGA's obligations under part II of Chapter 631, Florida Statutes ("the FIGA Act").
In January 2012, FIGA informed Bernard that it would be handling her sinkhole claim. FIGA subsequently invoked the "neutral evaluation" dispute resolution process in section 627.7074, Florida Statutes, to determine whether the damage to Bernard's home was caused by sinkhole activity and, if so, what remediation and repairs were necessary. In December 2012, the neutral evaluator determined that sinkhole activity could not be ruled out as a cause for the damage to Bernard's home and found that the necessary repair costs included approximately $170,000 for subsurface remediation and approximately $57,000 for cosmetic repairs.
While the neutral evaluation process was underway, Bernard filed an amended complaint substituting FIGA for HomeWise as the defendant. The amended complaint alleged that the damage to Bernard's home was a "covered claim" for purposes of the FIGA Act and that FIGA breached its statutory obligations by not paying the claim. FIGA's answer denied the allegation that the claim submitted by Bernard was a "covered claim" under the FIGA Act and asserted as an affirmative defense that FIGA was only obligated to make payment "to the contractor(s) of the policyholder's choice, not the policyholder."
In January 2013, FIGA notified the trial court and Bernard that it intended to comply with the recommendation of the neutral evaluator. However, FIGA took the position that it was not obligated to make payment directly to Bernard and that it would only make payment to the contractor selected to perform the repairs recommended by the neutral evaluator.
Shortly thereafter, Bernard filed a motion for partial summary judgment seeking a determination that FIGA was obligated to pay the above-ground repair costs directly to her in accordance with the terms of her insurance policy. The motion did not seek direct payment of the subsurface repair costs, and as Bernard's counsel candidly acknowledged at oral argument, her insurance policy did not require direct payment of those costs.
The motion argued, among other things, that the 2010 statutory definition of "covered claim" in effect when the policy was issued and when the loss occurred did not prohibit FIGA from making payments directly to her. FIGA filed a response and cross-motion for summary judgment in which it argued that its obligations were not triggered until November 18, 2011, when HomeWise was adjudicated insolvent and that the 2011 definition of "covered claim" in effect at that time prohibits it from making any payment directly to Bernard.
This appeal followed.
The FIGA Act was enacted by the Legislature in 1970 and was patterned after a Model Act promulgated by the National Association of Insurance Commissioners. See Nat. Ass'n of Ins. Comm'rs, Post-Assessment Prop. & Liab. Ins. Guar. Model Act (1969); see also ch. 70-20, Laws of Fla.; O'Malley v. Fla. Ins. Guar. Ass'n, 257 So.2d 9 (Fla.1971). A purpose of the FIGA Act is to "[p]rovide a mechanism for the payment of covered claims under certain insurance policies to avoid excessive delay in payment and to avoid financial loss to claimants or policyholders because of the insolvency of an insurer." § 631.51(1), Fla. Stat. Thus, "when an insurer becomes insolvent, FIGA becomes obligated to respond to covered claims that arise prior to adjudication of the insurer's insolvency and within a specified time after insolvency." Fla. Ins. Guar. Ass'n, Inc. v. Devon Neighborhood Ass'n, 67 So.3d 187, 189 (Fla.2011). However, "the full gamut of a defunct insurance company's liabilities was not intended to be shifted onto FIGA." Id. at 190 (quoting Fla. Ins. Guar. Ass'n, Inc. v. Olympus Ass'n, Inc., 34 So.3d 791, 794 (Fla. 4th DCA 2010)); Williams v. Fla. Ins. Guar. Ass'n, Inc., 549 So.2d 253, 254 (Fla. 5th DCA 1989).
The FIGA Act created FIGA in section 631.55, Florida Statutes, and established its powers and duties in section 631.57. The latter statute provides in pertinent part that FIGA "shall [b]e obligated to the extent of the covered claims existing [p]rior to adjudication of insolvency and arising within 30 days after the determination of insolvency." § 651.57(1)(a)1.a., Fla. Stat, (emphasis added). The term "covered
The general principles stated above are not in dispute in this case. Indeed, the only issue in this case is whether FIGA's obligations are governed by the definition of "covered claim" in effect when the insurance policy was executed or when the loss occurred (here, the 2010 definition), or the definition in effect when the insurer was adjudicated insolvent (here, the 2011 definition). This is a pure issue of law, which we consider de novo. See Major League Baseball v. Morsani, 790 So.2d 1071, 1074 (Fla.2001) ("The standard of review governing a trial court's ruling on a motion for summary judgment posing a pure question of law is de novo.").
The 2010 definition of "covered claim" provided:
§ 631.54(3), Fla. Stat. (2010). The definition was amended effective May 17, 2011, to add a new paragraph (c), which reads:
Ch. 2011-39, § 30, Laws of Fla. (codified at § 631.54(3)(c), Fla. Stat. (2011))(emphasis added).
FIGA contends that the 2011 definition applies because that was the version in effect when its statutory obligations were triggered by the insolvency of HomeWise, and prior to that event, Bernard did not have a cause of action against FIGA for payment of a "covered claim" since such claims are contingent upon the insolvency of the insurer. Bernard responds that the 2010 definition applies because that was the version in effect when she executed the insurance policy and on the date of her covered loss, and there is no indication that the Legislature intended the 2011 amendment to the definition of "covered claim" to apply retroactively. FIGA replies that the 2011 amendment is not being applied retroactively in this case because Bernard's cause of action against FIGA did not accrue until HomeWise was adjudicated insolvent, which occurred after the effective date of the 2011 amendment.
The parties have not cited, nor has our research located any Florida appellate decision expressly addressing the narrow issue presented in this case. However, this issue has been addressed by courts in other states that adopted the Model Act upon which the FIGA Act was based, and those courts have uniformly held that the definition of "covered claim" in effect when the insurer is adjudicated insolvent is the applicable definition.
For example, in Prejean v. Dixie Lloyds Insurance Co., 660 So.2d 836 (La.1995), the Louisiana Supreme Court held that the Louisiana Insurance Guaranty Association (LIGA) was not obligated to pay court costs because, after the date of accident but before the insurer was declared insolvent, the statutory definition of "covered claim" was amended to exempt LIGA from paying court costs. The court initially determined that the amended definition could not be applied retroactively,
Id. at 837-38 (citations omitted); accord Duhon v. United Pac. Ins. Co., 978 So.2d 964, 967 (La.Ct.App.2007) ("The applicable law governing claims against LIGA is the law in effect on the date of the insurer's insolvency. The reason for this is that the claim against LIGA does not accrue until the insurer is declared insolvent.") (citations omitted).
Similarly, in Agency Budget Corp. v. Washington Insurance Guaranty Ass'n, 93 Wn.2d 416, 610 P.2d 361 (1980), the Washington Supreme Court held that the Washington Insurance Guaranty Association (WIGA) was not obligated to pay claims for unearned premiums because the statutory definition of "covered claim" in effect at the time of the insurer's insolvency excluded such claims from coverage.
The definition was amended after the insolvency to include certain unpaid premiums, but the court held that the amendment did not apply retroactively in that case because "the right to claim unearned premiums is created by the adjudication of insolvency" and "[t]hat same event determines the liability of [WIGA] to pay those claims." Id. at 364.; see also id. (agreeing with WIGA's argument that the "precipitating event in this case is ... the adjudication of insolvency").
Likewise, in Durish v. Channelview Bank, 809 S.W.2d 273, 275 (Tex.Ct.App. 1991), a Texas intermediate appellate court held that "[t]he date for determining whether a claim is a covered claim under the [Texas Guaranty Act] is the date of impairment.
The appellate court rejected the Bank's argument, explaining:
Id. at 275-76 (footnotes omitted and italics in original). Accord John H. Carney & Assoc. v. Tex. Prop. & Cas. Ins. Guar. Ass'n, 354 S.W.3d 843, 844 n. 1 (Tex.Ct. App.2011) ("[A]ll references to the Guaranty Act are based on the 2006 version of the law, the law in effect when [the insurer] went into receivership."); Campos v. Tex. Prop. & Cas. Ins. Guar. Ass'n, 282 S.W.3d 226, 228 n. 1 (Tex.Ct.App.2009) ("We apply the Texas Property and Casualty Insurance Guaranty Act in effect on October 2001, when the worker's compensation carrier became an impaired insurer."). Moreover, with respect to the Bank's argument that the date of impairment was irrelevant to the date that its claim accrued against the association, the court explained:
Durish, 809 S.W.2d at 277 (emphasis in original).
Finally, in Brennan v. Kansas Insurance Guaranty Ass'n, 293 Kan. 446, 264 P.3d 102 (2011), the Kansas Supreme Court considered whether the definition of "covered claim," as amended in 2005, applied where the claim arose in 1999 and the insurer was adjudicated insolvent in 2002. The 2005 definition, unlike the version in effect in 2002, allowed the Kansas Insurance Guaranty Association (KIGA) to offset its liability with amounts paid by a claimant's other insurance, thereby reducing the amount payable to the claimant. Id. at 108. The court held that the 2005 definition could not be retroactively applied because it abolished the claimant's vested right under the Act in effect when the insurer was adjudicated insolvent. Id. at 113-14. Of particular relevance to this case, the court observed that the claimant's "statutory right [against KIGA] arose at the time [the insurer] was declared insolvent," id. at 114, and that "if [the insurer]'s insolvency had occurred after the 2005 amendment became law, the offset in controversy here would not present a due process issue ...." Id. at 109.
We find the analysis in these cases persuasive,
In reaching this conclusion, we did not overlook the Florida Supreme Court's decision in Devon Neighborhood Association, supra. However, we find Bernard's reliance on that case to be misplaced.
Devon Neighborhood Association arose out of hurricane damage claims made by a
FIGA sought review in the Florida Supreme Court based upon conflict with several decisions concerning the proper test to be used in determining whether a statute can be applied retroactively. Id. at 189 (citing the conflict decisions establishing the Court's jurisdiction). Thus, the narrow issue presented in Devon Neighborhood Association was whether the Fourth District applied the proper test in determining that the 2005 statute was retroactive. Id. at 189, 193-94. The Court quashed the Fourth District's decision, "agree[ing] with FIGA ... that the district court misapplied this precedent in analyzing the question of retroactivity based solely on the second prong of the test." Id. at 194.
Bernard contends that Devon Neighborhood Association supports her argument that the 2010 definition of "covered claim" applies in this case because, in the course of its analysis, the Court cited Menendez v. Progressive Express Insurance Co., 35 So.3d 873 (Fla.2010), for the proposition that "the statute in effect at the time an insurance contract is executed governs substantive issues arising in connection with that contract." Devon Neighborhood Association, 67 So.3d at 195 n. 7 (internal quotation omitted). Additionally, Bernard points out that there would have been no reason for the Court to even discuss the issue of retroactivity if claims against FIGA were governed by the statutes in effect at the time of the insurer's insolvency because the 2005 statute at issue in that case was adopted prior to the adjudication of insolvency in 2006. We are not persuaded by these arguments.
First, the citation to the general rule reaffirmed in Menendez was included in a footnote in the part of the Court's opinion discussing the second prong of the retroactivity test. That discussion was effectively dicta because the Court ultimately concluded that there was no evidence of legislative intent that the 2005 statute be applied retroactively and, thus, it was unnecessary for the Court to consider whether, under the second prong of the retroactivity test, it would be constitutional to apply the 2005 statute in that case. Id. at 197 ("Because we have reached this conclusion under prong one of the two-prong test, we need not address whether retroactive application of the amendments would be constitutional").
Second, it appears that both the Fourth District and the Florida Supreme Court simply assumed that the application of the 2005 statute would be retroactive because the case involved a 2004 insurance policy. There is nothing in the courts' opinions suggesting that either court was asked to consider whether the 2005 statute was being applied prospectively, and not retroactively, because FIGA's responsibilities were not triggered until 2006 when the insurer was adjudicated insolvent. And, because that issue was not squarely presented, the Florida Supreme Court's opinion
Third, unlike this case, the Court did not need to determine in Devon Neighborhood Association if the claim at issue was a "covered claim" under the FIGA Act because FIGA had already accepted responsibility for the claim. See 67 So.3d at 190. And, having done so, FIGA was deemed to be the insurer to the extent of the covered claims and it could take advantage of the insurer's rights and defenses under the policy. Indeed, it is noteworthy that the statute at issue in that case — section 627.7015, Florida Statutes — impacted FIGA's rights under the policy, not its obligations or duties under the FIGA Act.
We also have not overlooked Bernard's argument that claims against FIGA should be governed by the general rule, most recently reaffirmed by the Florida Supreme Court in Menendez, that "the statute in effect at the time an insurance contract is executed governs substantive issues arising in connection with that contract." 35 So.3d at 876. We find that rule inapplicable here because it is derived from cases involving contractual claims under an insurance policy, which are logically, and constitutionally, governed by the law in effect at the time of the contract. See generally Lumbermens Mut. Cas. Co. v. Ceballos, 440 So.2d 612, 613 (Fla. 3d DCA 1983) (explaining that the application of a statute to insurance contracts entered into prior to the date the statute took effect "would constitute a legislative impairment of contract in violation of article I, section 10 of the Florida Constitution"). By contrast, because the FIGA Act exists as a matter of legislative grace and claims against FIGA are statutory claims based upon its alleged failure to meet its obligations under the FIGA Act, the insured has no cause of action against FIGA that would be protected against changes to the FIGA Act until the insurer is adjudicated insolvent. See Durish, 809 S.W.2d at 277 (explaining that, prior to insolvency, an insured only has an "expectancy that ... it might have a covered claim" against the
Finally, we have not overlooked Bernard's argument that FIGA's liability cannot be governed by the definition of "covered claim" in effect at the time the insurer is adjudicated insolvent because section 631.57(1)(a)1.a., Florida Statutes, provides that FIGA is obligated to the extent of "the covered claims existing [p]rior to adjudication of insolvency." Read literally, this statute appears to provide support for Bernard's argument because if "covered claims" can "exist" prior to insolvency, then the scope of such claims logically should be based on the statutory definition in effect at the time of their existence. However, because that interpretation would essentially read the insolvency requirement out of the statutory definition of "covered claim," we agree with FIGA that the better reading of section 631.57(1)(a)1.a. is that it merely provides a temporal limitation on the claims that FIGA is obligated to pay, but such claims still have to meet the statutory definition of "covered claim" in effect when FIGA's obligations are triggered by the insurer's insolvency. See id. (explaining "covered claims" cannot accrue prior to impairment because "a prerequisite for a claim to be a covered claim is that the Commissioner [of Insurance] declare the insurer to be impaired").
In sum, for the reasons stated above, we hold that the statutory definition of "covered claim" in effect at the time the insurer is adjudicated insolvent determines the scope of FIGA's liability. Accordingly, we reverse the final summary judgment in this case because the trial court erred in applying the 2010 definition rather than the more restrictive 2011 definition in effect at the time HomeWise was adjudicated insolvent, and we remand for entry of an order granting FIGA's motion for summary judgment and for any further proceedings that may be necessary.
REVERSED and REMANDED.
ROBERTS and OSTERHAUS, JJ., concur.