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Friday, October 4, 2024

Florida Enacts Broad Insurance coverage Reforms Specializing in Unhealthy Religion

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From 2019 to 2022, the Florida Legislature enacted 4 separate property insurance coverage reforms that sought to rein in abusive property insurance coverage litigation fueled by one-way legal professional’s price shifting and a military {of professional} plaintiffs submitting lawsuits pursuant to assignments of advantages. In its newest reform, the Legislature has shifted its focus to the broader insurance coverage market and to tort reform. For a few years now, Florida has considerably led the nation in tort prices per family.  This metric has been pushed by a excessive octane litigation atmosphere, ever rising private damage verdicts, and a steadily sharpened deal with organising insurers for unhealthy religion claims.

On March 24, 2023, Governor DeSantis signed into regulation H.B. 837, which eliminates legal professional’s price shifting in insurance coverage litigation in all cases besides sure declaratory actions following a complete protection denial, and establishes sure unhealthy religion secure harbors to cut back unhealthy religion setups. Notably, the brand new regulation imposes an obligation of fine religion on policyholders. On this article, we’ll focus on the legislative modifications affecting insurance coverage protection and bad-faith litigation.

90 Day Secure Harbor Interval for Insurers to Examine Legal responsibility Claims

Practically twenty years in the past, a dissenting Florida Supreme Court docket Justice acknowledged that there are methods “to create unhealthy religion claims in opposition to insurers when, after an goal, suggested view of the insurer’s claims dealing with, unhealthy religion didn’t happen. This can be a technique which consists of setting synthetic deadlines for claims funds and the withdrawal of settlement gives when the factitious deadline isn’t met.”[1]

The Legislature has now amended Part 624.155 so as to add a 90 day secure harbor investigation interval for legal responsibility insurers:

(4)(a) An motion for unhealthy religion involving a legal responsibility insurance coverage declare, together with any such motion introduced below the widespread regulation, shall not lie if the insurer tenders the lesser of the coverage limits or the quantity demanded by the claimant inside 90 days after receiving precise discover of a declare which is accompanied by ample proof to help the quantity of the declare.

The brand new Part 624.155(4)(a) provides insurers some safety in opposition to unreasonably brief synthetic deadlines, but additionally places a 90 day restrict on the secure harbor interval, which begins “after receiving precise discover of a declare which is accompanied by ample proof to help the quantity of the declare.” Whereas events may disagree as to what proof is ample, the requirement for proof additional weakens the unhealthy religion setup, which is normally accomplished at a time when info remains to be being gathered.

Florida Enacts Broad Insurance coverage Reforms Specializing in Unhealthy Religion

Unhealthy Religion Requirements

The Legislature codified sure requirements referring to unhealthy religion. A number of years in the past, the Florida Supreme Court docket determined Harvey v. Geico and, regardless of acknowledging that “negligence isn’t the usual,” decided that “negligence is related to the query of fine religion.” The choice was broadly criticized for reducing long-established requirements for proving unhealthy religion—from unhealthy religion to negligence. To eradicate any confusion, the Legislature has now codified in Part 624.155(5)(a) that “negligence alone is inadequate to represent unhealthy religion.”

The Legislature has additionally imposed a superb religion customary on policyholders and claimants. One other widespread unhealthy religion setup tactic is for policyholders or claimants to make investigating claims as tough as attainable for insurers. It appears counterintuitive—a claimant ought to need to make it straightforward for an insurer to determine it ought to pay cash—however some have discovered it extra worthwhile to create conditions the place they will then declare to have been wronged and sue for extra money. The brand new good religion customary for claimants in Part 624.155(5)(b) is as follows:

(b)1. The insured, claimant, and consultant of the insured or claimant have an obligation to behave in good religion in furnishing info concerning the declare, in making calls for of the insurer, in setting deadlines, and in trying to settle the declare. This responsibility doesn’t create a separate reason behind motion, however might solely be thought of pursuant to subparagraph 2.

2. In any motion for unhealthy religion in opposition to an insurer, the trier of reality might contemplate whether or not the insured, claimant, or consultant of the insured or claimant didn’t act in good religion pursuant to this paragraph, wherein case the trier of reality might fairly scale back the quantity of damages awarded in opposition to the insurer.

A number of Claimant Unhealthy Religion

One of the crucial tough conditions for any legal responsibility insurer is figuring out learn how to strategy settlement the place a number of claimants have competing claims with damages prone to exceed the out there protection, corresponding to when a number of individuals are injured in a automobile accident. If the insurer is unable to safe a worldwide settlement, it’s prone to face a foul religion swimsuit no matter its diligence and reasonableness.

The newly created Part 624.155(6) provides choices for insurers in cases the place “two or extra third-party claimants have competing claims arising out of a single prevalence, which in complete might exceed the out there coverage limits of a number of of the insured events who could also be liable to the third-party claimants.” The insurer won’t be liable past the coverage restrict if, inside 90 days after receiving discover of the competing claims in extra of the coverage restrict, the insurer both:

  • Recordsdata an interpleader motion in a Florida courtroom for the coverage restrict.
  • Upon settlement between the insurer and claimants, makes the coverage restrict out there and submits the matter to binding arbitration. A 3rd-party claimant whose declare is resolved in arbitration should execute and ship a normal launch to the insured occasion whose declare is resolved by the continuing.

Lawyer’s Price Shifting

The Legislature formally repealed Part 627.428, the insurance coverage legal professional’s price shifting statute, and its surplus traces counterpart, Part 626.9373. This vital change in Florida regulation will doubtless apply solely to insurance policies issued or renewed after March 24, 2023.

Nevertheless, the Legislature additionally created a brand new statute, Part 86.121, which allows awards of legal professional’s charges in “an motion introduced for declaratory reduction in state or federal courtroom to find out insurance coverage protection after the insurer has made a complete protection denial of a declare.” The statute makes clear that “[a] protection supplied by an insurer pursuant to a reservation of rights doesn’t represent a protection denial of a declare.” Subsequently, an insurer that defends below a reservation of rights, after which seeks a declaration as to its protection obligations wouldn’t be topic to paying legal professional’s charges.

Beneath this statute, legal professional’s charges will be recovered solely by a named insured, omnibus insured, or named beneficiary. The proper can’t be transferred or assigned. Part 86.121 doesn’t apply to any motion arising below a residential or business property insurance coverage coverage.

Modified Comparative Fault

The Legislature amended Part 767.81, the comparative fault statute, to restrict restoration for a celebration discovered to be better than 50% at fault: “In a negligence motion to which this part applies, any occasion discovered to be better than 50 % at fault for his or her personal hurt might not get better any damages.” Nevertheless, this limitation doesn’t apply to actions for private damage or wrongful dying arising out of medical negligence introduced below Florida Statutes Chapter 766.

Efficient Dates

H.B. 837 states that it “shall not be construed to impair any proper below an insurance coverage contract in impact on or earlier than the efficient date of this act. To the extent that this act impacts a proper below an insurance coverage contract, this act applies to an insurance coverage contract issued or renewed after the efficient date of this act.” The regulation additionally states that “[e]xcept as in any other case expressly offered on this act, this act shall apply to causes of motion filed after the efficient date of this act.”

Based mostly on how courts have handled the prior reforms, the elimination of Sections 627.428 and 626.9373 will doubtless not apply to claims below insurance policies that had already been issued, and can as a substitute apply to insurance policies issued or renewed after March 24, 2023.

It’s much less clear how the unhealthy religion modifications will apply. The clause making the regulation apply to causes of motion filed after the efficient date may sufficiently present an intent by the Legislature to use the regulation to insurance coverage claims already in progress, and to doubtlessly even eradicate some accrued unhealthy religion causes of motion. We anticipate that there will probably be litigation as as to whether the unhealthy religion statutory modifications apply to all unhealthy religion fits going ahead, or solely to unhealthy religion fits arising below insurance policies issued after the efficient date, or solely to unhealthy religion swimsuit arising from civil treatment notices filed after the efficient date.

Closing Ideas

After passing a number of rounds of reforms centered on curbing abusive property insurance coverage litigation, the Legislature is now trying to broadly discourage lawyer-driven litigation and to curb bad-faith setups. With the Legislature now seguing into broader tort reform, it seems that this spherical of reforms would be the final vital insurance coverage reform for the foreseeable future.


[1] Berges v. Infinity Ins. Co., 896 So. 2nd 665, 685 (Fla. 2004) (Wells, J., dissenting).

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