INSURASALES

Florida Appeals Court Upholds Denial Over Delayed Windstorm Damage Claim

A Florida appeals court upheld a denial of a windstorm damage claim due to late notice, emphasizing the importance of prompt reporting in homeowner insurance policies. The dispute traces back to an April 2020 storm damaging a home, with the claim not reported until nearly two years later in March 2022. The insurer, Frontline Insurance, denied coverage citing policy exclusions for wear and tear and requiring timely notice to avoid prejudice in loss investigation.

The insurer's engineers determined the deterioration was due to ongoing issues, not just the windstorm, supported by the homeowner's own admission of procrastination in addressing initial water damage signs. Additionally, the policy required policyholders to mitigate further damage, which was not done until a contractor intervened in 2022.

Initially, a Broward County trial court ruled in favor of the insurer based on policy exclusions, but the appellate court affirmed the decision solely on the grounds of untimely notice under Florida law. The appeals court applied the "tipsy coachman" doctrine, validating the ruling since late notice alone justified denial, regardless of other debated issues.

Florida law presumes insurers are prejudiced by late claim notifications unless policyholders can demonstrate otherwise, a burden not met in this case due to the prolonged delay and worsening damage. This ruling underscores the legal weight Florida courts give to prompt notification clauses in homeowners insurance, impacting claim handling and risk management strategies.

For insurance professionals, this decision highlights the critical need for enforcing notice requirements and the challenges in litigating claims with significant delays. It points to the importance of clear policy language and documentation in disputed property damage claims, particularly involving water-related deterioration post-storm events.