People's Trust Insurance Company v. Cesar Fernandez and Luz Fernandez
CourtDistrict Court of Appeal of Florida
Date FiledAugust 7, 2026
Docket5D2025-3174
StatusPublished
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Full Opinion
FIFTH DISTRICT COURT OF APPEAL
STATE OF FLORIDA
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Case No. 5D2025-3174
LT Case No. 2025-CA-000208
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PEOPLE’S TRUST INSURANCE
COMPANY,
Appellant,
v.
CESAR FERNANDEZ and LUZ
FERNANDEZ,
Appellees.
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Nonfinal appeal from the Circuit Court for Flagler County.
Andrea Karyn Totten, Judge.
Mark D. Tinker, Brandon J. Tyler, and David C. Borucke, of
Cole, Scott & Kissane, P.A., Tampa, for Appellant.
Estevan Griego, of The Law Offices of Carrington Jones, PLLC,
Orlando, for Appellees.
August 7, 2026
HARRIS, J.
Appellant, People’s Trust Insurance Company, appeals the
trial court’s non-final order denying its motion to compel appraisal.
We agree with Appellant that the trial court incorrectly
determined that Appellant acted inconsistently with its right to
appraisal, thereby waiving that right. We therefore reverse and
remand for the trial court to compel appraisal.
On September 8, 2022, Appellees, Cesar and Luz Fernandez,
filed an insurance claim for damages sustained on their property
the previous March. A week later, Appellant’s estimator inspected
Appellees’ property and adjusted the reported damage. As a result
of the inspection, Appellant estimated that the replacement cost of
the repairs was $947.51. Appellees’ deductible was $1000.
On October 7, 2022, Appellant issued a coverage
determination letter stating that coverage was extended for
damage to Appellees’ roof, but not to the bathroom ceiling. The
letter reiterated that the estimate for damages fell below the
deductible. Therefore, repairs would not be commenced, nor
payment made until the parties either reached an agreement as to
the amount of loss in excess of the applicable deductible, or the
amount of loss, including the scope of repairs determined by an
appraisal panel to exceed the deductible.
Over two years later, Appellees obtained an estimate for
repair that determined that the replacement cost value was
$149,866.98. Appellees sent this repair estimate to Appellant, and
while Appellant acknowledged its receipt a few days later, it stood
by its coverage determination. Nevertheless, in response to
Appellees’ notice of intent to initiate litigation, Appellant offered
$100 to settle “without waiving its right under the insurance policy
to seek legal remedies to enforce [the] insurance policy.”
On March 6, 2025, Appellant sent a letter to Appellees
informing that it was closing their claim. Appellees filed the
instant lawsuit on April 15, alleging one count of breach of contract
against Appellant. On May 21, Appellant filed its answer and
affirmative defenses to the complaint. As its third affirmative
defense, Appellant asserted that the policy’s appraisal provision
was the appropriate mechanism for resolving scope disputes
between the parties.
On May 27, 2025, Appellant filed several motions, including
a Motion to Compel Appraisal. Appellees responded and objected
to Appellant’s motion, arguing that Appellant failed to timely
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invoke appraisal. Following a hearing, the court entered its order
denying Appellant’s motion to compel appraisal. The court found
that Appellant’s actions, including maintaining its position that
the damages Appellees sustained fell below the deductible,
informing Appellees that neither repairs nor payment would be
forthcoming, closing Appellees’ claim and responding to Appellees’
intent to initiate litigation with a $100 settlement offer, were
inconsistent with Appellant’s right to an appraisal, resulting in a
waiver of that right. This appeal followed.
Because the facts are undisputed, this Court reviews the
trial court’s order denying Appellant’s motion to compel appraisal
de novo. See People’s Tr. Ins. Co. v. Nowroozpour, 331 So. 3d 193,
196 (Fla. 4th DCA 2021). One of the undisputed facts is that the
appraisal clause was not invoked until after Appellees filed their
lawsuit against Appellant. Indeed, Appellant argues that the trial
court incorrectly determined that Appellant was required to
invoke appraisal before Appellees filed lawsuit.
Florida courts draw on the same principles governing waiver
of arbitration rights when analyzing waiver of contractual
appraisal rights, consistently holding that an appraisal clause may
be invoked for the first time after litigation has commenced. NCI,
LLC v. Progressive Select Ins. Co., 350 So. 3d 801, 810 (Fla. 5th
DCA 2022) (“A party may invoke appraisal rights after litigation
has commenced.”); People’s Tr. Ins. Co. v. Fernandez, 317 So. 3d
207, 210 (Fla. 3d DCA 2021) (“PTI did not waive its right to compel
appraisal. There is no bar to seeking appraisal after litigation has
begun.”). The operative legal standard to determine whether an
insurer waived appraisal is whether the insurer actively
participated in the lawsuit or engaged in conduct inconsistent with
the right to appraisal. Fla. Ins. Guar. Ass’n v. Branco, 148 So. 3d
488, 493 (Fla. 5th DCA 2014); Fla. Ins. Guar. Ass’n v. Rodriguez,
153 So. 3d 301, 303 (Fla. 5th DCA 2014).
Here, in response to Appellees’ intent to initiate litigation,
Appellant made a $100 settlement offer. It did not require
Appellees to participate in appraisal. This offer to settle, alone, is
not a waiver of the right to appraisal. See U.S. Fire Ins. Co. v.
Franko, 443 So. 2d 170, 172 (Fla. 1st DCA 1983) (“[Insurer’s]
settlement offer was, perhaps, merely a first step in attempting to
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resolve the dispute amicably and without any formal proceedings.
This type of conduct is not inconsistent with the right to
arbitration.”).
Appellant filed its affirmative defenses invoking appraisal
and promptly moved to compel arbitration. This conduct is not
inconsistent with its right to appraisal. See State Farm Fla. Ins.
Co. v. Nordin, 312 So. 3d 200, 204 (Fla. 1st DCA 2021) (“The
homeowners filed suit. State Farm promptly answered and in the
answer, demanded appraisal. This was done within thirty days of
the filing of the lawsuit. The appraisal demand was timely.”);
People’s Tr. Ins. Co. v. Vidal, 305 So. 3d 710 (Fla. 3d DCA 2020)
(holding insurer did not waive its right to appraisal where it
immediately moved to compel appraisal after complaint was filed).
Because Appellant did not waive its right to arbitration, the
court erred in denying the motion to compel. We reverse and
remand with instructions to grant the motion to compel
arbitration.
REVERSED and REMANDED for further proceedings.
JAY, C.J., and MACIVER, J., concur.
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Not final until disposition of any timely and
authorized motion under Fla. R. App. P. 9.330 or
9.331.
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