Phylis Heid v. Florida Insurance Guaranty Assoc.
CourtDistrict Court of Appeal of Florida
Date FiledMarch 6, 2020
Docket2D18-0737
StatusPublished
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Full Opinion
NOT FINAL UNTIL TIME EXPIRES TO FILE REHEARING
MOTION AND, IF FILED, DETERMINED
IN THE DISTRICT COURT OF APPEAL
OF FLORIDA
SECOND DISTRICT
PHYLIS HEID, )
)
Appellant, )
)
v. ) Case No. 2D18-737
)
FLORIDA INSURANCE GUARANTY )
ASSOCIATION, )
)
Appellee. )
)
Opinion filed March 6, 2020.
Appeal from the Circuit Court for
Hillsborough County; E. Lamar Battles,
Judge.
Richard N. Asfar of Vaka Law Group, P.L.,
Tampa (withdrew after briefing); George
A. Vaka and Kurt J. Rosales of Vaka Law
Group, P.L., Tampa; and Aaron S. Kling
of Kling Law, P.A., Tampa, for Appellant.
Dorothy V. DiFiore of Quintairos, Prieto,
Wood & Boyer, Tampa; and Lisa J.
Augspurger of Bush & Augspurger, P.A.,
Orlando, for Appellee.
MORRIS, Judge.
Phylis Heid appeals an order denying her motion for attorney's fees and
costs incurred in sinkhole litigation against Florida Insurance Guaranty Association
(FIGA). In this appeal, Heid argues that the trial court misconstrued this court's prior
holding in Miller v. Florida Insurance Guaranty Ass'n, 200 So. 3d 200 (Fla. 2d DCA
2016), which she claims supports her entitlement to fees. She also claims that she is
entitled to costs pursuant to section 57.041, Florida Statutes (2012), because FIGA's
ultimate concession that her claim is covered constitutes a confession of judgment. We
agree that the trial court misconstrued our holding in Miller but affirm its decision that
Heid is not entitled to fees and costs.
I. Facts
In 2010, believing that her home had suffered sinkhole damage, Heid
reported a claim to her insurer, HomeWise Preferred Insurance Company. HomeWise
hired an engineer to perform testing and advised Heid that there was no sinkhole
damage in December 2010. Heid demanded additional testing, and after procuring a
geological investigation, HomeWise again informed Heid that no sinkhole loss had
occurred in June 2011.
HomeWise was declared insolvent in November 2011, and FIGA assumed
responsibility for Heid's claim. In March 2013, FIGA advised Heid that there had been
no evidence of sinkhole activity on the property but that FIGA was not denying her
claim. In September 2013, Heid's attorney asked FIGA to either admit or deny
coverage, and FIGA's adjuster responded that FIGA had not and was not denying
Heid's claim. Heid then filed her lawsuit against FIGA in October 2013.
FIGA invoked the neutral evaluation process and peer review of prior
testing, after which FIGA advised Heid in February 2015 that her claim was not a
covered claim and that FIGA would not make payment. Heid then retained an
engineering firm to conduct additional testing. The firm concluded that there was
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evidence of sinkhole activity that had caused damage to Heid's home. Heid shared the
report with FIGA, which disagreed. Heid then retained a second firm to conduct
additional testing, and Heid shared the report with FIGA. In December 2015, FIGA
conceded that the report confirms the presence of sinkhole activity and that Heid's claim
was a covered claim. FIGA and Heid resolved all issues except Heid's claim for
attorney's fees and costs.
Heid moved for attorney's fees and costs, arguing that she is entitled to
fees under sections 631.70 and 627.428, Florida Statutes (2012), and that she is
entitled to costs under section 57.041 and the confession-of-judgment doctrine. FIGA
responded by arguing that FIGA acted swiftly in agreeing to cover Heid's claim once
scientific evidence of sinkhole activity was reported to FIGA. After this court issued its
Miller decision, Heid filed an amended motion for fees, asserting that "when FIGA
denies coverage for sinkhole loss, then later accepts coverage, the [i]nsured is entitled
to fees pursuant to Florida statute 631.70." FIGA responded that fees were precluded
under section 631.54(3)(c) because the fees were "in connection with a sinkhole loss,"
that a large portion of Heid's fees were for testing and thus prohibited by section
631.54(3)(c), that Heid's claim was not a "covered claim" at the time it was affirmatively
denied by FIGA, and that Heid was not entitled to costs because no judgment had been
entered.
After a hearing, the trial court denied Heid's motion for fees, concluding
that the fees Heid spent on testing for a sinkhole loss were excluded under the definition
of "covered claim" in section 631.54(3)(c) as interpreted by Miller and that any fees
related to sinkhole repairs after FIGA agreed to coverage were also barred by section
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631.54(3)(c). The trial court further found that FIGA's February 2015 denial did not
constitute an affirmative denial of a "covered claim" for purposes of section 631.70
because at the time of the February 2015 denial, there was no scientific evidence that
there was sinkhole activity. The trial court concluded that after scientific evidence
supported a finding of sinkhole activity, FIGA never affirmatively denied the claim.
II. Analysis
"Whether a party is entitled to statutory attorney's fees is a matter of
statutory interpretation, which this [c]ourt reviews de novo." Parker v. Bd. of Trs. of the
City Pension Fund for Firefighters & Police Officers, 149 So. 3d 1129, 1132 (Fla. 2014).
The Florida Legislature established FIGA, through the FIGA Act, to protect Florida
citizens in the event their insurers become insolvent. Jones v. Fla. Ins. Guar. Ass'n, 908
So. 2d 435, 442 (Fla. 2005). The Legislature's expressed purpose 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). The courts have been directed
by the Legislature to liberally construe the FIGA Act to effect this purpose. See §
631.53; Jones, 908 So. 2d at 442.
In 2011, the Legislature, motivated by substantial losses in FIGA sinkhole
cases, amended the definition of "covered claim" as set forth in section 631.54(3) so as
"to limit FIGA's financial responsibility for sinkhole loss." de la Fuente v Fla. Ins. Guar.
Ass'n, 202 So. 3d 398, 401 (Fla. 2016); see also ch. 2011-39, § 30, Laws of Fla. Prior
to 2011, the definition of a "covered claim" consisted of subsections (3)(a)-(b) of section
631.54(3). See § 631.54(3), Fla. Stat. (2010); de la Fuente, 202 So. 3d at 401. But in
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2011, the Legislature added paragraph (3)(c). The 2011 definition of "covered claim"
thus reads as follows:
(3) "Covered claim" means an unpaid claim, including
one of unearned premiums, which arises out of, and is within
the coverage, and not in excess of, the applicable limits of
an insurance policy to which this part applies, issued by an
insurer, if such insurer becomes an insolvent insurer and the
claimant or insured is a resident of this state at the time of
the insured event or the property from which the claim arises
is permanently located in this state. For entities other than
individuals, the residence of a claimant, insured, or
policyholder is the state in which the entity's principal place
of business is located at the time of the insured event. The
term does not include:
(a) Any amount due any reinsurer, insurer, insurance
pool, or underwriting association, sought directly or indirectly
through a third party, as subrogation, contribution,
indemnification, or otherwise;
(b) Any claim that would otherwise be a covered claim
under this part that has been rejected or denied by any other
state guaranty fund based upon that state's statutory
exclusions, including, but not limited to, those based on
coverage, policy type, or an insured's net worth. Member
insurers have no right of subrogation, contribution,
indemnification, or otherwise, sought directly or indirectly
through a third party, against the insured of any insolvent
member; or
(c) Any amount payable for a sinkhole loss other than
testing deemed appropriate by the association or payable for
the actual repair of the loss, except that the association may
not pay for attorney's fees or public adjuster's fees in
connection with a sinkhole loss or pay the policyholder. The
association may pay for actual repairs to the property but is
not liable for amounts in excess of policy limits.
§ 631.54, Fla. Stat. (2011) (emphasis added).1 The language in subsection (3)(c)
prevents FIGA from paying "[a]ny amount payable for a sinkhole loss other than testing
deemed appropriate by the association or payable for the actual repair of the loss" and
1In 2015, the definition of "covered claim" was renumbered as subsection
(4). Ch. 2015-65, § 1, Laws of Fla.
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further specifically prevents FIGA from paying "attorney's fees . . . in connection with a
sinkhole loss."
Heid claims that she is entitled to attorney's fees under section 631.70,
which provides that "[t]he provisions of s. 627.428 providing for an attorney's fee shall
not be applicable to any claim presented to the association under the provisions of this
part, except when the association denies by affirmative action, other than delay, a
covered claim or a portion thereof." While section 631.70 generally applies to attorney's
fees payable by FIGA when FIGA has denied a covered claim by affirmative action,
section 631.70 does not specifically address sinkhole claims. Section 631.54(3)(c)
addresses attorney's fees in connection with a sinkhole loss. "[A] specific statute
covering a particular subject area always controls over a statute covering the same and
other subjects in more general terms." McKendry v. State, 641 So. 2d 45, 46 (Fla.
1994) (first citing Adams v. Culver, 111 So. 2d 665, 667 (Fla. 1959); then citing State v.
Billie, 497 So. 2d 889, 894 (Fla. 2d DCA 1986)). "The more specific statute is
considered to be an exception to the general terms of the more comprehensive statute."
Id. (citing Floyd v. Bentley, 496 So. 2d 862, 864 (Fla. 2d DCA 1986)). The more specific
statute must control, and the specific statute that relates to attorney's fees in sinkhole
cases is section 631.54(3)(c). Section 631.70 must now give way to the more specific
language in section 631.54(3)(c) when attorney's fees are sought in connection with a
sinkhole loss. By virtue of the 2011 addition of section 631.54(3)(c), the Legislature has
put the public on notice that when it comes to attorney's fees, sinkhole claims involving
FIGA now fall under the American Rule, which provides that all parties must bear their
own fees no matter the outcome of the litigation. See Johnson v. Omega Ins. Co., 200
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So. 3d 1207, 1214 (Fla. 2016) ("Generally, the custom in American law is that each
party is responsible for his or her own attorney's fees, regardless of the outcome of the
action."); Topalli v. Feliciano, 267 So. 3d 513, 518 (Fla. 2d DCA 2019) ("Under the
'American Rule,' attorney's fees in civil litigation are ordinarily borne by the party who
incurs them, and a court cannot award the recovery of attorney's fees from an opposing
litigant unless 'authorized by statute or by agreement of the parties.' " (quoting Fla.
Patient's Comp. Fund v. Rowe, 472 So. 2d 1145, 1148 (Fla. 1985)).
In Miller, this court discussed the parties' arguments regarding how to
reconcile the language of the two statutes, noting that "the language of section 631.70
. . . allows the insured to seek attorneys' fees related to the enforcement of the policy
itself." 200 So. 3d at 203. However, this determination was not the basis for this court's
ultimate resolution of Miller. The holding in Miller was that FIGA had not denied the
homeowner's claim by affirmative action; therefore, he had not demonstrated
entitlement to fees under section 631.70, and we affirmed the judgment on that basis.
200 So. 3d at 204-05. Because the homeowner was not entitled to fees under section
631.70, this court's discussion of the definition of "covered claim" in section 631.54(3)(c)
was non-binding dicta that has no precedential authority. See Lewis v. State, 34 So. 3d
183, 186 (Fla. 1st DCA 2010) ("When a court makes a pronouncement of law that is
ultimately immaterial to the outcome of the case, it cannot be said to be part of the
holding in the case."); Michael Abramowicz & Maxwell Stearns, Defining Dicta, 57 Stan.
L. Rev. 953, 1065 (2005) ("A holding consists of those propositions along the chosen
decisional path or paths of reasoning that (1) are actually decided, (2) are based upon
the facts of the case, and (3) lead to the judgment. If not a holding, a proposition stated
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in a case counts as dicta."); see also Cont'l Assurance Co. v. Carroll, 485 So. 2d 406,
408 (Fla. 1986) ("[D]icta is at most persuasive and cannot function as ground-breaking
precedent." (citations omitted)).
Because section 631.54(3)(c) prevents Heid from recovering fees she
incurred in connection with her sinkhole loss, we need not determine whether FIGA
affirmatively denied her claim for purposes of section 631.70.
Last, Heid moved for costs under section 57.041, but the trial court denied
costs without specifically addressing this claim. Our analysis on Heid's entitlement to
fees also applies here. Section 631.54(3)(c) prevents the payment of "[a]ny amount
payable for a sinkhole loss other than testing deemed appropriate by the association or
payable for the actual repair of the loss"; in other words, the statute makes clear the
Legislature's intention that FIGA only be obligated to pay for "testing deemed
appropriate" and the cost of "actual repairs to the property" and nothing more. As our
Supreme Court has recognized,
FIGA is a public, nonprofit corporation created by statute
to provide a mechanism for payment of covered claims
under certain classes of insurance policies issued by
insurers which have become insolvent. Under Florida's
statutory insurer liquidation system, 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 period after insolvency.
"FIGA is strictly a creature of statute." "Thus, 'the statutory
language defines the extent of FIGA’s obligations. FIGA is
not responsible for claims against an insurer that do not fall
within FIGA's statutory obligations.' "
de la Fuente, 202 So. 3d at 401 (citing Fla. Ins. Guar. Ass'n v. Devon Neighborhood
Ass'n, 67 So. 3d 187, 189-90 (Fla. 2011)). Therefore, we conclude that the limiting
language in section 631.54(3)(c) prevents an award of costs to be paid by FIGA.
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For the reasons expressed above, we affirm the trial court's order denying
attorney's fees and costs and remand for further proceedings consistent with this
opinion. The specific issue addressed in this case has arisen, and continues to arise, in
many cases before this court. Accordingly, we certify the following question to the
Florida Supreme Court as one of great public importance:
DOES THE LANGUAGE IN SECTION 631.54(3)(c)
REGARDING ATTORNEY'S FEES IN CONNECTION WITH
A SINKHOLE LOSS OPERATE TO PREVENT A SINKHOLE
CLAIMANT FROM RECEIVING FEES FROM FIGA UNDER
SECTION 631.70?
Affirmed; question certified.
NORTHCUTT and ROTHSTEIN-YOUAKIM, JJ., Concur.
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