Avatar Property & Casualty Insurance Company v. Niulsurys Flores and Ernesto Valdes
CourtDistrict Court of Appeal of Florida
Date FiledApril 16, 2021
Docket2D20-2458
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
AVATAR PROPERTY & CASUALTY )
INSURANCE COMPANY, )
)
Petitioner, )
)
v. ) Case No. 2D20-2458
)
NIULSURY S. FLORES AND )
ERNESTO VALDES, )
)
Respondents. )
___________________________________)
Opinion filed April 16, 2021.
Petition for Writ of Certiorari to the Circuit
Court for Collier County; Lauren L. Brodie,
Judge.
Carol M. Rooney and Adam Topel of Butler
Weihmuller Katz Craig, LLP, Tampa, for
Petitioner.
Manuel Alvarez-Jacinto of Law Offices of
Marcote & Marcote De Moya, PLLC, Miami,
for Respondents.
KHOUZAM, Chief Judge.
Avatar Property & Casualty Insurance Company seeks a writ of certiorari
quashing an order granting a motion by its Insureds, Niulsury S. Flores and Ernesto
Valdes, to compel production of documents in the Insureds' breach of contract action for
insurance coverage. Because the documents ordered to be produced are protected by
the work product privilege and coverage remains in dispute, we grant the petition and
quash the order directing production.
BACKGROUND
After their home was damaged in Hurricane Irma in September 2017, the
Insureds submitted a claim under their home insurance policy with Avatar. Avatar
determined that "there is coverage under [the] policy" and paid the Insureds over
$24,000 in January 2018. In July 2018, the Insureds filed a single-count breach of
contract action against Avatar alleging that it owed them additional payments under the
same policy.
The Insureds sought discovery from Avatar, which produced some
documents but withheld others on the basis of work product privilege and other
objections. The Insureds moved to overrule Avatar's objections. Their motion was
referred to and heard by a magistrate, who entered a recommended order granting the
Insureds' motion. The only finding of fact or conclusion of law in the recommended
order states: "This is a dispute over scope and pricing of damages where coverage is
not at issue. Therefore, anticipation of litigation is the standard by which to determine
protection by the work product doctrine."
Avatar filed exceptions to the recommended order, and the Insureds filed
a response. The trial court entered an order generally denying Avatar's exceptions and
approving the magistrate's recommended order but directing Avatar to submit copies of
all objected-to documents for in camera inspection. Following its review of the
documents, the trial court entered an order requiring production of four discrete
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documents (referred to as Documents #3, #5, #6, and #10) but ruling that five other
requested items "are privileged and shall not be disclosed." The trial court noted that
one other disputed item had not been provided to the court for review, but the court did
not order its production or otherwise address the omission. Avatar then filed its petition
for writ of certiorari, contending that the trial court impermissibly ordered it to produce
protected documents from its claims file.
Avatar filed the disputed documents under seal with this court. All four
documents concern the same Insureds, although they are split between the hurricane
loss claim at issue in the Insureds' lawsuit and another prior claim for a water leak.
Documents #5 and #6 predate the loss at issue and address Avatar's investigation of a
different claim for a prehurricane leak in the same home. By contrast, Documents #3
and #10 postdate the loss and address the Hurricane Irma claim now at issue.
Document #3 is a composite of investigative photographs taken by Avatar's adjuster.
Document #10 is a printout of a Claim Payment Screen from Avatar's Claims
Management System addressing the Insureds' claim.
ANALYSIS
Avatar contends that the order must be quashed because the documents
are protected by the work product privilege. Specifically, it asserts that these four
documents from its claims file are investigative and claims handling material that are
protected from disclosure because coverage remains in dispute. We agree. Despite
the fact that Avatar has admitted that some coverage exists under the policy, the
amount and nature of that coverage remains in dispute, and thus the trial court departed
from the essential requirements of the law by overruling the work product objection and
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directing production of these privileged documents on the express basis that "coverage
is not at issue."
In order to obtain certiorari relief, the petitioner must establish (1) a
departure from the essential requirements of the law (2) resulting in material injury for
the remainder of the case (3) which cannot be corrected on postjudgment appeal. See,
e.g., Shindorf v. Bell, 207 So. 3d 371, 372 (Fla. 2d DCA 2016). "Of these three
elements, the latter two—material injury and a lack of an adequate appellate remedy—
constitute the jurisdictional threshold for our certiorari review; the first element concerns
the merits of the petition." Id. Discovery of "cat out of the bag" material, like documents
protected by the work product privilege, satisfies the jurisdictional prongs of this test
because disclosure of such information may cause irreparable harm. Progressive Am.
Ins. Co. v. Herzoff, 290 So. 3d 153, 156 (Fla. 2d DCA 2020). Accordingly, prongs (2)
and (3) have been satisfied here, and we turn our attention to the first prong—departure
from the essential requirements of the law.
As this court has recently observed, "Second District case law is replete
with opinions holding that '[a] trial court departs from the essential requirements of the
law in compelling disclosure of the contents of an insurer's claim file when the issue of
coverage is in dispute and has not been resolved.' " Owners Ins. Co. v. Armour, 303
So. 3d 263, 267 (Fla. 2d DCA 2020) (alteration in original) (quoting Seminole Cas. Ins.
Co. v. Mastrominas, 6 So. 3d 1256, 1258 (Fla. 2d DCA 2009)).
It is true that there is no privilege under Florida law that automatically
attaches to "claims file" material. See, e.g., Homeowners Choice Prop. & Cas. Ins. Co.
v. Avila, 248 So. 3d 180, 184-85 (Fla. 3d DCA 2018) (observing that, although both
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parties cited a "claims file privilege," "[t]here is no such privilege by that designation").
Nonetheless, "[w]ithout question, materials within an insurer's claim file will frequently fit
within the definition of work product." Herzoff, 290 So. 3d at 157 (collecting cases).
That is because work product is broadly defined to include documents that
"can fairly be said to have been prepared or obtained because of the prospect of
litigation." Id. at 156, 158 (quoting State ex rel. Day v. Patterson, 773 S.W.2d 224, 228
(Mo. Ct. App. 1989) (quoting 8 Charles Alan Wright, Arthur P. Miller & Edward H.
Cooper, Federal Practice and Procedure § 2024 at 198 (2d ed. 1988))). Consequently,
"[e]ven preliminary investigative materials are privileged if compiled in response to some
event which foreseeably could be made the basis of a claim." Id. at 158 (quoting
Anchor Nat'l Fin. Servs. v. Smeltz, 546 So. 2d 760, 761 (Fla. 2d DCA 1989)).
Consistent with these principles, Florida courts routinely hold that
materials generated during an insurer's investigation of a claim for coverage constitute
protected work product. See, e.g., Avatar Prop. & Cas. Ins. Co. v. Mitchell, 46 Fla. L.
Weekly D168a, D169 (Fla. 3d DCA Jan. 13, 2021) (collecting cases, and holding: "The
adjuster was tasked with investigating whether the claim was subject to coverage.
Consequently, the materials challenged constitute work-product."); see also Zirkelbach
Const., Inc. v. Rajan, 93 So. 3d 1124, 1129 (Fla. 2d DCA 2012) (concluding the "claims
handling materials" at issue were "clearly [the Insurer]'s protected work product").
Here, the magistrate's express finding, which the trial court adopted, was
that the investigative and claims handling materials were not privileged because
"coverage is not at issue," presumably because Avatar admitted that some coverage
existed under the policy. But that finding is contrary to Florida law, which holds that,
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regardless of the binary question of whether any coverage exists, the issue of coverage
remains disputed for these purposes where the amount of coverage remains to be
determined.
In GEICO General Insurance Co. v. Hoy, 927 So. 2d 122, 126 (Fla. 2d
DCA 2006), this court rejected the insured's argument "that because GEICO has
already paid the $10,000 in available coverage, it cannot now claim that the question of
coverage remains unresolved." Citing to the Fifth District's decision in American
Bankers Insurance Co. of Florida v. Wheeler, 711 So. 2d 1347, 1348 (Fla. 5th DCA
1998), we held that where an insurer denies that additional benefits are due after an
initial determination of coverage, the issue of coverage remains partially pending and,
thus, claims file discovery may depart from the essential requirements of the law. Id.
Expressly following this court's decision in Hoy, the First District has also
concluded that "the extent of coverage" remained in dispute despite a "partial payment
of the policy limits," thereby precluding the simultaneous litigation of breach of contract
and bad faith claims. Vanguard Fire & Cas. Co. v. Golmon, 955 So. 2d 591, 594 (Fla.
1st DCA 2006). It interpreted Hoy as holding that the "insured's breach of contract suit
against [her] insurer raised a coverage issue, which was not settled by [the] insurer's
payment of only part of what insured was claiming in [the] breach of contract action." Id.
Likewise here, the issue of coverage remains in dispute despite Avatar's
payment of some benefits to the Insureds. The payment was made before the lawsuit
was filed, and Avatar's answer raises several affirmative defenses to coverage,
including alleging that the Insureds breached their postloss obligations under the policy.
Under the circumstances, the trial court departed from the essential requirements of law
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by ordering production of Avatar's investigative and claims handling materials based on
the express contrary conclusion that "coverage is not at issue."
Finally, the mere fact that no litigation arose directly from the Insureds'
prior leak claim that caused Avatar to produce some of the materials at issue does not
affect the determination of work-product protection. As this court explained in Herzoff,
the "view that materials in an insurer's claim file could not be work product if that claim
was settled without litigation . . . is an overly circumscribed view of what constitutes
work product." 290 So. 3d at 157. Instead, "the work product doctrine protects
documents created in anticipation of terminated litigation as well as anticipated litigation
that never materializes." Id. (quoting State Farm Fla. Ins. Co. v. Marascuillo, 161 So. 3d
493, 497 (Fla. 5th DCA 2014)). Thus, Documents #5 and #6 retain their protected
status even though the prehurricane claim they addressed did not lead to litigation.
Consequently, because the trial court departed from the essential
requirements of the law by ordering production of these privileged claims file materials
on the mistaken basis that "coverage is not at issue," we grant the petition and quash
the order.
Petition granted; order quashed.
CASANUEVA and KELLY, JJ., Concur.
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