Opinion

EXPERT INSPECTIONS, LLC v. UNITED PROPERTY & CASUALTY INSURANCE COMPANY

Court
District Court of Appeal of Florida
Filed
Jan 5, 2022
Status
Published
Cited by
0 cases
Authority
More cited than 23.2%

assignment of error which was not argued in appellant’s brief was considered abandoned

How later courts described this case

  • assignment of error which was not argued in appellant’s brief was considered abandoned
  • only “an unqualified assignment transfers to the assignee all the interest of the assignor under the assigned contract . . . .”

Written by the judges who cited it.

The opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA

FOURTH DISTRICT

EXPERT INSPECTIONS, LLC d/b/a ITEST

d/b/a MOLDEXPERT.COM a/a/o PAT BECKFORD,

Appellant,

v.

UNITED PROPERTY & CASUALTY INSURANCE COMPANY,

Appellee.

No. 4D21-547

[January 5, 2022]

Appeal from the County Court for the Seventeenth Judicial Circuit,

Broward County; Louis H. Schiff, Judge; L.T. Case Nos. CONO19-008142

and CACE20-0014553.

Chad A. Barr of Chad Barr Law, Altamonte Springs, for appellant.

Kimberly J. Fernandes of Kelley Kronenberg, P.A., Tallahassee, for

appellee.

ARTAU, J.

Appellant Expert Inspections, LLC (the assignee), as the assignee of Pat

Beckford (the insured), appeals from the trial court’s entry of final

summary judgment in favor of United Property & Casualty Insurance

Company (the insurer), in an action stemming from the assignment of

post-loss insurance benefits. We affirm on all issues and write to address

the assignee’s contention that the trial court erred in granting the insurer’s

motion for final summary judgment based on the insurer’s pre-suit

payment to both the assignee and the insured.

Background

In 2017, the insured’s property sustained damage from Hurricane Irma

resulting in a covered loss. To mitigate damage and comply with her

obligations under her insurance policy, the insured retained the assignee

to perform mold-related services.

As payment, the insured assigned her policy benefits pursuant to a

limited and qualified assignment of benefits agreement (“AOB agreement”).

In pertinent part, the policy provided: “We will pay you unless some other

person is named in the policy or is legally entitled to receive payment.”

The AOB agreement, in turn, provided:

3. [The insured] agrees to cooperate with [the assignee] to

ensure that payments are made by any insurance carrier

immediately upon completion of work. [The insured]

understands that [the assignee] is working for [the insured]

and not [the insured]’s insurance company.

4. Direction to Pay. [The insured] hereby demands and

authorizes any applicable insurance carrier(s) to pay [the

assignee] solely and directly for the services provided, without

the need to include [the insured] or any co-insured as a payee.

5. Assignment of Insurance Claim Benefits. [The

insured] hereby assigns to [the assignee] any and all

insurance rights, benefits, and proceeds which pertain to

services rendered in relation to the above loss, under any

applicable policy of insurance. This assignment of rights,

benefits and proceeds is limited to the amount of [the

assignee]’s invoice for services rendered in relation to the

above claim and the right and ability to collect same directly

from my insurer, including the right to file suit and to seek

attorney’s fees and court costs. Toward that end, [the insured]

waves [sic] any homestead exemption, which might be

applicable to such insurance funds. Any and all other

insurance rights, benefits, and proceeds shall continue to

belong to the [insured].

....

7. Limited Power of Attorney. [The insured] hereby

appoints [the assignee] as [the insured]’s attorney in fact to

endorse and deposit any payments made by any source for

services rendered by [the assignee] which may include [the

insured]’s name as a co-payee.

....

11. Other. I (we) give authority to [the assignee] to endorse

any checks with (my/our) name listed in the check.

2

(italicized emphasis added).

On April 18, 2018, the assignee submitted a claim to the insurer. The

assignee provided the insurer with a copy of the AOB agreement and an

invoice for $1,995.00.

Subsequently, the assignee sent the insurer a final request for payment

within ten days as part of its “last good faith effort to receive payment.”

Within the requested ten-day period, the insurer issued a check for the

invoice payable to both the assignee and the insured, mailing the check to

the insured’s home address. Approximately one year later, the assignee

filed suit for breach of contract against the insurer.

In response, the insurer filed a motion to deposit the funds with the

clerk of the court. The insurer asserted it had previously issued a check

in full payment to both the insured and the assignee, but the check was

never negotiated. Additionally, the insurer noted it had offered to re-issue

the check in exchange for the assignee’s dismissal of the lawsuit. Thus,

the insurer requested “that the court deposit . . . the pre-suit payment,

until the issues addressed herein are resolved.” The trial court ultimately

granted the motion.

Thereafter, the insurer filed its answer and affirmative defenses. The

insurer argued that the assignee was not entitled to attorney’s fees

because the assignee was not “forced” to initiate litigation, and that the

insured breached the policy’s applicable portion stating: “If you and we

fail to agree on the settlement regarding the loss, prior to filing suit, you

must notify us of your disagreement in writing.” (emphasis added).

The parties filed competing motions for summary judgment. The

insurer’s motion contended the full amount was paid pre-suit, and that

the assignee “never notified [insurer] in writing of any disagreement prior

to filing suit . . . .” Thus, the insurer contended that it was entitled to

summary judgment as a matter of law.

The assignee’s motion maintained that because it notified the insurer

of the AOB agreement—which contained instructions to issue payment

solely to the assignee—the insurer was required to pay solely the assignee

for services rendered in connection with the claim.

Based upon the assignee’s acknowledgment that a check for full

payment was issued and mailed well before the lawsuit was filed, the court

granted the insurer’s motion for final summary judgment and denied the

3

assignee’s motion. Because no dispute existed as to the assignee’s

entitlement to the $1,995.00 amount, the court further found that the

assignee was entitled to the funds in the court registry.

Analysis

“The standard of review of an order granting summary judgment is de

novo.” Jaffer v. Chase Home Fin., LLC, 155 So. 3d 1199, 1201 (Fla. 4th

DCA 2015) (quoting Fla. Atl. Univ. Bd. of Trs. v. Lindsey, 50 So. 3d 1205,

1206 (Fla. 4th DCA 2010)).

The assignee alleges a breach of the insurance contract because the

insurer did not abide by the instructions listed in the AOB agreement.

However, the insurer cannot breach an agreement to which it has no

privity. See, e.g., Espinosa v. Sparber, Shevin, Shapo, Rosen & Heilbronner,

612 So. 2d 1378, 1379–80 (Fla. 1993) (“In a legal context, the term ‘privity’

is a word of art derived from the common law of contracts and used to

describe the relationship of persons who are parties to a contract.” (citing

Baskerville–Donovan Eng’rs, Inc. v. Pensacola Exec. House Condo. Ass’n,

581 So. 2d 1301, 1303 (Fla. 1991))). While the AOB agreement grants the

assignee the qualified right to enforce the insurance policy, it does not

grant the assignee the right to enforce against the insurer terms from the

AOB agreement that are extraneous to the insurance policy itself.

The dissent’s reliance on Building Materials Corp. of America v.

Presidential Financial Corp., 972 So. 2d 1090, 1092 (Fla. 2d DCA 2008), is

misplaced. Building Materials does not apply here because its holding is

limited to its interpretation of section 679.4061, Florida Statutes (2018).

Section 679.4061 was adopted from the Uniform Commercial Code. It

provides that a debtor “may not discharge the obligation by paying the

assignor” once a debtor is on notice of the assignment. § 679.4061(1), Fla.

Stat. (2018). However, by the statute’s own plain and unambiguous text,

it applies only to “an account debtor on an account, chattel paper, or a

payment intangible.” Id. Therefore, it has no applicability to an insurance

claim.

Bemoaning the misuse of the “oft-quoted maxim that ‘the polestar of

statutory construction is legislative intent,’” Florida Supreme Court

Justice Lawson employed the “polestar” as a metaphor to explain that

construing a “clear and unambiguous” statute “is like walking a marked

path on a clear day—where looking up to ponder unseen stars makes no

sense, and could send you stumbling off the marked path.” Schoeff v. R.J.

Reynolds Tobacco Co., 232 So. 3d 294, 313 (Fla. 2017) (Lawson, J.,

dissenting in part).

4

The dissent’s assertion that “[c]ontrary to the majority opinion’s

rhetoric, there is no caselaw limiting this legal principle to UCC cases[,]”

illustrates Justice Lawson’s metaphor. Rather than focusing on the clear

and unambiguous text that limits the statute’s application to certain

debtors, the dissent is “looking up to ponder unseen stars” in search of

caselaw to interpret what is clear on the face of the statute itself.

Moreover, section 679.4061(1) provides protection for “an account

debtor on an account, chattel paper, or a payment intangible” when a

debtor pays an assignee directly as it discharges the payor’s

obligation. When the check was tendered by the insurer, the Legislature

had not provided any similar protection to an insurance company paying

a claim to an assignee. Therefore, it was not unreasonable for the

insurance company to make the check payable to both the insured and

the assignee, particularly since the AOB agreement did not assign all of

the insured’s interest in the insurance policy to the assignee.

Contrary to the dissent’s assertion that the assignee was entitled to all

rights of the insured as “the assignor no longer has a right to enforce the

interest because the assignee has obtained all ‘rights to the thing

assigned[,]’” quoting Cont’l Cas. Co. v. Ryan Ins. E., 974 So. 2d 368, 376

(Fla. 2008) and Price v. RLI Ins. Co., 914 So. 2d 1010, 1013–14 (Fla. 5th

DCA 2005), the AOB agreement was a “limited” assignment. It provided

that “[a]ny and all other insurance rights, benefits, and proceeds shall

continue to belong to the [insured].” (emphasis added). Thus, the insurer

was not entirely free to disregard its insured in paying the claim because

the assignment was not unqualified. See State Farm Fire & Cas. Co. v.

Ray, 556 So. 2d 811, 813 (Fla. 5th DCA 1990) (only “an unqualified

assignment transfers to the assignee all the interest of the assignor under

the assigned contract . . . .”).

While the AOB agreement stated that there was no “need to include [the

insured] or any co-insured as a payee[,]” and reflected a desire between

the assignee and the insured for the check to be paid directly to the

assignee, the AOB agreement clearly contemplated how the assignee and

the insured would proceed if the check was made payable to both of them.

The AOB agreement included a limited power of attorney wherein the

“[i]nsured hereby appoints [the assignee] as [the insured]’s attorney in fact

to endorse and deposit any payments made by any source for services

rendered by [the assignee] which may include [the insured]’s name as co-

payee.” In addition, the AOB agreement provided “authority to [the

assignee] to endorse any checks with (my/our) name listed in the check.”

(emphasis added).

5

The AOB agreement also included an enforceable provision obligating

the insured to “cooperate” with the assignee “to ensure” that “payment” is

“immediately” received from the insurer. This provision obligated the

insured to promptly notify the assignee upon her receipt of payment from

the insurer. After receiving payment, the insured was legally obligated to

either promptly forward the check to the assignee or notify the insurer in

writing of the insured’s disagreement with the manner of payment as

required by the insurance policy. The insured’s failure to do either cannot

be attributed to the insurer who was not a party to the AOB agreement

and was not put on written notice by its insured of any disagreement

regarding the manner of payment.

Lastly, while the assignee did mention section 627.7013, Florida

Statutes (2018), in its statement of facts, it did not make an argument as

to any significance that statute would have on why we should reverse the

trial court’s entry of summary judgment. Thus, we cannot consider any

argument in support of reversal based on section 627.7031, Florida

Statutes (2018), that was not argued in the appellate briefs. “It is a rather

fundamental principle of appellate practice and procedure that matters

not argued in the briefs may not be raised for the first time [later in the

appeal].” Ayer v. Bush, 775 So. 2d 368, 370 (Fla. 4th DCA 2000). Thus,

we do not address this issue because it was abandoned. See Coleman v.

Allen, 320 So. 2d 864, 865 (Fla. 1st DCA 1975) (assignment of error which

was not argued in appellant’s brief was considered abandoned).

Conclusion

Accordingly, we affirm because the trial court properly granted final

summary judgment in favor of the insurer.

Affirmed.

KLINGENSMITH, J., concurs.

FORST, J., dissents with opinion.

FORST, J., dissenting.

I respectfully dissent as to the majority’s contention that the inclusion

of the insured as a payee (and the only party to whom the funds were

mailed) violates neither the policy, the assignment, nor any statutory

provision.

As noted by the majority, Pat Beckford (“the insured”) assigned

appellant Expert Inspections, LLC (“the assignee”) her policy benefits

6

pursuant to a “Mold Inspection & Sampling Agreement, Assignment of

Benefits & Contract for Services” (“AOB agreement”). The underlying

insurance policy provided: “We will pay you unless some other person is

named in the policy or is legally entitled to receive payment.”

On April 18, 2018, after performing certain mold-related services, the

assignee submitted a claim to the insurer via email. The email included a

copy of the AOB agreement and an invoice for $1,995.00 in services

rendered. As part of the claim, the insurer stated it “look[ed] forward to

hearing from [the insurer] within the next 14 days in compliance with Fla.

Stat. 627.70131.” The insurer admitted it received the claim. However,

nothing in the record indicates the insurer responded or acknowledged the

assignee’s claim at that time, or that the insured tendered a separate

and/or competing claim.

Thereafter, on July 18, 2019—91 days after the assignee provided the

insurer with the AOB agreement and the $1,995.00 invoice for services

rendered—the assignee sent the insurer an additional email. The assignee

stated it had “been sending [the insurer] emails and phone calls for over

90 plus days,” and requested payment within ten days as part of its “last

good faith effort to receive payment.” The insurer issued payment within

this ten-day period, albeit via a check payable to both the assignee and

the insured at the insured’s home address. The insurer otherwise failed

to respond to the assignee’s July 18 email.

“Under Florida law, an insured may assign his [or her] rights to benefits

under a contract of insurance.” Schuster v. Blue Cross & Blue Shield of

Fla., Inc., 843 So. 2d 909, 911 (Fla. 4th DCA 2003). “[P]ost-loss insurance

claims are freely assignable without the consent of the insurer.” Bioscience

W., Inc., v. Gulfstream Prop. & Cas. Ins. Co., 185 So. 3d 638, 643 (Fla. 2d

DCA 2016).

Once an assignor transfers his or her interest, “the assignor no longer

has a right to enforce the interest because the assignee has obtained all

‘rights to the thing assigned.’” Cont’l Cas. Co. v. Ryan Inc. E., 974 So. 2d

368, 376 (Fla. 2008) (quoting Price v. RLI Ins. Co., 914 So. 2d 1010, 1013–

14 (Fla. 5th DCA 2005)). The effect of an assignment of benefits “is to place

the insured’s cause of action for such benefits in the provider.” Schuster,

843 So. 2d at 911. Further, “[i]t is well established under Florida law that

a debtor who receives actual notice of the assignment of . . . an obligation

to pay may be held liable to the assignee if the debtor later pays the

assigned debt to the assignor rather than the assignee.” Bldg. Materials

Corp. of Am. v. Presidential Fin. Corp., 972 So. 2d 1090, 1092 (Fla. 2d DCA

7

2008). Contrary to the majority opinion’s rhetoric, there is no caselaw

limiting this legal principle to UCC cases.

Here, the insurance policy provided: “[w]e will pay you unless some

other person is named in the policy or is legally entitled to receive

payment.” (emphasis added). Thus, because an assignee “stands in the

shoes of his assignor,” Dove v. McCormick, 698 So. 2d 585, 589 (Fla. 5th

DCA 1997) (quoting Cadle Co. II, Inc. v. Stamm, 633 So. 2d 45, 46 (Fla. 1st

DCA 1994)), it was the assignee that was “legally entitled” to receive

payment under the policy. The assignment’s limited nature simply does

not change the fact that the assignee stood in the shoes of the insured for

purposes of receiving the $1,995.00 invoice amount.

Moreover, the assignee had placed the insurer on notice of this

arrangement. The AOB agreement provided that the insured “hereby

demands and authorizes any applicable insurance carrier(s) to pay [the

assignee] solely and directly for the services provided, without the need to

include [the insured] or any co-insured as a payee.” (emphasis added).

This AOB agreement was timely provided to the insurer along with the

insurance claim and invoice for services rendered.

Although neither party disputes that the insurer ultimately mailed a

check for the $1,995.00 amount, the insurer sent that payment to the

wrong party. Under Florida law, the assignee could not endorse the check

mailed by the insurer without the signature of both the assignee and the

insured. See § 673.1101(4), Fla. Stat (2018) (“If an instrument is payable

to two or more persons not alternatively, it is payable to all of them and

may be negotiated, discharged, or enforced only by all of them.”). However,

even accounting for the AOB agreement’s “other” provision—allowing the

assignee to endorse checks in which the insured’s name was included as

a payee—the record demonstrates that the check was sent to the wrong

address. Therefore, the insurer not only failed to pay the assignee “solely

and directly,” but essentially failed to pay the assignee at all. While

perhaps the insured was partly culpable in failing to remit the check to

the assignee, the assignee brought suit against the insurer, and the

insured was not involved in the litigation.

Moreover, beyond the assignee’s entitlement to payment and the plain

language of the AOB agreement, the insurer ignored statutory law. On

April 18, 2018, the assignee placed the insurer on notice of its claim and

that it was legally entitled to receive payment. Under section

627.70131(1)(a), Florida Statutes (2018), the insurer was required to

acknowledge receipt of the assignee’s benefits claim within 14 days, unless

payment was made within that time period. The April 18, 2018 claim was

8

never acknowledged beyond the indirect response of the check being

mailed (to the insured, not the assignee) on July 25, 2018, well beyond 14

days. This was also beyond the 90 days within which, pursuant to section

627.70131(5)(a), Florida Statutes (2018), the insurer was required to issue

or deny payment following receipt of an insurance claim.

The insurer does not dispute that the insured incurred a loss covered

by her home insurance policy with the insurer. Nor does it dispute the

cost of the repairs. As the assignee timely put the insurer on notice of its

claim and its standing—under the policy and the AOB agreement—to

submit a claim on behalf of the insured, the insurer had a duty to timely

acknowledge the claim and direct payment to the assignee (or at least

notice of where payment had been directed). It did neither, compelling the

assignee to file suit and incur legal fees and costs. As the assignee’s

actions were within the terms of the policy and the AOB agreement, I would

reverse the trial court’s order in favor of the insurer and remand for the

trial court to grant the assignee’s motion for summary judgment and enter

judgment in that party’s favor.

* * *

Not final until disposition of timely filed motion for rehearing.

9

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.