Safepoint: the denial record

The insurer failed to make a claims determination within the prescribed statutory deadline and when the carrier did make payment.

Subsequently, the insureds prepared a loss package in the amount of $206,022.62 needed to restore the property back to its pre-loss condition.

Yancy's estimate drastically undervalues the damages and presumes the entirety of the damage can be repaired for only $84,865.57, after reduction for depreciation and application of the policy's deductible.

Despite receipt of the loss consultants 's estimate, [name redacted] continued to fail and refuse to properly adjust the loss per the Policy and Florida Statutes.

After assessing the damage and the true scope of repairs, the public adjuster produced an estimate identifying $110,443.32 in covered damages.

The insureds were devastated and hired the assistance of a public adjuster who provided State Farm with an accurate and comprehensive estimate of damages in the amount of $96,765.80.

Despite the extreme damage to the interior of the property, this estimate totaled only $20,465.95, which failed to include cabinet or vanity repairs, and otherwise under scoped the damage to the property.

A representative from Elevate Claim Adjusters, LLC ("Elevate") inspected the property and provided a detailed estimate of damages to the Carrier totaling $84,343.50.

After assessing the damage and the true scope of repairs, the roofing contractor produced an estimate identifying $74,490.67 in covered damage to the dwelling.

Gannon determined that at least $51,784.05 (dwelling) worth of repairs would be required to return the property to its pre-loss condition as a result of the hail loss.

State Farm Florida Insurance Company (carrier) has not attempted in good faith to settle the insured's claim when, under all the circumstances, it could and should have done so, had it acted fairly and honestly toward its insured and with due regard for their interests.

Payne estimated the total cost to restore the Property back to its pre-loss condition at $37,882.56 ACV/ $41,840.38 RCV for the dwelling.

On August1, 2024, the Insurer denied that the Property sustained damage from the Loss that was covered by the Insured's insurance policy (policy number stated above; hereinafter the "Policy").

ON OR ABOUT FEBRUARY 8, 2023 OUR OFFICE RECEIVED PAYMENT IN THE AMOUNT OF $37525.81 FOR COVERAGE A AND $12,070.40 FOR COVERAGE D.

AND MRS. [name redacted] damage estimate in the amount of $35,443.45 (less any prior payments, depreciation, excess policy limits, and/or deductible), which accurately reflects the true nature and extent of the damages to the Dwelling / Other Structures; (2) Agrees to reimburse MR.

Safepoint Insurance Company failed to pay the insureds' claim under the homeowner's insurance policy when, under all of the circumstances, it could and should have done so, had it acted fairly and honestly and with due regard for the interests of insured.

Notably, the Insurer had conducted an inspection approximately 15 days prior to this correspondence and, as of yet, has not provided any written updates regarding the investigation or coverage determination.

There has been no response within fifteen (15) calendar days of the Insured's written request and the Insurer has not provided information on how to obtain a loss run statement at no charge through a consumer reporting agency.

Thereafter, the Carrier inspected and documented the observable damages, but denied coverage to its Insureds for the subject loss despite the Insureds providing uncontroverted evidence of the existence of wind-related damage to the Property.

The Insurance Company performed a cursory inspection and failed to retain the unbiased experts necessary to adequately inspect the property to restore the property to its pre-loss condition.

The Carrier performed a cursory inspection of the Insured Property and failed to retain unbiased experts necessary to trigger the cause of the Loss and covered repairs necessary to restore the Insured Property to its pre-loss condition.

The Carrier performed a cursory inspection of the Insured Property and failed to retain unbiased experts necessary to trigger the cause of the Loss and covered repairs necessary to restore the Insured Property to its pre-loss condition.