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HOME / DENIALS / THE DOCUMENTS / CITIZENS PROPERTY INSURANCE CORPORATION
DENIAL LANGUAGE QUOTED IN AN APPELLATE OPINION

Citizens: the no-opening rejection letter that a contractor affidavit beat

UPDATED 2026-08-21 FL NOT LEGAL ADVICE
WHAT THIS DOCUMENT IS

This is an appellate court’s written opinion, which quotes the insurer’s denial language while deciding the case. It is the court’s account, not the letter.

Read the opinion

Opens the public record this page is built from, on the source's own site.

REPRESENTATIVE FOOTAGE · MATCHED TO THE ARGUMENT, NOT THE CLAIM
WHAT YOU ARE LOOKING AT

This is a court’s written decision. The judges had the claim file in front of them, and where they quote the insurer’s denial language, that quotation is part of the official record of the case.

Everything quoted below is read off that document. The reading of what it means for each side is ours, and it is marked as such.

01WHO, WHAT, WHERE, WHEN, WHY
Case Morales v. Citizens Property Insurance Corporation
Court Florida Third District Court of Appeal
Citation No. 3D21-276
Decided March 16, 2022
Who is involved Miami-Dade homeowners and Citizens.
What happened Citizens denied interior water damage on the ground that no covered peril created an opening in the roof. Summary judgment for Citizens was reversed.
Where Miami-Dade County, Florida
When Hurricane Irma, 2017. Claim timely filed.
Why it came out that way Citizens put in an engineer who found no storm-created openings. The homeowners put in a licensed contractor who explained how wind lifts shingles and creates openings in the underlayment. Competing experts create a jury question.
The holding Reversed and remanded. The homeowners get their trial.
02WHAT THE DOCUMENT SAYS, VERBATIM
THE EXCLUSION CITIZENS RELIED ON, AS THE COURT DESCRIBED IT
unless a covered peril first damages the building causing an opening in a roof or wall and the rain, snow, sleet, sand or dust enters through this opening
THE HOMEOWNERS' CONTRACTOR
During a hurricane, severe winds can lift shingles and flashings causing damage to the underlayment in the form of small openings which allow of water to enter the property.
03WHAT IT MEANS TO EACH SIDE

Our reading of the document above, not the court's words.

For the insurance company

The no-opening argument turns an interior water claim into an uncovered one without disputing that water came in. It works whenever the only expert in the record is the insurer's.

For the homeowner

This is the mirror image of the wear-and-tear case that Citizens won. The difference is not the law and not the roof. It is that these homeowners paid for their own expert and put his affidavit, report and photographs into the record.

04WHAT TO TAKE FROM IT
  1. 1 An opening does not have to be a hole you can see. A licensed expert can explain lifted shingles and broken seals in the underlayment.
  2. 2 Get the expert early and get the report in writing, with photographs.
  3. 3 A carrier's engineer affidavit is not the end of the case. It is one side of a fact dispute, and fact disputes go to a jury.

Morales v. Citizens Prop. Ins. Corp., No. 3D21-276 (Fla. 3d DCA Mar. 16, 2022) Read the document ↗

Case summaries are drafted from the document and have not been reviewed by counsel; verify against the current docket before relying on any of it. Not legal advice; consult an attorney about your specific claim.

07WHY THIS ONE IS IN THE ARCHIVE

The interior-rain rejection in its standard form: the letter quotes the exclusion for rain entering a building, then the exception requiring a storm-created opening, and concludes no opening existed, so nothing pays. The Third DCA opinion preserves the quoted policy language, which is the same language on virtually every Florida HO-3.

What reversed it was one document: a contractor’s affidavit that Irma’s wind created the openings the rain came through. That single sworn statement converted the carrier’s inspection conclusion into a disputed fact, and disputed facts go to juries, not to summary judgment. The entry is in the library as the counterweight to the wear-and-tear defaults: the no-opening letter is only as strong as the policyholder’s silence, and the cheapest rebuttal in the archive, a tradesperson’s sworn observation, was enough to beat it.

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SOURCE

Morales v. Citizens Prop. Ins. Corp., No. 3D21-276 (Fla. 3d DCA Mar. 16, 2022) · public record ↗

Quotes are verbatim from the cited public record. Case status and statute summaries drafted August 2026; verify against the current docket and statute. Not legal advice; consult an attorney about your specific claim.

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