| Carrier | Edison Insurance Company |
|---|---|
| Arguments used | Below deductible · Water exclusion |
| What happened next | Civil Remedy Notice filed with Florida's Department of Financial Services, which opens a 60-day window for the insurer to cure. |
Four sentences carrying two independent reasons to pay nothing, and the order matters. The estimate came in under the deductible. Separately, some items were damaged by flood, which a homeowners policy does not cover.
The two are connected in a way the letter does not spell out. Every item moved into the flood column comes out of the estimate, and the estimate is what has to clear the deductible. So the causation call and the arithmetic are not independent at all: classify enough of the loss as flood, and what remains falls below the retention automatically.
That is the thread to pull on a letter like this. Which items were assigned to flood, on what basis, and what the waterline evidence shows. In a house where wind opened the building and water later entered at ground level, the allocation between wind and flood is the claim, and here it was made before the subtraction that ended it.
Florida DFS Civil Remedy Notice, filing no. 664480, accepted 12/27/2022, Winter Garden. The filing is not the letter: the passage below is the denial letter's own language as the policyholder quoted it, where Edison sent its coverage determination letter to the insured explaining as follows. · 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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