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HOME / DENIALS / THE PLAYS / THE CLAIM FILE YOU CANNOT GET
295 OF 1,891 FILINGS · 15.6%

The claim file you cannot get

The policyholder asks for the estimate, the photographs, the engineering report, the adjuster notes. The carrier does not produce them. Without the file there is nothing specific to answer, which is the point.

How common is "the claim file you cannot get" in Florida claim denials?

The policyholder asks for the estimate, the photographs, the engineering report, the adjuster notes. The carrier does not produce them. Without the file there is nothing specific to answer, which is the point. It appears in 295 of 1,891 Civil Remedy Notices filed against Florida property insurers over denied claims, which is 15.6% of them.

How often 295 of 1,891 filings, 15.6%
Named most often NATIONAL BUILDERS INSURANCE COMPANY (28 filings)
Documented examples below 3
What answers it Put the request in writing and be specific about each document. A written refusal is itself useful, and Florida law requires a reasonable written expl
What these filings are Allegations by policyholders, not findings by a court
UPDATED AUGUST 23, 2026
01WHAT ANSWERS IT

Put the request in writing and be specific about each document. A written refusal is itself useful, and Florida law requires a reasonable written explanation of the basis for a denial.

Filing and documenting your claim Read →
02WHICH CARRIERS THE FILINGS NAME

Filings naming this argument, by insurer. A bigger Florida book collects more filings, so read this as volume, not as a rate.

NATIONAL BUILDERS INSURANCE COMPANY 28
UNIVERSAL PROPERTY & CASUALTY INSURANCE COMPANY 21
FIRST PROTECTIVE INSURANCE COMPANY 19
STATE FARM FLORIDA INSURANCE COMPANY 14
SLIDE INSURANCE COMPANY 13
ASI PREFERRED INSURANCE CORP. 11
03WHAT IT LOOKS LIKE IN THE RECORD

Quoted verbatim from the filings, with names, addresses and claim numbers removed. Each links to the public record on the state's site.

SLIDE INSURANCE COMPANY NAIC 17227 Tampa Hurricane and wind $131,075

On or about October 14, 2024, the Public Adjuster prepared an estimate for repairs totaling $47,921.06 and forwarded same to Slide. On or about October 16, 2024, the Slide issued its Coverage Determination Letter and stated that "Our investigation revealed wind damage on the front, right, rear slopes of the roof, and gutters damaged, water damage to master bedroom ceiling." Attached to the coverage letter was an inaccurate and incomplete estimate for repairs totaling $8,522.76, prepared by Field Adjuster [name redacted] that failed to include repairs to the wind-damaged slopes of the roof and failed to include any line-items for repairs to the water-damaged interior of the subject property. Subsequently, the Insured's Public Adjuster prepared a revised estimate for repairs, totaling $131,075.64, to include repairs to the wind-damaged slopes of the roof, which were determined to be covere

DFS FILING 808838 ACCEPTED 2/27/2025 LATER WITHDRAWN OR RESOLVED Read the filing ↗
HERITAGE PROPERTY & CASUALTY INSURANCE COMPANY NAIC 14407 Apollo Beach Not stated $143,666

The carrier has done everything possible to delay the claim and refuses to pay the complete covered loss amount due under the policy. The carrier's conduct makes it clear that they are attempting to intentionally downplay the extent of the damage and undervalue the damages in its estimate for the sole benefit of maximizing the company's profits, thereby placing shareholder's interests ahead of its insureds' interests. Therefore, to cure the defects outlined in this Civil Remedy Notice, the carrier must: 1) Pay all amounts due and owing to the insured in the amount of $ 143,666.00 minus any prior payments and minus the applicable deductible for indemnity benefits; and 2) Review and acknowledge receipt of communication made by the insured in regards to the subject claim; 3) Pay the insured's attorney's fees and costs as the carrier's actions have forced them to retain the undersigned; 4) P

DFS FILING 803299 ACCEPTED 1/24/2025 LATER WITHDRAWN OR RESOLVED Read the filing ↗
STATE FARM FLORIDA INSURANCE COMPANY NAIC 10739 Jacksonville Hurricane and wind $35,041

State Farm delivered a coverage determination that misrepresented the material facts of the claim and relied on a faulty and disingenuous expert report. Frustrated with State Farm's denial and confused as to their rights under the policy, the Insured was forced to retain the services of [name redacted] LLC ("[name redacted] "), and legal counsel. [name redacted] inspected the damage to the property and generated a true and accurate estimate of the damage in the amount of $35,041.93. As a direct result of State Farm's denial of coverage and breach of Florida Statutes, the Insured was forced to seek the help of licensed professionals to assist them, including a contractor and legal counsel.

DFS FILING 796732 ACCEPTED 12/13/2024 LATER WITHDRAWN OR RESOLVED Read the filing ↗

A Civil Remedy Notice records an allegation, not a finding. Nothing quoted here has been decided by a court or by the Department. Not legal advice; consult an attorney about your specific claim.

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04THE OTHER ARGUMENTS

All twelve arguments, ranked →

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