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HOME / DENIALS / THE PLAYS / MOLD CAPPED AFTER A COVERED LOSS
10 OF 1,891 FILINGS · 0.5%

Mold capped after a covered loss

Water damage is accepted and the mold that followed is capped by a sublimit or excluded outright, often with an argument that the policyholder should have prevented it.

How common is "mold capped after a covered loss" in Florida claim denials?

Water damage is accepted and the mold that followed is capped by a sublimit or excluded outright, often with an argument that the policyholder should have prevented it. It appears in 10 of 1,891 Civil Remedy Notices filed against Florida property insurers over denied claims, which is 0.5% of them.

How often 10 of 1,891 filings, 0.5%
Named most often UNIVERSAL PROPERTY & CASUALTY INSURANCE COMPANY (2 filings)
Documented examples below 3
What answers it The duty to mitigate is judged on the conditions that actually existed. Pull the power-restoration timeline for your address and keep every receipt fo
What these filings are Allegations by policyholders, not findings by a court
UPDATED AUGUST 23, 2026
01WHAT ANSWERS IT

The duty to mitigate is judged on the conditions that actually existed. Pull the power-restoration timeline for your address and keep every receipt for tarps, fans and remediation.

Mold coverage and sublimits 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.

UNIVERSAL PROPERTY & CASUALTY INSURANCE COMPANY 2
AMERICAN COASTAL INSURANCE COMPANY 2
FIRST PROTECTIVE INSURANCE COMPANY 1
CYPRESS PROPERTY & CASUALTY INSURANCE COMPANY 1
ASI PREFERRED INSURANCE CORP. 1
ORANGE INSURANCE EXCHANGE 1
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.

FIRST PROTECTIVE INSURANCE COMPANY NAIC 10897 Ponte Vedra Beach Water damage $195,000

Though this was ultimately not the cause of loss, the fact that Frontline immediately denied the claim and cited "wear, tear, deterioration, inadequate workmanship, maintenance" as the cause is clear evidence that Frontline did not fully or even adequately inspect the Property that it is obligated to provide coverage for, pursuant to the Policy. For example, despite extensive proof of mold damages and costs incurred, Frontline has failed and refused to tender the $10,000 mold cap that is undisputedly owed per the Policy. Frontline has also failed and refused to reimburse the Insureds for their nearly $50,000 in incurred ALE costs, despite being well within policy limits and proof of expenditures submitted to Frontline on numerous occasions.

DFS FILING 808068 ACCEPTED 2/24/2025 INSURER ANSWERED ON THE RECORD Read the filing ↗
ORANGE INSURANCE EXCHANGE NAIC 17522 Hollywood Hurricane and wind $22,697

After assessing the damage and the true scope of repairs, the Insured's retained services prepared reports and estimates confirming the extensive scope of damage and performed initial mitigation for which the Insured paid $7,089.92. After assessing the damage and the true scope of repairs, the Insured's retained services prepared reports and estimates confirming the extensive scope of damage and performed initial mitigation for which the Insured paid $7,089.92. After assessing the damage and the true scope of repairs, the Insured's retained services prepared reports and estimates confirming the extensive scope of damage and performed initial mitigation for which the Insured paid $7,089.92.

DFS FILING 804152 ACCEPTED 1/29/2025 Read the filing ↗
CASTLE KEY INSURANCE COMPANY NAIC 30511 Boynton Beach Fire $22,251

Following the Inspection of the Loss, [name redacted] produced a comprehensive Xactimate repair estimate totaling $22,251.94 (RCV) and $22,040.34 (ACV), that included but was not limited to: repairs to the Bathroom (including linen closet) to restore these areas back to pre-loss condition, as well as the aforementioned incurred costs for emergency mitigation efforts and other line items for general conditions, debris removal and other reasonable and necessary costs. The POL, in the amount of $17,096.74 represented the actual cash value of the claim after deduction of the $500.00 deductible as referenced in the comprehensive [name redacted] Estimate and supporting damages documentation. Notwithstanding, the Insurance Company was still on notice by the Insured via TPC to resolve the coverage dispute by overturning its wrongful denial and issue payment for at least the Actual Cash Value of

DFS FILING 802673 ACCEPTED 1/21/2025 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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