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Legal Updates for Florida Coverage and Property Litigation

Second District Court of Appeal Reverses Dismissal, Upholds Validity of Assignment of Benefits Despite Disputed Payment Terms

Well Done Mitigation, LLC a/a/o Lazaro Ramirez Escalona v. Citizens Prop. Ins. Co., Fla. 2nd DCA, No. 2D2024-1259, June 27, 2025

September 1, 2025

by Ashley J. Johns

In this appeal, Well Done Mitigation, LLC, as an assignee of Lazaro Escalona, challenged the final judgment entered in favor of Citizens Property Insurance Corporation on the basis that the trial court erred in granting a dismissal. The trial court had granted the dismissal because it determined the assignment of benefits was invalid under Fla. Stat. § 627.7152(7)(b) and, thus, unenforceable. 
    
On September 27, 2022, Escalona suffered wind-related damage to his property. Approximately a month after the loss, he entered into an assignment agreement with Well Done Mitigation, assigning his insurance benefits to them in exchange for water dryout services. The agreement included a payment terms section that was in dispute as to its validity as well as a severance clause, which stated: “[t]he invalidity or unenforceability of any provision of this Agreement will not affect the validity or enforceability of any of the other provisions of this Agreement, which shall remain in full force and effect.” 

The trial court entered an order dismissing the case with prejudice on the basis that the assignment agreement was invalid and not in compliance with Fla. Stat. § 627.7152(7)(a) as it included a client agreement to pay “depreciation or additional work.”
    
On appeal, Well Done Mitigation argued that the “assignment agreement did not violate subsections (7)(a) and (7)(b) because it tracks the requirements of subsection (7)(b) and contemplates additional work as permitted by the statute.” The Second District Court of Appeal agreed with their argument, specifying that while “[s]ubsection (7)(a) generally prohibits the assignee and its subcontractors from collecting or attempting to collect money from an insured for payments arising from the assignment agreement. It does so while simultaneously providing for three exceptions, which are noted in subsection (7)(b). Specifically, subsection (7)(b) makes clear that a named insured is still responsible for ‘[a]ny deductible amount due under the policy,’ ‘[a]ny betterment ordered and performed that is approved by the named insured,’ and ‘[a]ny contracted work performed before the assignment agreement is rescinded.’”

Further, the court concluded that even if the assignment of benefits violated subsection (7)(a) or (7)(b), this would not render the agreement invalid. Under Fla. Stat. § 627.7152(2)(d), it states that an “assignment agreement that does not comply with this subsection is invalid and unenforceable.” Emphasis added. Citizens never alleged Well Done Mitigation was not incompliance with subsection (2)’s requirements. Further, subsection (7) “operates to limit the assignee’s collection rights against the insureds after the validity of an assignment agreement is determined.”

Therefore, the court reversed the trial court decision, finding that the language at issue did not violate Fla. Stat. § 627.7152(7)(b) and if it had, the entire assignment of benefits still would not have been rendered invalid and unenforceable. 


 

Legal Update for Florida Coverage & Property Litigation – September 2025 is prepared by Marshall Dennehey to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. We would be pleased to provide such legal assistance as you require on these and other subjects when called upon. ATTORNEY ADVERTISING pursuant to New York RPC 7.1 Copyright © 2025 Marshall Dennehey, all rights reserved. No part of this publication may be reprinted without the express written permission of our firm. For reprints or inquiries, or if you wish to be removed from this mailing list, contact tamontemuro@mdwcg.com.

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Ohio Supreme Court Holds That a Binding Appraisal Award May Not Be Set Aside Absent Specific Evidence of Manifest Mistake or Fraud

On July 23, 2026, the Ohio Supreme Court issued a rare opinion on the binding effect of an appraisal award in a property insurance policy.  The Court in One Church held: A binding appraisal award will not be set aside unless an error is so palpably wrong that it undermines the intent of the agreement, such as corruption or gross mistake, not a mere error of judgment—To plead a claim of mistake with particularity as required by Civ.R. 9(B), facts alleged in a complaint must constitute the elements of mistake—Allegation that additional, hidden damage was discovered after appraisal award failed to state a claim of mistake that could justify setting aside binding appraisal.  The case arose out of a claim brought by One Church against its insurer, Brotherhood Mutual Insurance Company for roof damage from a storm. Pursuant to the terms of the insurance policy, the parties agreed to submit the matter to appraisal. The two appraisers inspected the building, and both appraisers agreed that the damages were $313,271.98. The insurer paid the agreed appraised amount.  Thereafter, the insured submitted a claim for an additional $206,663.09 in damages. The insured argued that these additional damages were not discovered until after the repairs began, and that they should be permitted to submit an additional claim, even though there had already been a binding appraisal of damages. The insurer refused to pay the additional damages, and the insured sued for breach of contract and bad faith.  In the trial court, the insurer moved to dismiss for failure to state a claim, arguing that the binding appraisal award barred any further claims. The insured took the position that additional hidden damages could not be discovered until after the repairs began, and therefore there was a mutual mistake. The trial court dismissed the case on the insurer’s motion, because there was no “evidence of fraud, misfeasance, or mistake”. The Court of Appeals agreed that appraisal awards are generally binding, but noted that an appraisal award can be set aside for fraud or manifest mistake. The Court of Appeals reversed and remanded the case to the trial court, finding that the insured had pled mistake with sufficient particularity. The insurer appealed to the Ohio Supreme Court. On appeal, the Ohio Supreme Court reversed the Court of Appeals, and reinstated the trial court decision dismissing the case for failure to state a claim upon which relief can be granted. The Supreme Court found that since the insured had already demanded appraisal, and the appraisal award was binding, “something more than error of judgement, such as corruption in the arbitrator, or gross mistake” must be pled with particularity, and proven for the insured to override the appraisal award. Since the complaint did not allege fraud or manifest mistake with sufficient particularity, something more than a mere error of judgment, the complaint was insufficient to state a claim.  The complaint in this case did not challenge the appraisal award. It pled that additional damages were discovered that were not apparent when the appraisal was done. It did not specify “who discovered the damages, how they were discovered, where they were found, why they were previously hidden, or why they rise to the level of a manifest mistake that the “appraiser would have corrected...had it been called to his attention”. Id at ¶22 citing Lakewood Mfg. Co. v. Home Ins. Co. of New York, 422 F.2d 796, 798 (6th Cir. 1970). Cases deciding the effect of appraisal awards are unusual. The Ohio Supreme Court’s decision in One Church relies primarily on 19th century case law for its conclusion. This emphasizes the fact that there is minimal case law deciding the effect of binding appraisal clauses in property insurance policies, and makes this case all the more significant. A lengthy dissent was written by Justice Fisher, who would have affirmed the Court of Appeals decision reversing and remanding the case for a decision on the merits. Of course, the decision works both ways, and an insurer dissatisfied with a binding appraisal award will likewise be without further recourse absent evidence of corruption, fraud, misfeasance, or manifest mistake, which must be pled with particularity. To constitute manifest mistake, “the mistake must be of such character that the arbitrator or appraiser would have corrected it had it been called to his attention.”  Lakewood Mfg. Co. v. Home Ins. Co. of New York, 422 F.2d 796, 798 (6th Cir. 1970).  The majority opinion does not specifically identify what would have been sufficient to plead mistake with particularity, or if the insured could have amended the complaint to overcome the deficiencies. The dissent argues that this was not really a case alleging mistake, but rather a question of contract interpretation. The insured did not challenge the appraisal, but argued that the hidden damage was not part of the appraisal, and the appraisal only covered the known damages.  However, this argument did not carry the day with the majority.  *Thomas F. Glassman, a shareholder in Marshall Dennehey’s Cincinnati office, filed a brief in the Ohio Supreme Court on behalf of the Ohio Association of Civil Trial Attorneys, in support of the insurer’s position.