CITIZENS PROPERTY INSURANCE

Families battle Citizens Property Insurance over delayed progress on sinkhole claims

 
 
In the backyard Emilie Moutran, right, watches her son Fred Moutran, left, remove old car parts to look for new cracks along the side of their home on Wednesday, November 27, 2013. Emilie Moutran 64, left, and her son Fred Moutran 31, have lived on 10157 Horizon Drive in Spring Hill for nearly 20 years are currently in a fight with Citizens Property Insurance to prepare sinkhole damage to their home. Emilie Moutran says the land surrounding their home is sinking causing their home to crack along the foundation.
In the backyard Emilie Moutran, right, watches her son Fred Moutran, left, remove old car parts to look for new cracks along the side of their home on Wednesday, November 27, 2013. Emilie Moutran 64, left, and her son Fred Moutran 31, have lived on 10157 Horizon Drive in Spring Hill for nearly 20 years are currently in a fight with Citizens Property Insurance to prepare sinkhole damage to their home. Emilie Moutran says the land surrounding their home is sinking causing their home to crack along the foundation.
OCTAVIO JONES / Tampa Bay Times

Herald/Times Tallahassee Bureau

To Fred and Emilie Moutran, there’s no dispute that the cracks in the walls of their Spring Hill home were caused by the shifting ground of a sinkhole deep below the surface.

The floor under the chimney has dropped three inches. A gash runs across their mantel. A crack extends the length of a hallway, and the ceiling over the garage has shifted so much that the Moutrans fear it will collapse.

“We hear cracking and popping at night, sometimes all night long, and we’re starting to get very concerned,” said Fred Moutran, 31, who lives in the home with his 64-year-old mother, Emilie.

After two engineering firms concluded the damage was caused by sinkhole activity, the job of repairing their home and the stabilizing the ground fell to Citizens Property Insurance, the state-run company. For three years, the family has been trying to get Citizens to make the repairs.

But the insurance company sent them a check for $21,000 to cover cosmetic repairs, not the fixes to the foundation that will shore up their home.

“They want to force us to make the repairs their way,” Moutran said. “We paid for a service with the understanding it would be there when needed, not three years later.”

The Moutrans are not the only family accusing Citizens of denying repairs and delaying their case. An estimated 1,800 homeowners have filed lawsuits against the company challenging their sinkhole claims. Citizens acknowledges that most of the disputes involve disagreements over the method of repair.

Citizen has agreed to pay for additional repairs at the Moutrans’ home, for example, but at a price the family considers “grossly inadequate” because it would leave them with a house that will continue to deteriorate. But they know the delay is risky.

The Moutrans watched in horror as a Dunedin family lost their home just weeks ago after a dispute with Citizens over the method to use for repairing their home. When the family finally agreed to let Citizens dictate the terms of the foundation repairs, two days into the project their home collapsed into an 80-foot hole.

Michael Peltier, Citizens’ spokesman, said that when there is a dispute over how to make the repairs, the company hires an engineer “who has made estimates on what it will cost to repair, but sometimes homeowners will find their own engineer who may have a difference of opinion. That seems to be where most of the legal challenges and litigation arise from.”

Last month, Citizens proposed a controversial repair program that would remove homeowners from the repair equation and steer money directly to vendors.

State Sen. Wilton Simpson, R-Trilby, filed legislation that would create a similar program. Under the proposals, repairs must be completed by contractors approved and paid by Citizens, and homeowners would not receive checks. Contractors would be required to complete the repairs at fixed prices, regardless of the damage cost, and insurers would have to offer multiple levels of deductibles and explain excluded coverage.

To the lawyers and consumer advocates representing homeowners against Citizens, these proposals would create an inflexible system that attempts to limit the insurance company’s liability at the expense of homeowners.

“This has the potential to affect everybody in Florida because this is a practice run,” said Dan Fritz, general counsel at Sinkhole Public Adjusting, LLC in New Port Richey. “If a hurricane hits and they can get an enforced repair program in place, they can contract with vendors at a cut rate. That would not be in the best interest of consumers.”

John Thompson, a Brooksville resident who fought Citizens over the repairs to his own home four years ago, worries that forcing families to sign a contract for repairs using their methods gives contractors the incentive to skimp on a job in order to make a profit.

“I would never pick a company that’s on a preferred vendor list,” he said. “Whose interests are they looking out for?”

Legislators have been trying to tamp down Citizens’ sinkhole liability in recent years as costs have soared beyond what the company receives in revenue.

In 2011, lawmakers passed SB 408, which allowed Citizens to charge customers extra for sinkhole coverage, uncapped rates for sinkhole premiums, and removed non-catastrophic sinkhole losses from its basic homeowners’ insurance policies.

During the first year of the program, the number of sinkhole claims dropped almost 60 percent. But, in 2012, the company paid out $169 million more in sinkhole claims than it earned in sinkhole premiums.

The Moutrans are like thousands of homeowners who live in the region known as “Sinkhole Alley” in the Tampa Bay area. Geologists say that sinkholes are common in Hillsborough, Pinellas, Hernando and Pasco counties because the limestone bed, which is close to the surface, can dissolve and collapse over time.

The most common method of repair recommended by engineers is “compaction grouting.” That involves injecting pressurized concrete into the ground around and below a home. The concrete is intended to fill potential voids and cracks, and stabilize loose soil. In theory, the concrete hardens over time, preventing the home from sinking further.

But the process is far from perfect. There is no telling where the concrete actually goes once it has been injected into the ground, and some engineers warn that it can sometimes make things worse, such as when it sinks into the aquifer.

Thompson, who has started his own consumer advocacy group, Good Foundation Florida, watched that happen to a neighbor’s home. As pressurized concrete was being poured under his house, it rose from the ground several blocks away, he said.

Many homeowners want Citizens to also pay for a process known as underpinning — essentially, driving steel piers into the dense and load-bearing limestone, like putting a beach house on stilts. Citizens’ engineers often resist that approach, which is often less costly, arguing that the underpinnings alone don’t keep the soil in place.

Homeowners have the option of calling on a neutral third party to assess the claim during the dispute, but any resulting recommendations are not binding.

The Moutrans hired a neutral evaluator who recommended that the foundation be fixed at a cost that exceeded the policy limit by $30,000. State law requires that an insurer provide the appropriate repairs even if they exceed the policy limit. But, in the Moutrans’ case, Citizens refused to accept the recommendation.

Thompson believes the disputes have emerged because, before the 2011 legislation, some homeowners were paid for sinkhole claims but did not spend the money to fix their houses. Now, legislators, Gov. Rick Scott, Chief Financial Officer Jeff Atwater and top officials at Citizens have concluded that homeowners who file a sinkhole claim are presumed to have fraudulent intent unless proven otherwise, he said.

“I concede some of these claims shouldn’t have been paid in the past, but they’re trying to compensate now for the mistakes of the past, and that’s hurting people,” Thompson said.

The Moutran family is caught in that trap, he said. “It’s the classic case of not doing the right thing. Citizens hides behind the statute when it’s convenient for them instead of doing what’s right.”

The ordeal has taken a toll on the Moutran family.

After years of battling with Citizens, Emilie’s husband and Fred’s father, Frederick C. Moutran, died of a heart attack on Dec. 1, 2012. He was 64.

The anxiety has since crippled Emilie, sending her to the hospital and forcing her to quit work as a news carrier for the Tampa Bay Times. The mounting medical bills forced the family to fall behind on their mortgage payments. They are now in foreclosure.

“We are running out of options,” said Fred Moutran. “It seems to me like they’re trying to force us to sue so they can just wait us out and see that we’re kicked out of the house.”

Peltier, of Citizens, denies that is the goal. He said he encouraged the Moutrans to cash the $21,000 check and sign a contract to have their home stabilized.

“When a stabilization contract is submitted, the work begins,” he said. “Once it is completed, the engineer goes back in to see if additional cosmetic repairs need to be made, as it is not uncommon for the stabilization process to cause some cosmetic damage. We pay for any additional work that needs to be done.”

Emilie Moutran says she doesn’t understand why the company wouldn’t simply pay for the repairs the engineers recommend above the policy limits.

“They spend millions of dollars to fight people rather than pay them the lousy $20,000 to $30,000 they owe them,” she said. “It’s mind-boggling.”

She spends her time trying to sort through her belongings and prepare for the uncertain future. “I don’t know what I’m going to do, to tell you the truth,” she said. “I’m at my wits’ end.”

Mary Ellen Klas can be reached at meklas@MiamiHerald.com and on Twitter @MaryEllenKlas.

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