TALLAHASSEE — A trend has emerged in the storm-battered Sunshine State in which a relatively small number of roofers and attorneys are utilizing assignment-of-benefits (AOB) clauses in homeowners’ insurance policies to sue insurance companies for more than the actual cost of repair or, in some cases, for non-existent damage.
According to a report from WFTV 9 in Orlando, these roofers are falsely claiming that roofs need to be replaced because of hail damage and offering to do the work for free. However, in most cases, there is no storm damage—just a roofing company looking to obtain an AOB from homeowners so they can bill the insurance company for non-existent damage.
Scott Johnson of Johnson Strategies LLC said this kind of activity is “absolutely” rampant in Florida, particularly in upscale neighborhoods where the roofs are an average of 18 to 20 years old.
“Insurance doesn’t pay for gradual wear and tear or deterioration,” Johnson told theFlorida Record. “It covers damage that is ‘sudden and accidental.’ Align this fact with the fact that there was no hint of roof damage until two years after the alleged hail event, and then, only after receiving the promise of a free roof.”
Johnsonsaid in a blog postthat homeowners victimized by these scam free-roof offers are asked to sign an AOB contract “before their free damage inspection inevitably reveals hail damage.”
According to Johnson, insurance companies are left in a difficult situation when faced with claims from third-party service providers who sue on behalf of the homeowner.
“It’s proven more cost effective to simply go ahead and provide the roof replacement or repair,” he said.
Johnson said most of these companies come from out of town to offer free roofs, and the number of law firms participating in this scheme is not that high.
“The vast majority (90 percent) of the…claims come from a list of about 20 law firms,” Johnson said.
Of the 2,422 wind/hail claims filed in 2014 in Orange, Lake, Pasco and Hillsborough counties, Johnson said 72 percent were tied to just three roofing companies.
Cam Fentriss, legislative counsel for the Florida Roofing and Sheet Metal Contractors Association, told theFlorida Record, “I don’t think this type of rip-off is rampant quite yet, but it is well on its way.” She added that the problem has spread beyond South Florida into Orlando, Jacksonville, Tallahassee and other parts of the state.
Fentriss said timing makes this type of scam difficult and expensive for insurers to prevent.
“Frequently (if not almost always), the phony work is completed before the insurance company gets the claim,” she said. “This means any evidence is gone.”
According to an update published by the Florida Justice Reform Institute (FJRI), “the prospect of one-way attorney’s fees has encouraged a growing number of lawyers to partner with various service providers to solicit assignments of benefits from policyholders.”
“The one-way fee is meant to benefit the homeowner, not the vendor,” FJRI President William Large told theFlorida Record.
Typically, Large said the insurance company will contact the homeowner when an inflated claim is filed by a third-party vendor. He said the insurance company will ask why the larger claim amount was filed.
“They say ‘the homeowner told me to do this,’” Large said. “The homeowner is often an innocent pawn.”
According to data from the Department of Financial Services’ Service of Process (SOP) database, Florida’s population grew by 26 percent between the years of 2000 to 2016, but the number of lawsuits filed against insurance companies in that same time period jumped about 280 percent.
“Litigation involving AOBs is unique in that it is abundant, yet derives from a very small set of attorneys, law firms, and vendors,” the FJRI said in its update.