Claim Results
The Situation
A 4th floor condo unit in St. Petersburg, FL experienced significant water intrusion originating from a roof leak above the unit. The water traveled through the building envelope, damaging ceiling drywall, crown molding, interior paint surfaces, flooring, and cabinetry inside the unit. The leak also caused damage to common elements in the hallway and mechanical chase adjacent to the unit, affecting shared infrastructure that fell under the HOA’s responsibility.
The unit owner filed a claim with their HO-6 carrier. The carrier dispatched an adjuster who acknowledged some interior damage but issued a settlement offer of just $8,900 — covering only cosmetic surface repairs in two rooms while ignoring moisture-related damage to subfloor materials, insulation in the ceiling cavity, and affected cabinetry. The adjuster’s scope made no mention of the common element damage, the roof as the origin point, or the HOA’s master policy.
What the Carrier Tried
The unit owner’s carrier employed a boundary-shifting strategy designed to minimize their exposure. They acknowledged only the most visible interior surface damage while classifying the structural and concealed damage — ceiling cavity insulation, subfloor deterioration, water-damaged electrical components — as falling under the HOA’s master policy responsibility. In effect, they tried to push as much of the loss as possible onto the association’s carrier.
When the HOA filed a claim on its master policy, that carrier took the opposite position. The HOA’s carrier argued that the damage was limited to common elements only — specifically the roof membrane and a small section of hallway drywall — and that all interior unit damage was exclusively the unit owner’s responsibility. Between the two carriers, a substantial portion of the actual damage fell into a coverage gap where neither was willing to pay.
Our Approach
The unit owner engaged Care Claims after receiving the $8,900 offer. Our team recognized immediately that this was a dual-policy claim requiring coordination across two separate carriers, two separate policy structures, and two separate scopes of loss — all governed by the association’s declaration of condominium and Florida Statute 718.
We began with an independent boundary survey. Using the association’s declaration of condominium and the building’s as-built plans, we established the precise legal boundary between unit owner responsibility and common element responsibility. This boundary determination is the foundation of any condo claim — without it, both carriers will continue shifting costs back and forth indefinitely.
We then conducted a comprehensive loss inspection, documenting every damaged element and categorizing each item according to which policy it fell under. Moisture mapping with thermal imaging confirmed the full extent of concealed water migration through the ceiling cavity and wall assemblies. We created two separate, fully documented loss scopes: one for the unit owner’s HO-6 policy covering interior improvements within the unit boundary, and one for the HOA’s master policy covering common element and structural damage.
Our FL Statute 718 analysis established the legal framework for both carriers. The statute defines maintenance and insurance responsibilities for common elements, limited common elements, and unit interiors. We presented each carrier with the specific statutory provisions that applied to their scope of coverage, eliminating their ability to deflect responsibility to the other policy.
We coordinated directly with the HOA board and their property manager to ensure the master policy claim was filed with complete documentation. Simultaneously, we submitted a comprehensive supplemental claim to the unit owner’s carrier with the expanded interior damage scope. Both carriers received our boundary determination, the statutory analysis, and the policy-specific loss documentation.
The Result
The dual-carrier coordination strategy produced a total recovery of $167,200. The unit owner’s HO-6 carrier settled at $41,200 — covering all interior improvements, flooring, cabinetry, and concealed damage within the unit boundary. The HOA’s master policy carrier settled at $126,000 — covering roof repairs, common element restoration, structural remediation, and shared infrastructure damage. Combined, the recovery represented a 1,779% increase over the original $8,900 offer.
Timeline
Day 1 — Engagement & Boundary Survey
Unit owner signed Letter of Representation. Care Claims reviewed the declaration of condominium and building plans to establish the legal boundary between unit and common element responsibility.
Days 2-8 — Comprehensive Loss Inspection
Full property inspection with thermal imaging and moisture mapping. All damage documented and categorized by policy responsibility. Two separate loss scopes prepared.
Days 10-15 — FL Statute 718 Analysis & Dual Filing
Statutory analysis completed. Supplemental claim filed with unit owner’s carrier. HOA master policy claim coordinated with board and property manager.
Days 20-50 — Dual-Carrier Negotiation
Parallel negotiations with both carriers. Boundary determination and statutory references presented to counter each carrier’s cost-shifting attempts.
Day 71 — Dual Settlement Reached
Both carriers agreed to settle. Unit policy: $41,200. HOA master policy: $126,000. Total recovered: $167,200.