Sun Sentinel Broward Edition

Homeowners need break from contractor-insurer lawsuits

- By Harold Kim

Florida consumers are used to paying higher insurance premiums in thewake of devastatin­g hurricanes. But an entirely preventabl­e, human-driven phenomenon is now driving rates even higher: Assignment-ofbenefits (AOB) claims, in which home-improvemen­t contractor­s and other vendors submit inflated bills to insurers with the help of fee-motivated lawyers. Consumers are typically innocent pawns in this game. Soon after a big storm or flood, vendors approach them with a promise to fix the damage now, in exchange for signing over any insurance benefits theymay receive later.

What few consumers see buried in the contracts they unwittingl­y sign is that they are also agreeing to sue their insurance company if it balks at paying the often-inflated bills the vendor submits. But even that isn’t the most expensive part: Under a Florida statute originally intended to level the playing field between individual consumers and insurance companies, “their” attorney— working for the vendor, not the consumer— can collect hundreds of dollars an hour in fees if a court awards as much as a dollar above the insurance company’s initial offer to settle the case.

This “one-way” fee statute gives vendors and their lawyers a strong incentive to perform substandar­dwork and then submit inflated and fraudulent claims, confident the insurer will pay them rather than engage in drawn-out litigation where the legal fees eventually willdwarf the amount of the original claim.

The damage fromAOB litigation is clear. In 2000, therewere roughly 460AOB lawsuits. By 2016, therewere a staggering 28,000 claims, according to the Florida Office of Insurance Regulation. While the number of claims is alarming enough on its own, AOB claims tend to be particular­ly expensive. One study of more than 80,000 Florida insurance claims showed the averageAOB claimwas $17,000— 50 percent more than non-AOB claims.

Defying the laws of nature and probabilit­y, these cases tend to be concentrat­ed in a few specific parts of the state including Miami andTampa. These are, not surprising­ly, where lawyers who specialize inAOB litigation advertise and concentrat­e their activities. Just 11attorney­s accounted for a quarter of allAOB lawsuits from2013 to 2016. WithoutAOB reform, Florida regulators predict property insurance rates in Miami-Dade County will rise more than 50 percent by 2022.

And it’s not just home repairs. TheAOB scam has proliferat­ed with cracked windshield­s. Glass repair shops have begun seeking outAOB arrangemen­ts, sometimes even throwing in $100 gift cards to sweeten the deal. Unfortunat­ely, the handful of vendors who account for most claims tend to charge100 percent more than nationally-knownvendo­rs— even before legal fees.

Pro-lawyer judges helped create theAOBmess, but the Florida Legislatur­e has the power to fix it. Reforms are needed now to eliminate the incentives for crooked vendors to collude with plaintiff lawyers and raid the one-way attorney fee cookie jar. And, in fact, sensible reform bills have been considered in the Florida Legislatur­e thatwould limit the fees attorneys can charge insurance companies when they areworking for an outside vendor, not the policyhold­er. But pro-trial lawyer legislator­s have killed these bills again and again. In 2017, a Senate committee refused to even hear a bill.

It’s a shame a few influentia­l legislator­s can blockAOB reform in Florida, especially given the rising costs, fraud, and excessive attorney fees. Therewas a time not long ago when Floridawas a beacon of lawsuit reform, reforms thatwere meant to unclog the courts, help the truly injured find justice, and prevent a handful of lawyers fromgaming the system. It’s long past time for the Legislatur­e to take up thatmantle again.

HaroldKimi­s executive vice president of theU.S. Chamber Institute for LegalRefor­m(www.institutef­orlegalref­orm.com).

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