Florida court affirms insurer's right to deny
HOA liability coverage
Florida's appeals court
backed use of a policy exclusion - sending a clear message on
how courts view these clauses |
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Article Courtesy of Insurance Business
By Matthew Sellers
Published June 23, 2025
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A Florida court ruling has reinforced insurers'
ability to limit liability using policy exclusions, offering clarity for
commercial underwriters facing violent incident claims.
On June 18, 2025, the state’s Third District Court of Appeal upheld
First Community Insurance Company’s denial of coverage in a wrongful
death lawsuit brought against its insured, Catalina West Homeowners
Association, Inc. The case stemmed from a 2019 incident in which
resident Daniel Macko was ambushed and fatally shot at his home in the
gated Cutler Bay, Florida community.
First Community had issued Catalina West a businessowners policy for the
relevant period. The insurer initially provided a defense under a
reservation of rights but later sought a court ruling that it had no
duty to defend or indemnify under the policy’s Physical and Sexual Abuse
Exclusion.
The clause excludes coverage for “bodily injury”, “property damage”,
“personal and advertising injury”, medical payments or any other damages
directly or indirectly arising out of, or connected to, acts of physical
abuse, molestation, or similar conduct. It also extends to allegations
of negligent hiring, supervision, or failure to protect.
Catalina West argued the term “physical abuse” should apply only in
contexts involving a relationship of trust or authority, and not to
random criminal acts like Macko’s shooting. The court rejected that
argument.
Writing for the majority, Judge Gooden said the exclusion’s plain
language covers the shooting. The court found that an ambush and fatal
shooting involved the kind of cruel and violent treatment the clause was
intended to exclude. It also emphasized that courts cannot rewrite
policy language to create coverage that doesn’t exist.
Because the exclusion applied, the court concluded First Community had
no duty to defend the HOA or to indemnify it in the underlying lawsuit.
The policy also required that covered injuries be caused by an
“occurrence,” defined as an accident - something the court said clearly
did not include an intentional shooting.
The ruling reinforces the weight of broadly worded exclusions in
commercial policies, particularly for insurers underwriting risks tied
to premises security and liability. It highlights how courts may
interpret exclusions to apply even when third-party negligence is
alleged.
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