Michael D. Barnes, Evie J. Barnes v. American Bankers Insurance Company of...

United States District Court for the Middle District of Florida

Michael D. Barnes, Evie J. Barnes v. American Bankers Insurance Company of...

Trial Court Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

MICHAEL D. BARNES, EVIE J.

BARNES,

Plaintiffs, Case No. 2:25-cv-778-KCD-DNF v.

AMERICAN BANKERS INSURANCE COMPANY OF FLORIDA,

Defendant. /

ORDER This is an insurance dispute stemming from Hurricane Ian. Plaintiffs Michael and Evie Barnes submitted a flood claim that Defendant American Bankers Insurance Company of Florida will not pay. To recover the funds allegedly owed, Plaintiffs sue for breach of contract. (Doc. 1.)1 Now before the Court is Defendant’s motion to dismiss under Fed. R. Civ. P. 12(b)(6). (Doc. 17.) Defendant presses one argument: “Plaintiffs failed to bring their lawsuit . . . within one year from the date of [the] partial denial of [their] flood insurance claim.” (Id. at 1.)

1 Unless otherwise indicated, all internal quotation marks, citations, case history, and alterations have been omitted in this and later citations. A standard flood insurance policy, like here, “is provided under the terms of the National Flood Insurance Act of 1968 and its Amendments, and

Title 44 of the Code of Federal Regulations.” Menster v. Allstate Ins. Co., No. 5:19-CV-77-OC-30PRL,

2020 WL 5534462

, at *2 (M.D. Fla. Aug. 5, 2020). These regulations require a claimant to file suit “within one year after the date of mailing of notice of disallowance or partial disallowance” of the claim.

42 U.S.C. § 4072

; see also

44 C.F.R. § 62.22

(a). According to the complaint, Plaintiffs submitted their flood claim shortly after Hurricane Ian. Then, on January 6, 2023, Defendant issued a partial payment. (Doc. 17-1 at 5.) This correspondence also denied a portion of the

claim: We denied a portion of your claim based upon the applicable provisions of the Standard Flood Insurance Policy (SFIP), as set forth below.

. . .

We reviewed the Independent Adjuster’s report dated 10/12/2022 which confirms your home is a post-FIRM elevated home in a special flood hazard area and as such, there is restricted coverage for building and contents items located below the first elevated floor. Please be advised, pursuant to the policy section III. PROPERTY INSURED A. Coverage A – Building Property #8 and B. Coverage B – Personal Property #5 the following items are restricted doors, windows, walls, floors, household items, clothing, and all personal content. We regret we are unable to include payment for the items listed above and must deny payment pursuant to the applicable policy language. (Id.) Plaintiffs filed suit on August 27, 2025, so this case is seemingly years too late. See Raulerson v. Am. Strategic Ins. Corp., No. 8:25-CV-00407-WFJ-AAS,

2025 WL 1133767

, at *3 (M.D. Fla. Apr. 17, 2025) (“[A] denial letter is a proper disallowance that triggers the one-year limitation period[.]”). Plaintiffs do not dispute the timeline above. Nor do they contest the validity of the denial letter. (See Doc. 20.) Instead, they argue that the January

6, 2023, letter was not a “substantive denial of the claim” to trigger the one- year limitations period under

42 U.S.C. § 4072

. (Id.) But, as mentioned, the regulations require a claimant to file suit “within one year after the date of mailing of notice of disallowance or partial disallowance” of the claim.

42 U.S.C. § 4072

(emphasis added); see also

44 C.F.R. § 62.22

(a). The letter clearly states that the claim is partially denied, triggering the limitations period. The denial letter is an exhibit to Defendant’s motion that is nowhere mentioned in the complaint. “Generally, only the four corners of the complaint

may be considered in ruling on a motion to dismiss pursuant to Rule 12(b)(6).” Wittenberg v. Judd, No. 8:17-CV-467-T-26AEP,

2017 WL 1399817

, at *3 (M.D. Fla. Apr. 19, 2017). But there are several exceptions to this rule. See Brown v. S. Fla. Fishing Extreme, Inc., No. 08-20678CIV-GOLDMCAL,

2008 WL 2597938

, at *1 (S.D. Fla. June 27, 2008). Pertinent here, “a document outside the four corners of the complaint may . . . be considered” as incorporated by reference if it “is central to the plaintiff’s claims and is undisputed in terms of authenticity,” regardless of whether it is “mentioned in” or “attached to” the complaint. Maxcess, Inc. v. Lucent Techs., Inc.,

433 F.3d 1337

, 1340 n.3 (11th

Cir. 2005). The Court agrees with Defendant that the January 2023 denial letter fits squarely within the incorporation-by-reference doctrine. (Doc. 17 at 9.) It is central to Plaintiffs’ case “because it is the denial [they] seek[] to challenge.”

Apatow v. Am. Bankers Ins. Co. of Fla., No. 16-198 MWF (MRWX),

2016 WL 7422288

, at *2 (C.D. Cal. Dec. 21, 2016). The letter’s authenticity is also unchallenged. “So the Court considers it.” Price v. Wright Nat’l Flood Ins. Co., No. 2:24-CV-914-SPC-KCD,

2025 WL 487627

, at *1 (M.D. Fla. Feb. 13, 2025).

Defendant’s denial letter triggered the one-year limitations period. So this case, filed over two years later, is time-barred. Accordingly, it is now ORDERED: 1. Defendant’s Motion to Dismiss (Doc. 17) is GRANTED;

2. Plaintiffs’ complaint (Doc. 1) is DISMISSED WITH PREJUDICE; 3. The Clerk is DIRECTED to enter judgment accordingly, deny all pending motions as moot, terminate any deadlines, and close the case. ENTERED in Fort Myers, Florida on December 9, 2025.

Kyle C. Dudek United States District Judge

Reference

Full Case Name
Michael D. Barnes, Evie J. Barnes v. American Bankers Insurance Company of Florida
Status
Unknown