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Division Director

Toma Wilkerson


Assistant Division Director

Mary Linzee Branham


Division of Rehabilitation and Liquidation
Alexander Building
2020 Capital Circle SE
Suite 310
Tallahassee, FL 32301
1-800-882-3054

Sunshine State Insurance Company

Claims Information

On 7/31/2017 a Court order was signed approving the Second Interim Claims Report for the Sunshine State Insurance Company (SSIC) receivership. Notices of Determination were sent out on certain evaluated non-guaranty claims in Classes 2 and 3.

An evaluation code is listed on the Notice of Determination which provides the basis of the amount recommended. These codes are as follows:

Evaluation Code

Evaluation Description

9

YOUR CLAIM WAS PAID IN FULL BY A GUARANTY ASSOCIATION

10/11

DENIED DUE TO INSUFFICIENT DOCUMENTATION

55

AMOUNT RECOMMENDED OTHER THAN AMOUNT CLAIMED

58

CLAIM ALREADY PAID

64

STATUTE OF LIMITATION EXPIRED

Please review the information on your Notice of Determination and compare it to your claim submissions and corresponding remittance advices. If you have questions regarding the evaluation of your claim, please contact us using the following contact form.

Please note that the objection filing deadline is Monday, October 16, 2017. Objections filed after the deadline will not be accepted.

 

How do I file a new claim or check on an existing claim?

FIGA is processing new covered claims and handling the claims filed with sunshine State prior to liquidation.. In order to file a new claim or check on the status of an existing claim, you should contact FIGA at:

Florida Insurance Guaranty Association
P O Box 14249
Tallahassee, Florida 32317
1-800-988-1450 (toll-free)
Fax 1-850-523-1888
Hours of operation are Monday - Friday from 8:00 A.M. - 5:00 PM Eastern Time

FIGA Website Link: www.figafacts.com (you are leaving the DFS website and opening a new browser window)

FIGA will process loss claims relating to damage to your property which are covered under your homeowners policies Claims are subject to a $100 deductible.

Does FIGA have limits on the covered claims they process and pay?

The processing and payment of pending covered claims will be made by FIGA (subject to the lesser of policy limits or FIGA’s maximum cap). The maximum amount FIGA will cover is $300,000 with special limits applying to (1) damages to structure and contents on homeowners claims and (2) on condominium and homeowners association claims. For damages to structure and contents on homeowners claims the FIGA cap is an additional $200,000. No claim will be paid in excess of this cap. All claims are subject to a $100 deductible over and above any deductible identified in your policy. You may file a claim in the estate of the insurance company for the $100 deductible and for amounts over the cap. The Receiver will send proof of claim forms and instructions for filing a claim. The last day to file a claim with FIGA will be 11:59:59 P.M. on June 3, 2016, or two years after the date of the order.

What is a covered claim?

A covered claim is defined by Section 631.54, Florida Statutes, and means "an unpaid claim, including one of unearned premium, which arises out of, and is within the coverage, and is not in excess of the applicable limits of an insurance policy..."

When is the claim deadline?

Pursuant to the June 3, 2014 court order liquidating Sunshine State, the last day to file a claim with the Receiver was 11:59:59 P.M. on June 3, 2015.