Waiver and estoppel do not create insurance coverage where coverage does not exist. In other words, raising that an insurer waived or should be estopped from arguing a coverage exclusion does not create insurance coverage because coverage never existed. (Notably, this is different from a forfeiture argument which is when there is coverage, but the insured didn’t comply with a policy condition to obtain the benefit of such coverage such as timely notice, etc.)
This is demonstrated in Universal Property & Casualty Ins. Co. v. Jean, 50 Fla.L.Weekly D2488h (Fla. 4th DCA 2025), involving a property insurance coverage dispute. In this case, the plaintiff’s property insurance contained a residency requirement. The policy required the insured (plaintiff) to reside in the property. It was undisputed that the insured did not reside in the property. The plaintiff argued that the insurer waived the right to raise the residency requirement because the insurer took the plaintiff’s premiums knowing the insured did not reside at the property.
While the jury agreed with the plaintiff’s waiver argument, the appellate court did not because waiver cannot support coverage that doesn’t exist, as explained in this noteworthy analysis:
Coverage provisions define the scope of insurance coverage. Lack of coverage may exist where “the insuring clause does not by its express terms apply to the kind of claim being made, or it may exist simply because the policy elsewhere expressly excludes the coverage.”
Because coverage provisions define the existence of insurance coverage, coverage provisions cannot be waived. Waiver cannot create coverage where none exists.
Here, the policy insured only the dwelling where Homeowner resided. Because Homeowner undisputedly did not live at the subject property where the loss occurred, the loss was not covered. The residence-premises clause defined the scope of coverage, and the clause was not a forfeiture condition subject to waiver.
The record here establishes, without contradiction, that Homeowner did not reside at the subject property on the loss date, and the jury also made this finding of fact. Therefore, the trial court should have entered a directed verdict for Insurer.
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The trial court here treated the denial of coverage as something that can be waived similar to a policy precondition for payment, or post-loss defense such as, for example, the requirement of timely notice to the insurer of the claim. In fact, coverage is distinct from such matters. A residence-premises clause is a coverage provision not subject to forfeiture or waiver. If coverage does not exist under the policy from the outset, then the insurer’s later actions or inactions does nothing to create coverage. Courts have even held that payments by insurers made in error do not constitute waivers. Therefore, the fact that an insurer may continue to mistakenly accept premiums cannot waive a residency requirement integral to the policy’s creation and the existence of coverage.
Jean, supra (internal citations omitted).
Please contact David Adelstein at dadelstein@gmail.com or (954) 361-4720 if you have questions or would like more information regarding this article. You can follow David Adelstein on Twitter @DavidAdelstein1.








