EMCASCO Insurance Company v. Knight et al
Filing
47
MEMORANDUM OPINION AND ORDER that the 20 MOTION for Summary Judgment is GRANTED in part and DENIED in part; it is ORDERED that the Knights are estopped from asserting claims based upon the value of firearms and jewelry purchased before the 2008 bankruptcy proceeding as more fully set out in order. Signed by Judge C Lynwood Smith, Jr on 8/22/2014. (AHI )
FILED
2014 Aug-22 AM 08:14
U.S. DISTRICT COURT
N.D. OF ALABAMA
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA
NORTHWESTERN DIVISION
EMCASCO INSURANCE
COMPANY,
Plaintiff,
vs.
KELLI KNIGHT, et al.,
Defendants.
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Civil Action No. CV-12-S-1890-NW
MEMORANDUM OPINION AND ORDER
Eleven claims have been asserted in this action. Six of those were framed in
the complaint of plaintiff (and counterclaim-defendant), EMCASCO Insurance
Company (“EMCASCO”), which requests, under six remedial theories, that this court
enter a judgment declaring that EMCASCO had no obligation under homeowner’s
insurance policy number 74S-44-04-12 to provide defendants (and counterclaimplaintiffs), Christopher and Kelli Knight, with coverage for a house fire that occurred
on December 4, 2011, at 919 Vista Circle in Tuscumbia, Alabama.1
The remaining five claims were asserted in the Amended Counterclaim of
1
See doc. no. 1 (Complaint for Declaratory Judgment). Plaintiff also requested that the court
order the Knights to reimburse EMCASCO “for all moneys EMCASCO was caused to pay because
of defendants’ breach of contract and violation of Alabama statutory law.” Id. at 13.
1
Christopher and Kelli Knight.2 EMCASCO has moved for summary judgment on all
of those counterclaims.3
Count One of the Knights’ amended counterclaim alleges that EMCASCO
breached its contractual obligations under the Knights’ homeowner’s policy by
“failing and refusing to tender payment of any and/or all available proceeds as set out
in its contract or policy of insurance applicable to the dwelling and contents.”4
Count Two of the Knights’ amended counterclaim contends that EMCASCO
breached its fiduciary duties of good faith and fair dealing under the terms of that
policy by:
(i)
“refusing to pay benefits set out in the policy, where there existed
no lawful basis for [EMCASCO’s] refusal coupled with [EMCASCO’s] actual
knowledge of the absence of any lawful basis for their refusal to pay the
benefits”;
(ii)
“intentionally failing to determine whether there was an arguable
reason or lawful basis for denying payment of full benefits under the policy
and/or by failing to submit the results of any alleged investigation to a
2
See doc. no. 7 (Kelli and Christopher Knight’s Amended Counterclaim).
3
Doc. no. 20 (Plaintiff, EMCASCO Insurance Company’s Motion for Summary Judgment).
EMCASCO has not moved for affirmative summary judgment on its original complaint seeking a
declaratory judgment; thus, the merits of the original complaint are not presently before the court,
and, thus, remain pending.
4
Id. at 3.
2
reasoned and informed evaluation and review before denying payment”; and
(iii)
“consciously or deliberately engag[ing] in oppression, fraud,
wantonness[,] or malice with regard to the Knights, thereby depriving the
Knights of legal rights and entitling the Knights to punitive damages against
EMC Insurance.”5
Count Three of the Knights’ amended counterclaim alleges that EMCASCO
negligently, wantonly, and/or willfully failed “to properly document the known
mortgagee on the Knights’ policy,” and “refused to make payment under the
Mortgagee Clause[,] asserting that there was no mortgagee listed on the subject
policy,” even though EMCASCO “was aware through its employee(s), agent(s),
and/or representative(s) that the Knights had a mortgage on their property with
Regions Bank” [“Regions”].6
Finally, Counts Four and Five of the Knights’ amended counterclaim rely upon
the same operative facts as Count Three, but add separate allegations of fraud. Count
Four, asserting a claim for “Fraudulent Misrepresentation,” states that EMCASCO
“made multiple representations to the Knights that the mortgagee would be properly
documented on their policy,” that those representations “were false and [EMCASCO]
5
Id. at 5–6 (alterations supplied).
6
Id. at 7–8 (alteration supplied).
3
knew they were false; or [EMCASCO] recklessly misrepresented the facts, without
true knowledge thereof; or [EMCASCO] misrepresented the facts by mistake, but did
so with the intention that the Knights should rely upon them.”7 Count Five adds a
claim of “Fraudulent Suppression,” alleging that EMCASCO “had a duty to properly
document the known mortgagee on the Knights’ policy and suppressed the fact that
the mortgagee would not be properly documented on their policy.”8
This court has jurisdiction over the controversy pursuant to 28 U.S.C. § 1332,
as the parties are citizens of different States and the amount in controversy exceeds
$75,000. See 28 U.S.C. § 1332(a).
I. STANDARDS FOR EVALUATING SUMMARY
JUDGMENT MOTIONS
Summary judgment should be entered “if the movant shows that there is no
genuine dispute as to any material fact and the movant is entitled to judgment as a
matter of law.” Fed. R. Civ. P. 56(a). The party requesting summary judgment
always bears the initial responsibility of informing the court of the basis for its
motion, and of identifying those portions of the pleadings, depositions, answers to
interrogatories, and admissions on file, together with the affidavits, if any, that
demonstrate the absence of a genuine issue of material fact. See, e.g., Celotex Corp.
7
Id. at 9–11 (alterations supplied).
8
Doc. no. 7 (Kelli and Christopher Knight’s Amended Counterclaim), at 12, 14.
4
v. Catrett, 477 U.S. 317, 323 (1986). Once the moving party has met its burden, Rule
56(c) requires the nonmoving party to go beyond the pleadings, and by its own
affidavits, or by the depositions, answers to interrogatories, and admissions on file,
to designate specific facts showing that there is a genuine issue for trial. See id. at
324. Any reasonable dispute or doubt as to any material fact, and all justifiable
inferences, are resolved in favor of the non-moving party. See Fitzpatrick v. City of
Atlanta, 2 F.3d 1112, 1115 (11th Cir. 1993) (quoting United States v. Four Parcels
of Real Property, 941 F.2d 1428, 1437 (11th Cir. 1991)). The materiality of a fact is
determined by the substantive law at issue. See Anderson v. Liberty Lobby, Inc., 477
U.S. 242, 248 (1986). A “genuine” dispute is one in which a reasonable jury could
find for the non-moving party. Id.
In making this determination, the court must review all evidence and
make all reasonable inferences in favor of the party opposing summary
judgment.
The mere existence of some factual dispute will not defeat
summary judgment unless that factual dispute is material to an issue
affecting the outcome of the case. The relevant rules of substantive law
dictate the materiality of a disputed fact. A genuine issue of material
fact does not exist unless there is sufficient evidence favoring the
nonmoving party for a reasonable jury to return a verdict in its favor.
Chapman v. AI Transport, 229 F.3d 1012, 1023 (11th Cir. 2000) (en banc) (quoting
Haves v. City of Miami, 52 F.3d 918, 921 (11th Cir. 1995)); see also United States v.
5
Four Parcels of Real Property, 941 F.2d 1428, 1437 (11th Cir. 1991) (en banc).
II. FACTS
The pertinent facts in this case arose from a fire that occurred on the evening
of December 4, 2011, in a house located at 919 Vista Circle in Tuscumbia, Alabama.
The structure was owned by defendants and counterclaim-plaintiffs, Christopher and
Kelli Knight.9 EMCASCO Homeowner’s Insurance Policy No. 74S-44-04-12 was
in force and effect on the date of the events that form the basis of the claims alleged
in the underlying suit, and provided coverage to the Knights for fire and other insured
perils.10
A.
The Knights’ Application for EMCASCO “Homeowners Special Form 3”
Policy No. 74S-44-04-12
The Knights’ application for homeowner’s insurance with EMCASCO was rife
with errors and omissions. First, the Knights did not disclose that they had made a
claim on a prior homeowner’s policy following a fire at the same location on March
21, 2009.11 In fact, Andy Kabcenel, EMCASCO’s Personal Lines Underwriting
9
Id. ¶ 1.
10
See id. ¶ 2.
11
See doc. no. 20-1 (Undisputed Statement of Facts) ¶ 95 (citing doc. no. 22-6 (Plaintiff’s
Exhibit “J” (SIU Investigative Report #1)); doc. no. 25-2 (Plaintiff’s Exhibit “W”, Part 1 (Deposition
of Nicole Creel)), at 52); see also doc. no. 25-5 (Plaintiff’s Exhibit “W”, Part 4), at ECF 13–14
(Homeowner’s Insurance Application for Christopher and Kelli Knight, Dec. 29, 2010). “ECF is
the acronym for Electronic Case Filing, a filing system that allows parties to file and serve
documents electronically.” Atterbury v. Foulk, No. C-07-6256 MHP, 2009 WL 4723547, *6 n.6
(N.D. Cal. Dec. 8, 2009). Bluebook Rule 7.1.4 allows citation “to page numbers generated by the
6
Supervisor and the EMCASCO employee who ultimately wrote the insurance policy
at issue in this action (although not the agent who met with the Knights and
transcribed their information for their insurance application), learned after the
Knights’ 2011 fire that the Knights had made three previous insurance claims — a
fact that would have made them ineligible for coverage with EMCASCO.12
Second, the Knights failed to disclose that they had filed for Chapter 7
Bankruptcy on March 28, 2008.13
Third, even though Regions held a mortgage on the insured property, no
mortgagee was named on the application or on the subsequent homeowner’s policy.14
ECF header.” Wilson v. Fullwood, 772 F. Supp. 2d 246, 257 n.5 (D. D.C. 2011) (citing The
Bluebook: A Uniform System of Citation R.B. 7.1.4, at 21 (Columbia Law Review Ass’n et al. eds.,
19th ed. 2010)). Even so, the Bluebook recommends “against citation to ECF pagination in lieu of
original pagination.” Wilson, 772 F. Supp. 2d at 257 n.5. Thus, unless stated otherwise, this court
will cite to the original pagination in the parties’ pleadings. When the court cites to pagination
generated by the ECF header, it will, as here, precede the page number with the letters “ECF.”
12
See doc. no. 20-1 (Undisputed Statement of Facts) ¶ 99 (citing doc. no. 25-7 (Plaintiff’s
Exhibit “X” (Affidavit of Andrew H. Kabcenel))); see also doc. no. 21-2 (Plaintiff’s Exhibit “C”
(Deposition of Charles Highland Herrold)), at 4 (explaining the corporate relationship between
EMCASCO and its parent company, “EMC Insurance Companies”).
13
See doc. no. 20-1 (Undisputed Statement of Facts) ¶¶ 75, 107 (citing doc. no. 21-4
(Plaintiff’s Exhibit “D”, Part 2 (Voluntary Petition for Bankruptcy)), at 55–109); see also doc. no.
25-5 (Plaintiff’s Exhibit “W”, Part 4), at ECF 13–14 (Homeowner’s Insurance Application for
Christopher and Kelli Knight, Dec. 29, 2010). Though paragraph 75 of EMCASCO’s “Undisputed
Statement of Facts” asserts that the Knights filed for Chapter 7 bankruptcy on March 28, 2009, it is
evident from the entirety of the record, including a copy of the bankruptcy petition itself, that the
correct date is March 28, 2008, and the date in paragraph 75 is considered to be a scrivener’s error
and not reasonably in dispute.
14
See doc. no. 20-1 (Undisputed Statement of Facts) ¶ 100 (citing doc. no. 25-2 (Plaintiff’s
Exhibit “W”, Part 1 (Deposition of Nicole Creel)), at 53); see also doc no. 1-1 (Plaintiff’s Exhibit
“A” (EMCASCO Insurance Company Policy Number 74S-44-04-12)), at ECF 4; doc. no. 25-5
(Plaintiff’s Exhibit “W”, Part 4), at ECF 13–14 (Homeowner’s Insurance Application for
7
Finally, neither Christopher nor Kelli Knight signed the application.15
Even so, none of the errors or omissions in the application or subsequently
issued policy were due to affirmative misrepresentations or omissions by the Knights
themselves.16 Instead, the person who prepared the policy application for the Knights,
Nicole Creel, who was an independent insurance agent and not an EMCASCO
employee,17 made the following admissions in her deposition: she was aware of the
Knights’ prior fire loss claim but failed to disclose that information;18 she did not ask
the Knights whether they had previously filed for bankruptcy;19 the Knights informed
her of their mortgage with Regions, but she neglected to include that information on
the application;20 and, she prepared the application for the Knights, but failed to
provide an opportunity for either of them to read and sign it before presentation to
Christopher and Kelli Knight, Dec. 29, 2010).
15
See doc. no. 20-1 (Undisputed Statement of Facts) ¶¶ 105–06 (citing doc. no. 25-2
(Plaintiff’s Exhibit “W” (Deposition of Nicole Creel)), at 55, 58); see also doc. no. 25-5 (Plaintiff’s
Exhibit “W,” Part 4), at ECF 13–14 (Homeowner’s Insurance Application for Christopher and Kelli
Knight, Dec. 29, 2010).
16
See, e.g., doc. no. 25-2 (Plaintiff’s Exhibit “W,” Part 1 (Deposition of Nicole Creel)), at
53, 97–98, 101.
17
Creel, who was formerly known as Nicole Spurgeon, see id. at 7, was employed by
Sinclair-Lawrence, an independent insurance agent who contracted with EMC to take and submit
applications for EMC insurance policies and to bind coverage with EMC. See doc. no. 23-4
(Plaintiff’s Exhibit “O” (Deposition Testimony of Jewel D. Stubbs)), at 20–21.
18
See doc. no. 25-2 (Plaintiff’s Exhibit “W,” Part 1 (Deposition of Nicole Creel)), at 30–31.
19
See doc. no. 20-1 (Undisputed Statement of Facts) ¶ 107 (citing doc. no. 25-2 (Plaintiff’s
Exhibit “W,” Part 1 (Deposition of Nicole Creel)), at 51–52).
20
See id. at ¶ 100 (citing doc. no. 25-2 (Plaintiff’s Exhibit “W,” Part 1 (Deposition of Nicole
Creel)), at 53).
8
EMCASCO.21
B.
Pertinent Provisions of the Knights’ Insurance Policy
EMCASCO issued Homeowner’s Policy No. 74S-44-04-12 to Christopher and
Kelli Knight on January 14, 2011.22 The homeowner’s policy itself contained
multiple definitions, exclusions, and conditions, including the following provisions
pertinent to the present action:
DEFINITIONS
A.
In this policy, “you” and “your” refer to the “named
insured” shown in the Declarations and the spouse if a resident of the
same household. “We”, “us” and “our” refer to the Company providing
this insurance.
B.
follows:
In addition, certain words and phrases are defined as
....
5.
“Insured” means:
a.
You and residents of your household who are:
(1)
Your relatives; or
(2) Other persons under the age of 21 and
in the care of any person named above;
21
See, e.g., doc. no. 25-2 (Plaintiff’s Exhibit “W,” Part 1 (Deposition of Nicole Creel)), at
54–55, 83, 88.
22
Doc. no. 1-1 (Plaintiff’s Exhibit “A” (EMCASCO Insurance Company Policy Number
74S-44-04-12)), at ECF 2.
9
SECTION I — EXCLUSIONS
A.
We do not insure for loss caused directly or indirectly by
any of the following. . . .
....
8.
Intentional Loss
Intentional Loss means any loss arising out of any
act an “insured” commits or conspires to commit with the
intent to cause a loss.
In the event of such loss, no “insured” is entitled to
coverage, even “insureds” who did not commit or conspire
to commit the act causing the loss.
....
Q.
Concealment Or Fraud
We provide coverage to no “insureds” under this policy if,
whether before or after a loss, an “insured” has:
1.
Intentionally concealed or misrepresented any
material fact or circumstance;
2.
Engaged in fraudulent conduct; or
3.
Made false statements;
relating to this insurance.23
C.
December 4, 2011 Fire
23
Id. at ECF 7, 18, 21–22.
10
On the date of the fire, eight persons resided at 919 Vista Circle in Tuscumbia,
Alabama: Christopher Knight; his wife, Kelli Knight; their son, Titus Knight (who
then was nine years of age); their daughter, Laiken (who then was eight years of age);
Jamie Forcier, a family friend, who occupied the basement; and Jamie Forcier’s three
children, who were seven, two, and seven months of age, respectively, on the date of
the fire.24 In addition, the Knights owned two dogs that lived in the home.25
On the evening of the fire, Christopher and Kelli Knight, their two children,
and one of their two dogs, along with Jamie Forcier and her three children, were
across the street, visiting the home of Ms. Forcier’s sister, Jana Silvia.26 Ms. Silvia’s
boyfriend and children were also present at the home. At approximately 7:00 p.m.,
Christopher Knight stepped outside Ms. Silvia’s residence in an attempt to obtain
better reception for his cellular telephone, at which time he observed that the exterior
Christmas lights on his home, which he had turned on before leaving the house, were
no longer lit.27 After moving closer to the house, Christopher Knight heard fire
alarms sounding within the house. After discovering that the front door was locked,
24
See, e.g., doc. no. 21-2 (Plaintiff’s Exhibit “C” (Deposition of Charles Highland Herrold)),
at 55; doc. no. 21-3 (Plaintiff’s Exhibit “D,” Part 1 (Evers & Associates First Report)), at 2–3.
25
See, e.g., doc. no. 22-2 (Plaintiff’s Exhibit “G” (Examination Under Oath of Chris
Knight)), at 14, 37, 58.
26
See, e.g., doc. no. 20-1 (Undisputed Statement of Facts) ¶¶ 18–19; see also doc. no. 22-2
(Plaintiff’s Exhibit “G” (Examination Under Oath of Chris Knight)), at 14, 37.
27
See doc. no. 20-1 (Undisputed Statement of Facts) ¶ 20.
11
he kicked in the door and was greeted with heavy black smoke.28 Knight then ran to
the back of the house to free his German Shepard, who he believed to still be inside
the house, at which time he discovered flames rising through the back window of the
basement.29
Ms. Silvia’s boyfriend reported the fire to the Tuscumbia Fire Department at
7:16 p.m.30 While waiting for the fire department to arrive, Christopher Knight
managed to turn off the gas line to the home, but was unsuccessful in his attempts to
use a water hose to fight the flames.31 The first firefighters arrived at the scene at
7:23 p.m., where they, like Christopher Knight, observed heavy smoke rising from
the home and flames coming from the basement.32
The firefighters battled the blaze until 11:28 p.m., when the fire appeared to be
fully extinguished.33 At or around that time, the Knights left the scene, and spent the
28
See id.; see also doc. no. 22-2 (Plaintiff’s Exhibit “G” (Examination Under Oath of Chris
Knight)), at 36.
29
See doc. no. 22-2 (Plaintiff’s Exhibit “G” (Examination Under Oath of Chris Knight)), at
36.
30
See id. at 42; see also doc. no. 20-1 (Undisputed Statement of Facts) ¶ 1 (citing doc. no.
21 (Plaintiff’s Exhibit “A” (Tuscumbia Fire Department Incident Report))).
31
See doc. no. 22-2 (Plaintiff’s Exhibit “G” (Examination Under Oath of Chris Knight)), at
42, 55.
32
See doc. no. 20-1 (Undisputed Statement of Facts) ¶ 13; doc. no. 21 (Plaintiff’s Exhibit “A”
(Tuscumbia Fire Department Incident Report)).
33
See doc. no. 21 (Plaintiff’s Exhibit “A” (Tuscumbia Fire Department Incident Report));
doc. no. 22-2 (Plaintiff’s Exhibit “G” (Examination Under Oath of Chris Knight)), at 56.
12
night at Kelli Knight’s parents’ home in Sheffield, Alabama.34 Kelli Knight informed
EMCASCO of the fire loss by a telephone call placed at 1:08 a.m. on December 5,
2011.35
The next morning, the Knights were informed by Kelli Knight’s father that the
Fire Department had called his home between 2:30 and 3:00 a.m., and advised him
that the fire had rekindled and caused considerable damage to the remaining
structure.36
D.
Insurance Claim and Subsequent Investigation
After receiving notification of the fire loss, EMCASCO retained Mickey Evers,
an independent claims adjuster, to handle the Knights’ claim.37 Evers was supervised
by Jewel Stubbs, the Birmingham branch supervisor for EMCASCO, who was in turn
advised and supervised by Charles Herrold, a property claims superintendent for
Employers Mutual Casualty Company, the parent company of EMCASCO.38
34
See doc. no. 22-2 (Plaintiff’s Exhibit “G” (Examination Under Oath of Chris Knight)), at
56.
35
Doc. no. 20-1 (Undisputed Statement of Facts) ¶ 3 (citing doc. no. 21-1 (Plaintiff’s Exhibit
“B” (EMC Property Loss Notice, Dec. 5, 2011))).
36
See, e.g., doc. no. 21-3 (Plaintiff’s Exhibit “D,” Part 1 (Evers & Associates First Report
& Exhibits)), at 5, 10.
37
Doc. no. 20-1 (Undisputed Statement of Facts) ¶ 6.
38
See id. ¶¶ 4–5; see also doc. no. 21-2 (Plaintiff’s Exhibit “C” (Deposition of Charles
Highland Herrold)), at 6–7. EMCASCO is a subsidiary of Employers Mutual Casualty Company,
which is known by the trade name “EMC” or “EMC Insurance Companies.” See, e.g., doc. no. 21-2
(Plaintiff’s Exhibit “C” (Deposition of Charles Highland Herrold)), at 4.
13
Evers interviewed Kelli Knight, inspected and photographed the loss, drew a
building diagram, reviewed the Knights’ deed, examined reimbursement receipts
presented by the Knights, reviewed photographs from an earlier fire at the same
location, and prepared and presented five written reports detailing his work and
findings to Stubbs and Herrold.39
EMCASCO also retained an independent fire investigation company,
Southeastern Origin & Cause, to investigate the fire.40 An employee of that company,
Darwin Clark, conducted the investigation.41 On the day after the fire, i.e., December
5, 2011, Clark inspected the scene, took photographs, collected evidence, and
conducted interviews with Christopher Knight and Tuscumbia Fire Chief David
Cole.42 Chief Cole showed Clark the basement apartment where Jamie Forcier and
her three children had been residing, and the location in which Cole believed the fire
had originated.43 Christopher Knight told Clark that, even though he was unsure of
the cause of the fire, he “thought Ms. Forcier might have left the heater on in the
39
Doc. no. 20-1 (Undisputed Statement of Facts) ¶¶ 7–10.
40
Id. ¶ 11
41
See id.
42
See id. ¶¶ 12, 14, 17; doc. no. 22 (Plaintiff’s Exhibit “E” (Southeastern Origin & Cause
Reports)), at 2–5.
43
See doc. no. 20-1 (Undisputed Statement of Facts) ¶ 14; doc. no. 22 (Plaintiff’s Exhibit “E”
(Southeastern Origin & Cause Reports)), at 3.
14
downstairs apartment and it was too close to the mattress.”44 Clark collected the
heater as evidence.45
Clark returned to the scene of the fire on four subsequent occasions as part of
his investigation. On December 16, 2011, he removed debris from the upstairs area
of the home with a track-hoe excavator, in order to better access the basement.46 The
following day, he photographed, removed, and examined a large portion of the debris
in the basement area, and collected two laboratory samples for testing from the area
around the large mattress that had been used by Jamie Forcier. Clark did so because
he determined that “an area of intense burning” had occurred in the area of the
mattress.47 Subsequent laboratory testing revealed no presence of ignitable liquids
in or around the mattress.48
Clark returned to the scene of the fire on December 22, 2011, this time with an
electrical engineer, Dr. Ray Franco, who did not find any electrical failures or
electrical heat sources for the fire.49
44
Doc. no. 22 (Plaintiff’s Exhibit “E” (Southeastern Origin & Cause Reports)), at 4; see also
doc. no. 20-1 (Undisputed Statement of Facts) ¶ 21.
45
E.g., doc. no. 22 (Plaintiff’s Exhibit “E” (Southeastern Origin & Cause Reports)), at 4.
46
See doc. no. 22 (Plaintiff’s Exhibit “E” (Southeastern Origin & Cause Reports)), at 5.
47
See id.
48
See id.
49
See id. at 5–6; see also doc. no. 20-1 (Undisputed Statement of Facts) ¶ 27; doc. no. 22-4
(Plaintiff’s Exhibit “H” (Affidavit of Dr. Ray Franco, P.E.)), at 3–4, 6.
15
Clark removed the remainder of the basement debris on December 30, 2011,
and reconstructed the setting of the basement apartment with the assistance of Jamie
Forcier.50
Finally, on January 16, 2012, an additional examination took place at the
offices of Southeastern Origin & Cause, to test the hypothesis that the space heater
found in the debris had provided the heat source for the fire.51 After three separate
tests failed to ignite the bedding or mattress, Dr. Franco concluded that no electrical
sources, including the space heater, could have caused the fire.52 Thus, Clark
concluded that, although the large mattress in the basement apartment had been the
origin of the fire, the cause of the fire was not electrical.53 Rather, Clark stated in his
report that “[t]he cause of this fire is determined to be incendiary”: that is, the fire
was intentionally set.54
1.
Prior insurance claims
In addition to Jewel Stubbs and Charles Herrold (who are identified in the
second sentence of Section “D”, supra), a third employee of Employers Mutual
50
See doc. no. 22 (Plaintiff’s Exhibit “E” (Southeastern Origin & Cause Reports)), at 4, 6.
51
See id. at 6.
52
See doc. no. 22-4 (Plaintiff’s Exhibit “H” (Affidavit of Dr. Ray Franco, P.E.)), at 4–6.
53
See doc. no. 22 (Plaintiff’s Exhibit “E” (Southeastern Origin & Cause Reports)), at 6.
54
Id.; see also doc. no. 23-4 (Plaintiff’s Exhibit “O” (Deposition Testimony of Jewel D.
Stubbs)), at 15 (defining “incendiary fire” as “a fire that is set with intent to do damage” and “an
intentional fire”) (alteration supplied).
16
Casualty Company (“EMC”) was assigned to the Knights’ claim: Tim Pettit, a
Special Investigations Unit investigator.55 Pettit’s initial investigation, conducted on
December 7, 2011, revealed information on Christopher and Kelli Knight that
concerned Jewel Stubbs and Charles Herrold.56 For example, Pettit discovered that
the couple had jointly filed for Chapter 7 bankruptcy on March 28, 2008, in Decatur,
Alabama.57 Pettit also discovered four small claims judgments entered against Kelli
Knight from 2006 to 2011, in amounts ranging from $310 to $1,487.58 Of most
concern, however, was Pettit’s discovery that the Knights had filed seven insurance
claims between 2009 and 2011, including two claims for fire damage: i.e.,
•
September 4, 2011 claim with EMC for damage to the rear
window and top of the Knights’ car;
•
June 25, 2011 claim with Progressive for damage caused when
their boat struck an item in the water;
•
April 3, 2011 claim with EMCASCO for fire damage to the
Knights’ house, resulting in a payment of $52,366 to the Knights;
•
November 24, 2010 claim to EMC for vandalism damage to the
Knights’ car, resulting in a payment of $3,378;
55
See doc. no. 21-2 (Plaintiff’s Exhibit “C” (Deposition of Charles Highland Herrold)), at
56
See id. at 30–31.
28–29.
57
See, e.g., doc. no. 22-6 (Plaintiff’s Exhibit “J” (SIU Investigative Report #1)), at 1; see also
doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 55–109.
58
See doc. no. 22-6 (Plaintiff’s Exhibit “J” (SIU Investigative Report #1)), at 1.
17
•
October 27, 2010 claim to EMC for vandalism damage to the
Knights’ car, resulting in a payment of $4,442;
•
August 27, 2009 commercial liability claim filed against an
“Olive Garden” restaurant, based on the Knights’ claim of finding
glass shards in their food;
•
March 21, 2009 claim to Cotton States Insurance for a property
loss caused by a fire.59
In light of the Knights’ 2008 bankruptcy, the April 2011 house fire, and their
multiple insurance claims over the preceding three years, EMCASCO elected to
proceed with the Knights’ insurance claim under a reservation of rights, and retained
separate legal counsel.60
2.
The Knights’ alleged misrepresentations and behavior
Jewel Stubbs testified during her deposition that, other than the incendiary
origin of the fire, the Knights’ 2008 bankruptcy, and the seven undisclosed insurance
claims listed above, three additional considerations contributed to EMCASCO’s
ultimate decision to deny the Knights’ insurance claim. They were: Kelli Knight’s
aggressive behavior immediately after the fire loss; the misrepresented values of some
59
Doc. no. 20-1 (Undisputed Statement of Facts) ¶ 38 (alteration supplied) (citing doc. no.
22-6 (Plaintiff’s Exhibit “J” (SIU Investigation Report #1)), at 1–2).
60
See doc. no. 21-2 (Plaintiff’s Exhibit “C” (Deposition of Charles Highland Herrold)), at
29–31. But see doc. no. 25-8 (Plaintiff’s Exhibit “Y” (Affidavit of Jewel Stubbs)), at 2 (stating that
the Knights’ claim was handled under a reservation of rights “due to coverage questions that arose,
including the experts’ classification of the fire as incendiary; and, because misrepresentations before
and after loss were suspected” (emphasis supplied)).
18
items on the “Personal Property Inventory” filled out by the Knights following the
loss; and the suspicious number of items that the Knights alleged that they had
purchased after their 2008 bankruptcy proceeding.61
a.
Kelli Knight’s behavior
Jewel Stubbs testified that Kelli Knight “was the most aggressive person that
I have dealt with in my 30 years [of experience in working with victims of fires].”62
Stubbs stated that, even though fire victims typically are in shock, Kelli Knight was
immediately aggressive about obtaining money. As a result, EMCASCO advanced
substantially more than it normally does during the course of a claim investigation.63
b.
Misrepresentations
Stubbs also testified that there were multiple misrepresentations in the
“Personal Property Inventory” form that the Knights submitted to EMCASCO
following the fire loss. For example, the replacement value of the items listed on the
inventory were all even dollar amounts, and “very few things are even dollars out
there.”64 Stubbs also objected to the Knights’ claim of three “pageant dresses” for
$1,200, as EMCASCO later found that they had purchased the dresses on eBay for
61
See doc. no. 23-4 (Plaintiff’s Exhibit “O” (Deposition Testimony of Jewel E. Stubbs)), at
62
Id. at 25 (alteration supplied).
63
Id. at 23.
64
Id. at 39.
22–33.
19
only $400.65 Moreover, the Knights declared the replacement cost of a tanning bed
to be $2,500, but Kelli Knight later admitted that she had paid $600 or $700 for the
item on Craigslist.66 Finally, the Knights’ Personal Property Inventory claimed in
excess of $12,000 for furniture bought at Clement Hill Furniture in Muscle Shoals,
Alabama, on dates ranging from eight months to two years prior to the December,
2011 fire, even though that particular furniture store burned on October 22, 2009,
and did not reopen.67 Even so, the Knights contend:
[T]here were purchases from Clement Hill Furniture that took place in
April of 2009 and May of 2009 just 2 1/2 years prior to the Knights’ fire
loss found in the bank records provided by the Knights to counsel for
EMCASCO prior to their Examination Under Oath. In addition, the
photos in the claim file from a prior loss just months prior to the subject
loss provide documented evidence of many of the items claimed.68
c.
Items allegedly purchased following 2008 Bankruptcy
Stubbs also testified that EMCASCO was concerned by the fact that the
Knights’ 2008 bankruptcy “showed that they had very little, and in this space of two
65
See id. at 40–41; doc. no. 23-1 (Plaintiff’s Exhibit “L” (Examination Under Oath of Kelli
Knight)), at 68–69.
66
See doc. no. 23-1 (Plaintiff’s Exhibit “L” (Examination Under Oath of Kelli Knight)), at
72; doc. no. 23-4 (Plaintiff’s Exhibit “O” (Deposition Testimony of Jewel E. Stubbs)), at 41–42.
Though Stubbs objected that Kelli Knight had not researched the item online, “to see what it would
go for,” Stubbs subsequently admitted that she did not “understand how [Craigslist] works.” See
doc. no. 23-4 (Plaintiff’s Exhibit “O” (Deposition Testimony of Jewel E. Stubbs)), at 42.
67
See doc. no. 20-1 (Undisputed Statement of Facts), at ECF 25–26.
68
Doc. no. 35 (Christopher and Kelli Knight’s Opposition to Motion for Summary
Judgment), at 33 (citing doc. no. 21-3 (Plaintiff’s Exhibit “D”, Part 1 (Evers & Associates First
Report & Exhibits), at 38–54) (alteration supplied).
20
years had purchased over a hundred thousand dollars in personal property, and their
economic situation simply did not lend itself to that.”69 In fact, the Knights’ income
tax returns for the tax years following their 2008 bankruptcy showed total taxable
income in the amount of $162,000, but the Knights claimed that $129,964.37 in
personal property was lost in the fire.70
3.
Discrepancies between the Knights’ 2008 bankruptcy schedule and
their 2011 personal property inventory
EMCASCO alleges that there are several inconsistencies between the property
claimed on the bankruptcy schedule submitted by the Knights in 2008, and the
personal property inventory filed pursuant to their 2011 fire loss claim.
Christopher and Kelli Knight declared on their Bankruptcy Schedule “B”71 that
they owned the following personal property on March 28, 2008: “Household goods
and furnishings, including audio, video, and computer equipment” valued at $350;
wearing apparel valued at $200; furs and jewelry valued at $50; and a computer
valued at $50.72 Those valuations were accepted and the Knights’ debts were
69
Id. at 32–33.
70
See doc. no. 20-1 (Undisputed Statement of Facts), at ECF 25–26.
71
E.g., doc. no. 21-4 (Plaintiff’s Exhibit “D”, Part 2 (March 28, 2008 Voluntary Petition for
Bankruptcy)), at 55–109 (entire petition); id. at 65-67 (Bankruptcy Schedule B).
72
Id. at 65, 67. The Knights also claimed ownership of a “1991 Ford F250 Truck,” “1998
Honda Motorcycle,” and a “2001 Pontiac Aztek [sic],” valued at a total worth of $4,700. Id. at 67.
21
discharged on August 8, 2008.73
Three years and nine months later, however, the Knights listed more than 600
items on the Personal Property Inventory filed in connection with their December 4,
2011 fire loss. Ten of the items listed were described as having been owned prior to
bankruptcy: i.e.,
•
3 Quilts, $150, age 4 years [p. 8, line 15];
•
Stereo, $250, age 5 years [p. 10, line 15];
•
Small Dresser, $200, age 8 years [p. 27, line 3];
•
Punch Bowl Set, $55, age 7 years [p. 27, line 5];
•
Curio Cabinet, $275, age 6 years [p. 30, line 17];
•
Indoor Halloween Decor, $95, age 6 years [p. 32, line 10];
•
Large Halloween Village, $220, age 4 years [p. 32, line 12];
•
Valentine Village, $215, age 4 years [p. 33, line 1];
•
20 Piece Knife Set, $95, 4 years [p. 35, line 9]; and,
•
Crystal Fruit Bowl, $140, 5 years [p.35, line 4].74
The Knights also claimed a Glock 22 handgun with a replacement value of
$710, and two BB guns with a replacement value of $70, that they contend were
73
See doc. no. 24-6 (Plaintiff’s Exhibit “T” (Discharge of Debtor, In re Christopher and Kelli
Knight, Case No. 08-80936-JAC7, (U.S. Bankr. Ct., N.D. Ala., Aug. 8, 2008))).
74
Doc. no. 20-1 (Undisputed Statement of Facts) ¶ 68 (bracketed text in original) (citing doc.
nos. 24 and 24-1 (Plaintiff’s Exhibit “Q,” Parts 1 and 2 (Personal Property Inventory))).
22
purchased prior to 2008, but neither of those items had been disclosed on their
bankruptcy schedule.75 In addition, the Knights listed four pieces of jewelry as
having been owned prior to their bankruptcy:
•
Bridal Set Rings - $5,500 [p. 5, line 18];
•
Titanium Wedding Band - $349 [p.8, line 16];
•
Tennis Bracelet - $200 [p. 4, line 3]; and
•
3 Rings - $350 [p.4, line 4].76
The only items of jewelry disclosed on the Knights’ bankruptcy schedule were
“wedding bands,” and rather than claiming their worth as $5,500, the Knights stated
that the rings were worth only a paltry $50.77 This discrepancy, and some of the
numerous other discrepancies between the Knights’ 2008 bankruptcy schedule and
their 2011 Personal Property Inventory, were addressed in Kelli Knight’s second
deposition. The following colloquy is an example:
75
Compare doc. no. 24 (Plaintiff’s Exhibit “Q,” Part 1 (Personal Property Inventory)), at 8,
10, with doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 65–67
(Schedule B - Personal Property).
76
Doc. no. 20-1 (Undisputed Statement of Facts), at ECF 20 (ellipses supplied, bracketed text
in original). EMCASCO also stated that a “Men’s Wedding Band” valued at $299 by the Knights
preceded the Knights’ bankruptcy, but that item was listed by the Knights on their Personal Property
Inventory form as having been obtained in 2009, and, thus, postdates the filing of the Knights’
bankruptcy schedule. See doc. no. 24 (Plaintiff’s Exhibit “Q,” Part 1 (Personal Property Inventory)),
at 10; doc. no. 20-1 (Undisputed Statement of Facts), at ECF 20.
77
Compare doc. no. 24 (Plaintiff’s Exhibit “Q,” Part 1 (Personal Property Inventory)), at 5,
10, with doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 65
(Schedule B - Personal Property).
23
Q.
I know we went over this a pretty good bit during your
examination under oath, but when the two of you filed this Chapter 7
bankruptcy in 2008, did you give accurate information to the people
who filed the bankruptcy as to your — the items in your estate; in other
words, what you owned?
A.
When we did the bankruptcy, they — I mean, I told them
we had clothes, but we didn’t have any major furniture or anything. She
pretty much did what she wanted to do as far as what they — what they
write the clothes and stuff amount up. But yeah, I mean, we just had our
clothes and we had some mattresses and my rings and that’s — a few
dishes. I mean, that was pretty much the extent of what we had.
....
Q.
Okay. So the determination to put down that your wedding
rings were worth $50 —
A.
That’s what she determined. She said that you put a yard
sale cost and that’s all somebody would pay at a yard sale for a set of
rings.
Q.
Okay. Really? You don’t think that’s true, do you?
A.
I mean, I don’t know what yard sale costs are for a ring. I
mean, if I was going to a yard sale, I wouldn’t even buy jewelry, but —
Q.
Well, that certainly wouldn’t be the place to sell one.
A.
No, but she said that’s how the Court determines what they
do as far as prices.
Q.
Okay. Now, who told you that?
A.
Jennifer, which is the — Tom McCutcheon’s[78] assistant
78
Tom McCutcheon was the Knights’ bankruptcy attorney. See doc. no. 21-4 (Plaintiff’s
Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 56–57.
24
that does his bankruptcy.
Q.
Okay. Now, the part at the bottom where you say I declare
under penalty of perjury the information in this petition is true and
correct, did you review the information and sign it as being true and
correct?
A.
I signed it and —
Q.
And did you intend on the bankruptcy court to rely on this
information to tell the creditors that there wasn’t anything there for them
to get for you to pay what you owed?
A.
I mean, there really wasn’t anything there for them to get.
Q.
Okay. But now, these wedding rings you’re telling EMC
they’re worth $5,500.
A.
You asked for the replacement cost on them. To replace
them, that’s what it would cost. That’s not what somebody would sell
ten years later to somebody. I mean —
Q.
Well, do you think jewelry depreciates, diamonds and gold?
A.
I have no idea.
Q.
Okay. But you signed that telling the bankruptcy court that
your rings were $50, is what they were worth?
A.
They said that they went by yard sale value on a bankruptcy
and they said — I mean, I buy — I’ve bought a lot of nice things at yard
sales before for friends and family. I bought my kids nice clothes. I’ve
bought a really nice dress for $0.25. So if you want to use it as an
example to that, you know, that sounded sufficient to me.79
79
Doc. no. 24-4 (Plaintiff’s Exhibit “S,” Part 1 (Second Deposition of Kelli Knight)), at
199–202 (footnote supplied).
25
Taken together, these factors caused EMCASCO to formally deny the Knights’
December 4, 2011 fire loss claim on May 16, 2012, with the filing of the declaratory
judgment complaint in this action.80
E.
Current Procedural Posture of the Case
EMCASCO’s complaint for declaratory judgment seeks: a declaration that the
Knights breached their insurance contract or, in the alternative, that a valid contract
never existed; a declaration that no coverage existed under the EMCASCO policy for
the submitted claim; a jury determination of the true value of the Knights’ insurance
claim, based upon the evidence presented at trial; and, a court order for the Knights
to reimburse EMCASCO for all money the company was forced to pay as a result of
the Knights’ alleged breach of contract.81
In response, the Knights filed a counterclaim and, later, on August 2, 2012, an
amended counterclaim. The amended counterclaim asserts breach of contract and bad
faith claims against EMCASCO for refusing to pay their insurance claim (Counts I
and II), and claims for “Negligence, Wantonness and/or Wilfulness,” “Fraudulent
Misrepresentation,” and “Fraudulent Suppression” (Counts III, IV, and V) for
80
See doc. no. 1 (Complaint for Declaratory Judgment); see also doc. no. 35
(Defendant/Counterclaim Plaintiffs’, [sic] Christopher and Kelli Knights’, Opposition to EMCASCO
Insurance Company’s Motion for Summary Judgment), at 21 (citing doc. no. 21-2 (Plaintiff’s Exhibit
“C” (Deposition of Charles Highland Herrold)), at 48).
81
See generally doc. no. 1 (Complaint for Declaratory Judgment), at 8–14.
26
EMCASCO’s failure to document the Knights’ mortgage with Regions on their
insurance policy.82
EMCASCO alleges that the following events occurred shortly after the
Knights’ amended counterclaim was filed:
108. In August 2012, after confirming the agent’s many errors
& omissions in taking the Knights’ application[,] EMCASCO sought
legal advice regarding its obligations under Alabama law to an unnamed
mortagee under these circumstances; and, Herrold and Stubbs then made
the decision to treat Regions as if it had been a named mortgagee on the
Knights’ policy. [Exhibit C, pp. 22-24]
109. Stubbs sent claim forms and instructions to Regions by
Certified Mail, Return Receipt Requested and regular U.S. mail on
August 10, 2012, inviting Regions to make its claim. [Exhibit O, p. 99,
lines 6-23 & Exhibit Y]
110. Regions did not submit a claim in response to EMCASCO’s
August 10, 2012 letter; yet, Stubbs continued efforts to solicit a claim
from Regions. [Exhibit O, p. 121-123 & Exhibit Y]
....
118. Regions subsequently submitted a Sworn Proof of Loss
dated February 28, 2013, making claim for $119,394.00 from
EMCASCO. [Exhibit Y]
119. EMCASCO remitted payment to Regions in the amount of
$119,394.00 on March 7, 2013. [Exhibit Y]83
EMCASCO moved for summary judgment on all of the Knights’ counterclaims
82
See doc. no. 7 (Kelli and Christopher Knight’s Amended Counterclaim), at 2–15.
83
Doc. no. 20-1 (Undisputed Statement of Facts) ¶¶ 108–10, 118–19 (first alteration
supplied, all other bracketed text in original).
27
on May 15, 2013.84 EMCASCO contends that all of the Knights’ claims are barred
under the principle of “judicial estoppel,” arguing that the Personal Property
Inventory submitted to EMCASCO by the Knights as proof of their fire loss is
fundamentally inconsistent with the inventory submitted by the Knights to the United
States Bankruptcy Court in the Northern District of Alabama on March 28, 2008,
pursuant to their Chapter 7 Bankruptcy filing.85
EMCASCO also contends that summary judgment is due to be granted in its
favor on the Knights’ breach of contract claim, because the Knights made intentional
misrepresentations in their Personal Property Inventory which both violates the terms
of the insurance contract and renders the contract void under Alabama Code § 27-1428.86 EMCASCO further contends that the Knights’ bad faith claim fails as a matter
of law, because EMCASCO conducted a thorough investigation of the Knights’
insurance claim, and had at least an arguable reason for denying the claim.87
EMCASCO also argues that the Knights’ misrepresentation and fraud claims flowing
from the failure to name Regions Bank as a mortgagee (i.e., loss payee) on the
Knights’ Homeowner’s Insurance Policy fail as a matter of law because the Knights
84
See doc. no. 20 (Plaintiff, EMCASCO Insurance Company’s Motion for Summary
Judgment).
85
See doc. no. 20-1 (Undisputed Statement of Facts), at ECF 20.
86
See id. at ECF 24.
87
See id. at ECF 28–38.
28
did not suffer damages as a result of the failure.
III. JUDICIAL ESTOPPEL
EMCASCO contends that the Knights should be judicially estopped from
asserting any counterclaims based upon the personal property inventory they
submitted as part of their fire loss claim. EMCASCO argues that the doctrine of
judicial estoppel should apply because the values the Knights assigned to personal
property during their 2008 bankruptcy proceeding are much higher than the values
they assigned to the same personal property as part of their 2011 fire loss claim.
Judicial estoppel is an equitable doctrine that prevents a party from “asserting
a claim in a legal proceeding that is inconsistent with a claim taken by that party in
a previous proceeding.” Burnes v. Pemco Aeroplex, Inc., 291 F.3d 1282, 1285 (11th
Cir. 2002) (quoting 18 James Wm. Moore et al., Moore’s Federal Practice § 134.30,
at 134–62 (3d ed. 2000)). The purpose of the doctrine is “to protect the integrity of
the judicial process, by prohibiting parties from deliberately changing positions
according to the exigencies of the moment.” New Hampshire v. Maine, 532 U.S. 742,
749–50 (2001) (alteration supplied) (internal quotation marks omitted) (quoting
Edwards v. Aetna Life Insurance Co., 690 F.2d 595, 598 (6th Cir. 1982), and United
States v. McCaskey, 9 F.3d 368, 378 (5th Cir. 1993)).
For diversity cases in the Eleventh Circuit, “the application of the doctrine of
29
judicial estoppel is governed by state law.” Original Appalachian Artworks, Inc. v.
S. Diamond Associates, Inc., 44 F.3d 925, 930 (11th Cir. 1995). In Alabama, “there
is no general formulation of principle dictating when the doctrine of judicial estoppel
applies; such a decision is left to the court’s discretion, enlightened by several
informative factors gleaned from precedent of this Court and the United States
Supreme Court in the landmark case of New Hampshire v. Maine.” Hughes v.
Mitchell Co., Inc., 49 So. 3d 192, 203 (Ala. 2010) (citing New Hampshire v. Maine,
532 U.S. 742, 749–50 (2001)).
The informative factors set out by the United States Supreme Court and
embraced by the Alabama Supreme Court dictate that, for judicial estoppel to apply,
(1) “a party’s later position must be ‘clearly inconsistent’ with its earlier
position”; (2) the party must have been successful in the prior proceeding so
that “judicial acceptance of an inconsistent position in a later proceeding would
create ‘the perception that either the first or second court was misled’ ”; and (3)
the party seeking to assert an inconsistent position must “derive an unfair
advantage or impose an unfair detriment on the opposing party if not
estopped.”
Ex Parte First Alabama Bank, 883 So. 2d 1236, 1244–45 (Ala. 2003) (internal
citations omitted) (quoting New Hampshire, 532 U.S. at 750–51).
A.
Personal Property Not Disclosed to the Bankruptcy Court
During their 2008 bankruptcy proceeding, the Knights represented to the court
30
that they did not own any firearms.88 In their 2011 fire loss claim, they claimed the
loss of one handgun and two BB guns, with a total value of $780, all purchased
before the bankruptcy proceeding.89 These two positions are clearly inconsistent and
thus satisfy the first New Hampshire factor. See First Alabama, 883 So. 2d at 1245
(holding that a plaintiff’s denial of the existence of a cash reserve to a bankruptcy
court was “completely inconsistent” with his later negligence claim based on that
cash reserve).
With regard to the second factor, the Knights were successful in the bankruptcy
proceeding, in that the court accepted the assigned values and discharged their
debts.90 Allowing the Knights now to assert a claim based upon the firearms would
reward them for misleading the bankruptcy court. See First Alabama, 883 So. 2d at
1245.
Third, if the Knights were permitted to claim the loss of the firearms, they
would gain an unfair advantage over — and impose an unfair detriment on —
EMCASCO. See First Alabama, 883 So. 2d at 1245 (holding that allowing a plaintiff
to pursue a claim based on assets he concealed from one court “satisfies both
88
Doc. no. 21-4 (Plaintiff’s Exhibit “D”, Part 2 (Voluntary Petition for Bankruptcy)), at
65–67 (Schedule B - Personal Property).
89
Doc. no. 24 (Plaintiff’s Exhibit “Q,” Part 1 (Personal Property Inventory)), at 8, 10.
90
See doc. no. 22-6 (Plaintiff’s Exhibit “J” (SIU Investigative Report #1)), at 1; see also doc.
no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 55–109.
31
alternative prongs set forth under the third factor of New Hampshire v. Maine — he
would derive an unfair advantage and impose an unfair detriment on the [defendant]
if not estopped.” (emphasis in original) (alteration supplied)).
It would be unfair to allow the Knights to conceal assets from one court and
then assert claims in this court based upon those assets. “[T]o protect the integrity of
the judicial process,” the Knights will be estopped from basing any counterclaims
upon their ownership of the firearms. New Hampshire, 532 U.S. at 749 (alteration
supplied).
B.
Personal Property Disclosed to the Bankruptcy Court
The question of whether the Knights’ assignment of low values to personal
property in their bankruptcy schedule should estop them from assigning higher values
to the same personal property in their claim against EMCASCO is closer than the
issue of the firearms.
The analysis is complicated by the fact that the different forms completed by
the Knights in both fora solicited different types of values. For example, the Knights’
bankruptcy petition required them to provide the “Current Value of Debtor’s Interest”
in the property for each item — that is, the resale value of the used goods.91 In
contrast, the insurance claim forms provided by EMCASCO required them to provide
91
Doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at
65–67 (Schedule B - Personal Property).
32
the “Current Replacement Cost” for each item — that is, how much it would cost the
Knights to purchase a replacement for each item.92
Although there are inherent inconsistencies in these types of valuations,
plaintiffs must not be allowed to manipulate the valuations so as to “make a mockery
of the judicial system.” Burnes v. Pemco Aeroplex, Inc., 291 F.3d 1282, 1287 (11th
Cir. 2002). The question is whether the differences in value rise to the level of being
“clearly inconsistent.” First Alabama, 883 So. 2d at 1244.
In their bankruptcy schedule, the Knights valued their “Furs and jewelry” at
$50.93 In their insurance claim, they valued jewelry obtained before the bankruptcy
at $6,148.94 The court finds that this disparity, where the value claimed to this court
is more than one hundred times the value claimed to the bankruptcy court, is
sufficiently egregious as to constitute a clear inconsistency. The court also finds that,
if it were to accept the Knights’ inflated valuation, it would create the perception that
the bankruptcy court was deceived by the Knights as to the value of the jewelry.
The court is aware of two federal district court cases reaching a different
conclusion on similar facts. See State Farm Fire and Casualty Co. v. Billingsley, No.
92
Doc. nos. 24 and 24-1 (Plaintiff’s Exhibit “Q,” Parts 1 & 2 (Personal Property Inventory))
at 1–39.
93
Doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 65
(Schedule B - Personal Property).
94
Doc. no. 24 (Plaintiff’s Exhibit “Q,” Part 1 (Personal Property Inventory)), at 5, 10.
33
09-0267-KD-C, 2010 WL 1511560 (S.D. Ala. Apr. 14, 2010) (Dubose, J.); Hoffman
v. Foremost Signature Insurance Co., 989 F. Supp. 2d 1070 (D. Or. 2013) (McShane,
J.). In Billingsley, the court found that “the current value of personal property, versus
the replacement cost of personal property, are distinct values” and, therefore, the
plaintiff’s positions were not “necessarily inconsistent positions.” Billingsley, 2010
WL 1511560 at *9 (internal quotation marks omitted, emphasis supplied). Billingsley
is easily distinguished from the present case. First, the court in Billingsley did not
apply Alabama law, as required by the Eleventh Circuit in Original Appalachian
Artworks. See id. at *9. Instead, the court applied factors that are inconsistent with
the factors embraced by the Alabama Supreme Court. See id. (applying two factors
from Burnes v. Pemco Aeroplex, 291 F.3d at 1287). Second, the Billingsley court
found that the positions taken by the plaintiffs were not necessarily inconsistent. Id.
Alabama law, in contrast, requires a court to decide whether the positions are clearly
inconsistent. First Alabama, 883 So. 2d at 1244. If the law required that the values
be necessarily inconsistent, then no difference in values, no matter how egregious,
could satisfy the standard, as long as the types of values were different.
In Hoffman, a plaintiff who claimed to a bankruptcy court that her personal
property was worth $5,000 was not estopped from claiming in an insurance claim that
the property was worth more than $60,000. 989 F. Supp. 2d at 1079. That case is
34
distinguishable for two reasons.
First, Hoffman relied heavily on “additional
leniency” provided to the plaintiff because she appeared pro se in the bankruptcy
proceeding, where her valuation mistakes were “inadvertent.” Id. at 1078. The
Knights, in contrast, were represented by counsel during their bankruptcy proceeding
and are not entitled to such leniency.95 Second, Hoffman involved a dispute about the
value of the property at the time of the bankruptcy proceeding, which the court found
to be a “genuine issue of material fact as to the ‘actual’ value of [the] property.” Id.
at 1079 (alteration supplied). Here, there is no such dispute between the Knights and
EMCASCO about the value of the property at the time of the bankruptcy
proceeding.96
The Knights argue that EMCASCO’s collection of premiums from the Knights
on a policy with a personal property policy limit of $114,388 should foreclose any
estoppel claims.
The Knights argue that judicial estoppel here would grant
EMCASCO a “windfall,” as EMCASCO has collected premiums based upon that
policy limit and would unfairly profit if the application of judicial estoppel would
significantly reduce the value of their personal property claim.97 The Knights cite
95
Doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 56.
96
Compare Doc. no. 20-1 (Undisputed Statement of Facts), at ECF 9–10, with doc. no. 35
(Knights’ Response in Opposition to Motion for Summary Judgment), at 3.
97
Doc. no. 35 (Knights’ Response in Opposition to Motion for Summary Judgment), at 30.
35
Middleton v. Caterpillar Industries, Inc., 979 So. 2d 53, 60–61 (Ala. 2007), to
support their argument.
In Middleton, the “windfall” was “the dismissal of
[plaintiff’s] potentially meritorious claim.” Id. at 64 (alteration supplied). Here, the
application of judicial estoppel would not result in the dismissal of a claim. More
importantly, windfall to EMCASCO is of less concern when the Knights have
concealed assets from a court of law.98 Further, a $6,098 reduction of the claim is not
a windfall to EMCASCO, as the personal property portion of the insurance claim
totals $129,964.37.
Accordingly, the Knights are estopped from claiming more than $50 for the
value of all jewelry owned at the time of the bankruptcy proceeding.
The Knights valued their remaining household goods in the bankruptcy
schedule at $550: $350 for household goods and furnishings, and $200 for clothing.99
In their insurance claim, however, the Knights claimed household items purchased
before the bankruptcy at a total value of $1,695.100 Considering the inherent
differences in the valuations used in bankruptcy proceedings and in insurance claims,
98
The Knights entered only “Wedding Bands” in the “Furs and jewelry” portion of their
bankruptcy schedule, and did not include a tennis bracelet and three other valuable rings. Compare
Doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 65 (Schedule
B - Personal Property), with doc. no. 20-1 (Undisputed Statement of Facts), at ECF 20.
99
Doc. no. 21-4 (Plaintiff’s Exhibit “D,” Part 2 (Voluntary Petition for Bankruptcy)), at 65
(Schedule B - Personal Property).
100
Doc. no. 20-1 (Undisputed Statement of Facts), at ECF 11, ¶ 68 (citing doc. nos. 24 and
24-1 (Plaintiff’s Exhibit “Q,” Parts 1 and 2 (Personal Property Inventory))).
36
see Billingsley, 2010 WL 1511560, at *9, and considering that the disparity here is
not egregious, this court finds that the two positions taken by the Knights regarding
household goods and clothing are not clearly inconsistent. Accordingly, the Knights
are not estopped from asserting claims based on the $1,695 value of the ten household
items purchased before the 2008 bankruptcy proceeding.
EMCASCO’s motion for summary judgment on the ground of judicial estoppel
is due to be denied.
IV. BREACH OF CONTRACT
EMCASCO also contends that summary judgment is due to be granted on the
Knights’ breach of contract counterclaim because the Knights: “(1) failed to provide
truthful information in the claim submitted to EMCASCO in violation of the
Concealment
or
Fraud
policy exclusion;
[and]
(2)
provided
material
misrepresentations to EMCASCO with the actual intent to deceive EMCASCO as to
a matter material to the insured’s rights under the policy in violation of [Alabama
Code] § 27-14-28.”101
The policy issued by EMCASCO contains a concealment or fraud provision
that provides:
Q.
101
Concealment or Fraud
Doc. no. 20-1 (Undisputed Statement of Facts), at ECF 28 (alterations supplied).
37
We provide coverage to no “insureds” under this policy if,
whether before or after a loss, an “insured” has:
1.
Intentionally concealed or misrepresented any material fact
or circumstance;
2.
Engaged in fraudulent conduct; or
3.
Made false statements;
relating to this insurance.102
Although only one of the above exclusions explicitly includes intentional
conduct, the entire provision is circumscribed by Alabama Code § 27-14-28 (1975),
which provides: “No misrepresentation in any Proof of Loss under any insurance
policy shall defeat or void the policy unless such misrepresentation is made with
actual intent to deceive as to a matter material to the insured’s rights under the
policy.” Ala. Code. § 27-14-28 (emphasis supplied). “[A]ll insurance contracts must
be read to include this statutory expression of public policy.” Auto Club Family
Insurance Co. v. Mullins, No. 5:11-CV-1451-AKK, 2012 WL 6043652, at *7 (N.D.
Ala. Nov. 29, 2012) (Kallon, J.) (alteration supplied) (citing Ex parte State Farm and
Casualty Co., 523 So. 2d 119, 120–21 (Ala. 1988)). Thus, for summary judgment to
be granted on either ground argued by EMCASCO, this court must find, as a matter
of law, that the Knights made misrepresentations with an actual intent to deceive.
102
Doc. no. 1-1 (Plaintiff’s Exhibit “A” (EMCASCO Insurance Company Policy Number
74S-44-04-12)), at ECF 21-22.
38
Alabama law provides, however, that a determination of a party’s intent to
deceive is a question more appropriately reserved for the jury. See, e.g., Murphy v.
Droke, 688 So. 2d 513, 517 (Ala. 1995) (holding that even “[w]here the plaintiff
presents substantial evidence that the defendant had an intent to deceive, it is for the
jury to decide whether the defendant actually had such an intent.”); State Farm
Mutual Automotive Insurance Co. v. Borden, 371 So. 2d 28, 30 (Ala. 1979)
(“Whether specific conduct constitutes an intent to deceive is a jury question.”)
(citing Metropolitan Life Insurance Co. v. James, 191 So. 352 (Ala. 1939). Alabama
law clearly provides that a determination of a party’s intent to deceive is a question
more appropriately reserved for the jury. Murphy, 688 So. 2d at 517.
Further, there remain genuine issues of material fact as to whether the
misrepresentations were intentional. The Knights corrected some of their
misrepresentations while their EMCASCO claim was still being decided, which
supports the Knights’ assertion that summary judgment is not appropriate on this
ground. See Hillery v. Allstate Indemnity Co., 705 F. Supp. 2d 1343, 1360 (S.D. Ala.
2010) (Steele, J.) (finding that a reasonable fact-finder could conclude, based on
evidence that the insured party corrected inaccuracies while the case was still open,
that misrepresentations were not intentional).
Accordingly, EMCASCO’s motion for summary judgment on the Knights’
39
counterclaim for breach of contract is due to be denied.
V. BAD FAITH
EMCASCO also moved for summary judgment on Count Two of the Knights’
counterclaim: that is, the allegation that EMCASCO breached its duty of good faith
and fair dealing under the terms of the insurance contract by “refusing to pay benefits
set out in the policy, where there existed no lawful basis for their refusal coupled with
their actual knowledge of the absence of any lawful basis” (i.e. a “normal bad faith
claim”), and by “intentionally failing to determine whether there was an arguable
reason or lawful basis for denying payment of full benefits under the policy” (i.e., an
“abnormal bad faith claim”).103
After this suit was filed, the Alabama Supreme Court held that “there is only
one tort of bad-faith refusal to pay a claim, not two ‘types’ of bad faith or two
separate torts.” State Farm Fire and Casualty Co. v. Brechbill, No. 1111117, 2013
WL 5394444, at *8 (Ala. Sept. 27, 2013) (emphasis in original). The Court went on:
We have repeatedly held that the tort of bad-faith refusal to pay a claim has
four elements — (a) a breach of insurance contract, (b) the refusal to pay claim,
(c) the absence of arguable reason, (d) the insurer’s knowledge of such absence
— with a conditional fifth element: “(e) if the intentional failure to determine
the existence of a lawful basis is relied upon, the plaintiff must prove the
insurer’s intentional failure to determine whether there is a legitimate or
arguable reason to refuse to pay the claim.” Bowen, 417 So. 2d at 183. Thus,
for the tort of bad-faith refusal to pay, “[r]equirements (a) through (d) represent
103
Doc. no. 7 (Kelli and Christopher Knight’s Amended Counterclaim), at 5–6.
40
the ‘normal’ case. Requirement (e) represents the ‘abnormal’ case.”
Employees’ Benefit Assoc. v. Grissett, 732 So. 2d 968, 976 (Ala. 1998). But
the tort has always been one.
Brechbill, 2013 WL 5394444, at *9 (citation to Grissett supplied) (alteration in
original).
Thus, this court will address the alleged torts of bad faith as one claim. In that
regard, the Alabama Supreme Court has explained that:
The Plaintiff asserting a bad-faith claim bears a heavy burden. To establish a
prima facie case of bad-faith refusal to pay an insurance claim, a plaintiff must
show that the insurer’s decision not to pay was without a[ ] ground for dispute;
in other words, the plaintiff must demonstrate that the insurer had no legal or
factual defense to the claim. The insured must eliminate any arguable reason
propounded by the insurer for refusing to pay the claim. A finding of bad faith
based upon rejection of an insurers [sic] legal argument should be reserved for
extreme cases. The right of an insurer to deny a claim on any arguable legal
issue is to be as zealously guarded as is its right to decline benefits on any
debatable issue of fact, the test of reasonableness being the same.
Shelter Mutual Insurance Co. v. Barton, 822 So. 2d 1149, 1154 (Ala. 2001) (internal
citations and quotation marks omitted, alterations in original). In addition, for
plaintiffs to make out a prima facie case of bad faith refusal to pay a valid insurance
claim, they must show that they are “entitled to a directed verdict on the contract
claim and, thus, entitled to recover on the contract claim as a matter of law.”
National Savings Life Insurance Co. v. Dutton, 419 So. 2d 1357, 1362 (Ala. 1982).
Because this court already has found genuine issues of material fact as to the
41
breach of contract counterclaim, the Knights’ counterclaim of bad faith fails under
the directed verdict standard. See, e.g., State Farm Fire & Casualty Co. v. Balmer,
891 F.2d 874, 876–77 (11th Cir. 1990) (holding that because conflicting evidence
existed as to whether an insurance contract was invalid on grounds of arson and
misrepresentation, the directed verdict standard required that the insured’s claim for
normal bad faith must necessarily fail). There are, nevertheless, exceptions to the
directed verdict standard. See Thomas v. Principal Financial Group, 566 So. 2d 735
(Ala. 1990); State Farm Fire & Casualty Co. v. Slade, 747 So. 2d 293, 306 (Ala.
1999). The Alabama Supreme Court has held that the directed verdict standard does
not apply when the plaintiff produces
substantial evidence showing that the insurer (1) intentionally or recklessly
failed to investigate the plaintiff’s claim; (2) intentionally or recklessly failed
to properly subject the plaintiff’s claim to a cognitive evaluation or review; (3)
created its own debatable reason for denying the plaintiff’s claim; or (4) relied
on an ambiguous portion of the policy as a lawful basis to deny the plaintiff’s
claim.
Slade, 747 So. 2d at 306–07. The Knights here allege only the third situation — i.e.,
that EMCASCO created its own debatable reason for denying the Knights’ claim.
An insurer creates its own debatable reason for denying a claim “when the very
existence of the sole factual basis for denial of the claim is itself subject to dispute.”
Pyun v. Paul Revere Life Insurance Co., 768 F. Supp. 2d 1157, 1173 (N.D. Ala. 2011)
42
(Proctor, J.) (cited favorably in Brechbill, 2013 WL 5394444 at *11). For example,
summary judgment is not appropriate when an insurer relies on a statement that the
insured denies making. Id. (citing Jones v. Alabama Farm Bureau Mutual Casualty
Co., 507 So. 2d 396, 400–01 (Ala. 1987)). That is a very limited exception, see Pyun,
768 F. Supp. 2d at 1173, and it is not applicable here.
One of EMCASCO’s stated reasons for denying the Knights’ claim is that the
Knights made material misrepresentations to EMCASCO.104 It is true that the
intentionality of the Knights’ misrepresentations is “in dispute,”105 but “the very
existence” of those misrepresentations is not in dispute. Pyun, 768 F. Supp. 2d at
1173. The Knights do not deny that they made misrepresentations.106 The character
of the misrepresentations may be in dispute, but their very existence is not. Therefore,
this limited exception to the directed verdict standard does not apply.
“Bad faith . . . is not simply bad judgment or negligence. It imports a dishonest
purpose and means a breach of known duty, i.e., good faith and fair dealing, through
some motive of self-interest or ill will.” Singleton v. State Farm Fire and Casualty
Co., 928 So. 2d 280, 283 (Ala. 2005) (alteration in original) (internal quotation marks
104
Doc. 1 (EMCASCO’s Complaint), at 9, ¶ 33.
105
See supra Section III (finding that there are genuine issues of material fact as to the
intentionality of the misrepresentations).
106
See doc. no. 35 (Kelli and Christopher Knight’s Response in Opposition to Motion for
Summary Judgment), at 32–34.
43
omitted). Plaintiffs must prove that the defendant’s actions “rise to the level of bad
faith, dishonesty, self-interest, or ill will inherent in bad-faith conduct.” Brechbill,
2013 WL 5394444 at *11.
The Knights have not provided evidence that EMCASCO acted with a
dishonest purpose when it denied their claim, nor have they provided evidence that
EMCASCO breached a duty of good faith. Instead, the evidence shows, and the
Knights do not dispute,107 that EMCASCO conducted an extensive investigation of
their claim.
EMCASCO supports its denial of the claim with the following
undisputed facts, inter alia, discovered during its investigation: the fire was
incendiary;108 the Knights were across the street when the fire started;109 they
misrepresented the values of pageant dresses and a tanning bed;110 they concealed
assets from a court of law;111 they provided inconsistent sworn testimony as to the
origin of furniture;112 and they had twice previously collected insurance payments for
107
Doc. no. 35 (Opposition to Motion for Summary Judgment), at 41 (“It is not the failure
to investigate that supports the Knights’ abnormal bad faith claim”).
108
Doc. no. 20-1 (Undisputed Statement of Facts) ¶ 38 (alteration supplied) (citing doc. no.
22-6 (Plaintiff’s Exhibit “J” (SIU Investigation Report #1)), at 1–2).
109
See, e.g., doc. no. 22-2 (Plaintiff’s Exhibit “G” (Examination Under Oath of Chris
Knight)), at 14, 37, 58.
110
See doc. no. 23-4 (Plaintiff’s Exhibit “O” (Deposition Testimony of Jewel E. Stubbs)),
at 40–41; doc. no. 23-1 (Plaintiff’s Exhibit “L” (Examination Under Oath of Kelli Knight)), at
68–69.
111
See supra Section III.
112
See doc. no. 20-1 (Undisputed Statement of Facts), at ECF 25–26.
44
fire damage.113
A reasonable fact-finder later may find that the Knights did not start or procure
the fire, and that their misrepresentations were not intentional. Regardless,
considering EMCASCO’s extensive investigations and the substantial evidence
supporting its reasons for denial, the denial cannot rise to the level of bad faith.
Accordingly, EMCASCO’s motion for summary judgment on Count Two of
the Knights’ counterclaim is due to be granted.
IV. NEGLIGENCE, WANTONNESS, AND FRAUD
Counts Three, Four, and Five of the Knights’ counterclaim are based on
identical allegations, which read as follows:
2.
At the time of application, underwriting, issuing and prior claim
handling concerning the policy made the basis of this lawsuit, EMC Insurance
was aware through its employee(s), agent(s) and/or representative(s) that the
Knights had a mortgage on their property with Regions Bank.
3.
For the purposes of closing, a binder was issued by EMC
Insurance’s acting agent whereby Regions Bank was listed as a mortgagee with
its loan number included.
4.
Despite this information being disclosed to EMC Insurance in the
application process and the issuing of such binder, Regions Bank was not
listed as a mortgagee on the policy that was issued.
5.
During the adjustment of a prior claim on said policy involving
water damage, EMC Insurance employee, Jewel Stubb [sic], questioned Kelli
Knight about the absence of a mortgagee being listed on the policy for the
113
See doc. no. 22 (Plaintiff’s Exhibit “E” (Southeastern Origin & Cause Reports)), at 4, 6.
45
subject property. Kelli Knight informed Stubb [sic] that a mortgage did exist
and that such mortgage had been disclosed at the time of application and
binder. Stubb [sic] informed Kelli Knight that she would take care of Regions
Bank being properly listed as the mortgagee on the policy.
6.
The Knights are aware that EMC Insurance sent a prior notice of
non-renewal of the subject policy to Regions Bank upon its decision and
notification to the Knights.
7.
The subject policy has a Mortgagee Clause that would obligate
EMC Insurance to make payments directly to such mortgagee notwithstanding
any defenses and/or claims asserted against the Knights. EMC Insurance has
refused to make payment under the Mortgagee Clause asserting that there was
no mortgagee listed on the subject policy.
8.
EMC Insurance had a duty to properly document the known
mortgagee on the Knights’ policy . . . .
9.
As a proximate result of the . . . conduct of EMC Insurance, the
Knights suffered damages as previously described herein that are continuing
in nature.114
The Knights contend that the alleged actions of EMCASCO amounted to
“Negligence, Wantonness[,] and/or Wilfulness” (Count Three), “Fraudulent
Misrepresentation” (Count Four), and “Fraudulent Suppression” (Count Five).115
EMCASCO moved for summary judgment on those counts, arguing that, among other
reasons, the Knights have not suffered damages as a result of EMCASCO’s alleged
failure to include Regions on the policy.
The contract for insurance between
114
Doc. no. 7 (Kelli and Christopher Knight’s Amended Counterclaim), at 7–8 (Count Three)
(alterations supplied); see also id. at 9–11 (same, asserting Count Four), and 13–14 (same, asserting
Count Five).
115
Id.
46
EMCASCO and the Knights includes a mortgage clause that reads:
K.
Mortgage Clause
1.
If a mortgagee is named in this policy, any loss payable under
Coverage A or B will be paid to the mortgagee and you, as interests appear.
If more than one mortgagee is named, the order of payment will be the same
as the order of precedence of the mortgages.
2.
If we deny your claim, that denial will not apply to a valid claim
of the mortgagee, if the mortgagee:
a.
Notifies us of any change in ownership, occupancy or
substantial change in risk of which the mortgagee is aware;
b.
Pays any premium due under this policy on demand if you
have neglected to pay the premium; and
c.
Submits a signed, sworn statement of loss within 60 days
after receiving notice from us of your failure to do so. Paragraphs E.
Appraisal, G. Suit Against Us and I. Loss Payment under Section I —
Conditions also apply to the mortgagee.
3.
If we decide to cancel or not to renew this policy, the mortgagee
will be notified at least 10 days before the date cancellation or nonrenewal
takes effect.
4.
If we pay the mortgagee for any loss and deny payment to you:
a.
We are subrogated to all the rights of the mortgagee granted
under the mortgage on the property; or
b.
At our option, we may pay to the mortgagee the whole
principal on the mortgage plus any accrued interest. In this event, we
will receive a full assignment and transfer of the mortgage and all
securities held as collateral to the mortgage debt.
47
5.
Subrogation will not impair the right of the mortgagee to recover
the full amount of the mortgagee’s claim.
To survive a motion for summary judgment on its negligence, wantonness, and
fraud claims, the Knights must show that EMCASCO’s actions were the proximate
cause of the Knights’ alleged injury. See Bowker v. Willis, 580 So. 2d 1333, 1334
(Ala. 1991) (holding that the requisite elements for fraud include that the plaintiff
“was damaged as a proximate result of the alleged misrepresentation.” (emphasis in
original) (quoting Hilley v. Allstate Insurance Co., 562 So. 2d 184 (Ala. 1990)));
Martin v. Arnold, 643 So. 2d 564, 567 (Ala. 1994) (“To establish negligence, the
plaintiff must prove [. . .] proximate causation” (alteration supplied)); id. (holding
that, for wantonness to be actionable, “that act or omission must proximately cause
the injury of which the plaintiff complains.”).
The Knights argue that they were “absolutely damaged” by EMCASCO’s
alleged failure to include Regions on the policy, and EMCASCO’s resulting delay of
payment to Regions.116
The Knights provide little evidence showing that
EMCASCO’s actions proximately caused the damages, however. They allege that,
after the fire, they suffered damages in the form of continued mortgage payments to
Regions despite the total loss of the property, late fees (for failure to make timely
116
Doc. no. 35 (Kelli and Christopher Knight’s Brief in Opposition to Motion for Summary
Judgment), at 48–49.
48
mortgage payments), and foreclosure (again for failure to make timely mortgage
payments).117 All of these alleged damages arose from the Knights’ duty to make
mortgage payments, a duty the Knights apparently believe would have been
extinguished had EMCASCO included Regions on the policy and timely paid benefits
pursuant to the policy to Regions.
At the core of the Knights’ argument is a misunderstanding of section 4 of the
mortgage clause, which provides that EMCASCO will be subrogated to the rights of
the mortgagee (i.e., Regions) against the mortgagor (i.e., the Knights) upon payment
to the mortgagee.118 In other words, the Knights would not necessarily be freed of
their financial obligations under the mortgage, regardless of the applicability of the
mortgage clause. Rather, the party to whom those obligations accrued would (and
did) simply shift from Regions to EMCASCO. Accordingly, EMCASCO’s alleged
failure did not proximately cause the Knights’ injury.
Second, the Knights argue that they suffered damages when Regions forceplaced insurance on the property after the fire. As their only support for this
assertion, they cite lines from Mrs. Knight’s deposition, which read:
Q. Okay. Since the fire and since the policy has been cancelled, have
you received any notice from your mortgage company that they’ve acquired
117
Id.
118
Doc. no. 1-1 (Plaintiff’s Exhibit “A” (EMCASCO Insurance Company Policy Number
74S-44-04-12)), at ECF 21.
49
insurance with anybody else?
A.
Yes.119
The Knights omitted these next few lines from their brief to the court, however:
Q.
Okay. And who is it with now –
A.
I don’t even know.
Q.
– a forced placed policy?
A.
I do not even know.120
The Knights have provided no evidence that Regions force-placed an insurance
policy on the property. Accordingly, the court finds that they did not suffer damages
from force-placed insurance.
Because EMCASCO’s alleged actions did not proximately cause the Knights’
alleged damages, summary judgment is due to be granted in favor of EMCASCO on
Counts Three, Four, and Five of the Knights’ counterclaim.
VII. CONCLUSION AND ORDERS
In accordance with the foregoing, it is ORDERED, ADJUDGED, and
DECREED as follows: EMCASCO’s motion for summary judgment is GRANTED
in part and DENIED in part. The motion as to Count One is GRANTED in part and
119
Doc. no. 23 (Defendant’s Exhibit “L” (Deposition of Kelli Knight)), at 36.
120
Id. at 37 (emphasis supplied).
50
DENIED in part. It is ORDERED that the Knights are estopped from asserting claims
based upon the value of firearms and jewelry purchased before the 2008 bankruptcy
proceeding. The motion as to Count Two is DENIED. The motion as to Counts
Three, Four, and Five is GRANTED. The action will be set for pretrial conference
on all remaining claims by separate order.
DONE and ORDERED this 22nd day of August, 2014.
______________________________
United States District Judge
51
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