ROY K. ALTMAN, UNITED STATES DISTRICT JUDGE.
In 1968, hoping to create a "unified national program for flood" insurance, Congress passed the National Flood Insurance Act ("the Act"), 42 U.S.C. § 4001, which placed the Federal Emergency Management Agency ("FEMA") in charge of the National Flood Insurance Program (the "NFIP"). See 42 U.S.C. § 4081. As relevant here, the Act authorizes FEMA to use private corporations—called Write-Your-Own insurance carriers ("WYO carriers") —to issue flood insurance policies. See 42 U.S.C. § 4081(a) (permitting FEMA director to enter arrangements with private insurance companies to use their "facilities and services"); 44 C.F.R. § 62.23(a)-(d) (allowing private insurers to sell and administer insurance policies through the WYO program). These policies —called Standard Flood Insurance Policies ("SFIP")—are themselves written by Congress, see 44 C.F.R. Part 61, App. A(1), and are underwritten by the United
Nevertheless, SFIPs are still contracts, and their construction is "governed by federal law, applying `standard insurance law principles.'" Wright v. Dir., Fed. Emergency Mgmt. Agency, 913 F.2d 1566, 1571 (11th Cir. 1990) (cleaned up). "FEMA's administration of the insurance program does nothing to alter the status of [SFIPs] as insurance contracts." Id. at 1570. And, because SFIPs are issued all over the country, "SFIP contracts [must be] interpreted using principles of federal common law rather than state contract law." Newton v. Capital Assur. Co., 245 F.3d 1306, 1309 (11th Cir. 2001).
But, because SFIP claims are paid directly from the U.S. Treasury, the interpretation of SFIP contracts differs from standard contract interpretation in one salient way: federal courts must "strictly construe" their terms and conditions. Office of Pers. Mgmt. v. Richmond, 496 U.S. 414, 432, 110 S.Ct. 2465, 110 L.Ed.2d 387 (1990). This principle finds its roots in the Appropriations Clause of the U.S. Constitution, which provides that "[n]o Money shall be drawn from the Treasury, but in Consequence of Appropriations made by Law." U.S. Const. art. I, § 9, cl. 7. The Clause was meant "to assure that public funds will be spent according to the letter of the difficult judgments reached by Congress as to the common good and not according to the individual favor of Government agents or the individual pleas of litigants." Richmond, 496 U.S. at 428, 110 S.Ct. 2465. It is for this reason "the duty of all courts to observe the conditions defined by Congress for charging the public treasury." Fed. Crop Ins. Corp. v. Merrill, 332 U.S. 380, 385, 68 S.Ct. 1, 92 S.Ct. 10 (1947). Thus, before a court may authorize the payment of an SFIP claim, "Strict Compliance with Policy Conditions" is required. Sanz v. U.S. Sec. Ins. Co., 328 F.3d 1314, 1317 (11th Cir. 2003). "[N]ot even the `temptations of a hard case' should cause courts to read the requirements of a federal insurance contract with `charitable laxity.'" Id. at 1318 (quoting Merrill, 332 U.S. at 386, 68 S.Ct. 1).
The Defendant, Homesite Insurance Company ("Homesite"), is a WYO carrier authorized to administer SFIPs under the NFIP. See Homesite Insurance Company's Statement of Material Facts in Support of Summary Judgment (the "Homesite SOF") [ECF No. 34] ¶ 4.
On September 30, 2017, Hurricane Irma made landfall on the east coast of Florida. See Seahorse SOF ¶ 1. The storm caused catastrophic damage along Florida's entire shoreline, including in Hollywood Beach, where the Seahorse condominiums are located. See id. After the storm, Seahorse's property manager and its board members went out to view the property and made a preliminary assessment of the damages. See id. Seahorse then filed a claim with Homesite for benefits under the SFIP. See Homesite SOF ¶ 6. Homesite assigned an independent claim adjuster—James Dwyer of Colonial Claims—to handle the claim. See id. ¶ 7. After an inspection of the property, Dwyer prepared an estimate of the damages. See id. ¶ 8. Based on that estimate, Homesite paid Seahorse $13,419.61. See id. ¶ 9.
Unsatisfied with that payment, Seahorse hired Paul Orr of Nutek Engineering to conduct a formal assessment of the damages and to issue a report. See Homesite SOF ¶¶ 13-15; Seahorse SOF ¶¶ 1-2; see also Seahorse SOF Ex. 1 ("Orr Summary") [ECF No. 38-1]; Homesite SOF Ex. 4 ("Orr Expert Report") [ECF No. 33-4]. Orr determined "that the damage to the building's structural foundation and outside walls and concrete canopies was caused by Hurricane Irma's storm surge and flood waters." Seahorse SOF ¶ 2. He also opined that Irma "deposit[ed] 2 to 3 ft of sand on the Boardwalk in front of the Seahorse Building" and "raised the level of groundwater to the point where it weakened the soil['s] ability to hold weight[ ] and shifted the piling slightly to allow the building weight to crack the foundation." Orr Summary at 1.
Armed with the Orr Summary, the President of the Seahorse Condominium Association —Sharon Usinger—sent Homesite a claim for additional benefits under the SFIP. See Homesite SOF ¶ 15; Seahorse SOF ¶ 3. Homesite then hired Steven Pace, an engineer with Donan Engineering, to conduct an independent inspection of the property. See Seahorse SOF ¶ 4; Homesite SOF ¶ 12. Pace concluded that "the cracks to the foundation claimed by the Plaintiff were from spalled or missing concrete and corroded reinforcing steel, and the damages claimed to the front entrance awning were historical." Homesite SOF ¶ 12. Because of its engineer's conclusion that the damages were not caused by Irma, Homesite denied the claim on January 13, 2018. See Homesite SOF ¶ 15.
Hoping to salvage Seahorse's claim, Usinger then sent Pace and Homesite a 2016 report on the property, in which Orr had assessed the building's structural integrity. See Seahorse SOF ¶ 6. On March 30, 2018, after having reviewed the 2016 report, Homesite issued its second denial of coverage. See Homesite SOF ¶ 16; Seahorse SOF ¶ 8.
After this second denial, Seahorse hired a public adjuster—Brad Johnson of Brodsky and Associates—who estimated that the total cost to Seahorse of the Irma-related flood damage was $167,302.00. See Seahorse SOF ¶ 7; see also Seahorse SOF Ex. 6 (the "Johnson Report") [ECF No. 38-6]. Two days later, on April 27, 2018, Homesite denied coverage for a third (and final) time. See Homesite SOF ¶ 16; Seahorse SOF ¶ 8.
On August 20, 2018, Seahorse's proof of loss was returned as undeliverable because Seahorse had addressed it to the wrong zip code. See Seahorse SOF ¶ 11; see also Seahorse SOF Ex. 8 (the "First Proof of Loss") [ECF No. 38-8]; Seahorse SOF Ex. 9 [ECF No. 38-9] (detailing First Proof of Loss tracking history). Later that same day, Seahorse re-mailed the proof of loss (this time with the correct zip code) to Homesite. See Seahorse SOF ¶ 12. That Second Proof of Loss was delivered to Homesite on August 25, 2018. See id.
Summary judgment is appropriate when there is "no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); FED. R. CIV. P. 56(a). In determining whether to grant summary judgment, the Court must consider "particular parts of materials in the record, including depositions, documents, electronically stored information, affidavits or declarations, stipulations (including those made for purposes of the motion only), admissions, interrogatory answers, or other materials." FED. R. CIV. P. 56(c). "By its very terms, this standard provides that the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment; the requirement is that there be no genuine issue of material fact." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). An issue of fact is "material" if it might affect the outcome of the case under the governing law. Id. at 248, 106 S.Ct. 2505. A dispute about a material fact is "genuine" if the evidence could lead a reasonable jury to find for the non-moving party. Id.
At summary judgment, the movant bears the burden of proving the absence of a genuine issue of material fact, and all factual inferences are drawn in favor of the non-movant. See e.g., Allen v. Tyson Foods Inc., 121 F.3d 642, 646 (11th Cir. 1997). Once the movant satisfies its initial burden, the burden shifts to the non-movant to come forward with evidence that a genuine issue of material fact precludes summary judgment. See Bailey v. Allgas, Inc., 284 F.3d 1237, 1243 (11th Cir. 2002); FED. R. CIV. P. 56(e). "If reasonable minds could differ on the inferences arising from undisputed facts, then a court should deny summary judgment." Miranda v. B & B Cash Grocery Store, Inc., 975 F.2d 1518, 1534 (11th Cir. 1992). Notably, assessments of credibility—no less than the weighing of evidence—are jury questions not susceptible of disposition at summary judgment. Strickland v. Norfolk S. Ry. Co., 692 F.3d 1151, 1154 (11th Cir. 2012). The Court must analyze the record as a whole—and not just the evidence the parties have singled out for consideration. See Clinkscales v. Chevron U.S.A., Inc., 831 F.2d 1565, 1570 (11th Cir. 1987). If there are any genuine issues of material fact, the Court must deny summary judgment and proceed to trial. Whelan v. Royal Caribbean Cruises Ltd., No. 1:12-CV-22481, 2013 WL 5583970, at *2 (S.D. Fla. Aug. 14, 2013) (citing Envtl. Def. Fund v. Marsh, 651 F.2d 983, 991 (5th Cir. 1981)).
Homesite moves for summary judgment on two grounds. First, it argues that Seahorse failed to submit a timely proof of loss before it filed suit. See Mot. at 8-11. Second, it says that, even if Seahorse had complied with the proof-of-loss requirement,
Homesite first contends that Seahorse failed to submit a timely proof of loss. See id. at 8-11. Seahorse, however, points out that it did send Homesite a proof of loss before it sued. See Resp. at 2-8 (discussing First Proof of Loss). And, Seahorse adds, even if the Court disregards its First Proof of Loss, the Second Proof of Loss was likewise timely—even though it came after Seahorse sued Homesite—because the Eleventh Circuit has never held that an SFIP claimant must submit its proof of loss before it files suit. See id. (citing Sanz, 328 F.3d at 1314; Shuford v. Fid. Nat. Prop. & Cas. Ins. Co., 508 F.3d 1337, 1343 (11th Cir. 2007)). Instead, Seahorse argues, an SFIP claimant must submit its proof of loss before it can recover money damages. Thus, in Seahorse's view, so long as an SFIP claimant submits its proof of loss before damages are awarded, it can proceed against a WYO Carrier—even if its proof of loss was sent after suit was filed. On both grounds, Seahorse misreads the Contract.
In Article VIII, Section R, the Contract
Contract at 22.
Seahorse sent the First Proof of Loss on July 23, 2018—seven days before it filed suit. See Seahorse SOF ¶ 9. But that First Proof of Loss was returned as undeliverable because Seahorse had entered the wrong zip code. See id. ¶ 11. So, Seahorse sent a Second Proof of Loss on August 20, 2018—after it filed the Complaint—which Homesite received on August 25, 2018. See id. ¶ 12.
In two recent decisions, the Eleventh Circuit has carved out the outer limits of the SFIP's proof-of-loss requirements.
The Shuford Plaintiff had likewise "filed a claim [against the defendant] but never submitted a proof of loss." Shuford, 508 F.3d at 1341. In affirming the district court's entry of summary judgment, the Eleventh Circuit explained that the defendant "was entitled to summary judgment against Shuford's complaint for breach of contract because Shuford failed to file a proof of loss within a year." Id. at 1342.
But, as Seahorse points out, because the plaintiffs in Sanz and Shuford never submitted any proofs of loss at all, those cases are not all that relevant to the two questions at issue here:
The Court, Seahorse insists, need not engage in the difficult task of determining whether the First Proof of Loss was "sen[t] [to Homesite]" within the meaning of the Contract because, it says, the Second Proof of Loss was timely in any case. But, fairly read, the Contract suggests otherwise. Cf. A. SCALIA & B. GARNER, READING LAW: THE INTERPRETATION OF LEGAL TEXTS 69 (2012) ("The ordinary-meaning rule is the most fundamental semantic rule of interpretation.").
In its attempt to parry this conclusion, Seahorse cites Article VIII, Sec. J(4), which requires only that the proof of loss be sent within "one year" after the loss. See Resp. at 4-5. And, noting that a contract's more specific provisions should govern over its general ones, Seahorse contends that "the policy language does
But the Court should only employ the General/Specific Canon if the salient terms of the Contract are in conflict, see A. SCALIA & B. GARNER, READING LAW: THE INTERPRETATION OF LEGAL TEXTS 183 (2012) ("If there is a conflict between a general provision and a specific provision, the specific provision prevails.")—which, in this case, they are not.
To understand why these two provisions do not conflict, consider for a moment a child who has a homework assignment due next week. On Friday night, the child asks his mother for permission to go out with his friends. The mother responds that "you cannot go out tonight
Nevertheless, Seahorse did send a proof of loss on July 23, 2018—seven days before it sued Homesite.
To begin with, Seahorse failed to disclose the envelope in which the First Proof of Loss was sent.
But the Federal Rules require a party to provide "a copy—or a description by category and location—of all documents ... and tangible things that the disclosing party has in its possession, custody, or control and may use to support its claims or defenses." FED. R. CIV. P. 26(a)(1)(A)(ii). Seahorse does not explain why it thinks an envelope is not a "document." It almost certainly is. Merriam-Webster, after all, defines a document as:
Document, Merriam-Webster Online Dictionary, https://www.merriam-webster.com/dictionary/document (March 10, 2020). Even if an envelope is not a "document," though, it is still a "tangible thing" that, given its centrality to the viability of Seahorse's claim, should have been produced under Rule 26.
"If a party fails to provide information or identify a witness as required by Rule 26(a) or (e), the party is not allowed to use that information or witness to supply evidence on a motion, at a hearing, or at a trial, unless the failure was substantially justified or is harmless." FED. R. CIV. P. 37(c)(1). Seahorse's failure to disclose the envelope was neither "substantially justified" nor "harmless."
The non-disclosure was not harmless because it forced Homesite to file both its Motion for Summary Judgment and its Statement of Material Facts without the benefit of knowing that the First Proof of Loss even existed. In practice, then, Seahorse's non-disclosure prevented Homesite from using any of the twenty pages it was allotted for its Motion—and none of the ten pages it was afforded for its Statement of Material Facts—on what has turned out to be the central issue in the case. And so, while Seahorse was able to rely on the First Proof of Loss as the primary thrust of both its Summary Judgment Response and its Statement of Material Facts, Homesite was left only a portion of its ten-page Reply.
The non-disclosure was also not "substantially justified." At oral argument, Seahorse tried to explain the non-disclosure by suggesting that it did not fully appreciate the envelope's significance until it read Homesite's Motion for Summary Judgment. This cannot be. In fact, the timeliness of Seahorse's proof-of-loss submission has been a central issue since the very beginning of this case. See Answer [ECF No. 7] at 5 ("Plaintiff failed to meet its obligation to meet all conditions precedent prior to filing suit and breached the SFIP by failing to submit a timely signed and sworn proof of loss statement with supporting documentation in violation of Articles VIII(J) and (R) of the SFIP."). Nor does Seahorse dispute Homesite's representation—made at oral argument— that, at the deposition of Seahorse's 30(b)(6) witness, Homesite counsel asked several pointed questions on this very topic. Given all this, the envelope's import could not have been lost on Seahorse's (very experienced) counsel. And any suggestion that it was is belied by Seahorse counsel's decision to retain the undelivered and now-unusable envelope in its files— without producing it—until the very end of this litigation. Because, in sum, "[Seahorse] fail[ed] to provide information ... as required by Rule 26(a) or (e), [Seahorse] is not allowed to use that information... to supply evidence on a motion." FED. R. CIV. P. 37(c)(1); accord Cunningham v. Fulton Cty., Georgia, 785 F. App'x 798, 803-04 (11th Cir. 2019) (affirming exclusion of evidence where defendants "didn't list these documents as part of their initial disclosures or supplement their disclosures thereafter. And, importantly, the district court found that the employees didn't give any explanation for their failure to disclose"); Long v. E. Coast Waffles, Inc., 762 F. App'x 869, 871 (11th Cir. 2019) (finding that "untimely disclosures are certainly disfavored" and declining "to second-guess the district court's pre-trial discovery management"); Cooley v. Great S. Wood Preserving, 138 F. App'x 149, 161 (11th Cir. 2005) (affirming both trial court's exclusion of evidence and its refusal to permit the plaintiffs to supplement their discovery where "the plaintiffs neither listed the affiants of the contested affidavits in their initial disclosures under Rule 26(a), nor attempted to supplement their disclosures with this information under Rule 26(e)"); Bearint ex rel. Bearint v. Dorell Juvenile Grp., Inc., 389 F.3d 1339, 1353-54 (11th Cir. 2004) (affirming trial court's exclusion of evidence, "[r]egardless of the importance of" the evidence, because "the reasons for the delay in the [plaintiff's] disclosure and the consequent prejudice that his testimony would have caused [the defendant]" were substantial).
But, even were the Court to consider the First Proof of Loss, its existence would not alter the result. Article VIII(J) of the Contract provides as follows:
Contract at 22.
The First Proof of Loss, Seahorse says, complied with these conditions because Article VIII(J) requires only that a proof of loss be "sent"—not that it be "received." See Resp. at 3-5. In saying so, Seahorse ignores the Article's requirement that the proof of loss be sent to Homesite.
Before explaining why this is so, the Court will briefly address Homesite's own tortured reading of the Contract—under which the insurer must receive the proof of loss at least 60 days before the claimant files suit. See Reply at 6-7. Homesite's reading is simply a recasting of FEMA's interpretation—which, Homesite contends, is essential to allow the insurer to "consider the proof of loss and either address it, pay it or reject it." Reply at 5. Relying on Stinson v. United States, 508 U.S. 36, 45, 113 S.Ct. 1913, 123 L.Ed.2d 598 (1993) (employing Auer deference), Homesite asks the Court to defer to FEMA's reading of the SFIP.
But FEMA's interpretation is both inapposite and wrong. Courts must defer to an agency's interpretation of a regulation only when that regulation "is genuinely ambiguous." Kisor v. Wilkie, ___ U.S. ___, 139 S.Ct. 2400, 2415, 204 L.Ed.2d 841 (2019). But, when courts defer to an agency's interpretation of an unambiguous regulation, they "permit the agency, under the guise of interpreting a regulation, to create de facto a new regulation." Christensen v. Harris Cty., 529 U.S. 576, 588, 120 S.Ct. 1655, 146 L.Ed.2d 621 (2000). Moreover, even when a regulation "is genuinely ambiguous," the agency's reading of that regulation must fall "within the bounds of reasonable interpretation." Arlington v. FCC, 569 U.S. 290, 296, 133 S.Ct. 1863, 185 L.Ed.2d 941 (2013); see also Thomas Jefferson Univ. v. Shalala, 512 U.S. 504, 515, 114 S.Ct. 2381, 129 L.Ed.2d 405 (1994). Homesite's argument fails under either test.
First, as Homesite conceded at oral argument —and as the Court explains in more detail below—the text of Article VIII(J), though perhaps not a model of clarity, is not "genuinely ambiguous." Cf. Kisor, 139 S. Ct. at 2415 ("[B]efore concluding that a rule is genuinely ambiguous, a court must exhaust all the `traditional tools' of construction." (citing Chevron, U.S.A., Inc. v. Nat. Res. Def. Council, Inc., 467 U.S. 837, 843 n. 9, 104 S.Ct. 2778, 81 L.Ed.2d 694 (1984)). Second, FEMA's interpretation is not "reasonable." Nowhere —not in Article VIII(J) or elsewhere —does the Contract ever suggest, expressly or otherwise, that an SFIP claimant must give the insurer a 60-day, post-proof-of-loss cushion before he may sue. As Homesite has been quick to point out, federal courts must "strictly construe" SFIP contracts. Richmond, 496 U.S. at 432, 110 S.Ct. 2465. With this admonition in mind, the Court will not read into the SFIP a 60-day cushion that appears nowhere in the text of the Contract.
But Seahorse likewise mischaracterizes the Contract as "stat[ing] only that the [proof of loss] must be sent within 60 days (one year, here) of the loss." Resp. at 3 (emphasis added). To the contrary, the Contract requires the insured, within one year of a loss, to "send us a proof of loss... which furnishes us with the following
Seahorse contends that, according to the U.S. Postal Service's ("USPS") Domestic Mail Manual (the "DMM"), a mailing is not deficient simply because it contains an erroneous zip code—a proposition that, in Seahorse's view, renders its zip-code slipup a scrivener's error for which it should not be penalized. See Resp. at 3 n.4. Seahorse cites three cases in support of its reading of the DMM. See id. (citing Santoro v. Principi, 274 F.3d 1366, 1370 (Fed. Cir. 2001) ("The Mail Manual provides, inter alia, that a deliverable address need not contain a zip code at all."); The Resolution Tr. Corp., as Receiver for Lincoln Sav. & Loan Ass'n, F.A. v. Bowen, 92-CV-1671, 2008 WL 2001270, at *1 (D. Ariz. May 7, 2008) ("the United States Postal Service Domestic Mail Manual in effect in 1992 made the use of the zip code on mailing addresses voluntary and its omission did not render the mail undeliverable...."); Judkins v. Davenport, 59 S.W.3d 689, 691 (Tex. App. 2000) (under the DMM, "a zip code may be omitted from certain items of mail, it is not a prerequisite to assuring that mail is properly routed to a particular addressee")). But each of these cases relied on a previous—and since-amended— version of the DMM.
Under the current DMM
Nor, in any event, did Seahorse "furnish [Homesite] with" the nine pieces of "information" listed in Article VIII(J)(4) of the Contract.
In short, even were the Court to excuse Seahorse's discovery violation, its reliance on the First Proof of Loss would remain unavailing.
Homesite also argues that Seahorse's damages are excluded under the "earth movement exclusion" set out in Article V, Section C of the Contract. See Contract at 16-17. But, because Seahorse failed to "adhere strictly" to the Contract's conditions for filing suit, the Court need not address this exclusion here.
This is a hard case. Homesite cannot— and, to its credit, does not—suggest that it was somehow surprised by either the nature of Seahorse's claim or the amount of Seahorse's damages. Indeed, the parties had been engaged in protracted negotiations for many months before this lawsuit was filed. During those negotiations, it is undisputed, Seahorse sent Homesite no fewer than three different claim forms— each laying out precisely what was owed and why. By the time of the lawsuit, in other words, Seahorse's proof of loss was a mere formality. What's worse, Seahorse attempted, in good faith, to comply with the terms of that formality when it sent Homesite, not one, but two separate proofs of loss. On these facts, then, reasonable minds might be excused for reproving the Court for engaging in a seemingly-draconian exercise of legal formalism.
But, when it comes to SFIP claims, legal formalism is what the law requires. As the Supreme Court has explained, it is "the duty of all courts to observe the conditions defined by Congress for charging the public treasury." Merrill, 332 U.S. at 385, 68 S.Ct. 1. SFIP claimants, therefore, must "strict[ly] compl[y]" with all SFIP conditions, Shuford, 508 F.3d at 1343, and must "adhere strictly" to all SFIP requirements, Sanz, 328 F.3d at 1318. "[N]ot even the `temptations of a hard case' should cause courts to read the requirements of a federal insurance contract with `charitable laxity.'" Id. at 1318 (quoting Merrill, 332 U.S. at 386, 68 S.Ct. 1).
Having carefully reviewed the record and the governing law, the Court hereby