Elawyers Elawyers
Ohio| Change

COKER v. FIREMAN'S FUND INSURANCE COMPANY, 3:11-cv-0446-CMC. (2012)

Court: District Court, D. South Carolina Number: infdco20120130827 Visitors: 13
Filed: Jan. 27, 2012
Latest Update: Jan. 27, 2012
Summary: OPINION AND ORDER ON DEFENDANT'S MOTION FOR RECONSIDERATION CAMERON McGOWAN CURRIE, District Judge. This matter is before the court on motion of Defendant, Fireman's Fund Insurance Company ("FFIC"), to reconsider the denial of FFIC's motion for summary judgment. See Dkt. No. 26 (order); Dkt. No. 35 (motion). For reasons set forth below, the motion is denied to the extent it seeks modification of the order denying summary judgment and granted to the extent it seeks clarification of the relief
More

OPINION AND ORDER ON DEFENDANT'S MOTION FOR RECONSIDERATION

CAMERON McGOWAN CURRIE, District Judge.

This matter is before the court on motion of Defendant, Fireman's Fund Insurance Company ("FFIC"), to reconsider the denial of FFIC's motion for summary judgment. See Dkt. No. 26 (order); Dkt. No. 35 (motion). For reasons set forth below, the motion is denied to the extent it seeks modification of the order denying summary judgment and granted to the extent it seeks clarification of the relief which might be granted through this action.

DISCUSSION

Breach of Contract and Bad Faith Failure to Pay Insurance Benefits. As explained in the prior order, the record evidence is susceptible to multiple interpretations, one of which is that FFIC

intentionally delayed the process [of perfecting a Replacement Cost claim], failed to provide information requested by [Plaintiffs], promised to obtain estimates which were not timely sought, or made statements suggesting greater uncertainty in the process than necessary, all for the purpose of discouraging [Plaintiffs] from pursuing or perfecting a Replacement Cost claim.

Dkt. No. 26 at 4 (emphasis in original). FFIC's present motion fails to persuade the court either that the evidence is not susceptible to this interpretation or that such an interpretation would not support both a finding of breach of contract and a finding of bad faith failure to pay first party insurance benefits.

Appraisal. FFIC argues, and the court agrees, that the insurance policy established a mechanism for resolving disputes as to valuation: the appraisal process. Unfortunately, despite mentioning the availability of this process in two letters sent to the Cokers or their representatives before suit was filed, FFIC never invoked its right to appraisal until the last day of the fact-discovery process, a full six months after suit was filed. See Dkt. No. 26. at 5 (discussing request to compel appraisal). In the interim, the Cokers incurred additional delays and the expense of litigation and FFIC gained the benefit of the discovery process. The court is not persuaded that it erred in concluding FFIC waived its right to invoke the appraisal process under these circumstances.

Jury Issue and Remedy. FFIC's waiver of its right to invoke the appraisal process means that, if the jury finds FFIC breached the contract, then it will be for the jury to decide the proper maximum value to be paid under the Replacement Cost Provision.1 This is not to suggest that a judgment for damages would be entered based on the jury's valuation determination. Instead, some hybrid remedy such as that suggested by FFIC will be necessary in light of the policy provisions which envision actual payment being made only after the Cokers expend sums in excess of the policy limits to rebuild or replace the home.2 In contrast, if the jury finds FFIC liable for bad faith failure to pay benefits, then it could award damages on that claim which damages could be reduced to a monetary judgment.

CONCLUSION

For the reasons set forth above, FFIC's motion to reconsider is denied except to the extent it seeks clarification of the relief available which clarification is provided above.

IT IS SO ORDERED.

FootNotes


1. As noted in the earlier order, the evidence would also support a finding that "the Cokers failed to fully cooperate in FFIC's investigation, leading to the failure to reach agreement on the maximum amount available under the Replacement Cost Provision." If the jury draws this inference, it would not find FFIC in breach of contract. Absent a finding that FFIC breached the contract, the jury would have no reason to consider damages-related issues.
2. FFIC proposes that the court enter "an equitable order of specific performance [requiring FFIC to] reimburse the Cokers for an amount up to the Replacement Cost Value, as determined by the jury, only after [the Cokers] incur additional costs rebuilding or replacing the home." See Dkt. No. 30 at 6. While the court reserves any final determination as to the proper form of relief until the time of trial, it is, at present, inclined to adopt FFIC's proposal on this point.
Source:  Leagle

Can't find what you're looking for?

Post a free question on our public forum.
Ask a Question
Search for lawyers by practice areas.
Find a Lawyer