Filed: Jun. 03, 1993
Latest Update: Mar. 02, 2020
Summary: UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT No. 92-7446 Summary Calendar HANS CONSTRUCTION COMPANY, INC., Plaintiff-Appellant, versus PHOENIX ASSURANCE COMPANY OF NEW YORK, Defendant-Appellee. Appeal from the United States District Court for the Southern District of Mississippi ( June 25, 1993 ) Before POLITZ, Chief Judge, DAVIS and JONES, Circuit Judges. POLITZ, Chief Judge: Hans Construction Company, Inc. appeals an adverse summary judgment. Finding no error, we affirm. Background On
Summary: UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT No. 92-7446 Summary Calendar HANS CONSTRUCTION COMPANY, INC., Plaintiff-Appellant, versus PHOENIX ASSURANCE COMPANY OF NEW YORK, Defendant-Appellee. Appeal from the United States District Court for the Southern District of Mississippi ( June 25, 1993 ) Before POLITZ, Chief Judge, DAVIS and JONES, Circuit Judges. POLITZ, Chief Judge: Hans Construction Company, Inc. appeals an adverse summary judgment. Finding no error, we affirm. Background On J..
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UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
No. 92-7446
Summary Calendar
HANS CONSTRUCTION COMPANY, INC.,
Plaintiff-Appellant,
versus
PHOENIX ASSURANCE COMPANY OF
NEW YORK,
Defendant-Appellee.
Appeal from the United States District Court
for the Southern District of Mississippi
( June 25, 1993 )
Before POLITZ, Chief Judge, DAVIS and JONES, Circuit Judges.
POLITZ, Chief Judge:
Hans Construction Company, Inc. appeals an adverse summary
judgment. Finding no error, we affirm.
Background
On June 17, 1987 a crane owned by Hans Construction Co. was
damaged in the process of dismantling an asphalt plant. Hans'
equipment, including the crane, was covered under an Inland Marine
Transit Floater Policy issued by Phoenix Assurance Company of New
York. The policy did not cover damage caused by overloading the
equipment.
Upon receiving notice of the accident, Phoenix assigned
Adjusting Services Unlimited to investigate the claim. John
Dominick, an ASU adjuster, interviewed the Hans crane operator,
Mike Greer. Greer stated that the crane was lifting a bucket
conveyor weighing about 52,000 pounds at the time of the accident.
Considering the extent of the boom, the angle, and the radius of
the load, the maximum load should have been about 50,000 pounds.
Neither Dominick, nor any other adjuster, ever independently
determined the actual weight of the bucket conveyor when the crane
failed.
ASU requested and was granted authority by Phoenix to hire an
engineer to inspect the crane and determine the cause of the
accident. Two experts, Dr. Courtney Busch and Robert Fleishmann,
examined the crane; both determined that the damage was caused by
an overload. In addition, at Hans' request, a representative of
the manufacturer examined the crane and also opined that the damage
was caused by an overload. He concluded that the crane could not
be repaired SQ the boom and outrigger sections would have to be
completely replaced.
Disagreeing with the conclusions of the experts, Hans hired
John Taylor of Non-Destructive Testing Services to examine the
crane. Taylor found imperfections in the welds. Taylor's report
was sent to Busch whose opinion remained the same. Busch noted
that Taylor did not address the fact that the primary failure of
the crane was in the base metal, not the welds. Based upon the
2
experts' opinions that the crane was overloaded, Phoenix invoked
the policy exclusion and denied Hans' claim.
Hans sued Phoenix under the policy, alleging denial of the
claim in bad faith. Hans sought contract, extra-contractual,1 and
punitive damages. The district court granted summary judgment in
favor of Phoenix on all claims except the claim for coverage under
the policy. The parties consented to trial of the remaining claim
before a magistrate judge.
Prior to trial, the Mississippi Supreme Court announced its
decision in Universal Life Insurance Co. v. Veasley,2 in which the
plaintiff was permitted to recover mental anguish damages resulting
from the insurance company's failure to pay a claim, even though
the failure was the result of simple negligence, not conduct
warranting punitive damages. Hans moved the district court for
reconsideration of its prior summary judgment on the extra-
contractual damages claim in light of Veasley; the district court
found that because the insurance company had an arguable basis for
denying the claim, the extra-contractual damages claim was properly
denied. The parties settled the policy coverage claim and final
judgment was entered dismissing the case.
Hans timely appealed. He argues that the district court erred
in granting summary judgment in favor of Phoenix on the claim for
1
Hans seeks the following extra-contractual damages: company
president Joe Hans' mental anguish, loss of income, depreciation of
the crane caused by being forced to repair rather than replace its
damaged parts, attorneys' fees, and costs of litigation.
2
610 So. 2d 290 (Miss.1992), reh'g denied, January 8, 1993.
3
punitive damages and the claim for other extra-contractual damages.
Analysis
Standard of Review
We review summary judgment de novo, considering the evidence
and inferences therefrom in the light most favorable to the
nonmoving party.3 "[T]he plain language of Rule 56(c) mandates the
entry of summary judgment, after adequate time for discovery and
upon motion, against a party who fails to make a showing sufficient
to establish the existence of an element essential to that party's
case, and on which that party will bear the burden of proof at
trial."4 In addition, the district court's interpretations of
applicable Mississippi law are reviewed by this court de novo.5 In
this diversity case, "we must do that which we think that the
Mississippi Supreme Court would deem best."6
I. Punitive Damages
It is well-settled under Mississippi law that "before punitive
damages may be recovered from an insurer, the insured must prove by
a preponderance of the evidence that the insurer acted with (1)
3
U.S. Fidelity & Guaranty Co. v. Wiggington,
964 F.2d 487
(5th Cir.1992); Baton Rouge Building & Const. Trades Council v.
Jacobs Constructors, Inc.,
804 F.2d 879 (5th Cir.1986).
4
Celotex Corp. v. Catrett,
477 U.S. 317, 322 (1986).
5
Salve Regina College v. Russell, __ U.S. __,
111 S. Ct.
1217,
113 L. Ed. 2d 190 (1991);
Jones, 931 F.2d at 1088.
6
Jackson v. Johns-Manville Sales Corp.,
781 F.2d 394, 397
(5th Cir.), cert. denied
478 U.S. 1022 (1986).
4
malice, or (2) gross negligence or reckless disregard for the
rights of others."7 If the insurer has a legitimate or arguable
reason for denying coverage, punitive damages are unavailable.8
The district court found that because Phoenix hired
independent experts to determine the cause of the crane failure, it
had, at the very least, an arguable basis for denying the claim.
We agree. Hans contends that Phoenix "manufactured" the expert
opinions by providing the experts with an inaccurate estimate of
the weight of the crane's load. If the expert reports indicated
that they were based solely on calculations using such a weight, we
might be inclined to accept Hans' argument. Both experts, however,
personally inspected the crane, viewed the damage to the boom and
outrigger, reviewed various records and charts and determined that
the damage was consistent with an overload. In addition, the
manufacturer's representative, at Hans' request, inspected the
crane and opined that the damage was caused by an overload.
Phoenix's reliance on the results of these inspections was
reasonable and manifestly does not warrant punitive damages.
II. Extra-contractual Damages
As to Hans' claim for extra-contractual damages, Mississippi
law is somewhat less settled. In Veasley, the plaintiff was
7
Veasley, 610 So. 2d at 293 (citing Weems v. American
Security Ins. Co.,
486 So. 2d 1222, 1226-27 (Miss.1986); Aetna
Casualty & Surety Co. v. Day,
487 So. 2d 830, 832 (Miss.1986)).
8
Veasley, 610 So. 2d at 293; Standard Life Ins. Co. of
Indiana v. Veal,
354 So. 2d 239 (Miss.1977).
5
permitted to recover damages for mental anguish because of the
insurance company's failure to pay a life insurance claim following
the death of her daughter, even though the failure was the result
of simple negligence. The court found, however, that the insurer
did not have an arguable basis for denying her claim.9 The court
reasoned as follows:
Applying the familiar tort law principle that one is liable
for the full measure of the reasonably foreseeable
consequences of her actions, it is entirely foreseeable by an
insurer that the failure to pay a valid claim through the
negligence of its employees should cause some adverse result
to the one entitled to payment. . . . Additional inconvenience
and expense, attorneys fees and the like should be expected in
an effort to have the oversight corrected. It is no more than
just that the injured party be compensated for these injuries.
The holding in Veasley appears to be limited to damages for mental
anguish occasioned by failure to pay an insurance claim in those
instances when the insurer lacks even an arguable basis for denial.
The Veasley majority noted that "[s]ome justices on this court have
suggested that extra-contractual damages ought to be awarded in
cases involving a failure to pay on an insurance contract without
an arguable reason even where the circumstances are not such that
punitive damages are proper."10 In summarizing the results of the
opinion, the court held: "the assessment of actual damages caused
by the anxiety resulting from delay without an arguable reason is
9
The court characterized the insurance company's conduct as
a "clerical" error and "an unfortunate episode of a failure of
competence." 610 So. 2d at 293-94.
10
610 So. 2d at 295 (citing Pioneer Life Ins. Co. of Illinois
v. Moss,
513 So. 2d 927, 932 (Miss.1987) (Sullivan, J., concurring,
joined by D. Lee, Prather and Robertson, JJ.)).
6
. . . affirmed."11
Making our best Erie12 prognostication, we conclude in light
of Veasley that Mississippi will allow extra-contractual damages
for failure to pay on an insurance policy only when there is no
arguable reason for such failure. An arguable reason, therefore,
shields the insurance company from liability for both punitive
damages and extra-contractual damages.13 As we noted earlier,
Phoenix had an arguable basis for denying Hans' claim.
Accordingly, The district court properly granted summary judgment
in favor of Phoenix on both the punitive damages and extra-
contractual damages claims.
AFFIRMED.
11
610 So. 2d at 296.
12
Erie R. Co. v. Tompkins,
304 U.S. 64 (1938).
13
Recently in Lawrence v. Virginia Ins. Reciprocal,
979 F.2d
1053 (5th Cir.1992), we suggested in dicta that under Mississippi
law pursuant to Veasley and Strickland v. Rossini,
589 So. 2d 1268
(Miss.1991), mental anguish damages may be recovered upon a finding
of simple negligence in the breach of a contract. Now faced
directly with that issue, we must give those cases a close reading.
Strickland set out the standard for recovering mental anguish
damages in the tort context. The plaintiff, Rossini, purchased a
home from the Federal Land Bank Association. As part of the
agreement, she required the Land Bank to provide her with a
certificate that the home was free of termite damage or
infestation. Land Bank hired Redd Pest Control to inspect the home
and provide the appropriate certificate. Redd's certification that
the home was termite-free was in error. As a result, Rossini sued
Land Bank for breach of contract and Redd under a negligence
theory. The Strickland court discussed her right to recover mental
anguish damages only from Redd. It is in this setting that it
announced that "a plaintiff may recover for emotional injury
proximately resulting from negligent conduct, provided only that
the injury was foreseeable by the
defendant." 589 So. 2d at 1275.
7