CHARLES A. SHAW, District Judge.
This matter is before the Court on defendant's motion for summary judgment. The motion is fully briefed and ready for disposition. For the following reasons, defendant's motion for summary judgment is granted.
Plaintiffs Dale and Kim Neidenbach allege in their first amended complaint that on or about October 10, 2012, a fire started on their property, and they sustained damage amounting to the total loss of their home and personal belongings. They claim that defendant Amica Mutual Insurance Company ("Amica") had issued them an insurance policy covering this damage, which was in full force and effect at the time. They also claim that they satisfied all conditions precedent under the policy. Plaintiffs contend they made a demand for coverage under the policy, which defendant failed to pay. Plaintiffs allege that they have been damaged in excess of $612,000.00, and without specifying what type of claim they are bringing, they request in their amended complaint that the Court enter judgment in their favor against defendant Amica in excess of $25,000.00.
Defendant Amica filed an answer in response to the amended complaint, in which it asserted a number of affirmative defenses and a counterclaim against plaintiffs. Defendant alleges in its affirmative defenses, among other things, that plaintiffs are barred from recovery and there is no coverage under the policy at issue because the loss arose out of an intentional act by the insured, and that plaintiffs intentionally concealed and/or misrepresented material facts about the circumstances of the fire and the extent of the loss. Amica asserts a counterclaim for declaratory judgment. Amica requests, pursuant to 28 U.S.C. § 2201 and Rule 57 of the Federal Rules of Civil Procedure, that the Court declare the Neidenbachs are barred from recovery and there is no coverage under the policy at issue.
In the motion presently before the Court, defendant Amica moves that the Court enter judgment in its favor as to
The Eighth Circuit has recently articulated the appropriate standard for consideration of motions for summary judgment, as follows:
Torgerson v. City of Rochester, 643 F.3d 1031, 1043 (8th Cir.2011) (en banc) (internal citations and quotation marks omitted). "Although the burden of demonstrating the absence of any genuine issue of material fact rests on the movant, a nonmovant may not rest upon mere denials or allegations, but must instead set forth specific facts sufficient to raise a genuine issue for trial." Wingate v. Gage Cnty. Sch. Dist., No. 34, 528 F.3d 1074, 1078-79 (8th Cir. 2008) (cited case omitted).
With this standard in mind, the Court accepts the following facts as true for purposes of resolving the parties' motions for summary judgment.
Dale and Kim Neidenbach were named insureds on a homeowners insurance policy issued by Amica, Policy number 630524-20HX
Following the fire loss, the Neidenbachs made a claim under the Policy. They submitted a Sworn Statement Proof of Loss ("Proof of Loss") claiming their dwelling and garage suffered a total loss, and seeking $375,000.00 in alleged damage to the dwelling and garage. They also sought $262,500.00 for fire damaged personal property items, such as household goods, furnishings, clothing, tools, firearms, and other hobby equipment. In the record submitted to the Court, there is an inventory of the Neidenbach's personal property attached to the Proof of loss.
Approximately one year prior to the fire loss, the Neidenbachs had filed for bankruptcy in the United States District Court for the Eastern District of Missouri, Eastern Division, Case No. 11-46383-399. In signing and filing their 2011 Chapter 13 Bankruptcy Petition, the Neidenbachs attested that the value of their house was $300,000.00. They further declared under penalty of perjury that they jointly owned only $7,000.00 worth of household goods, furnishings, clothing, furs, jewelry, firearms, other hobby equipment, and other such personal property contents items. It is undisputed that the Neidenbachs did not accumulate over $255,500.00 worth of household contents in the year between the 2011 filing of the couple's bankruptcy petition and the 2012 fire loss.
During the claims process, Amica examined the plaintiffs under oath. At their examinations, Dale and Kim Neidenbach each denied removing any personal property items from the house, other than a bag containing dog food, an urn containing a late pet's ashes, a few blankets and their dogs. Both claimed that all other content items were destroyed in the fire. A month after their examinations, the Neidenbachs informed Amica of the existence of a rented storage unit where the couple had stored personal property items removed from their home following the fire. Several months after learning about the existence of the Neidenbachs' first storage unit, Amica learned that the Neidenbachs had rented a second storage unit at the same facility where they had also stored items removed from the fire. The Neidenbachs did not volunteer the existence of the second unit when Amica's investigator visited the facility to inspect the first storage unit. The Neidenbachs sought recovery from Amica for personal property that was removed from the dwelling and placed in the two storage units. It is disputed, however, as to whether these items were salvageable.
As part of its claim investigation, Amica requested certain financial information
Following the fire, Amica's adjuster secured an extension of the normal municipal demolition deadline to accommodate Amica's investigation. The company advised the Neidenbachs about the extension and asked that the Neidenbachs not disrupt the scene of the fire to provide the company with a reasonable opportunity to investigate the loss. Before Amica had an opportunity to complete its investigation of the scene, Amica discovered that the Neidenbach's dwelling had been demolished and pushed into the lower level, and that their swimming pool had been removed from the property. During the Neidenbachs' examinations, each denied participating in, paying for, or requesting anyone's assistance in demolishing the fire-damaged dwelling. Joe Lindemann, however, provided an affidavit in which he stated that the Neidenbachs paid him $600.00 in cash to demolish the fire-damaged dwelling by pushing the remains of the house into the dwelling's lower level. During their examinations, both of the Neidenbachs denied participating in, paying for, or otherwise requesting the removal of the couple's in-ground fiberglass pool. Mr. Lindemann also stated in his affidavit that the Neidenbachs paid him to remove and store their fiberglass pool. Amica also submitted to the Court copies of a permit Mr. Lindemann obtained from the state to transport the pool, invoices paid to a crane operator that removed the pool, and photos of the pool he removed from the ground. Mr. Lindemann stated in his affidavit that Mr. Neidenbach paid him $7,000.00 in cash to remove, transport, and store the pool, and that a $7,000.00 balance remains. Mr. Neidenbach testified under oath that the pool remained at the insured property, claiming someone must have filled the pool in with dirt.
The Policy contains the following language:
SECTION I—CONDITIONS
Doc. 2, Ex. A. at 28.
Id. at 15 and 39-40.
Id. at 31.
At the time the Neidenbachs filed this lawsuit, in April of 2013, no coverage determination had been made, and Amica had not completed its investigation.
Amica argues in its motion for summary judgment that plaintiffs are barred from recovery under the terms of the Policy because the Neidenbachs intentionally concealed or misrepresented material facts and circumstances concerning the nature and extent of their claimed loss and damages. Amica argues, based on the provisions in the Policy, that the Neidenbachs are not entitled to recover because they concealed material facts and made numerous false statements with "relating to [the] insurance." Id.
This is a diversity case and both parties agree that Missouri law applies. The Eighth Circuit has held that under Missouri law, the interpretation of an insurance contract is "generally a question of law, particularly in reference to the question of coverage." Spirtas Co. v. Nautilus Ins. Co., 715 F.3d 667, 671 (8th Cir.2013) (quoting D.R. Sherry Constr., Ltd. v. American Family Mut. Ins. Co., 316 S.W.3d 899, 902 (Mo. banc 2010)). As noted by the Eighth Circuit, "Missouri courts interpret terms in an insurance contract according to their plain meaning." Id. (citing Shahan v. Shahan, 988 S.W.2d 529, 535 (Mo. banc 1999)). "The plain or ordinary meaning is the meaning that the average layperson would understand." Shahan, 988 S.W.2d at 535. What is more, ambiguities are resolved in favor of the insured. Burns v. Smith, 303 S.W.3d 505, 509-10 (Mo. banc 2010). Some insurance policies, like the Policy at issue in this case, contain language that provides the entire policy will be void if an insured committed fraud or knowingly concealed or misrepresented any material fact or circumstances related to the insurance. Such misrepresentation clauses have been deemed valid and enforceable in Missouri. Liberty Mut. Fire Ins. Co. v. Scott, 486 F.3d 418, 422-23 (8th Cir.2007); see also, Childers v. State Farm Fire & Cas. Co., 799 S.W.2d 138, 141 (Mo.Ct.App.1990).
According to Missouri law, despite the reference to the term, "fraud" in most misrepresentation clauses, the insurer is not required to prove the elements of fraud to avoid coverage if the policy language also indicates, as here, that the policy is rendered void for intentional concealment or misrepresentation of a material fact. Employers Mut. Cas. Co. v. Tavernaro, 4 F.Supp.2d 868, 870 (E.D.Mo.1998). In order to avoid liability under a policy, the insurer is required to sufficiently establish the existence of the insured's material misrepresentation or concealment. Kearns v. Interlex Ins. Co., 231 S.W.3d 325, 331 (Mo.Ct.App.2007); see also, Hayes v. United Fire & Cas. Co., 3 S.W.3d 853, 857 (Mo.Ct.App.1999).
Amica argues that it is entitled to summary judgment because plaintiff made
Plaintiffs maintain that the disparity between their Proof of Loss and the value of their personal property during bankruptcy proceedings is attributable to the different methods they used to calculate such amounts. Specifically, plaintiffs both state that during the bankruptcy proceedings their attorney advised them to value their personal property items at their current resale value. In sworn affidavits, both plaintiffs state "[i]n discussing the bankruptcy filing with our attorney, it was explained to us that the values used in a bankruptcy were `garage sale value'—in other words, what a willing buyer would pay." See Doc. 52, Exs. 1 and 2. In contrast, they argue that the amounts listed on the Proof of Loss represented the fair market value, which they interpreted to mean "what a willing buyer would pay AND what a willing seller would sell it for." Id. They also explain in their memorandum that they considered their house to be a total loss, and therefore, they asked for the policy limits, to which they contend they are entitled under Missouri law. The Court finds plaintiffs' explanations are not supported by the evidence in the record and controlling case law requires the entry of summary judgment in Amica favor.
In a case with similar facts, Liberty Mutual Fire Insurance Company v. Scott, 486 F.3d 418 (8th Cir.2007), the insured's home was damaged by fire and she claimed $93,077.19 in personal property damages. Id. at 420. In the year preceding the fire, however, the insured had filed for bankruptcy and in her bankruptcy petition she declared only $7,340.00 worth of personal property, $6,510.00 of which was attributed to her car. Id. The insured attempted to explain the disparity by pointing to different methods of calculating value. In affirming the judgment of the district court, the Eighth Circuit Court of Appeals held that the $92,247.19 difference between the value of the insured's stated personal property in bankruptcy and the amount in her insurance claim less than a year later was "too great to be reconciled," even if the insured used different methods of calculation. Id. at 423. According to the Eighth Circuit, "in the absence of contrary proof," it is correct to assume that a verified bankruptcy petition is "a true an accurate representation" of personal property. The Eighth Circuit noted that there was no evidence "that the figures [the insured] listed in her bankruptcy petition were inaccurate or that the insurance proof of loss amounts resulted from mistake or were otherwise inadvertent." Id. Therefore, "[t]he only reasonable inference on the evidentiary record is that [the insured] made a material misrepresentation in submitting her personal property claim" which voided her coverage. Id.
In the case at bar, plaintiffs estimated the fair market value of their personal property to be $262,000.00 for purposes of collecting insurance benefits, and yet for purposes of listing assets in bankruptcy, they represented that their personal property was valued at $7,000.00-a 97% discount.
Plaintiffs cite to two cases in support of their position that there is an issue of material fact as to whether they intended to deceive Amica. The Court finds these cases are distinguishable from the case at hand. First, in Young v. Allstate Insurance Company, 685 F.3d 782 (8th Cir. 2012), the Eighth Circuit reversed the district court's granting of summary judgment to the insurance company on the ground that there was a triable issue as to whether the insureds intended to deceive the defendant. In the Young case, there was testimony that the insureds' daughter initially prepared the inventory list for the insurance company. Id. at 783. Later the insureds requested, during the claims process, that several items be removed from the inventory because mistakes were made, and they admitted that some of the values were overstated. Id. Here, there is no evidence that someone else beside the Neidenbachs prepared the Proof of Loss, and there is nothing to suggest that they have ever tried to revise the amount they are claiming was lost.
Plaintiffs also cite to Merseal v. Farm Bureau Town & Country Insurance Company of Missouri, 396 S.W.3d 467 (Mo.Ct. App.2013) in opposition to summary judgment. This case, from the Missouri Court of Appeals, is also distinguishable. In Merseal, the plaintiffs, like the Neidenbachs, claimed that the discrepancy between their bankruptcy petition and the amount claimed in insurance was the result of different methods of calculation. In Merseal, plaintiffs also provided evidence that their bankruptcy petition was prepared pro se, and that a computer program guided them through different categories of items to report in bankruptcy. The plaintiffs in that case testified that they did not include a number of personal items in bankruptcy "because these items would have no resale value in a garage sale." Id. 472. Furthermore, the plaintiffs in Merseal provided the insurance company with a detailed explanation of the difference between the values in bankruptcy and the amounts they claimed, and they also submitted a proposed amendment to their bankruptcy filing. Id. at 473. The same cannot be said in this case. Although the Neidenbachs both attested to the fact that in bankruptcy they valued their personal property based on "garage sale values," they have not stated that they excluded certain items in their Schedule B because they had no value.
First, in submitting their claim to Amica, plaintiffs did not merely claim the policy limits. There is evidence in the record that the Neidenbachs provided a detailed inventory of their personal property and, as they attest in their affidavits, they calculated the value of their personal property for purposes of insurance based on what they believed was the fair market value of these items. They do not state in their affidavits that in making their insurance claim and submitting the Proof of Loss, they valued their personal property based on the policy limits.
Second, the misrepresentations were material. Plaintiffs appear to be arguing that even if they had made misrepresentations as to the nature and value of their personal property, which they deny they did, any such misrepresentations would have been immaterial because their house was a total loss and, therefore, they are entitled to the policy limits. In other words, plaintiffs argue that it does not matter what they claimed for lost personal property because they should receive the policy limits. The Court does not agree with plaintiffs' analysis. Plaintiffs' misrepresentations as to the value of their personal property were material misrepresentations because Amica disputes that there was a total loss due to the fire. The company contends that portions of the dwelling were still standing, and that some of the personal property was salvageable. Therefore, an accurate list of Proof of Loss was material to the administration of the Neidenbach's claim. Because Amica disputed that there was a total loss due to the fire, the amount and value of personal property would be have been at issue had this case gone to trial. Plaintiffs' assertion that the values claimed in the bankruptcy are irrelevant is simply not true.
Finally, even if the house were a total loss, plaintiffs would not automatically be entitled to the policy limits for their personal property as they claim. Under Missouri law when there is a total loss by fire, the insured are not entitled to the policy limits for personal property. The measure of damages for total loss of personal property is the amount for which the property was insured, minus depreciation. West v. Shelter Mutual Ins. Co., 864 S.W.2d 458, 461 (Mo.Ct.App.1993). Furthermore, "the burden of proof as to the loss of personal property is on the insured." Id. "In order to recover the full amount of coverage on the personal property, the insured [ ] has the burden of proving lack of depreciation from the date of the policy. This burden can be satisfied by proof of value at the time of the loss or the extent of depreciation in value from the date of the insurance policy to the time of the loss." Id. (citing Riccardi v. United States Fidelity & Guaranty Co., 434 S.W.2d 737, 741 (Mo.Ct.App.1968)). Plaintiffs argue that because their house was a total loss, they are simply entitled to the policy limits for their personal property and, therefore, evidence of the value of there personal property would be irrelevant. This argument is based on a false premise. Under Missouri law plaintiffs carry the burden to prove the value of their personal property at the time of the fire, even when there is a total loss. Id. Evidence regarding the value of the Neidenbachs' personal property would have been relevant, even if their home was a total loss.
Defendant also argues plaintiffs made material misrepresentations regarding the existence of two storage units. Amica argues plaintiffs are not entitled to recover under the terms of the Policy because they removed personal items from their dwelling following the fire, and they concealed this fact from Amica. Amica further argues that plaintiffs informed the company that their financial documents were destroyed in the fire, and yet Amica's adjuster found financial documents in the two concealed storage units. Amica has also presented compelling evidence that the Neidenbachs have not been truthful about the demolition of their home following the fire and the removal of their fiberglass underground pool. Finding there is no coverage because the Neidenbachs misrepresented the value of their personal property, the Court declines to address these issues. The Court also declines to address Amica's arguments that the Neidenbachs were uncooperative during the claims process and they prematurely filed suit before Amica had made a coverage determination.
In responding to plaintiffs' complaint, Amica filed a counterclaim against the Neidenbachs for declaratory judgment. The company in its counterclaim alleges, among other things, that the Neidenbachs are barred from recovery and there is no coverage under the Policy because they intentionally concealed and misrepresented material facts, including the extent of their claimed loss. Amica asks the Court to:
In its summary judgment motion, Amica moves for judgment as to the claims plaintiffs brought against it. The company does not mention its counterclaim. The Court therefore does not construe Amica's motion for summary judgment as seeking judgment on its declaratory judgment counterclaim. That said, the Court has determined that the Policy is void, and plaintiffs are not entitled to recovery. In light of the fact that the Court has determined that there is no coverage under the Policy, the Court will vacate the trial date in this case, and order the parties to brief the issue as to what relief Amica is entitled under its counterclaim. Amica asked that the Court declare it is entitled to recover the amount of advance payments and living
For the foregoing reasons, the Court finds there are no genuine issues of material fact and Amica is entitled to summary judgment as a matter of law as to plaintiffs' claims against it. The undisputed facts establish that plaintiffs knowingly or willingly concealed a material fact relating to the Policy at issue in this case. The only reasonable inference based on the evidence before the Court is that plaintiffs made material misrepresentations in submitting their personal property claim. The Court finds is no coverage under the Policy.
Accordingly,
An appropriate partial judgment will accompany this Memorandum and Order.