Filed: Jul. 05, 2017
Latest Update: Mar. 03, 2020
Summary: Case: 16-41165 Document: 00514059861 Page: 1 Date Filed: 07/05/2017 IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals No. 16-41165 Fifth Circuit FILED July 5, 2017 ROBERT SPONG; KERRY SPONG, Lyle W. Cayce Clerk Plaintiffs - Appellants v. FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE COMPANY; FIDELITY NATIONAL INSURANCE SERVICES, L.L.C.; CRYSTAL BEACH INSURANCE AGENCY, L.L.C.; UNITED STATES OF AMERICA, Defendants - Appellees Appeal from the United Stat
Summary: Case: 16-41165 Document: 00514059861 Page: 1 Date Filed: 07/05/2017 IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals No. 16-41165 Fifth Circuit FILED July 5, 2017 ROBERT SPONG; KERRY SPONG, Lyle W. Cayce Clerk Plaintiffs - Appellants v. FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE COMPANY; FIDELITY NATIONAL INSURANCE SERVICES, L.L.C.; CRYSTAL BEACH INSURANCE AGENCY, L.L.C.; UNITED STATES OF AMERICA, Defendants - Appellees Appeal from the United State..
More
Case: 16-41165 Document: 00514059861 Page: 1 Date Filed: 07/05/2017
IN THE UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
United States Court of Appeals
No. 16-41165
Fifth Circuit
FILED
July 5, 2017
ROBERT SPONG; KERRY SPONG, Lyle W. Cayce
Clerk
Plaintiffs - Appellants
v.
FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE
COMPANY; FIDELITY NATIONAL INSURANCE SERVICES, L.L.C.;
CRYSTAL BEACH INSURANCE AGENCY, L.L.C.; UNITED STATES OF
AMERICA,
Defendants - Appellees
Appeal from the United States District Court
for the Southern District of Texas
USDC No. 3:10-CV-228
Before KING, PRADO, and SOUTHWICK, Circuit Judges.
PER CURIAM:*
The plaintiffs’ vacation home near Galveston, Texas, was destroyed by
Hurricane Ike in 2008. They submitted a proof-of-loss claim to Fidelity under
the federal insurance policy they obtained on the property. While investigating
the claim, Fidelity discovered that, due to the home’s location, the plaintiffs’
* Pursuant to 5TH CIR. R. 47.5, the court has determined that this opinion should not
be published and is not precedent except under the limited circumstances set forth in 5TH
CIR. R. 47.5.4.
Case: 16-41165 Document: 00514059861 Page: 2 Date Filed: 07/05/2017
No. 16-41165
insurance policy was void from its inception. The plaintiffs filed suit against
Fidelity and the Government asserting state-law and Federal Tort Claims Act
(“FTCA”) claims.
The plaintiffs now appeal the district court’s grant of summary judgment
for Fidelity and the Government. We AFFIRM.
FACTUAL AND PROCEDURAL BACKGROUND
The facts and legal framework underlying this appeal are extensively
discussed in our prior opinion from a 2015 appeal. We will repeat those
essential to the resolution of this appeal. See Spong v. Fid. Nat’l Prop. & Cas.
Ins. Co., 787 F.3d 296, 299–302 (5th Cir. 2015). In Spong, Fidelity brought an
interlocutory appeal of the district court’s denial of its motion for summary
judgment.
Id. at 298–99. Fidelity had asserted, among other things, “that the
Spongs’ claims were preempted by federal law.” 1
Id. at 298. We concluded that
the Spongs’ state-law claims that involve the procurement of insurance were
not preempted but those involving “claims handling” were preempted.
Id. at
299. We also noted that “even though not preempted, certain claims cannot
succeed as a matter of law.”
Id.
We reviewed “both Fidelity’s federal preemption and reasonable reliance
arguments.”
Id. at 304. We determined that “the issuance of a policy by
Fidelity was not a representation on which the Spongs could rely.”
Id. at 312.
In light of our analysis on the preemption question, we remanded to the district
court for reconsideration of Fidelity’s summary judgment motion.
Id.
1 Fidelity also sought summary judgment on the ground that even if the Spongs’ state-
law claims were not preempted, they failed as a matter of law because the Spongs could not
establish justifiable reliance. See
Spong, 787 F.3d at 302. The district court denied Fidelity’s
motion on both grounds but certified for interlocutory appeal only the preemption question,
which involved determining whether our decision in Campo v. Allstate Insurance Co.,
562
F.3d 751 (5th Cir. 2009), remained good law.
Id. at 302–03.
2
Case: 16-41165 Document: 00514059861 Page: 3 Date Filed: 07/05/2017
No. 16-41165
On remand, the district court determined that “any claim involving any
alleged misrepresentations by Fidelity and detrimental reliance by the Spongs
fails as a matter of law.” It reached this conclusion based on our holding in
Spong that “[u]nder the rationale of” Federal Crop Insurance Corp. v. Merrill,
332 U.S. 380 (1947), and Heckler v. Community Health Services,
467 U.S. 51
(1984), “the Spongs cannot claim ignorance of the statutes and regulations as
an excuse for relying on Fidelity’s issuance of a policy as a determination or
representation that their property was not located in the” Coastal Barrier
Resources System (“CBRS”), an area where property is uninsurable under the
National Flood Insurance Program (“NFIP”). See
Spong, 787 F.3d at 309.
Attributing this knowledge to the Spongs also precluded their vicarious
liability, negligence, and gross negligence claims. Accordingly, the district
court granted Fidelity’s motion for summary judgment.
That same day, the district court also ruled on the Government’s
converted motion for summary judgment, which it had stayed consideration of
pending resolution of the earlier appeal. The Government sought dismissal of
all of the Spongs’ claims against it under the FTCA on several grounds,
including that the Spongs failed to exhaust their administrative remedies. The
district court determined there were at least two occasions prior to October 14,
2009, which “should have motivated the Spongs to investigate the possible
invalidity of the policy and the potential for injury.” Thus, the court disagreed
with the Spongs’ assertion that their October 12, 2011, administrative
complaint was timely and dismissed the action against the Government for
lack of subject-matter jurisdiction. The Spongs timely appealed.
Approximately one month after rendering its decision in the underlying
matter, the same district court granted summary judgment to Fidelity in a
substantially similar case involving a neighbor of the Spongs whose home was
3
Case: 16-41165 Document: 00514059861 Page: 4 Date Filed: 07/05/2017
No. 16-41165
also destroyed by Hurricane Ike. 2 See Lobeck v. Licatino, No. CV G-10-423,
2016 WL 3058300, at *1 (S.D. Tex. May 31, 2016). The Lobeck matter was
stayed pending our resolution of Spong.
Id. Once we resolved that first appeal,
the Lobeck court relied on it to hold that the claims there of reasonable reliance
were “unprovable” and that the court was “foreclosed from even considering
evidence of [the plaintiff’s] actual or inferior ignorance of the law[.]”
Id. at *2.
As to the plaintiff’s contention there was a fact issue “of whether she knew the
property was within the CBRS,” the district court concluded that Spong
foreclosed that argument as the plaintiff “had an independent duty to
determine the property’s eligibility[.]”
Id.
Lobeck was timely appealed on June 29, 2016. On March 7, 2017, a panel
of this court issued a brief per curiam opinion affirming the district court’s
grant of summary judgment. See Lobeck v. Licatino, No. 16-40967,
2017 WL
923387, at *1 (5th Cir. Mar. 7, 2017), petition for cert. filed (U.S. June 8, 2017)
(No. 16-1467).
DISCUSSION
“We review the district court’s grant of summary judgment de novo,
applying the same standards as the district court.” Weeks Marine, Inc. v.
Standard Concrete Prods., Inc., 737 F.3d 365, 368 (5th Cir. 2013). Summary
judgment is appropriate where “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). We may affirm a grant of summary
judgment “on any ground raised below and supported by the record.” Aryain
v. Wal-Mart Stores Texas LP,
534 F.3d 473, 478 (5th Cir. 2008).
2 In addition to the neighboring locations of the two properties, the overlap between
the two cases is extensive. For example, the plaintiff in Lobeck asserted virtually all of the
same claims as the Spongs.
4
Case: 16-41165 Document: 00514059861 Page: 5 Date Filed: 07/05/2017
No. 16-41165
On appeal, the Spongs appear to challenge both the district court’s grant
of summary judgment and the prior panel decision in Spong. In fact, many of
the arguments the Spongs now assert have already been resolved in the first
appeal. Such arguments overlook the doctrine of the law of the case. 3 Relevant
here, the doctrine “generally precludes reexamination of issues of law or fact
decided on appeal, either by the district court on remand or by the appellate
court itself on a subsequent appeal.” Todd Shipyards Corp. v. Auto Transp.,
S.A., 763 F.2d 745, 750 (5th Cir. 1985). Accordingly, we will review only those
arguments and claims that remain viable.
I. Grant of Summary Judgment for Fidelity was Proper
This appeal arises from the issuance and subsequent renewals of a
federal Standard Flood Insurance Policy (“SFIP”) that the Spongs obtained for
their Galveston vacation home under the NFIP. Spong, 787 F.3d at 298.
Fidelity is a Write-Your-Own (“WYO”) Program insurance carrier participating
in the NFIP, which was created by the National Flood Insurance Act of 1968.
Id. at 299. By statute, WYO-insurance carriers act in a fiduciary capacity as
the “fiscal agents of the United States[.]” 42 U.S.C. § 4071(a)(1). In performing
this role, they “issue SFIPs in their own names, and arrange for the
adjustment, settlement, payment and defense of all claims arising from the
policies.” Gallup v. Omaha Prop. & Cas. Ins. Co.,
434 F.3d 341, 342 (5th Cir.
3 We previously described the doctrine this way:
The doctrine of the law of the case grew out of the practical view that,
once an appellate court has decided an issue in a particular case both the
District Court and the Court of Appeals should be bound by that decision in
any subsequent proceedings in the same case.
Falcon v. Gen. Tel. Co., 815 F.2d 317, 319–20 (5th Cir. 1987). As with most rules of law, there
are exceptions to the doctrine, but none apply here. See
id. at 320.
5
Case: 16-41165 Document: 00514059861 Page: 6 Date Filed: 07/05/2017
No. 16-41165
2005). All payments for claims arising from an SFIP are made from the United
States Treasury. Id.
Given this statutory framework and our prior Spong decision, we must
determine whether Merrill and Heckler foreclose the Spongs’ claims against
Fidelity. We begin with a brief review of those cases and our Lobeck decision,
before addressing the Spongs’ surviving claims.
In Merrill, the Court laid the groundwork for our analysis by stating that
“anyone entering into an arrangement with the Government takes the risk of
having accurately ascertained that he who purports to act for the Government
stays within the bounds of his authority.” Merrill, 332 U.S. at 384. The
majority opinion further noted that requiring men to “‘turn square corners
when they deal with the Government,’ does not reflect a callous outlook.”
Id.
at 385 (quoting Rock Island A. & L.R. Co. v. United States,
254 U.S. 141, 143
(1920)). Instead, “[i]t merely expresses the duty of all courts to observe the
conditions defined by Congress for charging the public treasury.”
Id.
The Court later expanded this general rule of constructive knowledge by
stating that “[p]rotection of the public fisc requires those who seek public funds
act with scrupulous regard for the requirements of law[.]”
Heckler, 467 U.S. at
63. Thus, participants in federal benefits programs — like the NFIP — have
a legal duty to “familiarize” themselves with the program’s “legal requirements
for cost reimbursement.”
Id. at 64; see also Wright v. Allstate Ins. Co.,
415 F.3d
384, 388 (5th Cir. 2005). Given the “special nature of the insurance
relationship” involved under the NFIP, courts have made it clear that an
“insured has a duty to read and understand the terms of its SFIP.” Richmond
Printing LLC v. Dir. Fed. Emergency Mgmt. Agency, 72 F. App’x 92, 98 (5th
Cir. 2003).
Despite extensive briefing and the various issues presented, which
largely overlap with the ones before us, the Lobeck panel affirmed the district
6
Case: 16-41165 Document: 00514059861 Page: 7 Date Filed: 07/05/2017
No. 16-41165
court through brief and clear reasoning:
Lobeck contends that she reasonably relied on Fidelity and
GIA’s misrepresentations that her property was insurable.
However, she was insured by the federal government through the
NFIP; thus Fidelity and GIA were acting as government agents.
See Spong v. Fidelity National Property and Casualty Insurance
Company, 787 F.3d 296, 309 (5th Cir. 2015); Richmond Printing,
LLC v. FEMA, 72 F. App’x 92, [98] (5th Cir. 2003). As the Supreme
Court has previously stated, “those who deal with the Government
are expected to know the law and may not rely on the conduct of
government agents contrary to the law.” See Heckler v. Community
Health Services, 467 U.S. 51, 63 (1984); Federal Crop Insurance
Co. v. Merrill, 332 U.S. 380, 384–85 (1947). Consequently, Lobeck
was charged with the constructive knowledge that her property is
located in the CBRS, and so her argument fails.
Lobeck, 2017 WL 923387, at *1.
The same result follows here. On remand, the district court determined
that eight of the Spongs’ claims required proof of actual misrepresentation and
must be dismissed. Likewise, the court determined that the Spongs’ gross
negligence claim failed due to the constructive knowledge attributed to the
Spongs as participants in the NFIP. As to the Spongs’ negligence claim against
Fidelity, the district court noted that under federal law, Fidelity owes its duty
to the United States to “protect against improper expenditures of federal
funds.” All of these determinations are consistent with the rationale of Merrill
and Heckler and guided by our prior decisions in Spong and Lobeck. See Spong,
787 F.3d at 309–12.
Regarding their Texas Deceptive Trade Practices Act (“DTPA”)
unconscionability claim, the Spongs argue that “reliance is not an element of”
such a claim. Fidelity, on the other hand, asserts that “there cannot be a
disparity in the knowledge of the” parties “upon which to predicate a Texas
DTPA claim” under the Merrill/Heckler rationale. A brief review of Texas law
tilts the argument in Fidelity’s favor.
7
Case: 16-41165 Document: 00514059861 Page: 8 Date Filed: 07/05/2017
No. 16-41165
An “[u]nconscionable action or course of action” is defined as “an act or
practice which, to a consumer’s detriment, takes advantage of the lack of
knowledge, ability, experience, or capacity of the consumer to a grossly unfair
degree.” TEX. BUS. & COM. CODE § 17.45(5). To prove this claim, “a plaintiff
must show that the defendant’s acts took advantage of her lack of knowledge
and ‘that the resulting unfairness was glaringly noticeable, flagrant, complete
and unmitigated.’” Ins. Co. of N. Am. v. Morris, 981 S.W.2d 667, 677 (Tex.
1998) (quoting Chastain v. Koonce,
700 S.W.2d 579, 584 (Tex. 1985)).
Given the Spongs’ imputed knowledge, Fidelity correctly argues that the
unconscionability claim was properly dismissed. In Spong, we concluded it was
“incumbent upon the Spongs to determine whether their property was eligible
for a SFIP.” 787 F.3d at 309. We also determined that, at the time the Spongs
obtained the SFIP, they were “in possession of essentially the same facts as
Fidelity.”
Id. at 310. Therefore, an essential element of the claim — a lack of
knowledge — is absent. Moreover, there is no evidence that Fidelity attempted
to take advantage of the Spongs, let alone to a “grossly unfair degree.”
Though the Spongs circumstances are unfortunate, “[t]he principles
unique to governmental insurance policies that require a strict construction of
their terms and requirements can sometimes create ostensibly inequitable
results.” Jacobson v. Metro. Prop. & Cas. Ins. Co., 672 F.3d 171, 176 (2d Cir.
2012). In a factually analogous case, we emphasized “that the National Flood
Insurance Program is federally subsidized and enables consumers to obtain
flood insurance which virtually would be impossible to purchase in the
marketplace.” Gowland v. Aetna,
143 F.3d 951, 955 (5th Cir. 1998). Similar
to Gowland, requiring the Spongs “to turn square corners when dealing with
the Treasury ‘does not reflect a callous outlook. It merely expresses the duty
of all courts to observe the conditions defined by Congress for charging the
public treasury.’”
Id. (quoting Merrill, 332 U.S. at 385).
8
Case: 16-41165 Document: 00514059861 Page: 9 Date Filed: 07/05/2017
No. 16-41165
The district court properly dismissed all claims against Fidelity.
II. Claims Against the Government are Time-Barred
The FTCA provides that “[a] tort claim against the United States shall
be forever barred unless it is presented in writing to the appropriate Federal
agency within two years after such claim accrues[.]” 28 U.S.C. § 2401(b).
Under federal law, a plaintiff’s claim generally accrues “when the plaintiff
knows or has reason to know of the injury which is the basis of the action.”
Ramming v. United States, 281 F.3d 158, 162 (5th Cir. 2001) (quoting Brown
v. Nationsbank Corp.,
188 F.3d 579, 589–90 (5th Cir. 1999)). This application
of the discovery rule means that a cause of action accrues “when the plaintiff[s]
discover[ed], or, in the exercise of reasonable diligence should have discovered,
the fact of the injury and its cause.” Young v. United States,
727 F.3d 444, 447
(5th Cir. 2013) (alteration in original) (quoting Bush v. United States,
823 F.2d
909, 911 (5th Cir. 1987)).
Recently, the Court held that the FTCA’s two-year statute of limitations
“is not a jurisdictional requirement.” United States v. Kwai Fun Wong, 135 S.
Ct. 1625, 1633 (2015). According to the Court, “[t]he time limits in the FTCA
are just time limits, nothing more. Even though they govern litigation against
the Government, a court can toll them on equitable grounds.” Id. The Spongs
do not argue they are entitled to equitable tolling so we do not address that
issue.
Instead, the Spongs contend that genuine issues of material fact exist as
to when their claims accrued. The Spongs argue that they did not discover
their injury until October 14, 2009, when they received a denial letter from
Fidelity, which rendered their October 12, 2011, complaint timely. The district
court rejected this argument and cited at least two “storm warnings” that put
the Spongs on notice of the possible invalidity of the policy. The first was the
9
Case: 16-41165 Document: 00514059861 Page: 10 Date Filed: 07/05/2017
No. 16-41165
March 2006 closing on the property, where the Spongs received an elevation
certificate, which indicated the property was within the “Coastal Barrier
Act[.]” The second was a thunderous warning: Fidelity’s informing the Spongs
on January 27, 2009, “that it may not honor their insurance claim because the
property was located in the CBRS[.]”
The district court determined either of these events “provided ample
evidence of the possible existence of a claim for misrepresentation against . . .
Fidelity[.]” Given that the Spongs waited until almost two years after
receiving the October 14, 2009, denial letter from Fidelity, the district court
concluded the claims were untimely and that it lacked subject-matter
jurisdiction. Accordingly, the court granted summary judgment for the
Government and dismissed all claims against it.
Beyond these warnings, the Government contends that a September 25,
2009, letter sent from the Fish and Wildlife Service (“FWS”) to the Spongs
served as an “explicit notification” to the Spongs regarding whether their
property was eligible for SFIP coverage. According to the Government, the
letter indicated the Spongs’ home was within the CBRS and explained a
clerical error by the agency which previously stated otherwise. The
Government thus asserts that the subsequent October 14 denial letter sent by
Fidelity “merely confirmed what [the Spongs] already knew or should have
known: that their flood insurance application had relied on an erroneous
statement by the [FWS], and that their policy was invalid at its inception
because their property was . . . located within the [CBRS].”
We hold that the September 25, 2009, letter, which was emailed to the
Spongs on September 29, 2009, began the accrual for the Spongs’ tort claim
against the Government. The letter expressly provided the Spongs notice that
their federal insurance policy was invalid and explained the FWS’s prior
erroneous determination. At that point, it was undisputed that the Spongs
10
Case: 16-41165 Document: 00514059861 Page: 11 Date Filed: 07/05/2017
No. 16-41165
knew or had reason to know of the injury which was the basis for their cause
of action against the Government. See Ramming, 281 F.3d at 162. Given that,
the October 14, 2009, denial letter was, as the Government asserts, “little more
than a predictable formality.”
Although the district court mistakenly but understandably
characterized the statute of limitations at 28 U.S.C. § 2401(b) as jurisdictional,
its grant of summary judgment was proper because there is no genuine issue
of material fact as to whether the Spongs’ FTCA claims were submitted within
the two-year statute of limitation. The undisputed evidence shows that by
September 29, 2009, the Spongs were on notice regarding the accrual of their
tort claim.
AFFIRMED.
11
