Alarcon v. Aetna Cas. and Sur. Co.

538 So. 2d 696, 1989 WL 4657
CourtLouisiana Court of Appeal
DecidedJanuary 18, 1989
Docket88-CA-487
StatusPublished
Cited by8 cases

This text of 538 So. 2d 696 (Alarcon v. Aetna Cas. and Sur. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alarcon v. Aetna Cas. and Sur. Co., 538 So. 2d 696, 1989 WL 4657 (La. Ct. App. 1989).

Opinion

538 So.2d 696 (1989)

Frederick J. ALARCON, Jr. and Ann Q. Alarcon
v.
The AETNA CASUALTY AND SURETY COMPANY and Kim A. Goodwill.

No. 88-CA-487.

Court of Appeal of Louisiana, Fifth Circuit.

January 18, 1989.
Rehearing Denied March 17, 1989.

Nick F. Noriea, Jr., Stevan C. Dittman, Kierr, Gainsburgh, Benjamin Fallon, David & Ates, New Orleans, for plaintiffs/appellants.

Windhorst, Gaudry, Talley & Ranson, Thomas L. Gaudry, Jr., Michael G. Fanning, Gretna, for defendants/appellees.

*697 Before KLIEBERT, GAUDIN and GOTHARD, JJ.

GOTHARD, Judge.

This appeal is from a summary judgment in a suit by homeowners against their insurer and its adjuster, seeking moneys due and damages in tort in a house fire claim.

The fire took place at the Metairie residence of Mr. and Mrs. Frederick J. Alarcon, Jr. on February 19, 1986. Aetna Casualty and Surety Company, the insurer, sent its adjuster, Kim A. Goodwill, immediately to evaluate the damage, and he in turn brought in a contractor to estimate the cost of rebuilding. Both men arrived at amounts the insureds believed to be a gross undervaluation. As the parties were unable to agree upon a valuation of the loss and only minimal advances had been paid on claims for damage to the building and living expenses, the Alarcons filed suit against Aetna and Goodwill on June 20, 1986. That petition was amended twice. The plaintiffs' allegations are as follows: that the defendants breached the insurance contract by failing to pay losses timely and adequately; that the plaintiffs were entitled to all damages flowing from the breach; that the defendants' failure to act in good faith and evaluate the claim properly had caused Mr. Alarcon to suffer serious medical problems and mental anguish, entitling the plaintiffs to damages in tort; and that the defendants were in violation of the Louisiana Unfair Trade Practices and Consumer Protection Law because of their unfair and deceptive practices.

The defendants answered each petition and filed exceptions of no cause of action as to the following claims: against Kim Goodwill individually under the homeowners' policy; against Kim Goodwill and Aetna for negligence or for damages except as to Aetna's potential liability for statutory penalties and attorney's fees for failing to pay the claim promptly; and against Kim Goodwill and Aetna under the Unfair Trade Practices and Consumer Protection Law.

On March 3, 1988, Aetna and Goodwill moved for partial summary judgment on grounds that "the pleadings, affidavit, deposition of Kim A. Goodwill and memorandum in support of this motion show as a matter of law" that the plaintiffs could maintain no action on the above listed claims. The defendants asked that the exceptions be heard at the same time.

The matters were heard on April 6, taken under advisement, and summary judgment rendered on April 15. The judgment granted all the defendants' demands, dismissing all claims against Goodwill individually, the claim for general damages for Aetna's failure to "timely, reasonably, or `meaningfully' pay the petitioners' claim," and the action under the Unfair Trade Practices and Consumer Protection Law.

At the outset we note that the judgment appealed from is in error, as it grants summary judgment rather than partial summary judgment, which the defendants prayed for in their motion of March 3, 1988. Accordingly, we set aside the summary judgment and consider the court's ruling on the exceptions.

On appeal the plaintiffs ask for review of two issues: whether the plaintiffs were entitled to maintain an action in tort against Goodwill and/or Aetna for their negligence; and whether the court erred in finding that the Unfair Trade Practices and Consumer Protection Law does not apply to an insurer and its agent who have acted in bad faith.

Action In Tort

The plaintiffs' position is that Louisiana law recognizes tort claims in connection with contractual claims. Nonpecuniary loss may not be recovered in a simple breach of contract case unless the contract is intended to gratify a nonpecuniary interest. LSA-C.C. art. 1998 (formerly article 1934(3)); Meador v. Toyota of Jefferson, Inc., 332 So.2d 433 (La.1976). However, the Supreme Court has indicated that tort liability may exist in a contract case under certain conditions.

In Lafleur v. John Deere, 491 So.2d 624 (La.1986), a farmer sought damages for his mental anguish as well as for his crop loss from the manufacturer of a defective grain *698 drill. The court rejected the tort claim for lack of evidence, finding that Lafleur's worrying was not within the scope of risk to which is extended the manufacturer's duty to deliver a useful product. However, the court indicated that it was possible that a manufacturer who was at fault in performing a contract might have a tort duty as well. In an earlier case, Borden, Inc. v. Howard Trucking Co., 454 So.2d 1081, 1096 (La.1983), on rehearing the court said:

There is a general rule that a party can incur liability in tort, notwithstanding a contractual relationship between parties, for consequential damages (here, loss of use) where the act causing the damage constitutes both a breach of contract and legal fault. Federal Insurance Co. v. Insurance Company of North America, 262 La. 509, 263 So.2d 871 (1972). See also Alexander v. Qwik Change Car Center, Inc., 352 So.2d 188 (La.1977); Wise v. Prescott, 244 La. 157, 151 So.2d 356 (1963); and Burnell v. Sportran Transit System Co., 421 So.2d 1199 (La. App.2d Cir.1982), writs denied, 423 So.2d 1183 (La.1982)....

The principle stated in Borden was approved in New Orleans v. United Gas Pipe Line Co., 517 So.2d 145, 167 (La.App. 4th Cir.1987), where the court concluded that, "... the rule seems quite beyond dispute that the existence of a contract does not confer tort immunity."

The appellants have alleged in brief that Goodwill's acts of negligence, his conduct toward the plaintiff, caused Alarcon's mental anguish and medical problems. They concede that Goodwill was not a party to the insurance contract and was properly dismissed from their claim for damages under the contract; however, they contend they have a justiciable cause of action against Goodwill and Aetna in tort.

The appellees argue that the Alarcons are limited to damages under the contract, as set out in the insurance code at LSA-R. S. 22:658, which provides, in pertinent part:

B.(1) Failure to make such payment within sixty days after receipt of such proofs and demand therefor, when such failure is found to be arbitrary, capricious, or without probable cause, shall subject the insurer to a penalty, in addition to the amount of the loss, of twelve percent damages on the total amount of the loss, payable to the insured, or to any of said employees, together with all reasonable attorney fees for the prosecution and collection of such loss, or in the event a partial payment or tender has been made, twelve percent of the difference between the amount paid or tendered and the amount found to be due and all reasonable attorney fees for the prosecution and collection of such amount.

They distinguish the case at hand from those discussed above on the basis of facts, while citing two others in support of their own position. Those cases, Tano Corp. v. La. Health Service & Indem., 355 So.2d 604 (La.App. 4th Cir.1978), and Nelson v. Allstate Ins. Co., 464 So.2d 1015 (La.App. 1st Cir.1985), deal with claims against insurers for misrepresentation of coverage and delay in paying claims.

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