Alleman v. American Bankers Insurance

636 So. 2d 294, 93 La.App. 1 Cir. 0867, 1994 La. App. LEXIS 969, 1994 WL 140870
CourtLouisiana Court of Appeal
DecidedApril 8, 1994
DocketNo. CA 93 0867
StatusPublished

This text of 636 So. 2d 294 (Alleman v. American Bankers Insurance) 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
Alleman v. American Bankers Insurance, 636 So. 2d 294, 93 La.App. 1 Cir. 0867, 1994 La. App. LEXIS 969, 1994 WL 140870 (La. Ct. App. 1994).

Opinion

2GONZALES, Judge.

The trial court’s judgment in favor of defendant indicates a rejection of plaintiffs claim that he did not receive notice of the exclusions in the flood insurance policy. Further, in its written reasons for judgment, the trial court indicated that the plaintiff failed to produce sufficient credible evidence to support his claims against defendant. This determination was largely based on the trial court’s assessment of the credibility of the parties and witnesses involved. When factual findings are based on the credibility of witnesses, the factfinder’s decision to credit or discredit a witness’s testimony must be given great deference by the appellate court. Rosell v. ESCO, 549 So.2d 840, 845 (La.1989).

After a thorough review and evaluation of the record, we are convinced that the evidence supports the facts found and reasons assigned by the trial judge. We adopt the trial court’s reasons for judgment as our own. The judgment of the trial court in favor of defendant is affirmed at appellant’s costs.

AFFIRMED.

123rd Judicial District Court for the Parish of Assumption

State of Louisiana

Docket No: 21,033

Division “A”

Edgar Alleman, Jr. versus American Bankers Insurance Company

Filed JAN 13 1993

/s/ Darlene Landry

DEPUTY CLERK

REASONS FOR JUDGMENT

This case arises from a claim by plaintiff, Mr. Edgar Alleman, Jr., for damages he allegedly suffered as a result of a flood on or about May 8, 1991. On February 14, 1992, plaintiff filed suit against American Bankers Insurance Company, who had issued a standard flood insurance policy under the National Flood Insurance Program (NFIA) to Mr. Alleman, seeking recovery for his alleged losses. In addition to the flood damages, plaintiff demanded statutory penalties and attorneys’ fees under La.R.S. 22:658 and 22:1220, claiming American Bankers was arbitrary and capricious in refusing to tender the full amounts of its policy limits. For the reasons set forth herein, all of plaintiffs claims are denied, and judgment is rendered in favor of American Bankers Insurance Company, dismissing plaintiffs claims against American Bankers, and assessing plaintiff with the costs of the proceedings.

In February of 1991, plaintiff applied for and was provided flood insurance by American Bankers Insurance Company pursuant to the NFIA, in the amounts of $30,000.00 building loss and $8,000.00 contents loss.

On or about May 8, 1991, plaintiffs home was inundated by flood waters, causing damage to both the insured building and its contents. This flood followed closely on the heels of another loss, resulting from a flood some two weeks previous on April 26, 1991. As a result of the April flood claim, plaintiff was paid $1,555.00 for contents loss, and $11,343.83 for building loss. Plaintiff claimed, however, additional losses as a result of the May 8, 1991 flood, amounting to another $38,000, or the policy limits for the May flood claim. Plaintiff was paid $8,000 for the |2contents damage, which payment was accepted, and was tendered payment of approximately $12,805, representing his damage to the building from the May flood, less duplication of damages from the April flood, and less his claim for slab damage not covered under the policy. American Bankers rejected the claim for the full amount, tendered the lesser amount, suit was filed, and a trial date of November 16, 1992 was set.

[297]*297As a starting point, the policy in force between Edgar Alleman, Jr. and American Bankers was-issued pursuant to a federal program to provide affordable flood insurance on a nationwide basis to those who might normally find such coverage difficult to obtain. 42 U.S.C. Section 4001(d)(1) (1988). The terms and conditions of the insurance contract are contained in the “Standard” policy form issued to each insured, and also appear in the Code of Federal Regulations. 44 C.F.R. Part 61 App. A(l). The policy itself states that it is governed by FEMA, 42 U.S.C. 4001, et seq., and federal common law. (American Bankers Policy, Exhibit 1, Article X). Therefore, federal law and jurisprudence govern the interpretation of claims involving policies issued pursuant to the NFIA.

As part of this claim, plaintiff asked for statutory penalties and attorneys’ fees under Louisiana law, and raised a claim for detrimental reliance based upon the alleged conduct and promises of an independent insurance adjuster contracted to assist with the flood claim of May 8, 1991. Because these claims are controlled by federal law and jurisprudence, these claims fail as a matter of law. Even a prevailing plaintiff in a suit on a flood insurance policy issued pursuant to the NFIA is not entitled to recover the statutory penalty and attorneys’ fees allowed by state insurance law for arbitrary denial of coverage. West v. Harris, 573 F.2d 873 (5th Cir.1978); Bull’s Corner Restaurant v. Director of FEMA 759 F.2d 500 (5th Cir.1985). Additionally, the exclusions and obligations contained in the policy cannot be altered, modified or extended by the representations of an insurance agent, adjuster, or other third party (Policy, Exhibit 1, Article VIII(D); 44 C.F.R^jsPart 61 App. A(l)., and therefore plaintiffs claims of detrimental reliance are dismissed as a matter of law. Mason Drug Co., Inc. v. Harris, 597 F.2d 886 (5th Cir.1979); Gement v. Allstate Insurance Co., 516 F.Supp. 11 (E.D.La.1981).

Even where federal law not applicable, defendant’s refusal to pay its policy limits in addition to the amounts previously tendered was entirely reasonable and justifiable under the circumstances of the cases. Substantial questions surrounded plaintiffs claim, regarding both the coverage of slab damage allegedly caused by the flood, and the duplication of damages from the previous flood. Because of these reasonable defenses, as well as plaintiffs failure to prove its case, as discussed infra., statutory penalties and attorneys’ fees would be inapplicable even where federal law not to be applied.

With regard to the claim of detrimental reliance, plaintiff failed to produce any proof that he relied upon the alleged promises of the insurance adjuster, and in fact the testimony at trial showed otherwise. Plaintiff contended that the adjuster who handled the May 8 loss promised on or about July 18, 1991 full payment of policy limits unless American Bankers responded otherwise within two weeks. The alleged length of this waiting period was, however, subject to inconsistent and differing testimony by plaintiff and his wife. Moreover, the credible testimony of adjuster Dan Boyd disputed that any such promise had been made. Regardless, testimony was adduced at trial showing that even were such promises made, repairs were begun before the waiting period expired.

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Related

Mason Drug Company, Inc. v. Harris
597 F.2d 886 (Fifth Circuit, 1979)
Gement v. Allstate Insurance
516 F. Supp. 11 (E.D. Louisiana, 1981)
Rosell v. Esco
549 So. 2d 840 (Supreme Court of Louisiana, 1989)
West v. Harris
573 F.2d 873 (Fifth Circuit, 1978)

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Bluebook (online)
636 So. 2d 294, 93 La.App. 1 Cir. 0867, 1994 La. App. LEXIS 969, 1994 WL 140870, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alleman-v-american-bankers-insurance-lactapp-1994.