Amended April 6, 2016 Ben Villarreal Jr., Cleo Martinez, and Lacasa Martinez Texmex, Inc. v. United Fire & Casualty Company D/B/A United Fire Group

Supreme Court of Iowa·Decided January 8, 2016·No. 14–0298·Published

Opinion

IN THE SUPREME COURT OF IOWA No. 14–0298

Filed January 8, 2016

Amended April 6, 2016

BEN VILLARREAL JR., CLEO MARTINEZ, and LaCASA MARTINEZ TEXMEX, INC.,

Appellants, vs. UNITED FIRE & CASUALTY COMPANY d/b/a UNITED FIRE GROUP, Appellee.

On review from the Iowa Court of Appeals.

Appeal from the Iowa District Court for Cerro Gordo County, Rustin T. Davenport, Judge.

An insurer seeks further review of a court of appeals decision reversing a summary judgment granted by the district court in favor of the insurer. DECISION OF COURT OF APPEALS VACATED; DISTRICT COURT JUDGMENT AFFIRMED.

Eric Updegraff and Bruce H. Stoltze of Stoltze & Updegraff, P.C., Des Moines, for appellants.

David L. Phipps, S. Luke Craven, and Stephen E. Doohen of Whitfield & Eddy, P.L.C., Des Moines, for appellee.

MANSFIELD, Justice.

A restaurant was severely damaged by fire. The owners made an insurance claim, but much of the claim was denied. They ultimately sued the insurer for policy benefits. They obtained a jury verdict and judgment against the insurer, which the insurer paid. Thereafter, they brought a separate action against the insurer for bad faith, alleging it had lacked a reasonable basis for its prior refusal to pay these benefits. The district court granted the insurer’s motion for summary judgment on the basis of claim preclusion. The court of appeals reversed.

On further review, we must now decide whether a final judgment in a breach-of-contract suit between an insured and an insurer for policy benefits bars a later tort action for bad faith alleging that the insurer lacked an objectively reasonable basis for denying the claim. Under the circumstances presented here, we conclude that it does. Accordingly, we vacate the judgment of the court of appeals and affirm the district court’s grant of summary judgment to the insurer.

I. Background Facts and Proceedings.

On March 8, 2007, a fire severely damaged the restaurant La Casa Martinez in Mason City. Plaintiff La Casa Martinez TexMex, Inc., an Iowa corporation, owned the restaurant, and plaintiffs Ben Villarreal, Jr. and Cleo Martinez were officers and shareholders of the corporation. Martinez also owned the building that housed the restaurant. The corporation had purchased commercial property insurance from United Fire & Casualty Company (“United Fire”) with coverage limits of $386,400 for building replacement and $374,400 for personal property replacement. The policy also provided business interruption coverage. It listed the insured as La Casa Martinez TexMex, Inc.

The record does not indicate exactly when United Fire was notified of the fire, but it was soon after March 8. At that point, United Fire sent a certified copy of the policy to the insured. Communications between the insured and United Fire continued thereafter. The insured retained local attorney Jim McGuire. On June 12, Christine Friedrich, United Fire’s claims representative, met with Villarreal and McGuire at McGuire’s office. Three days later, Villarreal provided United Fire with a lengthy inventory of personal property lost in the fire. The total claimed value of the inventory was approximately $490,000.

There was some question initially whether the building should be repaired or replaced. Martinez had purchased the building and land a year and a half earlier for $150,000, and it was currently assessed for property tax purposes at $153,000. However, there was no dispute that Martinez had made significant improvements to the property after buying it, as the property had previously been vacant for two and a half years. Thus, before opening the restaurant, the plaintiffs had replaced the entire roof, the air conditioning, and the water heater; had made significant repairs to the ceiling, the electrical systems, the bathrooms, and the walls; and had repainted the interior and the exterior.

As compensation for business interruption losses, United Fire paid $23,900 at the outset while asking the insured for financial information to support this portion of the claim. Additional business interruption payments were subsequently made totaling approximately $5200.

On June 25, Villarreal faxed a letter to United Fire with a copy to McGuire demanding an immediate additional payment. On June 27, Villarreal and Martinez sent another letter to Friedrich, demanding immediate payment of $100,000. The letter threatened prompt legal action if the payment was not received and stated in part:

Throughout this process, you have been aware of our continuing downward skid as I have verbally kept you informed of our continuing deteriorating situation and pleas for relief. I will reiterate, we have become impoverished due to your flagrant disregard for our, the customer, welfare, intentional delays, erroneous disbursal of information, lack of returned phone calls to me and my wife and intentional/and/or neglectful handling/servicing of this claim.

Ms. Fried[]rich, your actions, and/or lack thereof, have displayed unprofessionalism as well as ethical and ethnic discrimination.

McGuire was copied on the letter.

On August 16, McGuire sent a letter to United Fire stating that his clients must be paid or “I have no alternative but to file suit for damages which you are responsible for in connection with the fire as well as damages for bad faith on the part of your company.” Friedrich’s supervisor responded on August 27 that the insured had a responsibility to provide proof of losses and the information received by United Fire to date was “inaccurate or incomplete.”

On September 12, McGuire sent another letter to Friedrich, maintaining that United Fire “had intentionally delayed the negotiations in settlement of this claim.” The letter added, “I also feel that there has been bad faith on the part of your company for some reason or other by intentionally delaying the settlement of this loss.”

On October 11, as authorized by the policy, United Fire took statements under oath from Martinez and Villarreal in the presence of

McGuire. Martinez and Villarreal testified that improvements totaling $83,500 had been made to the building after the purchase. However, no documentation had been provided at that point to the insurer for the majority of these improvements.

By then, United Fire had paid $24,000 toward the insured’s personal property losses. In November, United Fire made a building- related payment of $108,310 that covered only the mortgage balance and therefore went entirely to the mortgagee. This of course meant the insured itself still had received nothing for the loss of the building.

On December 5, McGuire wrote Friedrich a letter seeking $35,173 for lost net profits to the business, $102,000 for payments the officers had not received from the business, an additional $193,054 for the value of the building, and $88,910 for additional, previously unreported contents of the building. The letter added, “In view of the fact that there has been such a long delay in settling, I would ask that we receive the requested drafts within seven days from the date of this letter.”

Friedrich responded, stating among other things that she would like to hire an appraiser to look at the property. She also complained in a separate email about needing more information from the insured concerning the business interruption claim. On December 27, McGuire sent an email to Friedrich stating,

That is bull shit, Christine. We have given them more than they need and they are intentionally delaying this and have for months!!! They have a duty to treat their insured fairly, not to find ways to deny them of the money that is long over due.

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Amended April 6, 2016 Ben Villarreal Jr., Cleo Martinez, and Lacasa Martinez Texmex, Inc. v. United Fire & Casualty Company D/B/A United Fire Group, (iowa 2016).

Amended April 6, 2016 Ben Villarreal Jr., Cleo Martinez, and Lacasa Martinez Texmex, Inc. v. United Fire & Casualty Company D/B/A United Fire Group (Amended April 6, 2016 Ben Villarreal Jr., Cleo Martinez, and Lacasa Martinez Texmex, Inc. v. United Fire & Casualty Company D/B/A United Fire Group) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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