Bailey v. FARMERS UNION CO-OP. INS.

498 N.W.2d 591
CourtNebraska Court of Appeals
DecidedDecember 22, 1992
DocketA-91-1158
StatusPublished
Cited by10 cases

This text of 498 N.W.2d 591 (Bailey v. FARMERS UNION CO-OP. INS.) is published on Counsel Stack Legal Research, covering Nebraska Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bailey v. FARMERS UNION CO-OP. INS., 498 N.W.2d 591 (Neb. Ct. App. 1992).

Opinion

498 N.W.2d 591 (1992)

Annette BAILEY, Appellee,
v.
FARMERS UNION CO-OPERATIVE INSURANCE COMPANY OF NEBRASKA, Appellant.

No. A-91-1158.

Court of Appeals of Nebraska.

December 22, 1992.

*593 Dennis C. Magnuson and William E. Gast, of Gast & Peters, Omaha, for appellant.

Thomas J. Guilfoyle, of Frost, Meyers, Guilfoyle & Govier, Omaha, for appellee.

SIEVERS, C.J., and CONNOLLY and MILLER-LERMAN, JJ.

CONNOLLY, Judge.

I. INTRODUCTION

This appeal arises out of an action for recovery on an insurance policy. Appellee, Annette Bailey, sued appellant, Farmers *594 Union Co-operative Insurance Company of Nebraska (Farmers Union), on two theories. In contract, Bailey sought recovery of the proceeds allegedly due under her homeowner's policy following the collapse of her home. In tort, Bailey claimed damages for Farmers Union's alleged bad faith in refusing to pay the claim resulting from the destruction of the home. In a trial to the bench, the Douglas County District Court ruled in favor of Bailey on both claims. Bailey was awarded $69,450 for benefits due under the policy and $150,000 for mental suffering on the bad faith claim. We affirm.

II. FACTS

1. THE LOSS OF BAILEY'S HOME

Prior to the series of events leading to her cause of action, Bailey owned and lived in a home at 815 Pacific Street, Omaha, Douglas County, Nebraska. In the summer of 1988, Bailey participated in a city-sponsored renovation project for older neighborhoods. In conjunction with the project, Bailey obtained a first mortgage loan for $10,200.82 from American Charter Federal Savings and Loan Association (American Charter) and, at American Charter's request, acquired a homeowner's insurance policy with Farmers Union. Bailey then hired Ace Building Movers (Ace) to build a basement under the existing house.

Ace began excavation under half of the house in early August. On August 11, 1988, the house collapsed into the excavation hole, resulting in a total loss of Bailey's home. Ted T. Sokol, Ph.D., a registered professional engineer consulted by Farmers Union, determined that "the cause of the collapse of this structure was the inadequate temporary bracing system utilized to support the structure during the excavation operation." The city condemned the house, and Farmers Union's file status notes on the Bailey claim confirm the total loss of the structure.

At the time of the loss, Bailey suffered from lupus and was on full disability. For the first few days after the loss, Bailey and her two children slept on the lawn. Bailey then farmed her children out to friends and secured for herself temporary lodging with her estranged sister. Eventually, Bailey rented an apartment. Despite her doctor's advice to the contrary, Bailey got a job in order to furnish her apartment, pay the rent, and keep up with the mortgage payments to American Charter.

2. TERMS OF THE POLICY

Bailey's policy with Farmers Union covered loss for collapse caused by use of defective materials and methods in renovation if the collapse occurred during the course of the renovation. The collapse of Bailey's home resulted from Ace's use of an inadequate bracing system to support the house during excavation, a fact confirmed by Farmers Union's investigations.

Bailey's home was insured for replacement costs up to $52,000, without deduction for depreciation. Bailey's policy obligated Farmers Union to cover the least expensive of three alternatives: (1) the $52,000 limit of liability under the policy that applied to the home, (2) the replacement cost of the home for like construction and use on the same premises, or (3) the necessary amount actually spent to repair or replace the home. Regarding expenditures to repair or replace, Farmers Union was obligated to pay no more than the actual cash value of the damage unless the actual repair or replacement was complete.

In addition, Bailey had the option of first seeking immediate actual cash value recovery and then seeking additional recovery for replacement costs within 180 days of the loss. Under this option, the insured was entitled to replacement costs up to the $52,000 limit, less the amount already received as actual cash value. Bailey wanted to pursue this option.

3. FARMERS UNION RESISTS BAILEY'S CLAIM

On August 12, 1988, the day after the collapse, John Elbert, vice president of the claims department at Farmers Union, prepared a worksheet for Tony McLaughlin, a field adjuster, with instructions not to make any commitments to Bailey because *595 "we may want to tell [Bailey that she] probably [is] not covered." Although Elbert mistakenly presumed the day after the collapse that Bailey's loss was not covered, collapse during and because of defective renovation is specifically covered on page 5 of the insurance policy.

Elbert's records subsequent to his initial analysis indicate that he realized that Bailey's loss was covered. In his own file status notes of August 16, 1988, Elbert wrote, "[T]his is a covered loss." On August 24, McLaughlin, working under Elbert's supervision, wrote a letter to American Charter confirming Farmers Union's position that "the insurance policy Ms. Bailey carries with our company will provide coverage for this loss." In his file status notes of August 30, Elbert noted that Barb Morrison of the Nebraska Department of Insurance told him over the phone that she could not see why anyone would want to defend against a claim such as Bailey's.

There was some internal brainstorming about possible defenses to Bailey's claim, including McLaughlin's suggestion that Farmers Union might offer an "earth movement" defense, though the policy clearly indicates that earth movement refers to a natural disaster such as an earthquake. Apparently, Elbert seriously considered earth movement as a plausible defense, because Bailey's former attorney testified at trial that Elbert did propose earth movement as a defense. Bailey's attorney dismissed the proposition as "rather absurd." The earth movement defense was not pursued.

In file status notes of January 13, 1989, Elbert apparently considered refusing coverage on grounds that the foundation of the home had deteriorated prior to the collapse. However, "hidden decay" and "hidden insect or vermin damage" are covered under the collapse provision of the policy. In any event, it was the defective workmanship of Ace that caused the collapse, and again, contrary to Elbert's assertion in his notes, defective workmanship is covered whether characterized as construction, remodeling, or renovation.

Apparently, Elbert reviewed the policy after making the notations of January 13, because the defense of deterioration was never used against Bailey. The only defenses articulated by Farmers Union are (1) that Bailey failed to satisfy the 180-day time limit for claiming replacement costs, which of course did not arise until 6 months after the loss, and (2) that Bailey forfeited coverage by failing to submit a sworn proof of loss statement within 60 days after the statement was requested by Farmers Union.

Elbert determined on August 16, 5 days after the collapse, that the loss was covered. From that point on, the record contains evidence—the policy, the Sokol report, and Elbert's subsequent file status notes—confirming Elbert's determination of August 16.

With respect to Bailey, though, Farmers Union maintained its initial posture of resistance to her claim. In a letter to Bailey dated October 7, 1988, Elbert wrote:

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Bluebook (online)
498 N.W.2d 591, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bailey-v-farmers-union-co-op-ins-nebctapp-1992.