Bankers Insurance Company v. Emiii Holdings, LLC

CourtLouisiana Court of Appeal
DecidedDecember 16, 2024
Docket2024-CA-0386
StatusPublished

This text of Bankers Insurance Company v. Emiii Holdings, LLC (Bankers Insurance Company v. Emiii Holdings, LLC) 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
Bankers Insurance Company v. Emiii Holdings, LLC, (La. Ct. App. 2024).

Opinion

BANKERS INSURANCE * NO. 2024-CA-0386 COMPANY * VERSUS COURT OF APPEAL * EMIII HOLDINGS, LLC FOURTH CIRCUIT * STATE OF LOUISIANA *******

APPEAL FROM CIVIL DISTRICT COURT, ORLEANS PARISH NO. 2022-04489, DIVISION “H” Honorable Monique E. Barial, Judge ****** Judge Dale N. Atkins ****** (Court composed of Judge Roland L. Belsome, Judge Daniel L. Dysart, Judge Dale N. Atkins)

J. Michael Nash Wayne R. Maldonado Brett F. Willie UNGARINO & MALDONADO, LLC 3850 North Causeway Blvd, Suite 1280 Metairie, LA 70002

COUNSEL FOR PLAINTIFF/APPELLEE, Bankers Insurance Company

Joseph Paul Rumage, Jr. THE LAW OFFICE OF PAUL RUMAGE P. O. Box 1174 Denham Springs, LA 70727

COUNSEL FOR DEFENDANT/APPELLANT, EMIII Holdings, L.L.C.

REVERSED AND REMANDED DECEMBER 16, 2024 DNA

RLB

DLD

This dispute stems from an insurance claim filed after Hurricane Ida struck

Louisiana on August 29, 2021.1 Appellant, EMIII Holdings, L.L.C. (“EMIII”),

seeks review of the trial court’s February 12, 2024 judgment, which granted the

Motion for Summary Judgment filed by Appellee, Bankers Insurance Company

(“Bankers”); dismissed EMIII’s claims against Bankers (asserted in reconvention)

with prejudice; and dismissed as moot Bankers’ Complaint for Declaratory

Judgment. For the following reasons, we reverse the trial court’s February 12, 2024

judgment and remand this matter for further proceedings.

FACTUAL BACKGROUND AND PROCEDURAL HISTORY

Bankers’ May 20, 2022 Complaint for Declaratory Judgment

On May 20, 2022, Bankers filed a “Complaint for Declaratory Judgment”

(“Complaint”) in Civil District Court for the Parish of Orleans, wherein it named

1 This Court may take judicial notice of government websites. Hidalgo v. Bd. of Supervisors of La. State Univ. & Agric. & Mech. Coll. on Behalf of La. State Univ. Health Scis. Ctr.-New Orleans, 2024-0609, p. 3 (La. App. 4 Cir. 9/25/24), ___ So.3d ___, ___ n.1, 2024 WL 4284307, at *1 (citing State v. Debose, 2024-0217, p. 4 (La. App. 4 Cir. 6/13/24), 390 So.3d 971, 975). Accordingly, we take judicial notice of the National Ocean Service: National Oceanic and Atmospheric Administration’s website, which states that “Hurricane Ida made landfall as [a] Category 4 hurricane in Lafourche Parish near Port Fourchon, Louisiana . . . . Landfall occurred at 11:55 a.m. on August 29, 2021.” Hurricane Ida: NOS Fiscal Year 2021 Year in Review, NATIONAL OCEAN SERVICE: NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, https://oceanservice.noaa.gov/annualreport/2021/hurricane- ida.html#:~:text=Hurricane%20Ida%20made%20landfall%20as,a.m.%20on%20August%2029% 2C%202021 (last visited Nov. 18, 2024).

1 EMIII as the sole defendant and explained that EMIII owned property insured by

Bankers under Builders’ Risk Policy No. 17-0400025453-5-01 (hereinafter

referred to as “the insurance policy”). According to Bankers’ Complaint, EMIII

reported a loss from Hurricane Ida at the insured premises located at 2324

Reverend John Raphael Jr. Way in New Orleans, LA 70113 (“2324 Rev. John

Raphael Jr. Way”) but failed to provide Bankers with information or to complete

an examination under oath as requested by Bankers in its investigation of the

claim. Bankers listed the dates it attempted via email to request claim-related

documents and schedule EMIII’s examination under oath as January 20, 2022;

February 1, 2022; February 15, 2022; and February 25, 2022. Additionally,

Bankers listed the dates it attempted via written correspondence to request claim-

related documents and schedule EMIII’s examination under oath as March 25,

2022; April 13, 2022; and May 2, 2022. Attached as exhibits to Bankers’

Complaint were copies of the aforementioned emails and written correspondence.

Bankers contended that EMIII’s failure to cooperate constituted a breach of the

terms and conditions of the insurance policy. Accordingly, Bankers requested that

the trial court find that no coverage existed and declare coverage “void as the

failure to cooperate ha[d] materially prejudiced Banker’s [sic] investigation of this

hurricane claim.”

Also attached to Bankers’ Complaint was a copy of the insurance policy,

which listed the insured property as 2324 Reverend John Raphael Jr. Way. It listed

the policy period as July 9, 2021, through October 9, 2021. It stated, in pertinent

part:

PROJECT LOCATION: 2324 REVEREND JOHN RAPHAEL JR, NEW ORLEANS LA 70113

2 (single building only; with no permission to occupy in whole or in part)

PERMISSION TO OCCUPY (check one)

[ X ] Permission to occupy is not granted.

....

AGREEMENT

In return for “your” payment of the required premium, “we” provide the coverage described herein subject to all the “terms” of the Builders’ Risk Coverage.

WHAT MUST BE DONE IN CASE OF LOSS

4. Examination - - “You” must submit to examination under oath in matters connected with the loss as often as “we” reasonably request and give “us” sworn statements of the answers. If more than one person is examined, “we” have the right to examine and receive statements separately and not in the presence of others.

5. Records - - “You” must produce records, including tax returns and bank microfilms of all canceled checks relating to value, loss, and expense and permit copies and extracts to be made of them as often as “we” reasonably request.

9. Cooperation - - “You” must cooperate with “us” in performing all acts required by this policy.

ADDITIONAL COVERAGE LIMITATIONS

1. Occupancy And Use -- We do not provide coverage under this policy if, without “our” prior written consent, a covered “building or structure” as described under Property Covered is:

a. occupied in whole or in part;

3 EMIII’s February 15, 2023 Exceptions, Answer, and Reconventional Demand

On February 15, 2023, EMIII filed a pleading titled “Exceptions, Answer &

Reconventional Demand” (“Reconventional Demand”). Therein, in addition to

answering Bankers’ Complaint, EMIII asserted the exceptions of prematurity,

peremption, no cause of action, and no right of action. Additionally, in its

Reconventional Demand, EMIII contended that it had taken all actions required by

the insurance policy; that its claim for loss filed with Bankers had not yet been

resolved; and that it was entitled to compensation from Bankers as outlined in the

insurance policy. Specifically, EMIII sought costs to repair the insured property;

costs of damage mitigation; and other costs and expenses as allowed by law. EMIII

requested that the trial court dismiss Bankers’ Complaint and render judgment in

EMIII’s favor.

Bankers’ September 8, 2023 Motion for Summary Judgment

On September 8, 2023, Bankers filed its Motion for Summary Judgment,

wherein it contended that it was entitled to a summary judgment granting its

declaratory judgment based on EMIII’s violation of two provisions of the

insurance policy, namely (1) the no occupancy provision, and (2) the failure to

cooperate with Bankers’ investigation of the claim.

In its Motion for Summary Judgment, Bankers explained that after

Hurricane Ida made landfall on August 29, 2021, EMIII opened a claim for

hurricane-related damages on September 9, 2021, for the property it owns at 2324

Rev. John Raphael Jr. Way. Bankers further explained that it had issued the

insurance policy to EMIII covering 2324 Rev. John Raphael Jr. Way with a policy

period from July 9, 2021, through October 9, 2021. According to Bankers, EMIII

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Waddell v. Bickham
431 So. 2d 59 (Louisiana Court of Appeal, 1983)
Lee v. United Fire & Cas. Co.
607 So. 2d 685 (Louisiana Court of Appeal, 1992)
Vanderbrook v. Coachmen Industries, Inc.
818 So. 2d 906 (Louisiana Court of Appeal, 2002)
Brantley v. State Farm Ins. Co.
865 So. 2d 265 (Louisiana Court of Appeal, 2004)
Borel v. Young
989 So. 2d 42 (Supreme Court of Louisiana, 2008)
Brantley v. State Farm Ins. Co.
799 So. 2d 638 (Louisiana Court of Appeal, 2001)
Desadier v. Safeway Ins. Co.
712 So. 2d 925 (Louisiana Court of Appeal, 1998)
Freyou v. Marquette Casualty Company
149 So. 2d 697 (Louisiana Court of Appeal, 1963)
Noreen Johnson v. GeoVera Specialty Ins Co.
657 F. App'x 301 (Fifth Circuit, 2016)
Louisiana Federation of Teachers v. State
118 So. 3d 1033 (Supreme Court of Louisiana, 2013)
Breaux v. Cozy Cottages, LLC
151 So. 3d 183 (Louisiana Court of Appeal, 2014)
Bilyeu v. National Union Fire Insurance Co. of Pittsburgh
184 So. 3d 69 (Louisiana Court of Appeal, 2015)
Roadrunner Transportation Systems v. Brown
219 So. 3d 1265 (Louisiana Court of Appeal, 2017)
Blanchard v. Mitchell
233 So. 3d 719 (Louisiana Court of Appeal, 2017)
Harris v. Dunn
48 So. 3d 367 (Louisiana Court of Appeal, 2010)
Crockerham v. La. Med. Mut. Ins. Co.
255 So. 3d 604 (Louisiana Court of Appeal, 2018)
McCartney v. Shelter Mut. Ins. Co.
255 So. 3d 1060 (Louisiana Court of Appeal, 2018)
Trosclair v. CNA Insurance Co.
637 So. 2d 1168 (Louisiana Court of Appeal, 1994)
Williams v. Lowe
831 So. 2d 334 (Louisiana Court of Appeal, 2002)
Hamilton v. State Farm Fire & Casualty Insurance
477 F. App'x 162 (Fifth Circuit, 2012)

Cite This Page — Counsel Stack

Bluebook (online)
Bankers Insurance Company v. Emiii Holdings, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bankers-insurance-company-v-emiii-holdings-llc-lactapp-2024.