Blue Diamond, Inc. v. Liberty Mutual Insurance

21 F. Supp. 2d 631, 1998 U.S. Dist. LEXIS 16018, 1998 WL 717972
CourtDistrict Court, S.D. Mississippi
DecidedSeptember 30, 1998
DocketCiv.A. 2:96CV372PG
StatusPublished
Cited by7 cases

This text of 21 F. Supp. 2d 631 (Blue Diamond, Inc. v. Liberty Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blue Diamond, Inc. v. Liberty Mutual Insurance, 21 F. Supp. 2d 631, 1998 U.S. Dist. LEXIS 16018, 1998 WL 717972 (S.D. Miss. 1998).

Opinion

MEMORANDUM OPINION AND ORDER

PICKERING, District Judge.

This matter is before the Court on Defendant’s Motion for Summary Judgment. The Court, having reviewed the motion, the briefs, the authorities cited, and being otherwise fully advised in the premises, finds as follows, to-wit:

FACTUAL BACKGROUND

Blue Diamond, Inc. (“Plaintiff’) was involved in the oil and gas well service business. The company commenced doing business in 1989. On or about May 29, 1992, Plaintiff submitted an application for workers’ compensation insurance to the Mississippi Assigned Risk Pool (“the pool”). Coverage through the pool is available to employers who cannot obtain workers’ compensation insurance through the voluntary market. After being accepted, Plaintiffs application was assigned to Liberty Mutual Insurance Company (“Defendant”), which, in turn, issued Plaintiff a policy effective June 1, 1992. The policy was renewed on June 1, 1993 and again on June 1, 1994.

The premium for this type of coverage is based on payroll information provided by the employer. Since this information cannot always be projected with accuracy, the employer is billed an estimated premium at the beginning of each policy period. After the end of the policy period, the insurer conducts an on site audit of the employer’s actual payroll and determines the final actual or *632 audited premium due for the coverage. For the policy year of 1992, Plaintiff paid a premium in the amount of $55,462.00. Plaintiff made an estimated payment of $71,495.00 for policy year 1993. The final audit revealed that the premium for the 1993 policy year was $123,370.00, leaving a deficit of $51,-875.00 on the audit for the 1993 policy year (which ended in June of 1994).

The circumstances leading up to the parties’ present dispute occurred in the summer and fall of 1994. In July and August, 1994, Defendant was unsuccessful in arranging an audit date for Plaintiff. According to Defendant, Neil Falk (“Falk”), an auditor from Liberty Mutual, contacted or attempted to contact Plaintiff on three occasions — once by letter and twice by phone — in order to conduct an audit for the June 1, 1993 — June 1, 1994, policy period.

When the auditor’s efforts to obtain an audit were unsuccessful, the auditor performed an “estimated audit” instead of an actual audit, and he sent Plaintiff an invoice containing an “estimated premium” of $161,-879.00. Defendant contends that it never received a response to the initial letter or invoice, and that as a result, it sent Plaintiff a letter of cancellation advising that Plaintiffs policy would be canceled September 12, 1994 if the premium was not paid. Upon receiving the Notice of Cancellation, Plaintiff contacted representatives from the Defendant in hopes that an audit could be arranged. A meeting between the representatives of Defendant and Plaintiff was finally arranged for August 19, 1994 at the Holiday Inn in Hat-tiesburg, Mississippi. At the conclusion of the meeting, however, the Notice of Cancellation issue remained unresolved.

According to Plaintiff, Blue Diamond released all of its employees and ceased doing business on or about September 3, 1994 because they were uncertain about whether they had workers’ compensation insurance. Between August 19, 1994 and September 12, 1994, no one at Blue Diamond attempted to contact Neal Falk or any other agent of Defendant about the status of the Notice of Cancellation.

In the instant case, Plaintiff alleges that Defendant breached its duty of good faith and fair dealing to Plaintiff in numerous ways. First, Plaintiff argues that the defendant presented it with an “improper and inflated premium” which it was unable to pay, and due to Plaintiffs inability to pay, Defendant thereafter canceled Plaintiff’s workers’ compensation insurance on September 12, 1994 causing it to cease doing business. Second, Plaintiff maintains that the defendant sent out a Notice of Cancellation for non-payment of the allegedly “fraudulent” premium. Third, Plaintiff contends that although Defendant’s auditor conducted an audit and assured Plaintiff that the cancellation notice would be “tak[en] care of,” Defendant failed to “take care of’ the cancellation notice until after Plaintiff had already shut down its business operations. Lastly, Plaintiff contends that Defendant turned Plaintiff over to a collection agency for approximately $200,000.00, which included the “fraudulent” premium amount.

Defendant maintains that it has no liability to Plaintiff. According to Defendant, Plaintiff is seeking to impose liability on Defendant simply for performing its responsibilities as a servicing carrier for the Mississippi Assigned Risk Plan. Defendant argues that it followed the specific requirements and performance standards enunciated in the Assigned Risk Plan, and that as a result, it should not be subject to liability for performing its state-mandated duties and responsibilities.

STANDARD OF REVIEW

The Federal Rules of Civil Procedure, Rule 56(c) authorizes summary judgment where “the pleadings, depositions, answers to interrogatories and admissions on file, together with affidavits, if any, show that there is no genuine dispute as to any material fact and that the moving party is entitled to judgment as a matter of law.” Celotex Corporation v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). “The mere existence of a disputed factual issue ... does not foreclose summary judgment. The dispute must be genuine, and the facts must be material.” Professional Managers, Inc. v. Fawer, Brian, Hardy & Zatzkis, 799 F.2d 218, 222 (5th Cir.1986). “With regard to *633 ‘materiality’, only those disputes over facts that might affect the outcome of the lawsuit under the governing substantive law will preclude summary judgment.” Phillips Oil Co. v. OKC Corp., 812 F.2d 265, 272 (5th Cir.1987).

To defend against a proper summary judgment motion, one may not rely on mere denial of material facts nor on unsworn allegations in the pleadings or arguments and assertions in briefs or legal memoranda. Once a properly supported motion for summary judgment is presented, the nonmoving party must rebut with “significant probative” evidence. Ferguson v. National Broadcasting Co., Inc., 584 F.2d 111, 114 (5th Cir.1978). Stated another way, the nonmoving party’s response, by affidavit or otherwise, must set forth specific facts showing that there is a genuine issue for trial. See, e.g., Fed.R.Civ.P. 56(e), Union Planters Nat. Leasing v. Woods, 687 F.2d 117, 119 (5th Cir.1982).

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Bluebook (online)
21 F. Supp. 2d 631, 1998 U.S. Dist. LEXIS 16018, 1998 WL 717972, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blue-diamond-inc-v-liberty-mutual-insurance-mssd-1998.