Brady v. State Farm Fire Cslt
Opinion
United States Court of Appeals Fifth Circuit
IN THE UNITED STATES COURT OF APPEALS FILED FOR THE FIFTH CIRCUIT March 8, 2006 _________________________ Charles R. Fulbruge III Clerk
No. 05-30716
Summary Calendar
RICHARD BRADY; SCHELLE BRADY; TRENT BRADY, Plaintiffs-Appellants,
versus STATE FARM FIRE & CASUALTY CO.,
Defendant-Appellee.
Appeal from the Unites States District Court for the Western District of Louisiana (No. 2:03-CV-1635)
Before BARKSDALE, STEWART, and CLEMENT, Circuit Judges. PER CURIAM:* In this diversity action, the district court granted summary judgment in favor of the defendant and dismissed the plaintiffs’ claim with prejudice. We affirm.
I. FACTS AND PROCEEDINGS Richard and Schelle Brady and their son Trent (collectively “the Bradys”) lived in a home in Sulphur, Louisiana. At all relevant times, the home was covered under a homeowner’s insurance
*
Pursuant to 5th CIR. R. 47.5, the court has determined that this opinion should not be published and is not precedent except under the limited circumstances set forth in 5TH CIR. R. 47.5.4.
policy issued by State Farm Fire & Casualty Co. (“State Farm”). The insurance policy contractually limited the insured’s right to bring suit to within one year after the date of loss or damage.
On five occasions between September 1998 and April 2002, the Bradys suffered a covered loss. Each incident involved some form of water damage to the home and each was covered under the policy and paid by State Farm. The last incident, which involved a leaking air conditioner that damaged a ceiling occurred on April 28, 2002.
During the repairs for the April 28 air conditioner leak, a contractor showed the Bradys a moldy piece of sheet rock taken from the damaged area. On the advice of the contractor, the Bradys took samples of mold from their home and sent them to be tested. An adjustor for State Farm spoke to Mrs. Brady on April 30, at which time Mrs. Brady expressed concerns about the mold in her house. Again, on June 13, Mrs. Brady called State Farm about the presence of “black mold” in the home. The mold test results, which indicated positive for mold, came back to the Bradys by email on June 25, 2002.1 The day after receiving the email concerning the positive mold test results, Mrs. Brady discussed the mold issue with State Farm adjuster Scott Dory. Mrs. Brady told Dory that the house had tested positive for mold. At that time, Dory explained that the homeowner’s policy contained exclusions for certain mold damage. On August 12, 2002, Dory went to the Bradys’ home. Dory did not dispute the existence of the mold, but told Mrs. Brady that the type of test used did not prove that the mold was airborne. Dory recommended that the air be tested. No further tests were conducted before April 2003.
State Farm denied co verage for the mold damage claim in September 2002. On April 14,
1 On July 7, 2002, the positive test results were again sent to the Bradys, this time by mail.
2003, State Farm received a letter from the Bradys’ attorney demanding payment on the claim and advising that the Bradys would take legal action if State Farm did not respond by Friday, April 18, 2003. St ate Farm replied on April 17, 2003, and again denied liability. The Bradys filed suit in Louisiana state court on July 25, 2003. After State Farm removed the case to federal court, the parties engaged in discovery.
Deposition testimony revealed additional facts relevant to the timeliness of the Bradys’ suit.
Mr. Brady recounted how the contractor had told him that there was mold in the house and that the situation needed to be investigated furt her. He also described how both he and his son had been having nosebleeds for up to a year. In her deposition, Mrs. Brady indicated that she had been concerned about the mold for some time because the family had been sick for years. She specifically stated that she had directed the repairmen to look for mold while affecting the April 2002 repairs because she had seen soot-like black mold in the house previous to the air conditioning incident. She specifically stated that the mold had been present in the house for five to six months before April 2002.
In his deposition, Dory, t he State Farm adjuster, stated that at the time of his August 12 inspection there was no way to determine if the mold was airborne based on the tests that had been conducted. He testified that, in order to conclude that the mold was airborne, additional testing was required. He specifically stated that he could not determine whether the mold was airborne at the time of his inspection.
State Farm moved to dismiss the suit and, in the alternative, for summary judgment. Because the parties referred to evidence outside the pleadings, the district court treated the motion as one for summary judgment. State Farm pled a defense of prescription and that the claimed damage was
excluded under the policy. The district court concluded that the covered events took place more than a year before suit was filed and ruled in favor of State Farm. The district court di d not reach the policy coverage issue.
II. STANDARD OF REVIEW
This court reviews a grant of summary judgment de novo and applies the same standards as the district court. See Riverwood Int’l Corp. v. Employers Ins. of Wausau, 420 F.3d 378, 382 (5th Cir. 2005). Summary judgment is appropriate if the pleadings, affidavits and other summary judgment evidence show that there is no genuine issue of material fact and that the movant is entitled to judgment as a matter of law. FED. R. CIV. P. 56(c); Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986); Riverwood Int’l, 420 F.3d at 382. For summary judgment, the initial burden falls on the movant to identify areas essential to the nonmovant’s claim in which there is an “absence of a genuine issue of material fact.” Lincoln Gen. Ins. Co. v. Reyna, 401 F.3d 347, 349 (5th Cir. 2005). If the movant does so, the burden shifts to the nonmovant to show, by more than mere allegation, the existence of a genuine fact issue for trial. Reyna, 401 F.3d at 349–50. At all times, “[a]ll evidence and reasonable inferences must be viewed in the light most favorable to the nonmovant.” Id. at 350.
III. DISCUSSION
In Louisiana, “insurance companies have the right to limit coverage in any manner they desire, so long as the limitations do not conflict with statutory provisions or public policy.” Edwards v. Daugherty, 883 So. 2d 932, 947 (La. 2004). The prescriptive period at issue here originates in the State Farm insurance policy. Under the terms of the policy, an “action must be started within one year after the date of loss or damage.” This limitation is consistent with Louisiana’s insurance code:
No insurance contract delivered or issued for delivery in this state and covering subjects located, resident, or to be performed in this state or any group health and accident policy insuring a resident of this state, regardless of where made or delivered shall contain any condition, stipulation, or agreement . . . [l]imiting right of action against the insurer . . . to a period of less than one year from the time when the cause of action accrues in connection with all other insurances unless otherwise specifically provided in this Code.
LA. REV. STAT. § 22:629(A)(3).
The parties do not dispute that the last water damage incident took place on April 28, 2002.
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