Britton v. Farmers Insurance Group

721 P.2d 303, 221 Mont. 67, 1986 Mont. LEXIS 880
CourtMontana Supreme Court
DecidedApril 17, 1986
Docket84-322
StatusPublished
Cited by57 cases

This text of 721 P.2d 303 (Britton v. Farmers Insurance Group) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Britton v. Farmers Insurance Group, 721 P.2d 303, 221 Mont. 67, 1986 Mont. LEXIS 880 (Mo. 1986).

Opinions

MR. JUSTICE SHEEHY

delivered the Opinion of the Court.

We determine principally in this case that an insurer must meet the standard of a lawful basis for refusal to decline payment of an insured’s claim for an insured’s loss; and that reliance by the insurer on inadmissible evidence of arson by the insured in declining payment of an insured’s loss does not meet the standard of a lawful basis for refusal of the insured’s claim.

Farmers Insurance Group (FIG) appeals a judgment granting Bill E. Britton compensatory damages of $214,748.54 and punitive damages of $400,000.00, following a jury verdict rendered in the District Court, Fourth Judicial District, Lake County.

Bill E. Britton cross-appeals from a judgment of the District Court denying him attorney’s fees and costs under Section 30-14-133, MCA.

It is well to have a backdrop of applicable law before we view the facts in this case.

The justifiable expectations of parties to an insurance contract [72]*72must include a broad freedom in the insurer to evaluate claims under the policy and to reject nonmeritorious claims. That freedom would be imperiled if the law imposed so high a duty of performance on the insurer that a reasonable rejection of a claim would invite a “bad faith” judgment against the insurer. The law must leave open to insurers the use of reasonableness in investigating, negotiating and paying claims. Chavers v. National Security Fire & Casualty Co. (Ala. 1981), 405 So.2d 1.

However, an insurer has corresponding duties to its policyholder. The insurer must use due diligence in reviewing and determining meritorious claims, and must pay such claims promptly. Those duties are not implied. They are expressly bargained for in the insurance contract. A breach of any of those express duties opens the insurer to a judgment for contract damages. If the misdeed of the insurer in breach of the contract is also a violation of public policy, or a breach of the implied duty of good faith and fair dealing, the injured party has a tort action against the insurer for “bad faith,” notwithstanding that the act complained of may also be a breach of contract. Weber v. Blue Cross of Montana (1982), 196 Mont. 454, 643 P.2d 198; First Security Bank v. Goddard (1979), 181 Mont. 407, 598 P.2d 1040; State ex rel. Larson v. District Court (1967), 149 Mont. 131, 423 P.2d 598.

One aspect of public policy in this case is the duty of insurers under the “valued policy” or “stated value” statute, Section 33-24-102, MCA. No stranger to American statutory law, our valued policy statute provides in the absence of criminal fault or fraud that when insured improvements on real property are considered to be a total loss, the amount of applicable insurance coverage written in the policy contract is taken conclusively to be the true amount of the loss and measure of damages. The provisions of our valued policy statute, Section 33-24-102, MCA, are a part of every policy of fire insurance issued in Montana. Goddard, supra; McIntosh v. Hartford Fire Ins. Co. (1938), 106 Mont. 434, 78 P.2d 82; Caldwell v. Washington Fidelity National Ins. Co. (1933), 94 Mont. 431, 23 P.2d 257.

We have few cases construing the effect of the valued policy statute, but it is clear from the jurisdictions considering like statutes, and acceptable to us, that such a statute determines automatically and conclusively the amount of loss recoverable for total loss, Grandview Inland Fruit Co. v. Hartford Fire Ins. Co. (1937), 189 Wash. 590, 66 P.2d 827 and may obviate even the necessity of a proof of loss. Commercial Union Ins. Co. v. Stanmike Investment [73]*73Co. (Tex.C.A. 1971), 475 S.W.2d 295. Further, an insurer may not create a question of total loss simply to compromise its duty to pay the full amount or to negotiate a lesser amount. Grandview Inland Fruit Co., supra. Any agreement for a lesser settlement of total loss other than the amount of applicable coverage is void ab initio as against public policy. Coddington v. Safeguard Ins. Co. of N.Y. (1963), 237 Ark. 457, 373 S.W.2d 413.

The statutory duty to pay the full amount of applicable coverage in valued policies applies as well to a mortgagee under a loss payable clause to the extent of the mortgagee’s lien. Section 33-24-102, MCA, makes the amount of insurance conclusive as to the true value of the insured property. It does not attempt to fix the interests of the persons entitled to benefits under the policy. A loss payable clause makes the mortgagee the appointee of the mortgagor to receive the insurance money. Malvaney v. Yager (1936), 101 Mont. 331, 338, 54 P.2d 135, 138.

When, therefore, an insurer faces a claim trader its issued policy for damages to an improvement on real property in Montana, the freedom of the insurer to evaluate the claim and to determine its merit does not include the amount payable if the cost of the damages to the improvement insured exceeds the predamaged value of the improvement. In that event the loss is total, and as to the amount of loss the valued policy law applies. The insurer retains the freedom, however, to determine if the loss has merit as a claim, again, on a reasonable basis.

We determine as a matter of law in this case, under the facts, the insurer did not comply with the valued policy statute, Section 33-24-102, MCA, particularly with regard to the mortgagee Bank which was entitled to payment regardless of any claim of arson against the insured Britton. As to the insured Britton, the failure of the insurer to comply with Section 33-24-102, MCA, would be unimportant if in fact Britton had committed arson to cause the loss for then he would not be entitled to coverage in any event.

The examination of rights of the parties on appeal therefore has three facets of applicable law as far as Britton is concerned:

(1) If Britton committed arson, he is not entitled to coverage and his judgment is a nullity;

(2) If the insurer reasonably suspected that Britton committed arson, it could decline to pay his claim without incurring a judgment for “bad faith,” though a court or jury might later determine that the arson by the insured was not approved;

[74]*74(3) If the insurer unreasonably declined to pay his claim, and failed to prove Britton’s arson, it is subject to “bad faith” charges if it also violated public policy or breached the implied duty of good faith and fair dealing in so doing.

It is notable that each facet presents issues of fact, the determination of which by a properly instructed jury forecloses us from determining contrariwise, unless the jury erred as a matter of law. In other words, questions of fact come within the sole province of the jury and the jury verdict prevails. Gee v. Egbert (Mont. 1984), [209 Mont. 1,] 679 P.2d 1194, 41 St.Rep. 515; Barry v. City of Butte (1943), 115 Mont. 224, 142 P.2d 571.

The issues raised by FIG on appeal do not include the sufficiency of the evidence to justify the jury verdict. Rather, FIG raises issues which pertain to its principal argument, that as a matter of law it did not unreasonably decline payment of Britton’s claim.

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Cite This Page — Counsel Stack

Bluebook (online)
721 P.2d 303, 221 Mont. 67, 1986 Mont. LEXIS 880, Counsel Stack Legal Research, https://law.counselstack.com/opinion/britton-v-farmers-insurance-group-mont-1986.