Cincinnati Insurance Company v. Larry Banks

610 F. App'x 453
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 28, 2015
Docket14-5597
StatusUnpublished
Cited by5 cases

This text of 610 F. App'x 453 (Cincinnati Insurance Company v. Larry Banks) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cincinnati Insurance Company v. Larry Banks, 610 F. App'x 453 (6th Cir. 2015).

Opinion

ALICE M. BATCHELDER, Circuit Judge.

In this diversity case, Cincinnati Insurance Company (“CIC”) appeals a verdict rendered against it in favor of Larry and Wanda Sue Banks (collectively “Banks”), whose home was damaged by fire in 2011, and the district court’s denying CIC a new trial. Banks insured the home through CIC, and although CIC cited several reasons for not covering the damage, pursuant to Tennessee law CIC paid the mortgage balance to the bank that held the mortgage on the property. CIC then filed suit against Banks to recover that payment, and Banks filed a counterclaim seeking payment for the value of the property *455 in excess of the outstanding mortgage, as well as personal property. After discovery and an eight-day trial, a jury rendered a verdict in favor of Banks. CIC raises fifteen issues on appeal covering manifold aspects of this litigation. We AFFIRM.

I. FACTS AND PROCEDURAL HISTORY

Plaintiff Cincinnati Insurance Company (“CIC”) is an Ohio insurance company, and Defendants Larry Banks and Wanda Sue Banks (“Banks”) are citizens of Tennessee. CIC insured Banks’ residential property in Manchester, Tennessee. The policy covers the dwelling, other structures, personal property, and any loss of use. The parties dispute whether this is an “all-risk policy,” covering all direct physical loss unless otherwise excluded. On November 28, 2011, the property was damaged by fire. On March 14, 2012, Banks filed a claim for $1,904,309.64. On March 17, 2012, CIC denied the claim. Banks filed a second claim, wherein they insist in a sworn statement:

The said loss did not originate by any act, design or procurement on the part of your insured, or this affiant; nothing has been done by or with the privity or consent of your insured or this affiant to violate the conditions of the policy or render it void; no articles are mentioned herein or in annexed schedules but such as were destroyed or damaged at the time of said loss; no property saved has in any manner been concealed, and no attempt to deceive the said Company as to the extent of said loss has in any manner been made. Any other information that may be required will be furnished and considered a part of this proof.

CIC denied Banks’ claim on May 18, 2012. CIC’s letter reads in part:

“It is the opinion of [CIC] that the fire ... was not accidental, as required by this insuring provision. It is further the opinion of [CIC] that you and/or others acting with your knowledge, consent and permission did intentionally set fire to the property for the purpose of destroying same and defrauding [CIC].... ”

The policy states, “ ‘Physical loss’ means accidental physical loss or accidental physical damage.” However, the property was encumbered by a mortgage, and pursuant to Tennessee law, CIC paid $587,176.44 to Peoples Bank & Trust Company for the damaged property.

CIC filed suit against Banks in U.S. District Court for the Eastern District of Tennessee on May 18, 2012, invoking the court’s diversity jurisdiction under 28 U.S.C. § 1832, and seeking both declaratory and monetary relief. Banks responded with an answer and counterclaim on June 4, 2012. CIC filed an amended complaint on June 12, 2012. CIC’s complaint asked the court to declare that Banks’ claim is void due to breach of contract and intentional misrepresentations, that Banks committed insurance fraud, and that an award of $670,139.36 in damages is due CIC, derived from the CIC’s payment to People’s Bank, plus incidental and subsequent costs, interest, and legal fees. Banks filed an amended counterclaim on August 10, 2012, followed by a second amended counterclaim on December 13, 2012, claiming (1) breach of contract, (2) statutory bad faith, and (3) common law bad faith. On November 15, 2013, after an eight day trial, 1 the jury issued a verdict finding that Banks did not “willfully and knowingly make a material misrepresentation to [CIC] with the intent to deceive” or “cause *456 or consent to the intentional burning of the insured property.” The jury awarded Banks $2,174,268.40, which when adjusted for the amount paid by CIC to People’s Bank, became $1,625,053.19. On December 16, 2013, CIC filed a “motion for new trial, motion to amend findings and judgment, and/or motion for judgment notwithstanding the verdict” invoking Federal Rules of Civil Procedure 50 and 59. On April 22, 2014, the district court denied CIC’s post-verdict motions. CIC filed a notice of appeal on May 16, 2014.

II. ANALYSIS

A.

The first two issues we address are CIC’s strongest — but ultimately unsuccessful — arguments, both pertaining to jury instructions.

1.

CIC first challenges the instructions given to the jury regarding the burden of proof in this litigation. We review “legal accuracy of jury instructions de novo,” United States v. Blanchard, 618 F.3d 562, 571 (6th Cir.2010). We reverse for an improper jury instruction “only if the instructions, viewed as a whole, were confusing, misleading, or prejudicial.” Micrel, Inc. v. TRW, Inc., 486 F.3d 866, 881 (6th Cir.2007).

CIC argues that the jury should have been instructed that Banks must carry the burden of proof that the fire was not intentionally caused by any person. CIC cites for support the requirement under Tennessee law that an insured party show that a loss is covered by the terms of a policy. Blaine Constr. Corp. v. Ins. Co. of N. Am., 171 F.3d 343, 349 (6th Cir.1999). CIC also faults the court for the verdict form’s not requiring Banks to prove their loss was from an “accidental” fire. Citing Farmers Bank & Trust Co. v. Transamerica Ins. Co., 674 F.2d 548, 551 (6th Cir.1982), CIC argues that Banks must prove all facts essential to recovery under the policy. In Farmers Bank, we reversed a district court’s requiring an insurer to prove that a note on which he sought to recover was not forged. CIC also cites a district court case where a plaintiff sought to collect under a policy covering injuries “caused by accident,” where the court required the claimant to prove not only that the decedent had died, but also that the death was accidental. Smith v. Life Ins. Co. of N. Am., 872 F.Supp. 482, 484-85 (W.D.Tenn.1994).

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Bluebook (online)
610 F. App'x 453, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cincinnati-insurance-company-v-larry-banks-ca6-2015.