Davidson v. State Farm Fire & Casualty Co.

641 F. Supp. 503, 1986 U.S. Dist. LEXIS 21830
CourtDistrict Court, N.D. Mississippi
DecidedAugust 6, 1986
DocketEC85-28-LS-D
StatusPublished
Cited by26 cases

This text of 641 F. Supp. 503 (Davidson v. State Farm Fire & Casualty Co.) is published on Counsel Stack Legal Research, covering District Court, N.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Davidson v. State Farm Fire & Casualty Co., 641 F. Supp. 503, 1986 U.S. Dist. LEXIS 21830 (N.D. Miss. 1986).

Opinion

MEMORANDUM OPINION

SENTER, Chief Judge:

In this diversity action, plaintiffs, Jimmy Lee and Sandra Davidson, sue defendant, State Farm Fire and Casualty Company, for defendant’s alleged wrongful refusal to pay homeowner’s insurance benefits under a policy issued to the plaintiffs. Plaintiffs pursue recovery under the theories of tortious breach of contract, intentional infliction of emotional distress, and fraud in the inducement. On April 17, 1985, the court sustained defendant’s partial summary judgment motion holding defendant not liable as a matter of law for any breach of fiduciary duties. Although noting both the requirements of Rule 9(e), Fed.R.Civ.P., and plaintiffs’ lack of specificity in pleading the allegations of fraud in their original complaint, the court granted the plaintiffs twenty (20) days to file an amended complaint to cure these defects. An amended complaint was in fact filed on April 30, 1986. This cause is presently before the court on defendant’s motion for partial summary judgment.

I. THE BAD FAITH CLAIM

A. Factual Background

Plaintiffs filed their initial complaint with the Clay County Circuit Court on December 27, 1984, but the complaint was removed to this court by the defendant on January 21, 1985, pursuant to the terms of 28 U.S.C. § 1441. As a result of defendant’s alleged misconduct, plaintiffs seek an award of compensatory damages for either damage to or loss of the contents of their home and for emotional distress allegedly caused by the defendant’s denial of their insurance claim. In addition, plaintiffs seek an award of punitive damages for the alleged “bad faith” actions of the defendant. The instant motion deals with this latter claim for punitive damages as well as the claim for extracontractual damages relating to plaintiffs’ allegation of suffering emotional distress.

It is uncontested between the parties that the plaintiffs took out a homeowner’s insurance policy from State Farm on June 2, 1984, which covered their home and its contents located on Waverly Road in Clay County, Mississippi, near the Town of West Point. The dwelling burned down on August 5, 1984. Subsequently, plaintiffs submitted their claim for proceeds under the policy to State Farm, but the claim was formally denied on December 7, 1984, following completion of an investigation into the cause of the fire and the extent of the loss.

B. Punitive and Extracontractual Damages 1 — A Review

When an insurance company decides to deny a claim for payment under an insur *506 anee policy, the insured has the option of contesting this decision by filing suit in either state or federal court and alleging wrongful denial of the claim by the insurer. Proof must be presented to show an intentional refusal by the insurance company to pay with reasonable promptness the insured’s claim and a right to the proceeds under the terms of the policy and the facts of the loss. If the insurer had a legitimate or arguable reason to deny the claim, the suit will remain one for wrongful denial, and the insured will be limited to recovering damages under the terms of the policy. If, however, the insurer had no arguable reason to deny the claim, then plaintiff’s suit is referred to as “a bad faith refusal” on the part of the insurer, and a separate cause of action may exist. See generally, Blue Cross and Blue Shield of Mississippi v. Campbell, 466 So.2d 833, 847 (Miss.1984) (Robertson, J. concurring). Since the vast majority of insurance cases involves an intentional refusal by an insurance company to pay an insured’s claim, the presence or absence of arguable reason is the focus of a majority of the cases in this area.

Under Mississippi law, the element of legitimate and arguable reason is defined as follows:

An arguable reason is one in support of which there is some credible evidence. There may well be evidence to the contrary. A person [or insurer] is said to have an arguable reason for acting if there is some credible evidence that supports the conclusions on the basis of which he [or it] acts.

Id., at 851 (citations omitted). Since the issue of whether State Farm in the case sub judice had a legitimate or arguable reason for denying plaintiffs’ claim is expressly not presented by the instant motion, the court will defer a detailed analysis of the question until formally requested to render such a ruling, either under the procedures outlined by Rule 56, Fed.R.Civ.P., or at a trial on the merits. It should be noted, however, that the burden is on the plaintiff to show by a preponderance of the evidence that there was no legitimate or arguable basis for the insurance carrier to deny the claim. Id., supra, at 844.

In order to recover any damages above the policy limits, the insured must also show that the defendant has done to him “such a wrong as to impart insult, fraud, oppression or reckless disregard for [his] rights____” Weems v. American Security Insurance Co., 486 So.2d 1222, 1227 (Miss.1986). Stated another way, to prevail on a claim for either punitive or extracontractual compensatory damages, the plaintiff must show, in addition to the absence of any arguable reason, that the insurer acted with malice or reckless disregard for his rights. Id.; Aetna Casualty and Surety Co. v. Day, 487 So.2d 830 (Miss.1986).

While the presence of a legitimate or arguable reason on the part of the insurer for denying the insured’s claim will defeat a claim for punitive damages, the absence of an arguable reason does not per se establish that the insurer acted with malice or gross negligence or reckless disregard for the plaintiff’s rights, since denial of the claim could be the result of an honest mistake or oversight, which would amount to ordinary and simple negligence. Weems, supra; Aetna Casualty, supra. The plaintiff must still establish the egregious nature of the insurer’s actions to be entitled to punitive or extracontractual damages. The central inquiry in a motion for summary judgment as to the claim for punitive or extracontractual damages is whether there is proof sufficient to raise an issue of material fact regarding the extreme nature of the insurance company’s conduct or whether as a matter of law the *507 insurer is entitled to judgment on the “bad faith refusal” claim.

One legitimate or arguable reason for denying an insured’s claim is that the fire was deliberately set by the insured or his agent. Under Mississippi law, willful incendiarism by the owner is a defense to the liability of an insurer. Sullivan v. American Motorist Ins. Co., 605 F.2d 169, 170 (5th Cir.1979); Williams v. Cambridge Mutual Fire Ins. Co., 230 F.2d 293, 294 (5th Cir.1956); Brower v. State, 217 Miss.

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

Related

Vince Hardaway v. Howard Industries, Inc.
Mississippi Supreme Court, 2024
Hutson v. State Farm Fire & Casualty Company
954 So. 2d 514 (Court of Appeals of Mississippi, 2007)
Gallagher Bassett Services v. Jeffcoat
887 So. 2d 777 (Mississippi Supreme Court, 2004)
HealthOne, Inc. v. Columbia Wesley Medical Center
93 F. Supp. 2d 1152 (D. Kansas, 2000)
Hare v. State
733 So. 2d 277 (Mississippi Supreme Court, 1999)
Joseph Hare v. State of Mississippi
Mississippi Supreme Court, 1997
Burroughs v. FFP Operating Partners, L.P.
28 F.3d 543 (Fifth Circuit, 1994)
Sessoms v. Allstate Ins. Co.
634 So. 2d 516 (Mississippi Supreme Court, 1994)
Brewer v. Blackwell
836 F. Supp. 631 (S.D. Iowa, 1993)
Bass v. California Life Ins. Co.
581 So. 2d 1087 (Mississippi Supreme Court, 1991)
Burley v. Homeowners Warranty Corp.
773 F. Supp. 844 (S.D. Mississippi, 1990)
Vowell v. Physicians Mutual Life Insurance
711 F. Supp. 318 (N.D. Mississippi, 1989)
McGory v. Allstate Ins. Co.
527 So. 2d 632 (Mississippi Supreme Court, 1988)
Eichenseer v. Reserve Life Insurance
682 F. Supp. 1355 (N.D. Mississippi, 1988)

Cite This Page — Counsel Stack

Bluebook (online)
641 F. Supp. 503, 1986 U.S. Dist. LEXIS 21830, Counsel Stack Legal Research, https://law.counselstack.com/opinion/davidson-v-state-farm-fire-casualty-co-msnd-1986.