Dayis v. Nationwide Mutual Fire Insurance

811 F. Supp. 2d 1240
CourtDistrict Court, E.D. Virginia
DecidedSeptember 9, 2011
DocketCase No. 4:10cv101
StatusPublished
Cited by4 cases

This text of 811 F. Supp. 2d 1240 (Dayis v. Nationwide Mutual Fire Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dayis v. Nationwide Mutual Fire Insurance, 811 F. Supp. 2d 1240 (E.D. Va. 2011).

Opinion

OPINION AND ORDER

F. BRADFORD STILLMAN, United States Magistrate Judge.

Before the Court are cross-motions for summary judgment. The plaintiff, Roman Davis, filed a Motion for Summary Judgment on May 10, 2011. ECF No. 48. The defendant, Nationwide Mutual Fire Insurance Company (“Nationwide”), filed its Motion for Summary Judgment and opposition to Davis’s1 motion on May 23, 2011. ECF No. 50. Davis filed his opposition to Nationwide’s motion on June 1, 2011. ECF No. 54. The Court will rule on these motions without oral hearing pursuant to Local Civil Rule 7(J) and Rule 78(b) of the Federal Rules of Civil Procedure.

I. BACKGROUND

This is an insurance coverage action brought by a pro se plaintiff, seeking payment of flood damage claims pursuant to a Standard Flood Insurance Policy (“SFIP”) issued by Nationwide to the plaintiff, Davis, under the auspices of the National Flood Insurance Program (“NFIP”). The NFIP was established by Congress under the National Flood Insurance Act of 1968 to make flood insurance available from the federal government on reasonable terms and conditions and to encourage sound land use by minimizing exposure of property to flood losses. See 42 U.S.C. § 4001. The Director of the Federal Emergency Management Agency (“FEMA”) functions as the sole administrator of the NFIP. Battle v. Seibels Bruce Ins. Co., 288 F.3d 596, 599 (4th Cir.2002). Under FEMA regulations, “all policies issued under the NFIP must be issued using the terms and conditions of the Standard Flood Insurance Policy (SFIP).” Id.

Under these terms, Nationwide operates as an insurance carrier under FEMA’s Write-Your-Own (WYO) Program.

The WYO Program is a program whereby private insurance companies are allowed to issue, under their own names as insurers, flood insurance policies under the Government Program. Insurance companies which participate in the WYO Program are known as “WYO [1244]*1244Companies.” ... “A WYO Company issuing flood insurance coverage shall arrange for the adjustment, settlement, payment and defense of all claims arising from policies of flood insurance it issues under the [NFIP], based upon the terms and conditions of the [SFIP].” Premiums collected by WYO Companies, after deducting fees and costs, must be deposited in the National Flood Insurance Fund in the United States Treasury .... in short, premiums collected on policies written by WYO Companies do not belong to those companies. Thus, claim payments on such policies are a direct charge on the United States Treasury.

Battle, 288 F.3d at 599-600 (citations omitted).

This Court has subject matter jurisdiction pursuant to 28 U.S.C. § 1331. See Studio Frames Ltd. v. Standard Fire Ins. Co., 369 F.3d 376, 379-80 (4th Cir.2004).2

A. DAVIS’S COVERAGE CLAIM

Davis is the owner of a home located at 16 Roberts Landing Drive in Poquoson, Virginia. The home is an elevated building situated on a parcel of land adjacent to Roberts Creek. It is located within an area designated by FEMA as a Special Flood Hazard Area.3 In addition to an ordinary homeowner’s policy, Davis secured flood insurance from Nationwide, which was issued by Nationwide in its role as a WYO Company, with the policy underwritten by the United States Treasury.

On November 12, 2009, heavy rainfall and a saltwater high tide caused Roberts Creek to overflow and damage low-lying parts of Davis’s home. Davis submitted a proof of loss in the amount of $44,941.54 for damage to his property from the flooding. Nationwide requested a report from an independent adjuster, who concluded that Davis was entitled to $18,490.87 under the SFIP and that the remainder of Davis’s claim involved damage not covered under the policy. In particular, the adjuster concluded that Davis’s home was constructed after the applicable initial Flood Insurance Rate Map (“FIRM”) became effective on May 16, 1977; therefore, coverage for flood damage to property located below the lowest elevated floor of Davis’s home was limited to certain categories of property specifically enumerated in the policy. On January 7, 2010, Nationwide adopted the adjuster’s report and provided Davis with a claim check for $18,490.87 while denying the difference of $26,450.67.4

[1245]*1245On July 21, 2010, Davis filed an action against Nationwide in the York CountyPoquoson Circuit Court alleging that the damage to his home for which Nationwide had denied coverage was in fact covered under the SFIP. Nationwide removed that action to this Court on August 17, 2010. ECF No. 1. Davis’s original complaint was dismissed by the Court with leave to file an amended complaint, which Davis filed on October 19, 2010. ECF Nos. 9, 11. Nationwide filed an answer denying Davis’s claim that coverage was improperly denied under the terms of the policy, but moved to dismiss four additional claims that Nationwide argued were preempted by federal law. ECF Nos. 12, 15. The Court granted Nationwide’s motion to dismiss on April 14, 2011, leaving only Davis’s coverage claim to be resolved. ECF No. 44.

B. THE STANDARD FLOOD INSURANCE POLICY

The specific terms of the SFIP Dwelling Form issued to Davis were established by regulations promulgated by FEMA, found at Appendix A(l) to Part 61 of Title 44 of the Code of Federal Regulations.5

The declarations page of the SFIP issued to Davis identifies his home as an elevated building of post-FIRM construction. ECF No. 8 attach. 6. The SFIP defines an “Elevated Building” as “[a] building that has no basement and that has its lowest elevated floor raised above ground level by foundation walls, shear walls, posts, piers, pilings, or columns.” 44 C.F.R. pt. 61 app. A(l), art. II(B)(14). It defines a “Post-FIRM Building” as “[a] building for which construction or substantial improvement occurred after December 31, 1974, or on or after the effective date of an initial Flood Insurance Rate Map (FIRM), whichever is later.” Id. art. H(B)(23).

Under Coverage A of the SFIP, Nationwide agreed, on behalf of FEMA, to insure certain “building property” against flood damage. Specifically, Nationwide agreed to:

insure against direct physical loss by or from flood6 to:
1. The dwelling at the described location ....
2. Additions and extensions attached to and in contact with the dwelling by means of a rigid exterior wall, a solid load-bearing interior wall, a stairway, an elevated walkway, or a roof.... Additions and extensions attached to and in contact with the building by means of a common interior wall that is not a solid load-bearing wall are always considered part of the dwelling....

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811 F. Supp. 2d 1240, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dayis-v-nationwide-mutual-fire-insurance-vaed-2011.