Derek Wilson and Jennifer Wilson v. American Family Mutual Insurance Company

472 S.W.3d 579, 2015 Mo. App. LEXIS 552, 2015 WL 2405299
CourtMissouri Court of Appeals
DecidedMay 19, 2015
DocketWD77396
StatusPublished
Cited by2 cases

This text of 472 S.W.3d 579 (Derek Wilson and Jennifer Wilson v. American Family Mutual Insurance Company) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Derek Wilson and Jennifer Wilson v. American Family Mutual Insurance Company, 472 S.W.3d 579, 2015 Mo. App. LEXIS 552, 2015 WL 2405299 (Mo. Ct. App. 2015).

Opinion

Gary D. Witt, Judge

INTRODUCTION

Derek and Jennifer Wilson (“the Wil-sons”) purchased a “Gold Star” 100% replacement cost insurance policy (the “Policy”) from American Family Mutual Insurance Company (“American Family”) to insure their'home,- a historic farmhouse located in Buchanan County. After a fire completely destroyed the- home, American Family informed the Wilsons that it would pay the face amount of the policy of $419,000 ,-for the coverage , on the dwelling, an amount that was substantially less -than all bids to rebuild the home following the fire.

The Wilsons filed suit in the Circuit Court of Buchanan County against American Family and its agent, Matt Thrasher (“Thrasher”), 1 alleging negligent misrepresentation and breach of' contract. The jury found for the-Wilsons on their breach of contract claim, but found in favor of American Family on the negligent misrepresentation claim.- On' the breach of contract claim, the jury assessed - damages in the amount of $7,500. The-Wilsons filed a motion for a new trial- or, in the alternative, for additur. The trial court denied both motions. On appeal, the Wilsons argued, inter alia, that the trial court erred in denying their' motion for a new trial because evidence established that the Policy was ambiguous as a matter of law.

Because the trial'court’s finding that the Policy was not ambiguous is erroneous, we reverse and remand for a new trial.

FACTS AND PROCEDURAL HISTORY 2

In 2003, the Wilsons purchase4 a, historic farmhouse located in Buchanan County. The farmhouse was believed to have been built in the 18.80’s. It was unique in many ways. ■ It had three fireplaces, full dimensional'log walls, three levels, dight-inch wooden baseboards, seventy-three win *582 dows and doors with transoms, eight-to-twelve-inch crown molding, numerous built-in bookshelves, a foundation made of three layers of brick and wooden plank floors, among other unique features.

After purchasing the home, Derek Wilson (“Derek”) 3 met with Thrasher, his long-time friend and American Family insurance agent regarding obtaining homeowners insurance on the home. Thrasher directed Derek to a “Gold Star” 100% Replacement Cost 4 insurance policy-offered by -American Family. American Family requires its agents to use a computer program provided by the company called Xactware to estimate the total replacement costs of homes when selling a Gold Star 100% Replacement Cost insurance policy. Derek answered questions regarding the home as Thrasher entered information into the Xactware software. Based on the information put into the program, American Family estimated that the total cost to replace the Wilsons’ home with “like materials and built with like quality” was $419,000. 5 At trial, John Bosnian (“Bosnian”),.American Family’s Director of Sales,- testified that American Family expects clients to rely on its Xactware software estimate and does not encourage customers to obtain an appraisal or a second opinion on replacement costs when purchasing a policy. Thus, it was for this amount that Thrasher sold a “total cost replacement” policy to the Wilsons. No one suggested to the Wilsons that they may need to purchase a policy with higher limits nor did the Wilsons request such a policy. 6

When the Xactware program calculated the replacement cost.of the Wilsons’ home to be $419,000, Derek did not question the number. He later testified, “I knew I had purchased the best policy they had to offer and was certain that I had 100 percent replacement cost on my structure.” The Wilsons timely paid all of their premiums over the next eight years.

On July 6, 2011, a fire completely destroyed the Wilsons’ home. The house and all of its contents, as well as the detached garage, were destroyed. Tim Hutchinson (“Hutchinson”) was the American Family adjuster assigned to the case. Prior to receiving any bids, Hutchinson sent three checks to the Wilsons: one in *583 the amount of $421,000 for the house, 7 one for $42,000 for the garage- 8 and a third check for $315,900 for loss of personal property. 9 The Wilsons did not cash the checks because they were unsure what the amounts of the bids would be to actually replace the structures and contents. As of July 30, 2011, Hutchinson attempted to obtain estimates of the cost to rebuild the Wilsons’ home. During this process he also contacted Thrasher and requested that he obtain an estimate from a local contractor because the contractors Hutchinson normally used were unavailable. Thrasher contacted local builder Mark Powell (“Powell”) who met with the Wil-sons in early August regarding the rebuilding of their home.

On August 22, 2011, Powell sent an email to Thrasher stating that the cost to replace the Wilsons’ home was over $650,000, excluding any demolition work. Shortly thereafter, he provided Thrasher and the Wilsons his actual estimate to totally replace the home which was $665,000. Upon receiving the forwarded email, Derek testified that he “wasn’t really alarmed in any way. I knew I had a 100 percent replacement cost policy” so he continued working on getting the rebuilding process started.

The Wilsons then returned two of the checks to Thrasher: the house check for $421,000 and the garage check for $42,000 because together they totaled over $200,000 less than the contractor’s estimate to rebuild their home and garage. On September 28, 2011, Hutchinson put a note in his file that he wanted to get a second.bid to rebuild the Wilsons’ home. At that same time, Hutchinson spoke with Derek and told him that he was looking into whether “anything could be done about changing the limits” of the Policy.

On October 11, 2011, Hutchinson noted receipt of the voided che'cks but directed they be re-issued to the Wilsons with an “unable-to-reform-policy letter.” Between October and December, however, Hutchinson continued to negotiate with the Wil-sons and it was not until , December 15, 2011 that Hutchinson actually re-issued the same payment, this-time sending one check totaling $463,210. The letter, enclosing the payment stated that the check represented the policy limits, but also Stated that their rights would be unaffected by cashing the check. The Wilsons cashed the check, paid off the mortgage that they had on the home, but continued to negotiate with American Family over obtaining additional funds to rebuild their home under the Policy. As a result of these negotiations, for example, in May 2012, American Family issued the Wilsons an additional check in the amount of $15,165.72 for trees and landscaping.

After 365 days had elapsed from the date of the fire and the Wilsons’ home had not yet been rebuilt, American Family notified the Wilsons that they had not complied with the Policy condition precedent of rebuilding within one year of the occurrence date. American Family then in

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472 S.W.3d 579, 2015 Mo. App. LEXIS 552, 2015 WL 2405299, Counsel Stack Legal Research, https://law.counselstack.com/opinion/derek-wilson-and-jennifer-wilson-v-american-family-mutual-insurance-moctapp-2015.