Encova Insurance v. West Bend Mutual Insurance

CourtDistrict Court, E.D. Michigan
DecidedMarch 30, 2023
Docket2:21-cv-11982
StatusUnknown

This text of Encova Insurance v. West Bend Mutual Insurance (Encova Insurance v. West Bend Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Encova Insurance v. West Bend Mutual Insurance, (E.D. Mich. 2023).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

ENCOVA INSURANCE,

Case No. 21-cv-11982 Plaintiff,

vs. HON. MARK A. GOLDSMITH

WEST BEND MUTUAL INSURANCE,

Defendant. __________________________/

OPINION & ORDER (1) GRANTING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT (Dkt. 34) AND (2) DENYING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT (Dkt. 35)

This case concerns a dispute between two insurance companies. Plaintiff Encova Insurance already reimbursed its insured for damages caused by a fire, and it now argues that Defendant West Bend Mutual Insurance covered the same loss and should share the bill. Each party has filed a motion for summary judgment. See Pl. Mot. (Dkt. 34); Def. Mot. (Dkt. 35). For the reasons that follow, the Court grants Encova’s motion and denies West Bend’s motion.1 I. BACKGROUND As detailed below, Family Foods Super Store, LLC—a grocery store located on Rosa Parks Boulevard in Detroit, Michigan—attempted to leave its previous insurer, Encova, and execute a new insurance agreement with West Bend. However, after suffering fire loss, Family Foods sought

1 Because oral argument will not aid the Court’s decisional process, the motion will be decided based on the parties’ briefing. See E.D. Mich. LR 7.1(f)(2); Fed. R. Civ. P. 78(b). The briefing also includes Encova’s response (Dkt. 37), West Bend’s response (Dkt. 36), Encova’s reply (Dkt. 38), and West Bend’s reply (Dkt. 39). to retroactively cancel its new West Bend policy and seek coverage for the fire damage under only its old Encova policy. A. New Insurance Agreement with West Bend Family Foods was initially insured by Encova through the agency Johnson Lewis Associates, Inc. (JLA). See Encova Renewal Policy (Dkt. 35-2); Cardella Dep. at 8 (Dkt. 34-3).

Mike Cardella, a JLA agent, assisted multiple Family Foods-affiliated stores in changing insurers from Encova to West Bend. Cardella Dep. at 8–9. After Cardella left JLA and formed Core Insurance Group, he consulted with John Konja—part owner and general manager of the Family Foods business at issue in this case—about also moving to West Bend. See id. at 6, 10–11, 22– 25. Konja agreed to change insurers from Encova to West Bend, believing West Bend offered better coverage and better rates. Konja Dep. at 7–8, 32 (Dkt. 34-2). On May 4, 2021, Core submitted an application to West Bend requesting insurance coverage for Family Foods with a policy inception date of June 1, 2021. See 5/4/21 Email (Dkt. 34-4). On May 25, Core employee

Stephanie Hartmann emailed Andrew Chevalier, an underwriter for West Bend, directing him to bind coverage “effective 6/1/21.” 5/25/21 Email (Dkt. 34-6). The participants at Core and Family Foods understood that Konja had authorized Core to make this agreement with West Bend on Family Foods’s behalf. See Cardella Dep. at 22; Hartmann Dep. at 11–12 (Dkt. 34-5); Konja Dep. at 7–8. West Bend issued its new policy for Family Foods—i.e., internally accepted the policy and set an effective date for coverage—on June 3, 2021, with a coverage date beginning June 1.2

2 See Chevalier Dep. at 14–15, 33–34 (Dkt. 34-7); West Bend Policy Dec. (Dkt. 34-8) (containing commercial policy declaration identifying Family Foods’s customer number, policy number, policy period (beginning June 1, 2021), and coverage schedule for its West Bend policy); Def. Br. B. Encova and West Bend Policies: Other Insurance and Cancellation Family Foods never cancelled its policy with Encova. On May 25, 2021, Core emailed a cancellation request to Konja requesting his signature to cancel the Encova coverage, but the cancellation request was never signed. Cardella Dep. at 30–31. The Encova policy and the West Bend policy both include identical “Other Insurance”

clauses, which state: You may have other insurance subject to the same plan, terms, conditions and provisions as the insurance under this Coverage Part. If you do, we will pay our share of the covered loss or damage. Our share is the proportion that the applicable Limit of Insurance under this Coverage Part bears to the Limits of Insurance of all insurance covering on the same basis.

Encova Policy Conditions (Dkt. 34-16) (emphasis added); West Bend Policy Conditions (Dkt. 34- 17) (emphasis added). As to cancellation, the West Bend policy states: “The Named Insured shown in the Declarations may cancel this policy by giving us or our authorized agent notice of cancellation.” West Bend Policy Part 2 at PageID.828 (Dkt. 35-6). The Encova policy contains identical cancellation language. See Encova Renewal Policy at PageID.446. C. Fire Loss and Attempted Cancellation of West Bend Insurance On June 8, 2021, there was a fire at Family Foods that destroyed all of the business’s goods and did damage to the property. Konja Dep. at 18–19. Konja understood based on Cardella’s representations that both the West Bend and Encova policies could be “involved” in providing coverage for the fire loss. Id. at 15. After the fire loss—

in Supp. Mot. at 3 (conceding that West Bend issued its policy on June 3) (citing West Bend Policy Part I at PageID.693 (Dkt. 35-5)); Sawmiller Dep. at 12, 18–20, 25 (Dkt. 34-10) (reflecting understanding of JLA president Jay Sawmiller—who remained associated with Core’s accounts as Core transitioned to an independent business—that Core received West Bend policy on June 4). on the very night of the fire—Konja decided that he wanted to maintain insurance with Encova, and he contacted Cardella to convey that he wanted to “stay with Encova.” Id. at 11–12, 15; see also Cardella Dep. at 54 (agreeing that Konja told Cardella that he wanted to maintain insurance with Encova after the loss). When asked if it was “fair to say” that “the reason why [he] wanted to stay with Encova was that [he] did not want to start [his] insurance policy with West Bend with

a loss of this type,” Konja responded affirmatively. Konja Dep. at 13. Konja stated that, if the loss had not occurred, Family Foods would have proceeded by keeping West Bend as its insurer. Id. at 32. After deciding to stay with Encova, on either June 8 or June 9, 2021, Family Foods sent a check to Encova to maintain coverage. Id. at 14. Encova does not contest that its policy covered this loss.3 Encova paid Family Foods for the fire loss. Id. at 19. On June 10, 2021, West Bend issued an invoice to Family Foods with a due date of July 1, 2021, but Family Foods never made a payment to West Bend. See Pl. Br. in Supp. Resp. to Mot. at 4; Def. Br. in Supp. Resp. at 2.

In the aftermath of the fire, Family Foods did not inform Encova that it had a policy with West Bend.4

3 The parties provide different explanations for why Encova’s policy covered the loss. Encova submits that the expiration date for its policy was June 1, 2021 and that—though the policy had not been renewed by June 8—the loss was covered because it “fell within a grace period.” Pl. Br. in Supp. Mot. at 2. West End submits that the Encova policy renewed annually and so remained in effect automatically. Def. Br. in Supp. Mot. at 2 (citing Pl. Answers to Def. Interrogatories at 2 (Dkt. 35-10) (identifying multiple Encova policies, one of which had an effective end date June 1, 2022)); see also Encova Renewal Policy (containing June 1, 2022 end date). 4 See 6/16/21 Encova Log (Dkt. 35-15) (reflecting summary of conversation between Cardella and Encova employee John Cunningham in which Cardella conveyed that Family Foods wanted to remain with Encova and did not mention West Bend); 6/16/21 Konja Statement (Dkt. 35-14) (reflecting that Konja’s statement to Encova adjuster Marc Noe included no discussion of other business property or business income insurance). Family Foods did not initially report the loss to West Bend. Konja Dep. at 14.

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Bluebook (online)
Encova Insurance v. West Bend Mutual Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/encova-insurance-v-west-bend-mutual-insurance-mied-2023.