ESTATE OF DEGRAAUW v. Travelers Ins. Co.

940 So. 2d 858, 2006 WL 2775941
CourtLouisiana Court of Appeal
DecidedSeptember 27, 2006
Docket2006-547
StatusPublished
Cited by3 cases

This text of 940 So. 2d 858 (ESTATE OF DEGRAAUW v. Travelers Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ESTATE OF DEGRAAUW v. Travelers Ins. Co., 940 So. 2d 858, 2006 WL 2775941 (La. Ct. App. 2006).

Opinion

940 So.2d 858 (2006)

ESTATE OF Frank DEGRAAUW
v.
TRAVELERS INSURANCE COMPANY.

No. 2006-547.

Court of Appeal of Louisiana, Third Circuit.

September 27, 2006.
Rehearing Denied November 15, 2006.

*860 Roger Chadwick Edwards, Jr., Edwards & Edwards, Abbeville, LA, for Appellant, David M. DeGraauw.

Frank Simo Slavich, III, Perret, Doise, Lafayette, LA, for Appellee, Travelers Insurance Company.

Court composed of ULYSSES GENE THIBODEAUX, Chief Judge, JIMMIE C. PETERS, and J. DAVID PAINTER, Judges.

THIBODEAUX, Chief Judge.

Plaintiff-appellant, David M. DeGraauw (DeGraauw), the court-appointed succession representative for the estate of deceased homeowner, Frank DeGraauw, sued the decedent's homeowner's insurer, The Standard Fire Insurance Company (Standard Fire),[1] for breach of contract. The suit claimed that Standard Fire failed to pay the replacement costs for roof damage as covered by the policy. The trial court granted Standard Fire's peremptory exception of prescription. DeGraauw appeals. For the following reasons, we affirm.

I.

ISSUE

Did the trial court erroneously apply La.R.S. 22:691(F) to sustain the defendant's exception of prescription and dismiss the plaintiff's lawsuit on his claim for insurance proceeds?

II.

FACTUAL BACKGROUND

On October 3, 2002, the Abbeville, Louisiana home of decedent, Frank DeGraauw, was damaged by Hurricane Lili. Mr. DeGraauw possessed a homeowner's insurance policy issued by "The Standard Fire Insurance Company, One of the Travelers Property Casualty Companies," which covered losses to his residence. On October 16, 2002, Mr. DeGraauw filed a claim with Standard Fire. On November 8, 2002, an adjuster for the insurer prepared a repair estimate for the damages in the amount of $9,778.96. The estimate was itemized and included estimates of the costs for the repair of the roof, as well as for the repair of other damage to the dwelling.

On or about November 9, 2002, the insurer tendered to Mr. DeGraauw a payment in the amount of $6,176.63, which was the balance due after deductions of the applicable $1,000.00 deductible and the recoverable depreciation in the amount of $2,602.33. In a letter issued to Mr. DeGraauw from the insurer, he was advised that his loss would be settled in full, in accordance with the policy's terms, once he provided notification to the insurer of the completion of the repairs or replacement of the damaged property. Standard Fire asserts that it received no further contact regarding the loss until June 2004.

*861 Mr. DeGraauw passed away on May 16, 2004, and his son, David M. DeGraauw, was appointed as the succession representative. In June 2004, DeGraauw notified Standard Fire that his father had performed temporary repairs to the roof after receiving the first portion of the insurance settlement; however, those repairs were insufficient, and a new roof had to be installed at an additional total cost of $16,700.06. He requested reimbursement for these costs. On June 26, 2004, Standard Fire denied this request. On June 30, 2004, it offered to tender the previously withheld depreciation of $2,602.33. DeGraauw rejected this offer. On March 23, 2005, Standard Fire tendered a check to DeGraauw in the amount of the withheld depreciation, which DeGraauw has not negotiated.

On April 11, 2005, DeGraauw filed suit, alleging that Standard Fire breached the insurance contract. In the suit, he asserted that the initial payment relative to roof damage from the insurance company that was received by his father was intended to cover only temporary roof repairs as evidenced by the insurer's estimate. He argued that because these repairs were insufficient the insurance company remained obligated to settle the loss under the "replacement cost coverage" terms of the policy.

Standard Fire answered and filed various exceptions, including an exception of prescription. Standard Fire asserted that the policy allowed one year from the date of loss to file lawsuits against the insurer and that DeGraauw's suit was prescribed because it was filed on April 11, 2005, two years and six months after the October 3, 2002 date of loss.

The trial court granted the exception. In its ruling, the trial court found that the suit was prescribed because it was filed more than one year after the one-year prescriptive period had run. The court rejected DeGraauw's contention that the insurance company's original roof damage estimate addressed only temporary roof repairs. The court also reasoned that there was no evidence that the insurer had acted to waive the prescriptive period by any subsequent acknowledgment of the claim, nor was there evidence that the insurer acted to interrupt the running of the prescriptive period. The trial court added also that the claim for replacement of the roof constituted a new claim under the policy.

III.

LAW AND ARGUMENT

Prescription

Louisiana Revised Statutes 22:691 sets forth the standard provisions that are to be included in all standard fire insurance policies issued in Louisiana. Louisiana Revised Statutes 22:691(F) requires that the following limitation regarding the filing of lawsuits be included in standard fire policies:

Suit—No suit or action on this policy for the recovery of any claim shall be sustainable in any court of law or equity unless all the requirements of this policy shall have been complied with, and unless commenced within twelve months next after the inception of the loss.

The policy issued to Mr. DeGraauw restates this limitation, as such:

SECTION 1—CONDITIONS
. . . .
8. Suit Against Us. No action can be brought unless the policy provisions have been complied with and the action is started one year after the date of loss.

DeGraauw has asserted that the trial court erroneously interpreted this suit limitation *862 clause as that which establishes a prescriptive period and contends that this court should decline to adhere to prior jurisprudence interpreting it as such. DeGraauw asserts that because of the absence of any language in La.R.S. 22:691(F) designating this provision as a prescription clause and because this section of the statute is a provision of broader legislation intended to create a standard form insurance contract, the suit limitations provision is not that which rises to the level of a prescriptive period.

Rather, DeGraauw argues that this one-year limitations clause is simply a contractual provision that is to be read in pari materia with the other provisions of the policy to determine if it is enforceable under the circumstances presented. When interpreted in this manner, he states that an inherent conflict and/or ambiguity between the lawsuit limitations provision and the policy's "Loss Settlement" provision is apparent such that it should render the application of the suit limitations clause unenforceable.

The Loss Settlement provision of the policy states:

SECTION 1—CONDITIONS
3. Loss Settlement. Covered property losses are settled as follows:
. . . .
(4) We will pay no more than the actual cash value of the damage until actual repair or replacement is complete. Once actual repair or replacement is complete, we will settle the loss according to the provisions of b.(1) and b.(2) above.

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940 So. 2d 858, 2006 WL 2775941, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-degraauw-v-travelers-ins-co-lactapp-2006.