First Assembly of God v. Ch Mtl Ins

Court of Appeals for the Fifth Circuit·Decided April 14, 2025·No. 24-30173·Unpublished

Opinion

Case: 24-30173 Document: 116-1 Page: 1 Date Filed: 04/14/2025

United States Court of Appeals for the Fifth Circuit ____________ United States Court of Appeals Fifth Circuit

FILED No. 24-30173 April 14, 2025 ____________ Lyle W. Cayce First Assembly of God Church Incorporated of Clerk Leesville Louisiana,

Plaintiff—Appellee,

versus

Church Mutual Insurance Company, S.I.,

Defendant—Appellant. ______________________________

Appeal from the United States District Court for the Western District of Louisiana USDC No. 2:21-CV-378 ______________________________

Before Dennis, Haynes, and Ramirez, Circuit Judges. Per Curiam: * This case involves an insurance dispute between First Assembly Church of God Incorporated of Leesville Louisiana (“FA”) and Church Mutual Insurance Company, S.I. (“CM Insurance”). Hurricane Laura swept over FA on August 27, 2020, causing extensive damage to FA’s buildings. FA quickly filed a claim with CM Insurance, but due to delayed

_____________________ * This opinion is not designated for publication. See 5th Cir. R. 47.5. Case: 24-30173 Document: 116-1 Page: 2 Date Filed: 04/14/2025

No. 24-30173

payments and disagreements over coverage, FA invoked its policy’s appraisal provision. CM Insurance resisted, but a district court ordered CM Insurance to comply. An umpire set an appraisal award, but CM Insurance continued to resist. The matter went to trial, and a jury found that CM Insurance owed FA the rough equivalent of the appraisal award less partial payments that CM Insurance had already made, penalties under a Louisiana statute due to bad faith (untimely payments), and attorneys’ fees. CM Insurance now appeals, raising a multitude of issues. For the reasons that follow, we REMAND the attorneys’ fees issues but otherwise AFFIRM. I. Background FA’s campus includes a main chapel, a school, a gymnasium, a classroom building, and other buildings. FA insured its property with CM Insurance. The policy obligates CM Insurance to “pay for direct physical loss of or damages to Covered Property at the premises” from all “Risks of Direct Physical Loss,” unless excluded or limited. Hurricane Laura struck western Louisiana on August 27, 2022. The eye of the storm, which was a category two hurricane at the time, passed over FA’s property. FA presented evidence that wind speeds in the surrounding area ranged from 100 to 130 miles per hour. The church’s maintenance manager testified that, upon arriving after the storm had passed, it “looked like a bomb went off.” Parts of the roofs and siding had blown off, the electrical system was damaged, power lines were down, the church’s sign had snapped in half, and damage to the exterior had allowed water to enter and damage the interior property. On the same day that the storm hit, FA’s then-pastor, Doc “Jack” Osteen, made a claim with CM Insurance. The next day, CM Insurance sent a letter to FA acknowledging the claim.

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No. 24-30173

Shortly after, FA signed a contract with Mooring USA, a company specializing in flood mitigation and restoration. Mooring restored power and worked to dry out and salvage the interior areas of the property. Over the next few months, CM Insurance did some inspections and made some low payments but declined to pay in full what FA contended was necessary. Given the dispute over covered damages, on February 8, 2021, FA invoked the policy’s appraisal provision. Three days later, FA filed this lawsuit. CM Insurance responded that “the request for appraisal and the suit are premature under the requirements set forth in the Policy.” CM Insurance then filed a motion to dismiss for failure to state a claim, stay the case, and opt out of the appraisal process. The district court denied the motion and appointed an umpire. It also ordered CM Insurance to pick an appraiser within seven days of its ruling and “to complete the appraisal process within 30 days thereafter.” FA’s appraiser, Randal Thompson, appraised the loss at $7,610,176.66. CM Insurance’s appraiser, Kenneth Jones, appraised the loss at $1,110,267.38. The umpire, Cade Cole, settled on an appraisal award of $5,290,123.88. CM Insurance issued a final payment of $15,701.58. Following the appraisal process, FA hired a contractor, Hero Design, to perform the repair work identified in the appraisal award. Their contract obligated FA to pay Hero Design $4,498,839.91 for all the remaining repairs and directed the parties to the Xactimate 1 report for details. At trial, Osteen testified that the repairs have not been fully completed due to a lack of money from CM Insurance.

_____________________ 1 Xactimate is an estimating program.

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FA and Hero Design also executed a “Conditional Assignment, Subrogation and Irrevocable Direction to Pay & Grant of Lien on Insurance Proceeds Accessory Agreement.” Based on that contract, CM Insurance unsuccessfully moved to join Hero Design as a required party just before trial. The case proceeded to trial in November 2023. Both sides presented documentary evidence and testimony. The jury found that (1) CM Insurance had arbitrarily, capriciously, or without probable cause failed to make timely payments six times; (2) CM Insurance owed $4,791,911.28 in additional funds to FA; and (3) CM Insurance’s failure to pay the unpaid amount was arbitrary, capricious, or without probable cause. In its memorandum ruling and final judgment, the district court assessed a 50% penalty against CM Insurance on the unpaid and untimely-paid amount. It also awarded attorneys’ fees in the amount of 33.3% of the total award. In sum, the district court entered judgment in favor of FA in the amount of $9,858,472.48, with interest. CM Insurance timely appealed. II. Jurisdiction The district court exercised diversity jurisdiction pursuant to 28 U.S.C. § 1332. 2 We have appellate jurisdiction over the district court’s final order. 28 U.S.C. § 1291. Because this is a diversity case, we apply the substantive law of Louisiana and the procedural rules of the federal courts. Jack v. Evonik Corp., 79 F.4th 547, 555 (5th Cir. 2023).

_____________________ 2 We previously sent a limited remand to the district court for the purpose of establishing the existence of diversity jurisdiction which had not been properly stated in the district court previously but was on the limited remand.

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III. Discussion CM Insurance has raised a large number of issues on appeal, some of which lack any merit. We will address as necessary below. A. Rulings involving Hero Design CM Insurance first argues that the district court erred in multiple rulings involving Hero Design. 1. Assignment of rights A threshold question here is whether FA assigned its rights to Hero Design. On mixed questions of law and fact, we review “the district court’s fact findings for clear error and its legal conclusions and application of law to fact de novo.” Trans-Serve, Inc. v. United States, 521 F.3d 462, 466 (5th Cir. 2008) (italics omitted). FA’s argument that the assignment was invalid is correct. 3 Under Louisiana law, “[a] right cannot be assigned when the contract from which it arises prohibits the assignment of that right.” La. Civ. Code Ann. art. 2653.

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