First United v. Church Mutual Ins

119 F.4th 417
CourtCourt of Appeals for the Fifth Circuit
DecidedOctober 17, 2024
Docket23-30779
StatusPublished
Cited by8 cases

This text of 119 F.4th 417 (First United v. Church Mutual Ins) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
First United v. Church Mutual Ins, 119 F.4th 417 (5th Cir. 2024).

Opinion

Case: 23-30779 Document: 52-1 Page: 1 Date Filed: 10/17/2024

United States Court of Appeals for the Fifth Circuit ____________ United States Court of Appeals Fifth Circuit No. 23-30779 ____________ FILED October 17, 2024 First United Pentecostal Church, Lyle W. Cayce Clerk Plaintiff—Appellee,

versus

Church Mutual Insurance Company,

Defendant—Appellant. ______________________________

Appeal from the United States District Court for the Western District of Louisiana USDC No. 2:21-CV-4014 ______________________________

Before Dennis, Willett, and Duncan, Circuit Judges. Don R. Willett, Circuit Judge: This is a hurricane-damage dispute between First United Pentecostal Church and its insurer, Church Mutual Insurance Company (CM), over damages sustained from Hurricanes Laura and Delta in 2020. First United says CM’s handling of its claim breached the insurance contract and various Louisiana insurance statutes. The district court agreed and, following a bench trial, awarded damages plus statutory penalties, attorney fees, and costs. CM appealed. We AFFIRM in part, REVERSE in part, and REMAND for further proceedings. Case: 23-30779 Document: 52-1 Page: 2 Date Filed: 10/17/2024

No. 23-30779

I First United Pentecostal Church is located in DeQuincy, Louisiana. In 2020, two hurricanes—Laura (Category 4) and Delta (Category 2)—made landfall in Louisiana six weeks apart, following a similar path. 1 Church Mutual Insurance Company insured the church property, which included: the main sanctuary or New Church, the Old Church, the T.D. Cardwell Family Life Center, and the bus barn. Below is a 2017 image of the buildings.

The insurance policy limits for each building are: (1) $2,750,000 for the main sanctuary or New Church, (2) $1,360,000 for the Old Church, (3)

_____________________ 1 Prior to Hurricanes Laura and Delta in 2020, First United suffered damage from a 2017 tornado. Because of the tornado damage, some disputes arose during the litigation as to what damage was preexisting. When the loss from the two hurricanes was reported, litigation regarding the tornado claim was pending.

2 Case: 23-30779 Document: 52-1 Page: 3 Date Filed: 10/17/2024

$720,000 for the T.D. Cardwell Family Life Center, and (4) $60,000 for the bus barn. Except for the bus barn, which has a $5,000 deductible, the policy sets a 2% deductible. Hurricane Laura made landfall on August 27, 2020, and First United submitted a claim on September 7. CM did not adjust the claim before Hurricane Delta hit six weeks later on October 9, however, because the desk adjuster failed to schedule an inspection. CM finally sent an inspector, Tony Bunn, to inspect the property on October 12. After the inspection, Bunn submitted a reserve report and photos, in which he reported that there was significant damage to the roof of the Old Church that warranted replacement, and that there was wind and water damage to both the interior and exterior of the New Church. Of note, the roof of the New Church had signs of separated roofing panels, damage at the seams, displacement of insulation, and the cross on the steeple was displaced. Bunn’s report specified that there had been no advance request at that time. As to whether an expert would be needed, the report stated that “an expert may be warranted to further inspect the bowed wall (metal siding) on the southeast corner” of the Family Life Center to “advise if storm related or not.” On October 15, shortly after Bunn’s inspection, CM promised to send First United a $25,000 advance but, for unexplained reasons, never did. CM’s notes from that same day show that it was still “awaiting the[] inspection report and estimate of loss” and that it had engaged an engineer because it had “some questions on the metal roofed buildings.” And CM’s notes from October 19 show that it did not have an estimate at that point because the desk adjuster asked Bunn “to get his estimate uploaded for the undisputed and known damages right away so we can pay the ACV [actual

3 Case: 23-30779 Document: 52-1 Page: 4 Date Filed: 10/17/2024

cash value] of those to the insured while we await the engineer inspection and report. He stated that he agreed and would do so.” A note from CM’s desk adjuster from November 5 indicates that it heard from the engineer that “the roof panels are lifted on the main building” and they would most likely need to be replaced. On November 20, Bunn recommended that CM make an undisputed payment of $169,592.87 to First United. CM did not do so. CM finally received the engineer’s full report on December 3. CM then asked Bunn to review the report and submit an estimate of damages. Bunn submitted a report on January 4, 2021, that concluded the loss was below the deductible for two of the buildings, the bus barn and New Church, and there was no damage to the Family Life Center. Based on these reports, CM determined the damages were $166,090.81, and made a payment of that amount on January 14. After this payment, the parties continued to communicate. CM’s claims notes mention a conversation between Bunn and the pastor on February 5 about roofing and carpet and that on March 4 Bunn relayed an update from First United to CM. After the update, CM noted it would “issue the recoverable depreciation owed per the certificate of completion.” It then issued a payment of $25,741.47. CM’s two payments together totaled $191,832.28. The church spent all these funds on repairs. The parties don’t appear to have communicated after CM made the second payment. Then, on November 18, 2021, First United filed this suit, alleging that CM had underpaid on its hurricane claims, that the funds paid were inadequate to cover the cost of repairs, and that CM had failed to pay the undisputed amount and make a written settlement offer within 30 days of receipt of satisfactory proof of loss. First United pleaded two causes of action: (1) breach of insurance contract and (2) violation of Louisiana Revised

4 Case: 23-30779 Document: 52-1 Page: 5 Date Filed: 10/17/2024

Statutes §§ 22:1892 and 22:1973, which require an insurer to make a written offer to settle any property-damage claim and pay the amount of any claim due to the insured within 30 days of receipt of satisfactory proof of loss. First United also sought penalties and attorney fees. First United retained a public adjuster, Kermith Sonnier, from Integrity Claims Consultants, LLC, to create an estimate of the loss. The estimate, dated February 10, 2022, totals $1,332,957.59. First United provided this estimate to CM with its initial disclosures. There was a three-day bench trial in August 2023, 2 and both sides presented multiple witnesses. 3 After First United rested, CM moved for a directed verdict/judgment as a matter of law, which the district court denied. At the close of evidence, CM renewed its motion, and the district court denied it again. In its findings of fact and conclusions of law, the district court concluded: (1) CM adjusted First United’s Claim in bad faith; (2) CM failed to make timely payments regarding the claim; (3) CM’s handling of the claim was arbitrary and capricious in violation of Louisiana Revised Statute

_____________________ 2 During trial, CM withdrew any defense it had as to preexisting damage from the 2017 tornado, and First United withdrew its claim as to the bus barn. 3 Lynn Renlund testified as the designated corporate representative for CM. Robert Wright was accepted as an expert in structural and forensic engineering and testified for First United about what damages were caused by Hurricanes Laura and Delta. Carlton Jackson, the pastor for First United, testified for First United. Kermith Sonnier, a public adjuster, was accepted as an expert in public adjusting and construction. He testified about the damages to the property for First United.

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119 F.4th 417, Counsel Stack Legal Research, https://law.counselstack.com/opinion/first-united-v-church-mutual-ins-ca5-2024.