Ford v. Golemi, Albrecht Ins.

522 So. 2d 1283, 1988 WL 23486
CourtLouisiana Court of Appeal
DecidedMarch 14, 1988
Docket87-CA-561
StatusPublished
Cited by6 cases

This text of 522 So. 2d 1283 (Ford v. Golemi, Albrecht Ins.) 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
Ford v. Golemi, Albrecht Ins., 522 So. 2d 1283, 1988 WL 23486 (La. Ct. App. 1988).

Opinion

522 So.2d 1283 (1988)

Franklin FORD d/b/a Cajun Distributors
v.
GOLEMI, ALBRECHT INSURANCE and Champion Insurance Co.

No. 87-CA-561.

Court of Appeal of Louisiana, Fifth Circuit.

March 14, 1988.
Rehearing Denied April 1988.

Gary C. Ethridge, Baton Rouge, for defendant/appellant.

R.O. Lewis, Luling, for plaintiff/appellee.

Before GAUDIN, DUFRESNE and WICKER, JJ.

WICKER, Judge.

This appeal arises from a suit filed on behalf of plaintiff/appellant, Franklin Ford d/b/a Cajun Distributors (Ford), against defendants Golemi, Albrecht Insurance (Golemi)[1] and Champion Insurance Company (Champion). Champion (appellant) now appeals from the adverse ruling by the trial judge casting it in judgment in the amount of $3,600.00, 10% penalty, and attorney's fees in the amount of $1,500.00. We reverse.

As a result of sustaining property damage from a car accident Ford filed suit against Golemi and Champion seeking $150.00 per day in lost profits,[2] and property *1284 damage. Ford also seeks attorney's fees, penalties and court costs due to Champion's allegedly refusing to pay the property damage claim in an arbitrary or capricious manner or without probable cause. Champion issued its check for property damage on October 17, 1986. Thus the only claims before the court were loss of use or lost profits and attorney's fees, penalties and costs.

The testimony at trial set out the following: Ford and his wife, Tina went to Golemi in April, 1986 for the purpose of obtaining automobile insurance on two Omni automobiles used in their candy distributorship. Tina Ford testified that someone at the Golemi agency (only identified as "she") informed them that they had insurance coverage effective the date of the tendered check. She identified the cancelled check which was submitted with the application. The check was dated April 25, 1986.

Meredith Dufnac (Dufnac), an employee of United Southern Underwriters (the managing general agent for Champion), testified that on July 3, 1986 the Ford application arrived at their office. Ford identified the application as well as his signature. However, he stated that although the application is dated June 27, 1986 he was never in the Golemi office after he signed the application in April. He was convinced that his application had been altered with respect to the date.

The altered application which was submitted by Golemi to United Southern Underwriters contains Ford's signature as "applicant" as well as a signature line for "Broker."

Dufnac explained that United Southern Underwriters acts as agent for Champion in issuing, cancelling and endorsing policies. Golemi acted as a broker for Champion rather than as its agent. United Southern Underwriters as general agent for Champion is authorized to establish brokers. The brokers receive insurance applications as well as the underwriting guidelines.

The applications are sent to United Southern Underwriters on an "approval" basis. There are no contracts nor any agency agreements between Champion and the brokers. Furthermore, the brokers can represent other companies in addition to Champion.

Marla Guidry testified that on June 27, 1986 she was involved in an automobile accident while driving one of the Omni vehicles owned by Ford. Ford and his wife called Golemi two days after the accident to report their claim for damages as a result of the accident. Ford continued to call the Golemi agency. He was told each time that the claim was being taken care of. In addition, the Golemi agency told him that he was covered.

When he called Champion directly regarding his claim, he was given the "run around." He finally consulted an attorney when the phone had been disconnected at the Golemi agency. Furthermore, when Tina Ford called Golemi to ask for the policy, she was told that it was "being processed."

Dufnac testified that the underwriting guidelines requirements which are given to the brokers state that if a prospective insured wants coverage to begin on the date of the application, the broker has ten days in which to submit that application to United Southern Underwriters. If an application is not received by United Southern Underwriters within ten days from the date of the application, then coverage begins on the date on which the application is received. The Ford application was received by United Southern Underwriters on July 3, 1986. Mark Adamsky (Adamsky), claim superintendent at Champion, testified that Ford's loss notice was received by Champion on July 2, 1986. Since the loss notice had no policy number, an inquiry was placed with United Southern Underwriters through Dufnac.

On July 2, 1986 when asked about the policy number, Dufnac related to Champion *1285 that she had no record of an application. On the following date Dufnac received the application. However, the date had obviously been altered and so Dufnac placed a "red flag" on the file so that the proper date on which coverage began could be determined.

In addition to the difficulty in establishing the effective date of coverage, Dufnac also noticed two other problems with the application. There was no license number for one of the drivers making it difficult to "rate" the coverage. Furthermore, while the application indicated that the cars were to be used in business it did not specify the type of business. Since Champion does not provide insurance coverage for business use involving heavy equipment, a question existed as to whether coverage could even be confirmed. The applications are submitted "on approval basis" only.

On August 15, 1986 Dufnac's office communicated verbally with the Champion claim office and informed them that coverage had been approved with the date of coverage beginning June 27, 1986, consistent with the altered date. Dufnac did not specify the basis for that decision to extend coverage other than to say generally that it was a "management decision."

On August 15, 1986 a policy was issued to Ford. In addition a letter was sent to Ford requesting that he furnish Champion with an accident report. Adamsky stated that Ford never furnished Champion with the police report. Although Ford acknowledged that he received the August 15, 1986 letter requesting that he furnish the police report, he only thought that he had furnished the information.

To further confuse matters Ford gave the wrong date of the accident to his verified petition filed August 18, 1986.[3] In his petition Ford alleged that the accident occurred June 20, 1986 rather than on June 27, 1986. If indeed the accident had occurred on June 20, 1986 then the application containing the date of June 27, 1986 would have precluded coverage of the accident.

On August 26, 1986 a copy of the verified petition was received by Champion. Adamsky noticed that the lawsuit referred to a different date than that stated in the loss notice received from Golemi, therefore slowing the processing of the claim pending receipt of the accurate date from Ford. Not only was the date of the accident a problem, but the date on which Ford alleged he had gone to the Golemi agency to procure coverage. In his verified petition Ford averred that he had gone to Golemi on April 24, 1986 rather than June 27, 1986.

On August 27, 1986 Ford called the Champion office and informed them that the car was "totalled." With this information Champion responded by requesting that an appraisal be done by Pelican Claim Service. The appraisal was done on September 4, 1986. It was received by Champion on September 10, 1986.

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Bluebook (online)
522 So. 2d 1283, 1988 WL 23486, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ford-v-golemi-albrecht-ins-lactapp-1988.