Gardner v. State Farm Mut. Auto. Ins. Co.

822 So. 2d 1201, 2001 Ala. Civ. App. LEXIS 175, 2001 WL 399874
CourtCourt of Civil Appeals of Alabama
DecidedApril 20, 2001
Docket2991183
StatusPublished
Cited by11 cases

This text of 822 So. 2d 1201 (Gardner v. State Farm Mut. Auto. Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Civil Appeals of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gardner v. State Farm Mut. Auto. Ins. Co., 822 So. 2d 1201, 2001 Ala. Civ. App. LEXIS 175, 2001 WL 399874 (Ala. Ct. App. 2001).

Opinion

822 So.2d 1201 (2001)

Betty GARDNER
v.
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY et al.

2991183.

Court of Civil Appeals of Alabama.

April 20, 2001.

*1203 William Dudley Motlow, Jr., Don Hall, and W. Perry Webb of Porterfield, Harper & Mills, P.A., Birmingham, for appellant.

Jay St. Clair and Kelly H. Estes of Bradley, Arant, Rose & White, L.L.P., Birmingham, for appellees.

THOMPSON, Judge.

The plaintiff Betty Gardner appeals from a judgment as a matter of law ("JML") on her claims of breach of contract and fraudulent misrepresentation against the defendants State Farm Mutual Automobile Insurance Company and affiliated companies, and certain of its individual executives (collectively referred to herein as "State Farm"). We affirm the judgment of the trial court.

In 1986, after being employed for almost 20 years in various positions in State Farm's regional office, Gardner accepted a job as a State Farm insurance sales agent; she and State Farm executed an agreement setting forth the pertinent terms between the parties. The "Agent's Agreement" that Gardner executed was terminable at will by either party upon written notification. State Farm directed Gardner to operate a State Farm agency in Jemison. Her business grew steadily until 1996. Although her general business had grown, her losses on automobile policies were high, according to State Farm guidelines.

In 1996, State Farm implemented a "Management for Quality/High Priority Program,"[1] to address a problem that had come to its attention pertaining to excessive company losses under the automobile policies. Agents who met any one of three criteria were placed in the "High Priority Program." One of the criteria that identified agents for enrollment in the program was an indication that their sales of automobile policies had not been profitable over three of the last five years. A second criterion targeted agents whose cumulative total automobile policy losses to the company over the previous five years had exceeded $500,000. The final criterion *1204 identified agents who had not earned a minimum of 40 honor points out of a possible 100 points based in large part upon noncatastrophic automobile loss ratios. Gardner met all three of these criteria and was one of 12 agents in Alabama who were enrolled in the program.

An "Action Plan" was created to assist these agents in reducing their losses. Gardner voluntarily executed the Action Plan, which consisted of three basic requirements. First, she was required to submit all automobile-insurance applications and renewals through an assigned underwriter. Second, she was required to personally produce all applications for automobile policies, as opposed to delegating that task to a licensed staff person. Finally, Gardner was required to take two photographs of the automobiles listed to be insured and to submit the pictures to State Farm along with the application.

Gardner claimed that this Action Plan hindered her efforts to cultivate new business, but the testimony presented demonstrated that the plan produced few changes in her business practices. Gardner did not have a licensed person on her staff who was qualified to produce applications; therefore, the requirement that she personally produce applications would not have significantly impacted this aspect of her business. Gardner testified, however, that before the implementation of the Action Plan, she had expedited the production of applications by dictating the contents of the application to a clerical person who had input the information into the computer.

The requirement that Gardner be assigned to a specific underwriter would not have affected her business practices, because all State Farm agents were already assigned to a particular underwriter.

The only significant additional duty the Action Plan imposed upon Gardner was the requirement that she obtain two photographs of the vehicles to be insured and submit those photographs to the company along with the application. This additional duty did not appear to impose an undue burden on Gardner, because every State Farm agent was already required to personally inspect the vehicle that was being insured, before submitting an application for automobile coverage. Those agents enrolled in the Action Plan were required to obtain photographs during their inspection of the vehicle. The purpose of having the photographs made was to help the agents reduce their losses by avoiding claims for previous, prepolicy damage.

The testimony is disputed about how well Gardner complied with the requirements of the Action Plan. Gardner and her grown daughter, who at one time had worked for her in the agency, testified that they strictly complied with the additional requirements, but they claimed that State Farm habitually lost items, such as pictures and applications, that were mailed to it and repeatedly asked for the items to be resent. State Farm executives testified that Gardner failed to fully comply with the plan and that State Farm personnel were repeatedly forced to contact Gardner to seek additional required information in order to process applications. Because of Gardner's alleged failure to comply with the Action Plan, State Farm withdrew, for a period of 30 days, Gardner's privilege to unilaterally bind State Farm automobile insurance without prior underwriting approval. Gardner allegedly continued to fail to comply with the Action Plan, and State Farm restricted her from submitting any new business for an approximate nine-month period.

Compliance with the Action Plan was designed to effectively reduce an agent's losses. After Gardner had participated in the program for a period of 12 months, her *1205 losses had been reduced to a satisfactory level and she was removed from the High Priority Program.

In January 1997, Gardner discovered that several insurance applications were missing on insurance policies she had bound. Michael Matlock, vice president of agency for State Farm, was assigned to assist Gardner in locating these missing applications. Pursuant to the terms of the "Agent's Agreement," the applications were State Farm's property.

Robert West, regional vice president of State Farm, testified that State Farm considered it a serious matter when an application was lost. He explained that the company had a policy of allowing the agent to "bind" coverage, immediately upon receipt of the customer's premium payment, for a period of 90 days. He stated that once the coverage was "bound," the agent was responsible for immediately forwarding the application to the company. West testified that the underwriting department would review the applications once they arrived and determine whether State Farm would insure against the risk. West explained that an inordinate delay between the time when the coverage was "bound" and the time when the carrier reviewed the application to verify that it would accept the risk could be very detrimental to the company. He explained that if an application was not immediately delivered to the company, then the underwriting department was precluded from promptly evaluating the application and determining whether the risk to be insured against was within the acceptable guidelines. He stated that this delay could interfere with the company's ability to send timely cancellation notices to customers whose risk did not fall within the acceptable limits and would thereby obligate the company to provide coverage for risks that did not meet its criteria.

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Bluebook (online)
822 So. 2d 1201, 2001 Ala. Civ. App. LEXIS 175, 2001 WL 399874, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gardner-v-state-farm-mut-auto-ins-co-alacivapp-2001.