Glass Electric Co. v. Commercial Union Insurance

711 F. Supp. 615, 1988 U.S. Dist. LEXIS 16598, 1988 WL 155950
District Court, N.D. Georgia·Decided May 10, 1988·No. No. 1:87-cv-931-GET·Published

Opinion

ORDER

G. ERNEST TIDWELL, District Judge.

The above-styled matter is before the court on defendants’ motion for summary judgment or, in the alternative, partial summary judgment.

This lawsuit is an action on an insurance contract in which plaintiff seeks to recover for loss of and damage to conduit installed at a construction site. The parties agree that the policy was issued by defendant American Employers Insurance Company (hereinafter “defendant”) and that defendants’ motion for summary judgment should be granted as to Commercial Union Insurance Company on the ground that it is not a party to the insurance contract at issue.

There is also no dispute among the parties that the loss occurred on or about July 1, 1985 or as much as two weeks before this date. The parties also do not dispute that the first “sworn statement and proof of loss” was submitted by plaintiff in April of 1986. Defendant first denied plaintiff’s claim on or about June 13, 1986. The lawsuit in this action was not filed until April 7, 1987.

The policy pursuant to which plaintiff seeks recovery contains the following provision:

Suit. No suit, action or proceeding for the recovery of any claim under this policy shall be sustainable in any court of law or equity unless the same be commenced within twelve (12) months next after discovery by the insured of the occurrence which gives rise to the claim,

Plaintiff asserts that defendant waived the above provision by investigations and negotiations that misled plaintiff into believing that the limitations period would not be enforced. In the alternative, plaintiff argues that the twelve-month limitation period did not begin to run until sixty (60) days after presentation and acceptance of proof of loss by defendant.

Initially, the court notes that in this diversity action, it is bound by Georgia law as that law is expressed in state statutes and in the cases of the Georgia Supreme Court or the Georgia Court of Appeals, if the Georgia Supreme Court has not spoken on a particular issue.

A contractual limitations period found in an insurance contract may be waived under certain circumstances. See, e.g., Georgia Farm Bureau Mutual Insurance Company v. Mikell, 126 Ga.App. 640, 642(2), 191 S.E.2d 557 (1972); Laughinghouse v. First of Georgia Insurance Company, 123 Ga.App. 189, 191(2), 179 S.E.2d 675 (1971). Plaintiff alleges that the investigations and negotiations conducted by the defendant insurance company misled plaintiff into believing that the contractual limitations period had been waived.

In support of this contention, plaintiff first notes that although defendant developed enough information in May of 1986 to confirm that there was no coverage for plaintiff’s loss, they did not write the formal letter denying coverage until June 13, 1986. Plaintiff asserts that this denial letter stating that the denial was based on coverage grounds would lead the average insured to believe that the contractual limitation period would not be invoked. Plaintiff’s other evidence offered in support of [617] his waiver argument consists of evidence of a meeting and discussions held after the expiration of the twelve-month period.

Under Georgia law, a waiver of the contractual limitations period “may result where the company leads the insured by its actions to rely on its promise to pay, express or implied.” Georgia Farm Bureau Mutual Insurance Company v. Mikell, 126 Ga.App. 640, 642(2), 191 S.E.2d 557 (1972). The basis for finding a waiver of the contractual limitations period is the insurance company’s implied or express promise to pay the claim, thus leading the insured to believe that there is no controversy concerning whether the claim is covered. The insured is allowed to rely on the promise to pay since, in light of such promise, the insured has little reason to file suit on the claim. See e.g., Laughinghouse v. First of Georgia Insurance Company, 123 Ga.App. 189, 191(2), 179 S.E.2d 675 (1971) (waiver found where insurer assured the plaintiff upon inquiry prior to the expiration of the twelve month limitations period that “everything was in order, in line, and was being processed ... and don’t worry about it.”).

In the case at bar, plaintiff has presented no evidence that there was ever a promise to pay, implied or express. As early as March 1986, defendant’s adjustor told plaintiff that the claim was not covered. (Lilley Deposition at 53). Subsequent discussions concerning the claim were to give the plaintiff further opportunity to establish that the claim was covered. ■ {Id. at 54). In addition, the claim was formally denied prior to the expiration of the twelve month period in a letter dated June 13, 1986. The evidence shows that the loss occurred “as early as July 1, 1985” and “may have been discovered” as early as two weeks prior to July 1, 1985. (“Defendants’ Statement of Material Facts” No. 7, admitted by plaintiff pursuant to Local Rule 220-5(b)(2), N.D. Ga.). Thus, the letter denying the claim on coverage grounds was not written at a time when the claim could have been clearly denied on the basis of the twelve-month limitations period.

In addition, the June 13th letter explicitly reserved all other defenses not specified in the letter. (Ex. E to Lilley Affidavit: “By specifying the above grounds for denial, this company does not intend to waive, but rather specifically reserves all of its rights, including other defenses which may be applicable to the subject claim.”). The language in this letter could not reasonably have led plaintiff to believe that defendant had waived the contractual limitations period.

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Glass Electric Co. v. Commercial Union Insurance, 711 F. Supp. 615, 1988 U.S. Dist. LEXIS 16598, 1988 WL 155950 (N.D. Ga. 1988).

711 F. Supp. 615 (Glass Electric Co. v. Commercial Union Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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