Guaranty Service Corporation, Cross-Appellees v. American Employers' Insurance Company, Cross-Appellant

893 F.2d 725, 15 Fed. R. Serv. 3d 818, 1990 U.S. App. LEXIS 1350, 1990 WL 3288
CourtCourt of Appeals for the Fifth Circuit
DecidedFebruary 6, 1990
Docket89-4151
StatusPublished
Cited by26 cases

This text of 893 F.2d 725 (Guaranty Service Corporation, Cross-Appellees v. American Employers' Insurance Company, Cross-Appellant) 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
Guaranty Service Corporation, Cross-Appellees v. American Employers' Insurance Company, Cross-Appellant, 893 F.2d 725, 15 Fed. R. Serv. 3d 818, 1990 U.S. App. LEXIS 1350, 1990 WL 3288 (5th Cir. 1990).

Opinion

CLARK, Chief Judge:

Guaranty Service Corporation, Southern Mortgage Services Corporation, and South *727 ern Federal Savings and Loan Association (collectively “Monaco”), plaintiffs below, appeal a final judgment entered by the United States District Court for the Southern District of Mississippi. American Employers’ Insurance Company (“American”), defendant below, cross-appeals. We affirm in part, reverse in part, and remand.

I. FACTS

Monaco Lake East is an apartment complex on the Mississippi Gulf Coast. In 1985 Hurricane Elena struck the complex, causing extensive damage. Monaco hired Gulf Oaks Construction Company to prepare a repair cost estimate (“the Gulf Oaks estimate”) for submission to Monaco’s insurer, American. Gulf Oaks estimated that the repairs would cost $1,050,225.20. Monaco submitted this estimate to American.

Complaining that the Gulf Oaks estimate did not satisfy a clause in the insurance contract requiring a detailed repair cost estimate, American rejected the one and one-half page Gulf Oaks estimate and requested a more detailed accounting. Monaco subsequently submitted a revised estimate of $1,229,225.00. One week later Monaco submitted a third estimate of $818,000.00, representing the actual cash value rather than the replacement cost value of the repairs. American rejected each of these estimates, stating that the documents were mere damage summaries instead of the required detailed cost estimate. ¿A

Monaco subsequently filed iMhis suit against American. Monaco’s complaint stated that Monaco had satisfied the repair cost estimate requirement of the insurance contract, that American had persistently refused to obtain its own appraisal of the property damage as was allowed by the policy, and that American had made a bad faith refusal to pay the claim. American defended by asserting that Monaco had refused to submit a properly detailed repair estimate, had misrepresented the cost of repairs by submitting inflated cost estimates, and had concealed an estimate of $100,500.00 prepared by Carlos Brown (“the Brown estimate”). American filed a counterclaim seeking punitive damages this alleged misrepresentation.

By consent of the parties the jury trial was conducted before a magistrate, who bifurcated the trial on the claim and counterclaim. Because the insurance contract specified that misrepresentation on the part of the insured in filing a claim would void the contract, the following interrogatory was submitted to the jury at the conclusion of the presentation of evidence on Monaco’s claim: “Do you find that the plaintiffs wilfully and knowingly misrepresented or concealed material facts during the submission of their claims to the defendant?” The jury responded affirmatively, and Monaco’s claim was dismissed.

With the trial on American’s counterclaim set to begin, Monaco submitted a motion in limine asking the court to exclude all evidence relevant to damages suffered by American. The court had previously stated in conference with counsel that he would allow only opening statements on the counterclaim before directing a verdict for Monaco. Instead of abiding by his conference statement, the court dismissed American’s counterclaim on the basis of the motion in limine. The court stated that American had failed to prove its reliance on Monaco’s misrepresentation. Although American had successfully proven misrepresentation as an affirmative defense, the court decided that American had not proven all elements of fraud as an independent tort. The court, therefore, dismissed American’s punitive damages claim. American was allowed, however, to retain $13,000 in unearned premiums paid by Monaco.

II. MONACO’S APPEAL

A. The Submission to the Jury of the Misrepresentation Question

Monaco asserts that the district court erred in denying its motions for directed verdict and for judgment notwithstanding the verdict. Monaco also states that the court erroneously instructed the jury on misrepresentation when insufficient evidence had been proffered to create a jury *728 question on that issue. The standard for determining when a jury question has been developed at trial is stated in Boeing Company v. Shipman, 411 F.2d 365 (5th Cir. 1969) (en banc). We explained there that motions for directed verdict and judgment notwithstanding the verdict are properly denied when “there is substantial evidence opposed to the motions, that is, evidence of such quality and weight that reasonable and fair-minded men in the exercise of impartial judgment might reach different conclusions ... [tjhere must be a conflict in substantial evidence to create a jury question.” 411 F.2d at 374-75.

The court properly allowed the question of misrepresentation to proceed to the jury. The evidence offered at trial included damage estimates of extreme variation which had been submitted by Monaco. American argued that Monaco’s activities&emdash; its misrepresentation in submitting the high Gulf Oaks estimate and its attempt to conceal the much lower Brown estimate&emdash; acted to void the insurance contract. Monaco responded that the differences in the original estimates were caused by differences in methods of calculation and in the extent of repairs considered, that the Brown estimate was an unreliable estimate produced by a contractor with very little experience in exterior housing repairs, and that any lack of detail in the estimates submitted was de minimis and could have been cured easily by American’s own investigators. Substantial evidence was adduced by both parties during the three-week trial. A review of the record makes it clear that reasonable minds could differ over the correctness of the parties’ assertions. Under Boeing, therefore, the court was correct to deny Monaco’s motions for a directed verdict and for j.n.o.v.

B. The Grant of Summary Judgment for American on Monaco’s Punitive Damages Claim

Monaco contends that the district court erred in granting summary judgment for American on Monaco’s punitive damages claim. In granting summary judgment, the court stated that the case was a “pocketbook” dispute in which an award of punitive damages would be improper even if American were held liable for the claim. We agree.

The record here reveals that American never denied Monaco’s claim. Nor did American deny that Monaco’s policy covered damages to the apartment complex or that it was in force when the hurricane damage occurred. American consistently stated that it had not been given the information required by the insurance contract to make analysis of the claim possible. Monaco’s claim was not effectively denied until the jury found that Monaco had misrepresented its damage claim and had thus breached the insurance contract. “[T]he Mississippi Supreme Court has been extremely reluctant to allow punitive damages in cases where the insurer did not deny coverage, but only disputed the amount of the claim or delayed payment.” Tutor v. Banger Insurance Co., 804 F.2d 1395, 1399 (5th Cir.1986).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Untitled Case
E.D. Louisiana, 2026
Young v. Panera, LLC
M.D. Florida, 2025
Warner v. Talos ERT
133 F.4th 412 (Fifth Circuit, 2025)
Clapper v. American Realty Investors
95 F.4th 309 (Fifth Circuit, 2024)
Young v. Glanz
N.D. Oklahoma, 2024
Zenon v. Home Depot U S A Inc
W.D. Louisiana, 2023
United States v. Anthony Burfoot
899 F.3d 326 (Fourth Circuit, 2018)
Baxter v. Anderson
277 F. Supp. 3d 860 (M.D. Louisiana, 2017)
United States v. Matthew Vickers
442 F. App'x 79 (Fifth Circuit, 2011)
Johnson v. Watkins
803 F. Supp. 2d 561 (S.D. Mississippi, 2011)
United States v. Harris
296 F. App'x 402 (Fifth Circuit, 2008)
Essinger v. Liberty Mutual Fire Insurance
529 F.3d 264 (Fifth Circuit, 2008)
Siddiqui v. United States
217 F. Supp. 2d 985 (D. Arizona, 2002)
Whitehead v. Food Max of Mississippi, Inc.
163 F.3d 265 (Fifth Circuit, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
893 F.2d 725, 15 Fed. R. Serv. 3d 818, 1990 U.S. App. LEXIS 1350, 1990 WL 3288, Counsel Stack Legal Research, https://law.counselstack.com/opinion/guaranty-service-corporation-cross-appellees-v-american-employers-ca5-1990.