Hargus Sexton, Individually, and Hargus Sexton General Agency, Inc. v. Integon Indemnity Corporation

798 F.2d 1416, 1986 U.S. App. LEXIS 18498, 1986 WL 17333
CourtCourt of Appeals for the Sixth Circuit
DecidedJuly 11, 1986
Docket85-5546
StatusUnpublished

This text of 798 F.2d 1416 (Hargus Sexton, Individually, and Hargus Sexton General Agency, Inc. v. Integon Indemnity Corporation) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hargus Sexton, Individually, and Hargus Sexton General Agency, Inc. v. Integon Indemnity Corporation, 798 F.2d 1416, 1986 U.S. App. LEXIS 18498, 1986 WL 17333 (6th Cir. 1986).

Opinion

798 F.2d 1416

Unpublished Disposition
NOTICE: Sixth Circuit Rule 24(c) states that citation of unpublished dispositions is disfavored except for establishing res judicata, estoppel, or the law of the case and requires service of copies of cited unpublished dispositions of the Sixth Circuit.
Hargus SEXTON, Individually, and Hargus Sexton General
Agency, Inc., Plaintiffs-Appellees,
v.
INTEGON INDEMNITY CORPORATION, Defendant-Appellant.

No. 85-5546.

United States Court of Appeals, Sixth Circuit.

July 11, 1986.

Before MARTIN, KRUPANSKY and GUY, Circuit Judges.

PER CURIAM.

Pursuant to the terms of an agency agreement, dated June 19, 1974, plaintiff Sexton became the general agent in the State of Kentucky for defendant Integon for the sale of farm insurance and crop-hail insurance. Farm insurance is essentially casualty insurance on farm buildings, property, and machinery. Crop-hail insurance, as the name implies, specifically covers crop loss and damages inflicted by hail.

Farm insurance is relatively high-risk coverage and crop hail insurance is relatively low-risk coverage. Because of this, farm insurance is written and sold on a three-year basis with the premiums being paid in three annual installments. Integon had the responsibility for record keeping on the farm insurance. Crop-hail insurance was written on a one-year basis and was written generally on credit with premiums being paid when the crop was sold. If a loss occurred under a policy on which the premium was unpaid, th e premium would be deducted from the loss paid. Additionally, the crop-hail insurance involved a pool agreement between Integon and the Reliance Insurance Companies, with each sharing losses, profits, and expenses on a 50-50 basis. It was the responsibility of Sexton to keep the books and records on crop-hail insurance. Crop-hail funds were to be kept in a separate bank account and Sexton had the responsibility to for ward to the pool companies a year-end audit. It is undisputed that the audit was done informally and usually consisted of someone from Integon coming out to Sexton's offices and looking through the books and records.

Throughout 1976 and 1977, Integon experienced losses on the farm insurance policies which it found unacceptable and, in October of 1977, Integon informed Sexton that its agency agree ment was terminated as of December 31, 1977. As a result of this termination, Sexton started suit in the Fayette Circuit Court against Integon in March of 1978. Integon removed to federal court on diversity grounds and filed an answer and counter-claim.

Sexton essentially sought to recover for sums allegedly owed for unpaid commissions, sums expended which were allegedly the responsibility of Integon to pay, and damage to business reputation. The counter-claim of Integon essentially sought to recover sums owed pursuant to the annual accounting of the crop-hail insurance accounts. There is no dispute that the year-end 1977 audit showed monies owing from Sexton to the pgol companies on the hail insurance accounts. Sexton paid Reliance its half, but because of the lawsuit he had with Integon, Sexton refused to remit any monies .to Integon, holding them as a set-off against alleged damages and, instead, purchased a $300,000.00 certificate of deposit with the disputed funds which had been held in the trust account.1

A bench trial was held on March 12, 1984, and although the trial involved a number of complicated issues, we are not called upon to review all of them. In general, the trial court denied, for the most part, the relief requested by Sexton in his complaint and granted judgment to defendant on its counter-claim. Findings of fact and conclusions of law as well as amended fin dings of fact and conclusions of law were filed by the trial judge.

Although substantially prevailing below, Integon has appealed a portion of the trial court's judgment. Sexton has not cross-appealed the denial of his claims. Considering the multiplicity of issues raised at trial, the appeal issues are relatively narrow. The judgment finally entered by the court on January 31, 1985, along with the amended findings of fact and conclusions of law disallowed all but post-judgment interest on the sums due defendant on its counterclaim. Defendant challenges this holding on appeal. Defendant also claims error as a result of a credit given Sexton of $16,200 for claims paid. This claim had been denied by the trial court originally but was allowed in the amended findings of fact and conclusions of law.2 We con sider both of these claimed errors but in the reverse order above enumerated.

The Disputed $16,200 for Claims Paid

The end of the year settlement between Sexton and the pool companies did not establish a reserve for claims made but unpaid. Rather, the procedure was for the pool companies to reimburse Sexton for any claims pending at the end of the year which Sexton subsequently paid. However, in 1978, due to the dispute between the parties, Sexton put all the trust account monies in a Certificate of Deposit and then paid any subsequent claims from his own pocket. It is undisputed that at the end of 1977 there were claims made which were unpaid. Sexton claimed to have paid these claims and if he did there is no doubt that he was entitled to set these sums off against any money owed to Integon on its counter-claim.

In its initial August 1, 1984 Findings of Fact, the trial court determined that Sexton had failed to carry its burden of proof as to whether these claims were actually paid, stating that the trial evidence on this issue was "vague and insubstantial." Sexton subsequently filed a Motion to Reopen the Evidence. The only new evidence the trial court allowed in was a March 23, 1978 statement of a settlement of 1977 crop-hail accounts between Reliance and Sexton. Since Reliance and Integon were 50-50 partners in the pool, any settlement statement between Sexton and Reliance would be equally applicable to Integon if accurate.3 This statement shows a $32,400 reserve for open claims which Reliance accepted as accurate. Each pool partner's half of this $32,400 would, of course, be $16,200.

After receipt of this evidence, the trial judge amended his findings of fact which had previously disallowed this set-off to Sexton and stated:

9. Pursuant to the statement of March 23, 1978, the reserve for open claims was $32,400. Sexton paid out the entire reserve in settlement of loss claims.

(App. 142)

As a predicate for this ultimate finding of fact, the court also stated:

9. Sexton objects to the Court's finding that he failed to carry his burden of proof in showing that the reserve for loss claims (shown to be $27,400 on the February statement and $32,400 on the March statement) had in fact been paid out in settlement of loss claims. The Court's finding was based on the fact that Sexton produced no books, records, or cancelled checks to evidence payment of said reserves.

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Related

Anderson v. City of Bessemer City
470 U.S. 564 (Supreme Court, 1985)
Romines v. Secretary of Health and Human Services
798 F.2d 1416 (Sixth Circuit, 1986)
Curtis v. Campbell
336 S.W.2d 355 (Court of Appeals of Kentucky (pre-1976), 1960)
Dalton v. Mullins
293 S.W.2d 470 (Court of Appeals of Kentucky (pre-1976), 1956)

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Bluebook (online)
798 F.2d 1416, 1986 U.S. App. LEXIS 18498, 1986 WL 17333, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hargus-sexton-individually-and-hargus-sexton-gener-ca6-1986.