Holder v. State Farm Insurance Company

CourtDistrict Court, S.D. Mississippi
DecidedOctober 21, 2021
Docket3:20-cv-00557
StatusUnknown

This text of Holder v. State Farm Insurance Company (Holder v. State Farm Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Holder v. State Farm Insurance Company, (S.D. Miss. 2021).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF MISSISSIPPI NORTHERN DIVISION

RODNEY HOLDER AND JEANELL HOLDER PLAINTIFFS

VS. CIVIL ACTION NO.: 3:20-cv-557-TSL-RPM

STATE FARM FIRE AND CASUALTY COMPANY DEFENDANT

MEMORANDUM OPINION AND ORDER

Plaintiffs Rodney and Jeanell Holder filed the present action asserting claims for breach of contract, bad faith, breach of the duty of good faith and fair dealing, conversion and constructive trust/unjust enrichment, all based on allegations that defendant State Farm Fire and Casualty Company (State Farm), their homeowners insurer, wrongfully denied their claim(s) for hail and wind damage to the roof of their Brandon, Mississippi home. The parties have filed cross-motions for summary judgment pursuant to Federal Rule of Civil Procedure 56. Additionally, State Farm has filed related motions based on Federal Rule of Evidence 702 and Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 113 S. Ct. 2786, 125 L. Ed. 2d 469 (1993), to exclude testimony and opinions of two of plaintiffs’ expert witnesses, Joseph Martin and Neil Parker, and plaintiffs have moved to exclude the testimony and opinions of State Farm’s expert, Blake Partridge. These motions, having now 1 been fully briefed by the parties, are before the court for resolution. BACKGROUND Plaintiffs’ State Farm policy provides coverage for “accidental direct physical loss” from, among other perils, wind

and hail. In April 2020, plaintiffs initially filed a claim with State Farm for alleged damage to their roof from a March 4, 2020 hail storm. State Farm sent an adjuster to their home, who purportedly investigated and determined there was no hail damage. State Farm promptly denied plaintiffs’ claim by letter dated April 15, 2020, which recited: “Our investigation did not reveal any accidental direct physical loss to your roof. Accordingly, we are unable to issue payment for your roof.” After plaintiffs contacted a roofing contractor, who examined the roof and concluded that there was hail damage, plaintiffs requested that State Farm send a different adjuster to inspect the roof. State Farm dispatched a second adjuster to

plaintiffs’ home, who purportedly examined and photographed the parts of the roof that plaintiffs’ roofing contractor had indicated sustained hail damage. The adjuster sent his information to State Farm, which again denied the claim on the basis that its “inspection did not reveal any accidental direct physical loss to your roof.” At the suggestion of their State 2 Farm agent, plaintiffs submitted a second claim to State Farm for alleged storm damage to the roof. State Farm sent another adjuster to inspect the roof for damage, following which it denied plaintiffs’ claim by letter dated June 23, 2020, again citing the lack of “any accidental direct physical loss to your

roof.” Plaintiffs maintain that there was, in fact, hail damage to their roof from a March 4, 2020 hail storm, and that State Farm’s denial of their claims on the basis that there was no “accidental direct physical loss” is a breach of their policy. They further insist that State Farm’s investigation, handling and denial of their claims was a breach of its duty of good faith and fair dealing and in bad faith. More particularly, plaintiffs assert that (1) State Farm breached its duty to investigate and to make a realistic evaluation of their claims because, while it sent out three different adjusters under the guise of investigating their claims, the adjusters were reckless

and grossly negligent in their inspections to such an extent that there was never a complete and accurate inspection; and (2) State Farm utilized a definition of “damage” to deny their claim which is contrary to the terms of their insurance policy. Having considered the parties’ arguments and evidence, the court is not persuaded that either party has demonstrated that 3 it is entitled to summary judgment, or to partial summary judgment. SUMMARY JUDGMENT MOTIONS Summary Judgment Standard Summary judgment is appropriate “if the movant shows that

there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). “The party that moves for summary judgment bears the initial burden of identifying those portions of the pleadings and discovery on file, together with any affidavits, which it believes demonstrates the absence of a genuine issue of material fact.” Tubacex, Inc. v. M/V Risan, 45 F.3d 951, 954 (5th Cir. 1995) (citing Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S. Ct. 2548, 2553, 91 L. Ed. 2d 265 (1986)). “If the moving party fails to meet this burden, the motion must be denied, regardless of the nonmovant's response.” Id. If the movant does meet this burden, the nonmovant is then required to

go beyond the pleadings and show that there is a genuine issue of material fact for trial. Id. (citing Celotex, 477 U.S. at 323; Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 250, 106 S. Ct. 2505, 2511, 91 L. Ed. 2d 202 (1986)). On cross-motions for summary judgment, the court “review[s] each party's motion independently, viewing the evidence and inferences in the light 4 most favorable to the nonmoving party.” Amerisure Ins. Co. v. Navigators Ins. Co., 611 F.3d 299, 304 (5th Cir. 2010) (internal citation and quotation omitted). Breach of Contract Although State Farm has purported to move for summary

judgment on all of plaintiffs’ claims, its motion does not address plaintiffs’ claim for breach of contract. Rather, State Farm argues only that it is entitled to summary judgment because plaintiffs have failed to prove that it denied their claims without a legitimate or arguable reason and with malice or gross negligence. Conversely, plaintiffs affirmatively argue in their own motion that they are entitled to summary judgment on their breach of contract claim based on what they contend are undisputed facts which demonstrate that they had a valid contract; they sustained a covered loss; and yet State Farm denied their claim. In the court’s opinion, there are obviously genuine issues of material fact as to whether plaintiffs

sustained a covered loss and summary judgment is not appropriate for either party on plaintiffs’ breach of contract claim. Bad Faith/Breach of the Duty of Good Faith and Fair Dealing/Conversion

The Fifth Circuit has summarized Mississippi law on claims of breach of the duty of good faith and fair dealing/bad faith, 5 as follows1: Under Mississippi law, insurers have a duty “to perform a prompt and adequate investigation and make a reasonable, good faith decision based on that investigation” and may be liable for punitive damages for denying a claim in bad faith. Liberty Mut. Ins. Co. v. McKneely, 862 So. 2d 530, 535 (Miss. 2003); U.S. Fid. & Guar. Co. v. Wigginton, 964 F.2d 487, 492 (5th Cir. 1992).

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

Related

Tubacex, Inc. v. M/V Risan
45 F.3d 951 (Fifth Circuit, 1995)
Moore v. Ashland Chemical Inc.
151 F.3d 269 (Fifth Circuit, 1998)
Sobley v. Southern Natural Gas Co.
302 F.3d 325 (Fifth Circuit, 2002)
Blakely v. State Farm Mutual Automobile Insurance
406 F.3d 747 (Fifth Circuit, 2005)
Leonard v. Nationwide Mutual Insurance
499 F.3d 419 (Fifth Circuit, 2007)
Broussard v. State Farm Fire & Casualty Co.
523 F.3d 618 (Fifth Circuit, 2008)
Gulfport-Brittany LLC v. RSUI Indemnity Co.
339 F. App'x 413 (Fifth Circuit, 2009)
Erie Railroad v. Tompkins
304 U.S. 64 (Supreme Court, 1938)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
Amerisure Insurance v. Navigators Insurance
611 F.3d 299 (Fifth Circuit, 2010)
Gregory Johnson v. Arkema, Incorporated
685 F.3d 452 (Fifth Circuit, 2012)
Andrew Jackson Life Ins. Co. v. Williams
566 So. 2d 1172 (Mississippi Supreme Court, 1990)
Wesley v. Union National Life
919 F. Supp. 232 (S.D. Mississippi, 1995)
SW MISS. REG. MED. CENTER v. Lawrence
684 So. 2d 1257 (Mississippi Supreme Court, 1996)
Liberty Mut. Ins. Co. v. McKneely
862 So. 2d 530 (Mississippi Supreme Court, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
Holder v. State Farm Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/holder-v-state-farm-insurance-company-mssd-2021.