Howell v. State Farm Ins. Companies

540 F. Supp. 2d 621, 2008 U.S. Dist. LEXIS 23906, 2008 WL 795298
CourtDistrict Court, D. Maryland
DecidedMarch 26, 2008
DocketCivil BEL-04-1494
StatusPublished
Cited by6 cases

This text of 540 F. Supp. 2d 621 (Howell v. State Farm Ins. Companies) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howell v. State Farm Ins. Companies, 540 F. Supp. 2d 621, 2008 U.S. Dist. LEXIS 23906, 2008 WL 795298 (D. Md. 2008).

Opinion

MEMORANDUM

BENSON EVERETT LEGG, Chief Judge.

This is a proposed class action by homeowners seeking benefits under Standard Flood Insurance Policies (SFIPs) issued by private insurers participating in the National Flood Insurance Program (NFIP). The plaintiffs are nine Maryland residents 1 whose homes were damaged by flooding during and immediately after Hurricane Isabel in September 2003. In the wake of the storm, the plaintiffs filed claims with their respective insurers to rehabilitate their homes. Each of their claims was ultimately settled for an amount below the policy limit, but in the full amount claimed. The plaintiffs now contend that the defendant insurance companies breached their contractual obligations by coercing or misleading them into filing proofs of loss that did not adequately reflect the true extent of the damage to their properties. 2

*624 All nine defendants have moved for summary judgment. According to the defendants, the plaintiffs are barred from recovery because they failed to comply with a central and mandatory term of their policies. As a matter of federal law, the SFIP unconditionally requires a claimant to file a proof of loss within a specified time after the loss occurs, in this case 120 days. As we explain in greater detail below, the responsibility for filing a timely and complete proof of loss rests squarely with the insured. Private insurers participating in the NFIP have no authority to waive the proof of loss requirement or to pay an amount in excess of the amount claimed.

In this case, each of the plaintiffs submitted timely proofs of loss, which their insurers paid in full. Alleging misconduct in the handling of their claims, the plaintiffs now seek to recover additional damages under the terms of their SFIPs. This cannot be done. The deadline for filing proofs of loss has long-since passed, and the Court is without authority to excuse the plaintiffs’ failure to comply with a central prerequisite for the disbursement of federal flood insurance benefits. Accordingly, the Court agrees that the insurers are entitled to judgment as a matter of law, and will therefore GRANT summary judgment in favor of defendants State Farm Insurance Company, Omaha Property & Casualty Corp., Indemnity Insurance Company of North America, Standard Fire Insurance Company, 3 USAA General Indemnity Corp., Harleysville Mutual Insurance Company, Allstate Insurance Company, Selective Insurance Company of the Southeast, and South Carolina Insurance Company.

I. Background

A. The National Flood Insurance Program:

The NFIP is administered by the Federal Emergency Management Agency (FEMA) pursuant to the National Flood Insurance Act of 1968, 42 U.S.C. §§ 4001-4029. Under the program, individuals may purchase flood insurance either directly from FEMA or from private insurance companies (referred as “Write-Your-Own” or <cWYO” insurers) authorized by regulation to sell SFIPs under their own names. 44 C.F.R. Part 62.23-24. The terms and conditions of the SFIP are fixed by FEMA regulation and have the force and effect of federal law. 44 C.F.R.Part 61.4(b), 61.13(d)-(e), 62.23(c)-(d). Accordingly, “all flood insurance policies issued by WYO companies which participate in the [NFIP] must mirror the terms and conditions of the SFIP, which terms and conditions cannot be varied or waived other than by the express written consent of the Federal Insurance Administrator.” Battle v. Seibels Brace Ins. Co., 288 F.3d 596, 599 (4th Cir.2002). Payments on SFIP claims constitute a direct charge on the United States Treasury. 42 U.S.C. §§ 4017-18; Battle, 288 F.3d at 600.

The SFIP is a “single-risk” policy that provides coverage for “direct physical loss by or from flood.” 44 C.F.R. Part 61, App.A(l) Art II(B)(12). Four types of coverage are available under the policy: (1) property coverage, also referred to as “Dwelling Coverage;” (2) personal property coverage, also referred to as “Contents Coverage;” (3) “Other Coverages,” including debris removal, loss avoidance measures, and condominium loss assessments; and (4) “Increased Cost of Compliance Coverage,” which provides up to $30,000 4 *625 for compliance -with state and local floodplain management laws a,nd ordinances. Id. Art. III. 5

. To collect on a claim under the SFIP, a policyholder must comply with a number of procedural requirements, including the timely 6 submission of a proper “proof of loss.” 44 C.F.R. Part 41, App.A(l) Art. VII.J. A proof of loss is “the [insured’s] statement of the amount [he or she] is claiming under the policy, signed and sworn to by [the insured.]” Id. Pursuant to Article VII.J.4 of the SFIP, a proof of loss must provide, inter alia, a brief explanation of how the loss occurred, “specifications of [ ] damaged buildings and detailed repair estimates,” and an inventory of damaged property. Although policyholders may be provided with the services of an adjuster in completing their proofs of loss, the SFIP expressly declares that “this is a matter of courtesy only,” and that the insured bears the ultimate responsibility for complying with the terms and conditions of the SFIP. 7 Id. Art.VII.J.7.

A policyholder may not sue to recover money under the SFIP “unless [he or she has] complied with all of the requirements of the policy,” including the proof of loss requirement described above. Id. Art. VII.R. All disputes arising from the handling of claims under the SFIP “are governed exclusively by the flood insurance regulations issued by FEMA, the National Flood Insurance Act of 1968, and federal common law.” Id. Art.IX. See also Gallup v. Omaha Prop. & Cas. Ins. Co., 434 F.3d 341 (5th Cir.2005).

In the aftermath of Hurricane Isabel, FEMA made a number of adjustments to the terms and conditions of the SFIP. In a memorandum dated October 27, 2003, Anthony Lowe, then-director of FEMA’s Mitigation Division, extended the period within which an insured must file a proof of loss from 60 to 120 days.

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Bluebook (online)
540 F. Supp. 2d 621, 2008 U.S. Dist. LEXIS 23906, 2008 WL 795298, Counsel Stack Legal Research, https://law.counselstack.com/opinion/howell-v-state-farm-ins-companies-mdd-2008.