Iva Joy v. AmGuard Ins. Co.

Court of Appeals for the Sixth Circuit·Decided August 22, 2023·No. 22-5811·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 23a0391n.06

Case No. 22-5811

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

FILED

) Aug 22, 2023 IVA JOY; WILLIAM JOY, DEBORAH S. HUNT, Clerk )

Plaintiffs-Appellees, )

) ON APPEAL FROM THE UNITED v. ) STATES DISTRICT COURT FOR ) THE WESTERN DISTRICT OF AMGUARD INSURANCE COMPANY, ) TENNESSEE Defendant-Third Party Plaintiff-Appellant, )

) OPINION ANTHONY LANCASTER INSURANCE ) AGENCY, INC.; ANTHONY LANCASTER, )

)

Third-Party Defendants-Appellees.

)

)

Before: SUTTON, Chief Judge; DAVIS and MATHIS, Circuit Judges.

MATHIS, Circuit Judge. Iva and William Joy brought this action for breach of contract and bad-faith denial of an insurance claim against AmGuard Insurance Company for AmGuard’s failure to cover a loss on a homeowners’ insurance policy after a fire destroyed the Joys’ home. AmGuard denied the Joys’ claim because Iva Joy misrepresented that the Joys had automatic sprinklers in their home when applying for the homeowners’ policy. AmGuard brought a third- party action against the Anthony Lancaster Insurance Agency, Inc. and its owner, Anthony Lancaster (collectively, the “Lancaster Agency”), for indemnification based on the Lancaster Agency’s participation in filling out the Joys’ insurance application, which contained the

misrepresentation. Following a three-day jury trial, a jury returned a verdict in favor of the Joys and the Lancaster Agency. After the trial, the district court determined that AmGuard could not void the Joys’ policy because AmGuard failed to prove that Iva Joy’s misrepresentation increased the risk of loss to AmGuard as required to void an insurance policy under Tennessee law. Finding no error, we affirm.

I.

In December 2019, Iva Joy applied to AmGuard for a homeowners’ insurance policy (the “Policy”). To complete the application, Iva Joy worked with Shunnica Ayers, an employee of AmGuard’s authorized agent, the Lancaster Agency. Ayers prepared a “Proposal of Insurance” for the Joys, which erroneously indicated that the Joys’ home was equipped with an automatic sprinkler system “in all areas except attic, bathroom, closet, & attached structure areas.” R. 56-3, PageID 594. In fact, the Joys only had an outside irrigation system. Iva Joy signed the Proposal of Insurance. AmGuard accepted the Proposal of Insurance and issued the Policy to the Joys, effective December 18, 2019, to December 18, 2020. The Policy provided coverage for the Joys’ residence, personal property, and additional living expenses. The Joys received a discount of approximately $200 on their annual premium based on supposedly having an automatic sprinkler system.

The Policy’s declarations page stated: “As a condition of this insurance, you MUST maintain the protective devices or services shown below and discussed on form HO 99 83 attached to your policy. You should also be prepared to supply proof of proper maintenance upon request.” R. 56-3, PageID 498. The protective device referenced and “shown below” was a “[s]prinkler: in all areas except attic, bathroom, closet & attached structure areas.” Id. The Policy also contained a protective-devices endorsement for the automatic sprinkler system.

On May 5, 2020, a fire destroyed the Joys’ home. The Joys filed a claim with AmGuard, but AmGuard denied coverage on May 13, 2020, because the home did not contain automatic sprinklers.

On June 16, 2020, the Joys tendered a bad-faith notice to AmGuard. The Joys then sued AmGuard for the following claims relevant to this appeal: (1) breach of contract, and (2) statutory bad faith, in violation of Tenn. Code Ann. § 56-7-105.

AmGuard filed a third-party complaint against the Lancaster Agency alleging that it was liable to AmGuard for indemnity based on the Lancaster Agency’s alleged breach of the Agency Agreement and Addendum to Agency/Brokerage Agreement (the “Agency Agreement”).

The case proceeded to a jury trial on June 27, 2022. Over three days, the jury heard testimony from the Joys; Lancaster; Ayers; and Dawn Aigeldinger, AmGuard’s assistant vice president of personal lines. Iva Joy testified that Ayers filled out the Proposal of Insurance on her behalf. According to Iva Joy, Ayers never asked her any questions about sprinklers. Iva Joy further testified that she did not sign any documents while meeting with Ayers, but she authorized Ayers to sign her name to the documents later. When asked, Iva Joy admitted that the outside irrigation system was not a protective device for the home.

Lancaster testified that the Joys were longtime customers of the Lancaster Agency and that Ayers entered the Joys’ data into their system, which was used to produce the Proposal of Insurance. Lancaster also testified that the presence of automatic sprinklers did not affect the insurability of the home because it was not a consideration within the insurance industry guidelines as to whether to issue a policy. Ayers testified that she was aware that the Joys had an outside irrigation system, what she referred to as a sprinkler system, and based on this knowledge, she

answered the question regarding automatic sprinklers in the Proposal of Insurance in the affirmative.

Aigeldinger was not directly involved with the evaluation of the Joys’ insurance application or claim, but she testified that if “no” had been checked as to the presence of automatic sprinklers in the Proposal of Insurance, AmGuard still would have issued a policy, but it would have been “a different policy, [with] a different premium[.]” R. 167, PageID 1872. Aigeldinger also testified that AmGuard’s risk of loss was increased because the Joys “represented that they had sprinklers” when they did not actually have anything other than a sprinkler system used to irrigate their yard. Id. at 1866. According to Aigeldinger, a fire is less likely in a home with sprinklers.

The district court admitted into evidence, over AmGuard’s objection, AmGuard’s internal procedure for verifying the presence of automatic sprinklers (“Automatic Sprinkler Cert/Photo”). The Automatic Sprinkler Cert/Photo procedure was required when an insured marked “yes” next to automatic sprinklers in the application. AmGuard’s practice was to issue the policy and then request a certification or photograph if one was not already available in the file. AmGuard would set a reminder for 15 days later to check for a certification or photographs confirming the presence of automatic sprinklers. If no proof was provided within 15 days, AmGuard would send another notification and set a reminder for another 15 days. If AmGuard did not receive proof within 30 days, AmGuard would endorse the policy, changing the “yes” to “no.” If a certification or photograph was received after the endorsement was changed, AmGuard would change the answer back to “yes” effective as of the date of receipt.

Aigeldinger testified that in the Joys’ case, no one from AmGuard followed this procedure.

AmGuard did not check to see if the home had automatic sprinklers or contact the Joys or the Lancaster Agency regarding the automatic sprinklers.

The jury returned a verdict in favor of the Joys and the Lancaster Agency. Specifically, the jury found that: (1) AmGuard breached the Policy by denying the Joys’ claim; (2) Iva Joy made a misrepresentation when applying for coverage; (3) Iva Joy did not make the misrepresentation with an intent to deceive AmGuard; and (4) the Lancaster Agency did not cause any loss to AmGuard.

After trial, the district court found as a matter of law that Iva Joy’s misrepresentation did not materially increase AmGuard’s risk of loss. AmGuard’s timely appeal followed.

II.

AmGuard’s Automatic Sprinkler Cert/Photo procedure. AmGuard argues that the district court erred by admitting into evidence its internal Automatic Sprinkler Cert/Photo procedure. AmGuard contends that the procedure is irrelevant, unfairly prejudicial, and inadmissible parol evidence.

We review the “district court’s evidentiary rulings for abuse of discretion, and [its]

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

Iva Joy v. AmGuard Ins. Co., (6th Cir. 2023).

Iva Joy v. AmGuard Ins. Co. (Iva Joy v. AmGuard Ins. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Unitherm Food Systems, Inc. v. Swift-Eckrich, Inc.
546 U.S. 394 (Supreme Court, 2006)
Ortiz v. Jordan
131 S. Ct. 884 (Supreme Court, 2011)
Bruce Bagwell v. Canal Insurance Company
663 F.2d 710 (Sixth Circuit, 1981)
Bobby Howell v. Colonial Penn Insurance Company
842 F.2d 821 (Sixth Circuit, 1987)
United States v. Donald Schrock
855 F.2d 327 (Sixth Circuit, 1988)
United States v. Marie Antoinette Jackson-Randolph
282 F.3d 369 (Sixth Circuit, 2002)
Tompkin v. Philip Morris USA, Inc.
362 F.3d 882 (Sixth Circuit, 2004)
Pamela Lane v. American General Life and Accident Insurance Company
252 S.W.3d 289 (Court of Appeals of Tennessee, 2007)
Stamp v. Honest Abe Log Homes, Inc.
804 S.W.2d 455 (Court of Appeals of Tennessee, 1990)
Johnson v. State Farm Life Insurance Co.
633 S.W.2d 484 (Court of Appeals of Tennessee, 1981)
Broyles v. Ford Life Insurance Co.
594 S.W.2d 691 (Tennessee Supreme Court, 1980)
Little v. Washington Nat. Ins. Co.
241 S.W.2d 838 (Court of Appeals of Tennessee, 1951)
Womack v. Blue Cross & Blue Shield of Tennessee
593 S.W.2d 294 (Tennessee Supreme Court, 1980)
Vermont Mutual Insurance Co. v. Chiu
21 S.W.3d 232 (Court of Appeals of Tennessee, 2000)
Smith v. Tennessee Farmers Life Reassurance Co.
210 S.W.3d 584 (Court of Appeals of Tennessee, 2006)
Tennessee Farmers Mut. Ins. Co. v. Farrar
337 S.W.3d 829 (Court of Appeals of Tennessee, 2009)
Baird v. Fidelity-Phenix Fire Ins. Co.
162 S.W.2d 384 (Tennessee Supreme Court, 1942)
Baker Hughes Inc. v. S&S Chemical, LLC
836 F.3d 554 (Sixth Circuit, 2016)