Iva Joy v. AmGuard Ins. Co.

CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 22, 2023
Docket22-5811
StatusUnpublished

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

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NOT RECOMMENDED FOR PUBLICATION File Name: 23a0391n.06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 Case No. 22-5811, Joy v. AmGuard Ins. Co., et al.

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.

-2- Case No. 22-5811, Joy v. AmGuard Ins. Co., et al.

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

-3- Case No. 22-5811, Joy v. AmGuard Ins. Co., et al.

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

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.

-4- Case No. 22-5811, Joy v. AmGuard Ins. Co., et al.

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.

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