Jones v. Nationwide Mutual Fire Insurance Company

CourtDistrict Court, D. Maryland
DecidedOctober 21, 2024
Docket8:23-cv-02340
StatusUnknown

This text of Jones v. Nationwide Mutual Fire Insurance Company (Jones v. Nationwide Mutual Fire Insurance Company) 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
Jones v. Nationwide Mutual Fire Insurance Company, (D. Md. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

: STEVE JONES :

v. : Civil Action No. DKC 23-2340

: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY :

MEMORANDUM OPINION Presently pending and ready for resolution in this insurance coverage dispute are (1) the motion to compel appraisal and stay litigation pending appraisal filed by Plaintiff, Steve Jones (“Mr. Jones”) (ECF No. 20), (2) the motion of Defendant Nationwide Mutual Fire Insurance Company (“Nationwide”) for sanctions, or in the alternative, motion to compel (ECF No. 22), (3) Nationwide’s motion to strike expert designation and preclude testimony (ECF No. 23), and (4) Nationwide’s motion to strike, or in the alternative, motion for leave to supplement opposition (ECF No. 27). The issues have been briefed, and the court now rules, no hearing being deemed necessary. Local Rule 105.6. For the following reasons, Mr. Jones’ motion to compel appraisal and stay litigation pending appraisal will be denied, Nationwide’s motion for sanctions, or in the alternative, to compel will be granted in part and denied in part, Nationwide’s motion to strike expert designation and preclude testimony will be granted, and Nationwide’s motion to strike, or in the alternative, motion for leave to supplement will be granted. I. Background A. Factual Background

Mr. Jones owns property located at 8750 Plenty Highlands Place, Port Tobacco, Maryland 20677 (the “Property”). (ECF No. 1, at ¶ 8).1 The Property is covered by an insurance policy (the “Policy”) issued by Nationwide. (ECF No. 1 ¶ 8). On April 29, 2021, a windstorm damaged the Property. (ECF No. 1 ¶ 10). Mr. Jones submitted an insurance claim to Nationwide, which completed an investigation and determined that only a portion of the claim was covered under the policy. (ECF No. 25-2, at 1). Nationwide paid Mr. Jones $4,200 for his claim. (ECF No. 1 ¶ 16). On June 8, 2021, Nationwide denied that the remaining damages claimed by Mr. Jones were covered under the policy. (ECF No. 25,

at 1-2). Mr. Jones hired Semper Fi Public Adjusters LLC (“Semper Fi”) to evaluate his claim and “secure proper indemnification from [Nationwide].” (ECF No. 1, at 12). On July 7, 2021, Semper Fi submitted a letter of representation to Nationwide requesting a copy of Nationwide’s underwriting file, copies of Nationwide’s communications with Mr. Jones, Mr. Jones’ proof of loss,

1 Nationwide notes that it is unoccupied rental property. (ECF No. 25, at 1). Nationwide’s recorded inspection, the reports Nationwide used to make a determination on Mr. Jones’ claim, Nationwide’s standard operation procedure for processing claims, photos taken during

inspections of the Property, Mr. Jones’ certified policy, and “any documentation related to previous claims from [Mr. Jones] for the three years prior to the April 29, 2021 claim.” (ECF No. 1 ¶ 13). Semper Fi submitted an estimate for the scope of work on Mr. Jones’ claim and has requested full indemnification on Mr. Jones’ claim, which has been rejected by Nationwide. (ECF No. 1 ¶ 15). Semper Fi’s estimate for restoration of the Property to its pre-loss condition is $148,463.70. (ECF No. 1 ¶ 16). B. Procedural Background On August 25, 2023, Mr. Jones filed a complaint alleging breach of contract and failure to settle claims in good faith. (ECF No. 1). After an answer was filed, an initial scheduling

order was entered. On December 6, 2023, the scheduling order was modified at the parties’ request, setting the close of discovery for July 5, 2024, and the dispositive motions deadline for August 6, 2024. (ECF No. 16). The case was referred to Judge Sullivan for mediation. (ECF No. 18). Judge Sullivan scheduled a settlement conference for July 10, 2024. (ECF No. 19). On May 7, 2024, Mr. Jones filed a motion to compel appraisal and stay litigation pending appraisal. (ECF No. 20). Nationwide filed an opposition to Mr. Jones’ motion on May 21, 2024 (ECF No. 25). On May 28, 2024, Mr. Jones filed a memorandum in support of his motion to compel appraisal and stay litigation (ECF No. 26). Nationwide filed a motion to strike Mr. Jones’ memorandum in

support on June 11, 2024 (ECF No. 27). Mr. Jones filed a supplemental memorandum in support of his motion to compel appraisal and stay litigation on June 26, 2024 (ECF No. 30). On May 15, 2024, Nationwide filed a motion for sanctions, or in the alternative, a motion to compel discovery responses (ECF No. 22), and a motion to strike the expert designation of and to preclude the testimony of Jonathan Pezold (“Mr. Pezold”) (ECF No. 23). Mr. Jones filed a response in opposition to Nationwide’s motion for sanctions on June 14, 2024 (ECF No. 29), but has not responded to the motion to strike expert designation. On June 27, 2024, Judge Sullivan canceled the settlement conference until the current motions are resolved. (ECF No. 31). II. Analysis

A. Motion to Compel Appraisal According to the motion papers, Plaintiff notified Nationwide on April 16, 2024, of his invocation of the appraisal clause of the Policy. (ECF No. 20-1). Nationwide rejected the appraisal demand by letter on April 30, 2024. (ECF No. 20-2). The pertinent language in the Conditions section of the Policy is as follows: 8. Appraisal. If you and we fail to agree on the amount of loss, either may demand an appraisal of the loss. In this event, each party will choose a competent appraiser within 20 days after receiving a written request from the other. The two appraisers will choose an umpire. If they cannot agree upon an umpire within 15 days, you or we may request that the choice be made by a judge of a court of record in the state where the Described location is located. The appraisers will separately set the amount of loss. If the appraisers submit a written report of an agreement to us, the amount agreed upon will be the amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will set the amount of loss. Each party will: a. pay its own appraiser; and b. bear the other expenses of the appraisal and umpire equally.

(ECF No. 25-1, at 20). Mr. Jones seeks an order compelling appraisal of the “amount of loss”. (ECF No. 20, at 3). Nationwide asserts that the Policy’s appraisal provision does not apply because Nationwide disputes coverage for the remaining portion of Mr. Jones’ claimed damages, not the amount of loss. (ECF No. 25, at 6). Appraisal clauses in an insurance contract provide an informal process for measuring the cash value, or amount, of loss, where other issues are reserved for determination elsewhere. Aetna Cas. & Sur. Co. v. Ins. Comm’r., 293 Md. 409, 418 (1982)(citing to and quoting from In re Delmar Box Co., 309 N.Y. 60, 63-67 (1955)). In that sense, “appraisal is analogous with arbitration. Consequently, [Maryland courts have] applied arbitration law to appraisal clauses in insurance policies.” Thompson v. Allstate Prop. & Casualty Ins. Co., 22-cv-02379-JMC, 2024 WL 3161586, at *2 (D.Md. June 25, 2024) (citing Brethren Mut. Ins. Co. v. Filsinger, 54 Md.App. 357, 362-63 (1983)). Under the Maryland Uniform

Arbitration Act (“MUAA”), “any provision in an insurance contract with a consumer that requires arbitration is void and unenforceable.” Md. Code, Cts. & Jud. Proc. § 3-206.1(b)(1). However, that rule “does not apply to a [contract] provision that establishes an appraisal process to determine the value of property.” Id. § 3-206.1(b)(2). Therefore, “the appropriate principle to be applied is that ordinarily an insured may compel an insurer to submit to appraisal.” Thompson, 2024 WL 3161586, at *3 (quoting Aetna, 293 Md. at 420).

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Jones v. Nationwide Mutual Fire Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-nationwide-mutual-fire-insurance-company-mdd-2024.