Julie Greenbank v. Great American Assurance Comp

47 F.4th 618
CourtCourt of Appeals for the Seventh Circuit
DecidedAugust 30, 2022
Docket21-2622
StatusPublished
Cited by19 cases

This text of 47 F.4th 618 (Julie Greenbank v. Great American Assurance Comp) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Julie Greenbank v. Great American Assurance Comp, 47 F.4th 618 (7th Cir. 2022).

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________ No. 21-2622 JULIE GREENBANK, Plaintiff-Appellant, v.

GREAT AMERICAN ASSURANCE COMPANY, Defendant-Appellee. ____________________

Appeal from the United States District Court for the Southern District of Indiana, Evansville Division. No. 3:18-cv-00239 — Sarah Evans Barker, Judge. ____________________

ARGUED MARCH 29, 2022 — DECIDED AUGUST 30, 2022 ____________________

Before FLAUM, ST. EVE, and JACKSON-AKIWUMI, Circuit Judges. JACKSON-AKIWUMI, Circuit Judge. This case concerns an in- surance dispute over a champion show horse named Thomas. Thomas is alive and well, but Thomas’s owner, Julie Green- bank, sued her insurance carrier, Great American Assurance Company, for failing to provide mortality coverage for Thomas. Greenbank alleges that Great American breached the insurance policy and acted in bad faith by unreasonably 2 No. 21-2622

withholding consent for Thomas’s authorized humane de- struction, opting instead to perform a tenotomy that de- stroyed Thomas’s use as an athletic show horse. She also al- leges that Great American’s continued care and control over Thomas, long after the policy terminated, constitutes conver- sion and theft. The district court dismissed her claims at sum- mary judgment, and Greenbank appeals. We conclude that the district court did not err in granting summary judgment in Great American’s favor and affirm. I A. The Insurance Policy In September 2017, Greenbank purchased an American Saddlebred gelding horse named Awesome at This (barn name “Thomas”) for $500,000. Greenbank intended to use Thomas as an athletic show horse for competitive purposes. Shortly after this purchase, Greenbank obtained a mortal- ity insurance policy with Great American for Thomas’s full purchase price. The policy, effective September 28, 2017, through September 28, 2018, provided coverage in the event of Thomas’s “death” or “authorized humane destruction.” The policy defines “[a]uthorized humane destruction” as the intentional destruction of a “horse” under the following cir- cumstances: (1) Where we [Great American], without any condition, qualification, or reservation, have expressly agreed to the destruction of the “horse”; or (2) Where a “horse” sustains an injury and a “qualified veterinarian” appointed by [Greenbank] certifies to [Great American] No. 21-2622 3

that the suffering of the “horse” is incurable and so excessive that immediate destruction is imperative for humane reasons; or (3) Where a “horse” sustains an injury or is af- flicted with an excessively painful illness or disease and a “qualified veterinarian” ap- pointed by [Great American] certifies to [Great American] that the suffering of the “horse” is incurable and so excessive that immediate destruction is imperative for hu- mane reasons. Under the policy, a horse’s death or authorized humane destruction must result, in part, from an illness, injury, or spe- cific surgery. To obtain coverage in the event of Thomas’s death or au- thorized humane destruction, the policy requires Greenbank to meet certain conditions precedent. One condition prece- dent requires Greenbank to immediately notify Great Ameri- can if Thomas becomes ill. The policy notes that failure to pro- vide immediate notice of Thomas’s illness “will invalidate any claim under the policy.” If Thomas becomes ill, the policy allows Great American to, with Greenbank’s permission, as- sume control over Thomas’s treatment. But, in the event of a covered cause of loss, the policy requires Greenbank to assist and cooperate in Great American’s investigation, including by submitting to an examination under oath. In addition to mortality coverage, the policy also includes a “Major Medical Endorsement” (MME) and a “Guaranteed Renewal Endorsement” (GRE). These provisions also require Greenbank to meet conditions precedent. Under the MME, 4 No. 21-2622

Greenbank may request $10,000 for “reasonable and custom- ary veterinary fees” for Thomas’s medical treatment. And un- der the GRE, Greenbank may renew the policy on a yearly basis. B. Thomas’s Health In December 2017, Greenbank boarded Thomas at Cedar- wood Farms in Evansville, Indiana, to begin training with Chuck Herbert. In February 2018, however, Thomas became sick with colic and pneumonia. Thus began Thomas’s multi- ple visits to the veterinarian, starting first with Dr. R.H. Stone. Over the next few months, Thomas lost 50 pounds, and de- veloped cellulitis in all four legs and uveitis in his eye. Based on this, Dr. Stone determined that Thomas was “very sick.” On top of this, Thomas later pulled his right stifle, rendering him lame in his right hind; Thomas’s ability to get up and down was compromised. On April 26, 2018, Greenbank reported Thomas’s pneu- monia to Great American. Great American assigned Senior Claims Adjuster Charlotte Bloxsom to investigate. In June 2018, Dr. Stone informed Bloxsom that Thomas’s condition had deteriorated, and that Thomas “probably” needed to be euthanized. After hearing this, Great American, pursuant to the policy, retained its own veterinarians to provide treatment for Thomas. Eventually, Thomas was transported to Hagyard Equine Medical Institute, a facility in Lexington, Kentucky, where Dr. Kathy MacGillivray became Thomas’s primary vet- erinarian. Dr. MacGillivray evaluated Thomas and determined that Thomas suffered from a deep lung abscess and severe lamini- tis. Severe laminitis is a life-threatening condition that occurs No. 21-2622 5

when the coffin bone separates from the hoof capsule imped- ing blood flow to the tissues in a horse’s foot. Dr. MacGilli- vray advised that based on Thomas’s declining health, it would not be unreasonable to make a euthanasia recommen- dation. But because Thomas did not previously receive treat- ment for these issues, she wanted to try treatment first, before recommending euthanasia. Thomas received treatment for his deep lung abscess first, followed by his severe laminitis. For the latter condition, vet- erinary podiatry specialist Dr. Brian Fraley recommended that Thomas undergo a tenotomy, which involves a one-inch incision and cutting the deep flexor tendon to restore blood flow and relieve pressure on the coffin bone. Greenbank ob- jected to Thomas’s tenotomy on the basis that it would de- stroy Thomas’s future athleticism as a show horse; she re- quested more conservative treatments. But Dr. Fraley advised that the tenotomy was Thomas’s only chance of regaining any athletic ability, because, after a tenotomy, the tendon would eventually heal and become functional. Dr. Fraley performed Thomas’s tenotomy, and as he would later testify, Thomas’s tenotomy went well and Thomas had a “remarkable” recov- ery. Within a year after his surgery, Thomas gained back his weight and returned to trotting, bucking, running, and gal- loping around the Pine Ridge Farm, where he now resides. At oral argument, Great American shared that Thomas is still alive and doing well. C. Great American’s Policy Actions Per the MME, Greenbank submitted the medical bills for Dr. Stone’s treatment of Thomas’s pneumonia. Great 6 No. 21-2622

American, however, determined that certain medications, particularly the $80 for Equipoise and $982 for Marquis, were not related to Thomas’s pneumonia condition and denied coverage for these treatments. Greenbank’s policy expired on September 28, 2018. To re- new the policy under the GRE, she submitted a payment of $14,725.000. Great American however, denied the policy re- newal based on Greenbank’s failure to meet several condi- tions precedent, including providing Great American with immediate notice of Thomas’s illness in February 2018. Under Indiana law, Great American was required to provide Green- bank with a 45-day notice of the policy’s non-renewal. Be- cause it did not do that, it renewed Greenbank’s policy for 60- days.

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