MaClaff, Inc. v. Arch Ins. Co.

978 So. 2d 482, 7 La.App. 3 Cir. 1182, 2008 La. App. LEXIS 277, 2008 WL 508168
Louisiana Court of Appeal·Decided February 27, 2008·No. 07-1182·Published·Cited by 8 cases

Opinion

978 So.2d 482 (2008)

MaCLAFF, INC. et al.
v.
ARCH INS. CO., et al.

No. 07-1182.

Court of Appeal of Louisiana, Third Circuit.

February 27, 2008.
Rehearing Denied April 23, 2008.

*483 James L. Pates, Jr., Robert Edwin Torian, LaBorde & Neuner, Lafayette, LA, for Defendants/Appellees — Liberty Surplus Insurance Corporation and RMS Insurance Brokerage, LLC.

Charles P. Carriere, New Orleans, LA, for Defendants/Appellees — Utica Mutual Insurance Co. and Wright & Percy Insurance, Inc.

Nancy J. Marshall, Ashley E. Gilbert, Ambrose Victor McCall, Anne B. Rappold, Deutsch, Kerrigan & Stiles, LLP, New Orleans, LA, for Defendant/Appellee — Arch Insurance Company.

Patrick M. Wartelle, Leake & Anderson, L.L.P., Lafayette, LA, for Plaintiffs/Appellants — MaClaff, Inc., University Partnership, Ambassador Partnership, Abnar, Inc., Wilburn Enterprises, LLC, and Terry Wilburn d/b/a Cat Enterprises.

Court composed of ULYSSES GENE THIBODEAUX, Chief Judge, SYLVIA R. COOKS, and JIMMIE C. PETERS, Judges.

THIBODEAUX, Chief Judge.

Plaintiffs-appellants, MaClaff, Inc., University Partnership, Ambassador Partnership, Abnar, Inc., Wilburn Enterprises, L.L.C., and Terry Wilburn d/b/a Cat Enterprises (collectively referred to as "franchisees"), appeal the trial court's grant of a partial summary judgment in favor of defendant-appellee, Arch Insurance Company (Arch). The franchisees seek a reversal of that judgment, which found that *484 their property and casualty insurance policy's wind deductible of "2% of Total Insured Value for Named Storm" applied to their claims. For the following reasons, the judgment of the trial court is affirmed.

I.

ISSUES

1. Was summary judgment erroneously granted since the franchisees did not receive the policy disclosing the full terms of the named storm wind deductible until after their losses occurred?
2. Was the summary judgment erroneous because the Executive Summary of the Arch policy allegedly ambiguously disclosed the named storm wind deductible?
3. Was the summary judgment erroneous because RMS, as an agent of Arch, allegedly negligently misrepresented the terms of the named storm wind deductible to the franchisees?
4. Did the trial court legally err in finding that "total insured value" included both the value of the franchisees' interest in their properties, as well as the McDonald's Corporation's interest in each property?

II.

FACTUAL BACKGROUND

Plaintiffs-appellants are all McDonald's Corporation (McDonald's) franchise owners/operators of fast-food restaurants that are located in Jennings, Eunice, Oakdale, Kinder, the Morgan City area, and the Lafayette area. When Hurricane Lili struck parts of southern Louisiana on October 3, 2002, the franchisees suffered losses at their respective locations, namely, damage to signs, food spoilage, and lost revenue. At the time, the franchisees had in effect an Executive Summary of a policy issued by Arch, providing casualty and property insurance coverage.

The franchisees' insurance agent who helped procure this coverage was Larry Andrews, an insurance agent for Wright & Percy Insurance Agency (Wright & Percy) who was designated therein as "McDonald's Insurance Consultant." Mr. Andrews consulted with RMS Insurance Brokerage, L.L.C., (RMS), specifically with, owner, Diana Krause, to obtain a new policy with terms that would meet McDonald's franchise insurance requirements. He asked that she assist in obtaining coverage that mirrored, as closely as possible, the franchisees' then-existing policy with Zurich American Insurance Company (Zurich) that was expiring on October 1, 2002. Ms. Krause was provided with a copy of the Zurich policy to use as a reference and was advised that the new policy needed to be effective as of October 1, 2002.

Ms. Krause shopped for coverages with multiple insurers and was ultimately able to obtain coverage for the franchisees through Arch. Arch was an insurer, newly-approved by McDonald's to provide insurance to its franchise owners/operators through the McDonald's National Franchise Property Program. This program made available to franchise owners/operators the opportunity to contract with McDonald's-approved insurers for necessary coverages.

Ms. Krause began negotiating the terms of the new Arch policy with Arch Senior Vice-President of Underwriting, Nathan Warde. Mr. Warde had primary responsibility for the underwriting decisions and issuance of the Arch policy. In early September 2002 — facing the September 30, 2002, expiration of the franchisees' existing policy — an Executive Summary of the proposed policy was drafted by RMS *485 although the actual policy was not yet complete. On September 12, 2002, Ms. Krause provided Mr. Andrews with this Executive Summary, which he, in turn, provided to the franchisees with their respective premium quotes, for consideration. The one-page Executive Summary listed the categories of coverage to be provided by the policy, the applicable coverage limits, and deductible amounts. Pertinent to this case are the deductibles that were set forth in the Executive Summary as follows: Sign Deductible — $1,000; Food Spoilage Deductible — $1,000; Business Interruption Deductible — $1,000; and Wind Deductible — "2% Total Insured Value for Named Storm" (named storm wind deductible). At the bottom of the page, the Executive Summary stated "[t]he coverages shown are only intended to summarize the basic policy coverages and optional coverages. All coverage is subject to declarations, terms, conditions, and exclusions of the actual policy."

All of the franchisees accepted the provisions of the Executive Summary without reviewing a completed policy. They all relied on the information set forth in the Executive Summary and the oral information provided to them by Mr. Andrews about the policy's terms, particularly the named storm wind deductible and the meaning of "total insured value" as stated therein. According to the franchisees, although they had a wind storm deductible in their prior policy, it applied to their total losses and not the "total insured value" as the Arch policy proposed. It is undisputed that the franchisees were orally assured by Mr. Andrews that the named storm wind deductible would be calculated based on their total losses just as their last policy had, despite the specific language of the Executive Summary. The franchisees all accepted the Executive Summary. They each signified their acceptance by signing a "McDonald's Corporate Approved Package Insurance Proposal for Policy Term 10/01/02-03" and returning it, with their respective premium deposits to Mr. Andrews on September 26, 2002, and September 27, 2002, days before their existing policy was due to expire. Each proposal contained the express declaration, "[p]lease bind my coverage eff. 10/01/02."

The franchisees' coverage for the one-year period beginning October 1, 2002, was confirmed on October 14, 2002, when Arch delivered its Confirmation of Binding (binder) to Ms. Krause at RMS. She, in turn, delivered this binder to Mr. Andrews at Wright & Percy. Arch's binder not only confirmed coverage of the subject properties as of October 1, 2002, but it also listed the policy's coverages and deductibles, including disclosure of a $25,000 minimum deductible for named storm wind claims:

Deductible(s):
. . . .
2% of the total insur

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MaClaff, Inc. v. Arch Ins. Co., 978 So. 2d 482, 7 La.App. 3 Cir. 1182, 2008 La. App. LEXIS 277, 2008 WL 508168 (La. Ct. App. 2008).

978 So. 2d 482 (MaClaff, Inc. v. Arch Ins. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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