Mangat v. Amica Mutual Insurance Company

CourtDistrict Court, D. Maryland
DecidedAugust 4, 2025
Docket8:24-cv-00709
StatusUnknown

This text of Mangat v. Amica Mutual Insurance Company (Mangat v. Amica Mutual 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
Mangat v. Amica Mutual Insurance Company, (D. Md. 2025).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND HARPAL S. MANGAT, et al.,

Plaintiffs,

v. No. 24-cv-0709-ABA

AMICA MUTUAL INSURANCE COMPANY,

Defendant.

MEMORANDUM OPINION This insurance dispute arises from a fire in 2019 at the home of Dr. Harpal Man- gat and Dr. Harminder Kaur, plaintiffs here. After the fire damaged their house, Plain- tiffs and their insurer Amica Mutual Insurance Company (“Amica”) disagreed over the amounts the homeowners’ policy covered. The parties relied on an appraisal panel to re- solve their disputes, but two disputes linger: whether unanticipated asbestos remedia- tion is covered under “Coverage A–Dwelling” after the appraisal award and whether ex- penses for cleaning and storage under “Coverage C–Personal Property” should have been paid by Plaintiffs or Amica. Those two disputes are now before the Court, the Cov- erage A dispute in the form of cross-motions for summary judgment and the Coverage C dispute in the form of a motion to enforce an appraisal award. For the following reasons, the Court will deny Plaintiffs’ motion to enforce the arbitration award, deny Plaintiffs’ motion for summary judgment, and grant Amica’s motion for summary judgment. I. Background1 On November 16, 2019, Plaintiffs’ home in Potomac, Maryland, caught fire after their son threw away a cigarette in a plastic bin in the basement bedroom. See ECF No. 24-1 at 5; ECF No. 25-7 at 10. The fire caused hundreds of thousands of dollars in damage to Plaintiffs’ home and personal property, in addition to myriad remedial

measures, all costly. See, e.g., ECF No. 21-8 at 2 (estimating total damages over $850,000). A. The Policies, and the Fire Plaintiffs had insured their home against fire loss under a policy with Amica. ECF No. 24-1 at 5–6; see generally ECF No. 24-12 (homeowners’ policy for the relevant pe- riod). In the event of a fire loss, Amica had to pay Plaintiffs the least of either the re- placement cost or the repair cost of their damaged property. See ECF No. 24-12 at 80. The policy also imposed certain duties on Plaintiffs for when losses occurred. Id. at 49 (listing “Duties After Loss”). Among those duties are the duties to “[p]rotect the prop- erty from further damage”; to “[k]eep an accurate record of repair expenses”; to “[c]oop- erate with [Amica] in the investigation of a claim”; to “[s]how the damaged property”

“[a]s often as [Amica] reasonably require[d]”; and to “[s]end to [Amica], within 60 days after [its] request, [Plaintiffs’] signed, sworn proof of loss.” Id. Under Plaintiffs’ policy, if they failed in their duties and that failure prejudiced Amica, Amica had “no duty to

1 In reviewing a motion for summary judgment, the Court views the evidence in the light most favorable to the nonmoving party. Tolan v. Cotton, 572 U.S. 650, 656-67 (2014). Because there are cross motions for summary judgment, this section incorporates facts from both parties, but the Court applies this standard separately to each motion. See Monumental Paving & Excavating, Inc. v. Penn. Mfrs.’ Ass’n. Ins. Co., 176 F.3d 794, 797 (4th Cir. 1999). provide coverage.” Id. Likewise, the policy commits policyholders to “full compliance with all of the terms under Section I of this policy,” which includes these duties. Id. at 51. Otherwise, Plaintiffs agreed in their policy that “[n]o action c[ould] be brought against [Amica].” Id. Soon after the fire, Plaintiffs reported their losses to Amica, and Amica began in-

specting and valuing the damages. See, e.g., ECF No. 25-7 at 10–12 (showing that Amica had retained Environmental Solutions, Inc., to inspect the damaged property, which it did on December 20, 2019, and again, at Plaintiffs’ request, on February 4, 2020). Am- ica determined an amount of loss to the house, covered by the policy under Coverage A– Dwelling (covering, as its name implies, “[t]he dwelling on the residence premises,” ECF No. 24-12 at 38). See ECF No. 25-5 at 1; ECF No. 25-7 at 12. Plaintiffs disagreed with that amount and, on May 25, 2020, demanded an appraisal to resolve the disagreement. See id.; ECF No. 24-1 at 6; ECF No. 25-5 at 1 (“The insured is demanding appraisal be- tween the estimate from [their contractor] of $205,881.96 and [Amica’s contractor’s] es- timate of $75,585.84.”); compare ECF No. 26-2 at 43 (summary of estimate by Plain- tiffs’ contractor), with ECF No. 26-3 at 53 (summary of estimate by Amica’s contractor).

Plaintiffs also disagreed with the award amounts for Coverage C–Personal Property (covering “personal property owned or used by an insured,” ECF No. 24-12 at 38) and Coverage D–Loss of Use (covering “any necessary increase in living expenses incurred by [Plaintiffs] so that [their] household can maintain its normal standard of living . . . . for the shortest time required to repair or replace the damage,” ECF No. 24-12 at 40), demanding appraisal for each. According to the policy, after one party demands an appraisal, each party must name an appraiser “within 20 days.” ECF No. 24-12 at 66 (homeowners’ policy on appraisal). The two appraisers choose a third appraiser. Id. Together, the three apprais- ers form the appraisal panel. The panel assesses the facts as presented by the parties and determines an award amount for each type of coverage. See id. After Plaintiffs demanded an appraisal, Amica asked them whom they chose as their appraiser. See ECF No. 25-7 at 15. Plaintiffs did not answer by the 20-day deadline

on June 14, 2020. See id. So Amica extended the deadline to July 22, 2020. See id. Yet Plaintiffs still did not answer by the extended deadline. See id. Amica extended it again, this time until August 31, 2020, id., but again, no response. See ECF No. 25-7 at 20–21 (Amica letter dated September 2, 2020, noting it had previously written on July 1, July 9, July 15, August 3, and August 24, 2020, and giving another extension until September 11, 2020, as a “customer courtesy”). This pattern repeated until Amica eventually ex- tended the reporting deadline to December 31, 2020. See ECF No. 25-7 at 30. Concurrently, Amica repeatedly requested that Plaintiffs send a sworn proof of loss for Coverage A–Dwelling and Coverage C–Personal Property. See ECF No. 25-7 at 5, 15, 19, 21, 26, 30. The policy required Plaintiffs to submit sworn proof of loss within 60 days of Amica’s request. ECF No. 24-12 at 49. Despite the repeated extensions, Plain-

tiffs did not do so until March 25, 2021. ECF No. 22-17. And that one-page proof of loss was inadequate. It did not meet the policy’s requirements by, for example, listing “THE WHOLE LOSS AND DAMAGE” as “Yet to be determined,” rather than naming a figure. Id. Amica, thus, rejected Plaintiffs’ proof of loss. See ECF No. 22-18 at 2–3. As for the appraiser, Plaintiffs did not name one until June 22, 2022, more than two years after the policy-provided deadline. See ECF No. 25-6 at 1. On June 24, 2022, both parties’ appraisers agreed to “set with strict impartiality in the making an appraise- ment and estimate of the Replacement Cost and Replacement Cost Loss and Damage upon the property.” ECF No. 26-9 at 3. The two appraisers named a third appraiser by the end of July. See id. The appraisal panel was set. It would eventually determine the amount of four losses under the homeowners’ policy: one loss under Coverage A–Dwell- ing; two losses under Coverage C–Personal Property; and one loss under Coverage D– Loss of Use. Only two losses are still at issue: the loss under Coverage A for the dwelling,

and one of the losses under Coverage C for Plaintiffs’ personal property damaged during the fire. B. The Appraisal Award for Coverage A–Dwelling On August 10, 2022, the panel issued its first decision, “the amount of loss” under Coverage A–Dwelling. ECF No.

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