Mathews v. Foremost Insurance Co

CourtDistrict Court, W.D. Louisiana
DecidedSeptember 6, 2024
Docket1:23-cv-00214
StatusUnknown

This text of Mathews v. Foremost Insurance Co (Mathews v. Foremost Insurance Co) is published on Counsel Stack Legal Research, covering District Court, W.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mathews v. Foremost Insurance Co, (W.D. La. 2024).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA ALEXANDRIA DIVISION

RANDY MATHEWS ET AL CASE NO. 1:23-CV-00214

VERSUS JUDGE TERRY A. DOUGHTY

FOREMOST INSURANCE CO MAGISTRATE JUDGE PEREZ-MONTES

MEMORANDUM RULING

Pending before the Court is a Motion for Partial Summary Judgment [Doc. No. 18] filed by Defendant, Foremost Insurance Co. (“Foremost”). Plaintiffs Randy and Susan Matthews (“the Matthews”) filed an Opposition to Foremost’s Motion [Doc. No. 24], and Foremost filed a Reply [Doc. No. 25]. For the reasons set forth herein, the Motion is GRANTED IN PART and DENIED IN PART. I. FACTS AND PROCEDURAL BACKGROUND This case arises from an insurance claim for damages related to Hurricane Laura.1 The Matthews own a residence in Alexandria, Louisiana, and Foremost issued an insurance policy to the Matthews for the property.2 When Hurricane Laura damaged the property after making landfall around August 27, 2020,3 the Matthews immediately made a claim to Foremost to report wind damage to the exterior of the home.4 The parties disagree as to whether the Matthews also reported interior damage to the property.5 Foremost promptly inspected the property, which revealed that

1 [Doc. No. 1-2, p.2]. 2 [Doc. No. 24, p.1]. 3 [Id.]. 4 [Doc. No. 18-1, p. 2]. 5 [Id.]; [Doc. No. 24, p. 4]. the roof was “below average condition.”6 Foremost’s independent adjuster observed that most of the shingles on the roof’s rear slope were broken and attributed that damage specifically to Hurricane Laura.7 But the inspection also found wear and tear and rot on the roof unrelated to the Hurricane and not covered under the Matthews’ policy.8 After the inspection, Foremost completed an estimate and paid the Matthews $1,380.24 for

the damages to the roof’s rear slope.9 The company also notified the Matthews that their policy did not cover the wear and tear and rot.10 Yet, weeks later, the Matthews contacted Foremost questioning the payment and advised that they needed a whole new roof.11 Foremost reminded them that the policy only covered the damage to the roof’s rear slope.12 More weeks passed, and the Matthews provided Foremost an estimate from InFront Roofing totaling $6,472.26 for a total roof replacement.13 Foremost again advised the Matthews that the estimate provided was not for the same scope of work.14 The Matthews filed suit on August 22, 2022,15 in the 9th Judicial District Court, Parish of Rapides, State of Louisiana.16 It was properly removed to this Court on the basis of diversity on February 17, 2023.17 The Matthews allege that Foremost breached their insurance contract for

failing to cover the roof and interior damage and acted in bad faith in violation of Louisiana Revised Statutes §§22:1982 and 22:1973.18

6 [Doc. No 18, p. 2]. 7 [Id.]. 8 [Id.]. 9 [Id.]. 10 [Doc. No. 18-2, p. 41]. 11 [Doc. No. 18, p. 3]. 12 [Id.]. 13 [Id.]; [Doc. No. 24, p. 7]. 14 [Doc. No. 18, p. 3]. 15 [Id.]. 16 [Doc. No. 7]. 17 [Id.]. 18 Doc. No. 1-2]. In April of 2023, the Matthews produced their Initial Disclosures, including an estimate prepared by Integrity Claims Consultants dated October 25, 2022 — two years after Hurricane Laura — totaling $47,327.13.19 The estimate included $10,000.00 for a total roof replacement and over $16,000.00 in interior damages.20 In March of 2024, Foremost’s expert engineer performed another inspection of the property.21 Following the expert’s report, Foremost issued a second

payment to the Matthews for $39.85.22 On July 19, 2024, Foremost filed the instant motion.23 Foremost asserts that no genuine issue of material fact exists on several claims, and it is entitled to summary judgment on those claims.24 Specifically, Foremost maintains that: (1) the Matthews are not entitled to contractual damages or bad faith penalties for the interior damages claimed; (2) the Matthews are not entitled to contractual damages or bad faith penalties for damages sustained as a result of Hurricane Delta; (3) the Matthews are not entitled to bad faith penalties generally; (4) to the extent that the Matthews may pursue a claim for bad faith penalties, they may only recover under one statute, not both Louisiana Revised Statutes §§22:1982 and 22:1973; (5) the Matthews are not entitled to damages

for damage to the property, mitigation or remediation costs, diminution in value, lost or damaged personal property, mental anguish, additional living expenses, business losses, or increased cost of construction; (6) Foremost did not misrepresent the terms, conditions, coverages, or limits of the Matthews’ policy; (7) Foremost, as a first-party insurer, owed a duty to pay its insureds, the Matthews, any amount due within thirty days of receipt of satisfactory proof of loss, not provide a

19 [Doc. No. 18-1, p. 3]. 20 [Id.]. 21 [Doc. No. 18-6, p. 2]. 22 [Doc. No. 18-1, p. 4]. 23 [Doc. No. 18]. 24 [Id.]. written offer to settle the claim within 30 days of receipt of satisfactory proof of loss; and (8) the Matthews have no claim for negligent claims handling cognizable under Louisiana law.25 The Matthews only dispute some of the claims Foremost seeks to dismiss and argue that there is a genuine dispute of material fact as to those disputed claims.26 The issues have been briefed, and the Court is prepared to rule.

II. LAW AND ANALYSIS A. Standard for Summary Judgment Under FED. R. CIV. P. 56(a), the court will grant summary judgment “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” If the movant meets their initial burden of showing no genuine issue of material fact, “the burden shifts to the nonmoving party to produce evidence or designate specific facts showing the existence of a genuine issue for trial.” Distribuidora Mari Jose, S.A. de C.V. v. Transmaritime, Inc., 738 F.3d 703, 706 (5th Cir. 2013) (cleaned up). A fact is “material” if proof of its existence or nonexistence would affect the lawsuit’s outcome under applicable law in the

case. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). In other words, “the mere existence of some alleged factual dispute will not defeat an otherwise properly supported motion for summary judgement.” Id. at 247-48. And a dispute about a material fact is “genuine” only if the evidence is such that a reasonable fact finder could render a verdict for the nonmoving party. Id. While courts will “resolve factual controversies in favor of the nonmoving party,” an actual controversy exists only “when both parties have submitted evidence of contradictory facts.” Little v. Liquid Air. Corp., 37 F.3d 1069, 1075 (5th Cir. 1994). But summary judgment is appropriate

25 [Id., p. 5-6]. 26 [Doc. No. 24]. when the evidence is “merely colorable or is not significantly probative”. Cutting Underwater Tech. USA, Inc. v. Eni U.S. Operating Co., 671 F.3d 512, 517 (5th Cir. 2012) (cleaned up). Moreover, “a party cannot defeat summary judgment with conclusory allegations, unsubstantiated assertions, or only a scintilla of evidence.” Turner v. Baylor Richardson Med. Ctr., 476 F.3d 337, 343 (5th Cir. 2007) (cleaned up). Courts “may not make credibility determinations

or weigh the evidence” and “must resolve all ambiguities and draw all permissible inferences in favor of the non-moving party.” Total E & P USA Inc. v.

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