Meat Town v. Sentinel Ins. Co.

Court of Appeals for the Sixth Circuit·Decided March 30, 2021·No. 19-2351·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION FILE NAME: 21A0167N.06

Case No. 19-2351

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

FILED

MEAT TOWN INC., ) Mar 30, 2021 ) DEBORAH S. HUNT, Clerk Plaintiff-Appellant, )

)

v. )

) ON APPEAL FROM THE

SENTINEL INSURANCE COMPANY, ) UNITED STATES DISTRICT ) COURT FOR THE EASTERN Defendant-Appellee. ) DISTRICT OF MICHIGAN )

Before: BATCHELDER, MOORE, and ROGERS, Circuit Judges.

ALICE M. BATCHELDER, Circuit Judge. In this insurance coverage dispute, the district court ruled for the defendant insurance company on cross-motions for summary judgment, ending the action. The plaintiff appeals that summary-judgment ruling as well as the district court’s ruling on a discovery-sanctions motion. For the reasons that follow, we AFFIRM.

I.

This is a lawsuit by a Michigan company against its out-of-state insurer, filed in Michigan and removed to federal court under diversity jurisdiction. Michigan law governs the interpretation and application of the insurance policy. Hantz Fin. Servs., Inc. v. Am. Int’l Specialty Lines Ins. Co., 664 F. App’x 452, 456 (6th Cir. 2016). Under Michigan law, “[a]n insurance policy is similar to any other contractual agreement.” Hunt v. Drielick, 852 N.W.2d 562, 565 (Mich. 2014). “A fundamental tenet of [Michigan law] is that unambiguous contracts . . . must be enforced as written . . . according to their unambiguous terms because doing so respects the freedom of individuals freely to arrange their affairs via contract.” Rory v. Cont’l Ins. Co., 703 N.W.2d 23, 30 (Mich.

2005) (citation omitted). Consequently, while “exclusionary clauses in insurance policies are strictly construed in favor of the insured, . . . it is impossible to hold an insurance company liable for a risk it did not assume, and, thus, clear and specific exclusions must be enforced.” Hunt, 852 N.W.2d at 565-66 (editorial marks, quotation marks, and citations omitted).

The insurance policy in this case voids all coverage if the insured conceals or misrepresents material facts concerning its claim; e.g., commits fraud. Under Michigan law, to effectuate such a provision, the insurer must prove that the claim was (1) knowingly false or made in reckless disregard for the truth, and (2) material, such that the insured intended to induce the insurer to act upon it. Sinkfield v. State Farm Ins., 580 F. App’x 323, 326 (6th Cir. 2014) (quoting Rayis v. Shelby Mut. Ins. Co., 264 N.W.2d 5, 8 (Mich. Ct. App. 1978)); see also West v. Farm Bureau Mut. Ins. Co., 259 N.W.2d 556, 557 (Mich. 1977). “Furthermore, under Michigan law, it matters not that the fraud [was] perpetrated in connection with only a portion of the loss claimed by an insured.” McKellar v. State Farm Fire & Cas. Co., No. 14-cv-13730, 2016 WL 304759, at *9 (E.D. Mich. Jan. 26, 2016) (relying on Martin v. Farm Bureau Gen. Ins. Co., 2008 WL 1807940 (Mich. Ct. App. Apr. 22, 2008) (“To void the policy, the insured is not required to lie about all of his or her losses; rather a lie related to a single loss operates to void the policy.”)).

This appeal stems from the district court’s grant of summary judgment to the insurer on the basis that the insured’s misrepresentations voided the policy under its clear terms. We review a grant of summary judgment de novo. Goodman v. J.P. Morgan Inv. Mgmt., Inc., 954 F.3d 852, 859 (6th Cir. 2020). Summary judgment is appropriate “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.” Fed. R. Civ. P. 56(a). To overcome summary judgment, the nonmoving party must “present sufficient evidence to permit a reasonable jury to find in its favor.” Willard v. Huntington Ford, Inc., 952 F.3d 795, 805 (6th Cir. 2020) (citation omitted). We commonly refer to this as “requiring

more than a ‘scintilla’ of evidence,” and emphasize that “a party may not avoid summary judgment by resorting to speculation, conjecture, or fantasy.” K.V.G. Properties, Inc. v. Westfield Ins. Co., 900 F.3d 818, 823 (6th Cir. 2018) (quotation marks and citations omitted).

Just like the district court, we view the evidence “in a light most favorable to the [nonmoving] party. . . , giving that party the benefit of all reasonable inferences.” Baker v. City of Trenton, 936 F.3d 523, 529 (6th Cir. 2019). But we can affirm on any basis supported by the record. Keathley v. Grange Ins. Co., 803 F. App’x 907, 912 (6th Cir. 2020) (citing Pipefitters Local 636 Ins. Fund v. Blue Cross & Blue Shield, 722 F.3d 861, 865 (6th Cir. 2013)).

II.

Meat Town Inc. was a retail butcher and grocer in Detroit, Michigan. Because it was predominantly a butcher shop, selling a large volume of perishable products, its entire retail space was refrigerated and was laid out with three large, glass cases that displayed fresh meat and served as customer-service counters, two large freezers that displayed frozen meat, and shelves for display of other grocery items. In September 2015, Meat Town renewed its “Business Owner’s Policy” with Sentinel Insurance Company, Ltd., to insure the real property, fixtures and equipment, inventory, and business interests against loss due to, among other things, vandalism or fire.1 On December 24, 2015, Meat Town filed a claim under this policy for losses arising from an afterhours break-in, robbery, and vandalism that occurred on November 10, 2015, which is referred to as the “Vandalism Event.”2 On March 7, 2016, Meat Town filed a second, separate

1 Sentinel is a wholly owned subsidiary of The Hartford Financial Services Group, Inc. (commonly “The Hartford”), a publicly traded financial holding company. In the record, Sentinel is occasionally depicted as The Hartford, such as on letterhead or in certain reports. There is no meaningful difference for our purposes.

2 The police responded to the Vandalism Event, but the record does not contain a police report or other documentation of a criminal investigation. Meat Town timely notified Sentinel of the Vandalism Event on November 11, 2015, though it did not file a formal claim until later.

claim for losses arising from a fire on December 19, 2015, which is referred to as “the Fire.”3 On October 4, 2016, Meat Town’s President, Pete Demopolis, signed, with notarization, a “Sworn Statement in Proof of Loss,” claiming $487,879 in loss and damages from the Vandalism Event.4 The Statement was submitted to Sentinel with a “Summary of Loss” and hundreds of pages of supporting documentation. The record also contains a separate “Summary of Loss” for the Fire, totaling $473,310 and itemizing those damages both generally, in a one-page summary, and specifically, in a 22-page, computer-generated worksheet. The record does not contain an equivalent “Sworn Statement in Proof of Loss” for that claim for the Fire.5 Sentinel was suspicious that the claims were fraudulent and began an investigation, which eventually turned those suspicions into convictions that the claims were fraudulent. But when Sentinel had not resolved its claim by November 2017, Meat Town became concerned that two- year statute of limitations was about to expire, so it sued Sentinel in Michigan state court, alleging breach of contract and seeking a declaratory judgment. Sentinel, a Connecticut corporation, removed the case to federal court based on diversity jurisdiction. In August 2018, while discovery was underway, Sentinel sent Meat Town a four-page letter denying both claims. The letter quoted several provisions from the policy, with the most pertinent for present purposes being:

This policy is void in any case of fraud by you as it relates to this policy at any time.

It is also void if you or any other insured, at any time, intentionally conceal or misrepresent a material fact concerning: . . . [] The Covered property; [] Your interest in the Covered Property; or [] A claim under this policy.

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Meat Town v. Sentinel Ins. Co., (6th Cir. 2021).

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