Mendez v. Nationwide Property & Casualty Insurance

910 F. Supp. 2d 784, 2012 WL 4518987, 2012 U.S. Dist. LEXIS 140276
CourtDistrict Court, D. Maryland
DecidedSeptember 28, 2012
DocketCase No. 10-cv-02266-AW
StatusPublished
Cited by3 cases

This text of 910 F. Supp. 2d 784 (Mendez v. Nationwide Property & Casualty Insurance) 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
Mendez v. Nationwide Property & Casualty Insurance, 910 F. Supp. 2d 784, 2012 WL 4518987, 2012 U.S. Dist. LEXIS 140276 (D. Md. 2012).

Opinion

MEMORANDUM OPINION

ALEXANDER WILLIAMS, JR., District Judge.

Plaintiff Raymond Mendez (“Mendez”) filed this case against Nationwide Property and Casualty Insurance Company (“Nationwide”) on June 2, 2010, based on Nationwide’s refusal to pay Mendez under a homeowner’s insurance policy for losses sustained in a fire. Pending before the Court is Nationwide’s Motion for Summary Judgment on Mendez’s breach of contract claim. Doc. No. 40. The Court has reviewed the parties’ briefs and exhibits and concludes that no hearing is necessary. See Loe. R. 105.6 (D.Md.2011). For the reasons articulated below, Defendant’s Motion will be DENIED.

I. FACTUAL AND PROCEDURAL BACKGROUND

The following facts are drawn from the parties’ briefs and attached exhibits and are undisputed, unless otherwise noted. On June 3, 2008, Defendant Nationwide issued homeowner’s insurance policy No. 5219 [¶] 888334 (the “Policy”) to Plaintiff Raymond Mendez for his property located at 105 Stan Fey Drive in Upper Marlboro, Maryland. Doc. No. 40-4, B00002. The Policy was in effect when a fire engulfed Mendez’s home on June 15, 2009. Id.; Doc. No. 2, ¶¶ 5, 9. The Policy included the following disclaimer under the heading “CONCEALMENT OF FRAUD”:

This policy does not provide coverage for all insureds if you or any other insured, either before or after the loss, has:
[787]*787(1) Intentionally concealed or misrepresented any material fact or circumstance; or
(2) committed any fraud or made false statements relating to such loss.

Doc. No. 40 — 4, B00036.

Soon after the fire, Mendez employed his son, Amilcar Mendez (“Amilcar”), to assist him with drafting inventories and placing values on lost or destroyed items, as Amilcar had personal knowledge of the home’s contents and the value of the personal property. Mendez and his son were told by Nationwide’s agents to list items of identical or similar quality and value as those lost in the fire, and that “time was of the essence” in submitting the claims. Doc. No. 53-3, ¶ 11; Doc. No. 53-5, ¶¶ 2, 6-7. Mendez avers that he was suffering kidney failure and was physically unable to do the inventory by himself given his weakened condition. See Doc. No. 53-3, ¶¶ 18-19. Nationwide disputes this claim, citing Mendez’s own affidavit, deposition testimony and responses to interrogatories suggesting that he was in satisfactory physical condition and was preparing part of the inventory himself. See Doc. No. 57, at 6-7. Mendez also avers that at the time the inventories were being prepared, he believed his son’s personal property was covered by the Policy. Doc. No. 53-3, ¶ 17.

Within weeks of the fire, Mendez submitted three binders to Nationwide containing images of the personal property he was claiming was lost or destroyed. See Doc. Nos. 40-7 and 40-8; Doc. No. 42, C00039, 150:9-21. Mendez also submitted typed lists to Nationwide containing items of personal property destroyed in the home, the location of the items in the home, the costs of replacing the items, and the retailers from which replacement items could be purchased. Doc. No. 44, E0003250. Although he received help from his son in preparing these inventories, Mendez acknowledges that he personally reviewed them prior to submitting them to Nationwide. Doc. No. 42, C00039, 150:6-151:13; Doc No. 53-3, ¶ 19. On November 3, 2009, Mendez formally filed a claim under the Policy for $1,299,000.00 based on losses sustained in the fire. Doc. No. 44, E00001. At some point after he submitted the inventories, Mendez sought return of the binders so he could verify their accuracy, but Nationwide refused access, telling him an investigation was being conducted. Doc. No. 53-3, ¶ 10. Mendez claims that Nationwide cut off all communication with him and his family within two or three weeks of the fire, and effectively ignored him until his November 30, 2009 Examination Under Oath (“EUO”). Id. ¶¶ 14, 16.

Mendez filed suit against Nationwide in the Circuit Court of Prince George’s County on June 2, 2010, alleging that Nationwide breached the Policy and acted in bad faith by failing to compensate Mendez for his losses. See Doc. No. 2. Nationwide formally denied Mendez’s claims in a letter dated June 11, 2010, informing him that the Policy was void due to the cause of the fire and false statements made by Mendez during the claims process. Doc. No. 40-9, at 5. The case was removed to this Court on August 19, 2010. The Court dismissed Mendez’s bad faith claim on December 21, 2010, Doc. No. 11, and granted judgment in favor of Nationwide on Mendez’s claims for physical, mental, and credit injuries on September 13, 2011, Doc. No. 23. Only Mendez’s breach of contract claim remains.

Nationwide sent Mendez a supplemental denial letter on April 2, 2012, citing Mendez’s false claims regarding lost or destroyed artwork, uncut diamonds, and furs as specific grounds for the denial of coverage. Doc. No. 40-10. Nationwide bases its June 28, 2012 Motion for Summary Judgment, Doc. No. 40, on Mendez’s false [788]*788statements regarding these items.1 Mendez does not dispute that the initial claims regarding the artwork, uncut diamonds, and furs were false. However, Mendez argues that he did not make false statements with knowledge that they were false or with the purpose of defrauding Nationwide, and that the inaccuracy of the information can be explained by lack of knowledge, inadvertence, honest mistake, or poor judgment.

II. STANDARD OF REVIEW

Summary judgment is only appropriate “if the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(c); see also Celotex Corp. v. Catrett, 477 U.S. 317, 323-25, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). The Court must “draw all justifiable inferences in favor of the nonmoving party, including questions of credibility and of the weight to be accorded to particular evidence.” Masson v. New Yorker Magazine, Inc., 501 U.S. 496, 520, 111 S.Ct. 2419, 115 L.Ed.2d 447 (1991) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986)). In ruling on a motion for summary judgment, “[cjredibility determinations, the weighing of the evidence, and the drawing of legitimate inferences from the facts are jury functions, not those of a judge.... ” Okoli v. City of Baltimore, 648 F.3d 216, 231 (4th Cir.2011) (quoting Anderson, 477 U.S. at 255, 106 S.Ct. 2505).

To defeat a motion for summary judgment, the nonmoving party must come forward with affidavits or other similar evidence to show that a genuine issue of material fact exists. See Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
910 F. Supp. 2d 784, 2012 WL 4518987, 2012 U.S. Dist. LEXIS 140276, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mendez-v-nationwide-property-casualty-insurance-mdd-2012.