Michael Robichaux v. Nationwide Mutual Fire Insurance Company

Mississippi Supreme Court·Decided September 30, 2009·No. 2010-CA-00109-SCT·Published

Opinion

IN THE SUPREME COURT OF MISSISSIPPI NO. 2010-CA-00109-SCT

MICHAEL ROBICHAUX, AS THE PERSONAL REPRESENTATIVE OF MARY ROBICHAUX, DECEASED, AND MICHAEL ROBICHAUX, INDIVIDUALLY

v.

NATIONWIDE MUTUAL FIRE INSURANCE COMPANY AND JAY FLETCHER INSURANCE

DATE OF JUDGMENT: 09/30/2009 TRIAL JUDGE: HON. BILLY G. BRIDGES COURT FROM WHICH APPEALED: JACKSON COUNTY CIRCUIT COURT ATTORNEYS FOR APPELLANTS: BRANDON CURRIE JONES WILLIAM HARVEY BARTON

DAVID WAYNE BARIA

MARCIE FYKE BARIA

ATTORNEYS FOR APPELLEES: H. MITCHELL COWAN JANET D. McMURTRAY

DANIEL F. ATTRIDGE

CHRISTOPHER LANDAU

KENNETH S. CLARK

NATURE OF THE CASE: CIVIL - INSURANCE DISPOSITION: AFFIRMED IN PART, REVERSED IN PART AND REMANDED - 12/15/2011 MOTION FOR REHEARING FILED: MANDATE ISSUED:

BEFORE CARLSON, P.J., RANDOLPH AND KITCHENS, JJ.

KITCHENS, JUSTICE, FOR THE COURT:

¶1. Following the destruction of their home in Hurricane Katrina, Michael and Mary Robichaux filed suit on October 26, 2006, in the Circuit Court of Jackson County, Mississippi, against their insurers, Nationwide Mutual Fire Insurance Company

(“Nationwide”) and their insurance agent, Jay Fletcher Insurance (“Fletcher Insurance”). The plaintiffs sought declaratory and injunctive relief, including indemnity under the insurance contract, compensatory and punitive damages, specific performance of the insurance contract, attorneys’ fees, and court costs and expenses for what they alleged were uncompensated, covered losses under their homeowners’ policy. Also included in the complaint were claims of fraud and bad faith by the insurer and its agent.

¶2. The trial court ultimately granted summary judgment in favor of Nationwide and Fletcher Insurance based on the Robichauxes’ failure to establish a genuine issue of material fact that the home was damaged by wind, which was covered by the subject policy, rather than its having been destroyed by flood, which the trial court found was excluded under the policy. Alternatively, the trial court found that the Robichauxes had failed to show they had suffered uncompensated losses due to their having received compensation under their flood policy. Aggrieved, the Robichauxes timely filed this appeal.

¶3. This Court finds that the trial court erred in granting summary judgment on the issue of whether the Robichauxes suffered uncompensated, wind damage to structures other than their dwelling, and to personal property. Accordingly, we remand for further proceedings consistent with this opinion.

Facts and Procedural History

¶4. Mary and Michael Robichaux 1 owned a home at 1907 Washington Avenue, Pascagoula, Mississippi, located a few hundred feet from a canal and one block north of the Gulf of Mexico. The home was destroyed during Hurricane Katrina on or about August 29, 2005. At the time of the loss, the residential property was insured by Nationwide under a policy with the following coverage limits: $131,000 for dwelling, $13,100 for other structures, $97,405 for personal property, and $26,200 for loss of use. In addition to the homeowners’ policy, the Robichauxes had purchased from Nationwide a hurricane rider entitled Hurricane Coverage and Deductible Provision Endorsement (hereinafter “hurricane endorsement”), which covered damage occurring as a result of a “windstorm during a hurricane.” This coverage encompassed damage to the interior and to personal property inside the property “caused by rain, snow, hail, sand or dust if direct force of the windstorm first damages the building causing an opening through which the above enters and causes damage.” The hurricane endorsement covered damage to the dwelling and other structures, as well as personal property.

¶5. The Robichauxes reported the loss to Nationwide and made a claim under the policy.2 After an initial investigation, which included a site visit by a claims adjuster, Nationwide

1 Plaintiff Mary Robichaux died on May 8, 2010. A motion was filed with this Court on October 28, 2011, to substitute for Mary Robichaux her personal representative, Michael Robichaux. This Court granted that motion on November 14, 2011. Robichaux v. Nationwide Mut. Fire Ins. Co., 2010-CA-00109-SCT (Order, November 14, 2011). Because both appellants participated in the trial court proceedings, for the purposes of this opinion, they are referred to collectively herein as the Robichauxes.

2 To date, Nationwide has paid the Robichauxes $2,500 to cover living expenses incurred during its investigation of the claim and $500 for food loss.

sent a letter to the Robichauxes informing them that a question had arisen as to coverage, namely whether flood or surge damage had caused destruction of their real and/or personal property. Nationwide retained an engineer with HAAG Engineering to inspect the property, review photographs, and prepare a damage assessment report based on the investigation. This report, which included photographs of the remaining concrete slab foundation and neighboring properties, FEMA tidal surge data, and evidence showing the proximity of the property to the Gulf of Mexico, concluded that the Robichaux home and garage were destroyed by the hurricane’s storm surge. On March 24, 2006, in reliance on the claims adjuster’s report and the engineering investigation and reports, as well as the flood exclusion and anti-concurrent language in the subject policy, Nationwide denied the Robichauxes’ claim based on a finding that the loss was caused by water or water-borne material as defined by the policy.

¶6. Prior to this determination by Nationwide regarding the homeowners’ policy, the Robichauxes had filed a claim under their flood insurance policy, a policy available through the National Flood Insurance Program. The flood policy paid $136,500 for flood damage to the dwelling and $70,400 for flood damage to the contents of the home, amounts which constituted the policy limits. Subsequently, as part of a newly instituted company policy regarding Katrina slab cases, Nationwide conducted a reassessment of all information pertaining to the Robichauxes’ claims and tendered checks in the amount of $37,266.66 ($30,790.63 in potential dwelling damage and $6,476.03 in potential damage to other structures), which were returned uncashed by the couple eight months later.

¶7. On October 26, 2006, the Robichauxes brought suit in the Circuit Court of Jackson County against Nationwide and its agent, Fletcher Insurance, in which the plaintiffs sought declaratory and injunctive relief, including damages under the insurance contract, compensatory and punitive damages, specific performance of the insurance contract, attorneys’ fees, and court costs and expenses for what they alleged were uncompensated, covered losses under their homeowners’ policy, as well as fraud on the part of their insurer and its agent. On November 27, 2006, Nationwide filed a Notice of Removal from the circuit court to the United States District Court for the Southern District of Mississippi. The federal district court remanded the case to the Circuit Court of Jackson County on May 21, 2007, after which the Robichauxes filed a First Amended Complaint on September 29, 2008.

¶8. Nationwide and Fletcher Insurance filed their Defenses and Answer on October 3, 2008. The Robichauxes designated William Mott, an engineering expert; Rocco Calaci, a meteorology expert; and Donald Dinsmore, an insurance expert.3 Nationwide and Fletcher Insurance designated three engineering experts with HAAG Engineering Company, an additional engineering expert in the field of structural engineering, building inspection and

3 The trial court found Donald Dinsmore’s expert opinion on replacement costs failed to meet the standard for expert opinions under Daubert v. Merrell Dow Pharmaceuticals, Inc, 516 U.S. 869, 116 S. Ct. 189, 133 L. Ed. 2d 126 (1995), and was irrelevant and inadmissible. The trial court refused to consider Dinsmore’s opinion that the replacement costs of the property totaled $240,695.

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