Nationwide Ins. Co. v. Nilsen

745 So. 2d 264, 1998 WL 321965
CourtSupreme Court of Alabama
DecidedJune 11, 1999
Docket1961955 and 1962035
StatusPublished
Cited by33 cases

This text of 745 So. 2d 264 (Nationwide Ins. Co. v. Nilsen) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nationwide Ins. Co. v. Nilsen, 745 So. 2d 264, 1998 WL 321965 (Ala. 1999).

Opinion

745 So.2d 264 (1998)

NATIONWIDE INSURANCE COMPANY
v.
David B. NILSEN.
David B. Nilsen
v.
Nationwide Insurance Company.

1961955 and 1962035.

Supreme Court of Alabama.

June 19, 1998.
Rehearing overruled June 11, 1999.

*265 Lynn Etheridge Hare and Celeste Patton Armstrong of Hare, Hair & White, P.C., Birmingham, for appellant/cross appellee Nationwide Insurance Company.

Donald R. Rhea of Rhea, Boyd & Rhea, Gadsden; and Thomas E. Davis, Gadsden, for appellee/cross appellant David B. Nilsen.

MADDOX, Justice.

These appeals involve breach of contract and bad faith claims brought against Nationwide Insurance Company ("Nationwide") by one of its policyholders, David B. Nilsen. Nationwide appeals a summary judgment for Nilsen on his breach of contract claim, and Nilsen appeals a summary judgment entered for Nationwide on his bad faith claim. For the reasons discussed below, we affirm the summary judgment for Nationwide on the bad faith claim and we reverse the summary judgment on the contract claim and render a judgment for Nationwide on that claim.

In April 1993, Nationwide, through its agent Randy Lankford, sold Nilsen a "Golden Blanket" homeowner's policy; that policy was automatically renewed in April 1994. On July 4, 1994, the insured premises were destroyed by fire. Nilsen claimed he was out of town on the day of the fire. On July 5, 1994, Nilsen contacted Nationwide about the fire, and on July 6, 1994, he met with Barbara Barclay, a Nationwide adjuster. At that meeting, in response to Barclay's questions, Nilsen indicated that before purchasing the insurance policy involved in this case he had not suffered any losses and had not had a prior policy canceled or nonrenewed. Nilsen had also indicated on his insurance application that he had not suffered any previous losses. However, on July 29, 1994, Nilsen mentioned to Barclay, in contrast to his earlier statements, that he had suffered a prior fire loss. In a later interview, Nilsen also informed a Nationwide investigator that the prior loss he had disclosed to Barclay on July 29 had been a total loss. The record indicates that Nilsen explained the discrepancy in his statements by saying that he had mistakenly believed that the questions regarding prior losses were directed solely towards losses at his current residence.

As part of its investigation of Nilsen's claim, Nationwide retained a fire expert to perform a cause-and-origin investigation of the fire. The investigator could not determine the nature of the fire. However, the investigator said the fire had burned extremely hot, and he reported that at least one sample of the fire debris had tested positive for a flammable substance commonly found in pesticides.

After Barclay's initial interview with Nilsen on July 6, 1994, Nationwide provided Nilsen $2,000 as an advance of "additional living expense" money that was provided for in the policy. At some point, Nationwide advanced Nilsen another $3,000 for additional living expenses, which he intended to use for a deposit on a house he planned to rent. However, on approximately July 29, 1994, Barclay informed Nilsen in a letter that his claim was still under investigation and that she would make no further advances for additional living expenses until the investigation was completed.

Nationwide continued its investigation into Nilsen's claim, and in the fall of 1994 it requested that Nilsen appear for an examination under oath, as permitted under the insurance contract. At that point, Nilsen employed an attorney, who requested that the date of the examination under oath be changed because of the attorney's prior commitments. Nationwide, at the request of Nilsen or his attorneys, agreed four or five times to reschedule the examination. Before an examination under oath was conducted, however, Nilsen retained a different attorney and, on March 10, 1995, filed this action against Nationwide, Lankford, and Barclay. At that point, Nationwide was continuing its investigation into Nilsen's claim and had not rendered a decision on that claim.

*266 In his complaint, Nilsen alleged breach of contract, fraud, suppression, and bad faith failure to pay an insurance claim. The trial court granted Barclay's motion to dismiss, and Nilsen later dismissed Lankford and also dismissed his fraud and suppression claims. Nationwide answered, stating that Nilsen's claim had not been denied, that Nilsen had failed and refused to provide information necessary to the investigation of his claim, that Nilsen had failed to comply with the conditions precedent in the insurance policy, and that Nationwide had a legitimate or arguable reason for its continued investigation of Nilsen's claim. The case went through a lengthy litigation process, including a mistrial caused by a deadlocked jury. Both Nilsen and Nationwide moved for a summary judgment on the contract claim and on the bad faith claim. The trial court ultimately entered a summary judgment for Nationwide on Nilsen's claim alleging bad faith and entered a summary judgment for Nilsen on the breach of contract claim. The court subsequently awarded Nilsen compensatory damages of $574,174.17.

Both Nilsen and Nationwide appeal. Nationwide argues that the trial court erred in entering the summary judgment for Nilsen on the breach of contract claim because, it argues, Nilsen failed to comply with conditions precedent to coverage. Nationwide also contends that the trial court abused its discretion in not allowing Nationwide to amend its answer to add the defenses of arson and misrepresentation on the application for insurance. Finally, Nationwide argues that the trial court erred in awarding interest on the judgment for the period before the date of the judgment.

Nilsen argues that the trial court erred in entering the summary judgment for Nationwide on the bad faith claim, because, he says, the evidence presented a question of fact as to whether Nationwide had either intentionally or recklessly failed to properly investigate the claim or to subject the claim to a cognitive evaluation and review.

We agree with Nationwide that Nilsen failed to comply with a condition precedent—that he submit to an examination under oath. Only after complying with that condition could he recover under the insurance contract. Therefore, we conclude that Nationwide was entitled to a judgment as a matter of law on Nilsen's breach of contract claim.

Nilsen's homeowner's policy contained the following provisions relating to Nilsen's obligations under the policy in the event of a loss:

"2. Your duties after Loss. In case of a loss, you must:
". . . .
"c. prepare a list of damaged personal property showing in detail the quantity, description, actual cash value, and amount of loss. Attach all bills and receipts that support the figures.
"d. as often as we reasonably require:
"(1) exhibit the damaged property;
"(2) submit to an examination under oath;
"(3) provide records and documents we request and permit us to make copies.
"e. submit to us, within 60 days after we request, your signed, sworn proof of loss which sets forth, to the best of your knowledge and belief:
"(1) the time and cause of loss.
"(2) interest of the insured and all others in the property involved and all liens on the property.
"(3) other insurance that may cover the loss.

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745 So. 2d 264, 1998 WL 321965, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-ins-co-v-nilsen-ala-1999.