Norman v. Fidelity National Insurance

354 F. App'x 934
CourtCourt of Appeals for the Fifth Circuit
DecidedDecember 8, 2009
Docket09-30028
StatusUnpublished
Cited by3 cases

This text of 354 F. App'x 934 (Norman v. Fidelity National Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Norman v. Fidelity National Insurance, 354 F. App'x 934 (5th Cir. 2009).

Opinion

W. EUGENE DAVIS, Circuit Judge: *

This appeal and cross-appeal revolve around the question of whether the insured must file a statutorily required proof of loss (“POL”) to recover under a Stan *935 dard Flood Insurance Policy (“SFIP”). We answer this question in the affirmative and for the reasons stated below, we AFFIRM in part, VACATE in part, and RENDER judgment in favor of Fidelity.

I.

Plaintiff-Appellee Thrace Norman (“Norman”) is the holder of a National Flood Insurance Plan (“NFIP”) SFIP purchased from the defendant, Fidelity National Insurance, Co. (“Fidelity”). 1 The policy covered Norman’s two-story property in New Orleans. At the time the policy was issued, it was rated as a postfirm policy 2 and specifically stated that there was “no basement” in the property.

Hurricane Katrina struck New Orleans on August 29, 2005 and damaged Norman’s property. 3 Norman filed a claim for flood-related damages approximately five days after the storm. On November 1, 2005, a flood adjuster inspected only the exterior of Norman’s property. On December 4, 2005, Fidelity sent Norman a check for $10,697.68 to cover the adjusted exterior damage. On February 9, 2007, a different adjuster, Robert Bonka, inspected the interior of Norman’s first floor area, accounting for its contents. Bonka determined the adjusted value owed to Norman for the first floor interior and contents to be $2,480.90. On April 3, 2007, Fidelity sent Norman a check for $419.80 to cover the adjusted interior and contents damage.

On March 26, 2007, Fidelity retroactively changed Norman’s policy rating to a prefirm policy. The reason for the change, according to Fidelity, was that the original postfirm rating was incorrect. The change in firm rating meant that Norman overpaid his premiums, so Fidelity reimbursed him for the amount he overpaid. At the same time, Norman’s property description was also retroactively changed from stating “no basement” to stating “basement enclosure unfinished.”

On April 27, 2007, Norman filed suit against Fidelity claiming that Fidelity breached its contract with Norman by failing to properly adjust Norman’s claim. Specifically, Norman alleged that the $10,697.68 along with the $419.80 paid by Fidelity was only a fraction of the total damage sustained to the property following the hurricane. Prior to filing suit, however, Norman did not submit a POL to Fidelity in accordance with the SFIP. Fidelity argued to the district court that Norman’s failure to file a POL relieved Fidelity of any obligation it owed Norman. In response, Norman contended that Fidelity repudiated the policy on March 26, 2007. According to Norman, when the *936 firm rating and basement description were altered, Fidelity repudiated the policy thus relieving Norman from filing a POL.

At trial, Norman elicited expert testimony that the total damage to Norman’s property was approximately $68,000. Nevertheless, the district court ruled in favor of Fidelity, holding that, because Norman failed to file a POL, Norman was not entitled to any payment by Fidelity above the amount Fidelity determined he was owed. However, the district court found that Norman was entitled to the full amount Bonka determined Norman was owed for the contents of the first floor area. Accordingly, the court entered judgment in favor of Norman for $2,061.10 representing the difference between the $2,480.90 adjustment Bonka determined was the amount owed to Norman and the $419.80 Fidelity paid to Norman on April 3, 2007.

Norman filed a timely appeal arguing that Fidelity repudiated the policy and therefore no POL had to be filed. Thus, Norman argued, the district court erred in refusing to award him for the total loss of the property. Fidelity also timely appealed, arguing that the district court erred in awarding Norman the additional $2,061.10. We discuss Norman’s appeal and Fidelity’s appeal separately below.

II.

Norman argues that the district court erred in concluding that he was required to file a POL.

The flood policy at issue in this case was a Dwelling Form SFIP, issued to Norman by Fidelity and codified under 44 C.F.R. § 61, App. A(1). Under 44 C.F.R. § 61.13, the holder of a SFIP must comply with the terms of the SFIP. The SFIP contains a requirement that the insured must file a POL within sixty days after the loss has occurred. Article VII(J)(4) 44 C.F.R. Pt. 61 App. A(1). See Dwyer v. Fid. Nat’l Prop. & Cas. Ins. Co., 565 F.3d 284, 287 (5th Cir.2009) (distinguishing between the proof of loss clause of the SFIP that uses the word “must” and the appraisal clause of the SFIP that uses the word “may” and finding the former is mandatory but the latter is optional). The Fifth Circuit has consistently held that when the insured fails to file a POL, the insurer is relieved of its obligation to pay an otherwise valid claim. Marseilles Homeowners Condo. Ass’n v. Fid. Nat’l Ins. Co., 542 F.3d 1053, 1055-56 (5th Cir.2008); Wright v. Allstate Ins. Co., 415 F.3d 384, 387 (5th Cir.2005); Gowland v. Aetna, 143 F.3d 951, 954 (5th Cir.1998).

There are some exceptions to the requirement that a POL be filed. Sec. 61.13(d) states that the Federal Insurance Administrator may provide express written consent to alter, vary, or waive the SFIP. Thus, in case of an express alteration, variation, or waiver, a POL need not be filed. Additionally, the Fourth Circuit has held that filing a POL is unnecessary if the insurer repudiates the policy before the insured was obligated to file a proof of loss. Studio Frames v. Std. Fire Ins. Co., 369 F.3d 376 (4th Cir.2004).

Since Norman filed no POL, the question before this court narrows to whether Norman established an applicable exception to the requirement that a POL be filed. In this case, no exception to the POL filing requirement was established. It is undisputed that there was no alteration, variation, or waiver of the SFIP. Therefore, § 61.13(d) does not apply.

Despite Norman’s assertion that Fidelity repudiated the contract, we agree with the district court that repudiation did not take place. Under the Fourth Circuit’s analysis in Studio Frames that Norman asks this court to apply, the court provided the following guidance in determining whether the insurer repudiated a contract:

*937

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354 F. App'x 934, Counsel Stack Legal Research, https://law.counselstack.com/opinion/norman-v-fidelity-national-insurance-ca5-2009.