North American Specialty Insurance v. Britt Paulk Insurance Agency, Inc.

511 F. Supp. 2d 1091, 2007 U.S. Dist. LEXIS 68487, 2007 WL 2707238
CourtDistrict Court, E.D. Oklahoma
DecidedSeptember 14, 2007
Docket06-CV-215-JHP
StatusPublished

This text of 511 F. Supp. 2d 1091 (North American Specialty Insurance v. Britt Paulk Insurance Agency, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
North American Specialty Insurance v. Britt Paulk Insurance Agency, Inc., 511 F. Supp. 2d 1091, 2007 U.S. Dist. LEXIS 68487, 2007 WL 2707238 (E.D. Okla. 2007).

Opinion

ORDER

JAMES H. PAYNE, District Judge.

Now before the Court is Defendant/Third Party Plaintiff, Britt Paulk Insurance Agency, Inc.’s (“Paulk”), Motion for Summary Judgment (Dkt.# 83), Plaintiffs, North American Specialty Insurance Company’s (“NAS”), Response to said motion, and Paulk’s Reply.

In general, summary judgment is proper where the pleadings depositions, answers to interrogatories, and admissions on file, together with affidavits, if any, show there is no genuine issue as to any material fact, and that the moving party is entitled to judgment as a matter of law. Fed. R.Civ.P. 56(c). An issue of fact is “genuine” if the evidence is significantly probative or more than merely colorable such that a jury could reasonably return a verdict for the nonmoving party. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). An issue is “material” if proof thereof might affect the outcome of the lawsuit as assessed from the controlling substantive law. Id. at 249,106 S.Ct. 2505.

In considering a motion for summary judgment, this court must examine the factual record and reasonable inferences therefrom in the light most favorable to the party opposing summary judgment. Gray v. Phillips Petroleum Co., 858 F.2d 610, 613 (10th Cir.1988). Furthermore, if on any part of the prima facie case there is insufficient evidence to require submission of the case to the jury, summary judgment is appropriate. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 106 S.Ct. 2505, 91 *1094 L.Ed.2d 202 (1986). In addition, one of the principal purposes of summary judgment is to isolate and dispose of factually unsupported claims or defenses, and the rule should be interpreted in a way that allows it to accomplish this purpose. Celotex Corp. v. Catrett, 477 U.S. 317, 323-24, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).

BACKGROUND

NAS issued an insurance policy to Jerry and Nikki McDonald (“the McDonalds”), providing property damage coverage on two poultry houses and lost business income. In November 2003, the McDonalds noticed their poultry houses were leaning. According to the McDonalds, the poultry houses were damaged from high explosive blasting associated with mining operations on, or near their home. The loss was reported to the insureds’ local agent, Jerry Pitchford (“Pitchford”), in November of that year. Pitchford told the McDonalds that it was his “personal opinion” that the property damage related to blasting was not covered under NAS’ policy. He also alleges he told the McDonalds that he did not have authority to deny the McDonald’s claim. Pitchford prepared a loss notice on behalf of the McDonalds on January 7, 2004.

On or about January 8, 2004, NAS received notice of a potential claim from the McDonalds. On January 9, 2004, NAS opened an insurance claim file and contacted independent adjustor Bill Haneline (“Haneline”) from Crockett Adjustment Inc.(“Crockett”), to look into the matter. On January 12, 2004, the McDonalds executed a Reservation of Rights and Non-Waiver Agreement (“Reservation of Rights”).

NAS subsequently closed its file after Haneline reported on January 14, 2004, that the McDonalds were not pursuing any type of claim from their policy. In Haneline’s final report completed on January 30, 2004, he again stated that the Mc-Donalds did not want to submit a loss claim.

NAS was later sued by the McDonalds for breach of contract and bad faith in March of 2005, tendered its policy limits check to the McDonalds, and settled the bad faith portion of their claim for 1.2 million dollars.

In the instant action, NAS seeks damages from its agents Paulk and Argenia, Inc. (“Argenia”). Paulk was general agent for NAS’ poultry program, and Argenia was the retail producer/agent for NAS relative to the policy covering the McDonald’s poultry houses. Argenia offered insurance coverage under the NAS poultry program in Oklahoma through Oklahoma Farm Bureau. Curtis Barnham (“Barnham”), was poultry Program Manager for Paulk and Michael Alexander, Jr. (“Alexander”), was involved in an underwriting function for Argenia.

According to NAS, the McDonalds contacted Alexander on or about February 6, 2004, and had a conversation lasting approximately 43 minutes. NAS contends Alexander advised the McDonalds he did not believe there was coverage. According to NAS, Barnham had advised Alexander in November 2003 that in his opinion damage to the poultry houses from blasting was not covered under McDonald’s policy. Barnham did not tell Alexander this opinion should be withheld from the Mc-Donalds, and NAS alleges Alexander told the McDonalds that Barnham believed there was no coverage. It is also alleged that during this conversation, the Mc-Donalds asked if it were possible for NAS to pay their claim and then “go after” the mining company. NAS contends Alexander advised the McDonalds during this conversation that this was not something insurance companies do.

Affidavit testimony of Jerry McDonald reflects that Mr. McDonald “was attempt *1095 ing to obtain benefits under [his] insurance policy during this February 6, 2004, telephone call.” NAS Response Br., Ex. Q. The affidavit of Mr. McDonald also states that it was after the February 6, 2004, telephone conversation - with Alexander that he “concluded that the damage to the poultry houses was not covered.” Id.

NAS argues it had no notice that its insureds were attempting to have their claim reopened through Alexander until it received the complaint and summons in the McDonalds’ bad faith case in March 2005. Upon receipt of the McDonalds’ Complaint, NAS reopened the McDonalds’ insurance claim and determined the loss was covered under the policy. The Mc-Donalds were paid by NAS the limits of their policy and 1.2 million for the bad faith portion of their claim. NAS claims that if Alexander had notified NAS of the attempt by the McDonalds to pursue their claim in the February 6, 2004, telephone conversation, NAS would have re-opened the McDonalds’ claim at that point in time thereby preventing the ultimate suit brought by the McDonalds for breach of contract and bad faith.

Conversely, both Paulk and Argenia argue that these opinions did not constitute a denial of the McDonalds’ claim, and further, NAS had a separate and independent duty to investigate and either grant, or deny the McDonalds’ claim. Defendants also argue that it was completely unforeseeable that NAS would receive a written claim from an insured, file it, and do nothing. Therefore, Defendants contend that even if their opinions constituted a breach of their respective contracts, which they deny, their opinions became moot when the McDonalds actually submitted a formal loss on January 7, 2004.

DISCUSSION

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511 F. Supp. 2d 1091, 2007 U.S. Dist. LEXIS 68487, 2007 WL 2707238, Counsel Stack Legal Research, https://law.counselstack.com/opinion/north-american-specialty-insurance-v-britt-paulk-insurance-agency-inc-oked-2007.