Northeast Financial Corp. v. Insurance Co. of North America

757 F. Supp. 381, 1991 U.S. Dist. LEXIS 2686, 1991 WL 29346
CourtDistrict Court, D. Delaware
DecidedFebruary 28, 1991
DocketCiv. A. 86-89-LON
StatusPublished
Cited by7 cases

This text of 757 F. Supp. 381 (Northeast Financial Corp. v. Insurance Co. of North America) is published on Counsel Stack Legal Research, covering District Court, D. Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Northeast Financial Corp. v. Insurance Co. of North America, 757 F. Supp. 381, 1991 U.S. Dist. LEXIS 2686, 1991 WL 29346 (D. Del. 1991).

Opinion

OPINION

LONGOBARDI, Chief Judge.

This is a civil action based on diversity of citizenship brought by the Plaintiffs Northeast Financial Corporation, Joyce Realty Corporation and Kirkwood Fitness and Racquetball Clubs, Inc. (“Northeast”) against Defendant Insurance Company of North America (“INA”). The Plaintiffs seek damages on Defendant’s alleged breach of an insurance contract. Following an appraisal procedure that set the amount of damages, Plaintiffs filed the present motion to vacate the appraisal award.

I. FACTS

In 1984, Defendant issued a written insurance policy whereby Plaintiffs’ health and fitness club located on Route 202 in Chadds Ford, Pennsylvania (the “Route 202 facility”), was insured for a period of one year commencing on June 1, 1984. The policy insured against several risks of loss or damage including coverage denominated Loss of Income (“LOI”). The LOI coverage provides that if the insured’s business is temporarily interrupted as a result of a covered loss such as a fire, the insurance provider would compensate the insured for the gross income that the insured would have earned during the business interruption. The LOI coverage is designed to permit the insured to pay any normal expenses that would have accrued during the shutdown. If any amount remains above and beyond expenses, then the insured may retain it as the profit that the insured *383 would have earned if the business had not been interrupted. The LOI limits for the Route 202 facility are set at $60,000 per month and $240,000 in the aggregate.

On April 30, 1985, a fire damaged the Route 202 facility and forced Plaintiffs to temporarily close the facility. Plaintiffs were able to reopen the facility in mid-July of 1985. Plaintiffs determined that gross income for the Route 202 facility was derived from health club membership sales, sales from their Pro shop and vending machines and interest and credit life insurance income from the health club membership sales. Based on these considerations, Plaintiffs determined that the total amount of income lost as a result of the business interruption was $184,131. After Plaintiffs made a claim based on their estimate of lost income, Defendant conducted its own estimate which differed in amount from the Plaintiffs. Defendant, however, paid an advance of $75,000 against the claim.

Following a series of failed negotiations between the parties, Plaintiffs instituted the present action for breach of contract. Defendant responded by invoking the appraisal procedures contained in Plaintiffs’ insurance policy. The procedures provide that if the Defendant cannot agree with the insured on the amount of the loss, then either party by written request could demand an appraisal to settle the loss. Thereafter, Defendant filed a motion to stay the action pending resolution of appraisal proceedings.

This Court granted Defendant’s motion and an award was entered on October 31, 1989. On November 27, 1989, Plaintiffs filed the instant motion to vacate the appraisal award, dissolve the stay and proceed with a judicial hearing. The parties stipulated, however, that they would forgo a judicial hearing on the issue of whether it was an insurance industry custom to pay pre-award interest and agreed that this issue would be resolved by the Court based upon submissions of the parties. Docket Item (“D.I.”) 32. The parties further agreed that if there were any disputes of fact that the Court would resolve those disputes based on the affidavits and law presented to the Court. Id.

II. DISCUSSION

A. Legal Standard

A federal court sitting in a diversity action must apply the substantive law of the state in which it sits. Brown v. Caterpillar Tractor Co., 696 F.2d 246, 249 (3rd Cir.1982); Becker v. Interstate Properties, 569 F.2d 1203, 1204 (3rd Cir.1977), cert. denied, 436 U.S. 906, 98 S.Ct. 2237, 56 L.Ed.2d 404 (1978). If there is no ruling by the state’s highest court, then the federal court must “apply what they find to be the state law after giving ‘proper regard’ to the relevant rulings of other courts of the state.” Commissioner v. Estate of Bosch, 387 U.S. 456, 465, 87 S.Ct. 1776, 1783, 18 L.Ed.2d 886 (1967); First National State Bank v. Commonwealth Federal Savings & Loan Assoc., 610 F.2d 164, 172 (3rd Cir.1979). When state law is unclear, the District Court must predict how the state’s highest court would resolve the issue. Ra-batin v. Columbus Lines, Inc., 790 F.2d 22, 24 (3rd Cir.1986); McGowan v. University of Scranton, 759 F.2d 287, 291 (3rd Cir.1985). 1

The first issue before the Court is what standard of review to apply when assessing the appraiser’s award on Plaintiffs’ motion to vacate. In making this analysis, the Court is aware of the procedural distinctions that Delaware courts have long recognized exist between arbitration and appraisal. Hanby v. Maryland Casualty Company, Del.Supr., 265 A.2d 28, 31 (1970). One distinction commonly drawn is that arbitration is typically conducted in a quasi-judicial proceeding with hearings, notice of hearings, oaths of witnesses and constitutes a final settlement of the dispute between the parties. Collison v. Deisem, Del.Ch., 265 A.2d 57, 59 (1970). Appraisal, on the other hand, is generally *384 more informal in that the appraisers are not under oath, are not obliged to hear evidence and may proceed by ex parte investigation. Id. In addition, appraisal extends only to a determination of actual cash value, all other issues being reserved for decision by a court. Pullman, Incorporated v. Pheonix Steel Corporation, Del.Super., 304 A.2d 334, 339 (1973). Based on these procedural distinctions, the Delaware Court of Chancery has held that “an appraisal procedure is not the equivalent of arbitration and this Court is not limited in its review of an appraisal as it would be in the case of arbitration.” Morris, Nichols, Arsht & Tunnell v. R H International, Del.Ch., Berger, V.C., 1987 WL 33980 (Dec. 29, 1987). Seizing upon this language, Plaintiffs advance the argument that in the instant case, the majority’s appraisal award is not binding upon them and that they are entitled to a judicial determination of their claim.

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757 F. Supp. 381, 1991 U.S. Dist. LEXIS 2686, 1991 WL 29346, Counsel Stack Legal Research, https://law.counselstack.com/opinion/northeast-financial-corp-v-insurance-co-of-north-america-ded-1991.