Overcast v. Billings Mutual Insurance Co.

11 S.W.3d 62, 2000 Mo. LEXIS 11, 2000 WL 137005
CourtSupreme Court of Missouri
DecidedFebruary 8, 2000
DocketSC 81741
StatusPublished
Cited by134 cases

This text of 11 S.W.3d 62 (Overcast v. Billings Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Overcast v. Billings Mutual Insurance Co., 11 S.W.3d 62, 2000 Mo. LEXIS 11, 2000 WL 137005 (Mo. 2000).

Opinion

MICHAEL A. WOLFF, Judge.

When Henry Dale Overcast’s home was destroyed by fire in 1997, his insurance company, Billings Mutual Insurance, refused payment on the grounds that the “loss resulted from an intentional act” committed either by Overcast or at his direction. Overcast sued for insurance benefits under the policy and for defamation. The trial court entered judgment, after jury verdict, for contract damages for the insurance coverage and for actual and punitive damages on the tort claim for defamation. On appeal, the insurance company renewed its main contentions: (1) that Overcast’s sole remedy against the company is for breach of contract because the statute, section 375.420, 1 which provides enhanced recovery for an insurance company’s vexatious refusal to pay, preempts all other claims; and (2) that the insurance company is not liable for defam-ationbecause the statement that Overcast was an arsonist was not published to third parties, did not cause damage, was consented to by Overcast, and was a privileged communication. This Court granted transfer after opinion by the court of appeals. Mo. Const, art. V, section 10. We affirm the judgment of the trial court.

FACTS 2

Overcast purchased a fire policy from the insurance company in August 1996, insuring his home up to $50,000 and its contents up to $15,000. On the morning of April 1, 1997, Overcast discovered smoke in his house. When he passed the bathroom door, he could feel heat. He opened the door and was momentarily overcome by heat and smoke. He ran from the house and shouted for his neighbor. Overcast and his neighbor tried to put out the fire by grabbing a garden hose and entering the house, while the neighbor’s wife called the fire department. Overcast and his neighbor fought the fire for several minutes until the neighbor insisted they leave. Both the house and its contents were destroyed.

Gayle Cobb, the general manager of Billings Mutual Insurance Company and sole claims decision maker, conducted the company’s investigation, in part by hiring Jim Kuticka of Wickizer-Clutter Insurance Claims Adjusters to investigate the cause of the fire. Cobb testified that he had previously hired Kuticka about 25 times to investigate fires and was familiar with the thoroughness and quality of his work. Cobb knew that Kuticka would only do a visual inspection of debris and carpet in Overcast’s home, unless directed to do more. Kuticka raked away the debris, which had baked, and from a visual inspection of the burns on the carpet, Kuticka determined that “large amounts of flammable liquid had been poured throughout the house.” Cobb did not direct Kuticka to test for the presence of flammable liquids. Cobb knew that Kuticka had neither reviewed the fire department’s report nor spoken to any firefighter before concluding that the fire was intentionally set. Kutic-ka’s report, as well, did not mention the involvement of a neighbor. Although Ku-ticka’s investigation was not thorough, Cobb accepted the report and denied the claim. Before Cobb told Overcast he was denying the claim on account of arson, *65 Cobb told Overcast that he could clear away the property. Cobb did not inform Overcast that he could have a separate and independent investigation on the property by the state fire marshal. Kuticka and Cobb agreed not to talk to any firefighters until after the debris had been cleared and after the decision was announced denying the claim.

Investigator Kuticka acknowledged that, when the presence of an ignitable liquid is suspected, the “better practice is to further test for the presence of accelerants by use of chromatograph or mass spectrometry.” No such tests were conducted. Cobb in the past had instructed Kuticka to conduct these tests, but not for Overcast’s fire. Kuticka did, however, tell Cobb that he did not smell any chemicals when he entered the house, nor did he find any chemicals on a terry cloth rag he removed from the scene. This was consistent with the neighbor’s testimony at trial that the neighbor did not smell chemicals on Overcast or in the house. Moreover, the neighbor corroborated Overcast’s testimony that the fire was coming from the bathroom and not from the carpeted living room floor.

Kuticka testified that different investigators looking at the same burn patterns can reach different conclusions as to the cause of the fire. Kuticka also acknowledged that, in at least four different investigations, he had concluded that the fire had been intentionally set while the state fire marshal’s office had determined each of the same fires to be the result of an accidental electrical cause. Cobb did not seek a second opinion about the cause of the fire or the burn patterns. Since the debris and property had been cleared away, Overcast was not able to challenge the insurance investigation, after the claim was denied, because there was nothing left to inspect.

Except for Kuticka’s testimony as to the burn patterns, there were no “red flags of fraud or red flags for arson.” These “red flags,” which indicate reason to suspect arson, include, for example: more than one mortgage, late payments, divorce, prior claims, multiple claims, problems affecting title to the property, over-insurance, an increase in insurance coverage right before the claim, recent cancellations of other companies, liens, threats of foreclosure on the property, lawsuits, and recent job transfers. After this investigation, Cobb sent Overcast a letter denying his claim for coverage, stating: “the loss resulted from an intentional act committed by you or at your direction.” Cobb testified that the letter was addressed solely to Overcast and sent by registered mail, return receipt requested. He did so, Cobb said, to avoid “publishing” the arson charge to other persons.

Cobb testified that he knew the contents of the letter would affect Overcast’s ability to obtain insurance policies from other companies. Overcast attempted to get an insurance policy for his farm buildings through All Risk Insurance Agency in Springfield, Missouri. The agent asked Overcast if he had a claim that had ever been denied. After Overcast showed the Cobb letter to the agent, the agent told Overcast that she would not be able to issue a policy. Overcast attempted to get insurance from other companies, but was asked the same question as to the reason for the denial of the claim. He was unable to get coverage.

THE TRIAL COURT’S JUDGMENT AND THIS APPEAL

Overcast pleaded three counts against Billings Mutual, seeking: (1) damages for breach of contract; (2) penalties and attorneys’ fees under the vexatious refusal to pay statute; and (3) actual and punitive damages for defamation. The trial court granted summary judgment to Billings Mutual on Overcast’s second count under the vexatious refusal to pay statute, section 375.420, because section 380.511 provides that mutual insm’ance companies are not covered by section 375.420. No appeal is taken as to that ruling.

*66 On Overcast’s claim for breach of contract, the trial court entered judgment for $26,990 damages plus $2,429 interest. Billings Mutual paid the judgment on that count, and there is no appeal on the contract claim.

On Overcast’s claim for defamation, the jury returned a verdict of $500,000 actual damages and found Billings Mutual liable for punitive damages.

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Bluebook (online)
11 S.W.3d 62, 2000 Mo. LEXIS 11, 2000 WL 137005, Counsel Stack Legal Research, https://law.counselstack.com/opinion/overcast-v-billings-mutual-insurance-co-mo-2000.