Peal v. North Carolina Farm Bureau Mutual Insurance

212 F. Supp. 2d 508, 2002 U.S. Dist. LEXIS 19351, 2002 WL 1757944
CourtDistrict Court, E.D. North Carolina
DecidedJune 11, 2002
Docket7:01-cv-00013
StatusPublished
Cited by11 cases

This text of 212 F. Supp. 2d 508 (Peal v. North Carolina Farm Bureau Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Peal v. North Carolina Farm Bureau Mutual Insurance, 212 F. Supp. 2d 508, 2002 U.S. Dist. LEXIS 19351, 2002 WL 1757944 (E.D.N.C. 2002).

Opinion

ORDER

James C. FOX, Senior District Judge.

This matter is before the court upon motion by Defendant North Carolina Farm Bureau Mutual Insurance Company, Inc. (“NCFB”) to dismiss the plaintiffs state law extra-contractual claims arising from the alleged partial payment of his flood insurance claim. NCFB’s motion has been fully briefed and is now ripe for disposition. Based upon the allegations asserted in the plaintiffs complaint, which the court accepts as true for purposes of the instant motion, the court makes the following findings.

I. FACTUAL ALLEGATIONS

The plaintiff owns real property at 2604 Canal Cove Road, in Lake Waccamaw, North Carolina (the “dwelling”). On September 16, 1999, Hurricane Floyd hit southeastern North Carolina and caused extensive flood damage to the dwelling and its contents.

The plaintiffs dwelling was insured under a Standard Flood Insurance Policy (“SFIP” or the “Policy”) issued by NCFB. NCFB is a “write-your-own” insurance company (“WYO company”) that issues flood insurance pursuant to the National Flood Insurance Program (the “NFIP”). 1 The plaintiffs SFIP is a replacement value policy that covers up to $82,000 of flood damage, $80,000 for the dwelling and $2,000 for the dwelling’s contents. See Complaint, ¶ 26.

Immediately after Hurricane Floyd hit, the plaintiff made numerous efforts to obtain assistance from NCFB. See Complaint, ¶ 16. These efforts were fruitless, however, until nearly two months later, when NCFB’s adjuster Ray D. Roy, Jr. *511 (the “adjuster”) finally evaluated the plaintiffs losses. See id. In doing so, the adjuster informed the plaintiff that the original adjuster had lost his records. See id. ¶ 17. After evaluating the plaintiffs flood damage, the adjuster prepared a “statement as to full costs of repair or replacement under the replacement cost coverage” (the “Statement”). The Statement indicated that the full replacement cost of the dwelling would be $98,894.77 and that the full cost of repair or replacement would be $40,076.95. See id. ¶¶ 28-30.

Based on the adjuster’s calculations, NCFB sent a payment check to the plaintiff in the amount of $32,695.73. This figure was reached by subtracting depreciation ($6,381.22) and the policy deductible ($1,000) from the full cost of repair or replacement ($40,076.95). Upon receiving the check, the plaintiff objected and asserted that the amount represented only a partial payment of what he is owed under the SFIP’s terms. The plaintiff based his objection, on the following provision of the SFIP:

If at the time of loss the total amount of insurance applicable to the dwelling is 80 percent or more of the full replacement cost of such dwelling, or is the maximum amount of insurance available under the National Flood Insurance Program, the coverage of this policy applicable to the dwelling is extended to include the full cost of repair or replacement (without deduction for depreciation).

Plaintiffs SFIP, Art. 8; 44 C.F.R. Pt. 61, App. A(l), Art. 8, subs. 4(A) (emphasis in original). Because the insurance applicable to the plaintiffs dwelling ($80,000) exceeded 80 percent of the dwelling’s full replacement cost ($98,894.77), the plaintiff contends that NCFB wrongfully deducted $6,381.22 for depreciation. See Complaint, ¶ 34. Furthermore, the plaintiff contends that he was entitled to recover the full $82,000 to which his Policy applied. Thus, he objected to the payment check and asserted a claim for additional payment in the amount of $49,304.27 ($82,000 - $32,695.73). 2

On January 10, 2000, the plaintiff was informed that his claim for additional payment was denied. 3 This denial of coverage forms the basis for the instant lawsuit.

II. ASSERTED CAUSES OF ACTION

The plaintiff asserts two causes of action in the present suit. First, he asserts that NCFB’s denial of coverage was a breach of the Policy’s terms. Second, he asserts that NCFB’s conduct in handling his claim violated North Carolina’s Unfair and Deceptive Trade Practice Act, N.C.Gen.Stat. § 75-1.1 (“UDTPA”).

Having carefully reviewed the plaintiffs complaint, the court has been able to find only a few factual allegations pertinent to the plaintiffs extra-contractual UDTPA claim. The heart of the UDTPA claim seems to be the allegation that the alleged erroneous depreciation deduction constituted an unfair claim settlement practice, in violation of N.C.Gen.Stat. § 58-63-15(H). 4 See Complaint, ¶ 47 (“The Defen *512 dant’s foregoing misapplication of the depreciation rules under the NFIA ... and [his] repeated failure to cure this misapplication constitutes an unfair claim settlement practice.... ”). The only other allegation related to the UDTPA claim is the assertion that NCFB’s agents acted “dilatory and negligently in handling Plaintiffs flood insurance claim and by losing Plaintiffs records.” Id. at ¶ 51; see also id. at ¶ 17 (“The Plaintiff was informed by Defendant’s agent that the records from the original adjuster had been lost.”). Aside from the allegations regarding his lost records, the plaintiff asserts no factual grounds to support this negligence-based UDTPA claim. Moreover, the plaintiff has not alleged each element of a negligence claim. 5

III. DISCUSSION

The instant motion to dismiss takes issue only with the plaintiffs extra-contractual UDTPA claim. NCFB argues that extra-contractual state law causes of action related to the claims handling process are preempted by NFIA and its corresponding federal regulations. Before considering this argument, the court sets forth the appropriate standard of review for a motion to dismiss and then gives some background information about NFIA. This background information provides context for the court’s preemption analysis.

A Standard of Review

An action will be dismissed for failing to state a claim if it appears that the plaintiff can prove no set of facts that would entitle him to relief. See Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 2 L.Ed.2d 80 (1957). Such is the case when the face of the complaint clearly reveals the existence of a meritorious affirmative defense, such as federal preemption. See Brooks v. City of Winston-Salem,, 85 F.3d 178, 181 (4th Cir.1996). When reviewing a motion to dismiss, the court assumes the facts alleged in the complaint are true, see McNair v. Lend Lease Trucks, Inc., 95 F.3d 325, 327 (4th Cir.1996), and construes the allegations in the light most favorable to the pleader.

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Bluebook (online)
212 F. Supp. 2d 508, 2002 U.S. Dist. LEXIS 19351, 2002 WL 1757944, Counsel Stack Legal Research, https://law.counselstack.com/opinion/peal-v-north-carolina-farm-bureau-mutual-insurance-nced-2002.