Petition of Featherfall Restoration

CourtCourt of Special Appeals of Maryland
DecidedMarch 7, 2024
Docket1313/22
StatusPublished

This text of Petition of Featherfall Restoration (Petition of Featherfall Restoration) is published on Counsel Stack Legal Research, covering Court of Special Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Petition of Featherfall Restoration, (Md. Ct. App. 2024).

Opinion

In the Matter of the Petition of Featherfall Restoration LLC, No. 1313, September Term 2022. Opinion by Getty, Joseph M., J. HEADNOTES: INSURANCE – INSURANCE POLICIES – ANTI-ASSIGNMENT CLAUSES

Maryland law recognizes the validity of anti-assignment clauses in insurance policies. Maryland has not adopted Section 322 of the Restatement (Second) of Contracts, which distinguishes between pre- and post-loss assignments of benefits. When an insurance policy contains a valid anti-assignment clause, the clause prohibits assignments regardless of whether the claim was assigned before or after a loss occurs.

INSURANCE – STANDING – HEARING BEFORE INSURANCE COMMISSIONER

Section 2-210(a) of the Insurance Article of the Maryland Code (1995, 2017 Repl. Vol.) allows a “person aggrieved” by the Insurance Commissioner’s act or failure to act to request a hearing before the Commissioner. To be a “person aggrieved,” a party must have an adversely-affected interest different from that of the general public. When an assignment of benefits is found to be void because of an anti-assignment clause, the party with the purported assignment does not have a discrete interest and cannot request a hearing.

INSURANCE – STANDING – UNFAIR CLAIM SETTLEMENT PRACTICES COMPLAINTS

Section 27-301 of the Insurance Article of the Maryland Code (2011, 2017 Repl. Vol.) provides “an additional administrative remedy to a claimant for a violation of this subtitle.” Maryland Insurance Administration regulations define “claimant,” limiting it to someone “asserting a right to payment under an insurance policy to which the person is insured” and “any person asserting a claim against a person insured under an insurance policy.” Md. Code Regs. 31.15.07.02B(4), (11). To bring a complaint alleging unfair claim settlement practices, a person must meet one of these definitions.

INSURANCE – UNFAIR CLAIM SETTLEMENT PRACTICES VIOLATIONS

When a complainant alleges that an insurance company is engaged in unfair claim settlement practices that amount to a general business practice, Md. Code (2011, 2017 Repl. Vol.) Ins. Art. § 27-304, the complainant must demonstrate that the company consistently engages in prohibited practices to meet the “general business practice” requirement. Circuit Court for Baltimore City Case No. 24-C-22-002071

REPORTED

IN THE APPELLATE COURT

OF MARYLAND

No. 1313

September Term, 2022

______________________________________

IN THE MATTER OF THE PETITION OF FEATHERFALL RESTORATION LLC

Nazarian, Tang, Getty, Joseph M. (Senior Judge, Specially Assigned),

JJ. ______________________________________

Opinion by Getty, J. ______________________________________

Filed: March 7, 2024

* Arthur, Kevin F., J., did not participate in the Court’s decision to designate this opinion for publication pursuant to Md. Rule 8-605.1. This case concerns whether, under Maryland law, anti-assignment clauses in

insurance policies are valid, including when a purported assignment of a claim arises after

the occurrence of a loss.

Travelers Home and Marine Insurance Company (“Travelers”) insured a home in

Potomac, Maryland. In May 2020, the insured homeowners filed a claim with Travelers,

believing that damage to the home’s roof was the result of a storm and was thus covered

under their home insurance policy. Simultaneously, the homeowners contracted with

Featherfall Restoration LLC (“Featherfall”) for any work that would be needed to fix the

roof. As part of this agreement, the homeowners signed an “Assignment of Claim” that

purported to give Featherfall rights related to the claim under the Travelers insurance

policy. Travelers denied the claim after an inspection of the roof showed that the damage

resulted from normal wear and tear and therefore was not covered under the insurance

policy.

After Travelers informed the homeowners that the claim had been denied,

Featherfall alerted Travelers to the Assignment of Claim. Travelers, however, refused to

recognize the assignment, relying on an anti-assignment clause in the insurance policy that

voided any assignment of the policy made without Travelers’ written consent. Featherfall

then filed a complaint with the Maryland Insurance Administration (“MIA”), alleging that

Travelers’ refusal to recognize the assignment and subsequent lack of communication with

Featherfall about the claim were violations of the Insurance Article of the Maryland Code.

The Insurance Commissioner (“Commissioner”) ultimately concluded that the assignment was not valid and that Travelers had not violated the Insurance Article, decisions that were

affirmed upon judicial review in the Circuit Court for Baltimore City.

Featherfall presents the following questions 1 for review: 2

1 Featherfall also presented the following question:

Did the trial court err in refusing to consider Featherfall’s request for declaratory relief when the Circuit Court had an independent basis for jurisdiction, apart from the administrative appeal, Travelers was served and joined as a party defendant in the case, and the MIA remedy was not exclusive and failed to afford adequate relief?

Because we ultimately agree with the Commissioner and circuit court that the anti- assignment clause voided the attempted assignment of the insurance claim, we do not address this question because Featherfall’s requested declaration is an inaccurate statement of Maryland law. 2 MIA phrased the questions presented as:

1. Did the Commissioner correctly find that Maryland law does not prohibit an insurance policy from containing an anti-assignment provision as it relates to a policyholder’s rights or benefits under the policy to an outside party?

2. Did the Commissioner properly find that Featherfall—a non-party to the insurance policy not empowered to take an assignment under the policy— could not be an aggrieved party with the right to demand a hearing before the Insurance Administration?

3. Did the Commissioner properly find that there was no violation of the Insurance Article by Travelers as a matter of law, irrespective of any refusal to acknowledge Featherfall’s attempt to purchase an assignment of policy rights?

4. Did the circuit court correctly reject Featherfall’s attempt to convert its petition for judicial review of an administrative agency decision into a declaratory judgment action?

Travelers phrased the questions presented as:

(continued)

2 1. Did [the] trial court err in affording deference to and affirming the MIA’s ruling of law that anti-assignment clauses in property insurance policies preclude post-loss assignments of claims?

2. Did the trial court err in failing to issue a declaration or otherwise rule that the Assignment of Claim Benefits at issue did not violate the contractual provision of the subject insurance policy stating that “Assignment of this policy will not be valid unless we give our written consent?”

3. Did the trial court err in affirming the MIA’s decision that Featherfall as assignee of insurance benefits from Travelers was not a “claimant” or “aggrieved” with standing to challenge Travelers’ unfair claims settlement practices with respect to the claim assigned?

4. Did the trial court err in affirming the MIA’s decision [] that Travelers did not commit unfair claims settlement practices prohibited by §§ 27- 303(6) and/or §§ 27-304(2) and (4) by refusing to recognize Featherfall’s assignment of policy rights associated with the subject claim?

5.

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Petition of Featherfall Restoration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/petition-of-featherfall-restoration-mdctspecapp-2024.