Raymond Cox And Elaine Cox v. Tennessee Farmers Mutual

CourtCourt of Appeals of Tennessee
DecidedMay 23, 2000
DocketE2007-00590-COA-R3-CV
StatusPublished

This text of Raymond Cox And Elaine Cox v. Tennessee Farmers Mutual (Raymond Cox And Elaine Cox v. Tennessee Farmers Mutual) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Raymond Cox And Elaine Cox v. Tennessee Farmers Mutual, (Tenn. Ct. App. 2000).

Opinion

IN THE COURT OF APPEALS OF TENNESSEE AT KNOXVILLE November 4, 2008 Session

RAYMOND COX and ELAINE COX v. TENNESSEE FARMERS MUTUAL INSURANCE COMPANY

Direct Appeal from the Chancery Court for Campbell County No. 15,389 Hon. Billy Joe White, Chancellor

No. E2007-00590-COA-R3-CV - FILED FEBRUARY 9, 2009

The Plaintiffs sued defendant insurance company alleging breach of the insurance policy between the parties. The Trial Court granted partial summary judgment to defendant on the contents coverage on plaintiffs’ home destroyed by fire. The judgment was granted on the grounds that the plaintiffs did not file a proper proof of loss of the contents within the time frame required by the policy, and that defendant was prejudiced thereby. The partial summary judgment is the principal issue on appeal and we affirm the Judgment of the Trial Court.

Tenn. R. App. P.3 Appeal as of Right; Judgment of the Chancery Court Affirmed.

HERSCHEL PICKENS FRANKS, P.J., delivered the opinion of the Court, in which CHARLES D. SUSANO , JR., J., and D. MICHAEL SWINEY , J., joined.

Gerald L. Gulley, Jr., Knoxville, Tennessee, for appellants, Raymond and Elaine Cox.

Michael R. Campbell and Kathryn M. Russell, Chattanooga, Tennessee, for appellee, Tennessee Farmers Mutual Insurance Company.

OPINION

Plaintiffs sued Tennessee Farmers Mutual Insurance Company (Tennessee Farmers) for breach of insurance contract, violation of the Tennessee Consumer Protection Act, and constructive fraud and bad faith. Plaintiffs’ complaint avers that on or about May 23, 2000 the plaintiffs’ home was damaged by an accidental fire causing a loss of the house and contents, and that Tennessee Farmers provided coverage to them for loss caused by fire to the dwelling, other structures, personal property, and loss sustained for debris removal and damage to landscaping, and that Tennessee Farmers breached the contract of insurance by failing, in bad faith, to pay plaintiffs’ claims. Tennessee Farmers answered and alleged that plaintiffs had breached the contract of insurance by failing to comply with the provisions of the contract in their making a claim for fire loss under the policy.

Numerous motions and further pleadings were filed and acted upon by the Trial Judge, which are not an issue on appeal.

Tennessee Farmers motion for partial summary judgment under Coverage C of the policy relating to plaintiffs’ contents claim was heard by the Trial Judge on December 6, 2005. The Trial Court granted defendant’s motion for partial summary judgment on a finding there were no material facts in dispute, and that defendant was entitled to judgment as a matter of law. The Court denied plaintiffs’ claim for contents coverage. The Court explained that plaintiffs did not file their completed proof of loss until more than seven months after they filed their incomplete proof of loss form in July 2002, and more than nine months after the fire itself, and that there was no excuse for this delay. The Trial Court granted plaintiffs an interlocutory appeal which was not perfected by plaintiffs. The Trial Court tried the remaining issues and based upon the evidence presented at trial the Trial Court held in its final judgment entered on February 12, 2007, that plaintiffs were entitled to recover $18,375.00 for damages to landscaping, $15,000.00 for debris removal, $2,000.00 for damages to the swimming pool, and $27,079 for loss of the dwelling under Coverage A and $5,686.63 in prejudgment interest. The final judgment is not raised as an issue on appeal, and the issue on appeal is the propriety of the partial summary judgment granted on Coverage C of plaintiffs’ policy.

A certified copy of the policy was filed and parts of the policy pertinent to this appeal are as follows:

Coverage C - Personal Property

What Personal Property is Covered We cover: 1. Personal property owned or used by an insured anywhere in the world.

REPORTING A CLAIM DUTIES OF PERSON OR ENTITY SEEKING COVERAGE FAILURE TO COMPLY WITH THESE NOTICE AND DUTY REQUIREMENTS MAY RESULT IN DENIAL OF COVERAGE UNDER THIS POLICY

Duty to Cooperate with Us

-2- Person and entities seeking coverage under this policy must:

1. cooperate with us and anyone we name in the investigation, settlement, or defense of any claim or suit; and

****

7. make a list of all damaged . . . property showing in detail the quantity, purchase price, date and place of acquisition, actual cash value, replacement cost, and amount of loss claimed and attach to such list all bills, receipts, and related documents that substantiate the figures in the list; and

8. send to us within 60 days after loss the list set forth in 7 above and a proof of loss signed and sworn to by a person or entity seeking coverage . . . .

In the motion for partial summary judgment, Tennessee Farmers filed affidavits and supporting documents which established that plaintiffs initially submitted proof of loss within sixty days of the loss, but the proof of loss was incomplete and contained no information about the inventory of personal contents loss under coverage C of the policy. Without an itemized list of personal property contents, Tennessee Farmers represented that it was unable to inspect the fire site to determine whether the claimed contents were in the dwelling at the time of the fire. Tennessee Farmers rejected the initial proof of loss, and returned the incomplete proof of loss to plaintiffs by letter on July 24, 2000, from Mr. Campbell to Mr. Cox which advised that the proof of loss was incomplete and unacceptable, and the letter included instructions providing the information that needed to be included in the proof of loss. The letter instructed plaintiffs to complete the proof of loss, have it notarized, and return to the insurer and admonished that “no exceptions will be considered in your claim” and that “if the conditions of your insurance contract are not met, your claim could be put in jeopardy.”

The Coxes submitted a completed sworn proof of loss to Tennessee Farmers that included a claim for loss of personal contents under Coverage C on February 22, 2001, nine months after the fire loss. A seventy-two page inventory of contents was attached to the proof of loss, and another affidavit by Tennessee Farmers explained the consequence of the delay in completing the proof of loss as follows: “At this point [February 22, 2001] there was no way for Tennessee Farmers to inspect the site of the fire loss to determine whether the personal property/contents claimed to have been destroyed were in the dwelling prior to the fire.” Plaintiffs submitted the affidavit of Raymond Cox with its response to the motions for summary judgment, as to the motion on Coverage C. The affidavit fails to state that the affidavit is made on the personal knowledge of Mr. Cox. See Tenn. R. Civ. P. 56.06. The facts set out in the affidavit material to the Coverage C issue are that Mr. Cox stated that he cooperated as fully as possible to expedite payment of his claims, including signing documents allowing Tennessee Farmers to conduct an investigation and authorizing the insurer to conduct scheduled and escorted inspections of the premises. He did not state when he performed these activities, but that he made demand for payment of his claims by “my sworn proof

-3- of loss and many oral demands within 90 days of my loss . . . .”

Regarding the proof of loss, Mr. Cox stated the following:

My first proof of loss I provided to the defendant was returned to me without explanation except that it was not complete. I provided the defendant a supplement to my original proof of loss after receiving a complete copy of my policy, which was necessary to accurately determine my content coverage and how to correctly fill out the forms.

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Bluebook (online)
Raymond Cox And Elaine Cox v. Tennessee Farmers Mutual, Counsel Stack Legal Research, https://law.counselstack.com/opinion/raymond-cox-and-elaine-cox-v-tennessee-farmers-mut-tennctapp-2000.