Residences at Bay Point Condominium Ass'n v. Standard Fire Insurance

41 F. Supp. 3d 427, 2014 U.S. Dist. LEXIS 119839, 2014 WL 4259191
CourtDistrict Court, D. New Jersey
DecidedAugust 28, 2014
DocketCivil Action No. 13-02380 (FLW)(LHG)
StatusPublished

This text of 41 F. Supp. 3d 427 (Residences at Bay Point Condominium Ass'n v. Standard Fire Insurance) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Residences at Bay Point Condominium Ass'n v. Standard Fire Insurance, 41 F. Supp. 3d 427, 2014 U.S. Dist. LEXIS 119839, 2014 WL 4259191 (D.N.J. 2014).

Opinion

OPINION

WOLFSON, District Judge.

Before the Court is the Motion of‘Defendant, the Standard Fire Insurance Company (“Standard”), to dismiss certain counts of the Second Amended Complaint of the Residences at Bay Point Condominium Association (“Plaintiff’) for failure to state a claim, pursuant to Federal Rule of Civil Procedure 12(b)(6), along with the Cross-Motions of both Plaintiff and Defendant, Chernoff Diamond and Co., LLC (“Chernoff’), for summary judgment in favor of Plaintiff on its claims against Standard. Plaintiff claims (i) in its Second Cause of Action, that Standard breached the General Property (“GP”) Standard Flood Insurance Policies (“SFIPs”) on Plaintiffs Buildings 10 and 12 by reforming those policies to Residential Condominium Building Association Policies (“RCBAPs”) in the wake of Hurricane Sandy in October of 2012, because neither building was “residential” under the terms of the SFIPs; (ii) in its Third Cause of Action, that Standard breached the reformed RCBAP SFIPs on all four of Plaintiffs buildings by applying coinsurance penalties, because Plaintiff carried the “maximum amount of insurance coverage available” under its original GP SFIPs and/or under its reformed RCBAP SFIPS; and (iii) in its Fourth Cause of Action, that Standard breached the reformed RCBAP SFIPs on all four of Plaintiffs buildings by denying Plaintiff the opportunity to purchase additional coverage after the flood loss.

For the reasons set forth below, this Court concludes that, under the National Flood Insurance Program (“NFIP”), of which all SFIPs are a part, (i) “residential” means designed for principal use as a dwelling place, (ii) “maximum amount of insurance coverage available” means the maximum amount of insurance coverage legally available to a property owner before the occurrence of a flood-related loss, and (iii) no provision of the NFIP allows for the purchase of insurance coverage after a flood loss. Accordingly, the Court grants Standard’s Motion and dismisses the Second, Third, and Fourth Causes of Action in the Second Amended Complaint. The Cross-Motions for Summary Judgment of Plaintiff and Chernoff are denied as moot.

I. BACKGROUND OF THE NATIONAL FLOOD INSURANCE PROGRAM

Congress passed the National Flood Insurance Act (“NFIA”) to “limit the damage caused by flood disasters through prevention and protective measures,” namely through the creation of a comprehensive, federally-run system of flood insurance. Van Holt v. Liberty Mut. Fire Ins. Co., 163 F.3d 161, 165 (3d Cir.1998). The [429]*429NFIA entrusted the Federal Emergency Management Agency (“FEMA”) with the administration of the NFIP and funded the NFIP through the National Flood Insurance Fund, located in the United States Treasury and overseen by FEMA. Id. at 165 n. 2. The NFIA further authorized FEMA to “prescribe regulations establishing the general method or methods by which proved 'and approved claims for losses may be adjusted and paid for any damage to or loss of property which is covered by insurance.” 42 U.S.C. § 4019. The resulting regulatory scheme, promulgated by FEMA, can be found in 44 C.F.R. §§ 61.1-78.14. Because the NFIP is a completely federally funded and administered program, states have no regulatory control over the NFIP’s operations. Linder & Assocs. Inc. v. Aetna Cas. & Sur. Co., 166 F.3d 547, 550 (3d Cir.1999) (“It is well settled that federal common law governs the interpretation of [NFIP policies]. Accordingly, neither the statutory nor decisional law of any particular state is applicable to the case at bar.... [W]e interpret the [policy] in accordance with its plain, unambiguous meaning, remaining cognizant that its interpretation should be uniform throughout the country and that coverage should not vary from state to state.”) (quotations omitted).

Pursuant to another part of the NFIA, 42 U.S.C. § 4081(a), FEMA created the “Write-Your-Own” (“WYO”) Program whereby SFIPs may be issued by private insurance companies like Standard (‘WYO companies”). Though FEMA may issue SFIPs directly, “more than 90% are written by WYO companies. These private insurers may act as ‘fiscal agents of the United States,’ 42 U.S.C. § 4071(a)(1), but they are not general agents. Thus they must strictly enforce the provisions set out by FEMA and may vary the terms of [an SFIP] only with the express written consent of the Federal Insurance Administrator. 44 C.F.R. §§ 61.4(b), 61.13(d) & (e), 62.23(c) & (d). In essence, the insurance companies serve as administrators for the federal program. It is the Government, not the companies, that pays the claims. And when a claimant sues for payment of a claim, ‘the responsibility for defending claims will be upon the Write Your Own Company and defense costs will be part of the ... claim expense allowance’ [reimbursed by the government]. 44 C.F.R. § 62.23(i)(6).” C.E.R. 1988, Inc. v. Aetna Cas. & Sur. Co., 386 F.3d 263, 267 (3d Cir.2004).

Private insurers participating in the WYO Program are authorized to issue policies under a number of different forms of the SFIP. Which SFIP form is used to insure a property is determined by the type of the insured property’s intended occupancy. See FEMA National Flood Insurance Manual, GR 5, III, D, effective May 1, 2011, available at http://www.fema. gov/flood-insurance-manual/flood-insurance-manual-effective-may-1-2011 (hereinafter “Manual”). For an example relevant to this case, the General Property form of the SFIP is used for apartment buildings, while the Residential Condominium Building Association Policy (“RCBAP”) form of the SFIP is used for residential condominium buildings. 44 C.F.R. § 61, app. A(2)-(3). Other than the type of building each insures, the other primary difference between the different forms of the SFIP is the type of compensation and coverage available after a qualifying flood loss has occurred. The General Property form provides flood insurance coverage on an Actual Cash Value (“ACV”) basis. Under ACV policies, insureds are compensated for the cash value of lost or damaged property at the time of the flood loss, up to the total amount of ACV insurance purchased and subject to any deductible on the policy. [RCBAP SFIP, 17; 44 [430]*430C.F.R. § 61, app. A(3)(V)(4) ]. The RCBAP form, by contrast, provides coverage on a Replace Cost (“RC”) basis.

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41 F. Supp. 3d 427, 2014 U.S. Dist. LEXIS 119839, 2014 WL 4259191, Counsel Stack Legal Research, https://law.counselstack.com/opinion/residences-at-bay-point-condominium-assn-v-standard-fire-insurance-njd-2014.