Richard Harvey & Melissa Harvey v. Union Mutual Fire Insurance Company

CourtDistrict Court, D. New Hampshire
DecidedOctober 15, 2025
Docket1:24-cv-00244
StatusUnknown

This text of Richard Harvey & Melissa Harvey v. Union Mutual Fire Insurance Company (Richard Harvey & Melissa Harvey v. Union Mutual Fire Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Richard Harvey & Melissa Harvey v. Union Mutual Fire Insurance Company, (D.N.H. 2025).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Richard Harvey & Melissa Harvey

v. Civil No. 24-cv-244-LM-AJ Opinion No. 2025 DNH 125 P Union Mutual Fire Insurance Company

O R D E R Plaintiffs Richard and Melissa Harvey bring this action against defendant Union Mutual Fire Insurance Company (“Union Mutual”), alleging that Union Mutual wrongfully failed to pay amounts due and owing under the Harveys’ homeowners’ policy after a fire occurred at their home. Presently before the court is the Harveys’ motions for leave to file an amended complaint (doc. no. 14) and to bar Union Mutual’s demand for appraisal (doc. no. 15). Union Mutual objects to both motions. Doc. nos. 16 & 19. For the following reasons, the motion for leave to amend (doc. no. 14) is granted, but the appraisal motion (doc. no. 15) is denied. BACKGROUND The Harveys’ home caught fire on July 4, 2022, causing substantial damage. They submitted a timely claim to Union Mutual and began working with Union Mutual’s designated adjuster, John Fraser of Fraser Insurance Services. The homeowners’ policy issued by Union Mutual to the Harveys provided several forms of coverage, including for: • Damage to the dwelling (Coverage A), with a stated limit of $457,000; • Damage to “other structures” (Coverage B), with a stated limit of $45,700; • Damage to personal property (Coverage C), with a stated limit of $342,750; and • Loss of use (Coverage D), with a stated limit of $137,100. The policy also provided coverage for damage to trees, shrubs, and plants. During the adjustment process, Union Mutual determined that the “Actual Cash Value loss” caused by the dwelling damage was $478,085.39. Because this figure exceeded the stated limit in Coverage A ($457,000), Union Mutual tendered payment to the Harveys in the amount of that coverage limit. However, under a policy endorsement, Union Mutual is required to add the Coverage B limit ($45,700) to the Coverage A limit “[i]f there is no detached structure with a replacement cost exceeding $1,000.” Doc. no. 14-1 at 3. Union Mutual did not do so, claiming that the home was not a “total loss” and that a stone wall on the property constituted an “other structure” under Coverage B. The Harveys also made a claim under Coverage D for loss of use of the dwelling, which provides coverage for living expenses during times when the

residence is not fit to live in. The policy provides that payments shall be “for the shortest time required to repair or replace the damage or, if you permanently relocate, the shortest time required for your household to settle elsewhere.” Id. at 6. Union Mutual initially made monthly payments of $6,000 to the Harveys under Coverage D. The Harveys were unable to secure replacement housing between July 2022 and June 2023 due to shortages in housing supply, their inability to qualify for a mortgage, and Mrs. Harvey’s serious medical issues.1 They were in communication with Union Mutual and Fraser about these difficulties. However, on

June 28, 2023, Fraser advised the Harveys that Union Mutual was discontinuing payments under Coverage D because it determined that twelve months was “a sufficient time for [the Harveys] to have repaired or replaced the fire damage.” Id. at 7. Although Union Mutual thereafter made two additional monthly payments at Mr. Harvey’s urging, they have refused to make further payments beyond those two. Union Mutual ultimately made payments totaling $84,000 to the Harveys under Coverage D, which is less than the coverage limit set forth therein

($137,100). After retaining counsel in September 2023 and unsuccessfully attempting to reach a pre-suit negotiated resolution with Union Mutual, the Harveys brought this action in Hillsborough County Superior Court in July 2024. The Harveys state that they did so in part “to protect the statute of limitations,” doc. no. 21 at 3, and that they had a “good faith belief that the case might settle” at mediation following

institution of suit, doc. no. 14-2 at 3. Among other things, the original complaint alleges that Union Mutual wrongfully failed to apply Coverage B’s stated limit to Coverage A’s stated limit and wrongfully ceased tendering monthly payments for the Harveys’ living expenses under Coverage D. The complaint also seeks payment under the policy’s coverage for damage to trees, shrubs, and plants. The complaint

1 Mrs. Harvey was undergoing treatment for stage four cancer during this time. contains one cause of action for breach of contract and one cause of action for “declaratory judgment.” Doc. no. 1-2 at 13. Union Mutual removed the Harveys’ action to this court in August 2024. The

parties agreed to exchange only written discovery in anticipation of potentially reaching a mediated settlement. On March 10, 2025, Union Mutual produced some or all of its claim file. The Harveys believed that certain information contained in the claim file supported an additional claim that Union Mutual’s coverage denials were in bad faith. For example, although Union Mutual refused to add Coverage B’s stated limit to Coverage A’s stated limit on the basis that the home was not a “total loss,” the claim file showed that Union Mutual’s claim handler described the home

as “nearly a constructive total loss” within days of the fire. Doc. no. 14-1 at 8. In addition, the Harveys contend that the claim file shows that Union Mutual did not conduct an analysis of what would constitute a “sufficient” time to secure replacement housing for purposes of loss-of-use payments under Coverage D, but instead simply assumed that a twelve-month period would be sufficient. Although the Harveys believed these new facts supported an additional

claim, they state that they did not immediately seek to amend the complaint because they thought the case might settle at mediation. The parties mediated over the course of two days on April 25 and June 13, 2025. The case did not settle at mediation. The Harveys filed the instant motion for leave to amend on July 3, 2025. Doc. no. 14. The amended complaint seeks to add a cause of action for “bad faith breach of insurance contract” and to supplement the Harveys’ factual allegations with information disclosed in March 2025 from Union Mutual’s claim file. Doc. no. 14-1 at 8-13.

Meanwhile, on June 16, 2025 (three days after mediation failed), Union Mutual demanded that the Harveys submit their insurance claims for living expenses and lost trees and shrubs to an “appraisal” process set forth in the policy. The Harveys’ filed the instant motion to bar Union Mutual’s demand for appraisal on July 11, 2025. Doc. no. 15.

DISCUSSION I. Motion for Leave to Amend (doc. no. 14) Where, as here, a plaintiff seeks to file an amended complaint after the deadline for amended pleadings set forth in the scheduling order has passed, the plaintiff must satisfy Rule 16(b)’s “good cause” standard, rather than Rule 15(a)’s more liberal “freely given” standard.2 Baez v. Baymark Detoxification Servs., Inc.,

123 F.4th 62, 67 (1st Cir. 2024) (quoting United States ex rel. D’Agostino v. EV3, Inc., 802 F.3d 188, 192 (1st Cir. 2015)). “The ‘good cause’ standard focuses on both the conduct of the moving party and the prejudice, if any, to the nonmovant.” Miceli v. JetBlue Airways Corp., 914 F.3d 73, 86 (1st Cir. 2019). Good cause may exist when new material facts emerge or are discovered in the case that could not

2 The parties assert that Rule 15(a) applies to the Harveys’ motion. However, the deadline for the Harveys to amend pleadings was December 2, 2024, and that deadline has never been extended. See doc. nos. 8, 9. reasonably have been discovered earlier. Doe v. Comm’r, N.H. Dep’t of Health & Hum. Servs., 344 F.R.D. 57, 64 (D.N.H. 2023).

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Richard Harvey & Melissa Harvey v. Union Mutual Fire Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/richard-harvey-melissa-harvey-v-union-mutual-fire-insurance-company-nhd-2025.