Richey v. Philipp

259 S.W.3d 1, 2008 Mo. App. LEXIS 290, 2008 WL 564797
CourtMissouri Court of Appeals
DecidedMarch 4, 2008
DocketWD 68064
StatusPublished
Cited by22 cases

This text of 259 S.W.3d 1 (Richey v. Philipp) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Richey v. Philipp, 259 S.W.3d 1, 2008 Mo. App. LEXIS 290, 2008 WL 564797 (Mo. Ct. App. 2008).

Opinion

JAMES EDWARD WELSH, Judge.

Galen Richey was seriously injured when he fell from the roof of his sister’s house while attempting to remove a large tree limb. He sued his sister’s insurance provider, American Family Mutual Insurance Company, and Catherine M. Philipp, the insurance agent that procured the American Family homeowner’s policy on behalf of Richey’s sister. Richey sought damages for the bodily injuries he sustained as a result of the fall and alleged that Philipp and American Family made negligent misrepresentations concerning the coverage provided by his sister’s insurance policy or were negligent by failing to submit the insurance claim in a timely manner. According to Richey, Philipp and American Family either told Richey’s sister that her homeowner’s policy did not cover tree removal when in fact it did or they did not submit the claim for tree *6 removal submitted by Richey’s sister within the time requirements established by American Family. A jury awarded Galen Richey $12,682,500 in actual damages, and Philipp and American Family appeal. They assert that the circuit court erred in overruling their motions for directed verdict and for judgment notwithstanding the verdict because Richey faded to make a submissible case on his claims for negligent misrepresentation and for negligence. They also assert that the circuit court erred in giving the jury certain verdict directing instructions. We affirm.

On July 19, 2000, a large limb broke off a tree and landed on the roof of the house of Richey’s sister, Brenda Bricker. Brick-er telephoned her insurance agent, Philipp, and asked whether or not her homeowner’s insurance would cover removal of the limb. According to Bricker, Philipp told her that no coverage existed for the limb removal. A few days later, Bricker again telephoned Philipp about removing the limb from her roof, and Philipp again said that no coverage was provided for tree removal under the homeowner’s policy. 1

Sometime later, Bricker asked Richey if she could borrow his chain saw to remove the limb. Bricker told Richey that her insurance agent had told her that her policy did not cover tree removal. Richey asked his sister to wait a few days to remove the limb and promised that he would help her. On August 8, 2000, Rich-ey went to his sister’s house to attempt to remove the limb. While removing some of the debris from the roof, the tree limb unexpectedly rolled and knocked Richey off the roof. As a result of the fall, Richey suffered a spinal cord injury and was rendered a complete paraplegic.

Richey sued Philipp and American Family for fraudulent misrepresentation, negligent misrepresentation, breach of fiduciary duty, and negligence. After a trial on Richey’s claim for personal injury, Rich-ey’s claims were submitted to the jury based upon negligent misrepresentation and negligence. The jury assessed ninety-five percent fault to Philipp and American Family and five percent fault to Richey and found that Richey’s damages totaled $13,350,000. The circuit court entered its judgment for Richey in the amount $12,682,500, which accounts for the five percent reduction in the damage award due to the percentage of fault assessed by the jury against Richey. Philipp and American Family appeal.

In their first point on appeal, Philipp and American Family contend that the circuit court erred in denying their motions for directed verdict and for judgment notwithstanding the verdict because Rich-ey failed to make a submissible case on either negligence or negligent misrepresentation. In particular, they claim that, because Richey’s claims were based upon the wrongful denial of insurance coverage, Missouri law precludes any tort recovery under such circumstances. We disagree.

The standards of review for the denial of a motion for judgment notwithstanding the verdict and the denial of a motion for a directed verdict are essentially the same. Dhyne v. State Farm Fire & Cas. Co., 188 S.W.3d 454, 456 (Mo. banc *7 2006). In reviewing the circuit court’s judgment, we view the evidence in the light most favorable to the verdict and give the prevailing party all reasonable inferences from the verdict and disregard unfavorable evidence. Id. at 456-57. “[We] will reverse the jury’s verdict for insufficient evidence only where there is a ‘complete absence of probative fact’ to support the jury’s conclusion.” Seitz v. Lemay Bank & Trust Co., 959 S.W.2d 458, 461 (Mo. banc 1998) (footnote omitted).

Philipp and American Family assert that no tort remedy exists in Missouri for breach of an insurance contract and that the only remedy for wrongful denial of insurance coverage is a contract action. In support of their contention they rely on Overcast v. Billings Mutual Insurance Co., 11 S.W.3d 62 (Mo. banc 2000), and Wood v. Foremost Insurance Co., 477 F.3d 1027 (8th Cir.2007).

In Overcast, a fire destroyed the plaintiffs home, and the insurer refused payment on the ground that the insured had committed arson. Id. at 64-65. The plaintiff sued for breach of the insurance contract and for defamation based on the insurer’s denial letter claiming arson. Id. at 64. The Supreme Court noted that “[w]hen an insurance company wrongfully refuses payment of a claim to its insured, the company has simply breached its contract” and that “[n]o tort claim has supplanted or supplemented the basic contract claim and remedy where an insurance company wrongfully refuses to pay a loss incurred by its own insured.” Id. at 67. The Court determined, however, a tort claim may be brought against the insurer based on a bad faith refusal to settle a claim brought by a third party and when a claim is not based on the insurer’s refusal to pay but is “based on conduct quite distinct from conduct that merely constituted a breach of contract.” Id. at 68. The Court found that the insured’s tort claim for defamation was not dependent on the elements of the contract claim and that the denial of coverage was not part of the insured’s defamation claim. Id. at 68 n. 6. For these reasons, the Court allowed the insured’s defamation claim to proceed.

In Wood, the insurer allegedly failed to pay fully for property damage to an insured’s roof caused by a tornado. Wood, 477 F.3d at 1028. In attempting to deal with the damage, the insured climbed onto the roof, fell, and injured himself. Id. The insured sued the insurer on a contract theory attempting to recover for his bodily injuries under the terms of the insurance contract. Id. at 1029. The Eighth Circuit Court of Appeals cited Overcast for the proposition that an insurance company’s denial of coverage is actionable only as a breach of contract. Id. The court held that the insured’s fall was not reasonably foreseeable when the insurance contract was formed and, therefore, the insured could not recover for his personal injuries. Id. at 1030.

The problem with Philipp’s and American Family’s reliance on

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Bluebook (online)
259 S.W.3d 1, 2008 Mo. App. LEXIS 290, 2008 WL 564797, Counsel Stack Legal Research, https://law.counselstack.com/opinion/richey-v-philipp-moctapp-2008.