Robinson v. State Farm Fire & Casualty Co.

13 F.3d 160, 1994 U.S. App. LEXIS 1677, 1994 WL 10788
CourtCourt of Appeals for the Fifth Circuit
DecidedFebruary 3, 1994
Docket92-02665
StatusPublished
Cited by30 cases

This text of 13 F.3d 160 (Robinson v. State Farm Fire & Casualty Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robinson v. State Farm Fire & Casualty Co., 13 F.3d 160, 1994 U.S. App. LEXIS 1677, 1994 WL 10788 (5th Cir. 1994).

Opinion

VAN GRAAFEILAND, Circuit Judge:

Georganne Robinson, who secured a judgment against State Farm Fire & Casualty Company (“State Farm”) for a fire loss covered by a State Farm policy, appeals from the district court’s direction of a verdict in favor of State Farm on all of Robinson’s non-contractual claims and its summary dismissal of her cause of action for alleged negligent claim handling. Robinson also challenges various interlocutory orders, a post-trial motion for a new trial based on the district judge’s failure to recuse himself, and the district court’s calculation of attorney’s fees that were included in the judgment. We affirm in part and remand in part.

Robinson is a homeowner who at the time of the incidents involved herein was insured under a Texas standard homeowner’s policy issued by State Farm. Robinson’s home was heavily damaged by two separate fires which occurred within a six-month period of time. *162 The losses resulting from the first fire were paid. In calculating her losses from the second fire, Robinson arrived at a total figure of $164,395.54. . This included $57,803.86 for structural damage, $73,871.68 for damage to the contents, and $32,720.00 for additional living expenses. State Farm’s calculations produced figures of $15,539.02 for the structure and $10,722.00 for the contents. In addition, State Farm claimed a credit of $20,-595.69 against the demand for additional living expenses for payments it had made, directly or indirectly, to Robinson. Following a jury trial, final judgment was entered in Robinson’s favor in the amount of $34,363.29 plus $25,000.00 in attorney’s fees.

Looking at the foregoing summary of the parties’ contentions, one is led to wonder why the district court’s docket sheet contains more than one hundred entries and why the case took six days to try. At the attorney’s fee hearing, the district judge commented that the case was “over-worked,” “over-prepared,” and “over-done.” After reading the record and Robinson’s heavily-footnoted 40-page appellant brief and 21-page reply brief in which nine alleged errors of the trial court are discussed, we are inclined to agree. This overkill is the result of the efforts of Robinson’s attorney to prove a breach of State Farm’s common law duty of good faith and fair dealing, as created in Arnold v. National County Mut. Fire Ins. Co., 725 S.W.2d 165, 167 (Tex.1987), and a violation of the interrelated provisions of sections 17.46 and 17.50 of the Texas Deceptive Trade Practices Act and Article 21 of the Texas Insurance Code.

In Arnold, supra, the Texas Supreme Court held that insurers must deal fairly and in good faith with their insured in the processing and payment of claims. 725 S.W.2d at 167. In Aranda v. Insurance Co. of North Am., 748 S.W.2d 210 (Tex.1988), the Texas Supreme Court enlarged on the elements of this claim, stating that in order to prevail on a claim for the breach of the duty of good faith and fair dealing an insured must show:

(1) the absence of a reasonable basis for denying or delaying payment of the benefits of the policy and (2) that the [insurer] knew or should have known that there was not a reasonable basis for denying the claim or delaying payment of the claim.

Id. at 213. In defining the specific elements of this common law claim, the Aranda court also stated that, under its test, insurers “maintain the right to deny invalid or questionable claims and will not be subject to liability for an erroneous denial of a claim.” Id. In other words, the existence of a “bona fide controversy is a sufficient reason for failure of an insurer to make a prompt payment of a loss claim.” St. Paul Lloyd’s Ins. Co. v. Fong Chun Huang, 808 S.W.2d 524, 526 (Tex.App.—Houston [1st Dist.] 1991, writ denied). See also St. Paul Guardian Ins. Co. v. Luker, 801 S.W.2d 614, 618 (Tex. App.—Texarkana 1990, no writ); Dixon v. State Farm Fire & Casualty Co., 799 F.Supp. 691, 694 (S.D.Tex.1992).

The Texas Insurance Code and the Deceptive Trade Practices Act are in large measure statutory fleshings-out of the already existing, common law requirements. Among an insurer’s practices specifically condemned by the Code is: “Compelling policyholders to institute suits to recover amounts due under its policies by offering substantially less than the amounts ultimately recovered in suits brought by them.” Unfair Claim Settlement Practices Rules $ .003(5). Because Robinson places substantial reliance on this provision, we dispose of it before addressing the general issue of good faith and reasonableness. As above stated, the judgment below was for $34,363.29. State Farm’s offer was $26,261.02 and Robinson’s demand was $164,395.54. Assuming for the sake of argument that State Farm’s offer was “substantially less” than the amount of the judgment, this was not what compelled Robinson to institute suit. Rather, it was Robinson’s greatly excessive demand. There was nothing for the jury to consider on this issue, and the district court correctly rejected Robinson’s claim based on Rule .003(5).

Robinson’s general contentions of bad faith are equally without merit. State Farm based its payment offers on estimates prepared by an experienced insurance adjuster and also by two contractors who had prepared estimates on the first fire. It thus had a reasonable basis for its offers and had no *163 reason to doubt that it had a reasonable basis. Because a bona fide dispute then existed as to the amount of Robinson’s loss, there can be no claim of bad faith on. State Farm’s part.

Robinson’s only argument in support of her contention that State Farm acted unreasonably was that State Farm allegedly used an improper method of calculating the combined damage from the two fires by assessing the damages separately and paying the total of the two assessments. Robinson contends that State Farm should have calculated the amount owed her for the damage caused by the second fire by valuing the total loss, then subtracting out the first fire payments and treating the difference as the second fire loss. This method of calculation would have to be based on assumptions that payments for the first loss were accurate and not limited in amount by policy limitations, and that all of the damage disclosed after the second fire was caused by the two fires and nothing else, assumptions that are unwarranted in the instant case. State Farm’s offers were based on estimates prepared by an experienced adjuster and two contractors. Needless to say, their figures were much closer to the amounts actually awarded than were Robinson’s. There was no evidence upon which a jury could make a finding of bad faith or unreasonableness, and the district court did not err in directing a verdict in favor of State Farm on these issues.

The district court likewise did not err in summarily dismissing Robinson’s claim that State Farm was negligent in its handling of Robinson’s claim.

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Cite This Page — Counsel Stack

Bluebook (online)
13 F.3d 160, 1994 U.S. App. LEXIS 1677, 1994 WL 10788, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robinson-v-state-farm-fire-casualty-co-ca5-1994.