St. Charles Parish Hospital Service Dist. No. 1 v. United Fire & Casualty Co.

681 F. Supp. 2d 748, 2010 U.S. Dist. LEXIS 8133, 2010 WL 148851
District Court, E.D. Louisiana·Decided January 13, 2010·No. Civil Action 07-5924·Published·Cited by 18 cases

Opinion

ORDER AND REASONS

SARAH S. VANCE, District Judge.

Before the Court are plaintiffs Motion to Enforce Judgment and Confirm Appraisal Award (R. Doc. 49) and defendant’s Motion to Vacate Appraisal Award (R. Doc. 68). For the following reasons, both motions are DENIED. The Court REMANDS this matter to the appraisal panel to resubmit an appraisal award consistent with this Order.

I. Background

This case arises out of an insurance dispute between plaintiff, St. Charles Parish Hospital Service No. 1, and defendant, its insurer. During Hurricane Katrina, which struck southern Louisiana on August 29, 2005, the Hospital sustained damage to its property in Luling, Louisiana. This property was insured by a policy issued by defendant, setting a limit of over $15.5 million for property damage to buildings, $5 million for business income and extra expense, and approximately $7.3 million for business personal property. Disagreements between the parties developed during the adjustment and payment process. The Hospital eventually invoked a provision of the insurance policy that becomes available when the parties cannot agree about the amount of a particular loss or the value of property. The appraisal provision concerning business and personal property reads as follows.

2. Appraisal
If we and you disagree on the value of the property or the amount of the loss, *752 either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser. The two appraisers will select an umpire. If they cannot agree, either may request that selection be made by a judge of a court having jurisdiction. The appraisers will state separately the value of the property and the amount of the loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding.... If there is an appraisal, we will still retain our right to deny the claim.

R. Doc. 14, Ex. A at 27. Once this provision is applied, each party selects a competent and impartial appraiser who will eventually provide an opinion as to the value of the property and the amount of the loss. Before doing so, the two appraisers select an umpire to make the final decision. If the parties cannot agree on an umpire, they may move the Court to select one. Once a three-person panel is assembled, an appraisal award signed by any two “will be binding” on the parties.

The Hospital selected Lewis O’Leary as its adjuster and defendant eventually chose Jerry Provencher. These two appraisers could not agree on an umpire 1 and asked the Court to select one. Each party submitted four nominees to the Magistrate Judge. After significant briefing and oral argument, the Magistrate Judge evaluated the backgrounds and qualifications of the candidates and selected Ernie Carpenter, one of plaintiffs proposed umpires, as the umpire. R. Doc. 38. Defendant objected to this determination on the grounds that Carpenter was partial and unqualified. This Court overruled these objections, holding that the Magistrate Judge had all of the relevant information before him and reached his decision on a basis that was neither clearly erroneous nor contrary to law. R. Doc. 41.

The appraisal process began. O’Leary submitted his initial report, estimating the loss at approximately $3.4 million. Of this, nearly $1.8 million was for loss of business income. R. Doc. 83, Ex. 1 at 8-9. Provencher submitted a rebuttal report, which estimated that the repairs could be made for approximately $250,000. This estimate included a finding that the Hospital suffered no loss of business income at all. R. Doc. 83, Ex. 2 at Tab 7. The members of the appraisal panel provided further rebuttals to the umpire and conducted further discussions. Eventually Carpenter and O’Leary signed off on an appraisal award that appraised the loss at approximately $4.2 million. R. Doc. 83, Ex. 6. Provencher did not sign the award.

The Hospital now moves to confirm the appraisal award, which defendant opposes. Defendant makes a separate motion to vacate the appraisal award, which the Hospital opposes. The Court rules as follows.

II. Discussion

Again, the insurance contract between the two parties contains the following provision in the “Business and Personal Property Coverage Form”:

2. Appraisal
If we and you disagree on the value of the property or the amount of the loss, either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser. The two appraisers will *753 select an umpire. If they cannot agree, either may request that selection be made by a judge of a court having jurisdiction. The appraisers will state separately the value of the property and the amount of the loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding____ If there is an appraisal, we will still retain our right to deny the claim.

R. Doc. 14, Ex. A at 27 (emphasis added). 2 A highly similar provision appears in the form titled “Business Income Coverage Form (And Extra Expense)”:

1. Appraisal
If we and you disagree on the amount of Net Income and operating expense or the amount of loss, either may make written demand for an appraisal of the loss. In this event, each party will select a competent and impartial appraiser. The two appraisers will select an umpire. If they cannot agree, either may request that selection be made by a judge of a court having jurisdiction. The appraisers will state separately the amount of Net Income and operating expense or amount of loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding.... If there is an appraisal, we will still retain our right to deny the claim.

R. Doc. 14, Ex. A at 33. In both provisions, the contract explicitly states that a “decision agreed to by any two will be binding.”

Appraisal clauses such as these are enforceable under Louisiana law. See Newman v. Lexington Ins. Co., No. 06-4668, 2007 WL 1063578, at *2 (E.D.La. Apr. 4, 2007); Fourchon Docks, Inc. v. Nat’l Union Fire Ins. Co. of Pittsburgh, Pa., No. 86-2267, 1988 WL 32938, at *8 (E.D.La. Apr. 6, 1988); Sevier v. U.S.F. & G., 485 So.2d 132, 135-36 (La.Ct.App.1986), rev’d on other grounds, 497 So.2d 1380 (La.1986); Girard v. Atlantic Mid. Ins. Co., 198 So.2d 444, 445-47 (La.Ct.App.1967); Martin v. Home Ins. Co., 16 La. App. 216, 133 So. 773, 776 (1931). They do not, however, deprive a court of jurisdiction over the matter. Newman, 2007 WL 1063578, at *2; Fourchon Docks, 1988 WL 32938, at *8; Girard, 198 So.2d at 446.

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St. Charles Parish Hospital Service Dist. No. 1 v. United Fire & Casualty Co., 681 F. Supp. 2d 748, 2010 U.S. Dist. LEXIS 8133, 2010 WL 148851 (E.D. La. 2010).

681 F. Supp. 2d 748 (St. Charles Parish Hospital Service Dist. No. 1 v. United Fire & Casualty Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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