Terry L. Balz v. Claims Professional Representatives, LLC (mem. dec.)

Indiana Court of Appeals·Decided August 2, 2018·No. 10A04-1711-CT-2816·Published

Opinion

MEMORANDUM DECISION Pursuant to Ind. Appellate Rule 65(D), FILED this Memorandum Decision shall not be Aug 02 2018, 9:11 am

regarded as precedent or cited before any court except for the purpose of establishing CLERK Indiana Supreme Court

Court of Appeals

the defense of res judicata, collateral and Tax Court

estoppel, or the law of the case.

ATTORNEY FOR APPELLANT ATTORNEYS FOR APPELLEE Alan W. Roles John W. Mervilde Coleman, Roles & Associates, PLLC Rick D. Meils Louisville, Kentucky Meils Thompson Dietz & Berish Indianapolis, Indiana

IN THE

COURT OF APPEALS OF INDIANA

Terry L. Balz, August 2, 2018 Appellant-Defendant, Court of Appeals Case No.

10A04-1711-CT-2816

v. Appeal from the Clark Circuit Court 1

Claims Professional The Honorable Marsha Owens Representatives, LLC, Howser, Special Judge Appellee-Plaintiff. Trial Court Cause No.

10C01-1306-CT-091

Barnes, Senior Judge.

Case Summary

[1] Terry L. Balz appeals from the grant of summary judgment in favor of Claims

Professional Representatives, LLC (“CPR”). We affirm. Court of Appeals of Indiana | Memorandum Decision 10A04-1711-CT-2816 | August 2, 2018 Page 1 of 23

Issue

[2] The sole issue before us is whether genuine issues of material fact precluded

entry of summary judgment in favor of CPR.

Facts

[3] On January 8, 2018, Balz’s home (“the premises”), located in Clark County,

was destroyed by fire and deemed a complete loss. Balz suffered serious injuries in the fire. At the time, the premises were insured under a homeowners’ insurance policy (“Policy”) issued by United Farm Family Mutual Insurance Company (“Farm Bureau”). The Policy included the following “Physical Damage Coverages”: $123,724 for the “Dwelling”; $12,372 for “Other Structures”; $61,900 for “Personal Property”; and $24,700 for “Loss of Use.” App. Vol. II p. 35. The “functional replacement cost loss settlement” endorsement of the Policy states, in part:

(1) “If, at the time of loss[ ]

...

(b) You contract for repair or replacement of the damaged building for the same use, within 180 days of the damage unless we otherwise agree;

we will pay, after application of deductible, the lesser of the following amounts:

(a) [the policy limits applicable to the building]; or

Court of Appeals of Indiana | Memorandum Decision 10A04-1711-CT-2816 | August 2, 2018 Page 2 of 23

(b) “[t]he necessary amount actually spent to repair or replace the damaged building on a “functional replacement cost” basis. . . . .

Id. at 91.

[4] On or about January 11, 2010, Balz received the first of three letters from CPR, a public adjusting company, seeking to represent him in his claim negotiations with Farm Bureau. Balz subsequently executed a “Limited Authority Authorization & Assignment” agreement with CPR on or about February 12, 2010, wherein he gave CPR the right to “prepare and present” his claim to Farm Bureau; instructed Farm Bureau to “recognize [CPR] as a party in interest and [to] discuss limit of coverage and/or value(s) of the aforementioned loss(es) with [CPR]”; authorized Farm Bureau to release all insurance claim records to CPR; provided written notice to Farm Bureau that CPR’s agent, Lisa VanHimbergen, would “develop, present and negotiate” on his behalf; and agreed to pay CPR “10% of the amount of the settlement, judgment, or award proceeds, when recovered . . . .” App. Vol. III pp. 106, 117. Balz contends, and CPR disputes, that by executing the agreement with CPR, he relinquished his right to communicate with Farm Bureau directly and was foreclosed from doing so.

[5] Before the fire, Balz, who was skilled in construction, had purchased materials to remodel his house. After the fire, he believed that he could rebuild the house—an approximately $60,000 repair—for approximately $35,000, if he provided some labor himself and hired subcontractors only for work that he

Court of Appeals of Indiana | Memorandum Decision 10A04-1711-CT-2816 | August 2, 2018 Page 3 of 23 could not complete himself. He asked VanHimbergen to relay his request to Farm Bureau.

[6] CPR counters that, by insisting on serving as the contractor responsible for performing the repairs and “demand[ing] that the money be paid directly to him,” Balz refused to comply with the Policy provision requiring him to “to contract for repair or replacement of the damaged building” and, thereby, forfeited recovery for functional replacement costs. App. Vol. II p. 10.

[7] VanHimbergen presented Balz’s insurance claim to Farm Bureau, which agreed to pay the entire limits under the policy to or on behalf of Balz, including functional replacement costs of $34,277.46. App. Vol. II p. 10. On or about July 7, 2010, Farm Bureau paid full policy limits to CPR, but did not pay functional replacement costs. CPR collected its fee in the amount of $19,572.40 and paid the remaining monies to Balz.

[8] On June 25, 2013, Balz sued CPR for breach of contract, breach of the duty of good faith and fair dealing, fraud in the inducement, constructive fraud, negligent misrepresentation, criminal conversion, tortious conversion, intentional infliction of emotional distress, negligent infliction of emotional distress, and punitive damages. In his complaint, Balz alleged that CPR: (1) fraudulently induced his execution of the representation agreement through express and implied promises “made to lure [him] into executing the [agreement]”; (2) failed to perform its claims processing duties; (3) failed to collect functional replacement cost insurance proceeds owed to him in the

Court of Appeals of Indiana | Memorandum Decision 10A04-1711-CT-2816 | August 2, 2018 Page 4 of 23 amount of $34,277.46; (4) wrongfully collected a fee of $19,572.40; and (5) allowed the statute of limitations to run, resulting in Balz forfeiting his opportunity to recover insurance benefits for functional replacement costs. App. Vol. III p. 172.

[9] On December 12, 2016, CPR moved for summary judgment. CPR’s designated materials included a deposition of Balz, taken on November 19, 2015; and the deposition of VanHimbergen, taken on October 25, 2016. The trial court conducted a hearing on CPR’s motion for summary judgment on September 25, 2017. It entered summary judgment in CPR’s favor on October 30, 2017. The trial court’s order provided, in part, as follows:

3. That on or about February 12, 2010, CPR and Balz entered into a contract wherein CPR agreed “to render such services to the insured (Balz); to prepare and present insureds [sic] claim for loss and damage caused” by fire on January 8, 2010. In exchange, Balz agreed to pay “CPR for services promised a sum of 10% of the amount of settlement.”

4. That CPR presented Balz’s claim to Balz’s insurer, Indiana Farm Bureau Insurance[,] thereby fulfilling its contractual obligations.

5. That Indiana Farm Bureau agreed to pay the entire limits under the policy to or on behalf of Balz.

6. That lndiana Farm Bureau agreed on behalf of Balz [to]

“functional replacement costs” in the amount of $34,277.46.

Court of Appeals of Indiana | Memorandum Decision 10A04-1711-CT-2816 | August 2, 2018 Page 5 of 23 7. That the subject policy of insurance with Indiana Farm Bureau provided, “If at the time of the loss, (B) you contract for repair or replacement of the damaged building for the same use within l80 days [of the damage unless we and you otherwise agree; we will pay, after application of deductible, the lesser of the following amounts: (a) The limit of liability under this policy that applies to the building; or (b) The necessary amount actually spent to repair or replace the damaged building on a “functional replacement cost basis. . . . ”].

8. That Balz refused “to contract for repair or replacement of the damaged building” as expressly provided by the policy of insurance. Instead, he demanded that the money be paid directly to him.

9. That CPR fulfilled its contractual obligations and was entitled to a fee equal to 10% of the policy limits.

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