The Insurance Shoppe of North Carolina, Inc. v. West American Insurance Company

CourtDistrict Court, E.D. North Carolina
DecidedMarch 30, 2022
Docket5:19-cv-00256
StatusUnknown

This text of The Insurance Shoppe of North Carolina, Inc. v. West American Insurance Company (The Insurance Shoppe of North Carolina, Inc. v. West American Insurance Company) is published on Counsel Stack Legal Research, covering District Court, E.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Insurance Shoppe of North Carolina, Inc. v. West American Insurance Company, (E.D.N.C. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF NORTH CAROLINA WESTERN DIVISION

NO. 5:19-CV-256-FL

THE INSURANCE SHOPPE OF NORTH ) CAROLINA, INC., ) ) Plaintiff, ) ) v. ) ORDER ) WEST AMERICAN INSURANCE ) COMPANY, ) ) Defendant. )

This matter is before the court on the parties’ cross-motions for summary judgment (DE 46, 58) and respective motions to exclude expert witness testimony (DE 50, 56). The issues raised are ripe for ruling. For the following reasons, defendant’s motion for summary judgment is granted, plaintiff’s corresponding motion is denied, and the parties’ motions to exclude expert witness testimony are denied as moot. STATEMENT OF THE CASE Plaintiff, serving as an insurance agent for its clients, commenced this action June 21, 2019, asserting a breach of contract claim arising out of the alleged failure of defendant, an affiliate of Liberty Mutual Insurance Company, to indemnify plaintiff for certain costs pursuant to a contract between them entitled the “Liberty Mutual Commercial Insurance Producer Agreement” (the “Agreement”). Plaintiff seeks indemnification for all losses, damages, costs, and expenses arising from a state court action brought against it by its former client, Harrington Companies, LLC (“Harrington”). Following a period of discovery, defendant filed its motion for summary judgment with reliance upon: 1) the Agreement; 2) pleadings in the Lee County, North Carolina action, Harrington Companies, LLC v. The Insurance Shoppe of North Carolina, Inc., No. 18-CV-000465; 3) a 2017-2018 insurance policy; 4) deposition testimony of William Jeremy Pearce (“Pearce”), plaintiff’s Federal Rule of Civil Procedure 30(b)(6) designee; 5) deposition testimony of Dwight

M. Hinton, Jr. (“Hinton”), the now-retired executive general adjuster for defendant; 6) affidavits of Roy Harrington (“Roy”), managing member of Harrington, and Rhonda Harrington (“Rhonda”), his wife; 7) certain email correspondence; and 8) a confidential memorandum of settlement between defendant and Harrington. Plaintiff’s arguments in opposition, also grounded upon the Agreement, additionally make reference to: 1) deposition testimony of David L. Grady (“Grady”), plaintiff’s owner; and 2) certain email correspondence. As noted, plaintiff also moved for summary judgment in its favor. Unsurprisingly, the terms of the Agreement are central, too, to plaintiff’s motion. Advancing entitlement to judgment in its favor, plaintiff additionally relies upon: 1) excerpts of

insurance policies spanning 2013-2018; 2) a summary chart of coverage limits related to those policies; 3) a letter from Hinton to Roy; 4) the aforementioned state court complaint; 5) excerpts of Hinton’s deposition testimony; and 6) deposition testimony of Taylor Terrell (“Terrell”), an underwriter for defendant. Defendant’s arguments in opposition to plaintiff’s motion for summary judgment make reference to materials relied upon in support of its motion as well as deposition testimony of Terrell and the letter from Hinton to Roy. Additionally, each party moves to exclude testimony of the other side’s expert witness. Towards this end, defendant seeks exclusion of the testimony of David Stegall (“Stegall”). Plaintiff, in turn, seeks exclusion of the testimony of Brenda Wells (“Wells”). STATEMENT OF UNDISPUTED FACTS Under the Agreement, made effective June 4, 2014, plaintiff had a non-exclusive right to transmit submissions to purchase insurance to defendant for its consideration. Defendant could quote such submissions at its sole discretion. Pursuant to that Agreement, starting by at least 2014, plaintiff began procuring commercial real estate insurance coverage from defendant on behalf of

Harrington, plaintiff’s client since 2010, for warehouse properties in Sanford, North Carolina. Plaintiff continued to procure yearly policies from defendant on Harrington’s behalf for these properties through 2017. All of the relevant policies contained an 80% coinsurance provision which, in effect, allowed defendant to not pay the full amount of any loss if the value of covered property at the time of loss times the coinsurance percentage is greater than the limit of insurance for the property and, instead, pay a reduced amount.1 In September 2017, Harrington’s covered properties suffered damage as the result of a windstorm. Harrington submitted a claim for this loss under its policy to defendant, which defendant initially adjusted downwards on the basis that some of the properties, calculated by it as

worth $13,851,741 in total, were underinsured per the 80% coinsurance provision. See, e.g., Dec. 22, 2017, Letter (DE 61-4) at 4 (asserting that a covered building was worth $4,538,982, meaning, under the coinsurance provision, it should have been covered in the amount of $3,631,186, but that Harrington only had a coverage amount of $1,513,527). Harrington and defendant resolved this claim by March 15, 2018, confidential settlement agreement.

1 Policy terms explain, as an example, that for an 80% coinsurance provision, if the value of a property is $250,000, the policyholder has $100,000 in coverage, and the property suffers $40,000 in loss, defendant would cover $19,750 in damages, as calculated by determining the minimum amount of insurance required by the coinsurance provision ($250,000 × .8 = $200,000), dividing the actual coverage amount by that minimum required amount ($100,000 ÷ $200,000 = .5), multiplying that number by the amount of loss ($40,000 × .5 = $ 20,000), and, finally, subtracting the relevant deductible ($20,000 − $250 = $19,750). On May 24, 2018, Harrington brought suit against plaintiff in the Superior Court of Lee County, North Carolina, (the “Harrington action”), for damages stemming from alleged breaches of fiduciary and contractual duties, and from unfair and deceptive trade practices In particular, Harrington alleges in its complaint that “[a]t the time [plaintiff] procured renewal on behalf of [Harrington],” in 2017, plaintiff had not “conducted any independent research, investigation, or

inquiry to determine what the appropriate amounts of coverage for each building should be under [Harrington’s] replacement cost policy with [defendant]”; “made any independent inquiry or investigation as to what the actual replacement cost for each building would be in the event of a complete or partial loss”; “made any independent inquiry or investigation as to what the financial effect of the co-insurance provision contained in the policy with [defendant] would have on [Harrington] in the event of a complete or partial loss if the buildings were underinsured”; nor discussed with, disclosed to, advised, or informed Harrington “the nature and effect of replacement cost insurance and its relationship with a co-insurance penalty clause,” “what the ‘coverage amount’ should be for each building,” or the fact that the policy was a “co-insurance contract” and

its attendant legal and financial effects. Shortly after initiation of the Harrington action, plaintiff sought indemnification from defendant for attorneys’ fees and costs incurred in its defense of that action, relying on a provision of the Agreement (the “indemnification clause”), wherein [defendant] agree[s] to indemnify, protect, and hold [plaintiff] harmless from and against any and all civil liability, and all claims, losses damages, costs, and expenses, including court costs and reasonable attorneys’ fees related thereto, arising out of or incurred by reason of any error or omission on the part of [defendant], [defendant’s] directors, officers, agents, or employees in placing business pursuant to or carrying out the terms and conditions of this agreement, except to the extent such error or omission was caused or contributed to by [plaintiff].

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The Insurance Shoppe of North Carolina, Inc. v. West American Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-insurance-shoppe-of-north-carolina-inc-v-west-american-insurance-nced-2022.