Thompson v. Shelter Mutual Insurance

875 F.2d 1460
CourtCourt of Appeals for the Tenth Circuit
DecidedMay 22, 1989
DocketNos. 85-1960, 85-2189
StatusPublished
Cited by3 cases

This text of 875 F.2d 1460 (Thompson v. Shelter Mutual Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thompson v. Shelter Mutual Insurance, 875 F.2d 1460 (10th Cir. 1989).

Opinion

LOGAN, Circuit Judge.

The dwelling and personal property of the family of Ernest Dale Thompson (collectively Thompson) were covered by a fire insurance policy issued by Shelter Mutual Insurance Co. (Shelter) when an arson fire damaged the property. Shelter admitted coverage under the policy, but only provided $500 of additional living expense money to Thompson immediately after the fire— enough for one month’s subsistence — plus another $1500 about five and a half months later. The policy had a limit of $5,000 on additional living expense payments. Shelter also disputed the amount of Thompson’s claim, and Thompson refused to accept the estimates of Shelter’s contractors as the basis for a settlement.

Eventually, Thompson brought this diversity suit against Shelter, alleging breach of contract, intentional infliction of emotional distress, and bad faith conduct by Shelter. The case was tried to a jury, which awarded Thompson damages of $35,-000 for dwelling repair, $27,500 for personal property damage, and $3,000 for additional living expenses. The jury found no intentional infliction of emotional distress, but awarded Thompson $29,500 damages on the bad faith claim. The district court also awarded Thompson attorney’s fees.

In these consolidated appeals, Shelter argues that (1) the evidence was insufficient to submit the claim of bad faith to the jury, (2) there was insufficient evidence to support the jury’s awards for dwelling repair [1462]*1462and personal property damage, and (3) the fee awarded to Thompson’s attorneys was erroneous. We affirm, except that we condition affirmance of the personal property award on a partial remittitur of it.

I

Under Oklahoma law, which the parties agree controls this case, every insurance contract contains an implied duty of good faith and fair dealing. See, e.g., Timmons v. Royal Globe Ins. Co., 653 P.2d 907, 914 (Okla.1982). The insurer does not breach this duty by refusing to pay a claim or by litigating a dispute with its insured if there is a “legitimate dispute” as to coverage or amount of the claim, and the insurer’s position is “reasonable and legitimate.” Manis v. Hartford Fire Ins. Co., 681 P.2d 760, 762 (Okla.1984); see also Christian v. American Home Assurance Co., 577 P.2d 899, 903-04 (Okla.1978). Rather, to prove a breach of the duty of good faith and fair dealing the insured must show by a preponderance of the evidence that the insurer failed to treat the insured fairly or that it tried to make the insured “surrender his policy or disadvantageously settle a nonexistent dispute.” Fletcher v. Western Nat’l Life Ins. Co., 10 Cal.App.3d 376, 89 Cal.Rptr. 78, 92 (1970), quoted in Christian, 577 P.2d at 901; see also Timmons, 653 P.2d at 913. Viewing the evidence in the light most favorable to the plaintiff, as we must, McCorkle v. Great Atl. Ins. Co., 637 P.2d 583, 586 (Okla.1981), we hold that Thompson’s evidence meets the minimum standard necessary for submission of the question of bad faith to the jury and to support the jury’s finding for Thompson.

Thompson introduced evidence that Shelter’s adjuster tried to intimidate Thompson when investigating the fire, that Shelter refused to give Thompson a copy of his current declaration sheet, that Shelter refused to pay Thompson sufficient living expense money even though Shelter admitted coverage and knew that Thompson would need approximately three to five months of additional living expense money while the house was repaired, that Shelter refused to negotiate with Thompson’s agent, and that Shelter unreasonably rejected Thompson's proof of loss forms. Although the focus of the bad faith claim was on the failure to pay additional living expenses, all this evidence is probative and relevant because “the jury may be shown the entire course of conduct between the parties to arrive at a determination of whether [the good faith] standard had been breached or not.” Timmons, 653 P.2d at 917.

Shelter asserts that it could not have acted in bad faith because it had no duty to pay any living expense money until the parties agreed upon Shelter’s liability for repair costs, and, because the district court found a bona fide dispute between the parties as to such costs, Shelter’s refusal to make the living expense payments was reasonable and in good faith as a matter of law. This argument does not impress us, first, because the jury was entitled to consider conduct other than the withholding of living expenses as evidence of Shelter’s bad faith. Also, “[unwarranted delay precipitates the precise economic hardship the insured sought to avoid by purchase of the policy.” Christian, 577 P.2d at 903. This especially is true with additional living expense payments, the function of which is to enable the insured to maintain, insofar as possible, the pre-fire standard of living during the period of repair and replacement. An unresolved dispute as to other policy claims does not as a matter of law excuse the failure of the insurer to pay living expense benefits, when the liability for such benefits is undisputed. The evidence presented was sufficient to create a jury question on bad faith. See McCorkle, 637 P.2d at 587 (if there is conflicting evidence regarding reasonableness of conduct, question of bad faith is for jury); see also Buzzard v. McDanel, 736 P.2d 157, 159 (Okla.1987).

II

Shelter also argues that the dwelling repair and personal property awards were not supported by competent evidence. As for the dwelling repair award of $35,-[1463]*1463000, competent testimony indicated that the dwelling damages totalled approximately $47,000, see IV R. 293-94; plaintiffs’ exhs. C-8, N-l, and that the lower estimates offered by Shelter did not cover particular repairs or were unreasonably low and designed by the contractor to gain entry into the insurance repair business. IV R. 168-69, 173; VI R. 801-02. Thus, the award given was within the parameters of the testimony and supported by competent evidence.

The award of $27,500 for personal property damage, however, is excessive. The proofs of loss detailed personal property with a value of $22,419.21, and Thompson at no time proved or even argued for a personal property award greater than this amount. See IV R. 293-94; VII R. 844; plaintiffs’ exhs. C-8, N-l. Thompson attempts to justify the jury’s larger award, which equals the policy limits on personal property, by pointing to photographs introduced as evidence that show the fire damage to the home. Shelter argues that the figure on the proof of loss forms must be depreciated since it is apparent that the figure represents the purchase price of the personal property, while the policy provides only for reimbursement of the property’s actual value at the time of loss. Both arguments must fail. It is true that Thompson’s policy was for actual value, not replacement cost. Yet, Shelter’s only specific evidence about depreciation on Thompson’s property was a “guess” by one of its employees as to the proper amount of the total personal property award. VI R. 632; cf. plaintiffs’ exh. J-17. To reduce Thompson’s award based on this testimony would sanction an award based on “mere speculation, conjecture or surmise” which, of course, is improper. Great W. Motor Lines, Inc. v. Cozard, 417 P.2d 575, 578 (Okla.1966). Similarly, a valuation of more than $22,419.21 would be based on nothing more than a guess about the damage depicted in the photographs.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Brashier v. Farmers Ins. Co., Inc.
1996 OK 86 (Supreme Court of Oklahoma, 1996)
Haghnazarian v. State Farm Mutual Ins.
21 Va. Cir. 140 (Fairfax County Circuit Court, 1990)
Thompson v. Shelter Mutual Insurance
875 F.2d 1460 (Tenth Circuit, 1989)

Cite This Page — Counsel Stack

Bluebook (online)
875 F.2d 1460, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thompson-v-shelter-mutual-insurance-ca10-1989.