Tipton v. Nationwide Mutual Fire Insurance

381 F. Supp. 2d 567, 2003 U.S. Dist. LEXIS 26869, 2003 WL 24133045
CourtDistrict Court, S.D. Mississippi
DecidedJuly 15, 2003
DocketCIV.A. 1:02CV874GR
StatusPublished
Cited by1 cases

This text of 381 F. Supp. 2d 567 (Tipton v. Nationwide Mutual Fire Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Mississippi primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tipton v. Nationwide Mutual Fire Insurance, 381 F. Supp. 2d 567, 2003 U.S. Dist. LEXIS 26869, 2003 WL 24133045 (S.D. Miss. 2003).

Opinion

MEMORANDUM OPINION

GEX, District Judge.

This cause comes before the Court on motion of the Plaintiff to remand [5-1] the above referenced action to the Circuit Court of Jackson County, Mississippi. Also pending before the Court is the motion of the Defendant, Patrick Blankenship, to dismiss [9-1] the claims brought against him. The Court has duly considered the record in this action, and the briefs of counsel, and being fully advised in the premises, concludes as follows.

The Plaintiff filed his complaint on October 18, 2002. The suit was removed to this Court on December 9, 2002, with the Defendants claiming that Tipton fraudulently joined the instate defendant, Blankenship, in an attempt to defeat federal jurisdiction.

The lawsuit ensued following a residence fire which occurred on October 19, 2001. The fire occurred at Tipton’s Ocean Springs, Mississippi, residence where he lived with his 16-year-old daughter and a tenant, Roseanne Tate. Nationwide Mutual Fire Insurance Company [Nationwide] provided insurance on the property, and assigned the fire loss claim to Blankenship, a property adjuster. (Defs.’s Resp., Exh. F.) During the initial contact, Blankenship inspected the house, and took a statement from Tipton. (Id.) Blankenship also had Tipton sign a non-waiver, an authorization to enter and remove, and a records authorization for release, which are standard documents executed in connection with a fire loss claim. (Id.)

During his initial statement, Tipton told Blankenship that only he and his daughter lived at the house and made no mention of *569 the tenant. (Id.) Blankenship advanced Tipton $1,000 toward additional living expenses and $2,000 toward the contents on October 23, 2001. (Id.) In the following days, Tipton informed Blankenship that a tenant who lived at the home lost some personal property in the fire, and Blankenship responded by informing Tipton that personal property of a tenant or boarder were not covered under the policy. (Id.)

At the end of October, Blankenship received from Tipton a list of contents lost, with the list totaling $146,806 on the policy that limited contents to $104,860. (Id., Exhs. A, G.) Tipton later submitted a several addendums to the list. (Id.)

Robert Stayton, director of property claims, reviewed the file on October 28, 2001, and directed Blankenship to refer the matter to Nationwide’s special investigation unit [SIU] because the fire was incendiary in nature. (Id., Exh. F.) Blankenship averred that this is standard procedure in fires of an incendiary nature and referred the matter to Rob Borham at the SIU. (Id.)

On October 31, Tate called Blankenship about her property to determine if the property was covered under the policy. (Id.) Blankenship informed Tate that her personal property lost in the fire would not be covered because she was a tenant. (Id.) Tate allegedly told Blankenship that most of the furniture in the house was hers. (Id.) Tate and Blankenship reviewed Tipton’s proof of loss and confirmed that several items listed as belonging to Tipton were in fact owned by Tate. (Id.)

Blankenship called claims manager John Greenwood to discuss Tate’s assertions regarding the contents and her claims. (Id.) Greenwood instructed Blankenship to get a recorded interview from Tate concerning the lease agreement with Tipton and identification of her property losses. (Id.)

Blankenship issued Tipton an advance of $10,800, constituting six month’s living expenses, and instructed Tipton to submit a proof of loss. (Id.) Tipton submitted his proof of loss on November 15, 2001. (Id.; Exh. I.) After a review of the claim by the Nationwide claim committee, and based on potential discrepancy in the content claim, a reservation of rights letter was sent explaining duties after a loss, the inability to cover tenant property with language stressing fraud. (Id., Exh. K.) Tipton was informed that the matter was under investigation on November 27, 2001. (Id., Exh. F.)

Tate met with Borham of Nationwide’s SIU, who took a recorded statement from Tate on November 15, 2001, which included .the information provided to Blankenship regarding her loss. (Id., Exh. J.) On December 5, 2001, Borham took a second recorded statement from Tate during which she reviewed the contents list submitted by Tipton, delineating items she claimed were hers, items she asserts she never saw in the home, and with providing estimated values on Tipton’s items. (Id.)

Tipton was eventually examined under oath by an attorney, Lynn Hare Phillips on December 19, 2001, and January 7, 2002. (Id., Exh. F.) Blankenship was not present during these sessions. (Id.) Hare Phillips, who specializes in the investigation of insurance coverage issues, opined that no clear evidence of fraud existed regarding the dwelling, and that coverage should be paid. (Id., Exh. P.) She further concluded that the contents claim should be denied because clear evidence of fraud or concealment existed. (Id.) Nationwide’s claim committee reviewed Hare Phillips’ findings, and agreed to follow her recommendations. (Id., Exh. F.) Tipton’s attorney was notified of the decision on April 1, 2002, and Nationwide sent Tipton a letter *570 notifying him Nationwide’s determination. (Id., Exhs. Q-S.) Blankenship’s involvement in the claim handling was limited to dealings undertaken with knowledge of or direction from his supervisors. (Id., Exh. F.) The Defendants maintain that Tipton cannot state a claim against Blankenship which would subject Blankenship to individual liability while acting as Nationwide’s agent. (Defs.’ Resp., p. 7.)

Tipton alleges that he told Blankenship about Tate upon their initial encounter, and contends that he never denied that the proof of loss listed some of Tate’s belongings. (PL’s Reb., Tipton Aff., p. 1.) Tipton asserts that he relied upon Blankenship for information, and suggested to Blankenship that questionable items be removed from the proof of loss. (Id., Exh. A-3.) Tipton maintains that he followed Blankenship’s directions in submitting the claim, had advised Tate that her belongings may not be covered and suggested that she contact Blankenship directly regarding her claim. (Id., Tipton Aff., p. 3.) Tipton contends that the questionable items largely factored in the denial of his claim, although Blankenship allegedly told Tipton not to worry about deleting those items from his claim. (Pl.’s Reb., p. 7.) Accordingly, Tip-ton submits that Blankenship breached a duty owed to Tipton by engaging in a willful and deliberate campaign of delay, lack of cooperation and misinformation. (Id.) Tipton argues that Blankenship is not insulated from personal liability, because he allegedly conspired with his principals to deny Tipton’s claim. (Id.)

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381 F. Supp. 2d 567, 2003 U.S. Dist. LEXIS 26869, 2003 WL 24133045, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tipton-v-nationwide-mutual-fire-insurance-mssd-2003.