Tuepker v. State Farm Fire & Casualty Co.

507 F.3d 346, 2007 U.S. App. LEXIS 25786, 2007 WL 3256829
CourtCourt of Appeals for the Fifth Circuit
DecidedNovember 6, 2007
Docket06-61075
StatusPublished
Cited by42 cases

This text of 507 F.3d 346 (Tuepker v. State Farm Fire & Casualty Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tuepker v. State Farm Fire & Casualty Co., 507 F.3d 346, 2007 U.S. App. LEXIS 25786, 2007 WL 3256829 (5th Cir. 2007).

Opinion

GARWOOD, Circuit Judge:

This case arises from the unprecedented destruction brought to the Mississippi Gulf Coast by Hurricane Katrina in August 2005. The hurricane completely destroyed the home of plaintiffs-appellees-cross-ap-pellants, John and Claire Tuepker (“the Tuepkers”). Their residence and the property contained therein were insured by defendant-appellant-cross-appellee, State Farm Fire and Casualty Company (“State Farm”). When State Farm refused to compensate the Tuepkers for their losses, the Tuepkers on November 21, 2005 sued State Farm in the district court below, federal jurisdiction being based on diversity of citizenship. State Farm filed a motion to dismiss the complaint under Fed.R.Civ.P. 12(b)(6). The district court denied the motion. This interlocutory appeal is before us under 28 U.S.C. § 1292(b).

CONTEXT PACTS AND PROCEEDINGS BELOW

(a) Proceedings

The Tuepkers’ complaint identified their State Farm issued “Homeowner’s Policy,” with policy period August 9, 2005 to August 9, 2006, and attached a “representative copy of the subject policy.” The complaint alleged, inter alia, that “[o]n August 29, 2005 ... the insured residence and the personal contents therein were completely destroyed by hurricane wind, rain, and/or storm surge from Hurricane Katrina ... This loss was covered under the subject policy. There is nothing left of the insured residence or contents but a slab.” The complaint further included the allegations that

“... regardless of whether the total damage to Plaintiffs’ insured property was caused by hurricane wind, storm surge proximately caused by hurricane wind, or both, the so-called ‘flood’ exclusion, which State Farm defines in the subject policy and in its denial letter as ‘flood, surface water, waves, tidal water, tsunami, seiche, or overflow of a body of water, or spray from any of these, all whether or not driven by wind,’ is not applicable here and in any event, is modified by the ‘Hurricane Deductible’ ”

and that “[t]his ‘flood’ exclusion is ambiguous and deceiving when read in conjunction with ... the ‘Hurricane Deductible’.” The relief sought in the complaint includes, inter alia, declaratory relief, and the declarations sought include a declaration “that any damage to Plaintiffs’ insured residence and property caused by ‘storm surge’ is not excluded under the subject policy” and “that the subject policy’s ‘flood’ exclusion is not applicable and is ambiguous.”

State Farm, in late December 2005, filed a motion to dismiss the complaint under Fed.R.CivP. 12(b)(6) and 9(b) asserting, *349 inter alia, that in respect to the declaratory relief sought, the complaint “fail[s] as a matter of law, because the claims for insurance coverage are barred by the plain language of the Plaintiffs’ policy,” that the policy’s “water damage exclusion is valid and enforceable, and unambiguously excludes losses that would not have occurred ‘in the absence’ of water damage” and “applies to water damage from ‘hurricane’ and ‘storm surge’,” and that “[t]he hurricane deductible endorsement does not provide coverage for hurricane damage not covered under the policy, including ‘storm surge’ damage, nor does it render the policy ambiguous.”

The district court, in its May 23, 2006 order, denied State Farm’s motion to dismiss “in accordance with” its Memorandum Opinion of the same date, in which the court, inter alia, construed, as a matter of law, a number of the relevant provisions of the State Farm policy, primarily including the policy’s “Water Damage” exclusion clause and the clause, which introduces that and other related exclusions, commonly known as the “anti-concurrent-causation clause” or “ACC Clause.” The court also addressed the policy’s hurricane deductible endorsement and its personal property coverage “windstorm or hail” peril, as well as the burden of proof. The opinion holds that “interpretation of the terms of an insurance policy present questions of law, not fact” and that “where the terms of an insurance policy are clear and unambiguous, they are to be enforced as written.” It further holds that

“Losses directly attributable to water in the form of a ‘storm surge’ are excluded from coverage because this damage was caused by the inundation of plaintiffs’ home by tidal water from the Mississippi Sound driven ashore during Hurricane Katrina. This is water damage within the meaning of that [the ‘Water Damage’] policy exclusion. The exclusion found in the policy for water damage is a valid and enforceable policy prevision.
Under applicable Mississippi law, where there is damage caused by both wind and rain (covered losses) and water (losses excluded from coverage) the amount payable under the insurance policy becomes a question of which is the proximate cause of the loss. To the extent that the State Farm policy is inconsistent with this settled rule of Mississippi law, the exclusionary language is invalid.”

The court also held the “anti-concurrent-causation clause” ambiguous and ineffective to exclude damage proximately caused by wind or rain, stating:

“I also find that the language in the State Farm policy that introduces subsection 2 of SECTION I — LOSSES NOT COVERED is ambiguous. The provisions in question purport to exclude from coverage losses that would otherwise be covered, such as wind damage, when that covered loss happens to accompany water damage (an excluded loss).
I find that this language in the State Farm policy creates ambiguities in the context of damages sustained by the insured during a hurricane. These provisions purport to exclude coverage for wind and rain damage, both of which are covered losses under this policy, where an excluded cause of loss, e.g. water damage, also occurs. I find that these two exclusions are ambiguous in light of the other policy provisions granting coverage for wind and rain damage and in light of the inclusion of a ‘hurricane deductible’ as part of the policy.
*350 To the extent that plaintiffs can prove their allegations that the hurricane winds (or objects driven by those winds) and rains entering the insured premises through openings caused by the hurricane winds proximately caused damage to their insured property, those losses will be covered under the policy, and this will be the case even if flood damage, which is not covered, subsequently or simultaneously occurred.”

The court further held that State Farm had “the burden of proving that the [Water Damage] exclusion applies to the plaintiffs’ claims.”

State Farm, after the court denied its motion to alter or amend, then moved the court to certify to this court under section 1292(b) its May 23, 2006 order and opinion as involving the controlling legal question of whether “the anti-concurrent cause language in State Farm’s homeowner’s policies is ambiguous and unenforceable.” The Tuepkers opposed the motion as limited to that one particular issue but acknowledged that the criteria for section 1292(b) certification were met “provided ... that

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Cite This Page — Counsel Stack

Bluebook (online)
507 F.3d 346, 2007 U.S. App. LEXIS 25786, 2007 WL 3256829, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tuepker-v-state-farm-fire-casualty-co-ca5-2007.