Williams v. United Fire and Cas. Co.

594 So. 2d 455, 1991 La. App. LEXIS 3636, 1991 WL 310920
CourtLouisiana Court of Appeal
DecidedDecember 27, 1991
Docket90 CA 2129
StatusPublished
Cited by8 cases

This text of 594 So. 2d 455 (Williams v. United Fire and Cas. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Williams v. United Fire and Cas. Co., 594 So. 2d 455, 1991 La. App. LEXIS 3636, 1991 WL 310920 (La. Ct. App. 1991).

Opinion

594 So.2d 455 (1991)

L.D. WILLIAMS
v.
UNITED FIRE AND CASUALTY COMPANY.

No. 90 CA 2129.

Court of Appeal of Louisiana, First Circuit.

December 27, 1991.

*456 Roy M. Maughan, Jr., Baton Rouge, for plaintiff-appellant L.D. Williams.

John Jewell Pace, Baton Rouge, for petition in intervention—Joy L. Cazes.

Glen Scott Love, Baton Rouge, for defendant-appellee United Fire Cas. Co.

Before WATKINS, CARTER and FOIL, JJ.

*457 CARTER, Judge.

This is an appeal from a trial court judgment dismissing plaintiff's theft-loss claim against his insurer and granting the insurer's reconventional demand for recovery of an advance made to plaintiff.

FACTS

On August 24, 1986, plaintiff's sister, Deborah Lynn Cashio, and her husband Brian David Cashio, were feeding plaintiff's dog while plaintiff was out of town when they noticed that a back door of plaintiff's residence was ajar. The Cashios went to a nearby convenience store where Ms. Cashio called plaintiff who instructed her to report the suspected burglary to the police. The Cashios flagged down a policeman, and the scene of the alleged burglary was soon investigated by the police.

After inspecting the first floor of the residence, the police officer sat on a small loveseat while Ms. Cashio listed certain items that she noticed were missing from the home.[1]

On or about August 26, 1986, the burglary was reported by telephone to plaintiff's insurer. On September 10, 1986, representatives from the insurance company took a tape recorded statement from plaintiff and photographed his home. The home was almost completely bare of all furnishings when the insurance company employees inspected and photographed it. Curtains remained in one room, and a mattress and some debris lay on the floor of another room, but otherwise the rooms photographed were empty. Since the home was without a refrigerator and other appliances generally considered essential for a normal lifestyle, the insurance company representatives advanced plaintiff $5,000 pending further processing of his claim. On October 9, 1986, plaintiff submitted a sworn statement to the insurance company indicating that, as a result of the burglary of his home, he suffered a loss in excess of $77,000, the insurance policy limits.[2]

Insurance company representatives later discovered that the police officer initially investigating the burglary found a scene quite different from the one photographed by the insurance company employees. The police officer found no empty rooms nor any obvious indication that the home had been "ransacked." The insurance company representatives concluded that the plaintiff had intentionally claimed compensation for some items which were removed from the home by plaintiff after the burglary.

The insurance policy provided, in pertinent part:

SECTION I—PERILS INSURED AGAINST
. . . . .
9. Theft, including attempted theft and loss of property from a known place when it is likely that the property has been stolen.
This peril does not include loss caused by theft:
a. committed by an insured; ...
SECTION I AND II—CONDITIONS
. . . . .
2. Concealment or Fraud. We do not provide coverage for an insured who has:
a. intentionally concealed or misrepresented any material fact or circumstance; or
b. made false statements or engaged in fraudulent conduct;
relating to this insurance.

The insurance company denied plaintiff's claim. Plaintiff then filed suit contending that the insurance company was arbitrary *458 and capricious in denying his claim. Plaintiff sought recovery for his losses, attorney's fees, and penalties. The insurance company reconvened to recover the $5,000 advance paid to plaintiff. One of plaintiff's judgment creditors, Ms. Joy L. Cazes, intervened. Eventually, to secure payment of the judgments, plaintiff assigned to Ms. Cazes his rights to the instant litigation to the extent of his indebtedness to her.

The jury, in response to interrogatories, found that plaintiff's home had been burglarized, but that plaintiff failed to prove that, as a result of the burglary, he lost all of the items claimed. The jury found that during the investigation of the claim, the plaintiff made material misrepresentations with the intent to defraud the insurance company; therefore, plaintiff was not entitled to recover from the insurance company. Judgment was rendered denying plaintiff's claim and granting the insurance company's reconventional demand.[3]

Plaintiff appeals, assigning the following errors:[4]

1. The court erred in instructing the jury that any misrepresentation or false statement made in the investigation of a claim would void the policy of insurance.
2. Submitting the following special interrogatory to the jury was reversible error:
Do you find that the Defendant has proven by a preponderance of the evidence that the plaintiff knowingly and intentionally made material misrepresentations during the investigation of the claim and/or in Plaintiff's proof of loss with the intent to deceive and defraud United Fire and Casualty Company?
3. The jury verdict should be reversed because there was no proof that plaintiff's actual loss was less than defendant's policy limits, even if plaintiff claimed more on the proof of loss than he actually lost.
4. The defendant did not carry its burden of proof to establish that the property claimed lost by theft was not actually lost by theft.
5. The court committed reversible error by admitting evidence of plaintiff's misdemeanor convictions.
6. The court committed reversible error by admitting evidence of the plaintiff's felony convictions for crimes committed after the date of the proof of the loss.
7. The jury's verdict is not supported by the law or the evidence but is grounded in prejudice.

ASSIGNMENTS OF ERROR NOS. 1-3

Assignments of error listed as numbers 1-3 above raise essentially the same contention: that false statements do not void coverage if plaintiff's valid claims equal or exceed the total amount demanded.

Prior to its submission to the jury, plaintiff objected to the following jury instruction:

If you find that the plaintiff gave false answers or information to United Fire and Casualty Company in its investigation of this claim and that the plaintiff gave such false answers with the intent to deceive and defraud United Fire and Casualty Company, then you must return a verdict in favor of United Fire and Casualty Company.

Plaintiff also objected to the following interrogatory before it was posed to the jury:

Do you find that the defendant has proven by a preponderance of the evidence that the plaintiff knowingly and intentionally made material misrepresentations during the investigation of the claim and/or in plaintiff's proof of loss with the intent to deceive and defraud United Fire and Casualty Company?

Plaintiff avers that false claims do not void coverage if valid claims exist equalling *459 the amount demanded.

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Cite This Page — Counsel Stack

Bluebook (online)
594 So. 2d 455, 1991 La. App. LEXIS 3636, 1991 WL 310920, Counsel Stack Legal Research, https://law.counselstack.com/opinion/williams-v-united-fire-and-cas-co-lactapp-1991.