Win Myint and Patti Kay Myint, et. ux. v. Allstate Insurance Company

Tennessee Supreme Court·Decided June 1, 1998·No. 01S01-9612-CH-00238·Published

Opinion

IN THE SUPREME COURT OF TENNESSEE AT NASHVILLE

WIN MYINT and wife ) FOR PUBLICATION PATTI K. MYINT )

) FILED: JUNE 1, 1998

Plaintiffs/Appellants )

) DAVIDSON COUNTY

v. )

) HON. CHRISTINA NORRIS, ALLSTATE INSURANCE COMPANY ) Special Chancellor )

Defendant/Appellee ) NO. 01-S-01-9612-CH-00238

For Appellants:

JOSEPH H. JOHNSTON For Appellee:

BARRY FRIEDMAN

FILED

Nashville, TN PAIGE WALDROP MILLS JOHN D. SCHWALB June 1, 1998 Nashville, TN

JON L. FLEISCHAKER Cecil W. Crowson Louisville, KY Appellate Court Clerk For Amicus Curiae:

EDWARD K. LANCASTER

Columbia, TN

Tennessee Farmers Mutual Insurance Company

J. RICHARD LODGE

E. CLIFTON KNOWLES

Nashville, TN

State Farm Mutual Automobile Insurance Company

THOMAS H. PEEBLES, III

G. BRIAN JACKSON

Nashville, TN

National Association of Independent Insurers and The Alliance of American Insurers

JOHN KNOX WALKUP

STEPHEN C. KNIGHT

Nashville, TN

State of Tennessee

OPINION

JUDGMENT OF THE COURT OF APPEALS REVERSED IN PART AND AFFIRMED IN PART BIRCH, J.

In this cause, the insuror refused to pay a claim under a policy of insurance. The insured contends that such refusal constitutes an “unfair or deceptive act or practice,” in violation of the Consumer Protection Act, Tenn. Code Ann. §§ 47-18-101, et seq.1 In contrast, the insuror insists that Tenn. Code Ann. § 56- 7-105,2 commonly known as the “bad faith statute,” is the exclusive remedy for the bad faith denial of an insurance claim. Because Title 56, Chapters 7 and 8 of the Tennessee Code comprehensively regulates the insurance industry, the insuror insists that the acts and practices of an insurance company are never subject to the Consumer Protection Act.

1 Tennessee Code Annotated § 47-18-109 (1995) provides the remedies for a violation of the Consumer Protection Act:

(a)(1) Any person who suffers an ascertainable loss of money or property, real, personal, or mixed, . . . as a result of the use or employment by another person of an unfair or deceptive act or practice declared to be unlawful by this part, may bring an action individually to recover actual damages.

. . . .

(a)(3) If the court finds that the use or employment of the unfair or deceptive act or practice was a willful or knowing violation of this part, the court may award three (3) times the actual damages sustained and may provide such other relief as it considers necessary and proper.

2 Tennessee Code Annotated § 56-7-105(a)(1989) provides:

[I]nsurance companies . . . , in all cases when a loss occurs and they refuse to pay the loss within sixty (60) days after a demand has been made by the holder of the policy or fidelity bond on which the loss occurred, shall be liable to pay the holder of the policy or fidelity bond, in addition to the loss and interest thereon, a sum not exceeding twenty-five percent (25%) on the liability for the loss; provided, that it is made to appear to the court or jury trying the case that the refusal to pay the loss was not in good faith, and that such failure to pay inflicted additional expense, loss, or injury upon the holder of the policy . . . .

We find, for the reasons stated herein, that the acts and practices of an insurance company may, indeed, be subject to the Consumer Protection Act. We conclude, however, that the facts before us do not evince an act “affecting the conduct of any trade or commerce” such as would be subject to the Consumer Protection Act.

I

The property herein involved is a two-unit structure located at 224 Treutland Street in Nashville. The appellants, Win and Patti Myint, purchased it in 1983 and began leasing the units. Since 1989, they maintained insurance coverage on the structure with the appellee, Allstate Insurance Company, under a “landlord’s package” policy. The structure was insured for its estimated market value--$61,000. In April 1991, the ground floor tenant reported water leaking from the second floor. Repairs were made, and the Myints received no further complaints.

In June 1991, Win Myint inspected the property and discovered that water leaking from the second-floor kitchen sink had extensively damaged the ceiling and walls of the ground-level unit. Win Myint then initiated the eviction process against the tenants so that he might make necessary repairs.

When one of those tenants applied for subsidized housing, the Metropolitan Development and Housing Authority investigated her housing status. In processing the application, a building codes officer inspected the property and reported several code

violations. On August 5, 1991, the Myints received notice of the codes violations from the chief housing inspector of the Codes Department of the Metropolitan Government of Nashville and Davidson County. The notice described the property as “unfit for human habitation,” and a hearing was set for August 20, 1991. The Myints failed to attend the hearing, and the property was classified as “H-6."3 The Myints were ordered to relocate the structure or demolish it.

On September 27, 1991, the Myints filed a claim with Allstate for the damage caused by the water, and Allstate sent an adjuster to inspect the property. While the claim for water damage was pending, the Myints began to make repairs. On September 30, 1991, Allstate informed them that the claim had been denied because the damage had been caused by slowly leaking water, which is excluded from coverage by the terms of the policy.

On October 1, 1991, the codes officials ordered a halt to the repair process because the Myints had not obtained the appropriate permit. Consequently, the Myints applied for a permit, but this application was denied because the property had been previously scheduled for demolition.

3 Dorsey Barnett, the Metropolitan Codes Department housing inspector who examined the property, explained that an H-6 structure is usually scheduled for demolition. However, not all H-6 structures are ultimately demolished. The Codes Department often lists borderline cases, such as this one, as H-6 in order to force the property owner to make the necessary repairs as soon as possible. Should repair of an H-6 structure be denied, the owner must first appeal to the Housing Appeals Board for a variance. The variance then entitles the owner to obtain a permit to repair the structure.

On October 18, 1991, Allstate notified the Myints that the contract of insurance would be terminated as of December 2, 1991. At trial, an Allstate employee testified that the cancellation was due to the overall poor condition of the property, as Allstate’s adjuster had observed when he inspected the water damage. On October 23, 1991, a small fire in the basement of the property caused minor smoke damage; it is unclear whether the Myints notified Allstate of this occurrence. Three days later, on October 26, 1991, a second fire engulfed the property and caused substantial damage. The Myints then applied for a variance in order to obtain a building permit. The Metropolitan Board of Housing Code Appeals granted the variance, giving the Myints until September 1, 1992, to bring the property into compliance with code requirements.

On January 10, 1992, the Myints filed with Allstate “sworn statements in proof of loss” for the fire damage. Because Allstate failed to respond as of June 17, 1992, the Myints’ attorney wrote Allstate demanding a decision on the claim. On June 23, 1992, Allstate denied the claim, citing two policy violations: (1) the Myints intentionally set fire to the property for the purpose of collecting the insurance proceeds; and (2) the fire damage was the result of an increase in hazard created by the Myints’ failure to maintain the property. While the parties stipulated that both fires had been intentionally set, the Myints have always denied any involvement in the setting of the fire.

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