Yount v. Lafayette Insurance Co.

4 So. 3d 162, 2008 La.App. 4 Cir. 0380, 2009 La. App. LEXIS 114, 2009 WL 213089
CourtLouisiana Court of Appeal
DecidedJanuary 28, 2009
Docket2008-CA-0380
StatusPublished
Cited by21 cases

This text of 4 So. 3d 162 (Yount v. Lafayette Insurance 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
Yount v. Lafayette Insurance Co., 4 So. 3d 162, 2008 La.App. 4 Cir. 0380, 2009 La. App. LEXIS 114, 2009 WL 213089 (La. Ct. App. 2009).

Opinion

PAUL A. BONIN, Judge.

LThe Sisters of Mercy relocated their hospital from the Irish Channel to Mid-City in the middle of the last century. From then the hospital was in continuous and uninterrupted operation even through its sale to the national healthcare chain, Tenet Healthcare. Nearby, as is typical, there were numerous medical offices in which physicians affiliated with the hospital maintained their practices. Adjacent to the hospital was a medical office building, owned by Tenet, in which Dr. Beverly Yount practiced. The continuous providing of all these medical services was, of course, interrupted by the devastation caused by Hurricane Katrina in 2005.

To date, Tenet has neither reopened the hospital nor the adjacent medical office building where Dr. Yount leased space. Unlike the national healthcare chain, Dr. Yount did reopen her medical practice pri- or to the end of the year at Touro Infirmary in Uptown New Orleans.

Lafayette Insurance Company (hereinafter, “Lafayette”) seeks our review of the trial court judgment awarding an amount for the temporary interruption 1 to the | gmedical practice of its insured, Beverly Yount, M.D., APMC, 2 the plaintiff. For her part Dr. Yount appeals the trial court’s judgment limiting the time period for which damages were awardable and denying penalties and attorney’s fees. Based on our review, we affirm in part, reverse and vacate in part and render.

FACTS AND PROCEDURAL HISTORY

Effects of Hurricane Katrina

On August 29, 2005, Hurricane Katrina made landfall causing catastrophic devas *165 tation to the City of New Orleans. Dr. Yount leased an office suite from Tenet Mid-City Medical, L.L.C. (hereinafter, “Tenet”) in a professional medical building located at 3535 Bienville Street in New Orleans. The leased premises were located on the second floor of a multi-story building 3 , and comprised of approximately 2,083 square feet.

As a result of the storm, the building sustained extensive wind damage and, due to the breaches in the City’s levee protection system, the first floor was inundated with seven to eight feet of water for approximately two weeks.

About four weeks after Katrina made landfall, Dr. Yount was able to inspect the damage to her office suite. Due to the extreme heat and virtual darkness from the loss of electricity, this first visit was very brief. Later, Tenet set up temporary lighting so that the damage could be assessed and its lessees could remove their personal property. Accompanied by her office manager, Bonnie Williams, Dr. Yount would in serial short-term visits enter the premises to salvage her patients’ medical records. Because of environmental concerns, both women were required |3by Tenet to wear protective haz-mat suits and masks while in the building. In their forays into the suite, the women assessed the damage to Dr. Yount’s property and to the suite. In addition to the loss of refrigerated pharmaceutical items, Dr. Yount and Ms. Williams observed broken windows, missing ceiling tiles and water intrusion damage, as well as the growth of mold on the walls, ceiling, furniture and medical equipment. They were able to recover in large part the medical records and some artwork. However, Dr. Yount concluded that her equipment and furniture were either extensively damaged or hazardous for continued use in a medical practice. As such, the items were disposed of.

Tenet first advised its lessees that the building would reopen in three to six months. However, it ultimately decided to permanently close it due to the extensive damage and excessive cost to renovate the property located in an area of the City that was not earmarked by governmental officials for priority rebuilding. When Dr. Yount learned that the medical building would not reopen as expected, on November 14, 2005, she immediately joined a medical practice affiliated with Touro Infirmary located in New Orleans.

Claims Process

Shortly after her first return to her office in September 2005, Yount filed a claim with her commercial insurer, Lafayette, for the property damage and economic losses sustained from the interruption of her medical practice. On October 23, 2005, Jeff Yearwood, an outside adjuster retained by Lafayette, inspected the premises. At the time, Dr. Yount provided financial records indicative of her income and expected losses, as well as evidence supporting her claim relative to the loss of refrigerated pharmaceutical items.

| .Approximately five weeks later, Mr. Yearwood directed a report dated December 4, 2005 to Lafayette indicating his inspection showed “visible wind storm damage to the office suite,” but based on his review of the policy no coverage existed for such. About two weeks after receiving the Yearwood report, Lafayette sent its check in the amount of $678.00 to Dr. Yount in payment for her pharmaceutical losses. The insurer notified Dr. Yount by letters dated December 29, 2005 and January 9, 2006 that it was denying her claim for loss of income due to the interruption of her practice. In doing so, *166 Lafayette cited to the commercial insurance policy at issue, which provides in part:

A. Coverage
We will pay for direct loss of or damage to Covered Property at the premises described in the Declarations caused by or resulting from any Covered Cause of Loss.
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4. Additional Coverages
e. Business Income
We will pay for the actual loss of Business Income you sustain due to the necessary suspension of your “operations” during the “period of restoration.” The suspension must be caused by direct physical loss of or damage to property at the described premises, including personal property in the open (or in a vehicle) within 100 feet, caused by or resulting from any Covered Causes of Loss.
(Emphasis added.)

In denying the claim, Lafayette cited the lack of “direct physical loss” from a “covered peril.” It maintained any financial losses suffered by Dr. Yount were flood-related stemming from a lack of access to the suite to conduct operations due solely to the deluge of water on the first floor. It reasoned, since flood waters were expressly excluded as a “covered peril” under the policy, the business interruption coverage was not implicated.

\ ¿Legal Proceedings Petition

On April 24, 2006, Dr. Yount instituted suit against Lafayette in which she alleged breach of contract for the recovery of insurance proceeds due to her under the business interruption provision of her commercial policy. She also demanded penalties and attorney’s fees for Lafayette’s alleged arbitrary and capricious handling of her insurance claim. 4

Motion in Limine

Prior to trial, Lafayette filed a motion in limine seeking to bar Dr.

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Bluebook (online)
4 So. 3d 162, 2008 La.App. 4 Cir. 0380, 2009 La. App. LEXIS 114, 2009 WL 213089, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yount-v-lafayette-insurance-co-lactapp-2009.