Opinion

Talamo v. State Farm Mutual Automobile Insurance Company

Court
District Court, M.D. Louisiana
Filed
Jan 18, 2022
Cited by
0 cases
Authority
More cited than 22.5%

The opinion

UNITED STATES DISTRICT COURT

MIDDLE DISTRICT OF LOUISIANA

BRADLEY TALAMO

CIVIL ACTION

VERSUS

NO. 20-535-JWD-RLB

STATE FARM MUTUAL AUTOMOBILE

INSURANCE COMPANY

RULING AND ORDER

This matter comes before the Court on the Motion for Summary Judgment (Doc. 16) filed

by Defendant State Farm Mutual Automobile Insurance Company (“Defendant” or “State

Farm”). Plaintiff Bradley Talamo (“Plaintiff” or “Talamo”) opposes the motion. (Doc. 18.)

Defendant filed a reply. (Doc. 19.) Oral argument is not necessary. The Court has carefully

considered the law, the facts in the record, and the arguments and submissions of the parties and

is prepared to rule. For the following reasons, the motion is denied.

I. Relevant Factual Background

This lawsuit arises from an automobile accident that occurred on August 4, 2019. (See

Pet., Doc. 1-2 at 4–7.) Plaintiff was a guest passenger in a vehicle that was involved in a head-on

collision with a vehicle operated by Ross Labrosse, who reportedly lost control while driving on

I-10 near Pass Christian, Mississippi. (List of Undisputed Material Facts by Defendant

(“LUMF”) 1, Doc. 16-1.)1

Prior to the accident, State Farm issued an automobile liability insurance policy providing

for uninsured/underinsured motorist (“UM”) coverage to Plaintiff’s mother, Cynthia Talamo

1 This fact was admitted to by Plaintiff in his Opposing Statement of Material Facts (“OSMF”). (Doc. 18-1 at 1, ¶ 1.)

Unless otherwise indicated, when the Court cites to LUMF in support of a fact, that fact has been admitted by

Plaintiff in the OSMF.

(“Ms. Talamo”). (LUMF 2.) Ms. Talamo is the policy’s named insured, at her address of 463

Parlange Drive in Pearl River, Louisiana (“Parlange address”), according to the Declarations

Page. (LUMF 7; see also Doc. 16-5 at 3.) Plaintiff, age 34, (LUMF 8) is neither a named insured

nor a listed driver under the State Farm policy. (LUMF 3–4.)

The “Uninsured Motor Vehicle Coverage and ‘Economic-Only’ Uninsured Motor

Vehicle Coverage” section of the policy states, in pertinent part:

Insured means:

1. you;

2. resident relatives;

3. any other person while occupying:

a. your car;

b. a newly acquired car;

c. a temporary or substitute car; or

d. a rental private passenger car rented to you . . . .

(Doc. 16-5 at 19–20; see also LUMF 5.) Importantly, the policy defines the term “resident

relative” as follows:

Resident Relative means a person, other than you, who resides primarily with the

first person shown as a named insured on the Declarations Page and who is:

1. related to that named insured or his or her spouse by blood, marriage, or

adoption, including an unmarried and unemancipated child of either who is

away at school and otherwise maintains his or her primary residence with that

named insured[ ] . . . .

(Doc. 16-5 at 9; see also LUMF 6.)

Plaintiff initiated this action in state court on July 10, 2020 by filing a Petition for

Damages against Defendant, seeking recovery for the injuries he sustained as a result of the

accident. (Doc. 1-2 at 4–7.) The Petition alleges that the adverse driver was an uninsured

motorist and that the vehicle in which Plaintiff was riding at the time of the accident was

underinsured. (Id. at 5.) Plaintiff further alleges that he is entitled to UM coverage under Ms.

Talamo’s State Farm policy because he is an insured “resident relative.” (Id. at 5.) Defendant

subsequently removed Plaintiff’s action to this Court based on diversity jurisdiction. (Doc. 1.)

Defendant now moves for summary judgment on Plaintiff’s claims against it, asserting that the

policy at issue provides no UM coverage for Plaintiff. (Doc. 16.)

II. Summary Judgment Standard

“The court shall grant summary judgment if the movant shows that there is no genuine

dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R.

Civ. P. 56(a). If the mover bears his burden of showing that there is no genuine issue of fact, “its

opponent must do more than simply show that there is some metaphysical doubt as to the

material facts . . . . [T]he nonmoving party must come forward with ‘specific facts showing that

there is a genuine issue for trial.’ ” See Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475

U.S. 574, 586–87 (1986) (internal citations omitted). The non-mover’s burden is not satisfied by

“conclusory allegations, by unsubstantiated assertions, or by only a ‘scintilla’ of evidence.” Little

v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994) (citations and internal quotations

omitted). “Where the record taken as a whole could not lead a rational trier of fact to find for the

non-moving party, there is no ‘genuine issue for trial.’ ” Matsushita Elec. Indus. Co., 475 U.S. at

587. Further:

In resolving the motion, the court may not undertake to evaluate the credibility of

the witnesses, weigh the evidence, or resolve factual disputes; so long as the

evidence in the record is such that a reasonable jury drawing all inferences in favor

of the nonmoving party could arrive at a verdict in that party’s favor, the court must

deny the motion.

Int’l Shortstop, Inc. v. Rally’s Inc., 939 F.2d 1257, 1263 (5th Cir. 1991.)

III. Discussion

A. Parties’ Arguments

1. Defendant’s Original Memorandum (Doc. 16-2)

In its motion for summary judgment, Defendant seeks dismissal of Plaintiff’s claims with

prejudice on the grounds that there is no genuine issue of material fact regarding UM coverage

under the State Farm policy issued to Ms. Talamo. According to Defendant, Plaintiff is not an

insured because (1) he is not a named insured and (2) he does not qualify as a “resident relative”

of Ms. Talamo under the terms of the policy. (Doc. 16-2 at 1.) Defendant contends that the

record contains “overwhelming evidence” that Plaintiff “did not live at his mother’s [Parlange]

residence listed on the policy . . . and that his primary residence was with his girlfriend, Jennifer

Hutchinson, and his three-year-old daughter, Demi Talamo, at 56162 Blue Ridge Drive in

Slidell, Louisiana . . . .” (Id.)

In support of its motion, Defendant attaches as exhibits the transcript from Plaintiff’s

Examination Under Oath (“EUO”) and other documentary evidence obtained during the course

of discovery in this matter. Relying on these exhibits, Defendant argues:

According to Plaintiff’s driver’s license, the Office of Motor Vehicles, his cable

provider, his phone provider, his medical providers, his pharmacist, his employer,

the commission that certifies his credentials as a crane operator, his Local Union,

the IRS, his fishing license, his ATV registration, and the majority of his

testimony—all of which has been enumerated and supported in the attached List of

Undisputed Material Facts—[Plaintiff] resided at the Blue Ridge Slidell address at

the time of the August 4, 2019 accident.

(Id. at 7–8 (referencing LUMF 12, 14–20, 22–26).)

Additionally, Defendant cites to State Farm Fire & Cas. Co. v. Akingbola, 2017 WL

2311742, at *2 (E.D. La. May 26, 2017), in which the Eastern District of Louisiana explained:

“The intention of a person to be a resident of a particular place is determined by his expressions

at times not suspicious, and his testimony, when called on, considered in light of his conduct and

circumstances of life.” (Doc. 16-2 at 7.) Defendant urges that the referenced exhibits to its

motion, “which show a long-standing history of documentation” associating Plaintiff with the

Blue Ridge address, make clear that Plaintiff did not primarily reside with his mother at the time

of the accident. (Id. at 8.) Defendant thus argues that Plaintiff does not fit the policy’s definition

of “resident relative” and, consequently, “there is no interpretation” of the policy that can support

UM coverage for Plaintiff’s claimed damages. (Id.)

2. Plaintiff’s Opposition (Doc. 18)

In opposition, Plaintiff argues that Defendant’s motion should be denied because he is

insured as a “resident relative” under the terms of the policy. (Doc. 18 at 1.) Although Plaintiff

acknowledges that he resides at both the Parlange and Blue Ridge addresses, (id. at 3 (citing

Doc. 18-3)) he maintains that his primary residence is the Parlange address. (Doc. 18 at 9.)

In support of this assertion, Plaintiff analogizes the facts of this case to Louisiana

Supreme Court decisions examining whether someone is a “resident” of an insured’s household.

(See id. at 5–8.) Plaintiff also points to certain record evidence to support his position. For

instance, when asked to provide his name and address for the record during Plaintiff’s EUO, he

responded: “My name is Brad Talamo, and my address is 436 Parlange Drive, Pearl River,

70452.” (Id. at 3 (citing Doc. 18-4).) Plaintiff further contends that he consistently maintained his

residence at the Parlange address and refers to other EUO testimony, in which Plaintiff explained

that, around the time of the accident, he routinely split his time between the Parlange and Blue

Ridge addresses, spending a few nights at both each week to spend time with his girlfriend, Ms.

Hutchinson. (Doc. 18 at 5–6 (citing Doc. 18-8).)

Plaintiff also asserts that his testimony is corroborated by Ms. Talamo’s affidavit and

EUO. (Doc. 18 at 9 (citing Doc. 18-6; Doc. 18-11; Doc. 18-12).) During Ms. Talamo’s EUO, she

testified:

Q: What period of time was [Plaintiff] staying with [Ms. Hutchinson] at Blue

Ridge?

A: I guess it depends upon how many days you’re talking about. I mean, I don’t

know. He spent half of the time here [at the Parlange address], half of the time there

[at the Blue Ridge address]. If she wasn’t here, he didn’t really care to stay there.

* * *

Q: All right. So when you say half and half, that’s not a calculation but more of a

gut feeling on your part?

A: He comes and goes as he pleases, just as I do. You know, I go over there when

I want to. I think my husband’s over there working on his boat right now . . . .

(Doc. 18 at 9 (quoting Doc. 18-11).) In her affidavit, Ms. Talamo attests that, at the time of the

accident, Plaintiff was a resident at the Parlange address, that he had his own key, that he was

free to come and go as he pleased, that he kept belongings there, and that he had a bedroom

there. (Doc. 18-6; see also Doc. 18 at 9 (citing Doc. 18-12).) Plaintiff attests to these same facts

in his affidavit. (Doc. 18-7; see also Doc. 18 at 7 (quoting Doc. 18-3).) Finally, Plaintiff

represents that he receives “a significant portion of his mail at the Parlange address,” including a

monthly gym membership bill and bank account statements. (Doc. 18 at 7 (referencing Doc. 18-

10).) Plaintiff concludes, based on this evidence and the relevant Louisiana jurisprudence, that he

should be considered a “resident relative” under the policy and therefore afforded UM coverage

for the subject accident. (Doc. 18 at 9.)

3. Defendant’s Reply (Doc. 19)

In response, Defendant argues that Plaintiff failed to identify any evidence or

jurisprudence establishing that he primarily resided at his mother’s Parlange address. (Doc. 19 at

1.) Defendant observes that Plaintiff’s opposition provides “an exhaustive analysis” of why

Plaintiff is a resident of the Parlange address. (Id.) But according to Defendant, Plaintiff’s

argument “mistakes residing at one location for residing primarily at one location, per the clear

language of the policy.” (Id. (emphasis in original).) Next, Defendant rejects the jurisprudence

cited in Plaintiff’s opposition as inapplicable because the cases do not specifically address the

issue of whether someone is “primarily” a resident of one location over another. (Id. at 1–2.) For

instance, in distinguishing Bond v. Commercial Union Assurance Co., 407 So. 2d 401 (La.

1981), Defendant argues: “Although Plaintiff cites Bond to say that ‘ambiguity in an instrument

is resolved against the draftsman’ . . . the word ‘primarily’ is unequivocal. The word primarily is

even quantifiable, meaning ‘greater than’ or ‘over 50%.’ ” (Doc. 19 at 2 (referencing Doc. 18 at

6).)

Defendant asserts that, according to Plaintiff’s own EUO testimony, he stayed at the Blue

Ridge address three times per week, which is “greater than” staying at the Parlange address twice

per week. (Doc. 19 at 2–3 (citing Doc. 18 at 5–6).) Defendant also references Ms. Talamo’s

EUO testimony that Plaintiff spent half of the time at the Parlange address and the other half at

the Blue Ridge address. (Doc. 19 at 3 (citing Doc. 18 at 9).) Again, Defendant emphasizes:

“[F]ifty percent is not enough. Spending fifty percent of the time at two residences does not

make either residence the primary residence.” (Id.) Defendant similarly rejects the remaining

testimony from Plaintiff’s EUO cited in the opposition as insufficient “to demonstrate primary

residency,” since none of it proves that Plaintiff stayed at the Parlange address “more often” than

the Blue Ridge address. (Id. at 2–3.)

Finally, in response to Plaintiff’s assertion that he received mail at the Parlange address,

Defendant argues that the two items Plaintiff pointed to (i.e., monthly gym bill and bank

statements) are clearly outweighed by Defendant’s undisputed facts, admitted to by Plaintiff,

which point to Plaintiff being a primary resident of the Blue Ridge address. (Id. at 4 (referencing

Doc. 18 at 7; LUMF, Doc. 16-1).) Defendant closes by re-urging that Plaintiff is not a “resident

relative” as defined by the State Farm policy at issue to whom coverage should be afforded.

(Doc. 19 at 5.)

B. Applicable Law

1. Interpretation of Insurance Policies

In Sims v. Mulhearn Funeral Home, Inc., 956 So. 2d 583 (La. 2007), the Louisiana

Supreme Court laid out the comprehensive and well-established framework for interpreting

insurance policies under Louisiana law, which this Court now quotes in full:

In analyzing insurance policies, certain elementary legal principles apply. First and

foremost is the rule that an insurance policy is a contract between the parties and

should be construed using the general rules of interpretation of contracts set forth

in the Civil Code.

According to those rules, the responsibility of the judiciary in interpreting insurance

contracts is to determine the parties’ common intent. Courts begin their analysis of

the parties’ common intent by examining the words of the insurance contract itself.

In ascertaining the common intent, words and phrases in an insurance policy are to

be construed using their plain, ordinary and generally prevailing meaning, unless

the words have acquired a technical meaning, in which case the words must be

ascribed their technical meaning.

An insurance contract is to be construed as a whole and each provision in the

contract must be interpreted in light of the other provisions. One provision of the

contract should not be construed separately at the expense of disregarding other

provisions. Neither should an insurance policy be interpreted in an unreasonable or

a strained manner so as to enlarge or to restrict its provisions beyond what is

reasonably contemplated by its terms or so as to achieve an absurd conclusion.

When the words of an insurance contract are clear and explicit and lead to no absurd

consequences, no further interpretation may be made in search of the parties’ intent

and courts must enforce the contract as written. Courts lack the authority to alter

the terms of insurance contracts under the guise of contractual interpretation when

the policy’s provisions are couched in unambiguous terms. The rules of contractual

interpretation simply do not authorize a perversion of the words or the exercise of

inventive powers to create an ambiguity where none exists or the making of a new

contract when the terms express with sufficient clarity the parties’ intent.

Nevertheless, if, after applying the general rules of contractual interpretation to an

insurance contract, an ambiguity remains, the ambiguous contractual provision is

generally construed against the insurer and in favor of coverage. Under this rule of

strict construction, equivocal provisions seeking to narrow an insurer’s obligation

are strictly construed against the insurer. This strict construction principle applies,

however, only if the ambiguous policy provision is susceptible to two or more

reasonable interpretations; for the rule of strict construction to apply, the insurance

policy must be not only susceptible to two or more interpretations, but each of the

alternative interpretations must be reasonable.

The determination of whether a contract is clear or ambiguous is a question of law.

Moreover, when a contract can be construed from the four corners of the instrument

without looking to extrinsic evidence, the question of contractual interpretation is

answered as a matter of law and summary judgment is appropriate.

Sims, 956 So. 2d at 588–90 (citations omitted).

The Louisiana Supreme Court has also made clear:

When determining whether or not a policy affords coverage for an incident, it is the

burden of the insured to prove the incident falls within the policy’s terms. On the

other hand, the insurer bears the burden of proving the applicability of an

exclusionary clause within a policy. Importantly, when making this determination,

any ambiguities within the policy must be construed in favor of the insured to effect,

not deny, coverage.

Doerr v. Mobil Oil Corp., 2000-0947 (La. 12/19/00); 774 So. 2d 119, 124, opinion corrected on

reh’g, 2000-0947 (La. 3/16/01); 782 So. 2d 573 (citations omitted).

“The issue of whether an insurance policy, as a matter of law, provides or precludes

coverage is a dispute that can be resolved properly within the framework of a motion for summary

judgment.” Green v. State Farm Mut. Auto. Ins. Co., 07-0094, p. 3 (La. App. 1st Cir. 11/2/07), 978

So.2d 912, 914, writ denied, 08-0074 (La. 3/7/08), 977 So.2d 917. “Summary judgment declaring

a lack of coverage under an insurance policy may not be rendered unless there is no reasonable

interpretation of the policy, when applied to the undisputed material acts shown by the evidence

supporting the motion, under which coverage could be afforded.” Reynolds v. Select Props, Ltd.,

93-1480 (La. 4/11/94), 634 So. 2d 1180, 1183.

2. UM Coverage in Louisiana

In Louisiana, UM insurance is governed by La. R.S. § 22:1295. “Uninsured motorist

coverage embodies a strong public policy, which is to provide full recovery for the innocent

automobile accident victims who suffer damages caused by a tortfeasor who has no coverage or

is not adequately covered by liability insurance.” Bernard v. Ellis, 11-2377, p. 10 (La. 7/2/12),

111 So. 3d 995, 1002. “To carry out the objective of providing reparation for persons injured

through no fault of their own,” the Louisiana Supreme Court has held that the UM statute “is to

be liberally construed.” Id. at 1003.

C. Analysis

The issue in resolving the instant motion for summary judgment is whether the

undisputed facts demonstrate that Plaintiff is not entitled to UM coverage under the State Farm

policy. More specifically, the Court must determine whether the undisputed facts establish that

Plaintiff was not a “resident relative” of his mother’s Parlange address at the time of the

accident. Again, the policy provides UM coverage for “resident relatives,” (see Doc. 16-5 at 19;

see also LUMF 5) which the policy defines as someone “who resides primarily with the first

person shown as the named insured on the Declarations Page” and who is “related to that named

insured.” (Doc. 16-5 at 9; see also LUMF 6.) The parties agree in this case that Plaintiff is

related to the named insured, Ms. Talamo. (Doc. 16-2 at 1.)

“[W]hether a person is or is not a resident of a household is a question of law as well as a

question of fact that is to be determined from the facts of the case. The question is largely one of

intention. The intention of a person to be a resident of a particular place is determined by his

expressions at times not suspicious, and his testimony, when called on, considered in light of his

conduct and circumstances of life.” State Farm Fire & Cas. Co. v. Akingbola, 2017 WL

2311742, *2 (E.D. La. May 26, 2017) (quoting Miley v. Louisiana Farm Bureau Cas. Ins. Co.,

599 So. 2d 791, 798 (La. App. 1st Cir. 1992), writ denied, 604 So. 2d 1313 (La. 1992)) (internal

quotation marks omitted). “Although residency is dependent on the facts of each case, the

principal test is physical presence with the intention to continue living there.” Prudhomme v.

Imperial Fire & Cas. Ins. Co., 95-1502, p. 3 (La. App. 3d Cir. 4/3/96), 671 So.2d 1116, 1119

(citing Miley, 599 So.2d 791 (La. App. 1st Cir. 1992)).

Defendant contends that the policy’s use of the word “primarily” is clear and

unequivocal. (See Doc. 19 at 1–2.) Defendant asserts, without citation to any authority, that the

term “primarily” means “greater than” or “over 50%” in this context. (Id. at 2.) Yet the policy

simply states that a “resident relative” is a person “who resides primarily with” the named

insured. (See Doc. 16-5 at 9.) There is no definition, description, or example of what constitutes

residing “primarily” with the insured. (See id.) Thus, the Court is not persuaded that “resides

primarily” unequivocally means “over 50%” based on the language in the policy.

Since the term “resides primarily” apparently has no absolute or precise meaning, “any

doubt as to the extent or fact of coverage under it will be understood in its most inclusive sense,

in accordance with the settled principle that ambiguity in an instrument is resolved against the

draftsman.” Bond v. Commercial Union Assur. Co., 407 So. 2d 401, 407–08 (La. 1981) (citation

omitted).

The record in this case contains documentary evidence that Plaintiff utilized the Blue

Ridge address for his commercial driver’s and fishing licenses (LUMF 12, 16); cable and cell

service (LUMF 14–15); boat registration (LUMF 17); voter registration (LUMF 29);

employment (LUMF 22); health insurance (LUMF 21); medical records (LUMF 19–20); and tax

records (LUMF 26–27.) Additionally, the police report for the subject automobile accident lists

Plaintiff’s address as the Blue Ridge address. (LUMF 11.) However, the record evidence also

shows that Plaintiff utilized the Parlange address for registration renewals for his primary vehicle

(OSMF at 2, ¶ 1), his bank account (OSMF at 3, ¶ 2), and his gym membership (OSMF at 3,

¶ 3).2

Defendant has identified significant documentary evidence regarding Plaintiff’s repeated

use of the Blue Ridge address as his residential address in numerous contexts. But as the

Louisiana Supreme Court has explained: “Whether a person is or is not a resident of a particular

place . . . is to be determined from all of the facts of each particular case. Mere isolated facts

cannot be relied on wholly to determine the issue.” Bond, 407 So. 2d at 408 (internal citations

omitted). Importantly, Plaintiff has identified testimonial evidence that sets forth specific facts

relevant to Plaintiff’s consistent physical presence at the Parlange address and his intent to reside

there. For example, Ms. Talamo testified that Plaintiff spent half of his time at the Parlange

address and half of the time at the Blue Ridge address. (Doc. 18-11.) Similarly, Plaintiff testified

that, around the time of the accident, he split his time between both addresses, spending a few

nights at both each week, depending on his girlfriend’s schedule. (See Doc. 16-6 at 48–49.) Ms.

Talamo also stated that Plaintiff and his daughter both have rooms at the Parlange address. (Doc.

18-12.) Moreover, Ms. Talamo and Plaintiff attested that Plaintiff was free to come and go from

the Parlange address as he pleased, that he kept personal belongings there, and that he had his

own key. (Doc. 18-6; Doc. 18-7.)

Considering the evidence presented and drawing all inferences in Plaintiff’s favor, as the

nonmoving party, and given Louisiana’s general principles regarding interpretation of insurance

contracts and favoring UM coverage, the Court finds that Plaintiff has identified specific facts in

the record showing that there is a genuine issue for trial as to whether Plaintiff resided primarily

at the Parlange address at the time of the accident. Because a genuine issue exists as to whether

2 The additional facts included in Plaintiff’s OSMF were not controverted by Defendant in its reply brief;

accordingly, these additional facts are deemed admitted for purposes of this motion under Local Court Rule 56(f).

Plaintiff is entitled to UM coverage as a “resident relative” of Ms. Talamo under the State Farm

policy at issue, summary judgment is not warranted.

IV. Conclusion

Accordingly,

IT IS ORDERED that the Motion for Summary Judgment (Doc. 16) filed by Defendant

State Farm Mutual Automobile Insurance Company is DENIED.

Signed in Baton Rouge, Louisiana, on January 18, 2022.

JUDGE JOHN W. deGRAVELLES

UNITED STATES DISTRICT COURT

MIDDLE DISTRICT OF LOUISIANA

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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