Opinion

Schumacher v. United Property & Casualty Insurance Co

Court
District Court, W.D. Louisiana
Filed
Aug 11, 2022
Cited by
0 cases
Authority
More cited than 22.6%

The opinion

UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF LOUISIANA

LAKE CHARLES DIVISION

ADAM A SCHUMACHER ET AL CASE NO. 2:21-CV-01435

VERSUS JUDGE JAMES D. CAIN, JR.

UNITED PROPERTY & CASUALTY MAGISTRATE JUDGE KAY

INSURANCE CO

MEMORANDUM RULING

Before the court is a Motion for Partial Summary Judgment [doc. 26] filed by

defendant United Property & Casualty Insurance Company (“UPC”). Plaintiffs oppose the

motion. Doc. 28.

I.

BACKGROUND

This suit arises from damage to plaintiffs’ home in DeQuincy, Louisiana, from

Hurricane Laura, which struck Southwest Louisiana on August 27, 2020, and Hurricane

Delta, which impacted the same area on October 9, 2020. At all relevant times the residence

was insured under a homeowner’s policy issued by UPC, providing coverage at the

following limits:

Type Limit

Coverage A Dwelling $302,000.00

Coverage B Other Structures $30,200.00

Coverage C Personal Property $151,000.00

Coverage D Loss of Use $90,600.00

Doc. 26, att. 4, p. 3.

The policy further provides, under “Loss Settlement,” that buildings insured under

Coverage A and Coverage B are covered at replacement cost but that UPC “will pay no

more than the actual cash value of the damage until actual repair or replacement is

complete.” Id. at 35–36. “Once actual repair or replacement is complete,” it continues, UPC

“will settle the loss as noted in 2.a. and b. above.”1 Id. at 35–36.

Plaintiffs submitted claims based on damage allegedly sustained in Hurricane Laura

and Hurricane Delta, and assert that UPC failed to timely or adequately pay on those

claims. They then filed suit in this court on May 26, 2021, raising claims of breach of

insurance contract and bad faith under Louisiana law. Doc. 1. The case proceeded through

the streamlined settlement process outlined in the court’s Case Management Order

1 Subsections 2.a and 2.b provide:

a. If, at the time of loss, the amount of insurance in this policy on the damaged building is

80% or more of the full replacement cost of the building immediately before the loss, we will pay

the cost to repair or replace, without deduction for depreciation, but not more than the least of the

following amounts:

(1) The limit of liability under this policy that applies to the building;

(2) The replacement cost of that part of the building damaged with material of like kind and

quality and for like use; or

(3) The necessary amount actually spent to repair or replace the damaged building.

If the building is rebuilt at a new premises, the cost described in (2) above is limited to the cost

which would have been incurred if the building had been built at the original premises.

b. If, at the time of loss, the amount of insurance in this policy on the damaged building is

less than 80% of the full replacement cost of the building immediately before the loss, we will pay

the greater of the following amounts, but not more than the limit of liability under this policy that

applies to the building:

(1) The actual cash value of that part of the building damaged; or

(2) That proportion of the cost to repair or replace, without deduction for depreciation, that

part of the building damaged, which the total amount of insurance in this policy on the damaged

building bears to 80% of the replacement cost of the building.

Doc. 26, att. 4, pp. 35–36.

(“CMO”) but did not resolve. Doc. 16. Accordingly, it is now set for jury trial before the

undersigned on September 6, 2022. Doc. 17.

UPC asserts that it has made payments to plaintiffs based on its assessment of the

actual cash value (“ACV”) of the damaged portions of the dwelling, but that plaintiffs have

not repaired their property. It also asserts that plaintiffs made no repairs to the property

before Hurricane Delta. Finally, it asserts that plaintiffs’ expert Kermith Sonnier has not

properly accounted for ACV in his estimates and has instead only valued the damage based

on replacement cost value (“RCV”). It thus brings this Motion for Partial Summary

Judgment [doc. 26], seeking a court ruling that plaintiffs’ recovery under Coverage A is

limited to (1) the property’s ACV and (2) a single policy limit for damage from both storms.

Plaintiffs oppose the motion, arguing that (1) they have been unable to find a contractor

willing to start repairs with the amount they have received so far from UPC and (2) they

have documented segregable damages from the two storms and should be able to recover

under separate policy limits for each storm. Doc. 30.

II.

SUMMARY JUDGMENT STANDARD

Under Rule 56(a), “[t]he 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.” The moving party is initially responsible for identifying

portions of pleadings and discovery that show the lack of a genuine issue of material fact.

Tubacex, Inc. v. M/V Risan, 45 F.3d 951, 954 (5th Cir. 1995). He may meet his burden by

pointing out “the absence of evidence supporting the nonmoving party’s case.” Malacara

v. Garber, 353 F.3d 393, 404 (5th Cir. 2003). The non-moving party is then required to go

beyond the pleadings and show that there is a genuine issue of material fact for trial.

Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). To this end he must submit

“significant probative evidence” in support of his claim. State Farm Life Ins. Co. v.

Gutterman, 896 F.2d 116, 118 (5th Cir. 1990). “If the evidence is merely colorable, or is

not significantly probative, summary judgment may be granted.” Anderson, 477 U.S. at

249 (citations omitted).

A court may not make credibility determinations or weigh the evidence in ruling on

a motion for summary judgment. Reeves v. Sanderson Plumbing Prods., Inc., 530 U.S.

133, 150 (2000). The court is also required to view all evidence in the light most favorable

to the non-moving party and draw all reasonable inferences in that party’s favor. Clift v.

Clift, 210 F.3d 268, 270 (5th Cir. 2000). Under this standard, a genuine issue of material

fact exists if a reasonable trier of fact could render a verdict for the nonmoving party.

Brumfield v. Hollins, 551 F.3d 322, 326 (5th Cir. 2008).

III.

LAW & APPLICATION

As the undersigned held in Touchet v. UPC, another Hurricane Laura case, the plain

language of the policy in this matter provides that repair or replacement cost is not due

until that work is complete. 2022 WL 710621 (W.D. La. Mar. 9, 2022). As in Touchet,

UPC has made its motion in anticipation of a jury verdict and argues that the jury should

be limited to considering its liability only in terms of ACV. Plaintiffs, however, have

argued that they have been unable to start repair work because of the low amount of

payments that they have received thus far from UPC.

UPC urges the court to depart from Touchet and consider a contrary result in

Orleans Parish School Board v. Lexington Insurance Company, 118 So.3d 1203 (La. Ct.

App. 4th Cir. 2011), a Katrina case in which the court held that recovery was limited to

ACV under the policy due to the fact that plaintiff had not begun repairs. The court rejected

plaintiff’s argument that it had been unable to make repairs due to lack of payments from

the insurer. In so doing, however, it also determined that plaintiff had failed to fulfill its

obligation of making proof of loss within the prescribed policy periods. UPC has not

presented adequate evidence to take that issue from the jury in this matter, and the jury can

thus determine whether plaintiff is entitled to recover replacement costs. Accord Mason v.

Shelter Mutual Ins. Co., 209 So.3d 860, 867 (La. Ct. App. 3d Cir. 2016). Accordingly, the

motion will be denied in this regard.

As for plaintiffs’ wish to apply separate policy limits, the court likewise addressed

this issue in Touchet:

As it relates to Coverage A, the court disagrees. “Louisiana law does

not allow for double recovery of the same element of damages,” which is in

the nature of a punitive or exemplary award. Albert v. Farm Bureau Ins. Co.,

940 So.2d 620, 622 (La. 2006). The policy covers only one dwelling and the

limits under Coverage A represent the replacement cost for that dwelling, as

agreed to by plaintiffs when they purchased the policy. The court allows that

recovery under separate policy limits would be justified in the event that

plaintiffs had begun repairs following one occurrence and then suffered

additional damage in the second. Here, however, plaintiffs have admitted that

they made no repairs to the dwelling. Accordingly, holding UPC liable for

two policy limits covering the same dwelling would amount to exemplary

damages. Plaintiffs already have such a remedy available under Louisiana

Revised Statutes §§ 22:1892 and 22:1973, and the motion must be granted in

this regard.

Id. at *2. While plaintiffs contend that damage estimates following the respective storms

show segregable damages, the evidence presented in this case provides no basis for

doubling their potential recovery on the replacement cost value of the house. Accordingly,

the motion will be granted in this regard.

IV.

CONCLUSION

For the reasons stated above, the Motion for Partial Summary Judgment [doc. 26]

will be DENIED IN PART and GRANTED IN PART.

THUS DONE AND SIGNED in Chambers this 11th day of August, 2022.

UNITED STATES DISTRICT JUDGE

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