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June 2020

Great West Casualty Ins. Co. v Burns, 2020 WL 2776495

2020 WL 2776495

United States District Court, M.D. Georgia, Macon Division.
GREAT WEST CASUALTY INSURANCE COMPANY and Atlantic Specialty Insurance Company, Plaintiffs,
v.
Dexter BURNS, Quandralyn Paul, Jake Faison, and Dunavant Sea Lane Express, LLC, Defendants.
CIVIL ACTION NO. 5:19-cv-00006-TES
|
Signed 05/28/2020
Attorneys and Law Firms
Mark A. Barber, Brenton W. Cole, Baker Donelson, Atlanta, GA, for Plaintiff Great West Casualty Insurance Company.
Kimberly Blackwell Sheridan, Michelle R. Legault, Atlanta, GA, for Plaintiff Atlantic Specialty Insurance Company.
Reza Sedghi, Macon, GA, for Defendants Dexter Burns, Quandralyn Paul.
Kevin P. Branch, Scott W. Zottneck, McMickle Kurey and Branch, Alpharetta, GA, for Defendant Dunavant Sea Lane Express LLC.

ORDER
TILMAN E. SELF, III, JUDGE
*1 Before the Court for consideration are three motions for summary judgment filed by Great West Casualty Insurance Company (“Great West”) [Doc. 54], Dunavant Sea Lane Express, LLC (“Dunavant”) [Doc. 61], and Atlantic Specialty Insurance Company (“Atlantic Specialty”) [Doc. 79]. Dunavant also filed a motion to dismiss Atlantic Specialty’s Intervenor Complaint [Doc. 74].

This case involves a duty-to-defend dispute between two insurance carriers and the parties involved in the underlying state court suit arising out of an auto accident that occurred on March 4, 2018. Both Atlantic Specialty and Great West issued policies to Dunavant that may potentially cover the accident. Atlantic Specialty issued an insurance policy to Dunavant that provides non-trucking liability insurance coverage for tractors owned or leased by Dunavant when those tractors are not in the business of trucking. Great West issued an insurance policy to Dunavant, which provided motor carrier liability coverage for Dunavant’s commercial vehicle exposure, or in other words, when the tractors are involved in the business of trucking.

The case arose when Jake Faison, driving a Dunavant tractor, hit a car carrying Paul and Burns. No one disputes the accident occurred or the resulting injuries (for purposes of this suit). However, what is in hot dispute is whether Faison was engaged in the business of trucking when the accident occurred. As explained above, if Faison was engaged in the business of trucking, Great West will have to provide a defense and coverage. If Faison was not in the business of trucking, Atlantic Specialty will defend and cover the accident.

To exactly no one’s surprise, Great West contends that its policy with Dunavant does not cover the accident, so that Atlantic Specialty should pay, and Atlantic Specialty takes the opposite position. Both insurance carriers have moved for summary judgment and a declaratory judgment saying they are not responsible for defending and indemnifying Dunavant. [Doc. 54-1, p. 16; Doc. 79-2, p. 20]. Dunavant believes that its policy with Atlantic Specialty covers the accident and requests the Court enter an Order finding Atlantic Specialty is required to defend and indemnify Dunavant for any liability. [Doc. 61-1, p. 17].

Because Faison had just begun his drive on the morning of the accident, the evidence is mostly limited to Faison’s statements as to where he was going, and the parties’ attempts to either undermine or support those statements, obviously depending on whatever helps them the most. While the parties agree that Faison filled up on gas and was then driving back through Macon, they sharply disagree about where he was ultimately going leading up to the crash. A jury could reasonably determine that Faison was driving to Dunavant’s terminal at the time of the accident so that he was engaged in the business of trucking. Likewise, a jury could reasonably find that Faison was on a personal errand when the accident occurred so that he was not engaged in the business of trucking. Accordingly, the Court is left with genuine issues of material facts regarding Faison’s normal work pattern or operational routine on the morning of the underlying accident. Thus, as explained in greater detail below, the Court DENIES the motions for summary judgment. [Doc. 54]; [Doc. 61]; [Doc. 79]. The Court also DENIES Great West’s motion to dismiss. [Doc. 74].

BACKGROUND1

A. Faison’s Actions Leading to the Accident
*2 On Friday, March 2, 2018, Faison delivered his last load for the week for Dunavant and then drove to the Marathon Truck Stop at Exit 6 on I-16 to drop off his empty trailer for the weekend. [Doc. 65-2, Faison Depo., pp. 60:1—16]. Dunavant instructed Faison to pick up his next load for delivery on Monday at the Dunavant terminal in Savannah, but Faison did not recall where he was told he would be going. [Id., p. 128:7—16]; [Doc. 61-3, ¶ 6]. Faison then drove to his home in Macon, where he parked his tractor for the weekend.

On Sunday, March 4, 2018, Faison did a pre-trip inspection of the tractor at his house and noted all his pre-trip inspections in his driver’s log. [Doc. 65-2, Faison Depo., pp. 105:1—5, 126:11—16]. Around 9:00 a.m. that morning, Faison drove to Love’s on I-75 to get fuel for his trip to Savannah. [Id., pp. 56:17—57:8, 59:20—24, 91:15—25].2 Faison only filled up with the bare minimum amount of fuel needed to complete his trips since he had to pay for any extra fuel. [Id., pp. 92:22—93:3, 106:18—22].

After gassing up, Faison left Love’s and drove north on I-75. Spotting traffic, Faison took Exit 160 off I-75 and onto Pio Nono Avenue in Macon. [Id., p. 110:5—18]. While on Pio Nono Avenue, Faison decided he wanted to get something to eat. [Id., p. 142:21—25]. So, Faison turned left off Pio Nono Avenue and headed west on Anthony road, where the accident occurred at approximately 9:30 a.m. [Id., pp. 61:4-14, 104:16-23, 110:5-18].

At the time of the accident, Faison intended to turn right off Anthony Road onto Mercer University Drive and head to Macon Seafood. [Id., pp. 111:20-112:21, 116:12-15]. Faison testified that he “just wanted to get some food in him and keep going,” that he considered himself “under dispatch”, and that he was “en route to get [his] trailer[, and] [o]n the way [he] was going to grab [himself] something to eat.” [Id., pp. 133:1-6, 112:13-14, 116:12-20]. But, Matt Hall, a terminal manager for Dunavant, contradicts Faison’s account. He stated that Faison called him after the accident and told him he was running personal errands. [Doc. 86-2, Hall Aff., ¶¶ 1, 15].

Dunavant did not give Faison any specific instructions on March 4, 2018. [Doc. 65-2, Faison Depo., p. 114:15—23]. Two days after the accident, Dunavant fired Faison. [Id., pp. 43:7—9; 52:6—10].

B. Faison’s Normal Work Pattern
Faison drove a road tractor leased to Dunavant for over a year before the accident. [Id., pp. 77:18—78:3]; [Doc. 86-4, Cartwright Aff., ¶ 4]. Faison worked five days a week, delivering loads for Dunavant Monday through Friday. [Doc. 65-2, Faison Depo., p. 93:10—13]. During his employment, Faison would drive from Macon to Dunavant’s terminal in Savannah to pick up his load and deliver it to his assigned destination. [Id., pp. 79:21—25, 84:8—10]. According to Faison, if Dunavant was delivering a load in Atlanta at 1:00 p.m. on Monday, he would leave Macon on Sunday night, if he was not already in Savannah. [Id., pp. 84:20—85:5]. Then, he would bring the load back to Macon, park and sleep in his truck, and leave Macon at 8:00 a.m. the next day (Monday morning) to deliver the load in Atlanta. [Id., p. 87:5—10]. However, on the date of this accident, Faison believed he was heading to Memphis, Tennessee, where he usually went on Mondays. [Id., p. 113:23—114:11].

*3 But, according to Hall, Faison’s rendition of his normal routine is incorrect. Hall testified that when Faison had a load destined for Atlanta, he would normally and routinely travel down to Dunavant’s terminal in Savannah earlier in the morning that same day to pick up his container and then he would drive directly to Atlanta. [Doc. 86-2, Hall Aff., ¶¶ 18—19].

Faison essentially had unrestricted use of his tractor so that he could have taken his bobtail tractor anywhere he wanted for any purpose on the day of the accident. [Doc. 65-2, Faison Depo., pp. 114:15—116:6]. Faison also had a personal car at the time of the accident.3 [Id., p. 131:9—16]. However, Hall stated he had to give Faison a ride on Tuesday, March 6, 2020—the day Faison was fired—because Faison’s car was having mechanical issues. [Doc. 86-2, Hall Aff., ¶¶ 29—31].

Faison was paid a percentage of the container loads he delivered. [Doc. 86-4, Cartwright Aff., ¶ 8]. He was not paid by the hour, mile, or based upon whether he was on or off duty. [Id.]. Faison paid for the fuel when using the tractor for personal use. [Id., ¶ 9]. Faison is only allowed to get fuel at two gas stations, Love’s and Pilot. [Doc. 86-3, Faison Depo., p. 91:15—19].

C. Procedural History

1. State Court Proceedings
On July 18, 2018, Quandralyn Paul and Dexter Burns, the two individuals Faison allegedly injured in the vehicle collision, each filed separate personal injury lawsuits in the State Court of Bibb County. [Doc. 34, p. 2]. In their respective state court complaints, Paul and Burns each contend that at the time of the accident, Faison may or may not have been “acting in the course and scope of his employment and in furtherance of the business of Dunavant.” [Doc. 1, ¶ 25].

2. Great West’s Policy and Declaratory Judgment Action
*4 Pursuant to Dunavant’s insurance coverage under Commercial Lines Policy Number MCP11922D, “Great West contends that it has no obligation to defend or indemnify Defendant Faison in connection with the Negligence Actions as there is no coverage provided by the Policy, because Defendant Faison was not operating his road tractor in Dunavant’s business” at the time of the accident. [Id., ¶¶ 31, 34]. Seeking a declaratory judgment that it indeed has no such obligation, Great West filed the instant lawsuit on January 4, 2019. [Id., ¶ 34]. The Great West policy includes the following relevant terms regarding coverage for leased autos:
ADDITIONAL INSURED – LEASED AUTOS
Additional Insured (Lessor) and Address:
ANY LESSOR OF A “LEASED AUTO” OR ANY “EMPLOYEE”, AGENT OR DRIVER OF THE LESSOR WHILE THE “LEASED AUTO” IS USED IN YOUR BUSINESS AS A “MOTOR CARRIER” FOR HIRE.
Description of “Leased Auto(s)”:
ANY “AUTO” LEASED TO YOU WITH A DRIVER UNDER A WRITTEN LEASE AGREEMENT.
A. COVERAGE
1. For a “leased auto”, Who is an Insured is changed to include as an “insured” the lessor named or designated in the SCHEDULE on this endorsement. However, the lessor is an “insured” only when the “leased auto” is used in your business as a “motor carrier” for hire.
***
B. ADDITIONAL INFORMATION
As used in this endorsement: “Leased auto” means an “auto” designated or described in the SCHEDULE on this endorsement that is leased or rented to you with a driver, including any substitute, replacement or extra “auto” needed to meet seasonal or other needs, under a written Lease Agreement.
***
SECTION VI – DEFINITIONS
***
P. “Motor Carrier” means a person or organization providing transportation by “auto” in the furtherance of a commercial enterprise.
[Doc. 54-7, pp. 31, 76].

3. Atlantic Specialty’s Policy and Intervenor Complaint
Like Great West, Atlantic Specialty is a defendant in the lawsuits filed in the State Court of Bibb County. [Doc. 27-1, p. 2]. Atlantic Specialty issued an insurance policy to TGT Transgulf Transportation LLC d/b/a Trans Gulf Transportation with the following additional insureds: Dunavant Sea Lane Express, LLC and Dunavant Trans Gulf Transportation, LLC. [Id.]. On April 9, 2019, the Court granted Atlantic Specialty’s motion to intervene in this matter because, as stated succinctly in Atlantic Specialty’s motion, “[i]f the Court finds that Great West’s Policy does not offer coverage because Faison was not operating his vehicle … for a business purpose, then Atlantic Specialty’s policy will possibly be triggered.” [Doc. 34, pp. 3—4 (citing [Doc. 27-1] ) ].

The operative language of Atlantic Specialty’s policy is:
SECTION ONE NON-TRUCKING LIABILITY INSURANCE COVERAGE
***
PART I – COVERED TRUCKS
Only those Trucks that the Named Insureds own or lease and that are listed on the Schedule and described on the Certificate of Insurance are Covered Trucks … No coverage will be afforded where any such Truck … is in the custody of, or is being operated by, any individual who is not a Named Insured under this Policy.
PART II – WHEN AND WHERE SECTION ONE COVERAGE APPLIES
1. When Section One Coverage applies:
Section One Coverage does not afford full time protection. Section One Coverage only applies to Losses that occur within the effective date show[n] on the Declarations when a Covered Truck is Non-Trucking.
* * *
GENERAL POLICY DEFINITIONS
* * *
Non-Trucking means when a Truck is subject to an active Permanent Lease with a government regulated Motor Carrier and is either Bobtail or Deadhead and is operating solely for personal use unrelated to the business of Motor Carrier.
A Truck is not Non-Trucking when it is:
*5 • being operated for an economic or business purpose, which includes trips for service and maintenance when service or maintenance is an expressed or implied requirement of a Permanent Lease with a Motor Carrier;
• being operated under the expressed or implied management, control, or dispatch (as defined by DOT regulations and case law precedents) of a Motor Carrier;
• in a Layover;
• returning to the Truck’s Primary Garage Location subsequent to delivering a load; or
• attached to a Trailer loaded with property of any type.
* * *
Layover means any interlude that takes place away from a Covered Truck’s Primary Garage Location between or during load hauling assignments.
* * *
Named Insured means the person or entity under Permanent Lease to the Policyholder who is protected by this insurance Policy and named on the Certificate of Insurance.
* * *
Primary Garage Location means the home parking base for a Truck or the terminal from which the truck customarily obtains hauling assignments.
[Doc. 43, pp. 7—8, 10].

DISCUSSION

A. Great West’s Motion to Dismiss
In Great West’s motion, it argues that the Court should dismiss Faison, Burns and Paul from Atlantic Specialty’s Complaint because Atlantic Specialty did not serve its amended Intervenor Complaint on these defendants within the time allowed by Federal Rule of Civil Procedure 4(m) and because Atlantic Specialty does not have good cause for its failure to perfect service. [Doc. 74-1, p. 3].

“Federal Rule of Civil Procedure 24(c) provides that a party filing a motion to intervene must comply with the service requirements contained in Federal Rule of Civil Procedure 5.” State of Ga. v. City of East Ridge, 949 F.Supp. 1571, 1582 (N.D. Ga. 1996). Rule 5(a) states that a copy of every pleading filed “subsequent to the original complaint” must be served upon all other parties. Rule 5 also provides that Atlantic Specialty, an intervenor plaintiff, can use the Court’s CM-ECF electronic filing system to serve any defendants whom Great West, the original plaintiff, had already served with its complaint. Fed. R. Civ. P. 5(b)(3); State of Ga., 949 F.Supp. at 1582; see also Frey v. Minter, No. 4:18-CV-191 (CDL), 2019 WL 2450920, at *2 n.2 (M.D. Ga. 2019). Accordingly, Atlantic Specialty properly served Paul and Burns under Rule 5(b) by filing its intervenor complaint via the Court’s filing system.

However, Faison—who is in default—has not been properly served by Atlantic Specialty. See [Doc. 34]. Normally, “no service is required on a party who is in default for failing to appear.” Fed.R.Civ.P. 5(a)(2). However, because Atlantic Specialty “asserts a new claim for relief against” Faison (its own complaint for a declaratory judgment), Atlantic Specialty must serve Faison pursuant to Rule 4. [Id.]. This, it has not done.

However, out of an abundance of caution, the Court will exercise its discretion and allow Atlantic Specialty to have an additional 30 days from the date of this Order to properly serve Faison and file proof of service with the Court.4 See Henderson v. United States, 517 U.S. 654, 662—63 (1996) (noting that the 1993 amendments to the Rules accorded courts “discretion to enlarge the 120-day period ‘even if there is no good cause shown’ ”) (citing Fed.R.Civ.P. 4(m), Advisory Committee Note, 1993 Amendments).

*6 Accordingly, the Court DENIES Great West’s motion to dismiss [Doc. 74].

B. Summary Judgment Standard
The Court now turns to the three motions for summary judgment. Summary judgment is appropriate “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). A dispute is genuine if the evidence would allow a reasonable jury to return a verdict for the nonmovant and a fact is material if it “might affect the outcome of the suit.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). In considering this motion, “the evidence of the [nonmovant] is to be believed, and all justifiable inferences are to be drawn in [the nonmovant’s] favor.” Id. at 255. However, the Court need not draw “all possible inferences” in favor of the nonmovant. Horn v. United Parcel Servs., Inc., 433 F. App’x 788, 796 (11th Cir. 2011).

The movant “bears the initial burden of informing the district court of the basis for its motion[ ] and identifying those portions of the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, which it believes demonstrate the absence of a genuine issue of material fact.” Jones v. UPS Ground Freight, 683 F.3d 1283, 1292 (11th Cir. 2012) (citing Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986)). The burden then shifts to the nonmovant “to rebut that showing by producing affidavits or other relevant and admissible evidence beyond the pleadings.” Jones, 683 F.3d at 1292 (quoting Josendis v. Wall to Wall Residence Repairs, Inc., 662 F.3d 1292, 1315 (11th Cir. 2012)).

C. Interpretation of the Relevant Coverage Provisions
All parties agree that Georgia law governs this dispute. Under Georgia law, “contracts of insurance are interpreted by ordinary rules of contract construction … Where the terms are clear and unambiguous, and capable of only one reasonable interpretation, the court is to look to the contract alone to ascertain the parties’ intent.” Lambert v. Alfa Gen. Ins., 660 S.E.2d 889, 891 (Ga. Ct. App. 2008). “However, if a provision of an insurance contract is susceptible of two or more constructions, even when the multiple constructions are all logical and reasonable, it is ambiguous, and the statutory rules of contract construction will be applied.” Id. (citing Hurst v. Grange Mut. Cas. Co., 470 S.E.2d 659, 663 (Ga. 1996)). Ambiguities in a contract are “strictly construed against the insurer as drafter of the document; any exclusion from coverage sought to be invoked by the insurer is likewise strictly construed; and insurance contracts are to be read in accordance with the reasonable expectations of the insured where possible.” Brown, 508 S.E.2d at 745.

Here, the dispute centers on whether Faison was using his tractor in the furtherance of a business purpose when the accident occurred. Great West only offers coverage when the tractor is “used in [Dunavant’s] business as a ‘motor carrier’ for hire.” See [Doc. 54-7, pp. 31, 76]. Alternatively, Atlantic Specialty limits its coverage for “non-trucking” purposes and when “operat[ed] solely for personal use unrelated to the business of Motor Carrier.” See [Doc. 43, pp. 7—8, 10]. These terms—which are capable of more than one reasonable interpretation—have routinely been examined by Georgia courts.

*7 In AXA Global Risks, the Georgia Court of Appeals found that the driver was not engaged in the carrier’s business, but rather a “personal errand”, where the accident occurred over a long weekend after the driver completed his last run. AXA Global Risks v. Empire Fire & Ins., 554 S.E.2d 755, 758 (Ga. Ct. App. 2001). Similarly, in Redland, the Northern District of Georgia found that a driver that struck a pedestrian while driving to a QuikTrip to park his tractor for the night was not operating his tractor in furtherance of the motor carrier’s business. Redland Ins. Co. v. Ginosky, No. 1:07-CV-0202-JOF, 2009 WL 10669352 (N.D. Ga. Aug. 10, 2009). In determining that the driver was not acting in the furtherance of the motor carrier’s business, the courts in AXA Global Risks and Redland assessed whether:
(1) the driver was “under dispatch” as that phrase is used in the trucking industry;
(2) there were any restrictions on the driver’s activities during the time period he was not en route, here over the weekend; and
(3) whether his trip was part of his regular work pattern or “operational routine.”
Redland Ins., 2009 WL 10669352, at * 5; AXA Global Risks, 554 S.E.2d at 746. Finding the drivers did not meet any of these three criteria, the courts in AXA Global Risks and Redland determined that “the essential nature of the driver[s’] trip[s] w[ere] personal; [the drivers were] not engaged in any activity intended to further the trucking company[s’] commercial interests; and the portion of the trip[s] when the accident occurred w[ere] completely unrelated to the company[s’] business[es].” Redland Ins., 2009 WL 10669352, at * 5; AXA Global Risks, 554 S.E.2d at 746.

Further, courts have not required all three factors to be present for the driver to be operating in the motor carrier’s business. The Eleventh Circuit has found “Georgia law provides that a lessor may remain in the trucking business … if he is acting within his normal ‘work pattern’ or ‘operational routine’ in furtherance of the interests of the lessee/trucking company.” Occidental Fire & Cas. Co. of North Carolina, Inc. v. National Interstate Ins., 513 F.App’x 924, 926 (11th Cir. 2013) (quoting Liberty Mut. Fire Ins. v. Axis Surplus Ins., 669 S.E.2d 219, 221 (Ga. Ct. App. 2008)).

In National Interstate Ins., the Eleventh Circuit found the driver’s bobtailing to the “terminal was within his normal work pattern or operational routine as a trucker as defined by Georgia case law[;]” accordingly, the driver “was operating his covered tractor exclusively in [C & K’s] business as a ‘trucker’ ” when he got into an accident one-quarter mile from the terminal and was not on a personal errand. National Interstate Ins., 513 F. App’x at 927. In Hotshot, the court found the driver was still engaged in the trucking company’s business and within his work pattern when, after making a delivery and while not presently under dispatch, the driver was en route to pick up another load when he was involved in an accident. Hot Shot Express, Inc. v. Assicurazioni Generali, S.P.A., 556 S.E.2d 475, 476—79 (Ga. Ct. App. 2001). The court stated, “it cannot be said that the trip from Hialeah[, Florida] to the freight terminal in Ocala[, Florida] was not related to Hot Shot’s business.” Id. at 478.

With this relevant case law in mind, the Court considers whether Faison was using his tractor for a business purpose at the time of the accident. First, the easy factor: Faison had no restrictions on his driving on the day of the accident. However, whether Faison was driving “in his operational routine” is not so easily determined.5 Thus, the Court examines if there are genuine issues of material facts as to (1) whether Faison was operating in his normal work pattern by leaving Sunday morning for Dunavant’s terminal and (2) whether Faison was on a personal errand at the time of the accident that took him outside of his normal work pattern.

i. Faison’s normal work pattern
*8 If Faison’s version of events is to be believed, Faison’s decision to leave earlier in the day, Sunday, did not take him outside his normal work pattern. Faison was instructed that he had his next load delivery on Monday, and Faison’s normal work pattern was to drive his tractor Sunday to Dunavant’s terminal to receive and perform his dispatch orders.

While Great West argues Faison left earlier in the day than normal, this is not dispositive as to whether Faison operated outside of his normal work routine. Faison stated that he thought he was heading to Memphis, Tennessee, where he normally goes on Monday. Logically, if Faison thought he had to drive farther to deliver his load, then he would leave earlier in the day. But regardless of that inference, Faison’s work pattern should not be so restrictively construed at the summary judgment stage that a slight deviation takes him outside of his routine for completing business-related activities since Faison did not have specific times when he was supposed to be working and not working.

Further, Faison stated he would drive down to Savannah night if he was not already in Savannah. [Doc. 65-2, Faison Depo, pp. 84:20—85:5]. Thus, it could have been part of his normal work routine to leave earlier in the day. Simply put, per Faison’s account, Faison had a business need to drive his tractor to Savannah and was in the process of fulfilling that need in line with his normal routine.

However, if Dunavant’s versions of the facts are to be believed, then a jury could find Faison was outside of his normal work pattern because Faison’s normal work routine was to leave for Savannah on Monday and not Sunday. Thus, the Court finds there is a question of material fact as to Faison’s normal work pattern.

ii. The fundamental nature of Faison’s trip Sunday morning
As the Court has determined Faison could have been within his work pattern in deciding to drive to Savannah on Sunday morning, the Court turns to whether he was furthering the business interests of Dunavant at the time of the accident. First, the Court examines Faison’s account, where he states he was just grabbing a meal on his way to Dunavant’s terminal to pick up a load. The Fourth Circuit in Forkwar examined a comparable fact pattern and found:
“[a]s the district court noted, Mahdi[, under dispatch,] was not “pursuing leisurely engagement nor engaged in some frolic [or] detour.” Rather, he had received instructions from J & J to go to Jessup to pick up a load and was in the process of completing that task. Although Mahdi had decided just before the accident to stop for a meal before making his way to the warehouse, he was operating his vehicle at the time of the accident solely for the purpose of furthering J & J’s commercial interests.”
See Forkwar v. Empire Fire & Marine Ins., 487 F.App’x 775, 780 (4th Cir. 2012). Similarly, Faison’s personal errand to grab food does not change the essential nature of his trip. According to Faison, he was operating his tractor because he intended to head to Dunavant’s terminal to pick up his load. Faison explicitly stated his primary motivation was “to grab me something to eat and keep going.” [Doc. 65-2, Faison Depo., p. 112:13—14]. Therefore, this minor personal detour would not have altered the reason he was operating his tractor that morning, which was to further Dunavant’s commercial interests by picking up a load in Savannah.

*9 However, evidence in the record explicitly contradicts Faison’s account and calls into question whether this trip was truly just a minor detour. Specifically, Hall testified that Faison told him he was using his tractor for personal use at the time of the accident. Accordingly, Faison’s intention may not have been to drive to Dunavant’s terminal. Instead, Faison may have intended to drive to Macon Seafood—wait several hours for it to open—and then eat and return to his home before leaving for Savannah. Thus, genuine questions of material fact exist as to what Faison was doing the day of the accident and whether Faison’s possible deviation to get food took him outside his normal work pattern.

Bottom line, a jury must decide whether Faison was engaged in the business of trucking or not. After a jury answers that question, the question as to which insurance company must defend and cover Faison and Dunavant gets very simple to answer.

CONCLUSION
Based on the foregoing, the Court DENIES Atlantic Specialty, Dunavant and Great West’s Motions for Summary Judgment [Doc. 54] [Doc. 61] [Doc. 79]. Further, the Court DENIES Dunavant’s Motion to Dismiss Atlantic Specialty’s First Amended Intervenor Complaint [Doc. 74]. Accordingly, the Court exercises its discretion under Federal Rule of Civil Procedure 4(m) and ORDERS Atlantic Specialty to properly serve Faison within 30 days from this Order and file proof of service with the Court.

SO ORDERED this 28th day of May, 2020.

All Citations
Slip Copy, 2020 WL 2776495

Footnotes

1
Unless otherwise noted, the Court relies on Faison’s version of events leading up to the accident.

2
Faison’s wife was riding with him at the time of the accident. [Doc. 65-2, p. 57:9—13]. Faison had received verbal—but not written—permission from Dunavant to have his wife accompany him. [Id., p. 57:21—25].

3
Through the affidavit of Karen Hjerpe, Dunavant alleges, among other things, that Faison’s personal car was having mechanical issues around the date of the accident. [Doc. 61-3, Dunavant Sea Lane Express, LLC Aff., ¶ 10]. Atlantic Specialty objected to paragraphs 5 and 10 of Dunavant’s affidavit, which state, “Faison then dropped his empty trailer off at the Marathon Truck Stop at Exit 6 off Interstate 16 for the weekend” and “Faison’s personal vehicle was having mechanical issues around the date of and after the accident.” [Doc. 69-1, pp. 3—4]. An affidavit used to oppose or support a motion for summary judgment “must be made on personal knowledge, set out facts that would be admissible in evidence, and show that the affiant … is competent to testify on the matters stated.” Fed. R. Civ. P. 56(c)(4); see also Pace v. Capobianco, 283 F.3d 1275, 1278-79 (11th Cir. 2002); Martin v. Rumsfeld, 137 F. App’x 324, 326 (11th Cir. 2005) (stating that when an affiant avers that his statements are based on personal knowledge, a district court is “bound to accept [such] statements as true, unless the context demonstrate[s] otherwise.”) Here, Hjerpe did not aver the statements were made on personal knowledge and does not explain how she knows that Faison’s car was having mechanical issues or how she knew Faison was going to keep his truck at the Marathon Truck Stop. See generally [Doc. 61-3]. Accordingly, the Court SUSTAINS Atlantic Specialty’s objection to those portions of Dunavant’s affidavit, and the Court will not consider paragraphs 5 and 10. However, as Dunavant has now supplied Hall’s affidavit alleging Faison’s car had mechanical issues on personal knowledge, the Court will still consider evidence that Faison’s car was having mechanical issues at the time of the accident. Further, Faison has stated that he dropped his trailer off at the Marathon Truck Stop.

4
In its response to Great West’s motion to dismiss, Atlantic Specialty argues that Great West also did not properly perfect service upon Faison. [Doc. 78, pp. 10—12]. Great West contends that Faison was served through Vicki Lovett, the property manager of the Days Inn, on February 6, 2019. “During his deposition Faison confirmed the above address was his residential address at the time of Great West’s service. [Doc. 71-1, Faison Depo., pp. 71:16-72:5]. Faison also acknowledged that Vicki Lovett was the manager of the property where he lived, and that he received a copy of the summons and complaint following Great West’s service upon Lovett. [Id., pp. 72:22—73:1, 74:2—24] (Faison testified that he received the summons and complaint “[w]hatever date this thing came to Miss Vicky’s [sic],” and went to the federal courthouse to “ask them what to do.”).
Fed. R. Civ. P. 4(e)(2)(B) states that service may be perfected by “leaving a copy of each at the individual’s dwelling or usual place of abode with someone of suitable age and discretion who resides there.” Further, “[i]t is a rule of longstanding that Rule 4, regarding whether service has been properly effected, should be broadly construed, particularly where a defendant has received notice of the suit.” Velocity S’ports Performance Franchise Systems, LLC v. Extreme Fitness, Ltd., No. 1:05-CV-2143-BBM, 2005 WL 8155624, at *1 (N.D. Ga. Oct. 27, 2005) (citing Nowell v. Nowell, 384 F. 2d 951, 953 (5th Cir. 1967)). In Nowell, the Eleventh Circuit noted that it is “settled that jurisdiction can be acquired over a defendant by leaving process with the landlady of the rooming house wherein the defendant resides” and that at least one court in New York considered a Hotel Manager as a resident of the hotel for the purposes of Rule 4. Nowell, 384 F. 2d at 952.

5
For similar reasons, a question of material fact also exists as to whether Faison was under dispatch. Atlantic Specialty’s policy states that a driver is “not non-trucking” (trucking) when it is dispatched, as defined by relevant caselaw and Department of Transportation regulations. [Doc. 43, p. 8]. Further, as noted above, whether a driver is dispatched is relevant in determining if a driver is operating in furtherance of the motor carrier.
In Redland, the Northern District of Georgia noted that “[i]n Midwestern Indemnity Co. v. Reliance Ins. Co., 44 Ohio App. 3d 83, 87 (1998), the court found that a tractor was not ‘dispatched’ until it had hooked up its trailer and departed on its route.” Redland Ins., 2009 WL 10669352 at *7. Based on the Ohio court’s ruling, the Northern District of Georgia found, a “truck has not been ‘dispatched’ until it has received its assignment and began the process necessary to complete it, whether that be picking up a load or driving somewhere at the carrier’s direction to pick a load up.” Id. If the Court followed the definition in Redland, then Faison may not be considered under dispatch because—although he received his dispatch orders—a fact question exists as to whether Faison was en route to the carrier’s terminal to pick up his load. However, it is not dispositive to the Court’s analysis whether he was or was not under dispatch. As noted in Hotshot, a driver is not required to be under dispatch to be engaged in the trucking company’s business. Hot Shot Express, Inc., 556 S.E.2d at 476—79. Further, as discussed below, issues of material fact exist as to whether Faison was operating in his normal work pattern which forecloses summary judgment.

Jackson v. Berkshire Hathaway Global Insurance Services, 2020 WL 2803014

2020 WL 2803014

United States District Court, W.D. Louisiana,
Shreveport Division.
Melvin JACKSON, et al.
v.
BERKSHIRE HATHAWAY GLOBAL INSURANCE SERVICES
CIVIL ACTION NO. 18-cv-1146
|
Signed 05/28/2020
Attorneys and Law Firms
Murphy J. White, Adrienne Danielle White, White & White, Mansfield, LA, for Melvin Jackson, Janet Jackson.
Jonathan B. Womack, Adam Devlin deMahy, Samuel M. Rosamond, III, Taylor Wellons et al., New Orleans, LA, for Berkshire Hathaway Homestate Insurance Co.

MEMORANDUM RULING
Mark L. Hornsby, U.S. Magistrate Judge

Introduction
*1 MLJ Trucking, LLC, owned by Melvin and Janet Jackson, is a small trucking company that operates two trucks. Mr. Jackson drives one of the trucks, and an employee drives the other. Almost all of the company’s business is hauling logs for a larger trucking company, Turnipseed Trucking.

MLJ’s had a policy of commercial auto insurance issued by Berkshire Hathaway Homestate Insurance Company. Both of MLJ’s trucks were damaged in separate accidents in late 2017, and they were out of commission until repairs could be made. MLJ filed separate property damage claims with Berkshire, which eventually made payments that allowed MLJ to repair the trucks and put them back in service.

MLJ filed this suit against Berkshire based on Louisiana penalty statutes that allow an insured to recover damages and attorneys’ fees for certain arbitrary and capricious delays in paying a claim. A bench trial was held, at which the court heard testimony from the Jacksons, an insurance adjuster, a Berkshire vice president, and a CPA who calculated damages. For the reasons that follow, the court finds that MLJ is entitled to a statutory penalty and fees with respect to one of the two claims.

Louisiana Penalty Statutes
MLJ alleges that it is entitled to statutory penalties and attorneys’ fees pursuant to La. R.S. 22:1892(B)(1) and La. R.S. 22:1973. Section 1892(A)(1) provides that insurers shall pay the amount of any claim due any insured within 30 days “after receipt of satisfactory proofs of loss from the insured or any party in interest.” Section 1892(B)(1) provides that failure to make such payment within 30 days “after receipt of such satisfactory written proofs and demand therefor … when such failure is found to be arbitrary, capricious, or without probable cause, shall subject the insurer to a penalty, in addition to the amount of the loss of fifty percent damages on the amount found to be due from the insurer to the insured or one thousand dollars, whichever is greater….”

Section 1973 provides that an insurer owes his insured a duty of good faith and fair dealing, including a duty to adjust claims fairly and promptly. The statute lists certain acts that, if knowingly committed or performed by an insurer, constitute a breach of that duty. One of them is failing to pay the amount of any claim due any person insured by the contract “within sixty days after receipt of satisfactory proof of loss from the claimant when such failure is arbitrary, capricious, or without probable cause.” § 1973(B)(5). Subsection C then provides: “In addition to any general or special damages to which a claimant is entitled for breach of the imposed duty, the claimant may be awarded penalties assessed against the insurer in an amount not to exceed two times the damages sustained or five thousand dollars, whichever is greater.”

The substantive obligation of the insurer under the two statutes is virtually identical. The statutes differ in that Section 1892 is triggered by a 30-day delay, while Section 1973 is not triggered until there has been a 60-day delay. The penalty calculations are also different. Section 1892 provides for a straightforward 50% penalty. The penalty under Section 1973 is calculated based on the consequential damages sustained because of a breach of the insurer’s duties under the statute; the penalty is not calculated by doubling the amounts due under the policy. Thomas v. Hartford Accident & Indemnity Co., 2018 WL 1548897, *4 (W.D. La. 2018); Manshack v. Ocwen Loan Servicing, LLC, 2014 WL 5500456, *4 (W.D. La. 2014).

*2 When Section 1973 provides the greater penalty, it supersedes Section 1892; the insured cannot recover penalties under both statutes. However, because Section 1973 does not provide for attorney fees, the insured is entitled to recover the greater penalties under its provisions and attorney fees under Section 1892. Seacor Holdings, Inc. v. Commonwealth Ins. Co., 635 F.3d 675 n. 5 (5th Cir. 2011); Calogero v. Safeway Ins. Co. of La., 753 So.2d 170 (La. 2000); Bourg v. Safeway Insurance Company of Louisiana, ––– So. 3rd ––––, 2020 WL 1129689, n.7 (La. App. 1st Cir. 3/5/20).

Claim No. 1

A. Relevant Facts
Truck No. 1 is a 2014 Peterbilt that was damaged in an accident on July 31, 2017. MLJ reported the accident to Berkshire that same day. By August 2, 2017, Berkshire had assigned the claim to adjuster CJ Hester, Inc. to investigate. Hester inspected the truck on August 3 and issued an appraiser’s report on August 7, 2017 that estimated the damages to be $40,752.84 (less a $1,000 deductible). There is no indication of a dispute about the cost of the repairs, but Berkshire did not issue a check to MLJ until November 28, 2017, which was 113 days after the appraiser’s report issued.

Mrs. Jackson testified that she was told by Berkshire that the delay in paying the claim was due to the Vehicle identification Number (“VIN”) on the policy being different from the one on the truck that was damaged. The damaged truck was a 2014 Peterbilt truck bearing VIN 1XPXDP0X9ED233253. The Berkshire policy listed a 2014 Peterbilt with a VIN 1XPXDP0X5ED233251. The Berkshire policy schedule did not list a truck with VIN 253.

Mrs. Jackson testified that when MLJ leased the truck from Turnipseed Trucking, Turnipseed had insurance on the truck through the Pace Insurance Agency. There was no testimony about the exact role of Pace, but the facts suggest it was an independent insurance agency that had a relationship with Berkshire. MLJ asked Pace to place insurance on the truck in MLJ’s name. There was, however, a mistake about the VIN for the 2014 Peterbilt in the lease paperwork, and that mistake was continued to the insurance papers.

Claims notes from persons who worked for or with Berkshire show that on August 16, 2017, someone at Berkshire had a long conversation with persons at Pace, one of whom called Brenton Turnipseed. Mr. Turnipseed confirmed that there was an error in the paperwork; he traded the 251 truck to a dealership in Shreveport and leased the 253 truck to MLJ. Mr. Turnipseed said that he had to go to the DMV and sort everything out. Pace informed Berkshire that it was “sending an endorsement right now to correct the VIN.” Berkshire informed the adjuster about the VIN issue, said the company was “sorting it out here,” and that it would let the adjuster know “once we are ready to move on the claim.” Mrs. Jackson testified that the repair shop stopped working on the truck when the VIN issue arose.

Pace sent Berkshire a revised loss notice with the corrected VIN on August 16, 2017. On August 17, Robbie Thielen (a Berkshire employee) emailed Pace and said that DOT records showed that VIN 251 that MLJ claims to never have bought was inspected by the DOT in January and March and listed by the DOT as being operated by MLJ. Mr. Thielen stated that the company “will not be amending the VIN of the vehicle to match the one involved in a claim on this.”

*3 Thomas Mortland, a vice president with Berkshire, testified at trial that an incorrect VIN is a red flag to the insurance company. Some owners may insure fewer than all of their trucks and try to defraud the insurer by making a claim for damage to an uninsured vehicle. The company has to investigate such claims very carefully. Mortland said that the discovery of the issue in this case did not result in a denial of the claim. The company simply had to do further investigation before it would pay the claim.

Tamara with Pace emailed Mr. Thielen on August 17, 2017 and stated that Pace had visited at length with Mr. Turnipseed, who explained the VIN mix-up. Turnipseed also stated that when the DOT inspected the other truck, the officer only checked the registration and did not compare the VIN on the registration papers to the one on the door of the truck, which would have established that the VINs did not match. This resulted in the DOT records incorrectly indicating that the VIN 251 truck was inspected while operating under the license of MLJ.

Tamara also explained to Mr. Thielen that she had learned from a local dealership that the 251 truck had experienced a blown motor so that it was not even in running condition in January, and it was later sold to Womack and Sons in another city. Tamara sent Mr. Thielen an email on September 1, 2017 with shop records that showed the 251 truck entered the shop in November 2016 and did not leave the shop until February 17, after which it was sold to Womack and Sons. She stated that MLJ leased and was operating truck 253.

A claims note from August 25, 2017 shows that Mrs. Jackson/MLJ called Berkshire and wanted an estimated time frame for “when this will get sorted out” since the VIN issue had been explained. Berkshire told her that the claim was under review, and she asked for an answer soon. A Berkshire employee prepared a policy application review (“PAR”) on September 8, 2017 and submitted it for review. A note from September 12 shows that the file was referred due to a potential coverage issue; the vehicle involved was not scheduled on the policy. The PAR prepared by the adjuster was submitted to the company for review and determination.

Tamara with Pace sent another email to Mr. Thielen on September 22, 2017. She attached a letter from the Peterbilt dealership that stated that the company had truck 251 in its possession for a period through April 28, 2017. She said, “I absolutely do not know what else I can provide to you for proof that the dealership had the vehicle #251 and the insured had vehicle #253.”

Mr. Mortland explained that Berkshire has regular meetings with the legal department and examiners to decide what to do on a PAR. The claim could be denied, further investigated, or other action could be taken. He could not recall whether he was personally involved in the assessment of this PAR, but he was familiar with the process. The company ultimately decided to pay the claim on a disputed basis. He said the company never did get “full resolution” of the VIN issue, and the 253 truck was not added to the policy. Berkshire simply elected to pay the claim to resolve that particular claim/dispute.1

A claims note from October 24, 2017 shows that a Berkshire employee received a call from the insured and “advised we have agreed to pay the claim on a disputed basis and will be able to pay the full amount of the estimate, less a $1,000 deductible for a total of $39,752.84.” The check was not issued, however, until more than 30 days after that on November 28, 2017.

B. Reformation of the Policy
*4 When evidence indicates that the parties to an insurance policy intended for it to provide certain coverage, but the insurance agent made a clerical error on the declarations page, the policy can be reformed to reflect the true intent of the parties. Parol evidence is admissible to show mutual error even though the express terms of the policy are clear. The party seeking reformation sometimes has the burden of proving a mutual error by clear and convincing evidence, but it need only satisfy a preponderance of the evidence burden to reform a policy in a manner that does not substantially affect the risk assumed by the insurer. Samuels v. State Farm Mutual Auto Ins. Co., 939 So.2d 1235 (La. 2006).

That is what happened in Samuels when everyone involved admitted that there had been a clerical error by the agent who mistakenly identified an umbrella policy as a homeowner’s policy and used an incorrect policy number on a renewal policy. The Supreme Court of Louisiana unanimously held that reformation was required, given the uncontested evidence of mutual error, so that the coverage reflected the true intent of the parties.

The Berkshire policy must be deemed reformed to reflect that the truck that is the subject of Claim No. 1 is covered by the policy. The evidence showed that was the intent of both MLJ and the Pace agency, but a clerical mistake was made in the listing of the VIN. The mistake did not affect the risk assumed by Berkshire with respect to the truck. It was willing to insure a 2014 Peterbilt for a certain premium, and both VINs belong to such trucks.

C. Penalties
Section 1892(A)(1) provides that insurers shall pay the amount of any claim due any insured within 30 days “after receipt of satisfactory proofs of loss from the insured or any party in interest” and may be subject to penalties when “such failure is found to be arbitrary, capricious, or without probable cause.” Section 1973 allows for penalties if payment is not made within 60 days “after receipt of satisfactory proof of loss from the claimant when such failure is arbitrary, capricious, or without probable cause.”

Satisfactory proof of loss is that which is sufficient to fully apprise the insurer of the insured’s claim. Jacobs v. GEICO Indem. Co., 256 So. 3d 449, 456 (La. App. 2d Cir. 2018). Berkshire received an appraisal report from its adjuster, and it does not contend that the report fell short of this requirement. The question is whether Berkshire acted in violation of the statutory standard when it did not pay the claim until 113 days after it received that proof of loss.

Louisiana courts have said that the phrase “arbitrary, capricious, or without probable cause” is synonymous with “vexatious” and means a refusal to pay that is unjustified and without a reasonable or probable cause or excuse. La. Bag Co. v. Audubon Indem. Co., 999 So.2d 1104, 1114 (La. 2008). It describes “an insurer whose willful refusal of a claim is not based on a good-faith defense.” Id. “[W]hen there are substantial, reasonable and legitimate questions as to the extent of an insurer’s liability or an insured’s loss, failure to pay within the statutory time period is not arbitrary, capricious or without probable cause.” Id.

Berkshire received an appraisal on August 7. It received clarification about the VIN mix-up and on September 8, a Berkshire employee submitted a PAR for review. By September 22, when Tamara emailed Berkshire with additional information about the truck that was in the shop, Berkshire had all of the relevant facts in its possession to resolve the VIN issue. It waited more than 30 days after that to state that it would pay the claim on a disputed basis. It then waited more than 30 more days, with an appraisal long in hand, before it issued a check.

*5 A reasonable argument can be made that, after Berkshire had its PAR under consideration and all relevant facts in hand by September 22, the clock started running for payment on the satisfactory proof of loss that was submitted weeks earlier on August 7. Berkshire had every bit of information necessary to determine that the policy should be considered reformed so that the claim was lawfully payable. But the court finds that failure to pay within 30 or 60 days of that time was not arbitrary, capricious, or without probable cause; Berkshire was entitled to a reasonable time to review that information and decide whether the policy should be treated as reformed.

Berkshire took 46 days, from the September 8 submission of the PAR to the October 24 notation, to consider the facts and decide that it would pay the claim. To that point, it was not being arbitrary or acting without probable cause. But after that point, there was no further excuse for delay. Berkshire possessed an appraisal report—satisfactory proof of loss—for more than two months before it decided to pay. Yet, once it decided to pay, it delayed more than 30 additional days, until November 28, to issue a check. There is no explanation for why Berkshire delayed beyond the 30-day period once it (1) had facts that showed it no longer had a basis for a good faith defense based on the VIN and (2) it decided to pay the claim. The court finds that this delay was arbitrary, capricious, or without probable cause. See La. Bag Co., 999 So.2d at 1121 (“we have specifically defined an insurer’s failure to tender timely payment of an undisputed amount as conduct that is without probable cause.”).

Berkshire argues that any delay was reasonable under the circumstances of the VIN mix-up. The court finds that the clerical error did not entitle the insurer to avoid all application of the penalty statutes for any length of delay. Once the company had both proof of loss and overwhelming evidence that the VIN issue should be resolved in favor of the insured, it became obligated to pay the claim within the statutory time period. It did not, so it should be subjected to a penalty under Section 1892 and its 30-day limit. Berkshire did not exceed Section 1973’s 60-day period, so the penalty provision of that statute does not apply.

Section 1892(B)(1) provides that an insurer who violates the timely payment provision shall be subject to a penalty, in addition to the amount of the loss, of fifty percent damages on the amount found to be due from the insurer to the insured, or $1,000, whichever is greater. The parties stipulated in the pretrial order (Doc. 43, ¶¶ D(4) & (5)) that the amount paid by Berkshire for property damage to truck no. 1 was, after subtracting the deductible, a net total of $39,752.84. Berkshire argues in its post-trial memorandum (Doc. 68, p. 12) that the court should use the actual cost of repairs, $30,112.76, but that is contrary to the stipulation in the pretrial order. Fifty percent of the stipulated amount due from the insurer is $19,876.42.

Claim No. 2

A. Relevant Facts
MLJ also leased a 2015 Peterbilt that was damaged in an accident on August 8, 2017. MLJ reported the accident to Berkshire on that same day. Berkshire immediately acknowledged the damage claim and assigned a claim number. Mrs. Jackson testified that she told Berkshire where the truck was located in a rural area and gave them her husband’s contact information in case the adjuster needed help finding the remote location. It was her understanding that Berkshire would coordinate with Mr. Jackson about the inspection of the truck.

A Berkshire claims note from August 14, 2017 included Mrs. Jackson’s description of the accident; the truck got stuck in the mud at the end of the day and was found on its side the next morning. The note stated that MLJ’s repair shop of choice was Jackson Truck & Trailer Repair. Berkshire advised that CJ Hester, Inc. would be in contact to coordinate a time to meet and appraise the damage. McCord & Associates, an entity associated with Berkshire, assigned the loss to CJ Hester, Inc. for investigation and damage appraisal.

*6 Mrs. Jackson called Berkshire on August 18, and she was given the contact information for CJ Hester. Mrs. Jackson called Berkshire on August 21 and said that Hester told her that they would not be handling the claim. (The truck was outside the area Hester served.) Berkshire told Mrs. Jackson that the claim was being reassigned to Texarkana Claims Service and that she would be contacted once the assignment was sent. A new loss assignment was sent to Blake Murphy with Texarkana Claims Service on August 21, 2017, and he confirmed receipt that same day. Mrs. Jackson called Berkshire again on August 24 and asked why no one had inspected the truck. She was given Blake Murphy’s contact information.

The new loss assignment forms that Berkshire sent to Blake Murphy on August 21 stated, “We require receipt of your first report within 10 days.” A claims representative with Berkshire sent an email to Murphy on August 29 and stated that it appeared that the insured vehicle had not yet been inspected, and the agent on the claim “is very eager to get this resolved.” The email asked Murphy to please contact the insured to schedule an inspection. A Berkshire claims note from September 8, 2017 stated that it appeared the insured had been calling and saying that the vehicle had not yet been inspected. The note added that the Berkshire employee called Blake Murphy and left a voicemail requesting a call back to confirm that the insured had been contacted and to advise of any issues. More than two weeks later, on September 25, a Berkshire claims note stated that a message was left for Murphy to call back ASAP to determine where he was with the inspection of the truck.

Blake Murphy finally emailed his report to Berkshire on September 26, 2017 (more than 30 days after the matter was assigned to him). His report stated that the truck was damaged on August 8 and inspected by him on August 23. An agreed appraisal with the repair shop was reached on September 21, with the total damages in the amount of $47,673.84. Murphy requested a check for that amount, less the $1,000 deductible. Berkshire mailed a check for that amount to MLJ on October 19, and MLJ received the check on October 21, less than 30 days after Berkshire received Murphy’s appraisal report.

Blake Murphy’s deposition was submitted at trial with the agreement of the parties. He testified that he has worked as an independent insurance adjuster since 2001 and had worked before with Berkshire, which was one of his favorite companies because they tended to trust his judgment. He admitted that he received the claim on August 21 and issued his report to Berkshire on September 26, 2017.

Mr. Murphy said that his first step was to contact Mrs. Jackson for basic information. He also talked to Mr. Jackson in the next day or so. He inspected the truck the same day he obtained the location information, and he called Mr. Jackson from the site. He explained to Mr. Jackson during their conversation that MLJ would be responsible for arranging to have the truck towed to a repair shop. Berkshire might reimburse MLJ for wrecker fees, but Berkshire would not arrange or order the towing. (Mrs. Jackson testified that she did not know who arranged for the towing, but MLJ did not pay for it.) Mr. Murphy recalled that Mrs. Jackson gave him the repair shop name a week or so later.

Mr. Murphy said he talked to someone at the repair shop on the same day the shop received the truck, which was September 11, 2017. Murphy explained that with passenger cars, he is often able to use a simple program to immediately obtain the price of the various parts that must be replaced. But with commercial trucks, he can use a program to identify the parts needed, but the prices must be agreed upon with the shop. He said the prices vary significantly among various repair facilities. He also discussed with the shop whether the truck’s cab should be replaced or repaired. He and the shop finally reached an agreement on the cost of the repairs on September 21, 2017, ten days after the shop received the truck.

*7 Mr. Murphy was asked about the letter that assigned the case to him and asked for his first report within 10 days. He said he read that as a request for information about anything unusual with respect to the claim. Mr. Murphy said some of the delay was attributable to not knowing which repair shop would be used, but a claims note in Berkshire’s file showed that MLJ had told Berkshire the name of its repair shop on August 14 (a week before the claim was assigned to Mr. Murphy).

B. Analysis
Under Louisiana law, a cause of action for penalties requires a showing that (1) an insurer has received satisfactory proof of loss, (2) the insurer failed to tender payment within 30 days of receipt thereof, and (3) the insurer’s failure to pay was arbitrary, capricious, or without probable cause. First American Bank v. First American Transp. Title Ins. Co., 759 F.3d 427, 436 (5th Cir. 2014).

Plaintiffs argue that Mr. Murphy knew when he first inspected the truck that there was damage, so the clock started running then for Berkshire to pay the undisputed part of the damages within 30 days. But the penalty statutes do not require payment within a certain time from the insurer or its retained adjuster learning of some damage. They are triggered by the insurer’s receipt of satisfactory proofs of loss.

Satisfactory proof of loss from the claimant is “that which is sufficient to fully apprise the insurer of the insured’s claims.” Amco Insulations, Inc. v. National Union Fire Ins. Co., 787 F.3d 276, 286 (5th Cir. 2015). And the fully apprise requirement was italicized for emphasis in McDill v. Utica Mut. Ins. Co., 475 So.2d 1085 (La. 1985). Louisiana has adopted liberal rules concerning the lack of formality relative to proof of loss, but satisfactory proof of loss must include the extent of damages. Amco, 787 F.3d at 286. And the claimant has the burden of proving when the insurer received satisfactory proof of loss. French v. Allstate Indem. Co., 637 F.3d 571, 591 (5th Cir. 2011).

Berkshire was not fully apprised of the claim and the extent of damages until Mr. Murphy submitted his report to Berkshire on September 26, 2017. Berkshire issued a check less than 30 days later on October 19, 2017. Plaintiffs argue that Mr. Murphy took too long to issue his report. There was evidence that he could have communicated more effectively, but there is no indication that Berkshire was to blame for the delay. Berkshire asked Mr. Murphy to tender a first report within 10 days, and it followed up with a number of emails and phone calls in an effort to quickly resolve the claim. The statutory provisions invoked by MLJ do not subject Berkshire to a penalty for the largely explained delay between Mr. Murphy inspecting the truck on August 23 and submitting his report (the first satisfactory proof of loss) to Berkshire on September 26.

This is not to suggest that an insurer may simply assign a matter to an adjuster and wash its hands of any delays until the adjuster gets around to submitting a report.2 That is not what happened here. Berkshire assigned the matter to Murphy and took reasonable steps to have him investigate the claim promptly and present satisfactory proof of loss. Mr. Murphy gave a reasonable explanation for the delay in completing his report, and Berkshire paid the claim promptly upon receipt of Murphy’s appraisal report. No penalties are warranted with respect to the claim regarding truck no. 2.

Attorney Fees and Costs
*8 MLJ has proved by a preponderance of the evidence that Berkshire is obligated to pay MLJ a statutory penalty of $19,876.42. MLJ also asks for an award of “reasonable attorney fees and costs” as allowed by the penalty statute. A claim for attorney’s fees and expenses must ordinarily be made by motion, Fed. R. Civ. Pro. 54(d)(2)(A), and the standard practice in this court is to take up fee awards by post-trial motion. The parties are encouraged to attempt to stipulate to an amount for a reasonable award of fees and costs. If they are unable to do so, MLJ may file a motion for fees and costs within 21 days after the entry of judgment.

“State law controls both the award of and the reasonableness of fees awarded where state law supplies the rule of decision.” Mathis v. Exxon Corp., 302 F.3d 448, 461 (5th Cir. 2002). Louisiana courts that assessed fee awards under insurance penalty statutes have considered the services needed to effect recovery, the degree of professional skill and ability exercised, the volume of work performed, the time devoted to the case, the result obtained, the novelty and difficulty of the questions involved, and the percentage fixed for attorney fees in the plaintiff’s contract. Geraci v. Byrne, 934 So.2d 263, 268 (La. App. 5th Cir. 2006); DeSoto v. Balbeisi, 837 So.2d 48, 51-52 (La. App. 1st Cir. 2002). See also Leleux v. Assurance Co. of America, 2012 WL 5818226 (W.D. La. 2012) (Haik, J.) (assessing a fee award under Section 1892).

Interest
MLJ asks for legal interest on any award. “State law governs the award of prejudgment interest in diversity cases.” Harris v. Mickel, 15 F.3d 428, 429 (5th Cir. 1994). Louisiana law does not provide for prejudgment interest on awards of penalties or attorney fees under the insurance statutes. “Because awards of penalties and attorney fees are not automatic, but rather rest with the discretion of a factfinder, they become due, if at all, only on the date of their award; thus, such awards may not earn interest until after that date.” Hendrick v. Patterson, 109 So. 3d 475, 485 (La. App. 2d Cir. 2013), citing Sher v. Lafayette Ins. Co., 988 So. 2d 186, 203 (La. 2008) (“penalties imposed on insurers become due only after the date of their award, and interest on such penalties is due only from the date of judgment”).3

Post-judgment interest on money judgments recovered in federal district court, including diversity cases, is governed by 28 U.S.C. § 1961(a). Fuchs v. Lifetime Doors, Inc., 939 F.2d 1275, 1280 (5th Cir. 1991). Accordingly, the judgment will provide for post-judgment interest at the federal rate specified by Section 1961(a).

Appeal Delays
Federal Rule of Civil Procedure 58(e) provides: “Ordinarily, the entry of judgment may not be delayed, nor the time for appeal extended, in order to tax costs or award fees. But if a timely motion for attorney’s fees is made under Rule 54(d)(2), the court may act before a notice of appeal has been filed and become effective to order that the motion have the same effect under Federal Rule of Appellate Procedure 4(a)(4) as a timely motion under Rule 59.”

The court hereby orders that a motion for fees and costs filed within 21 days after entry of the judgment will have the same effect on appeal delays in this case as would a timely filed Rule 59 motion. The time for filing a notice of appeal will begin on entry of an order that disposes of the motion for fees and costs. F.R.A.P. 4(a)(iii). It is not expected that the fees and costs matter will take much time to resolve, and it is more efficient for there to be a single appeal (if one is filed) in which the parties and appellate court can address both the merits and the fees.

*9 THUS DONE AND SIGNED in Shreveport, Louisiana, this the 28th day of May, 2020.

All Citations
Slip Copy, 2020 WL 2803014

Footnotes

1
Berkshire admitted during discovery that it “paid this disputed claim as an act of good faith based upon the determination that MLJ’s failure to schedule truck No. 1 was inadvertent and in order to attempt to avoid litigation.”

2
Some Louisiana decisions have held that an insurer was arbitrary and capricious in failing to pay a claim even though the failure resulted from the error or omission of an adjuster. Aghighi v. Louisiana citizens Property Ins. Corp., 119 So.3d 930 (La. App. 4th Cir. 2013); Perez v. Allstate Ins. Co., 625 So.2d 1067 (La. App. 4th Cir. 1993).

3
The Fifth Circuit surveyed state appellate court decisions in Smith v. State Farm Fire and Cas. Co., 695 F.2d 202 (5th Cir. 1983) and held that the persuasive weight of Louisiana decisions provided for interest from the date of judicial demand on insurance penalty and fee awards under La. R.S. 22:658 (a predecessor to the current penalty statutes). The Supreme Court of Louisiana later looked at the issue in Sher for the first time and went in the other direction.

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