Ali Ekhlassi v. National Lloyds Insurance Co.
926 F.3d 130
5th Cir.2019Background
- Ekhlassi owned a flood-insured house under a Standard Flood Insurance Policy issued by National Lloyds (a WYO carrier) and suffered flood damage on May 25, 2015.
- FEMA issued a notice on May 28, 2015, extending the proof-of-loss filing deadline by 180 days for affected Texas/Oklahoma claims (total 240 days), but expressly did not waive other policy provisions.
- Lloyds sent a claim letter on October 6, 2015, offering $3,768.25 and warning of the policy’s one-year suit limitation; it later acknowledged a December proof of loss and sent a January 11, 2016 letter denying any payment beyond $3,768.25.
- Ekhlassi filed suit in Texas state court on January 11, 2017 (one year after the January denial), and the case was removed to federal court on April 24, 2017.
- District court granted summary judgment for Lloyds, concluding Ekhlassi’s suit was time-barred; on appeal the Fifth Circuit considered whether 42 U.S.C. § 4072 (original exclusive federal jurisdiction and one-year limitations period) applies to suits against WYO carriers and whether the filing was untimely.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does 42 U.S.C. § 4072 apply to suits against WYO carriers? | §4072 refers only to actions "against the Administrator," so it does not apply to WYO carriers. | §4072 should be read in context of the NFIP scheme; WYO carriers are fiscal agents and suits against them are functionally suits against FEMA. | §4072 applies to suits against WYO carriers. |
| Does 28 U.S.C. § 1331 preclude application of §4072? | §1331 federal-question jurisdiction governs, so §4072 should not displace it. | §1331’s grant of jurisdiction does not negate a specific statutory provision that confers original exclusive federal jurisdiction and a one-year limit. | §1331 does not preclude application of §4072. |
| Was Ekhlassi’s claim timely where it was filed in state court within one year of denial but removed later? | Filing in state court within one year satisfies the limitations period. | §4072 requires that the action be instituted in federal district court within one year; filing in state court does not suffice. | Claim is time-barred because suit was not filed in (or removed to) federal court within one year of denial. |
| Was the statute-of-limitations defense waived by Lloyds? | Lloyds did not explicitly raise the federal-court filing point earlier, so it was waived. | The court may consider the pure legal issue despite waiver; parties had opportunity to brief it. | Court exercised the exception to waiver for a pure legal question and considered §4072. |
Key Cases Cited
- Campo v. Allstate Ins. Co., 562 F.3d 751 (5th Cir. 2009) (describing WYO program and required policy language)
- Borden v. Allstate Ins. Co., 589 F.3d 168 (5th Cir. 2009) (federal-question jurisdiction exists for SFIP breach claims)
- Ferraro v. Liberty Mut. Fire Ins. Co., 796 F.3d 529 (5th Cir. 2015) (applied §4072 jurisdiction to WYO carrier suit)
- Van Holt v. Liberty Mut. Fire Ins. Co., 163 F.3d 161 (3d Cir. 1998) (WYO companies are fiscal agents; suit against them is functionally a suit against FEMA)
- Palmieri v. Allstate Ins. Co., 445 F.3d 179 (2d Cir. 2006) (statutory framework supports federal-court exclusivity for NFIP claims)
- Downey v. State Farm Fire & Cas. Co., 266 F.3d 675 (7th Cir. 2001) (refused to extend §4072 textually limited to the Administrator to WYO carriers)
- Shuford v. Fidelity Nat'l Prop. & Cas. Ins. Co., 508 F.3d 1337 (11th Cir. 2007) (strict compliance with SFIP provisions required because payments are from federal treasury)
- Spence v. Omaha Indem. Ins., 996 F.2d 793 (5th Cir. 1993) (Congress intended one-year limitations on flood insurance actions)
