418 F. App'x 327
5th Cir.2011Background
- Aunt Sally’s Praline Shop, Inc. filed a hurricane-damage insurance claim under its United Fire policy after Katrina struck New Orleans on August 29, 2005.
- United Fire initially denied claims, later paid some amounts, but paid far less than Aunt Sally’s sought.
- Suit was filed in state court for contract damages and penalties; it was removed to the Eastern District of Louisiana.
- United Fire asserted defenses including policy exclusions, but did not plead them as affirmative defenses; discovery and pre-trial proceedings occurred for over 18 months.
- Belated policy-exclusion defenses were excluded by the district court via in limine; trial proceeded, resulting in a verdict for Aunt Sally’s with damages and penalties.
- A second, limited trial occurred (Nov. 2009) after which United Fire challenged the rulings; the Fifth Circuit affirmed the district court’s rulings and verdicts.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether policy exclusions could be raised after pleadings | Aunt Sally’s contends United Fire waived by not pleading exclusions earlier and that late raising affected trial prep. | United Fire asserts Rule 8(c) and state law require explicit pleading of exclusions and that exclusions are affirmative defenses needing timely assertion. | Policy exclusions are affirmative defenses that must be pleaded; district court properly excluded them. |
| Whether Simoncioni’s testimony on net income was admissible and supports damages/penalties | Simoncioni’s knowledge as CEO allows testimony on prospective income and business prospects. | Such testimony should be excluded as improper lay opinion or speculation. | Testimony was proper lay testimony from a knowledgeable officer and supported damages/penalties; no reversible error. |
| Whether the evidence supports the chartres Street damages and other awards | Damages for Chartres Street and the related items were properly supported by evidence of water damage and lost business. | Arguments attack the sufficiency of causal link and damages for betterments, personal property, and extra expenses. | Evidence was sufficient to support the jury’s findings on Chartres Street damages and related awards. |
Key Cases Cited
- Rogers v. McDorman, 521 F.3d 381 (5th Cir. 2008) (Rule 8(c) affirmative defenses require specificity)
- Ingraham v. United States, 808 F.2d 1075 (5th Cir. 1987) (residuary Rule 8(c) defenses include exclusions from insurance policies)
- Lucas v. United States, 807 F.2d 414 (5th Cir. 1986) (state-law determines pleading of affirmative defenses in diversity cases)
- Griffin v. Schwegman Bros. Giant Supermarkets, Inc., 542 So.2d 710 (La. App. 4th Cir. 1989) (policy exclusions are affirmative defenses requiring pleading)
- Sher v. Lafayette Ins. Co., 988 So.2d 286 (La. 2008) (slim exception to pleading exclusions when exclusions raised by plaintiff)
- Versai Mgmt. Corp. v. Clarendon Am. Ins. Co., 597 F.3d 729 (5th Cir. 2010) (business-owner testimony on losses permissible)
- DIJO Inc. v. Hilton Hotels Corp., 351 F.3d 679 (5th Cir. 2003) (Rule 701 allows business-owners to testify on particularized knowledge)
- Miss. Chem. Corp. v. Dresser-Rand Co., 287 F.3d 359 (5th Cir. 2002) (permissible testimony on lost profits by corporate officers)
