Crowe v. Trustgard Insurance Company
5:12-cv-00240
E.D. Ky.Feb 10, 2015Background
- Trustgard issued homeowner’s policy to Lisa Crowe; policy was active when her house and contents burned on June 29, 2011; a separate alleged barn theft was reported August 10, 2011.
- Crowe was incarcerated when she renewed the policy and initially submitted an incomplete proof-of-loss while imprisoned; after release she submitted completed proofs claiming about $1.12 million for fire (including >$400,000 personal property) and $31,550 for the theft.
- Trustgard investigated, conducted an examination under oath, and denied both claims, alleging Crowe concealed or misrepresented material facts and that the fire was intentionally caused with her knowledge/direction.
- Crowe sued in state court for breach of contract, bad faith, and consumer-protection claims; Trustgard removed and sought declaratory relief; breach-of-contract claims were bifurcated and Trustgard moved for summary judgment on the contract issues.
- The policy contains a clause voiding the policy for intentional concealment, material misrepresentation, fraudulent conduct, or false statements; Trustgard argued misrepresentations and false statements void the policy even without intent, while Crowe disputed intent.
- The court ruled that intent is required to void the policy for false statements about value/nonexistent items, and found genuine disputes of material fact about Crowe’s intent; summary judgment was denied.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether false statements or misrepresentations in proofs can void the policy without intent | Crowe: voiding requires intentional misrepresentation; disputed facts preclude summary judgment | Trustgard: policy’s false-statement provision voids coverage without proving intent | Court: intent is required; disputed intent facts prevent summary judgment |
| Whether Crowe intentionally overstated or fabricated personal property values | Crowe: valuations and explanations create factual issues; credibility matters for intent | Trustgard: Crowe’s financial condition, affidavits of indigence, and inconsistent statements show intentional overvaluation | Court: evidence creates competing inferences; credibility cannot be resolved on summary judgment |
| Whether the fire was intentionally caused by Crowe or at her direction | Crowe: denies intentional causation; factual dispute exists | Trustgard: investigation produced evidence suggesting intentional causation with her knowledge/direction | Court: disputed factual record requires jury resolution |
| Whether the policy is void as a matter of law | Crowe: factual disputes on intent and misrepresentation preclude voiding as a matter of law | Trustgard: misrepresentations and false statements in record warrant voiding policy | Court: denied summary judgment; cannot declare policy void as a matter of law at this stage |
Key Cases Cited
- State Farm Mut. Ins. Co. v. Fireman’s Fund Am. Ins. Co., 550 S.W.2d 554 (Ky. 1977) (insurance policy construed as contract governed by its terms)
- Home Ins. Co. v. Hardin, 528 S.W.2d 723 (Ky. 1975) (false statements in proof of loss require intent to fraudulently overvalue or include non-existent items to void policy)
- World Fire & Marine Ins. Co. v. Tapp, 130 S.W.2d 848 (Ky. 1939) (false swearing in proofs may defeat recovery when showing intent to defraud)
- Celotex Corp. v. Catrett, 477 U.S. 317 (summary judgment standard; movant’s burden)
- Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (summary judgment requires a genuine dispute for trial; credibility determinations inappropriate)
- Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574 (court must draw all reasonable inferences for nonmoving party)
- La Quinta Corp. v. Heartland Properties LLC, 603 F.3d 327 (mere scintilla of evidence insufficient to defeat summary judgment)
- Biegas v. Quickway Carriers, Inc., 573 F.3d 365 (credibility and weighing of evidence inappropriate on summary judgment)
- Lenscrafters, Inc. v. Robinson, 403 F.3d 798 (summary judgment factual view must favor nonmovant)
