First Assembly of God v. Ch Mtl Ins
24-30173
5th Cir.Apr 14, 2025Background
- First Assembly of God Church (FA), insured by Church Mutual Insurance (CM), suffered major property damage from Hurricane Laura in 2020 and promptly made an insurance claim.
- CM made some payments but disputed the extent of coverage and delayed full payment, leading FA to invoke the policy’s appraisal clause.
- After court-ordered appraisal, an umpire set an award higher than CM's estimate; CM still resisted paying the full amount.
- A jury found that CM failed to make timely, sufficient payments; it awarded compensatory damages, penalties for bad faith under Louisiana law, and attorneys’ fees to FA.
- CM appealed on grounds including procedural rulings, evidence sufficiency, damages calculation, bad faith penalties, and attorneys’ fee calculation.
- The Fifth Circuit largely affirmed the district court but remanded on the issues of attorneys’ fees calculation and appellate attorneys’ fees.
Issues
| Issue | Plaintiff's Argument (FA) | Defendant's Argument (CM) | Held |
|---|---|---|---|
| Validity of assignment to Hero Design | Assignment invalid due to lack of insurer consent | Assignment valid; tried to join Hero Design | Assignment not valid as CM’s written consent not given |
| Timing and merits of dispositive motion in limine | Motion was untimely, sought to dispose of claims | Motion was proper, not dispositive | District court did not abuse discretion; motion was untimely |
| Appraisal valuation not calculated as of loss date | Policy’s appraisal clause governs calculation | Damage must be valued as of loss per policy | Damages award valid; appraisal clause controls |
| Jury instruction on proof of loss | Written proof not required under law | Must be in writing | Not required to be in writing |
| Bad faith and penalties | CM did not make timely, adequate payments | Disputes existed, so no bad faith | Sufficient evidence for jury’s finding of bad faith |
| Sufficiency of evidence on damages | Contracts and invoices supported amount owed | Evidence speculative/insufficient | Jury’s valuation not clearly erroneous |
| Attorneys’ fees calculation | 33.3% contingency reasonable; seek appeal fees | Should only be 30% per district court | Remanded for clarification and calculation |
Key Cases Cited
- Trans-Serve, Inc. v. United States, 521 F.3d 462 (5th Cir. 2008) (standard of review for mixed questions of law and fact)
- McDonnel Grp., L.L.C. v. Starr Surplus Lines Ins., 15 F.4th 343 (5th Cir. 2021) (insurance policy interpretation)
- Cochran v. B.J. Servs. Co. USA, 302 F.3d 499 (5th Cir. 2002) (burden and strict construction for insurance exclusions)
- Guillory v. Domtar Indus. Inc., 95 F.3d 1320 (5th Cir. 1996) (jury’s credibility determinations not to be disturbed on appeal)
- Volkswagen of Am. v. Robertson, 713 F.2d 1151 (5th Cir. 1983) (damages evidence standards under Louisiana law)
- Puga v. RCX Sols., Inc., 922 F.3d 285 (5th Cir. 2019) (review of jury charge for prejudicial error)
