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Hamilton v. Northfield Insurance Company
6:16-cv-00519
E.D. Okla.
Jun 20, 2017
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Background

  • Plaintiff Billy Hamilton owned a commercial building insured by Northfield Insurance under policy #WS219672.
  • In December 2015 Hamilton claimed roof and interior damage; Northfield denied coverage and later declined to renew the policy.
  • Hamilton sued for breach of contract and for breach of the insurer’s duty of good faith and fair dealing (seeking actual and punitive damages).
  • Northfield moved for summary judgment; it contended plaintiff lacked evidence (relying on a motion to exclude plaintiff’s expert) that wind caused the leak and therefore no breach.
  • The court denied the motion to exclude the expert and found a genuine factual dispute on breach of contract, but granted summary judgment for Northfield on the bad-faith and punitive-damages claims because the insurer had a reasonable, good-faith basis to investigate and deny the claim.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Breach of contract — cause of loss (wind) Hamilton says wind caused the roof leak and Northfield breached by denying coverage Northfield says no evidence wind caused the leak; denial was reasonable without expert opinion Denied summary judgment to Northfield on breach; genuine dispute of material fact exists (expert admissible)
Bad faith — unreasonable denial/delay Hamilton contends Northfield’s denial and nonrenewal show bad faith and inadequate investigation Northfield argues its inspections and reinspection by an independent engineer provided a reasonable basis to deny coverage Summary judgment for Northfield; insurer had a reasonable, good-faith basis to contest coverage, at most negligence
Punitive damages Hamilton seeks punitive damages tied to bad faith showing Northfield argues punitive damages unavailable absent reckless, malicious, or grossly negligent conduct Denied — punitive damages not supported because no genuine bad-faith issue; conduct did not rise to required level
Independence of engineer Hamilton suggests the hired engineer was not independent and investigation was biased Northfield maintains the engineer was independent; plaintiff produced insufficient proof of bias Court found insufficient evidence to show lack of independence; this does not create a triable bad-faith issue

Key Cases Cited

  • J.V. v. Albuquerque Public Schs., 813 F.3d 1289 (10th Cir. 2016) (summary-judgment standards and genuine-issue explanation)
  • Wright v. Experian Info. Sols., Inc., 805 F.3d 1232 (10th Cir. 2015) (viewing evidence in favor of nonmoving party on summary judgment)
  • Automax Hyundai S., L.L.C. v. Zurich Am. Ins. Co., 720 F.3d 798 (10th Cir. 2013) (choice-of-law/district-court application of state law in diversity cases)
  • BP Am., Inc. v. State Auto Prop. & Cas. Ins. Co., 148 P.3d 832 (Okla. 2005) (insurance policies are contracts; interpret plain language)
  • Digital Design Grp., Inc. v. Info. Builders, Inc., 24 P.3d 834 (Okla. 2001) (elements of breach-of-contract claim)
  • Max True Plastering Co. v. U.S. Fid. & Guar. Co., 912 P.2d 861 (Okla. 1996) (insured’s reasonable expectations when construing ambiguous policy language)
  • Mansur v. PFL Life Ins. Co., 589 F.3d 1315 (10th Cir. 2009) (insurance contracts construed in favor of insured when ambiguous)
  • Southern Hospitality, Inc. v. Zurich Am. Ins. Co., 393 F.3d 1137 (10th Cir. 2004) (elements and limits of insurer’s duty of good faith and fair dealing)
  • Willis v. Midland Risk Ins. Co., 42 F.3d 607 (10th Cir. 1994) (investigation must be reasonably appropriate under the circumstances)
  • Sloan v. State Farm Mut. Auto. Ins. Co., 360 F.3d 1220 (10th Cir. 2004) (standard for punitive damages in insurance bad-faith cases)
Read the full case

Case Details

Case Name: Hamilton v. Northfield Insurance Company
Court Name: District Court, E.D. Oklahoma
Date Published: Jun 20, 2017
Docket Number: 6:16-cv-00519
Court Abbreviation: E.D. Okla.