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Michael Borovsky Goldsmith LLC v. Jewelers Mut. Ins. Co.
359 F. Supp. 3d 306
E.D.N.C.
2019
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Background

  • MB Goldsmiths, a jewelry store in Raleigh, experienced a persistent foul odor and visible mold beginning in fall 2013–2014; a water leak from an adjacent restaurant was first noticed in December 2014.
  • Mold inspection reported visible mold growth and high interior air mold levels; store closed its Raleigh location in June 2015 and reopened elsewhere in November 2015.
  • On April 24, 2015 MB Goldsmiths submitted a business-interruption claim to Jewelers Mutual for loss of future business income due to vacating the premises because of mold.
  • Jewelers Mutual assigned an independent adjuster, who concluded the loss resulted from a long-term water leak and recommended denial under the policy’s continuous-leakage and mold exclusions and for untimely notice.
  • Jewelers Mutual denied the claim on June 2, 2015; MB Goldsmiths sued for breach of contract, breach of the implied covenant of good faith and fair dealing, and bad-faith refusal to settle.
  • On cross-motions for summary judgment, the court held there was no genuine dispute that the continuous water leak caused the loss and that the insurer’s denial reflected an honest coverage disagreement; court granted defendant summary judgment and denied plaintiff’s late partial-summary-judgment motion.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Coverage — does policy cover MB Goldsmiths’ lost business income? Loss caused by mold/odor distinct from long-term water leak; coverage for business interruption should apply. Loss was caused by continuous/repeated water leakage (>14 days) and resulting mold, which the policy excludes; limited coverage inapplicable. Court: No coverage — evidence shows continuous leak caused mold; exclusion applies.
Timeliness of notice Borovsky reasonably delayed reporting because he expected landlord to remedy; notice was timely under circumstances. Insured failed to provide prompt notice as required by policy; untimely notice supports denial. Court: Insurer permissibly relied on untimely-notice defense among others; plaintiff failed to create a factual dispute.
Breach of implied covenant/good faith Insurer acted in bad faith by denying claim and refusing settlement. Denial resulted from a legitimate, honest coverage dispute; not bad faith or aggravating conduct. Court: No bad faith — insurer had an honest disagreement; summary judgment for defendant.
Bad-faith refusal to settle (tort) Insurer refused to settle; plaintiff seeks tort damages. Elements mirror bad-faith covenant claim; insurer’s denial was in good faith. Court: Claim fails for same reasons as contractual bad-faith claim; summary judgment for defendant.

Key Cases Cited

  • Celotex Corp. v. Catrett, 477 U.S. 317 (summary judgment burden-shifting framework)
  • Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (standard for genuine issue of material fact)
  • Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574 (nonmoving party must produce specific facts)
  • Scott v. Harris, 550 U.S. 372 (view evidence in light most favorable to nonmovant)
  • Erie R.R. Co. v. Tompkins, 304 U.S. 64 (apply state substantive law in diversity cases)
  • Gaston County Dyeing Machine Co. v. Northfield Insurance Co., 351 N.C. 293 (insurance policy interpretation under N.C. law)
  • Bicycle Transit Authority, Inc. v. Bell, 314 N.C. 219 (implied covenant of good faith and fair dealing)
  • Lovell v. Nationwide Mutual Insurance Co., 108 N.C. App. 416 (bad faith requires more than honest disagreement)
  • Topsail Reef Homeowners Ass’n v. Zurich Specialties London, Ltd., [citation="11 F. App'x 225"] (insurer entitled to judgment where honest coverage disagreement exists)
Read the full case

Case Details

Case Name: Michael Borovsky Goldsmith LLC v. Jewelers Mut. Ins. Co.
Court Name: District Court, E.D. North Carolina
Date Published: Jan 9, 2019
Citation: 359 F. Supp. 3d 306
Docket Number: No. 5:17-CV-197-D
Court Abbreviation: E.D.N.C.