258 So. 3d 212
La. Ct. App.2018Background
- Plaintiffs Catherine and Emma Pecoraro owned a home damaged by Hurricane Isaac (Aug. 2012) and held a Citizens wind/hail policy.
- Plaintiffs invoked the policy appraisal clause after disagreement on the amount of loss; each party selected an appraiser and an umpire was selected when appraisers disagreed.
- The umpire’s written report (Aug. 20, 2014) set Replacement Cost Value (RCV) amounts for Coverages A and B and noted prior payments/deductible should apply; it expressly declined to state whether RCV or Actual Cash Value (ACV) is owed under the policy.
- Citizens deducted depreciation (i.e., paid ACV) and applied prior payments/deductible, paying less than the umpire’s RCV figure; Plaintiffs sued claiming they were owed the RCV difference ($10,088.12) and alleged bad faith penalties.
- At bench trial the stipulated disputed amount was $10,088.12 (difference between umpire’s RCV and Citizens’ ACV payment); the trial court awarded Plaintiffs that amount, finding policy ambiguity in favor of the insured.
- On appeal, the sole issue was contract interpretation: whether the policy required ACV (as stated on the declarations page) or allowed recovery of RCV based on the appraisal/ loss-settlement clauses. The appellate court reversed, holding the policy unambiguous and ACV controls.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether appraisal award fixes RCV payable despite declaration page stating "Valuations... at ACTUAL CASH VALUE" | Pecoraro: appraisal clause and loss-settlement language create ambiguity; construed for insured, so RCV difference is owed | Citizens: declarations page clearly limits recovery to ACV; policy must be read as a whole so ACV controls | Court held policy unambiguous; ACV governs and Citizens correctly paid ACV; judgment for plaintiff reversed |
Key Cases Cited
- Sher v. Lafayette Ins. Co., 988 So.2d 186 (La. 2008) (principles for interpreting insurance contracts)
- Power v. State Farm Fire & Casualty Co., 193 So.3d 471 (La. App. 5th Cir. 2016) (interpretation of insurance contract is a question of law reviewed de novo)
- PAF, Inc. v. Regions Bank, 150 So.3d 477 (La. App. 5th Cir. 2014) (contract interpretation principles)
- Grefer v. Travelers Ins. Co., 919 So.2d 758 (La. App. 5th Cir. 2005) (use of extrinsic evidence when policy ambiguous)
- Louisiana Ins. Guar. Ass'n v. Interstate Fire & Casualty Co., 630 So.2d 759 (La. 1994) (reasonable expectations and industry customs in construing ambiguity)
- LeBlanc v. Babin, 786 So.2d 850 (La. App. 5th Cir. 2001) (insurers may limit liability where contract language is clear)
- Doucet v. Huffine Roofing & Construction, 841 So.2d 916 (La. App. 5th Cir. 2003) (contract interpretation rules and construing policy as whole)
