598 F.Supp.3d 666
M.D. Tenn.2022Background
- On October 21, 2018 a fire totally damaged a commercial building owned by the Ransom Family Trust; Pinnacle Bank sued as successor trustee.
- The Property was insured under a policy with a contractual “Legal Action Against Us” clause requiring suit within two years “after the date on which the direct physical loss or damage occurred.”
- Insurer used consultant J.S. Held: an early RCV estimate was reduced; insurer paid an actual-cash-value sum in February 2019. Reinspection and reestimate produced a July 30, 2020 RCV of $625,808.04.
- Plaintiff’s general contractor (Smith) produced a January 2020 reconstruction bid exceeding $1.3 million; substantial disparity between Smith’s bid and insurer’s estimates prevented reconstruction.
- Insurer made a supplemental payment on March 25, 2021 of $206,757.94 based on the revised estimate; Plaintiff disputed sufficiency and filed suit September 10, 2021 (removed to federal court).
- Defendant moved to dismiss as time-barred under the two-year policy limitation measured from October 21, 2018. The court held Tennessee law runs the contractual limitation from accrual/denial (or end of any immunity period), treated the March 25, 2021 payment as a partial denial (accrual date), and denied the motion to dismiss as the suit was timely.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| When does the policy's 2-year contractual limitations period begin? | Runs from accrual/insurer denial (not date of loss) | Runs from the date of the physical loss (Oct. 21, 2018) | Runs from accrual/denial/immunity-period end under Tennessee law, not mechanically from date of loss |
| Did Plaintiff’s cause of action accrue before suit? If so, when? | No sworn proof of loss was requested/ filed; accrual occurred on March 25, 2021 when insurer made a supplemental (insufficient) payment = partial denial | Accrual effectively occurred at date of loss (or earlier than suit) so action is untimely | Court construed complaint as alleging no proof of loss filed/requested and treated the March 25, 2021 payment as a partial denial; accrual = March 25, 2021 |
| Was the Complaint time-barred under the policy? | Timely (suit filed Sept. 10, 2021; within two years of March 25, 2021) | Untimely (filed nearly 3 years after Oct. 21, 2018) | Complaint is timely; motion to dismiss denied |
Key Cases Cited
- Ashcroft v. Iqbal, 556 U.S. 662 (2009) (pleading standard—plausibility required)
- Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (2007) (pleading standard—no mere conclusory allegations)
- Phoenix Ins. Co. v. Fidelity & Deposit Co., 37 S.W.2d 119 (Tenn. 1931) (contractual limitation runs from accrual rather than date of loss)
- Hill v. Home Ins. Co., 125 S.W.2d 189 (Tenn. 1938) (limitations tied to accrual; insurer immunity periods)
- Certain Underwriters at Lloyd's of London v. Transcarriers, Inc., 107 S.W.3d 496 (Tenn. Ct. App. 2002) (contractual limitation runs from denial or expiration of immunity period)
- Brick Church Transmission, Inc. v. Southern Pilot Ins. Co., 140 S.W.3d 324 (Tenn. Ct. App. 2003) (discussing insurer settlement/immunity periods and proof-of-loss rules)
- Das v. State Farm Fire & Casualty Co., 713 S.W.2d 318 (Tenn. Ct. App. 1986) (when no proof of loss filed/ requested, accrual upon insurer denial)
- Quality Cleaning Prods. R.C., Inc. v. SCA Tissue N. Am., LLC, 794 F.3d 200 (1st Cir. 2015) (diversity actions apply state law to accrual of state-created causes of action)
- Wallace v. Kato, 549 U.S. 384 (2007) (accrual date principles—federal context clarified)
- Ragan v. Merchants Transfer & Warehouse Co., 337 U.S. 530 (1949) (state law governs accrual in diversity cases)
- Walker v. Armco Steel Corp., 446 U.S. 740 (1980) (statute of limitations policies and state law relevance)
