Union Insurance Company v. Blakeney Palmer Co LLC
7:12-cv-04072
N.D. Ala.Dec 12, 2014Background
- Insurance dispute in N.D. Alabama involving Union Insurance and Blakeney Palmer Co. over tornado damage to University Village (Tuscaloosa) in 2011.
- Plaintiff paid initial claim of $877,682.09; defendant claimed repairs and later sought more damages.
- Defendant submitted a supplemental claim for $2,292,753.84, arguing initial repairs were only partial and more work was needed.
- Plaintiff investigated and found some repairs not performed and questioned the supplemental claim; filed a declaratory judgment to void the policy under Ala. Code § 27-14-28 for alleged fraud.
- Evidence includes initial and revised estimates by Blakeney Company, sworn proofs of loss, and communications about depreciation recoverable.
- The court denied both parties’ summary-judgment motions, finding genuine issues of material fact as to intent to deceive.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether misrepresentations in Proof of Loss were made with actual intent to deceive | Plaintiff contends misrepresentations were intentional and material | Defendant argues no proven intent to deceive | Genuine issues of material fact; summary judgment denied |
| Whether the overvaluation of $2,292,753.84 is so extravagant as to prove intent to deceive as a matter of law | Overvaluation shows intent to deceive | Overvaluation may be plausibly explained; not necessarily deceit | Not determined as a matter of law; jury must resolve issue of intent |
| Whether there is undisputed evidence that the supplemental claim relates to non-covered damages or unperformed prior repairs | Record shows non-covered damages and incomplete initial repairs | Explanations for supplemental claim plausible; coverage issues disputed | Genuine issues of material fact; cannot grant summary judgment on coverage/ fraud |
Key Cases Cited
- Murphy v. Droke, 668 So.2d 513 (Ala. 1995) (intent to deceive questions for the jury)
- Hartford Fire Ins. Co. v. Clark, 61 So.2d 19 (Ala. 1952) (overvaluation must be extreme to show intent to defraud)
- Ex parte State Farm and Casualty Co., 523 So.2d 119 (Ala. 1988) (public policy against fraud in insurance claims)
