Nоrman and Genevieve Broussard (“the Broussards”) lost their home during Hurricane Katrina. State Farm Fire and Casualty Co. (“State Farm”) rejected their homeowner’s insurance claim, and the Broussards sued to collect benefits under their policy. The case went to trial and, at the close of all the evidence, the district court granted Judgment as a Matter of Law (“JMOL”) in favor of the Broussards. The jury awarded the Broussards $2.5 million in punitive damages, which the district court remitted to $1 million. State Farm appeals. We reverse the grant of JMOL, vacate the award of punitive damages, and remand for a new trial.
I. FACTS AND PROCEEDINGS
The Broussards’ Biloxi home was completely destroyed during Hurricane Katrina, leaving only the foundation slab. The Broussards, who did not have flood insurance, brought a claim under their State Farm homeowners policy. The State Farm claims adjuster who inspected the site concluded that the “[ejvidence suggests [the] home was more damaged by
The Broussards’ homeowners policy contained two types of coverage. They had $90,524 in “named peril” coverage for their personal property, which covered losses caused by a list of perils, including windstorms. They had $120,698 in “open peril” coverage for their dwelling, which covered any “accidental direct loss” to their home. Both the personal property and the dwelling coverage excluded losses caused by water damage. Both coverages were also subject to an “Anti-Concurrent Cause” (“ACC”) clause, which stated:
We do not insure under any coverage for any loss which would not have occurred in the absence of one or more of the following excluded events. We do not insure for such loss regardless of: (a) the cause of the excluded event; or (b) other causes of the loss; or (c) whether other causes acted concurrently or in any sequence with the excluded event to produce the loss ....
It is undisputed that the Broussards’ personal property and dwelling were a total loss and that the value of their personal property and dwelling met or exceeded the policy limits.
After State Farm denied their claim, the Broussards filed suit against State Farm in Mississippi state court. The Broussards claimed breach of contract and bad faith on the part of State Farm and sought the policy limits of their coverage, extra-contractual damages, and punitive damages. State Farm removed the case to the Southern District of Mississippi. The case was tried before a jury in two phases, causation and damage. Following the close of the evidence in the causation phase of the trial, both sides made oral motions for JMOL. The district court granted JMOL in favor of the Broussards on both the personal property and dwelling claims. With regard to the personal property claim, the district court found that the parties had stipulated that the Broussards’ property was destroyed during Hurricane Katrina, that Hurricane Katrina was a “windstorm,” and that State Fаrm was liable under the “named peril” personal property coverage because “windstorm” was a named peril. With regard to the dwelling claim, the district court held that State Farm bore the burden of proving that the Broussards’ loss was caused by the excluded peril of flooding. The district court noted that State Farm’s expert admitted that he could not distinguish between the wind and water damage to the Broussards’ home with any reasonable degree of probability. In light of this admission, the district court found that “there was no sound evidence upon which the finder of fact could rationally determine that [State Farm] had met its burden of proof’ and entered JMOL for the Brous-sards.
During the damage phase of the trial, the district court gave the jury a punitive damage instruction. The jury awarded the Broussards $2.5 million in punitive damages, which the district court remitted to $1 million.
State Farm appeals the entry of JMOL on both the personal property and dwelling claims and seeks reversal or remittitur of the jury’s punitive damages award. State Farm also appeals the district court’s denial of its motion to strike the testimony of the Broussards’ expert, James Slider, a structural engineer who testified that “wind or a tornado” destroyed the Broussards’ home before the Katrina storm surge arrived. Finally, State Farm appeals the district court’s denial of its motion for change of venue.
II. DISCUSSION
The Broussards argue that their home was destroyed by “tornadie” winds before
A. Judgment as a Matter of Law
The standard of review for rulings on motions for JMOL is
de novo. Evans v. Ford Motor Co.,
only if “the facts and inferences point so strongly and overwhelmingly in favor of one party that the Court believes that reasonable men could not arrive at a contrary verdict .... On the other hand, if there is substantial evidence opposed to the motions, that is, evidence of such quality and weight that reasonable and fair-minded men in the exercise of impartial judgment might reach different conclusions, the motions should be denied .... ”
Brown v. Bryan County,
(1) Personal Property “Named Peril” Coverage
We reverse the district court’s grant of JMOL with regard to the Broussards’ “named peril” personal property coverage. The district court erred when it found that the destruction of the Broussards’ personal property by Hurricane Katrina was sufficient to establish the separate assertion that the property was destroyed by “windstorm,” a “named peril” under the Broussards’ personal property coverage.
Lunday v. Lititz Mutual Insurance Co.
considered damage sustained by a Mississippi home during Hurricane Camille and held that, under “named peril” coverage, “the burden of prоof was on the [insured] to prove that the damages sustained were covered by the peril insured against, that is, by direct action of the wind.”
(2) Dwelling “Open Peril” Coverage
We also reverse the district court’s grant of JMOL to the Broussards on their dwelling “open peril” coverage. The district court granted JMOL because it found that “there was no sound evidence upon which the finder of fact could rationally determine that [State Farm] had met its burden of proof’ to show that the Broussards’ home was destroyed by an excluded peril. “This Court reviews ... the determinations that the parties met their burdens [of proof] under the clearly erroneous standard.”
Stevens Shipping & Terminal Co. v. JAPAN RAINBOW II MV,
The district court’s conclusion that State Farm failed to meet its burden of proof under the dwelling coverage was clear error. State Farm’s experts introduced sufficient evidence to permit a reasonable jury to find in its favor. Two of State Farm’s experts, Kurt Gurley and Robert Dean, testified that the damage to the actual structure of the Broussards’ home came from the storm surge. Gurley stated that it was “75% likely” that wind caused a relatively small amount of damage to the Broussards’ roof before the storm surge arrived, but that Hurricane Katrina’s winds were not strong enough to cause structural dаmage to the home. Gurley also opined that, given the data available regarding the Broussards’ home, no other wind engineer could state more definitively whether there was wind damage or specify the extent of the damage more precisely.
State Farm’s evidence was more than sufficient to withstand a motion for JMOL. A rational jury could conclude, based on the testimony of State Farm’s experts, that the Broussards’ home and personal property were destroyed by water.
Wall v. Swilley,
B. Burdens of Proof
State Farm also argues that the district court erred in allocating the burdens of proof. “This Court reviews the allocation of the burden of proof
de novo
.... ”
Stevens Shipping,
“Under Mississippi law a plaintiff has the burden of proving a right to recover under the insurance policy sued on,” and this basic burden never shifts from the plaintiff.
Britt v. Travelers Ins. Co.,
The parties bear different burdens of proof under the personal property and dwelling coverages.
For [personal property] “named peril” coverage ... the plaintiff has the burden of proving that any losses were caused by a peril covered by the policy. Under [dwelling] “open peril” coverage ... the plaintiff still has the basic burden of proving his right to recover.However, under “open peril” coverage the insurer bears the burden of proving that a particular peril falls within a policy exclusion, and must plead and prove the appliсability of an exclusion as an affirmative defense.
Tuepker,
State Farm argues that under the dwelling coverage, once it advances evidence to establish its affirmative policy exclusion defenses, the burden shifts back to the Broussards to prove that there is an exclusion to the defenses or to segregate covered from non-covered damages. In support of its theory, State Farm points to Texas cases such as
Britt v. Cambridge Mutual Fire Insurance Co.,
which hold that “[o]nce an insurer has pled an exception to the insurance policy, the burden is on the insured to prove that the occurrence in question did not come within the exclusion of the policy.”
The Mississippi Supreme Court rejected a rule similar to State Farm’s “shifting back” theory in a Hurricane Camille slab case construing a “named peril” policy.
Lititz Mut. Ins. Co. v. Boatner,
In
Grace v. Lititz Mutual Insurance Co.,
another Hurricane Camille case, the Mississippi Supreme Court sustained a jury verdict for the insureds under a windstorm policy which excluded water damage.
Boatner and Grace involved “named peril” policies under which the insured was required to prove that his loss was caused by a specified peril as part оf his prima facie case. The Mississippi Supreme Court has not explicitly addressed the “shifting back” theory when considering an “open peril” policy. We think it unlikely, however, that the court would reject rules similar to State Farm’s “shifting back” theory when considering “named peril” policies and embrace them when considering an “open peril” policy under which the insurer must prove causation by an excluded peril as an affirmative defense.
In support of this view, we note that the rule that causation is a fact question for the jury applies equally to “open peril” and “named peril” policies. In
Byrne,
a Hurricane Camille case involving an “open peril” policy, the Mississippi Supreme Court held that a directed verdict was not proper where the plaintiff introduced some evidence that his house and personal property were damaged by wind prior to the arrival of flood waters from a nearby bayou.
In light of
Boatner, Grace,
and
Byrne,
we hold that State Farm’s “shifting-back” theory is not the rule in Mississippi.
Grace,
C. Punitive and Consequential Damages
We also reverse the district court’s decision to submit the punitive damages question to the jury. “In insurance contract cases, the trial court is responsible for reviewing all evidence before it in order to ascertain whether the jury should be permitted to decide the issues of punitive damages.”
Lewis v. Equity Nat’l Life Ins. Co.,
Under Mississippi law, insurers have a duty “to perform a prompt and adequate investigation and make a reasonable, good faith decision based on that investigation” and may be liable for punitive damages for denying a claim in bad faith.
Liberty Mut. Ins. Co. v. McKneely,
Section 11 — 1—65(l)(a) of the Mississippi Code Annotated states that “[p]unitive damages may not be awarded if the claimant does not prove by clear and convincing evidence that the defendant against whom punitive damages are sought acted with actual malice, gross negligence which evidences a willful, wanton or reckless disregard for the safety of others, or committed actual fraud.” Mississippi law does not pеrmit parties to recover punitive damages unless they first prove that they are entitled to compensatory damages. Miss.Code Ann. § 11 — 1—65(1)(b)—(c);
Sobley,
To recover punitive damages for bad faith denial of their insurance claim, the Broussards “must show that the insurer denied the claim (1) without an arguable or legitimate basis, either in fact or law, and (2) with malice or gross negligence in disregard of the insured’s rights.”
Wigginton,
We hold that State Farm had an arguable basis for denying the Broussards’ claim in October 2005 and that a punitive damages instruction is not warranted on this ground. The State Farm claims adjuster who recommended denying the Broussards’ claim examined the position of the home seaward of the debris line and the condition of trees on and around the Broussards’ property. The adjuster concluded that the damage to the trees was more consistent with flooding than with tornadic winds and stated that “[o]ur investigation shows that the insured location and surrounding neighborhood was damaged by a tidal surge and flood” and denied coverage on this ground. Athough the Broussards have pointed to some facts which suggest that wind destroyed their home prior to the arrival of the tidal surge, State Farm had an arguable basis for denying their claim based on the observations of its adjuster regarding the position of the debris line and the condition of trees on and surrounding the property.
Dunn v. State Farm Fire & Cas. Co.,
Athough it is a much closer question, we also hold that State Farm is not
Under the somewhat unusual circumstances of this case, however, punitive damages are not appropriate on this ground. The State Farm claim file reflects that the Broussards received a $2000 advance within ten days of Hurricane Katrina.
4
Counsel for State Farm stated at oral argument that it was State Farm’s position that this amount, combined with the Broussards’ two-percent deductible of about $2400, was adequate to cover the kind of minor roof damage discussed by Gurley. Without deciding whether this payment was in fact adequate, we hold that State Farm did not act with sufficient “maliсe or gross negligence” to merit punitive damages.
Wigginton,
Our inquiry does not end there. Mississippi courts have held that under certain limited circumstances, insureds may recover punitive damages even though the insurer had an arguable basis for denying their claim.
Lewis v. Equity Nat’l Life Ins. Co.,
The district court found that punitive damages were warranted in part because State Farm “continued to urge an interpretation of its anti-concurrent cause clause that would entitle it to collect premiums from policyholders for what amounts to nо coverage if even a small part of a loss was due to water.” State Farm argues on appeal that it did not rely on the ACC clause to deny coverage to the Broussards. Even if the district court is correct and the ACC clause played a role in State Farm’s treatment of the Broussards’ claim, this is not a basis for a punitive damages instruction. In
Leonard v. Nationwide Mutual Insurance Co.,
this Court held that an ACC clause similar to that relied upon by State Farm is valid and enforceable under Mississippi law.
(2) Negligent Claim Investigation
The district court found that State Farm “did not conduct a reasonably prompt investigation of all relevant facts before denying the [Broussards’] claim and, after conducting such an investigation, did not make a realistic evaluation of the claim.” To qualify for punitive damages for negligent claim investigation, “the level of negligence in conducting the investigation must be such that a proper investigation by the insurer would easily adduce evidence showing its dеfenses to be without merit.”
Sobley,
This is not a case in which further investigation has “easily adduee[d] evidence” showing that State Farm’s position lacks arguable merit. Even after extensive investigations by both parties, the question of whether the Broussards’ property was first destroyed by wind or water remains an extremely close one. See supra, Part 11(A). We hold that State Farm’s fall 2005 claim investigation did not breach the implied covenant of good faith and fair dealing, and that punitive damages are not appropriate on this ground. We reverse the district court’s decision to submit the question of punitive damages to the jury and vacate the jury’s award of punitive damages.
D. Motion to Exclude the Broussards’ Expert Witness James Slider
State Farm appeals the admission of testimony by James Slider, a civil engineer who testified as an expert on behalf of the Broussards. This Court “review[s] the district court’s determination of admissibility of expert evidence under
Daubert
for abuse of discretion.”
Knight v. Kirby Inland Marine Inc.,
E. Motion for Change of Venue
The district court denied State Farm’s change of venue motion. This panel reviews the district court’s venue rulings for abuse of discretion.
In re Volkswagen AG,
We hold that the district court did not abuse its discretion when it denied State Farm’s motion for change of venue, notwithstanding the intensive pretrial publicity concerning Hurricane Katrina-related insurance claims.
See id.
As this Court noted in
Mayola v. Alabama,
even the “broad and intensive public awareness” stemming from notorious events like “the battlefield execution of Vietnamese civilians by Lt. William Calley, Jr., and other soldiers, and the high level conspiracy to cover up the Watergate break-in,” was held not to have created a presumption of juror prejudice in either
Calley v. Callaway,
III. CONCLUSION
We REVERSE the judgment of the district court entering JMOL in favor of the Broussards. We REVERSE and VACATE the jury’s award of punitive damages. We AFFIRM the district court’s admission of testimony from the Brous-sards’ expert witness. We AFFIRM the district court’s denial of State Farm’s mo
Notes
. The claims in
Broussard
are different from the claims in
Tuepker.
The
Tuepker
plaintiffs challenged the enforceability of the ACC clause and the applicability of the water damage exclusion to a hurricane-created storm surge.
. The Broussards' policy also contained an ACC clause identical to the one considered in
Tuepker.
. The district court also found a basis for punitive damages in State Farm’s legal posi
. State Farm's claim file indicates that this money was advanced immediately after the storm by the Broussards’ insurance agent, who mistakenly thought that they had flood insurance.
. The district court also faulted State Farm for placing the Broussards "in a most difficult position during a time of extreme economic hardship.” Mississippi cases have recognized that insurance companies that use an insured's financial hardship to force an unjust settlement may deserve punitive damages.
See Andrew Jackson Life Ins. Co. v. Williams,
