C.E.R. 1988, Inc. v. The Aetna Casualty and Surety CompanyC.E.R. 1988, Inc. v. The Aetna Casualty and Surety Company
Wе address in this appeal whether the National Flood Insurance Program (the “Program”) is sufficiently comprehensive to preempt a state tort suit arising from conduct related to the Program’s administration. We conclude that the overarching purpose of the Program-to provide affordable flood insurance in high-risk areas in order to reduce pressures on the federal fisc-would be compromised by state court interference. Thus the plaintiffs state law tort claims are preеmpted.
Factual and Procedural History
The Program is administered by the Federal Emergency Management Agency (“FEMA”) pursuant to the National Flood Insurance Act of 1968 (“NFIA”),
C.E.R. purchased a Policy from Aetna to cover Hamilton House, a property in St. Croix. In September 1995 the property was damaged by flooding during Hurricane Marilyn. C.E.R. received an insurance payment of $200,000 as a result of damage to Hamilton House. One year later, in September 1996, the facility again was damaged by flood waters, this time during Hurricane Hortense. C.E.R. filed a claim for $716,916, but the receipts it submitted in conjunction with the claim, documenting repairs made since Hurricane Marilyn, totaled under $20,000.
Given the disparity between the claim amount and the receipt totals, Aetna required C.E.R. to submit a “Comparison Estimate” detailing when the relevant damage occurred. The Comparison Estimate, prepared by an architect, reported new losses of $325,300.55 resulting from Hurricane Hortense. Nonetheless, Aet-na’s adjustment company refused to consider the еstimate and recommended payment in the amount of $25,177.61, minus a $750 deductible. C.E.R. refused the settlement, and Aetna closed its file on the claim, without payment, in March 1997.
In 1997 C.E.R. filed a seven-count complaint against Aetna, alleging contract and tort causes of action, in the United States District Court of the Virgin Islands. Aet-na subsequently hired a second adjustment
In January 2000, Aetna moved for summary judgment on these claims alleging, among other defenses, that C.E.R.’s territorial law tort claims are preempted by federal law. In April 2001, the District Court denied Aetna’s motion, holding that the tort claims were not preempted and that a genuine issue of material fact existed as to whether Aetna had acted in bad faith. Aetna filed a motion for reconsideration of the preemption issue. As an alternative request for relief, it asked the District Court to certify the question for interlocutory appeal in accordance with
Discussion
Our preemption analysis turns on congressional intent. We must determine whether the purposes of the Program will be jeopardized if disputes involving fеderal flood insurance policies are governed by state law.
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Because we have examined this issue in a previous case,
Van Holt v. Liberty Mutual Fire Insurance Co.,
I. Overview of the National Flood Insurance Program
Congress created the Program to provide standardized insurance coverage for flood damage at or below actuarial rates.
Gowland v. Aetna,
In its early years, the Program was administered under what is known as “Part A” of the NFIA. A pool of private insurance companies issued policies and shared the underwriting risk, with financial аssistance from the federal Government. As of January 1, 1978, however, the Government bears full responsibility for the Program pursuant to
Pursuant to
Our Court recently evaluated the NFIA in Van Holt. In light of the strong federal interests intertwined with the administration of the Program, we concluded that federal courts are the appropriate and exclusive arbiters of Policy-related disputes.
As noted,
Van Holt
is markedly similar to today’s case. The plaintiff in
Van Holt
filed successive claims with its WYO insurance provider, Liberty Mutual, for flood damage. Liberty Mutual concluded that the claims were fraudulent and refused to approve the damages claimed from the second flood. The Van Holts sued Liberty Mutual in the United States District Court for the District of New Jersey, alleging that it had committed state law torts. Our Court initially held that the District Court lacked subject matter jurisdiction over the state law claims. On rehearing, however, we reversed path, concluding that the District Court had jurisdiction.
After concluding that federal jurisdiction was proper, we affirmed in Van Holt the District Court’s award of summary judgment to Liberty Mutual on the merits. Id. at 168-69. Although the issue was briefed, we declined to decide whether the NFIA preempts state law claims related to an insurance contract. Id. at 169 n. 6.
That issue is back and squarely before us today. We must detеrmine whether the federal goals of uniform affordable flood insurance and reduced aggregate pressure on the federal Treasury, which informed our decision in Van Holt, counsel extension of our holding in that case to preclude interference with Policies not only by state courts, but also by state law. 5
II. Preemption
The reasoning of our decision in
Van Holt
compels the conclusion that state-law claims are preempted by the NFIA. The uniformity touted in that decision would be seriously jeopardized if state tort claims were permitted to proceed, even if those claims were resolved in federal court. We reasoned there that “Congress would want federal courts to adjudicate disputes over federal flood insurance policies for which the federal government would be responsible.”
Van Holt,
“ ‘Consideration under the Supremacy Clause starts with the basic assumption that Congress did not intend to displace state law.’ ”
Bldg. & Const. Trades Council of Metro. Dist. v. Assoc. Builders & Contractors of Mass./R.I., Inc.,
It is easy to glean that federal law expressly preempts state law when a statute or regulation contains explicit language to that effect.
Morales v. Trans World Airlines, Inc.,
While a stronger case, we decline also to rely on field preemption. This form of preemption exists if “federal law so thoroughly occupies a legislative field as to make reasonable the inference that Congress left no room for the States to supplement it.”
Cipollone v. Liggett Group, Inc.,
Conflict preemption, the final form, occurs “when [1] it is impossible to comply with both the state and the federal law, or [2] when the state law stands as an obstacle to the accomplishment and execution of the full purposes and objectives of Congress.”
Green,
Thus the first step in determining whether C.E.R.’s claims are preempted is to evaluate the statute and regulations for evidence of congressional intent. We begin by examining the first, narrower prong of conflict preemption: state law is preempted when it would be impossible simultaneously to comply with statе and federal law. In this context, we note that the standards used to analyze ordinary insurance claims differ from those applied to Policy claims. In the realm of private insurance, common law doctrines (such as “reasonable expectations,” “notice/prejudice,” and “substantial compliance”) govern the evaluation of claims. By contrast, a WYO insurer must strictly follow the claims processing standards set out by the federal Government.
The important consequence is that a WYO insurer may be unable to comply both with state law and with the federal guidelines that it is bound to follow. In these cases, state law is preempted. C.E.R. has not, however, alleged that Aet-na followed federal law in violation of a conflicting state law doctrine. On the contrary, it has argued that Aetna
failed
to comply with a federal requirement-specifically, the requirement that “the [cjompa-ny’s [c]laims [department verifies the correctness of the coverage interpretations and reasоnableness of the payments recommended by the adjusters.”
Accordingly, we rely instead on the second variation of conflict preemption: we conclude that the application of state tort law would impede Congress’s objectives. Indisputably a central purpose of the Program is to reduce fiscal pressure on federal flood relief efforts.
See, e.g., Till v. Unifirst Fed. Sav. & Loan Ass’n.,
Our understanding that expensive litigation will draw on federal funds is confirmed by FEMA’s regulations and policies interpreting and implementing the NFIA. Congress statutorily authorized FEMA to enter into “arrangements” with private in
This analysis is consistent with the decisions of other courts.
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But we can
Conclusion
We conclude that C.E.R.’s claims, based on territorial tort law, are incompatible with the objectives of the NFIA and therefore are preempted. We thus reverse the District Court’s denial of summary judgment to Aetna and remand to the Court to dismiss with prejudice C.E.R.’s tort claims.
Notes
. Our standard of review is plenary.
Van Holt v. Liberty Mut. Fire Ins. Co.,
. Because this decision is not specific to the Virgin Islands, we discuss the tensions between federal and state law rather than territorial law. Our analysis, of course, also extends to the latter.
. The insurance industry in the United States operates in interstate commerce. States may regulate the insurance industry only to the extent Congress permits.
.
. We note that the immediate effect of our decision is limited, as a relevant Policy provision has since been changed. FEMA National Flood Insurance Program, 65 Fed.Reg. 60,-758, 60,767 (Oct. 12, 2000) (codified at 44 C.F.R. pt. 61, app. A(l), art. IX). A new rеgulation, which took effect on December 31, 2000, amends an insured's Policy to include language providing that "all disputes arising from the handling of any claim under the policy are governed exclusively by the flood insurance regulations issued by FEMA, the National Flood Insurance Act of 1968, as amended (
. Arguably the Policy now contains such a provision. The amended provision reads: "This policy and all disputes arising from the handling of any claim under the policy are governed exclusively by the flood insurance regulаtions issued by FEMA, the National Flood Insurance Act of
1968,
as amended (
. In
West,
the Court deemed the plaintiffs case preempted on this basis. However,
West
"did not expressly address whether the NFIA preempts independent state law tort claims; it only ruled on the availability of a state-based remedy for what is directly justiciable under the NFIA, i.e., a breach of contract claim.”
Scherz,
. To be sure, the federal Governmеnt also has an interest in preventing fraud by its insurers. But because a WYO insurer profits by
paying '
a claim, the ordinary rationale for state tort law is largely inapplicable to the Program's context. WYO insurers act as ''fiduciaiy” or "fiscal" agents of the United States.
. Congress has authorized reimbursement for "cost[s] incurred in the adjustment and payment of any claims for losses.”
. Relying on these and similar provisions, C.E.R. argues that FEMA anticipated that WYO insurers would be sued under state law for actions arising from their administration of Policies. We reject C.E.R.'s approach because we see no reason why litigation based on improper claims-handling must mean state law litigation. In fact, the updated Policy set out at 44 C.F.R. pt. 61, app. A(l), indicates the contrary interpretation. In its current form, the Policy appears explicitly to preempt statе law tort suits, 44 C.F.R. pt. 61, app. A(l), art. IX (2002), but nonetheless contemplates that lawsuits against FEMA and WYO insurers may proceed. Article VIL R provides: “If you [sue us], you must start the suit within one year of the date of the written denial of all or part of the claim, and you must file the suit in the United States District Court of the district in which the insured property was located at the time of loss.” 44 C.F.R. pt. 61, app. A(2), art. VII(R). Moreover, 44 C.F.R. pt. 62, app. A, art. 111(D)(2) specifies that FEMA will reimburse a WYO company for “payments as a result of litigation [that arise] under the scope of this Arrangement.” In other words, we see no inconsistency in holding that FEMA envisioned that claimants could sue WYO insurers, but intended federal law to govern those disputes.
. This reasoning is bolstered by FEMA’s express statements to this Court in its
amicus
brief in
Van Holt.
While the
Van Holt amicus
brief was produced in conjunction with litigation rather than a rulemaking, the Supreme Court has deemed appellate briefs worthy of deference.
Geier v. Am. Honda Motor Co.,
.The vast majority of courts have found that the NFIA preempts state law.
Gibson v. Am. Bankers Ins. Co.,
. We' do not consider Aetna's argument that enforcement of a tort judgment against a WYO company would violate the Appropriations Clause of the United States Constitution, art. I, § 9, cl. 7, because it would burden a program enacted and funded by Congress. Courts ordinarily should not pass on constitutional questions when a decision may be reached on non-constitutional grounds.
Escambia County v. McMillan,
No similar exception applies to the Appropriations Clause, which-though it may entail analysis of a statute-is an unsettled area of constitutional law.
See, e.g., Maryland Dep’t of Human Res. v. United States Dep't of Agric.,