Ronald and Phyllis Henderson (“the Hendersons”) appeal the district court’s summary judgment order dismissing their bad faith claim against Mutual Service Casualty Insurance Company (“MSC”). They also appeal the court’s denial of their motion for judgment as a matter of law on their breach of contract claim.
While we find no error with respect to the Hendersons’s “normal” bad faith claim, the district court erred in dismissing the Henderson’s “abnormal” bad faith claim. Thus, we reverse the district court’s summary judgment ruling on bad faith and remand for further proceedings. Furthermore, we affirm the district court’s denial of the Hendersons’ motion for judgment as a matter of law on their breach of contract claim. Even if there was error, it was harmless because the Hendersons eventually won a jury verdict on their breach of contract claim.
BACKGROUND
The Hendersons live in rural Alabama, on approximately forty acres of land. In 1998, the Hendersons made plans to enter into the poultry-farming business and began construction of two poultry houses in late 1998 or early 1999. On January 15, 1999, several of the Hendersons’ neighbors (the “Neighbors”), having discovered the Hendersons’ plans, brought suit in state court seeking equitable relief to prevent the Hendersons from constructing and operating the poultry-farming venture. The Neighbors alleged in their complaint that if the Hendersons operated a poultry farm, the Neighbors’ property would be subject to noxious odors, excessive noise, increased rodent and insect populations, and waste
In the meantime, the Hendersons finished construction of the poultry houses. The Hendersons took steps during the construction of the poultry houses to minimize the impact of the venture on their neighbors. The poultry houses were specially positioned, and the Hendersons planted and irrigated a line of trees along the property to reduce exposure. The Hendersons also state that their poultry operation was inspected by the Alabama Department of Environmental Management in March 1999, without adverse consequence, and they obtained a waste management plan for the venture from the Covington County Soil Conservation Office in May 1999. In August 1999, the Hendersons began operating the poultry farm, and they did not receive any further complaints from their neighbors until June 2000.
In April 2000, Chris Wilkes of the Pinck-ard Agency contacted Ronald Henderson to renew his farm insurance. At the time, the Hendersons had farm insurance with Fulcrum Insurance Company, and it was due to expire in May 2000. The Pinckard Agency is an independent insurance agency and initially purchased insurance for the Hendersons from Fulcrum. By April 2000, however, Pinckard had established a business relationship with Southern Select Insurance, which was a general agent for Keystate Agri-Business Insurance, which itself was a managing general agent for MSC.
After speaking with Mr. Henderson, Wilkes submitted a completed, but unsigned, MSC insurance application on behalf of the Hendersons to Southern Select, soliciting a quote for farm insurance. The application asked, “Has applicant or any member of the household ever been involved in litigation, whether or not covered by the insurance?” Wilkes checked “No.” Wilkes said that, at the time, he did not know that the Hendersons were involved in the lawsuit with their Neighbors, nor did Wilkes ask Mr. Henderson about prior lawsuits during his meeting with him. Mr. Henderson claims, however, that when Wilkes visited him, he told Wilkes that his neighbors had complained about the poultry farm venture and had signed a “petition” against him. Mr. Henderson also claims they discussed the measures he had taken to minimize any chance of injury to his neighbors. Wilkes only remembers generally being told that “the neighbors weren’t happy about the chicken house.”
After Wilkes sent the unsigned application to Southern Select, the Pinckard Agency received a quote for the farm insurance to be provided by MSC. After receiving the quote, Wilkes brought the application to Mr. Henderson for him to sign. On the same page as the question regarding whether the applicant had ever been involved in a lawsuit, the following appears:
I have read the above application, and I declare that to the best of my knowledge and belief, all the foregoing statements are true, and that these statements are offered as an inducement to the company to issue the policy for which I am applying.
Henderson signed the application. He says that he did not read the above quoted language. He also claims that the application was not filled out when he signed it. Mr. Henderson only remembers signing a document on the hood of his truck when Wilkes brought it to him. He believed that Wilkes was going to answer the questions for him on his behalf. Wilkes alleges instead that the document was complete when Mr. Henderson signed it.
Wilkes sent the signed application to Southern Select, and in August 2000, MSC
In June 2000, the Neighbors amended them complaint against the Hendersons to state claims for actual damages akin to those anticipated in their original complaint. The amended complaint did not, however, state a date upon which the alleged damages or the event causing the alleged damages occurred.
In September 2000, Mr. Henderson spoke with Chris Wilkes regarding whether the Neighbors’ suit was covered under the MSC policy. Wilkes wrote in a letter dated September 28, 2000, that the Neighbors’ suit originally filed in January 1999 was “outside of the [Hendersons’] policy period” and that “no policy ... was in force at that time.” Wilkes admittedly undertook no investigation of the claim other than comparing the date of the policy with the date the original anticipatory nuisance suit was filed.
On January 4, 2001, counsel for the Hendersons — unaware of the September 28, 2000 letter — wrote to the Pinckard Agency soliciting a response as to whether the MSC policy provided coverage. She enclosed a copy of the original and amended complaints from the Neighbors’ suit against the Hendersons. The Hendersons’ lawyer also faxed a copy of the letter to MSC. When no response followed, counsel for the Hendersons sent another letter to the Pinckard Agency on February 6, 2001, again faxing a copy of its letter to MSC.
In response, Steve Atwood, the Farm Department Manager at Keystate, wrote a letter to Greg Wilkes of the Pinckard Agency. In the letter, dated February 8, 2001, Atwood (1) stated that MSC had not received a formal notice of the claim, (2) referred Greg Wilkes to the pollution exclusion found in the Hendersons’ policy, and (3) requested a written explanation as to how the misstatement about prior litigation in the application came about. Atwood also stated that, in his opinion, if a claim were submitted on this suit, the policy would provide no coverage.
The Hendersons’ counsel responded in writing on February 22, 2001, stating the Hendersons’ objections and requesting that Keystate reconsider its denial of coverage and retain Alabama counsel to advise it of its duties under the policy. Keystate complied with the Hendersons’ request and submitted the case to outside counsel for review.
On April 19, 2001, Mimi Anderson, a claims administrator for Keystate, responded to the Hendersons’ request for reconsideration, stating that outside counsel confirmed their conclusion that coverage for the Neighbors’ case was not available to the Hendersons. Anderson’s letter based the denial of coverage on (1) the “known loss” rule, (2) the fact that the claims asserted by the Hendersons’ neighbors did not qualify as an “occurrence” under the policy, and (3) the misstatement about involvement in prior litigation in the application. The letter further stated that MSC did not rely on the pollution exclusion or the lack of formal notice of the claim in denying coverage, as was earlier indicated by Atwood in his February 8, 2001 letter. Anderson also informed the Hendersons that MSC would file a declaratory judgment action.
In April 2001, MSC filed suit in federal court against the Hendersons seeking (1) declaratory judgment that it had no duty to defend or pay any judgment against the Hendersons for their suit with the Neighbors, and (2) rescission of the policy.
1
The Hendersons asserted two counterclaims against MSC claiming breach of contract and bad faith. MSC filed a motion for
The case proceeded to trial. At trial, the Hendersons moved for judgment as a matter of law on their breach of contract claim. The court denied the motion. The jury returned a verdict in favor of the Hendersons and awarded them $10,800 in damages for their breach of contract claim.
The Hendersons appeal, alleging the district court erred by (1) granting MSC’s summary judgment motion with regard to the Hendersons’ claim of bad faith, and (2) denying their motion for a judgment as a matter of law at trial.
DISCUSSION
I. Standard of Review
We review the district court’s grant of summary judgment
de novo,
applying the same standards as the district court.
Nat’l Fire Ins. Co. of Hartford v. Fortune Constr.,
Motions for judgment as a matter
of
law are also subject to
de novo
review.
Ross v. Rhodes Furniture, Inc.,
II. Bad Faith
Under Alabama law, there are two methods by which a party can establish a bad faith refusal to pay an insurance claim.
Employees’ Benefit Assoc. v. Grissett,
A. “Normal” Bad Faith
A party alleging that an insurance company committed “normal” bad faith has the burden of proving: (1) a breach of the insurance contract; (2) an intentional refusal to pay the insured’s claim; (3) the absence of any reasonably legitimate or arguable reason for that refusal; and (4) the insurer’s actual knowledge of the absence of any legitimate or arguable reason.
Grissett,
While the jury returned a verdict in favor of the Hendersons on the breach of contract claim, we find that evidence was presented that would have allowed a reasonable jury to conclude that the Neighbors’ lawsuit was not covered by the MSC policy. The Hendersons’ MSC insurance policy states that MSC will cover any “property damage” caused by an “occurrence.” An “occurrence” is defined in the policy as an “accident ... that results
The Hendersons argue in the alternative that even if there was uncertainty as to whether there was an “occurrence” or an “accident,” MSC at least owed the Hendersons the duty to defend as a matter of law.
See Aetna Cas. & Surety Co. v. Dow Chem. Co.,
The district court did not err in denying the Hendersons’- “normal” bad faith claim. We now turn to consider the Hendersons’ “abnormal” bad faith claim.
B. ‘Abnormal” Bad Faith
Under Alabama law, “[i]n order to recover under a theory of an abnormal case of bad faith failure to investigate an insurance claim, the insured must show (1) that the insurer failed to properly investigate the claim or to subject the results of the investigation to a cognitive evaluation and review and (2) that the insurer breached the contract for insurance coverage with the insured when it refused to pay the insured’s claim.”
Simmons,
An insurer is liable for “abnormal” bad faith when it intentionally or recklessly fails to conduct an adequate investigation of the facts and submit those facts to a thorough review.
See Blackburn,
Like the district court, we assume that Chris Wilkes’ September 28, 2000 letter functions as MSC’s denial of coverage. 4 In this letter, Wilkes denied the Hendersons’ claim on the grounds that the Neighbors’ lawsuit was filed in January 1999, and thus, was outside of the policy period. Wilkes admittedly undertook no investigation of the claim other than comparing the effective date of coverage (May 15, 2000) with the date the original anticipatory nuisance suit was filed (January 15, 1999). 5
The deficiency in Wilkes’ investigation becomes apparent when we consider the evidence Wilkes based his decision upon. Wilkes was given two complaints — the original nuisance complaint that was filed on January 15, 1999, and the amended complaint that was filed on June 20, 2000. The copy of the amended complaint that Wilkes examined, however, did not have a date on it. Thus, it was unclear to Wilkes whether the damages alleged in the amended complaint occurred before or after May 15, 2000, the effective date of coverage of the Hendersons’ policy. Yet, despite this uncertainty, Wilkes conducted no further investigation. He did not call Mr. Henderson to ask him when the events alleged in the amended complaint occurred. He did not call the clerk of court to inquire when the amended complaint was filed. He did nothing but rely upon the date on the original complaint. Such an investigation is hardly one in which he fulfilled his duty to “marshal all of the pertinent facts with regard to [the] insured’s claim” before denying coverage.
Sockwell,
Reviewing the facts in a light most favorable to the Hendersons, MSC was not
(b) The February 2001 Letter
We next consider Atwood’s letter of February 8, 2001, as MSC’s denial of coverage. That letter, addressed to Greg Wilkes of the Pinckard Agency, (1) states that MSC has not received formal notice of the claim, (2) refers Greg Wilkes to the pollution exclusion found in the Hendersons’ policy, and (3) requests a written explanation as to how the misstatement about prior litigation in the application came about.
Viewing the evidence in a light most favorable to the Hendersons, there again are issues of material fact regarding whether this letter was a result of an adequate investigation and whether Atwood fulfilled his duty to “marshal all of the pertinent facts with regard to [the Hendersons’] claim.”
Sockwell,
(c) April 2001 Letter
We finally consider Mimi Anderson’s April 19, 2001 letter to the Hendersons’ attorney. In Anderson’s letter, MSC abandoned the two reasons given by Atwood for denying coverage. 6 Rather, Anderson based the denial of coverage on (1) the “known loss” rule, (2) the fact that the claims asserted by the Hendersons’ Neighbors did not qualify as an “occurrence” under the policy, and (3) the misstatement about involvement in prior litigation in the application. With regard to this letter, we agree with the district court that MSC properly investigated the Hendersons’ claim before denying coverage.
Prior to writing her letter, Anderson submitted the Hendersons’ claim to outside counsel for further investigation and review. She also reviewed all of the previously discussed information and correspondence. In particular, with regard to MSC’s denial based on the misstatement about prior litigation in the application, Anderson conducted a proper investigation. Anderson, unlike Atwood, was able to consider the Hendersons’ version of the facts regarding the misstatement in the application. The Hendersons’ version of the facts regarding the misstatement was in their lawyer’s letter of February 22, 2001, which Anderson was able to review. Anderson was under no further obligation to interview the Hendersons to again receive their version of the facts. We agree with the district court with regard to the
(d) Conclusion Regarding “Abnormal” Bad Faith Claim
In summary, we agree with the district court that there are questions of fact regarding which letter effectively denied coverage. If the factfinder finds that the September 2000 letter from Chris Wilkes denied the Hendersons coverage, then there is an issue of material fact regarding whether MSC committed “abnormal” bad faith. Likewise, if the factfinder finds that the February 2001 letter from Steve Atwood denied the Hendersons coverage, then there is also an issue of material fact regarding whether MSC committed “abnormal” bad faith. However, if the factfin-der finds that the April 2001 letter from Mimi Anderson denied the Hendersons coverage, and not the September 2000 letter or the February 2001 letter, then we agree with the district court that there is no issue of material fact regarding whether MSC is liable for “abnormal” bad faith.
III. Judgment as a Matter of Law
Finally, the Hendersons argue that the district court erred in denying their motion for judgment as a matter of law on their breach of contract claim at trial. However, if there was error, it was certainly harmless because the jury found in the Hendersons’ favor on their breach of contract claim. See Fed. R. Civ. P. 61. Thus, we affirm the district court’s denial of the Hendersons’ motion for judgment as a matter of law with regard to the breach of contract claim. 8
CONCLUSION
While the district court did not err with respect to the Hendersons’ “normal” bad faith claim, we find that the court erred in dismissing the Henderson’s “abnormal” bad faith claim. Furthermore, we find that because the Hendersons eventually won a jury verdict on their breach of contract claim, there is no need to disturb the district court’s denial of the Hendersons’ motion for judgment as a matter of law on their contract claim. Thus, we REVERSE the district court’s summary judgment rul
AFFIRMED in part, and REVERSED and REMANDED in part.
Notes
. The Neighbors are also named as defendants in the complaint.
. MSC urges us to follow the holding of
Weaver v. Allstate Ins. Co.,
For example, in 1998, the Alabama Supreme Court said that the absence of an arguable basis for denying the claim can be inferred if the insurer was reckless in its investigation:
The rule in "abnormal” cases dispensed with the predicate of [demonstrating entitlement to a directed verdict] on the contract claim if the insurer had recklessly or intentionally failed to properly investigate a claim to subject the results of its investigation to a cognitive evaluation. A defendant's knowledge or reckless disregard of the fact that it had no legitimate or reasonable basis for denying a claim may be inferred and imputed to an insurer when it has shown a reckless indifference to facts or proof submitted by the insured.
Grissett, Til So.2d at 976 (citations omitted).
In 1999, the Alabama Supreme Court again moved away from its holding in
Weaver
in deciding
Slade.
In
Slade,
the insurance company investigated how an insured's home was damaged. The company discovered evidence that it was damaged due to earth movement, which would have precluded coverage. Despite the fact that the insurer relied upon evidence providing an arguable basis for denying the claim, the Alabama Supreme Court held that the insurer committed bad faith.
See Slade,
We choose to follow the rationale of Grissett and Slade rather than Weaver, because Gris-sett and Slade are the more recent cases and therefore indicate that the Alabama Supreme Court has moved away from its reasoning in Weaver.
. The district court stated that "no matter which missive is considered to be 'the denial letter,' the court finds no evidence in this case of the intent to injure, dishonest purpose, self interest, or ill will required to sustain even an abnormal bad faith claim.” Indeed, the Alabama Supreme Court has stated that "proof of mere negligence or mistake is not sufficient to support a claim of bad faith; there must be a refusal to pay, coupled with a conscious intent to injure.”
Davis v. Cotton States Mut. Ins. Co.,
However, if we were to rely on the
Davis
Court's requirement of a "conscious intent to injure” in "abnormal” bad faith claims, we would ignore a slew of precedent, including cases coming after
Davis,
holding that an "abnormal” bad faith claim can be submitted to the juiy if "the insurer either intentionally or
recklessly
failed to properly investigate the claim.”
Thomas v. Principal Fin. Group,
. MSC argues that Wilkes, and the Pinckard agency in general, lacked authority to act on behalf of MSC. However, as the district court found, there are issues of material fact regarding whether Pinckard was a subagent of MSC. Reviewing the evidence in a light most favorable of the Hendersons, therefore, we assume for purposes of summary judgment that Chris Wilkes and the Pinckard Agency had authority to act on behalf of MSC.
. The district court implied that Wilkes also investigated the claim by speaking to Mr. Henderson about the suit. While Wilkes spoke to Mr. Henderson on the phone, the record shows that he only spoke to Mr. Henderson about his need for a written denial, not about the underlying facts of the claim. The following is an excerpt from Wilkes's deposition testimony regarding his phone conversation with Mr. Henderson:
A: I do remember the phone call — just remember him asking me to write him a letter.
Q: And just tell me everything ... you can recall about that conversation.
A: That’s pretty much it ...
Later, in Wilkes deposition testimony, he admits that all he did to investigate the claim was compare the date of the original complaint with the Hendersons’ policy period:
Q: What did you do to [determine the Hendersons' were not covered]?
A: I guess I looked at the date of the lawsuit and looked at the policy period.
Q: Anything else?
A: Uh-uh. (Negative response)
Thus, the only investigation Wilkes conducted was comparing the dates of the policy with the date of the original complaint. He admittedly did not call Mr. Henderson to investigate the merits of the claim.
. Anderson wrote, “MSC does not rely on the pollution exclusion as a basis for its conclusion that Mr. and Mrs. Henderson are not provided a defense ... nor does it rely on the lack of any formal notice of the claim.”
. Because one of the independent grounds on which Anderson denied the Hendersons' claim was properly investigated, we need not address whether the other two bases that Anderson gave were properly investigated. Even if we were to find that MSC may have recklessly investigated the Hendersons' claim with regard to the "known loss rule” defense and the no “occurrence” defense, we still would be compelled to find that Anderson’s denial was not in bad faith because she properly investigated the misstatement in the application.
. The Hendersons challenge the district court's denial of their motion for judgment as a matter of law on the contract claim, despite ultimately winning a jury verdict on that claim, because they believe they must do so to present a "normal” bad faith claim. They correctly point out that a "directed verdict on the contract claim” test must be met in order to submit a "normal” bad faith claim to the jury.
See Balmer,
This "directed verdict on the contract claim” test is not to be read as requiring, in every case and under all circumstances, that the tort claim be barred unless the trial court has literally granted plaintiff's motion for a directed verdict on the contract. Indeed the words "entitled to a directed verdict” so indicate.
Safeco Ins. Co. of Am. v. Sims,
