Pam Stapleton d/b/a Stapleton’s Bed & Breakfast (Stapleton) appeals the trial court’s order granting third-party defendant General Accident Insurance Company’s
“This Court applies a de novo standard of review to a grant of summary judgment, and the evidence must be viewed in the light most favorable to the nonmoving party.
Lau’s Corp. v. Haskins,
Stapleton does not challenge the validity of the policy’s suit limi
tation period, which, under Georgia law, is a binding condition precedent to her recovery. See, e.g.,
Appleby v. Merastar Ins. Co.,
[A]n insurer can be held to have waived a limitation period when its investigations, negotiations, or assurances up to and past the period of limitation led the insured to believe the limitation would not apply. Because OCGA § 33-24-40 permits an insurer to investigate claims without waiving such limitation, not all conduct by the insurer will lead to waiver. It is only where the insurer’s conduct reasonably leads the insured to believe that a strict compliance with the limitation provision would not be insisted upon. Where there is evidence of such conduct, the issue of waiver is a question of fact for a jury to decide.
(Citations and punctuation omitted.) Id. at 464. On the issue of waiver, the record reveals the following:
Stapleton immediately notified GAIC of the loss. After receiving notice of the loss, GAIC retained an independent adjuster to handle Stapleton’s claim. Within a week of the loss, the adjuster inspected the damaged premises, took photographs of the damaged structure and contents, and met with Restoration Company to coordinate repairs. The adjuster noticed a few small oriental rugs that had been damaged by water.
On August 29, 1994, the adjuster sent Stapleton a letter containing a $3,000 check in “advance against your personal contents claim.” The adjuster advised Stapleton that when she provided a documented, formal claim for her damaged or destroyed business property, further advances would be issued. The letter also noted that checks had been sent to pay for structural repairs. GAIC’s claims manager stated that a total of $62,602.51 was paid to cover Staple-ton’s documented structural damages. The manager explained that the personal property or “contents” claim was not paid because Stapleton failed to document her extensive list of items.
On September 13, 1994, the adjuster sent Stapleton a proof of loss form. He informed Stapleton that GAIC would not make any further advances “on business personal property until the content claim worksheets are received.” He explained that only when “this documentation is received by our office, we will quantify your loss and submit for General Accident’s review.” Stapleton lost the proof of loss form, and the adjuster sent her a second one with his letter of October 24, 1994. The adjuster advised Stapleton then that the information he had received on her contents claim, especially as it pertained to damaged oriental rugs, was “very incomplete.” The adjuster specifically requested information proving the ownership, value, and extent of damage to the rugs.
On November 16, 1994, Stapleton submitted a sworn proof of loss claiming almost
On December 16, 1994, the GAIC claims manager wrote Staple-ton, advising her that because the proof of loss was incomplete, GAIC “cannot complete the handling of your claim.” The adjuster wrote Stapleton on February 14, 1995, and again on April 26, 1995, requesting additional information and attempting to schedule a meeting. In the April 26, 1995 letter, the adjuster noted that Stapleton had canceled their previously scheduled meeting. He urged her to meet with him “face to face to settle your claim and answer any questions you may have about [the] requested documentation.” GAIC did not hear from Stapleton again until her lawyer contacted its claims manager by phone on June 6, 1995.
On June 8, 1995, Stapleton’s attorney wrote GAIC, promising that he would comply “with any requirements for properly perfecting any proof of claim under the policy which has not been properly submitted.” Also on June 8, 1995, the adjuster sent Stapleton’s attorney copies of the information and correspondence previously submitted by Stapleton.
On December 26, 1995, the adjuster wrote Stapleton’s attorney, stating that he had not received any further information or correspondence from them since June. Again, on January 17, 1996, the adjuster wrote Stapleton’s attorney stating that he hoped to “discuss the necessary documentation to bring this matter to a close.” However, no claim documentation was forthcoming. On July 4, 1996, GAIC’s suit limitation period expired; consequently, it closed its file on Stapleton’s claim on July 12, 1996. Shortly thereafter, Stapleton made a complaint to the Insurance Commissioner about GAIC’s handling of her claim. The commissioner investigated the complaint and responded, explaining that GAIC needed documentation to process the claim. The commissioner wrote: “I hoped [your attorney] might be able to assist you in successfully gathering then submitting documentation to the insurance company. I know that he made [an] effort to do so earlier in the year.”
In her deposition, Stapleton admitted that neither GAIC nor the adjuster told her not to file suit. In fact, it appears that the prospect of a lawsuit was never discussed. Stapleton testified that she could not recall whether GAIC specifically told her they were going to pay but it was her understanding that GAIC would settle with her because the adjuster always maintained that her claim “was being negotiated and that they kept wanting me to do different things and change different documents. . . .” She explained “it was just a matter of redoing a schedule of contents or whatnot. . . .” In an affidavit she filed in response to GAIC’s motion for summary judgment, Stapleton stated she did not file suit because the adjuster assured her that GAIC would pay all of her claim.
Given this evidence, we cannot agree with Stapleton that an issue of fact remains on whether GAIC waived its two-year contractual limitation period. The evidence shows only that GAIC continued to negotiate with Stapleton, waiting for documentation supporting her contents claim. “[M]erely negotiating for a possible settlement of a disputed claim which is unsuccessfully accomplished is not conduct designed to lull the claimant into a false sense of security and does not preclude an assertion of the contractual” suit limitation period.
Cambridge Mut. Fire Ins. Co. v. Okonkwo,
[t]o conclude that the policy limitations have been waived or estopped, there mustbe an affirmative promise or other act waiving the limitation [,] or an actual or constructive fraud leading the insured to believe the limitation [period] would be enlarged, or lulling him into the security of actually thinking [that] the claim would in fact be paid without suit.
Bowers v. Safeco Ins. Co. of America,
Judgment affirmed.
