Suggs v. State Farm Fire & Casualty Co.Suggs v. State Farm Fire & Casualty Co.
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Dеfendants State Farm Fire and Casualty Company and State Farm General Insurance Company (collectively “State Farm”) appeal the denial of various post-trial motions following a judgment entered on a jury verdict awarding plaintiffs Jackie and Debra Suggs $176,530.01 in damages arising from State Farm’s denial of an insurance claim.
BACKGROUND
This case arises from the destruction by fire, оn September 17, 1982, of a mobile home in which the Suggs had been living and which was insured by State Farm. The Suggs had wanted to purchase the home from Jackie Suggs’ sister, Cynthia Hennington, but had been unable to obtain financing for the purchase. Accordingly, the Suggs agreed orally with Ms. Henning-ton to purchase the home and, in June, 1982 they became the co-obligors along with Ms. Hennington on a $13,500.00 note secured by the mobile home, with the understanding that the Suggs would refinance the home in early 1983 and pay Ms.
The fire occurred on September 17,1982. Jackie Suggs testified at trial that he had been the last person in the mobile home, having left ten to fifteen minutes before the fire. He informed those investigating the fire that he thought he had turned off all electrical appliances in the mobile home before the fire.
The Suggs presented a claim to State Farm for the loss of the mobile home and its contents, as wеll as for additional living expenses incurred because of the fire. State Farm paid $13,783.37 to the holder of the mortgage on the mobile home. It also paid the Suggs $1,086.62 for living expenses, but has refused to make any further payments.
After receipt of the Suggs’ claim, State Farm hired a private investigating firm to investigate the fire. In addition, the State Fire Marshall’s office investigated the fire. Both investigators concluded that the fire was intentionally set.
On September 9, 1983 Jackie and Debra Suggs filed a complaint in state court, subsequently removed to the United States District Court for the District of New Mexico, seeking payment of insurance benefits under their insurance contract with State Farm and alleging that State Farm had denied them benefits in bad faith. They sought the face amount of the policy with interest. They further alleged that State Farm had acted “willfully, with actual malice, wantonly and in bad faith,” thereby entitling them to $500,000 in compensatory damages and punitive damages of $20,000,-
At the conclusion of an eleven-day trial to a jury, the jury concluded that the Suggs were entitled to $26,530.01 for breach of the insurance contract and $150,000 in compensatory damages, based on its determination that State Farm had acted in bad faith. The jury declined to award any punitive damages. The district court denied State Farm’s post-trial motions for judgment n.o.v., for a new trial and for a remit titur.
State Farm appeals, alleging that the jury award of $176,530.01 was unsupported by the evidence. It also argues that the district court erred in excluding certain testimony and in denying its motions for dismissal as to the punitive damages claim, for a directed verdict and judgment n.o.v. on the bad faith issue and for a new trial. The Suggs appeal alleging that the district court erred in instructing the jury that it could only award punitive damages if it found, in addition to bad faith, that State Farm acted in a malicious, willful, wanton or reckless manner.
After the appeals in this case were filed, the district court awarded the Suggs $180,-631.64 in attorney’s fees pursuant to N.M. StatAnn. § 39-2-1, which permits an award of reasonable attorney’s fees and costs to an insured if a court determines that the insurer acted unreasonably in failing to pay a claim. State Farm appeals that award.
Jurisdiction is based on diversity of citizenship. New Mexico law governs.
DISCUSSION
I.
State Farm challenges the sufficiency of the evidence supporting the award of $26,-530.01 in contractual and $150,000 in compensatory damages. With regard to the $26,530.01 award for breach of contract, State Farm argues either that the award should be reversed in its entirety because the Suggs lacked any insurable interest in the mobile home and because the Suggs made material misrepresentations to State Farm or that it should be reduced. It thus challenges the denial of its motion for judgment n.o.v. or for a remittitur on the breach of contract claim. State Farm further argues that the trial court erred in refusing to find, as a matter of law, that State Farm had not acted in bad faith in denying the Suggs’ claim. It accordingly challenges the denial of its motion for judgment n.o.v. on the $150,000 jury award predicated on a finding of bad faith. Finally, State Farm challenges the denial of its motion for a new trial.
“In reviewing the grant or denial of a motion for judgment n.o.v., ‘we employ the same standard of review as does the trial court.’ ” Trujillo v. Goodman,
A. Breach of Contract
In an action by an insured for failure to pay under an insurance contract “damages recoverable under this theory are those damages contemplated by the parties at the time of making the contract.” State Farm, General Ins. Co. v. Clifton,
1. Insurable Interest
State Farm argues, without specific supporting authority, that the Suggs lacked an insurable interest in the mobile home because their purchase agreement was unenforceable since it was unwritten and therefore not in compliance with the Uniform Commercial Code provisions governing the transfer of mobile homes. We disagree. Under New Mexico law, “any person has an insurable interest in property, by the existence of which he will gain an advantage, or by the destruction of which he will suffer a loss, whether he has or has not any title in, or lien upon, or possession of the property itself.” Universal C.I.T. Corp. v. Foundation Reserve Ins. Co.,
In this case, the Suggs had been living in the home for at least six weeks prior to the fire. They were co-obligors on a note secured by the mobile home. Presumably, upon completion of all payments due under the note, or under the planned refinancing arrangement, the mobile homе would become theirs. It can hardly be said that they would not suffer a loss upon the de
2. Material Misrepresentations
The New Mexico courts have stated:
As a general proposition, rescission is allowed where there has been a misrepresentation of a material fact, the misrepresentation was made to be relied on, and has in fact been relied on.
Hendren v. Allstate Ins. Co.,
State Farm argues that the Suggs “made a material misrepresentation when, during their sworn statement, they represented they had entered into a written agreement for the purchase of the trailer before the fire.” State Farm’s Answer Brief and
3. Evidence Supporting Award
Even if the award of $26,530.01 should not be reversed in its entirety, State Farm argues it should be reduced. State Farm’s briefs in this appeal are not consistent on the precise amount by which that award should be reduced. In its Brief-in-Chief, it asserts that the maximum amount established by the evidence is $15,147.52. It reaches this figure by totalling $954.86 for the value due the Suggs for the mobile home itself, $8,509.28 for the value of lost personal property, and $83.38 for documented unreimbursed living expenses.
We hold that the district court must recalculate the damage award. Under the insurance policy the maximum amount permissible for loss of the mobile home itself was $23,000. But $13,783.37 was paid to the noteholder and accordingly cannot be awarded to the Suggs. Thus, the maximum amount the Suggs can recover for the home is $9,216.63. Both parties agree that the Suggs incurred additional living expenses of $5,683.38.
B. Bad Faith
In their complaint, thе Suggs alleged that State Farm acted in bad faith in denying their claim. The essence of State Farm’s defense is that it acted reasonably, and therefore not in bad faith. State Farms claims a reasonable basis for believing that the Suggs lacked an insurable interest in the mobile home, that they had made material misrepresentations to State Farm and that the fire was intentionally set by or on behalf of the Suggs.
We have already disposed of State Farm’s arguments on the insurable interest and material misrepresentation issues. However, we find State Farm’s argument that it had a reasonable basis for concluding that Jackie Suggs had intentionally burned the mobile home, and therefore did not refuse payment in bad faith, more persuasive.
Under New Mexico law, “there is an implied covenant of fair dealing which creates an obligation between the parties [to an insurance contract] to act in good faith.” Ambassador Ins. Co. v. St. Paul Fire & Marine Ins. Co.,
By bad faith we mean an absence of good faith by an insurer in its relations with its insured, [citation omitted]. What is good faith? We do not attempt to give a complete definition because of the variety of situations held to involve a question of good faith, [citations omitted]. We use the term “good faith” in this case to mean an insurer cannot be partial to its own interests, but must give its interests and the interests of its insured equal consideration.
To fulfill the duty of giving equal consideration to the interests of the insured and the insurer there must be a fair balancing of these interests.
Neither party cites any New Mexico decision on the question of bad faith in circumstances comparable to this case. Nonetheless, we believe that the only reasonable conclusion that the jury could have reached is that State Farm did not, in this case, act in bad faith. We therefore reverse the denial of State Farm’s motion for judgment n.o.v. with respect to the jury award of $150,300.
In this case, State Farm’s own investigators, as well as the State Fire Marshall, concluded that, based on the evidence gathered from investigations, the fire was intentionally set. At trial there was substantial conflicting evidence as to the causation of the fire and the propriety of the investigating techniques used by the various experts utilized by both parties. The Suggs do not seriously argue that at least some evidence existed which would suggest that Jackie Suggs had the opportunity and the motive to set the fire. The fact that the criminal arson charges against Suggs were ultimately dropped is immaterial and is not controlling in our review of the jury’s verdict in this case. See Rabon v. Great Southwest Fire Ins. Co.,
Given the set of facts before us with the controversy over the entitlement to the proceeds of the policy, an insurance company is justified in taking reasonable time and measures necessary to establish which party is entitled to the proceeds. The Company’s actions here were reasonable and proper under the circumstances.
C. Punitive Damages
The Suggs’ appeal alleges that the district court erroneously instructed the jury on the burden of proof for assessing punitive damages. The сlaimed error was in instructing that, after finding bad faith, the jury could only award punitive damages if it further found, by a preponderance of the evidence, that State Farm “acted maliciously, willfully, wantonly or with reckless disregard for Plaintiff’s rights.” Jury Instr. No. 6, R. Vol. I at 275. The Suggs argue that bad faith alone is sufficient to support an award of punitive damages and seek a new trial with proper instructions on that issue. The Suggs lodged no objection to the tendered instruction at trial.
D. Evidence Regarding Polygraph Examination
In preparation for his defense of the criminal arson charges brought against him, Suggs retained Mr. Melvin Miller, a private investigator and polygraph expert, to conduct a polygraph examination of Suggs. In the course of a standard pre-polygraph examination interview concerning the questions to be asked during the polygraph test, Suggs refused to answer certain questions concerning the fire.
Decisions of a trial court to admit or exclude evidence are within the sound discretion of that court, and, absent an abuse of discretion, will not be overturned on appeal. See United States v. Wright,
We agree with State Farm’s assertion that it was not trying to introduce the results of the polygraph test, only the fact that Suggs refused to answer certain questions in the pre-test interview. Thus, the compliance or non-compliance of the polygraph examination with the procedures governing such examinations is immaterial. But, viewing this contested item of еvidence in the context of the entire trial, we find no abuse of discretion in the decision not to admit it. The questions Suggs refused to answer related to whether he caused the fire. Because he evidently viewed those questions as including accidental causation of the fire he refused to answer. He did, however, answer other questions regarding whether he deliberately caused the fire and whether he intentionally distributed flammable products around the home, the method of arson allegedly used in this fire. Thus, viewed in context, we do not find his refusal to answer the particular questions so probative of any issue involved here as to outweigh any prejudice which may have resulted from the admission of that testimony.
E. Attorneys’ Fees
State Farm appeals the district court’s award of $180,631.64 in attorneys’ fees pursuant to
CONCLUSION
The decision of the district court denying State Farm’s motions for judgment n.o.v. and for a new trial is AFFIRMED with respect to the breach of contract claim. The decision of the district court denying
Notes
. Bxcept where the context otherwise indicates, references in this opinion to the Suggs include both Jackie and Debra Suggs.
. The conclusion that the fire was intentionally set was based upon evidence concerning the heat and rapidity at which the fire burned, the bum patterns of the fire, the points of origin of the fire and the existence of traces of acceler-ants (charcoal lighter fluid and diesel fuel) in the mobile home.
. State Farm argues it had substantial evidence that Suggs had both a motive and opportunity to set the fire. Jackie Suggs had lost his job about one month after agreeing to buy the mobile home and Debra Suggs was unemployed. The Suggs had outstanding debts at the time Jackie Suggs lost his job. While there was some conflicting testimony regarding the Suggs’ credit rating, State Farm presеnted evidence that at the time of the fire, the Suggs' monthly expenses exceeded their monthly income. Evidence of an insured's "unhealthy financial position" is a factor suggestive of motive to commit arson. See Jamaica Time Petroleum, Inc. v. Federal Ins. Co.,
. In their docketing statement, the Suggs alleged that the district court erred in denying the introduction of evidence concerning Suggs’ criminal prosecution for arson. The Suggs have not argued this issue in their briefs; we therefore need not address it. See Bledsoe v. Garcia,
. While there has been some uncertainty as to whether state or federal law provides the substantive standard for rеviewing the grant or denial of a judgment n.o.v. and a new trial in a diversity case, this circuit has stated that federal standards apply. See Whiteley v. OKC Corp.,
. New Mexico has now codified that basic definition. See
. The cases upon which State Farm relies do not persuade us to the contrary. In Fulwiler v. Traders & General Ins. Co.,
. Apparently, as State Farm later learned, the written agreement was entered into after the fire and pre-dated to indicate it was created before the Are.
. State Farm asserts that the Suggs, because they lacked an insurable interest, had a maximum of $954.86 actually invеsted in the mobile home. That figure reflects monthly payments on the home made by Suggs’ father or sister, assuming Suggs is liable therefore.
The Suggs’ evidence of lost personal property consisted of their Proof of Loss listing the value of items lost as $9,509.28, $1,000 of which the Suggs agreed at trial was not claimed. Suggs testified at trial that other lost items of value were not listed on the Proof of Loss, but he presented no details of those items. The Suggs presented receipts totalling $1,170 for room and hoard incurred between September 17 and October 31, 1982. Jackie Suggs testified at trial that he spent an additional $5,600 for living expenses after the fire, although he did not explain or document any details of those expenses. The parties stipulated that State Farm paid the Suggs $1,086.62 for living expenses.
. State Farm does, however, maintain its objection to any award for the value of the mobile home on the ground that the Suggs lacked any insurable interest therein.
. State Farm in its Brief-in-Chief suggests that $5,600 of the amount sought for additional living expenses was inadequately documented, but it appears to have conceded that issue in its Reply Brief. We therefore view State Farm as having waived its objection to that amount.
. State Farm concedes on appeal that it has not proved these defenses conclusively. Rather, it simply argues it presented evidence from which the jury could have reasonably concluded that the Suggs lacked an insurable interest, or made material misrepresentations or intentionally set the fire. Thus, no bad faith occurred.
. While the substance of the State Fire Marshall's report and conclusion was presented to the jury, all evidence relating to the criminal arson charges against Suggs was ruled inadmissible. Neither party appeals that evidentiary ruling. Thus, the jury’s conclusion that bad faith existed was reached without reference to the criminal arson charges. We accordingly review that jury verdict without reference to those charges.
. The relevant interchange was as follows:
Q Jackie, did you deliberately cause this fire?
A Nope.
Q You didn't set it?
A Nope.
Q You didn't put any diesel fuel in there or charcoal lighter or anything to cause the fire?
A No.
Q Fully admit that this fuel was all around the place?
A Yes.
Q And undеrneath? Things of this nature, but you did not scatter any type of propellant whatsoever as far as the trailer?
A Nope.
Q You did not burn or cause it to burn?
A Nope.
Q Okay. Regarding your trailer house fire September the 17th, did you set it on fire?
A This question is not supposed to be asked.
Q What do you mean?
A Well, me and Jeff [Suggs’ attorney] talked about it the other day. And I told Jeff I wouldn’t answer that question because that’s not what’s on trial here.
Q I though you was charged with burning your trailer?
A No. That’s, that’s — the only thing they’re going off on is all this God damn diesel and stuff in my trailer house and I told Jeff the other day and I'd — like I told him, I said, I told them right off start that I was scared, I left the God damn cooker on—
Q ... In that regard, then the way that you’re looking at it, is for whether you put diesel fuel in the trailer?
A That’s right.
Q Or any type of propellants?
A That’s right.
Q In the trailer or even under it for a purpose to burn it?
A That’s right. I told Jeff the other day, that I didn’t want that one asked because I've got a lot of doubt in my mind that I caused it.
Q ... Regarding your trailer house on Standpipe Road, did you distribute any type of petroleum product inside it?
A Okay.
Q How does that sound?
A Just great.
Defendant’s Ex. E at 30, 32-34, 36.
. According to Miller, the results of the polygraph were "inconclusive.” R.Supp. Vol. I at 43.
. In addition, State Farm had ample opportunity at trial to question Suggs on the causation of the fire and to ask the questions Suggs refused to answer in the polygraph examination.
. In so holding, we note that the Suggs have prevailed on their breach of contract claim and are entitled to benefits under the insurance policy. Nonetheless, State Farm’s refusal to pay based on its claim that Suggs had himself burned or cause the burning of the mobile home was not unreasonable, even if it ultimately was not persuasive before the jury.