FOR PUBLICATION
ATTORNEYS FOR APPELLANTS: ATTORNEY FOR APPELLEES:
MORRIS L. KLAPPER ALAN A. BOUWKAMP
G.R. PARISH, JR.
Newton Becker Reichert
Klapper Isaac & Parish Indianapolis, Indiana
Indianapolis, Indiana
IN THE
COURT OF APPEALS OF INDIANA
DIRK A. MORRIS and )
LISA K. BOWMAN-MORRIS, )
)
Appellants-Plaintiffs, )
)
vs. ) No. 49A02-0402-CV-129
)
ECONOMY FIRE AND CASULTY COMPANY, )
ST. PAUL FIRE AND MARINE INSURANCE )
COMPANY and METROPOLITAN PROPERTY )
AND CASUALTY INSURANCE COMPANY, )
)
Appellees-Defendants. )
b. The values of the property had gone from the $15,000.00 listed on the
police record to $38,000.00 when the inventory was submitted by the Morrises.
c. [Dirk] represented to Economy that he was physically disabled.
d. Despite the fact that they were professional grade tools, [Dirk] claimed they were
not used for [a] business purpose.
e. Dirk [] had not provided any receipts or documentation regarding purchases for obtaining
these tools.
f. The Morris home was for sale, although the reason for the sale was
unknown.
(Appellants App. pp. 141-42, 147, 215, 218, 252).
On October 9, 2000, the Morrises advised Dan Jackson (Jackson), a representative of
Economy, that they sought counsel and that they would not communicate with Economy
until after they spoke with their attorney. Nonetheless, Economy proceeded with its
investigation, and subsequently determined that additional issues and questions needed to be addressed
in order to make a determination regarding the Morrises claim. Particularly, the
record reflects that Economy requested, among other things, the Morrises: (1) federal
and state income tax returns; (2) documentation of all income for all household
residents statements for accounts at any financial institution; (3) documentation of debts or
obligations of household residents; (4) copies of all financial statements or loan applications
provided by any household members; (5) all estimates, appraisals, receipts or canceled checks
reflecting the cost of repairing or replacing the personal property which was claimed
stolen; and (6) documentation of all materials used to prepare the Proof of
Loss submitted. Additionally, Economy determined that it needed to examine the Morrises,
separately, to aid their investigation.
Thus, Economy requested, through its attorney, the examinations under oath of the Morrises
in accordance with the policys express provisions and asked them to provide specific
documents, including financial records. Economy claimed that the purpose of this investigation
was to:
a. Determine whether the tools were used for business purposes and would, therefore, be
subject to limitations under the Policy.
b. To verify the facts of the claim.
c. To ascertain whether a subrogation claim would be possible against the owner of
the rental storage facility at which the tools were located.
d. Determine whether the Morrises had the financial capacity to obtain the more than
Thirty[-]Eight Thousand Dollars ($38,000.00) in tools and other personal items which they claimed
were stolen.
(Appellants App. pp. 195, 218-19, 246).
On October 31, 2000, Economy forwarded correspondence to the Morrises requesting their separate
examinations under oath and asked them to provide documentation necessary for Economy to
investigate and adjust the claim. On November 11, 2000, the Morrises, through
their attorney, wrote to Economy and requested the transcripts of the statements previously
given by the Morrises. The Morrises also advised Economy that the Proof
of Loss form sent by Economys claims adjuster was improper and asked for
an appropriate Proof of Loss form. The Morrises attorney did not advise
Economy whether his clients would submit to examinations under oath. On November
21, 2000, Economy, by counsel, advised that the Morrises would be provided a
copy of the transcript of any recorded statement taken in this matter upon
completion of their separate examinations under oath and receipt of the signed transcripts
of the same.
By letter dated November 29, 2000, counsel for the Morrises advised that examinations
under oath would not be conducted until they had a chance to review
the recorded statements. The Morrises counsel further threatened that, unless a copy
of the audiotape of the Morrises statements and an appropriate Proof of Loss
form were received within ten days from the date of his letter, he
would file suit on behalf of the Morrises. On December 27, 2000,
the Morrises submitted their Proof of Loss form claiming the Value of Loss
of the stolen items to be $38,038.28. (Appellants App. p. 147).
On January 12, 2001, the Morrises filed their Complaint in Tort for Failure
of Insurers to Deal in Good Faith. On March 13, 2001, Economy
filed its Defendants Answer, Affirmative Defenses, and Counterclaim for Declaratory Judgment. Economys
Counterclaim alleged, among other things, that the Morrises failure to submit to examinations
under oath and to provide requested financial documents and their act of filing
a lawsuit were in violation of the express terms of the policy.
On April 24, 2001, the Morrises filed their Plaintiffs Reply to Counterclaim by
Economy Fire and Casualty Company. On May 2, 2001, the Morrises filed
their Plaintiffs Motion for Leave to Amend their Complaint. The Amended Complaint
included a count against Economy alleging that Economy breached the insurance policy by
refusing to make any payment under it. On May 4, 2001, the
Morrises filed their Motion to Compel. On May 23, 2001, Economy filed
its Defendants Amended Answer and Affirmative Defense.
On June 16, 2001, Economy filed its Motion for Protective Order and Response
to Plaintiffs Motion to Compel. On this same date, Economy filed its
Memorandum in Support of Defendants Motion for Protective Order and Response to Plaintiffs
Motion to Compel. On July 6, 2001, Economy filed its Motion to
Compel Plaintiffs Discovery Reponses. On April 25, 2002, Economy filed its Defendants,
Economy Fire and Casualty Company, St. Paul Fire and Marine Insurance Company, and
Metropolitan Property and Casualty Insurance Companys Motion for Summary Judgment.
On May 3, 2002, the Morrises filed their Response to Defendants Motion to
Compel Production of Documents. On September 27, 2002, the Morrises filed their
Motion for Summary Judgment on Defendants Counterclaim for Declaratory Judgment. On October
25, 2002, Economy filed its Motion in Opposition to Motion for Summary Judgment
on Defendants Counterclaim for Declaratory Judgment.
On February 3, 2003, a hearing on the summary judgment motions was held.
After hearing evidence from both sides, the trial court took the matter
under advisement. On February 4, 2004, the trial court issued its Entry
of Judgment on Defendant, Economy Fire & Casualty Company, St. Paul Fire &
Marine Insurance Company, and Metropolitan Property and Casualty Insurance Companys Motion for Summary
Judgment. In its Order, the trial court stated, in pertinent part:
And the [c]ourt having examined said Motion, the Briefs, and evidence submitted by
the parties, having heard oral arguments, and being otherwise duly advised in the
premises, now finds the following:
1. This matter was submitted to the [c]ourt upon Motion of the Defendants, Economy
Fire and Casualty Company, St. Paul Fire and Marine Insurance Company and Metropolitan
Property and Casualty Insurance Company.
2. That upon proper notice, all parties appeared by counsel.
3. That oral arguments were heard and evidence submitted.
4. That there exists no genuine issue as to the following facts:
a. On April 16, 1997, Economy issued a homeowners policy of insurance to [the
Morrises], Policy No. HOO1322284.
b. The insurance policy sets forth the duties of the insured and requires the
insured to attach all bills, receipts and related documents that justify figures in
the inventory.
c. The insurance policy sets forth the duties of the insured and requires that
as often as the insurer reasonably requires, the insureds must show the damage
property; provide the insurer with records and documents requested and to submit to
examination under oath, while not in the presence of any other insured.
d. The insurance policy also provides that no action can be brought unless the
provisions have been complied with and the action is started within one year
after the date of loss.
e. [The Morrises] made claim contending on or about May 30, 2000, several items
of [the Morrises] personal property were stolen from a storage unit rented by
the [Morrises] in Cloverdale, Indiana.
f. [The Morrises] reported the theft to the Indiana State Police and claimed that
the dollar value of the property stolen from the rental unit was approximately
Fifteen Thousand Dollars ($15,000.00).
g. On October 31, 2000, Economy, by counsel, forwarded correspondence to [the Morrises] requesting
to conduct the [Morrises] separate examinations under oath and to provide documentation.
h. On November 29, 2000, counsel for the [Morrises] advised that examinations under oath
would not be conducted until counsel for the [Morrises] had a chance to
review the recorded statements.
i. On December 27, 2000, [the Morrises] submitted their Sworn Statement in Proof of
Loss claiming the value of the stolen items to be Thirty-Eight Thousand Thirty-Eight
Dollars and 28/100 ($38, 038.28).
j. On January 12, 2001, and without having submitted to examination under oath or
providing requested documents, [the Morrises] filed their Complaint in Tort for Failure of
Insurers to Deal in Good Faith.
k. [The Morrises] have failed to provide requested documentation and have never submitted to
examination under oath.
5. [Economy is] entitled to summary judgment on [the Morrises] Amended Complaint and [Economys]
Complaint for Declaratory Judgment.
(Appellants App. pp. 10-2). Thus, the trial court granted summary judgment in
Economys favor and against the Morrises, as to all counts, and their Complaint
for Declaratory Judgment.
The Morrises now appeal. Additional facts will be provided as necessary.
(Appellants App. p. 115). Thus, sufficiently cooperating with Economys investigation is a
condition precedent to the companys obligations under the contract. Although this
clause could prevent the Morrises from recovering from Economy, Economy has the burden
of proving three things. First, Economy must establish that the Morrises breached
the clause by intentionally and willfully failing to cooperate in providing the requested
documentation and submitting to examination. Smithers v. Mettert, 513 N.E.2d 660, 662
(Ind. Ct. App. 1987). Second, Economy must establish its good faith efforts
and diligence in obtaining the Morrises cooperation. Id. Third, Economy must
establish that the Morrises failure to cooperate prejudiced Economy in its investigation of
the claim. Id.
In the present case, the record does not support Economys claim that the
Morrises willfully and intentionally failed to adhere to the cooperation clause in the
policy. Specifically, the record reveals that the Morrises adhered to each request
that Economy made regarding documentation and proof of loss. It was only
after Economy continued to request documents that the Morrises believed were outside of
the scope of their claimed loss that the Morrises refused to provide Economy
with any further documentation. Rather, the Morrises took the position that they
would object to Economys demand for additional documentation and await the trial courts
ruling as to what documents they were required to produce. Particularly, the
record indicates that the Morrises filed formal objections to several of the requests
made by Economy, as they believed the demand was unfair, burdensome and oppressive,
and also constituted an invasion of the Morrises privacy. We cannot say
that the Morrises actions indicated a willful and intentional refusal to cooperate.
See Smithers, 513 N.E.2d at 662. Instead, the evidence indicates only the
Morrises objection to the requested documentation, and does not establish the Morrises refusal
to cooperate. Furthermore, Economy must also establish that, as a matter of
law, its request was reasonable. This Economy has failed to do.
Consequently, we find that a genuine issue of material fact exists regarding this
issue.
We further reject Economys claim it was prejudiced by the Morrises denial to
submit to separate examinations under oath. Rather, the record shows that the
Morrises informed Economy that they would submit to an examination under oath separately,
after their counsel received their prior recorded statement. The record reveals that
the Morrises prior recorded statement was taken by Economy before the Morrises obtained
trial counsel to assist them. The Morrises attorney explained to Economy that
those prior recorded statements were needed to aid in his representation of the
Morrises. He further reminded Economy that Dirk was permanently disabled and Lisa
was totally blind and suffered from severe fibromyalgia. Thus, the Morrises are
completely dependent upon one another, i.e., Lisa cannot read documents and must have
them read to her by Dirk. We find that it was unreasonable
and unfair practice for Economy to have the benefit of the transcripts and
tapes of the Morrises prior statement, while refusing to provide the same documents
to the Morrises counsel.
As mentioned above, when reviewing a summary judgment ruling, we construe the pleadings
and designated materials in a light most favorable to the non-movant, giving careful
scrutiny to ensure that the losing party is not improperly denied its day
in court. Gallant Ins. Co. v. Oswalt, 762 N.E.2d 1254, 1263 (Ind.
Ct. App. 2002). When viewed in the light most favorable to the
Morrises as the non-movant in the summary judgment claim, we find this dispute
over whether the Morrises willfully and intentionally failed to submit to separate examinations
under oath to be a genuine issue of material fact. We note
that Economys claim of prejudice that it was not able to properly
investigate the Morrises claim is tenuously supported at best. For instance,
the record reveals that the Morrises never refused to submit to a separate
examination under oath. Rather, the Morrises insisted that their counsel have access
to their prior recorded testimony before they were required to give their statements
to Economy.
Additionally, the record discloses that after Economy was ordered to provide the Morrises
counsel with transcripts of their prior recorded statements, the Morrises, by letter dated
March 4, 2002, invited Economys counsel to take their separate statements under oath.
However, the record is devoid of evidence that Economy accepted the Morrises
invitation; rather, it appears that Economy has not contacted the Morrises to schedule
their separate examinations. Therefore, we find that reasonable persons could differ as
to whether the Morrises alleged failure to cooperate so greatly prejudiced Economy as
to entitle it to summary judgment.
Accordingly, we find that Economys initial refusal to provide the Morrises with copies
of their previously recorded statements was unreasonable and justified the Morrises actions.
Further, Economy has not shown that it was prejudiced in its ability to
properly investigate the Morrises claim. See Smithers, 513 N.E.2d at 662; see
also Miller v. Dilts, 463 N.E.2d 257, 261 (Ind. 1984) (where our supreme
court held that an insurance company must show actual prejudice from an insureds
noncompliance with the policys cooperation clause before it can avoid liability under the
policy). As a result, we find that the trial courts award of
summary judgment to Economy on this issue was improper. See Jarboe v.
State, 625 N.E.2d 1294, 1295 (Ind. Ct. App. 1993).
Based upon all of the above, we find that Economy has not shown
that the Morrises willfully and intentionally refused to provide Economy with the necessary
documentation so that it could continue its investigation of the Morrises insurance claim.
See Smithers, 513 N.E.2d at 663. Further, we hold that a
genuine issue of material fact exists regarding the Morrises failure to submit to
separate examinations under oath as required by the insurance policy. Consequently, we
conclude that the trial courts award of summary judgment in favor of Economy
was not appropriate. T.R. 56(C).