Court Opinion

ID: 4398174
Source: CourtListenerOpinion
Date Created: 2019-05-17 16:00:29.745119+00
Date Added: 2024-06-11T14:27:44.219437
License: Public Domain

FILED
                                                                     United States Court of Appeals
                      UNITED STATES COURT OF APPEALS                         Tenth Circuit

                            FOR THE TENTH CIRCUIT                            May 17, 2019
                        _________________________________
                                                                          Elisabeth A. Shumaker
                                                                              Clerk of Court
 LARRY W. THOMAS; JUDITH A.
 THOMAS,

       Plaintiffs - Appellants,

 v.                                                          No. 18-5049
                                                 (D.C. No. 4:16-CV-00017-TCK-JFJ)
 FARMERS INSURANCE COMPANY,                                  (N.D. Okla.)
 INC.,

       Defendant - Appellee.
                      _________________________________

                            ORDER AND JUDGMENT*
                        _________________________________

Before BRISCOE, BALDOCK, and CARSON, Circuit Judges.
                   _________________________________

      This is a diversity action brought pursuant to 28 U.S.C. § 1332(a)(1). Farmers

Insurance Company, a Kansas corporation, refused to pay for alleged earthquake

damage to a house owned by policyholders, and Oklahoma citizens, Larry and Judith

Thomas. The Thomases sued Farmers for breach of contract, bad faith, and punitive

damages under Oklahoma state law. After a five-day jury trial, the jury returned a

verdict for Farmers on Count I (breach of contract) and Count II (bad faith). Because

      *
         This order and judgment is not binding precedent, except under the doctrines
of law of the case, res judicata, and collateral estoppel. It may be cited, however, for
its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
the jury did not find bad faith, the district court did not instruct the jury on punitive

damages.

       On appeal, the Thomases assert that (1) the district court admitted irrelevant

and prejudicial evidence concerning an alternative theory of causation in violation of

Oklahoma law, (2) the district court erroneously instructed the jury, and (3) upon

remand, the district court should instruct the jury regarding punitive damages.

Exercising jurisdiction pursuant to 28 U.S.C. § 1291, we affirm.

                                      Background

       The Thomases have owned a home in Sand Springs, Oklahoma, for over thirty

years. On December 14, 2012, the Thomases’ homeowner’s insurance policy

provided by Farmers became effective. This insurance policy contained an

earthquake endorsement that protects the home against certain damage caused by

earthquakes. On November 12, 2014, a 4.9 magnitude earthquake (the “2014

Earthquake”) struck Conway Springs, Kansas. This is approximately 112 miles from

Sand Springs, Oklahoma. Two days later, Jodi Thomas noticed that the slab floor in

a utility closet was broken and had collapsed four inches. She suspected that the

2014 Earthquake caused the damage and reported the damage to her Farmers agent.

Farmers investigated the claim, and ultimately denied the claim for damages to the

home because “the damage was not caused by earthquake activity.” App. Vol. VI at

823. Farmers denied the claim a second time after the Thomases sent additional

documentation and engineering reports concerning the damage to their home because

                                             2
“[t]he damage [to the home] was determined to not be caused by an earthquake.”

App. Vol. III at 557.

      While Farmers twice told the Thomases that it denied coverage under the

insurance policy because the damage was not caused by earthquake activity, at trial

Farmers gave a different reason for its denial. At trial, Farmers argued for the first

time that an earlier earthquake in 2011 (the “2011 Earthquake”) caused the damage to

the Thomases’ home. The 2011 Earthquake was a 5.3 magnitude earthquake that

struck near Prague, Oklahoma, which is 55 miles from the Thomases’ home in Sand

Springs, Oklahoma.

      On appeal, the Thomases first argue that by changing its rationale for denying

the claim Farmers acted contrary to Oklahoma case law. See Buzzard v. Farmers Ins.

Co., 824 P.2d 1105, 1109 (Okla. 1991) (“The decisive question is whether the insurer

had a good faith belief, at the time its performance was requested, that it had

justifiable reason for withholding payment under the policy.” (internal quotation

marks and emphasis omitted)). Second, the Thomases argue the district court erred

in giving Jury Instruction Number 13 because the instruction “highlighted for the jury

the overly prejudicial evidence concerning the [2011 E]arthquake.” Aplt. Opening

Br. at 28. Finally, the Thomases assert that, if the case is reversed and remanded, the

jury should be instructed on punitive damages. For the reasons that follow, we find

the Thomases’ arguments unpersuasive.

                                           3
                                       Discussion

       Under Buzzard, a claim for bad faith in the insurance context turns on

“whether the insurer had a good faith belief, at the time its performance was

requested, that it had a justifiable reason for withholding payment under the policy.”
824 P.2d at 1109 (emphasis and internal quotation marks omitted). “To determine

the validity of the claim, the insurer must conduct an investigation reasonably

appropriate under the circumstances.” Id. Accordingly, “the focus of a bad-faith

claim” is “[t]he knowledge and belief of the insurer during the time period the claim

is being reviewed.” Id. In other words, Buzzard holds that under Oklahoma law an

insurance bad faith claim is premised on the actual reason the insurance company

gave when it denied the claim, not a post-denial rationalization. Therefore, evidence

that supports a post-denial rationalization, rather than the evidence that the insurance

company actually relied on when initially denying a claim, is inadmissible under

Buzzard.

       In this case, the record reflects that the 2011 Earthquake was never the reason

Farmers gave when it denied the Thomases’ claim. In fact, Farmers expressly stated

in both denial letters that the damage to the property was not caused by earthquake

activity at all. But the Thomases never objected at trial when Farmers presented its

new rationale for denying the claim. While the Thomases claim to have objected in

the trial court “as soon as it became evident at trial,” Aplt. Reply Br. at 7, the

portions of the record they cite—throughout both their opening brief and reply

brief—contain no objections to Farmers’ new theory. Since the Thomases failed to

                                            4
object in the district court, the argument is forfeited. See Avenue Capital Mgmt. II,

L.P. v. Schaden, 843 F.3d 876, 885–86 (10th Cir. 2016). And even if we were to

entertain the Buzzard challenge and review for plain error, it would still fail. The

Thomases fail to show prejudice to satisfy the third prong of plain error review. On

cross examination, the Thomases’ own expert conceded that, under a United States

Geological Survey earthquake scale, the surface impact of the 2014 Earthquake near

the Thomases’ home was II or III (“weak”) and the potential damage expected from a

level II or III earthquake under the scale is “none.” Aple. Supp. App. at 48.

      The Thomases also challenge Jury Instruction Number 13. They claim that the

instruction “was improper because it prompted the jury to draw undue attention to

exclusions in the policy.” Aplt. Opening Br. at 28. We review “a district court’s

decision to give a particular jury instruction for abuse of discretion” and “the district

court’s interpretation of state law de novo.” Frederick v. Swift Transp. Co., 616 F.3d
1074, 1079 (10th Cir. 2010) (internal quotation marks omitted). “In doing so, we

also consider the instructions as a whole de novo to determine whether they

accurately informed the jury of the governing law.” McInnis v. Fairfield Cmtys.,

Inc., 458 F.3d 1129, 1140–41 (10th Cir. 2006) (internal quotation marks omitted).

      “The essence of a bad-faith action is the insurer’s unreasonable, bad-faith

conduct, including the unjustified withholding of payment due under a policy.”

Newport v. USAA, 11 P.3d 190, 195 (Okla. 2000) (internal quotation marks omitted).

But “[t]he tort of bad faith does not foreclose the insurer’s right to deny a claim,

resist payment, or litigate any claim to which the insurer has a legitimate defense.”

                                            5
Id. (internal quotation marks omitted). And an insurer’s good faith belief that the

insurance policy excludes certain types of damage is a legitimate defense to its denial

of a claim. Baily v. Farmers Ins. Co., 137 P.3d 1260, 1264 (Okla. Civ. App. 2006).

Therefore, the district court was correct to instruct the jury regarding exclusion from

coverage. After all, if a policy exclusion applies, Farmers has a reasonable basis to

deny the claim.

       Jury Instruction Number 13 provides the following:

          LOSS OR DAMAGE CAUSED BY, RESULTING FROM, OR
            ARISING OUT OF AN EXCLUDED CAUSE OF LOSS

              Coverage under the policy is only available if the damages asserted
       were caused by an earthquake and not by any excluded causes.
              Accordingly, to succeed on their claims under the policy, the
       Plaintiffs must prove by the greater weight of the evidence that no
       excluded causes of loss directly or indirectly contributed to the damage
       asserted. If you find that the chain of causation includes any excluded
       causes, coverage does not apply.
              Thus, if you find that any loss or damage to the Plaintiffs’ property
       was:
            directly or indirectly caused by a cause of loss or damage that is
              excluded under the policy;
            arose out of a cause of loss or damage that is excluded under the
              policy; and/or
            resulted from a cause of loss or damage that is excluded under the
              policy;
              then you must find Plaintiffs’ loss or damage is not covered by the
       policy.
              This loss or damage is not covered by the policy regardless of
       whether the earthquake may have also aggravated or contributed
       concurrently or in any combination or sequence with that excluded cause
       of loss or damage to cause loss or damage to the Plaintiffs’ property.

App Vol I at 127–28. This instruction accurately states the applicable law, and

therefore the district court did not abuse its discretion in providing it to the jury.

                                             6
      Finally, the Thomases assert that the district court erred when it failed to

provide a punitive damages instruction and that should we reverse and remand for a

new trial, they are entitled to a punitive damages instruction. However, given that

the Thomases have not successfully challenged the jury verdict in this appeal, they

are not entitled to a new trial on remand. Moreover, the district court did not err

when it did not provide a punitive damages instruction. Under Oklahoma law, a jury

must find “by clear and convincing evidence” that an “insurer has recklessly

disregarded its duty to deal fairly and act in good faith with its insured” and award

“actual damages” before a punitive damages instruction is given to the jury “in a

separate proceeding.” Okla. Stat. tit. 23 § 9.1(B)(2). As there was no finding of bad

faith by the jury, the Thomases were not entitled to a punitive damages instruction.

                                      Conclusion

      The district court’s judgment is affirmed. We grant the motion to supplement

the appendix filed by the Thomases.

                                            Entered for the Court

                                            Mary Beck Briscoe
                                            Circuit Judge

                                           7