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Hays v. State Farm Mutual Automobile Insurance

Citation: 67 F.3d 70Docket: No. 94-30558

Court: Court of Appeals for the Fifth Circuit; October 4, 1995; Federal Appellate Court

Narrative Opinion Summary

In this appellate case, the primary issue revolves around State Farm Mutual Automobile Insurance Company's refusal to pay a claim for a stolen vehicle, owned by Redwood Raevine Corporation and managed by Receiver William G. Hays, Jr. The case examines whether State Farm's actions were arbitrary and capricious under Louisiana Revised Statutes 22:658 and 22:1220, which govern the insurer's obligations to settle claims in good faith. Initially, the bankruptcy court sided with State Farm, finding their delay in payment reasonable due to ongoing investigations. However, upon appeal, the appellate court reversed this decision, determining that State Farm's reliance on a fraudulent bill of sale was unfounded and that they failed to act within their statutory duty. The appellate court remanded the case, directing the bankruptcy court to impose penalties and attorney's fees under section 22:658 and to assess damages under section 22:1220. The ruling underscores the insurer's duty to settle claims promptly when evidence contradicts their defense, emphasizing the penal nature of the statutes involved.

Legal Issues Addressed

Federal Rule of Civil Procedure 54(c) and Relief

Application: The appellate court dismissed State Farm's objection regarding the application of section 22:1220, stating that the court can grant appropriate relief regardless of the initial pleadings.

Reasoning: Under Federal Rule of Civil Procedure 54(c), the court is obligated to provide appropriate relief regardless of the specific legal theory initially pled, provided no prejudice to the adversary occurs.

Insurer's Duty to Settle Claims under Louisiana Revised Statutes

Application: The appellate court found that State Farm acted arbitrarily and capriciously by failing to settle the claim in a timely manner, despite clear evidence that the vehicle was stolen.

Reasoning: By August 1993, there was no reasonable basis for State Farm to contest that the vehicle had been stolen from the Receiver, who was the rightful possessor and had not approved any sale.

Penalty and Attorney Fees under Louisiana Revised Statutes 22:658

Application: The bankruptcy court is instructed to apply a 10% penalty and reasonable attorney's fees as State Farm failed to pay the claim after satisfactory proof of loss.

Reasoning: Section 22:658 imposes a penalty of ten percent of the amount due if an insurer fails to pay a claim within thirty days after satisfactory proof of loss and acts arbitrarily or without probable cause.

Requirements for Penalty Awards under Louisiana Revised Statutes 22:1220

Application: The appellate court remanded the case to determine whether the Receiver proved damages, which affects the penalty amount under section 22:1220.

Reasoning: The bankruptcy court must assess whether the Receiver has proven damages to determine the applicability of double-damages, with a $5,000 penalty as the maximum if no damages are shown.