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Chaiban v. State Farm Fire and Casualty Co.

United States District Court, E.D. Louisiana

December 5, 2014




Before the Court is Defendant's Motion for Summary Judgment (R. Doc. 15). For the following reasons, this Motion is GRANTED, and this case is DISMISSED WITH PREJUDICE.


Plaintiff Robbieah Chaiban holds a flood insurance policy issued by Defendant Federal Emergency Management Agency ("FEMA") on his Slidell, Louisiana property. On August 29, 2012, floods from Hurricane Issac damaged Plaintiff's property. On February 26, 2013, Plaintiff signed and submitted two Proofs of Loss ("POLs"), which Defendant paid in their entirety. Plaintiff alleges that he then notified Defendant regarding additional amounts he believed he was owed under the policy, but no additional payments were made. It is undisputed that Plaintiff failed to submit an additional POL to support his claim for supplemental damages.

Defendant moves for summary judgment on the grounds that Plaintiff's failure to submit a POL on the additional amounts he believes he is owed is fatal to his claim.


Summary judgment is appropriate "if the pleadings, depositions, answers to interrogatories, and admissions on file, together with affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law."[1] A genuine issue of fact exists only "if the evidence is such that a reasonable jury could return a verdict for the nonmoving party."[2]

In determining whether the movant is entitled to summary judgment, the Court views facts in the light most favorable to the non-movant and draws all reasonable inferences in his favor.[3] "If the moving party meets the initial burden of showing that there is no genuine issue of material fact, the burden shifts to the non-moving party to produce evidence or designate specific facts showing the existence of a genuine issue for trial."[4] Summary judgment is appropriate if the non-movant "fails to make a showing sufficient to establish the existence of an element essential to that party's case."[5] "In response to a properly supported motion for summary judgment, the non-movant must identify specific evidence in the record and articulate the manner in which that evidence supports that party's claim, and such evidence must be sufficient to sustain a finding in favor of the non-movant on all issues as to which the non-movant would bear the burden of proof at trial."[6] "We do not... in the absence of any proof, assume that the nonmoving party could or would prove the necessary facts."[7] Additionally, "[t]he mere argued existence of a factual dispute will not defeat an otherwise properly supported motion."[8]


Congress promulgated the National Flood Insurance Program ("NFIP") to provide insurance coverage at or below actuarial rates.[9] A policy issued under the NFIP is called a Standard Flood Insurance Policy ("SFIP").[10] As administrator of the NFIP, FEMA sets the terms and conditions of all SFIPs.[11] It is well-settled law that the conditions set forth in the NFIP must be strictly construed.[12] A plaintiff cannot file a lawsuit seeking federal benefits under the SFIP unless he has first complied with all of the policy requirements.[13] This includes a requirement that he submit a POL within 60 days of the loss, subject to any extensions that FEMA has approved.[14] "This is a strict requirement."[15]

In this case, it is undisputed that while Plaintiff submitted a POL for the initial payments he received, he did not submit a POL for the additional damages he subsequently requested from Defendant. In Richardson v. American Bankers Insurance Company of Florida, the Fifth Circuit held that "an insured's failure to provide a complete, sworn proof of loss statement, as required by the flood insurance policy, relieves the federal insurer's obligation to pay what otherwise might be a valid claim."[16] In that case, the defendant-insurer paid an initial sum to the plaintiff to compensate for the damage to his property caused by Hurricane Katrina.[17] Subsequently, the plaintiff requested an additional sum but failed to submit a sworn POL for that amount.[18] The court affirmed the district court's grant of the defendant's motion for summary judgment on the grounds that the plaintiff's failure to submit a supplemental POL precluded her claim.[19] The Fifth Circuit later favorably relied on Richardson in Marseilles Homeowners Condominium Association, Inc. v. Fidelity National Insurance Company, in which it dismissed the plaintiff's claim for its failure to submit a POL for the additional damages it requested.[20] In Kidd v. State Farm Fire & Casualty Company, the Fifth Circuit similarly held that the plaintiff could not recover additional payments when it failed to submit a sworn POL for damages in excess of the initial payment.

Plaintiff correctly argues that these cases are distinguishable because, unlike here, the plaintiffs in the aforementioned cases never submitted a POL at all. Here, Plaintiff submitted an initial POL but failed to submit a POL for the additional damages he requested. The Fifth Circuit has not directly addressed this issue, however, several other courts in this district have dealt with similar cases, and this Court finds their analyses persuasive.[21] Most notably, in Barnes v. Allstate Insurance Co., a division of this district court stated that "in Richardson and Marseilles [, ] it was not the categorical failure to submit any proof of loss that precluded suing, but the failure to submit a proof of loss for the amounts claimed in the lawsuit. "[22] Accordingly, the Barnes court held that the plaintiff's failure to submit a third POL precluded her from bringing suit for additional amounts she believed she was owed, despite the fact that she had previously filed two POLs, which had been paid in full.[23] In addition, in Howell-Douglas v. Fidelity National Indemnity Insurance Company, a court in this district held that "[i]f an insured seeks further funds beyond what his insurer has already disbursed under a SFIP, a Proof of Loss is required for the supplemental claim, just as it was for the original claim."[24] In each of the above cases, the plaintiff had submitted an initial POL but failed to submit a POL to support his claim for additional damages. A majority of sections of the Eastern District of Louisiana have held that an additional POL is required in order for a plaintiff to be successful in a suit for additional damages.[25] These decisions largely rely on the fact that strict adherence is required to all terms of the SFIP.[26] Accordingly, this Court likewise holds that Plaintiff is precluded from suing for additional payments under his flood insurance policy when he did not comply with the strict POL requirement.

In support of his claim, Plaintiff argues that Defendant "waived" the POL deadline for Plaintiff's initial claim and that the waiver likewise applies to the POL required for Plaintiff's later claim for additional damages. Plaintiff provides no proof of a supposed waiver, save the fact that Defendant accepted his initial POL well after the sixty-day period required by the SFIP. With respect to losses arising from Hurricane Isaac, however, FEMA extended the deadline for filing a POL to 240 days.[27] Thus, Hurriance Isaac claimants had until April 22, 2013 to submit a POL to FEMA.[28] Accordingly, this extension was not a waiver of the POL requirement as Plaintiff suggests but rather a courtesy extended to insureds affected by Hurricane Issac. Indeed, the memo in which FEMA extended the deadline for filing POLs related to Hurricane Issac damage expressly stated that "FEMA does not hereby waive any other provision of the SFIP, and all other terms and conditions of the SFIP remain in effect."[29] At no point did this extension purport to dispose of the requirement that an insured submit a POL prior to filing suit.

Lastly, Plaintiff argues that Defendant's Motion is premature because discovery has not yet taken place in this case. Under Federal Rule of Civil Procedure 56(d), this request can only be granted if the nonmoving party can show how additional discovery could defeat the summary judgment motion.[30] Plaintiff has failed to do this. It is undisputed that Plaintiff did not file a POL to support his claim for additional damages. As discussed above, this is a strict requirement under ...

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