Gallup v. Omaha Property and Cas. Ins. Co.

• Decision Date: 21 December 2005
• Docket Number: No. 04-31213.,04-31213.
• Citation: 434 F.3d 341
• Parties: C.W. GALLUP, also known as Bo Gallup, Susan Mock Gallup, Plaintiffs-Appellees, v. OMAHA PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant-Appellant.
• Court: U.S. Court of Appeals — Fifth Circuit

434 F.3d 341

C.W. GALLUP, also known as Bo Gallup, Susan Mock Gallup, Plaintiffs-Appellees, v. OMAHA PROPERTY AND CASUALTY INSURANCE COMPANY, Defendant-Appellant.

No. 04-31213.

United States Court of Appeals, Fifth Circuit.

December 21, 2005.

Deborah Cunningham Foshee, Jon Anthony Van Steenis (argued), Hemelt & Foshee, Covington, LA, for Plaintiffs-Appellees.

Gerald Joseph Nielsen (argued), William Truman Treas, Nielsen Law Firm, Metairie, LA, for Defendant-Appellant.

Sandra Wien Simon (argued), William Kanter, U.S. Dept. of Justice, Civ. Div., Washington, DC, for Amicus Curiae, U.S.

Appeal from the United States District Court for the Eastern District of Louisiana.

Before DAVIS, SMITH and DENNIS, Circuit Judges.

W. EUGENE DAVIS, Circuit Judge:

Omaha Property and Casualty Company, a Write Your Own insurer under the National Flood Insurance Program, appeals the district court's interlocutory order that the plaintiffs' state law tort claims against the insurer are not preempted by federal law pursuant to regulations promulgated by FEMA under authority of the National Flood Insurance Act of 1968. Based on this court's holding in Wright v. Allstate Ins. Co., 415 F.3d 384 (5th Cir.2005), we reverse.

I.

A.

The National Flood Insurance Program (the "NFIP") was established by the National Flood Insurance Act of 1968 (the "Act"), 42 U.S.C. § 4001, et seq. The Federal Emergency Management Agency ("FEMA"), an agency of the Department of Homeland Security, administers the NFIP. The NFIP has two components: (1) a flood insurance program, and (2) a unified national plan for flood management. 42 U.S.C. §§ 4001(b) and (c). Initially, the program operated primarily through a pool of private insurers under the supervision and with the financial support of the Department of Housing and Urban Development. In 1977, the Secretary of HUD made FEMA primarily responsible for its operation. 42 U.S.C. § 4071. FEMA by regulation promulgated the Standard Flood Insurance Policy ("SFIP") and provided for marketing and claims adjustment by private insurers operating as "Write Your Own" ("WYO") companies. These companies issue SFIPs in their own names, and arrange for the adjustment, settlement, payment and defense of all claims arising from the policies. FEMA regulations establish the terms of the SFIP, rate structures and premium costs. Claims are ultimately paid out of the U.S. Treasury. This new arrangement is referred to as Part "B" of the NFIP.

Section 4072 of the Act, allows suits against FEMA for claims on flood policies:

§ 4072. Adjustment and payment of claims; judicial review; limitations; jurisdiction

In the event the program is carried out as provided in section 1340 [42 USCS § 4071], the Director shall be authorized to adjust and make payment of any claims for proved and approved losses covered by flood insurance, and upon the disallowance by the Director of any such claim, or upon the refusal of the claimant to accept the amount allowed upon any such claim, the claimant, within one year after the date of mailing of notice of disallowance or partial disallowance by the Director, may institute an action against the Director on such claim in the United States district court for the district in which the insured property or the major part thereof shall have been situated, and original exclusive jurisdiction is hereby conferred upon such court to hear and determine such action without regard to the amount in controversy.

42 U.S.C. § 4072. Effective December 31, 2000, FEMA proposed an amendment to the SFIP, which added the following language to Article IX of the standard flood insurance policy:

IX. What Law Governs

This policy and all disputes arising from the handling of any claim under the policy are governed exclusively by the flood insurance regulations issued by FEMA, the National Flood Insurance Act of 1968, as amended (42 U.S.C. § 4001, et seq.), and Federal common law.

44 C.F.R. pt. 61, App. A(1), Art. IX (2001).

B.

The Gallups purchased a SFIP from defendant Omaha Property & Casualty Insurance Company ("Omaha") for their home and its contents in Covington, Louisiana in 2002 and 2003. Omaha provides flood insurance through the NFIP under FEMA, acting as a "Write Your Own" insurer.

On December 24, 2002, a flood occurred on the plaintiffs' property ("Flood I"). An architect and engineer consulted by the plaintiffs determined that the flood caused damage to the structure of the home. The plaintiffs filed a Proof of Loss with Omaha, claiming damages of $210,000.00 — the replacement value of their home ("Claim I"). Omaha's engineer inspected the home and recommended repairs to restore the structural integrity of the home but also stated that the home had not suffered any damage from the flood, other than soil loss from underneath the pilings. Omaha modified the claim, paying only the amount it would cost to replace the soil beneath the home, approximately $9,000.

In June 2003, another flood occurred related to Tropical Storm Bill ("Flood II"). Flood II severely damaged the Gallup home, causing part of the home to sag and completely undermining several footings supporting the piers that elevate the home. The plaintiffs filed another Proof of Loss with Omaha seeking approximately $209,000, the total replacement value of the home less the deductible ("Claim II"). Omaha denied the claim after its attempts to settle for a nominal sum were unsuccessful.

In December 2003, the plaintiffs filed suit against Omaha alleging (1) breach of contract on Claims I and II under federal common law, (2) breach of the duty of good faith and fair dealing under federal common law on Claims I and II, (3) bad faith breach of contract on Claims I and II under La. Civil Code Art. 1997, and (4) bad faith adjustment of Claim II under La.Rev.Stat. 22:1220.

In a Motion to Dismiss, Omaha argued that the plaintiffs' state law claims are preempted based on the December 2000 regulation which added an express preemption provision to the SFIP. The district court analyzed the motion as presenting the issue whether FEMA was authorized to issue the regulation in its grant of authority from Congress. The district court concluded that FEMA was not authorized by Congress to preempt the application of state laws to extra-contractual claims. It also found that preemption is inconsistent with the purposes of the Act. Accordingly, it denied the defendant's Motion to Dismiss the plaintiffs' state law claim under La. Civ.Code Art. 1997. It granted the Motion to Dismiss the plaintiffs' state law claims under La. R.S. 22: 1220 because those claims relate to the coverage of the policy, which is governed by federal law under 42 U.S.C. § 4072. It also granted the Motion to Dismiss the plaintiffs' federal common law claims for breach of good faith and fair dealing as inapplicable because these claims could be asserted under Civil Code article 1997. The district court certified its ruling for immediate appeal and Omaha appealed.¹

II.

The parties have presented the issue in this case as whether the National Flood Insurance Program authorizes FEMA to promulgate a regulation to preempt state law claims made against Write Your Own Insurance providers under the National Flood Insurance Program. This is understandable because, until this court's recent decision in Wright v. Allstate Ins. Co., 415 F.3d 384 (5th Cir.2005), courts (including this one) have interpreted our precedent as holding that the NFIP does not preempt state law tort claims. See Spence v. Omaha...