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Harleysville Mutual Insurance Company v. Conner

United States District Court, E.D. Virginia, Norfolk Division
Sep 30, 2005
Civil Action No. 2:04cv93 (E.D. Va. Sep. 30, 2005)

Opinion

Civil Action No. 2:04cv93.

September 30, 2005


OPINION AND ORDER


Plaintiff Harleysville Mutual Insurance Company (Harleysville) declined to pay claims arising out of a fire and explosion at Oliver's Grocery in Suffolk, Virginia because the insurance policies covering the store had expired days before the fire. Defendant Ricky Conner, the owner of Oliver's Grocery, asserts,inter alia, that he is entitled to coverage under the "Mailbox Rule" because a friend placed the renewal premium payment in a private mailbox shortly before the end of the post-expiration grace period. The payment was never received.

This matter is now before the Court on the parties' cross-motions for summary judgment. For the reasons stated below, the Court GRANTS Harleysville's Motion for Summary Judgment (Docket No. 10) and DENIES Conner's Cross-Motion for Summary Judgment (Docket No 13).

I. Factual and Procedural History

Because the Court grants Harleysville's Motion for Summary Judgment, the Court will state the facts, and the inferences reasonably drawn from those facts, in the light most favorable to Conner, Virginia L. Mizell, and Steven Mizell, the nonmoving parties and defendants in the present case. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255 (1986); Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986);Smith v. Cont'l Cas. Co., 369 F.3d 412, 417 (4th Cir. 2004);Nguyen v. CNA Corp., 44 F.3d 234, 237 (4th Cir. 1995).

As stated above, Conner is the sole owner and operator of Oliver's Grocery, a convenience store, snack bar, and catering business located in Suffolk, Virginia. Harleysville insured Conner under a Commercial Auto Policy, a Commercial Package Policy with commercial property and general liability coverage, and a Workers Compensation Policy. The most recent policies issued to Conner were effective from November 30, 2002 through November 30, 2003.

Conner had purchased insurance from Harleysville for approximately 14 years through the J. Walter Hosier Son Insurance Agency (the "Hosier Agency"). The Hosier Agency's office is located approximately one mile from Oliver's Grocery.

In October 2003, Harleysville sent to the Hosier Agency an Insurance Renewal Package for Conner's three insurance policies. The Insurance Renewal Package contained a Premium Invoice and individual Renewal Certificates for each policy. The Premium Invoice specified a minimum payment of $2,838.00 to renew the three insurance polices for the November 30, 2003 through November 30, 2004 term. The Premium Invoice further specified that the premium payment must be received by Harleysville on or before November 30, 2003.

In past years, the Hosier Agency had paid the premium required by Harleysville and then billed Conner for the funds advanced. This arrangement is known as "agency billed." When the Hosier Agency received the 2003-04 invoices from Harleysville, however, it did not follow this procedure. The Hosier Agency instead treated Conner as a "direct billed" client, which means that Conner was responsible for paying Harleysville directly.

On November 12, 2003, Kent Spain, a licensed insurance agent and the owner of the Hosier Agency, mailed the Insurance Renewal Package to Conner at Oliver's Grocery. Although Conner received the Insurance Renewal Package mailed by Spain, he did not send any payment or otherwise respond either to Harleysville or to the Hosier Agency by the November 30, 2003 due date.

On December 8, 2003, Harleysville mailed to both Conner and the Hosier Agency a Notice of Policy Expiration for each of the three insurance policies. The expiration notices informed Conner that his coverage under the three policies expired on November 30, 2003 at 12:01 a.m. Eastern Standard Time and provided Conner with an extended due date of December 23, 2003 at 12:01 a.m. for payment of his premium. The expiration notices stated, in relevant part:

WE HAVE NOT RECEIVED YOUR PREMIUM PAYMENT. COVERAGE EXPIRED ON THE DATE STATED ABOVE. CONTINUOUS PROTECTION IS POSSIBLE IF PAST DUE AMOUNT IS RECEIVED BY THE COMPANY/AGENT BEFORE THE EXTENDED DUE DATE OF 12-23-03 12.01 AM STANDARD TIME[.]

The expiration notices further provided:

Please make your check or money order payable to HARLEYSVILLE INSURANCE and forward payment in the enclosed envelope to the PROCESSING CENTER AT 355 MAPLE AVENUE, HARLEYSVILLE, PA 19441. Include your policy number on the face of the check. MAIL IT TODAY TO KEEP YOUR VALUABLE PROTECTION IN FORCE. If your payment has already been forwarded, it will be acknowledged. THANK YOU FOR YOU PAYMENT!

Although Conner received an envelope from the Hosier Agency that contained the expiration notices, he did not open the envelope. (Conner Statement 65.) He kept the unopened envelope on his office desk at Oliver's Grocery and used it as a "scratch pad." (Conner Statement 65; Conner Dep. 28-31.)

At approximately 11:00 a.m. on Friday, December 19, 2003, a grease fire occurred in the cooking area of Oliver's Grocery, resulting in property damage to the business premises. Later that same day, at approximately 3:00 p.m., Conner spoke on the phone with Barbara Brandon, a licensed insurance agent employed by the Hosier Agency. Brandon served as the customer representative on Conner's account. Brandon informed Conner that the renewal premium for the three insurance policies was overdue and unpaid. Brandon urged Conner to pay his premium right away because it was due on December 23.

There is some discrepancy in the record as to whether this phone conversation occurred on December 19, 2003, the day of the fire, or on December 18, 2003, the day prior to the fire. Resolution of this discrepancy in the evidence is not relevant to the Court's determination of the pertinent issues in this case.

Although Brandon was aware that Conner could deliver his premium payment to the Hosier Agency in person, she did not suggest that Conner do so. At the time, Conner was in the midst of a divorce. The sister of Conner's estranged wife worked as an office manager at the Hosier Agency. Brandon thought that an "awkward" situation would arise if Conner came to the office and encountered his sister-in-law. (Brandon Dep. 26-27.)

After speaking with Brandon, Conner telephoned Bonnie S. Alford, who volunteered as Conner's bookkeeper for the grocery store. As part of her volunteer duties, Mrs. Alford handled Conner's business correspondence, paid his bills and insurance premiums, prepared his taxes, and performed other miscellaneous bookkeeping tasks. As of December 19, 2003, Mrs. Alford had been hospitalized for an extended period of time due to a serious illness. Mrs. Alford nevertheless maintained Conner's business records from the hospital.

Conner informed Mrs. Alford of his conversation with Brandon and instructed Mrs. Alford to write a check payable to the Hosier Agency for the premium amount. Conner further instructed Mrs. Alford to send the premium check directly to Harleysville. Mrs. Alford wrote the check and addressed an envelope per Conner's instructions. Mrs. Alford placed the check in the envelope and gave it to her husband, Donnie Alford, who was to deliver the check to Conner at the grocery store.

Donnie Alford arrived at Oliver's Grocery at approximately 4:00 p.m. on December 19. Conner was not available, but he had left the Harleysville payment invoice and the pre-addressed return envelope on his office desk for Donnie Alford to retrieve. The return envelope was addressed to Harleysville's Processing Center. Donnie Alford placed the premium check and invoice in the pre-addressed envelope, sealed the envelope, and affixed a stamp to the outside of the envelope. Donnie Alford then placed the envelope in a private mailbox located on the street curb in front of Oliver's Grocery. Before departing, he raised the "flag" on the mailbox to indicate that the mailbox contained mail that was ready for pick-up.

There is some discrepancy in the record whether Donnie Alford mailed the payment invoice and premium check in the pre-printed envelope provided by Harleysville or in the envelope that Mrs. Alford addressed to Harleysville while she was in the hospital. In any event, for purposes of deciding the cross-motions for summary judgment, the Court will presume that the premium check was placed in an envelope with appropriate postage and properly addressed to Harleysville's Processing Center.

Despite Donnie Alford's efforts, neither Harleysville nor the Hosier Agency ever received Conner's premium check. Indeed, the check has never been negotiated.

Conner likely was unavailable to meet with Donnie Alford because he was cleaning up the store after the morning fire. He was assisted in this effort by defendants Virginia L. Mizell and Steven Mizell. At approximately 5:00 p.m. that same day, a propane gas tank exploded, further damaging the premises. Conner and the Mizells were injured by the explosion.

Conner presented claims to Harleysville for damage to the grocery store premises and for the interruption of business that resulted from the grease fire and explosion. Conner also notified Harleysville that the Mizells intended to assert personal injury claims against him. He tendered the defense of these claims to Harleysville and demanded that Harleysville indemnify him. Harleysville declined to provide coverage, asserting that Conner's three policies had not been renewed for the 2003-04 term.

Harleysville filed the present action in this Court seeking, among other things, a declaration that the three insurance policies issued to Conner were not in force and effect at the time of the fire and explosion and that Harleysville does not have a duty either to defend or to indemnify Conner pursuant to those policies. (Docket No. 1.) Conner filed a counterclaim asking this Court, among other things, to declare that the insurance policies were in force at the time of the fire and explosion and that Harleysville must provide coverage. (Docket No. 4.)

II. Principles of Summary Judgment

The standards courts apply in their consideration of motions for summary judgment are well-established. Summary judgment is appropriate only when "the pleadings, depositions, answers to interrogatories, and admissions on file, together with the 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." Fed.R.Civ.P. 56(c); see also Hunt v. Cromartie, 526 U.S. 541, 549 (1999); Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247 (1986); Seabulk Offshore, Ltd. v. Am. Home Assurance Co., 377 F.3d 408, 418 (4th Cir. 2004); Walton v. Greenbrier Ford, Inc., 370 F.3d 446, 449 (4th Cir. 2004).

An otherwise proper summary judgment motion will not be defeated by a mere factual dispute between the parties unless the dispute concerns a "genuine issue of material fact." Anderson, 477 U.S. at 247-48; Bouchat v. Baltimore Ravens Football Club, Inc., 346 F.3d 514, 519 (4th Cir. 2003). A "material fact" is a fact that might affect the outcome of a party's case. See Anderson, 477 U.S. at 248; JKC Holding Co. v. Wash. Sports Ventures, Inc., 264 F.3d 459, 465 (4th Cir. 2001); Commerce Funding Corp. v. Worldwide Sec. Servs. Corp., 249 F.3d 204, 209 (4th Cir. 2001). Whether a fact is considered to be "material" is determined by the substantive law, and "[o]nly disputes over facts that might affect the outcome of the suit under the governing law will properly preclude the entry of summary judgment." Anderson, 477 U.S. at 248; see also Hooven-Lewis v. Caldera, 249 F.3d 259, 265 (4th Cir. 2001). A "genuine" issue concerning a "material" fact arises when the evidence is sufficient to allow a reasonable jury to return a verdict in the nonmoving party's favor. Anderson, 477 U.S. at 248; Commerce Funding Corp., 249 F.3d at 209-10; Brinkley v. Harbour Recreation Club, 180 F.3d 598, 614 (4th Cir. 1999).

Summary judgment shall be granted if the nonmoving party "fails to make a showing sufficient to establish the existence of an element essential to that party's case, and on which that party will bear the burden of proof at trial." Celotex Corp., 477 U.S. at 322; see also Hooven-Lewis, 249 F.3d at 265;Johnson v. Pearson, 316 F. Supp. 2d 307, 313 (E.D. Va. 2004). The moving party has the initial burden to show the absence of an essential element of the nonmoving party's case and to demonstrate that the moving party is entitled to judgment as a matter of law. Honor v. Booz-Allen Hamilton, Inc., 383 F.3d 180, 185 (4th Cir. 2004); McLean v. Patten Cmtys., Inc., 332 F.3d 714, 718 (4th Cir. 2003); see Celotex Corp., 477 U.S. at 322-25. When the moving party has met its burden to show that the evidence is insufficient to support the nonmoving party's case, the burden then shifts to the nonmoving party to present specific facts demonstrating that there is a genuine issue for trial.Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586-87 (1986); Honor, 383 F.3d at 185; McLean, 332 F.3d at 718-19.

In meeting this burden, the nonmoving party must "go beyond the pleadings" and present affidavits or designate specific facts in depositions, answers to interrogatories, and admissions on file to establish a genuine issue of material fact. Celotex Corp., 477 U.S. at 324; see also MM Med. Supplies Serv., Inc. v. Pleasant Valley Hosp., Inc., 981 F.2d 160, 163 (4th Cir. 1993); Parker v. Westat, Inc., 301 F. Supp. 2d 537, 540 (E.D. Va. 2004). However, the nonmoving party must rely on more than conclusory allegations, "mere speculation," the "building of one inference upon another," the "mere existence of a scintilla of evidence," or the appearance of "some metaphysical doubt" concerning a material fact. See Anderson, 477 U.S. at 252; Matsushita, 475 U.S. at 586; Thompson v. Potomac Elec. Power Co., 312 F.3d 645, 649 (4th Cir. 2002); Stone v. Liberty Mut. Ins. Co., 105 F.3d 188, 191 (4th Cir. 1997); Tao of Sys. Integration, Inc. v. Analytical Servs. Materials, Inc., 330 F. Supp. 2d 668, 671 (E.D. Va. 2004). The evidence presented must be such that a reasonable jury could find in favor of the nonmoving party. Anderson, 477 U.S. at 252; Retail Servs. Inc. v. Freebies Publ'g, 364 F.3d 535, 542 (4th Cir. 2004); Tao of Sys. Integration, Inc., 330 F. Supp. 2d at 671.

Summary judgment is not a "disfavored procedural shortcut."Celotex Corp., 477 U.S. at 327; Sibley v. Lutheran Hosp. of Md., Inc., 871 F.2d 479, 483 n. 9 (4th Cir. 1989); Brown v. Mitchell, 327 F. Supp. 2d 615, 628 (E.D. Va. 2004). Rather, the summary judgment procedure is properly regarded as an "integral part" of the Federal Rules of Civil Procedure, which are designed to obtain a just, expeditious, and inexpensive resolution of every civil matter. Celotex Corp., 477 U.S. at 327; Sibley, 871 F.2d at 483 n. 9; Graham v. Pactiv Corp. Benefits Comm., 301 F. Supp. 2d 483, 491-92 (E.D. Va. 2004).

III. Analysis

A. Mailbox Rule

Harleysville argues that the three expiration notices clearly and unambiguously provide that Harleysville had to receive Conner's premium payment no later than 12:01 a.m. on December 23, 2003 in order for the policies to remain in effect. Conner, by contrast, asserts that Harleysville's expiration notices are ambiguous. Although the expiration notices specified a specific date by which payment must be received, the exhortation, "MAIL IT TODAY TO KEEP YOUR VALUABLE PROTECTION IN FORCE," indicated to Conner that he was only required to place the premium payment in the mail to renew the policies and maintain his coverage. Because ambiguities in an insurance policy are construed against the insurer, Conner asserts that the "Mailbox Rule" applies and mandates a finding that he timely renewed the insurance policies on December 19, 2003 when Donnie Alford placed the premium check in the mail.

If a term in an insurance policy is ambiguous, the Court must construe that term in favor of coverage. Gov't Employees Ins. Co. v. Moore, 266 Va. 155, 165-66, 580 S.E.2d 823, 828-29 (2003); Va. Farm Bureau Mut. Ins. Co. v. Gile, 259 Va. 164, 169, 524 S.E.2d 642, 645 (2000) (Keenan, J.); S.F. (Jane Doe) v. W. Am. Ins. Co., 250 Va. 461, 464, 463 S.E.2d 450, 452 (1995);see Seabulk Offshore, Ltd., 377 F.3d at 419.

Under Virginia law, an insurance policy is a contract and its terms are to be construed according to the general principles of contract law. Dairyland Ins. Co. v. Douthat, 248 Va. 627, 630, 449 S.E.2d 799, 801 (1994) (Keenan, J.); Allstate Ins. Co. v. Eaton, 248 Va. 426, 431, 448 S.E.2d 652, 655 (1994) (Keenan, J.). It is thus essential to the creation of an insurance contract that there be an offer or proposal by one party and an express or implied acceptance by the other party.Aetna Cas. Sur. Co. v. Harris, 218 Va. 571, 575, 239 S.E.2d 84, 86 (1977); Boone v. Standard Accident Ins. Co. of Detroit, 192 Va. 672, 6787-9, 66 S.E.2d 530, 534 (1951). "A renewal contract of insurance must also have these essentials, such as mutual assent and a new consideration." Harris, 218 Va. at 575, 239 S.E.2d at 86; see also Boone, 192 Va. at 679, 66 S.E.2d at 534. Absent a contrary statute, "a policy provision making the advance payment of the premium a condition for renewal of coverage is both valid and enforceable." Peerless Ins. Co. v. Assocs. Fin. Servs. of Am., Inc., 218 Va. 876, 879, 241 S.E.2d 792, 794 (1978).

Neither party disputes that Virginia law governs the resolution of the issues in this case.

The language of an insurance policy is ambiguous if it can be understood in more than one way or if it simultaneously refers to two or more things. Salzi v. Va. Farm Bureau Mut. Ins. Co., 263 Va. 52, 55-56, 556 S.E.2d 758, 760 (2002); S.F. (Jane Doe) v. W. Am. Ins. Co., 250 Va. 461, 464, 463 S.E.2d 450, 452 (1995);Granite State Ins. Co. v. Bottoms, 243 Va. 228, 234, 415 S.E.2d 131, 134 (1992); see Seabulk Offshore, Ltd., 377 F.3d at 419. Such an ambiguity, if it exists, must be found on the face of the policy. Salzi, 263 Va. at 55, 556 S.E.2d at 760; S.F. (Jane Doe), 250 Va. at 464, 463 S.E.2d at 452; Granite State Ins. Co., 243 Va. at 233, 415 S.E.2d at 134. In determining whether disputed terms are ambiguous, the Court must consider those terms according to their "usual, ordinary, and popular meaning." Video Zone, Inc. v. KFF Properties, L.C., 267 Va. 621, 626, 594 S.E.2d 921, 924 (2004) (Keenan, J.).

The Court finds that the language at issue in the expiration notices is unambiguous. The terms of renewal clearly require receipt of the premium payment by the extended due date in order to maintain coverage under the policies. The exhortation to place the premium payment in the mail "today" served merely to encourage the insured to act quickly to ensure that Harleysville received the premium payment by the extended due date. Nothing in the language of the expiration notices indicates that mailing alone is sufficient to renew the insurance policies and maintain coverage. Because the expiration notices unambiguously require that Harleysville receive payment on or before 12:01 a.m. on December 23, 2003, Conner cannot rely upon the "Mailbox Rule" to effect a constructive payment of the renewal premium. If the language of an insurance policy is clear and unambiguous and not in violation of the law, the Court may not resort to rules of construction, but must instead give the language its plain, ordinary, and customary meaning and enforce the terms of the policy as written. See Nat'l Hous. Bldg. Corp. v. Acordia of Va. Ins. Agency, Inc., 267 Va. 247, 251, 591 S.E.2d 88, 90-91 (2004); Gov't Employees Ins. Co. v. Moore, 266 Va. 155, 164, 580 S.E.2d 823, 828 (2003); The P'ship Umbrella, Inc. v. Fed. Ins. Co., 260 Va. 123, 133, 530 S.E.2d 154, 160 (2000); see also Seabulk Offshore, Ltd., 377 F.3d at 419.

When the terms of a contract are clear and unambiguous, the interpretation of those terms presents a question of law.Waikoloa Ltd. P'ship v. Arkwright, 268 Va. 40, 46, 597 S.E.2d 49, 53 (2004) (Keenan, J.); Musselman v. The Glass Works, L.L.C., 260 Va. 342, 346, 533 S.E.2d 919, 921 (2000) (Keenan, J.); Pollard Bagby, Inc. v. Pierce Arrow, L.L.C., III, 258 Va. 524, 528, 521 S.E.2d 761, 763 (1999) (Keenan, J.). Likewise, the determination whether a contract provision is ambiguous also presents a question of law, not of fact. Video Zone, Inc., 267 Va. at 625, 594 S.E.2d at 923; Pollard Bagby, Inc., 258 Va. at 528, 521 S.E.2d at 763; Tuomala v. Regent Univ., 252 Va. 368, 374, 477 S.E.2d 501, 505 (1996) (Keenan, J.).

The inapplicability of the "Mailbox Rule" to this case is further established by the Virginia Supreme Court's decision inNan Ya Plastics Corp. U.S.A. v. DeSantis, 237 Va. 255, 377 S.E.2d 388 (1989). The defendant in that case, a foreign corporation, argued that a contract between the parties was formed in Texas when it placed its letter of acceptance in the mail in that state. Id. at 259, 377 S.E.2d at 391. However, the plaintiff employee, a resident of the Commonwealth of Virginia, had "expressly conditioned his acceptance" of the defendant foreign corporation's offer of employment "upon his receipt of assurances that a five-year guarantee would be a part of his contract." Id. at 260, 377 S.E.2d at 392-93. (Emphasis added). The Court ruled that the contract was formed in Virginia when the plaintiff employee received the defendant foreign corporation's letter of acceptance. Id. at 260-61, 377 S.E.2d at 391-92. In explaining its ruling, the Virginia Supreme Court stated:

Under these circumstances, defendant's "mailbox rule" argument is not pertinent because the plaintiff required the letter of acceptance actually to be received as a condition to formation of the contract. Thus, the contract was not formed until the letter was received.
Id. at 261, 377 S.E.2d at 392 (citing 1 Williston on Contracts § 88, at 283 (3d ed. 1957)).

The New Jersey Superior Court's decision in Okosa v. Hall, 718 A.2d 1223 (N.J.Super.Ct. App. Div. 1998), is not persuasive authority to the contrary. The plaintiffs in that case, who were insured under an automobile insurance policy, failed to pay a quarterly premium payment by the due date. Defendant insurance carrier sent the plaintiffs a letter informing them that their insurance policy would be automatically cancelled if they did not pay the installment premium payment by the extended due date.Id. at 1223. The cancellation letter stated, in pertinent part:

If we receive payment on or before the cancellation date, we will continue your policy with no interruption in the protection it affords. If you've recently mailed your payment, please disregard this notice.
Id. at 1223-24. (Emphasis added). The plaintiffs posted their installment premium payment via certified mail one day prior to the extended due date, and were involved in an automobile accident the following day. Id. at 1224.

At issue was whether the "Mailbox Rule" applied so that the plaintiffs' payment was timely made. The New Jersey Superior Court ruled that the "Mailbox Rule" controlled the outcome of the case because the defendant insurance carrier authorized the use of the mails as a means to send the premium payment and the carrier thus "constituted the postal authorities as its agent."Id. at 1225.

The language of the cancellation letter in Okosa is clearly distinguishable from the language in the expiration notices that Conner received. In Okosa, the defendant insurance carrier instructed the plaintiffs to "please disregard this notice" if the plaintiffs had "recently mailed" the installment payment.Id. at 1223-24. Unlike the instant case, receipt of payment was thus not a requirement of continued coverage. All that was required of the plaintiffs in Okosa was that they place their premium payment in the mail prior to the extended due date.

Not surprisingly, the New Jersey Superior Court, like the Virginia Supreme Court, recognized that the "Mailbox Rule" does not apply when receipt is required. Id. at 1224. Because Harleysville's expiration notices clearly mandated receipt of Conner's premium payment to trigger coverage for the 2003-04 term, Conner's arguments under the "Mailbox Rule" must fail.

B. Mailing Presumption

Under Virginia law, the mailing of properly addressed and stamped correspondence raises a presumption of receipt by the addressee. Washington v. Anderson, 236 Va. 316, 322, 373 S.E.2d 712, 715 (1988); Manassas Park Dev. Co. v. Offutt, 203 Va. 382, 385, 124 S.E.2d 29, 31 (1962); Hartford Fire Ins. Co. v. Mut. Sav. Loan Co., 193 Va. 269, 273, 68 S.E.2d 541, 544 (1952). An addressee's denial of receipt raises an issue of fact to be determined by the jury. Manassas Park Dev. Co., 203 Va. at 385, 124 S.E.2d at 31; Hartford Fire Ins. Co., 193 Va. at 273, 68 S.E.2d at 544.

Based on this authority, Conner argues that Harleysville is presumed to have received the premium mailed on December 19, and that Harleysville's denial of receipt requires that this case be submitted to a jury for decision. However, the addressee's receipt of the correspondence is the "only fact" that is presumed. Davis v. Am. Interinsurance Exch., 228 Va. 1, 4, 319 S.E.2d 723, 724 (1984). "Absent proof of the normal course of the mails and the time usually required to convey a letter from the place of dispatch to the place of delivery, the law indulges no presumption as to the time it was received." Id. at 4-5, 319 S.E.2d at 724-25.

Conner has not presented any evidence of the "normal course of the mails" and the time that it would normally take to send correspondence via regular mail and postage from the mailbox outside his grocery store in Suffolk to Harleysville's address in Pennsylvania. The only evidence in the record suggests that mail sent from private mailboxes near Oliver's Grocery occasionally becomes lost. On at least two occasions, mail sent from the grocery store's mailbox never reached its intended destination, requiring Mrs. Alford to resubmit payment for a "dumpster" bill and a utility bill. (Bonnie Alford Dep. 18-19.) Further, letters sent from a nearby private mailbox on December 19, 2003 were "lost in the mail" for approximately three weeks. (Conner Statement 69, 75-76; Conner Dep. 71-72.)

Accordingly, even if the Court were to presume that Harleysville received Conner's premium check (but decided not to negotiate it), there is simply no evidence concerning when that check was received. Because Conner has not presented any evidence that Harleysville received his check prior to the December 23, 2003 deadline, his argument must fail.

C. Equitable Estoppel

Conner next argues that Harleysville should be equitably estopped from denying him coverage under the three insurance policies because he merely followed Brandon's instructions to place the premium payment in the mail. Conner asserts that Brandon deliberately concealed a material fact when she failed to inform him that he could deliver his premium check directly to the office of the Hosier Agency. Conner contends that he was unaware that this option existed.

Conner's claim that he was not aware that he could deliver his premium payment directly to the office of the Hosier Agency strains credulity. Conner was aware that some of his premium payments had previously been delivered directly to the Hosier Agency. (Conner Statement 23.)

"The doctrine of estoppel applies only when the insured can prove he justifiably relied on the insurer's conduct and was thus misled by the [insurer's] behavior into believing that the policy was still in force." Harris v. Criterion Ins. Co., 222 Va. 496, 502, 281 S.E.2d 878, 881 (1981); see State Farm Mut. Auto. Ins. Co. v. Pederson, 185 Va. 941, 953-54, 41 S.E.2d 64, 69 (1947). The doctrine of equitable estoppel is unavailable unless the party invoking it can show that he or she acted in reasonable reliance upon the conduct or statement of the party that he or she seeks to bind. Tuomala v. Regent Univ., 252 Va. 368, 375-76, 477 S.E.2d 501, 506 (1996) (Keenan, J.); Khoury v. Cmty. Mem'l Hosp., Inc., 203 Va. 236, 243, 123 S.E.2d 533, 538 (1962). Unwarranted reliance by the insured is insufficient to invoke the application of estoppel. Harris, 222 Va. at 502, 281 S.E.2d at 881.

Conner failed to produce evidence showing that he reasonablyrelied on Brandon's instructions and her alleged concealment to his detriment. The expiration notices explicitly informed Conner that his premium payment had to be received by either Harleysville or its agent prior to the expiration of the extended deadline. When asked why he did not deliver the premium check directly to the Hosier Agency's office, Conner stated under oath that he relied on his bookkeeper, Mrs. Alford, to select the appropriate method of delivery. (Conner Statement 74.) Conner did not instruct Mrs. Alford as to the manner of delivery, and he did not instruct her to expedite the delivery. Further, Conner stated that at the time, he was not concerned that Harleysville might not receive the premium payment by the extended deadline. Conner also acknowledged that Brandon advised him that he had to "get [his premium payment] in" to Harleysville no later than "the 23rd" of December. (Conner Statement 64, Conner Dep. 50.) This is hardly the "clear, precise, and unequivocal evidence" necessary to establish equitable estoppel. See Princess Anne Hills Civic League, Inc. v. Susan Constant Real Estate Trust, 243 Va. 53, 59, 413 S.E.2d 599, 603 (1992); Cowan v. Psychiatric Assocs., 239 Va. 59, 63, 387 S.E.2d 747, 749 (1990); Dominick v. Vassar, 235 Va. 295, 298, 367 S.E.2d 487, 489 (1988).

D. Course of Dealing

Conner next argues that Harleysville's past failure to cancel policies when premium payments were late establishes a course of dealing between the parties. Conner asserts that this course of dealing should estop Harleysville from cancelling his coverage in this instance. Alternatively, Conner contends that the course of dealing establishes that Harleysville has waived strict compliance with its receipt requirement.

A course of dealing by contracting parties may evince a "mutual intent" to modify a contract's terms. Gov't Employees Ins. Co. v. Hall, 260 Va. 349, 356, 533 S.E.2d 615, 618 (2000); Cardinal Dev. Co. v. Stanley Constr. Co., 255 Va. 300, 305, 497 S.E.2d 847, 851 (1998); Stanley's Cafeteria, Inc. v. Abramson, 226 Va. 68, 73, 306 S.E.2d 870, 873 (1983). The circumstances surrounding the contracting parties' conduct "must be sufficient to support a finding of a `mutual intention' that the modification be effective." Hall, 260 Va. at 356, 533 S.E.2d at 618; Cardinal Dev. Co., 255 Va. at 305, 497 S.E.2d at 851;Stanley's Cafeteria, Inc., 226 Va. at 73, 306 S.E.2d at 873. Such a "mutual intention" must be shown by "clear, unequivocal and convincing evidence, direct or implied." Hall, 260 Va. at 356, 533 S.E.2d at 618 (quoting Warren v. Goodrich, 133 Va. 366, 389, 112 S.E. 687, 694 (1922)); see also Cardinal Dev. Co., 255 Va. at 305, 497 S.E.2d at 851; Stanley's Cafeteria, Inc., 226 Va. at 73, 306 S.E.2d at 873. Further, when one of the parties to the contract claims that the other party has surrendered a right that the contract guarantees, the party asserting the modification must prove either a passage of valuable consideration, estoppel in pais, or a waiver of the right. Cardinal Dev. Co., 255 Va. at 305, 497 S.E.2d at 851;Stanley's Cafeteria, Inc., 226 Va. at 73, 306 S.E.2d at 873.

Conner's claim that the parties had a course of dealing fails because he cannot establish a "mutual intention" between himself and Harleysville to modify the terms of the renewal contract to accept late payments in lieu of cancellation of the insurance policies. The few late payments that Conner did make were tendered to the Hosier Agency rather than to Harleysville. Because Conner was an "agency billed" client until November 2003, the Hosier Agency had already paid the premium owed to Harleysville. The money that Conner paid was deposited into the Hosier Agency's accounts. Moreover, the record establishes that Conner was late only when making his quarterly premium payments. There is no proof that Conner was previously tardy in paying his renewal premiums. The premium payments at issue in the present case were of the latter variety and, unlike quarterly payments, were necessary to trigger another one year term of coverage.

The evidence of late quarterly payments came from the deposition testimony of Barbara Brandon of the Hosier Agency. (Brandon Dep. 16.) Neither Conner nor Mrs. Alford could recall ever making any late premium payments to Harleysville or to the Hosier Agency. (Conner Statement 26-27; Conner Dep. 18; Alford Dep. 18.) It is hardly persuasive for Conner to claim a "mutual intention" between the parties to accept late premium payments when he cannot recall ever making such a payment.

E. Unclean Hands

Finally, Conner argues that Harleysville should be equitably estopped from denying him coverage under the insurance policies because it has "unclean hands." To address this contention, the Court must review the history of claims made under Conner's Harleysville insurance policies prior to December 19, 2003.

In September 2003, approximately three months prior to the fire and explosion, Conner made a claim on his Commercial Package Policy in the amount of $2,186.83 for food spoilage that occurred in the aftermath of Hurricane Isabel. That same month, Conner also made a claim on his Commercial Package Policy in the amount of $3,500.00 for a burglary that occurred at Oliver's Grocery. Harleysville did not approve or pay either claim until January 2004 — more than one month after Conner's insurance policies expired.

In addition to the unprocessed claims, Harleysville owed Conner a $726.00 credit at the time of the fire and explosion. This credit resulted from an overpayment that occurred after Conner had deleted three vehicles from his Commercial Auto Policy.

On January 6, 2004, well after the post-expiration grace period ended, Conner's estranged wife asked the Hosier Agency to apply the $726.00 as a down payment toward the $2,838.00 owed for the renewal premium. On January 7, 2004, the Hosier Agency sent Conner a letter informing him that Harleysville declined the request because "Harleysville does not accept partial payments for renewal down payments." Enclosed with the letter was a check in the amount of $726.00.

The claims and overpayment totaled $6,412.83. Conner invites this Court to rule that Harleysville has unclean hands because it did not on its own apply this amount to pay Conner's renewal premium of $2,838.00. Such a ruling would effectively require insurers to establish clairvoyance departments to divine whether their customers secretly wish to renew policies, switch coverage to competing insurers, or go bare. While this would be a boon to tarot card readers and former members of the "Psychic Friends Network," the Court declines to take this step.

The equitable doctrine of "unclean hands" derives from the familiar maxim that "[h]e who asks equity must do equity, and he who comes into equity must come with clean hands." Firebaugh v. Hanback, 247 Va. 519, 526, 443 S.E.2d 134, 138 (1994) (quotingWalker v. Henderson, 151 Va. 913, 927-28, 145 S.E. 311, 315 (1928)). Under the "unclean hands" doctrine, a party is not entitled to relief because of that party's own inequitable conduct. Brown v. Kittle, 225 Va. 451, 456, 303 S.E.2d 864, 867 (1983). The application of this doctrine depends on the facts of each particular case. Wiglesworth v. Taylor, 239 Va. 603, 608, 391 S.E.2d 299, 303 (1990). The "unclean hands" doctrine "only applies to the particular transaction under consideration. . . . The wrong must have been done to the defendant himself and must have been in regard to the matter in litigation." Perel v. Brannan, 267 Va. 691, 706, 594 S.E.2d 899, 908 (2004) (quotingRichards v. Musselman, 221 Va. 181, 187, 267 S.E.2d 164, 168 (1980)).

Conner's claim of "unclean hands" must fail because there is no evidence that Harleysville engaged in any inequitable conduct by refusing to pay the renewal premiums through a credit. Although Conner made claims arising from property damage and a burglary in September 2003, the claims were not approved until January 2004. Moreover, Conner did not request that Harleysville apply any of the money due under the pending claims toward his premium payment until after the extended deadline for renewal had lapsed. Harleysville could not apply the prospective claim awards to pay the renewal premium without Conner's specific instructions to do so. Had Harleysville applied the claim awards on its own, it could have become liable to Conner for wrongful conversion or misappropriation of funds.

IV. Conclusion

For the reasons stated above, Harleysville's Motion for Summary Judgment is GRANTED. Conner's Cross-Motion for Summary Judgment is DENIED.

The Clerk is DIRECTED to forward a copy of this Opinion and Order to all counsel of record.

IT IS SO ORDERED.


Summaries of

Harleysville Mutual Insurance Company v. Conner

United States District Court, E.D. Virginia, Norfolk Division
Sep 30, 2005
Civil Action No. 2:04cv93 (E.D. Va. Sep. 30, 2005)
Case details for

Harleysville Mutual Insurance Company v. Conner

Case Details

Full title:HARLEYSVILLE MUTUAL INSURANCE COMPANY, Plaintiff, v. RICKY CONNER t/a…

Court:United States District Court, E.D. Virginia, Norfolk Division

Date published: Sep 30, 2005

Citations

Civil Action No. 2:04cv93 (E.D. Va. Sep. 30, 2005)

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