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Mosadegh v. State Farm Fire and Cas. Co.

United States Court of Appeals, Fifth Circuit
May 15, 2009
330 F. App'x 65 (5th Cir. 2009)

Summary

finding under Louisiana law that insurer "certainly demonstrated prejudice to its investigation and adjustment capacity through the [plaintiffs'] unwillingness to submit to the required examinations"

Summary of this case from Schalk v. Infinity Ins. Co.

Opinion

No. 08-31060 Summary Calendar.

May 15, 2009.

Paul C. Miniclier, Law Office of Paul C. Miniclier, New Orleans, LA, for Plaintiff-Appellant.

Patrick Dominic Derouen, Porteous, Hainkel Johnson, New Orleans, LA, Joseph F. Nistico, Jr., Nistico Crouch, Houston, TX, Gerald Joseph Nielsen, Nielsen Law Firm, Metairie, LA, for Defendant-Appellee.

Appeal from the United States District Court for the Eastern District of Louisiana, No. 2:07-CV-4427.

Before HIGGINBOTHAM, BARKSDALE, and ELROD, Circuit Judges.


The district court granted the defendant State Farm's summary judgment motion on the claims failed against it by its insureds, the Mosadeghs, whose house was damaged in Hurricane Katrina. We review de novo.

The district court held that the Mosadeghs could not recover against State Farm under their insurance policy because they, on multiple occasions, failed to submit to an examination under oath as required in the policy. On appeal, the Mosadeghs argue that State Farm sent them letters denying coverage before the scheduled examinations under oath, justifying their absence. But, as the district found, the letters unequivocally state that State Farm was "reserv[ing] its rights under the policy, including the right to deny coverage in its entirety" should the concealment of fraud become known. The letters also advised that State Farm was still in the process of analyzing the claim for coverage. On their face, the letters did not deny coverage and did not justify the Mosadegh's failure to submit to an examination under oath.

Because Louisiana law teaches that failure to fulfill policy requirements that are conditions precedent to an insurance contract precludes suit under the policy, the Mosadegh's failure served as a basis on which to grant State Farm's summary judgment motion.

See, e.g., Lee v. United Fire Casualty Co., 607 So.2d 685, 688 (La.App. 1992); Robbert v. Equitable Life Assur. Soc., 217 La. 325, 343, 46 So.2d 286 (1949).

The district court also found that State Farm showed that it had been prejudiced by the failure of the plaintiffs to submit to examinations under oath. The Mosadeghs challenge this finding, and for its part State Farm suggests it need not even show prejudice. We do not pause on that Louisiana law question, because State Farm has certainly demonstrated prejudice to its investigation and adjustment capacity through the Mosadeghs' unwillingness to submit to the required examinations, as the district court held.

AFFIRMED.


Summaries of

Mosadegh v. State Farm Fire and Cas. Co.

United States Court of Appeals, Fifth Circuit
May 15, 2009
330 F. App'x 65 (5th Cir. 2009)

finding under Louisiana law that insurer "certainly demonstrated prejudice to its investigation and adjustment capacity through the [plaintiffs'] unwillingness to submit to the required examinations"

Summary of this case from Schalk v. Infinity Ins. Co.

finding that a reservation of rights letter is not a denial of coverage

Summary of this case from StarNet Ins. Co. v. La Marine Serv. LLC

affirming a finding of prejudice when insured failed to submit to an examination under oath

Summary of this case from Morgan v. Americas Ins. Co.
Case details for

Mosadegh v. State Farm Fire and Cas. Co.

Case Details

Full title:Mehdi MOSADEGH, Doctor; Claire Mosadegh, Plaintiffs-Appellants v. STATE…

Court:United States Court of Appeals, Fifth Circuit

Date published: May 15, 2009

Citations

330 F. App'x 65 (5th Cir. 2009)

Citing Cases

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Louisiana law instructs that “failure to fulfill policy requirements that are conditions precedent to an…

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Id. at p. 3. No. 07-4427, 2008 WL 4544361 (E.D. La. Oct. 8, 2008) (Feldman, J.), aff'd, 330 F. App'x 65 (5th…