Cody Christopherson v. American Strategic Insurance C ( 2021 )


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  •                                In the
    United States Court of Appeals
    For the Seventh Circuit
    ____________________
    No. 20-2831
    CODY CHRISTOPHERSON,
    Plaintiff-Appellant,
    v.
    AMERICAN STRATEGIC INSURANCE CORPORATION,
    Defendant-Appellee.
    ____________________
    Appeal from the United States District Court for the
    Eastern District of Wisconsin.
    No. 2:19-cv-00202-JPS — J. P. Stadtmueller, Judge.
    ____________________
    ARGUED FEBRUARY 12, 2021 — DECIDED JUNE 3, 2021
    ____________________
    Before RIPPLE, HAMILTON, and ST. EVE, Circuit Judges.
    HAMILTON, Circuit Judge. Plaintiff Cody Christopherson
    has appealed from a grant of summary judgment in favor of
    his home insurance company, defendant American Strategic
    Insurance Corporation, known as ASI. We affirm. In the sum-
    mer of 2018, two trees fell on plaintiff’s home, three months
    apart, resulting in its total destruction. The undisputed facts
    show that the insurer paid all sums owed to plaintiff, includ-
    ing the policy limits for total destruction of his home and all
    2                                                    No. 20-2831
    other claims that he submitted with documentation for costs
    actually incurred.
    I. Factual and Procedural Background
    A. The Falling Trees and Plaintiff’s Insurance Claims
    Because plaintiff Christopherson appeals from a grant of
    summary judgment, we must view the evidence in the light
    reasonably most favorable to him and give him the benefit of
    conflicts in the evidence. Greengrass v. Int’l Monetary Systems
    Ltd., 
    776 F.3d 481
    , 485 (7th Cir. 2015). Accordingly, we do not
    vouch for the objective truth of every fact that we must as-
    sume to be true for purposes of the appeal. KDC Foods, Inc. v.
    Gray, Plant, Mooty, Mooty & Bennett, P.A., 
    763 F.3d 743
    , 746
    (7th Cir. 2014).
    1. June 5: The First Tree Falls
    On June 5, 2018, a tree fell on plaintiff’s house. That same
    day, he notified his insurer, ASI. The damage occurred during
    the policy year that ran from August 7, 2017 through August
    7, 2018. The 2017–18 policy covered up to $129,000 in damages
    to the dwelling, $64,500 in damages to personal property, and
    $12,900 for loss of use, also referred to as additional living ex-
    penses.
    On June 6, the insurer sent independent claims adjuster
    Chris Holzem to inspect plaintiff’s property. Holzem found
    that the house was uninhabitable as a result of damage to the
    roof, plywood sheathing, and a sewer vent pipe. Plaintiff then
    contacted the insurer to ask about receiving payments to
    cover additional living expenses. The insurer’s claims ad-
    juster, Michael Ortega, responded that plaintiff should first
    provide the insurer with receipts for any such expenses in-
    curred. The 2017–18 policy provided that if a covered loss
    No. 20-2831                                                               3
    caused the insured’s residence to become uninhabitable, the
    insurer would cover any necessary increase in living expenses
    he incurred to maintain his normal household standard of liv-
    ing, up to a limit of $12,900.
    Based on Holzem’s estimate, the insurer determined that
    the actual cash value of the damage the first tree caused to
    plaintiff’s house was $6,695. The replacement cost was
    slightly more: $6,829. The 2017–18 policy provided that the
    insurer would “pay no more than the actual cash value of the
    damage until actual repair or replacement is complete.” On
    July 6, the insurer paid plaintiff $11,081. That sum included
    the replacement cost of $6,829, plus a tree-removal fee and
    miscellaneous costs for emergency services and tarps. Ortega
    notified plaintiff of the payment in an email that day, and he
    again reminded plaintiff that the insurer would require re-
    ceipts for additional living expenses.1
    On July 16, an independent adjuster hired by plaintiff,
    Keye Voigt, notified the insurer’s Ortega that plaintiff had
    been displaced from his home and needed additional living
    expenses. Voigt offered to email plaintiff’s receipts to the in-
    surer, but the record does not include evidence that either
    Voigt or anyone else actually sent any such receipts to the in-
    surer.
    In July 2018, plaintiff hired an independent investigator,
    Brian Hintze, to estimate the cost of repairing the roof damage
    caused by the first tree. Hintze’s estimate was $37,515. Plain-
    tiff did not provide Hintze’s report to the insurer until Decem-
    ber 2018, months after the second tree had fallen and the
    1 In December 2018, the insurer also paid plaintiff $2,557 to repair wa-
    ter damage that had been part of his June 5 claim.
    4                                                         No. 20-2831
    house was already a total loss. Plaintiff never carried out the
    repairs Hintze had proposed.
    On August 1, Voigt again emailed the insurer requesting
    additional living expenses on behalf of plaintiff, as well as
    payment for emergency services, installation of tarps, and
    tree removal. The next day, the insurer’s claims adjuster, Su-
    san Rochford, responded to Voigt’s email and explained that
    the insurer had already paid plaintiff for the stated losses. She
    asked Voigt to call her back regarding the additional living
    expenses.
    On August 7, plaintiff’s 2017–18 policy expired and the
    2018–19 policy became effective. The 2018–19 policy offered
    slightly more coverage than its predecessor: up to $135,000 for
    damage to the dwelling, $67,500 in damages to personal prop-
    erty, and $13,500 for additional living expenses.
    Also on August 7, Voigt returned Rochford’s call. Armed
    with Hintze’s estimate—which, recall, the insurer did not
    know about at the time—Voigt told her that plaintiff’s entire
    roof needed to be replaced. Rochford responded that the in-
    surer would send an engineer to assess the damage.2 Voigt
    also expressed frustration that, up to this point, the insurer
    had not paid plaintiff’s additional living expenses. Again, at
    that time, neither Voigt nor plaintiff had submitted receipts
    for costs incurred for additional living expenses.
    On August 17, the insurer began advancing additional liv-
    ing expenses to plaintiff. In all, the insurer paid him $26,037
    for additional living expenses, exhausting the limit under the
    2 The insurer’s structural engineer completed his damage report on
    August 23. The second tree fell on August 28, and the insurer did not act
    on that report.
    No. 20-2831                                                             5
    2017–18 policy, and all but $363 under the limit of the 2018–
    19 policy.3
    2. August 28: A Second Tree Falls
    On August 28, a second tree fell on plaintiff’s house. He
    notified the insurer on August 30. On November 21, the Vil-
    lage of Richfield issued an Order to Raze and Remove Build-
    ings from plaintiff’s property by January 5, 2019. The Order
    was authorized by Wisconsin Statute § 66.0413(1)(b)(1), which
    empowers local governments to order an owner to raze a
    building that is “dangerous, unsafe, unsanitary, or otherwise
    unfit for human habitation and unreasonable to repair.” See
    also § 66.0413(1)(c) (establishing presumption of unreason-
    ableness to repair in certain circumstances, including when
    repair costs would exceed 50 percent of building value).
    On December 4, 2018, plaintiff’s adjuster Voigt submitted
    to the insurer: (i) a summary-of-loss sheet estimating the loss
    caused by the August 28 tree fall at $141,454; (ii) Hintze’s
    $37,515 estimate for repairing the roof after the first tree’s
    damage; (iii) a tree-removal invoice totaling $1,500; (iv) a
    demolition proposal totaling $6,884; (v) an invoice for fire and
    water restoration totaling $1,448; and (vi) the Raze Order. Af-
    ter accounting for payments already made under the 2017–18
    policy, plaintiff demanded $130,126 under the 2018–19 policy.
    The insurer did not provide plaintiff with the requested
    demolition payment by the January 5, 2019 deadline for raz-
    ing the house, so he razed the house by himself. He did not
    3 The insurer did not provide any payments to plaintiff for additional
    living expenses for the period of June 5 through August 16, 2018.
    6                                                         No. 20-2831
    provide the insurer with invoices for the cost of razing his
    house, including any claims for his own labor.
    B. Plaintiff Files Suit
    On January 9, 2019, plaintiff Christopherson filed suit in
    state court against insurer ASI alleging breach of contract and
    bad-faith denial of policy benefits. Plaintiff alleged that the in-
    surer had wrongfully delayed investigating his claims and, as
    of the time the complaint was filed, had refused to pay his
    claims. The insurer removed the case to federal court based
    on diversity jurisdiction.
    On February 27, plaintiff’s counsel sent an email to the in-
    surer’s counsel stating that, excluding the personal property
    losses and additional living expenses that had yet to be deter-
    mined, plaintiff’s “undisputed losses” amounted to $143,384.
    This amount included the $135,000 dwelling coverage limit
    under the 2018–19 policy, as well as the $6,884 demolition es-
    timate, and the $1,500 invoice for tree removal.
    On March 8, the insurer’s counsel notified plaintiff’s coun-
    sel that the insurer would pay the requested $143,384. The in-
    surer’s counsel noted, however, that the insurer had not yet
    received any notice of claims for damage to personal prop-
    erty, and he requested documentation of the nature or extent
    of any such claims. The record does not reflect that plaintiff
    ever submitted a claim for damage to personal property.4
    That payment did not end the lawsuit. A slew of discovery
    requests, motions for protective orders, and court orders
    4Plaintiff first attached an itemized list of unsalvageable personal
    property to his response to the insurer’s later motion for summary judg-
    ment. The claimed losses totaled $20,851.
    No. 20-2831                                                    7
    followed. In May 2019, the insurer moved for a protective or-
    der denying plaintiff’s discovery requests with respect to his
    bad faith claim. The insurer argued that plaintiff was not en-
    titled to discovery because he could not establish any under-
    lying breach of the insurance policies. The insurer’s opposi-
    tion to discovery relied on Brethorst v. Allstate Property & Cas-
    ualty Ins. Co., 
    334 Wis. 2d 23
    , 
    798 N.W.2d 467
     (2011), which
    held that an insured could not proceed with discovery on a
    first-party bad-faith claim unless the insured pleaded a breach
    of contract by the insurer and the court was “satisfied” that the
    insured had either established a breach or could do so in the
    future. 
    Id.
     at 28–29, 798 N.W.2d at 470.
    The insurer’s theory was simple: to allege breach of the
    policies, plaintiff had to allege a wrongful denial of benefits,
    but he could not do so. By then, the insurer had already paid
    the full limits of the 2018–19 policy, plaintiff’s claims under
    the 2017–18 policy, and his additional living expenses under
    both policies. Payment of those benefits, the insurer reasoned,
    foreclosed any claim for breach.
    The district court granted the insurer’s motion. Delay, the
    court explained, could not form the basis of a breach of an in-
    surance policy under Brethorst, and plaintiff had failed to cite
    any authority to the contrary. The court determined that a sin-
    gle material question remained: whether plaintiff could prove
    any breach by the insurer. So far, the court concluded, plain-
    tiff had not shown that he could.
    Plaintiff moved to reconsider on the discovery issue. The
    court denied his motion. The insurer then moved for sum-
    mary judgment. Its motion was brief, but its brevity was not
    unwarranted. By that time, the court was well acquainted
    with the parties’ positions.
    8                                                  No. 20-2831
    In opposing summary judgment, however, plaintiff com-
    pletely changed his tune. For the first time, he attempted to
    argue breach of contract. He identified six policy provisions
    that the insurer had allegedly breached and seven disputed
    material facts that he said precluded summary judgment. He
    argued that the insurer breached the 2017–18 policy by failing
    to pay: (i) $37,515 for roof reconstruction (the Hintze esti-
    mate); (ii) $2,580 for damage to siding, roofing, and windows;
    and (iii) additional living expenses between June 5 and Au-
    gust 16, 2018. He also argued that the insurer breached the
    2018–19 policy by failing to pay $13,500 in demolition ex-
    penses after the Raze Order was issued. Finally, he argued
    that the insurer breached both policies by failing to pay
    $20,851 for damage to personal property.
    In its reply brief, the insurer addressed plaintiff’s new ar-
    guments. With respect to the Hintze estimate for roof repair,
    the insurer pointed out that plaintiff had never completed the
    suggested reconstruction. (That was not surprising since the
    house was wholly destroyed by the second tree just a couple
    of weeks after the estimate was prepared.) The insurer argued
    that under the 2017–18 policy, without proof of repair or re-
    placement, recovery was limited to the actual cash value of
    the damage, which it had already paid. The insurer applied
    similar logic to plaintiff’s claims that he was owed $2,580 for
    damage to siding, roofing, and windows, and $13,500 for
    demolition expenses. The key phrase in the cited policy pro-
    visions, the insurer emphasized, was insurance coverage for
    “cost you incur.” Because plaintiff had not presented evi-
    dence of costs actually incurred but not paid by the insurer,
    he could not show a breach.
    No. 20-2831                                                   9
    On the claim for additional living expenses, the insurer of-
    fered two responses. First, plaintiff still had not submitted re-
    ceipts for any expenses incurred between June 5 and August
    16, 2018. Second, he could not establish wrongful denial of ben-
    efits when he had nearly exhausted the limits under both an-
    nual policies.
    Finally, on plaintiff’s claim that the insurer failed to
    compensate him for personal property losses, the insurer
    noted simply that such a claim had never been made. While
    plaintiff did report water damage on December 12, 2018, he
    had not provided the required inventory of damage to
    personal property until he filed his response to the motion for
    summary judgment—over a year after his initial report of
    water damage.
    The district court granted summary judgment. The court
    agreed with the insurer’s basic point, that its core obligation
    under both policies was to pay for expenses as plaintiff in-
    curred them and supplied proof. The undisputed facts could
    not support a claim of breach, let alone bad faith. This appeal
    followed.
    II. Analysis
    Plaintiff’s arguments have shifted somewhat on appeal
    but still have little merit. First, he argues that the Rooker-
    Feldman doctrine requires remand to state court for lack of
    federal jurisdiction. Second, he argues that the insurer
    unfairly raised new arguments in its reply brief in the district
    court, depriving him of a fair opportunity to respond. Third,
    he insists that lingering factual disputes should have
    precluded summary judgment. We address each argument in
    turn.
    10                                                 No. 20-2831
    A. The Rooker-Feldman Doctrine
    The Rooker-Feldman doctrine bars lower federal courts
    from exercising what would effectively be appellate jurisdic-
    tion over final state-court judgments. Lance v. Dennis, 
    546 U.S. 459
    , 463 (2006). It is “a narrow doctrine, confined to ‘cases
    brought by state-court losers complaining of injuries caused
    by state-court judgments rendered before the district court
    proceedings commenced and inviting district court review
    and rejection of those judgments.’” 
    Id. at 464
    , quoting Exxon
    Mobil Corp. v. Saudi Basic Industries Corp., 
    544 U.S. 280
    , 284
    (2005).
    Our account of the facts includes no mention of any state-
    court judgment against either of these parties. That silence
    might leave the reader wondering what Rooker-Feldman has to
    do with this case, let alone why a federal plaintiff would in-
    voke it. We have also wondered. The answers are nothing and
    for no good reason. Plaintiff answers by asserting that the vil-
    lage’s Raze Order was a final and unappealed state-court
    judgment. The assertion misunderstands the basics of Rooker-
    Feldman. First, the Raze Order issued by the village was not a
    state-court judgment but an “administrative order of a munic-
    ipal building inspection department directing the razing of a
    [destroyed] building.” See Gambrell v. Campbellsport Mutual
    Ins. Co., 
    47 Wis. 2d 483
    , 490, 
    177 N.W.2d 313
    , 316 (1970). Sec-
    ond, plaintiff was not a state-court loser. Third, in this insur-
    ance dispute, the Raze Order was a given for both sides; nei-
    ther side claimed to be hurt by it or challenged it in any way.
    The Rooker-Feldman doctrine simply does not apply.
    No. 20-2831                                                      11
    B. The Insurer’s Alleged Gamesmanship
    Plaintiff points out that we and other courts are critical of
    parties who raise new arguments in reply briefs that should
    have been raised in opening briefs. The general point is cor-
    rect. We strongly discourage the type of gamesmanship he de-
    scribes. See, e.g., Hess v. Reg-Ellen Machine Tool Corp., 
    423 F.3d 653
    , 665 (7th Cir. 2005) (declining to reach plaintiffs’ argument
    “because its appearance for the first time in [their] reply brief
    means that it is waived”); Coker v. Trans World Airlines, Inc.,
    
    165 F.3d 579
    , 586 (7th Cir. 1999) (“Even if the point had been
    preserved, [plaintiff] failed to develop it until her reply brief,
    which again is a day late and a dollar short.”); Cornucopia In-
    stitute v. U.S. Dep’t of Agriculture, 
    560 F.3d 673
    , 677–78 (7th Cir.
    2009) (same). In the typical case, a six-page motion for sum-
    mary judgment followed by a fifteen-page reply brief would
    raise eyebrows. But this is not the typical case. And plaintiff
    was certainly not, as he claims, “blindsided.”
    Plaintiff concedes that the insurer raised new defenses in
    its reply only because he raised entirely new arguments in his
    opposition to summary judgment. Until his response, plaintiff
    had not identified a single alleged breach of a policy provi-
    sion, despite many opportunities to do so and repeated warn-
    ings from the district court that failure to do so would result
    in dismissal. His cries of gamesmanship complain about the
    effects of his own tactics. If he lacked the chance to rebut the
    insurer’s reply, it was his own fault.
    Plaintiff argues, though, that we should overlook the tac-
    tical problems and allow him to state his case with new argu-
    ments on appeal. He argues that, as a matter of law, he is en-
    titled to the maximum policy limits of both annual policies
    added together. His theory seems to be that he should be paid
    12                                                         No. 20-2831
    twice for the total destruction of one home. This imaginative
    theory was forfeited, and even if we were inclined to overlook
    the forfeiture, plaintiff seeks an absurd application of Wiscon-
    sin law.
    A raze order, such as the one at issue here, triggers Wis-
    consin’s “valued policy law.” 
    Wis. Stat. § 632.05
    . The “valued
    policy” statute provides in relevant part:
    Whenever any policy insures real property that
    is owned and occupied by the insured primarily
    as a dwelling and the property is wholly de-
    stroyed, without criminal fault on the part of the
    insured or the insured’s assigns, the amount of
    the loss shall be taken conclusively to be the pol-
    icy limits of the policy insuring the property.
    
    Wis. Stat. § 632.05
    (2). Under that statute, the insurer paid
    plaintiff the applicable limit under the policy in effect at the
    time the Raze Order was issued: $143,384 under the 2018–19
    policy.5 By asking the court to award the applicable limit un-
    der the 2017–18 policy, as well, plaintiff essentially argues that
    the insurer breached his two policies by not paying him twice
    for the destruction of one home. Suffice it to say that the the-
    ory is not viable.
    C. Whether Factual Disputes Preclude Summary Judgment
    Plaintiff also argues that the insurer remains in breach of
    both policies for failing to pay several claims: (i) the $37,515
    Hintze estimate; (ii) additional living expenses for the time
    5To date, the insurer has paid plaintiff $183,307. It paid a total of
    $13,886 under the 2017–18 policy, $143,384 under the 2018–19 policy, and
    $26,037 in additional living expenses under both policies.
    No. 20-2831                                                     13
    from June 5 to August 16, 2018; (iii) lost personal property val-
    ued at $20,851; and (iv) unspecified compensation for labor
    costs associated with demolishing his house. The undisputed
    facts defeat all of these specific claims.
    Plaintiff’s argument misses the fundamental point of the
    policies’ provisions involving reimbursement: the insured
    must first incur the expenses and then provide the insurer with
    documentation before the insurer is obliged to pay. By his
    own admission, plaintiff never carried out the roof recon-
    struction for which Hintze estimated the costs. Before anyone
    did anything about Hintze’s estimate, and before the insurer
    even knew about it, the second tree fell and wholly destroyed
    the home. Accordingly, the insurer was obliged to pay only
    the actual cash value of the damage by the first tree. It fulfilled
    that obligation on July 6, 2018, when it paid plaintiff $11,081
    to cover damages to his roof, tree removal, and other ex-
    penses.
    Plaintiff also could not be entitled to reimbursement for
    additional living expenses incurred between June 5 and Au-
    gust 16, 2018 because there is no evidence that he actually in-
    curred such expenses during those weeks. He never submit-
    ted such proof to the insurer. And in any event, the insurer
    paid the limit for additional living expenses under the 2017–
    18 policy and all but $363 under the limit of the 2018–19 pol-
    icy. Regardless of when plaintiff believes the insurer should
    have started paying his additional living expenses, it does not
    owe him any more.
    Plaintiff has also failed to present material factual disputes
    on his claims for damage to personal property and unspeci-
    fied labor costs for demolishing his house. Put simply, an in-
    surer cannot breach a policy for failure to pay a claim that the
    14                                                 No. 20-2831
    insured never submitted. It is undisputed that the first time
    plaintiff notified the insurer of damage to his personal prop-
    erty was in his response to summary judgment. (And at the
    risk of stating the obvious, a spreadsheet attached to a brief
    does not qualify as a claim submitted by the insured to the
    insurer.) It is similarly undisputed that plaintiff never submit-
    ted a claim for unpaid labor costs. These arguments, too, do
    not defeat summary judgment.
    The judgment of the district court is AFFIRMED.