Opinion · Court of Appeals for the Third Circuit

Re Van Holt, Jo Van Holt v. Liberty Mutual Fire Insurance Company, Liberty Mutual Group

163 F.3d 161

Type
Opinion
Court
Court of Appeals for the Third Circuit
Jurisdiction
Federal
Date
1998-11-24
Topic
commercial

concluding that both 28 U.S.C. § 1331 and 42 U.S.C. § 4072 vest district courts with subject matter jurisdiction of such suits | concluding that a suit against a WYO insurer is, for jurisdictional purposes, “in reality” a suit against FEMA because FEMA pays the judgment and litigation costs | concluding that a suit against a WYO company is the functional equivalent of a suit against FEMA for the purposes of 42 U.S.C. § 4072 (as discussed in Part II of this opinion) | explaining that the Court has subject-matter jurisdiction over causes of action “alleging impropriety in the investigation and adjustment” of a claim since they are “intimately related to the disallowance of [an] insurance claim” | stating that current expenditures are limited to $5,000 | stating that current expenditures are limited to $5,000 | stating “when WYO companies deplete their net premium income, a phenomenon that occurs regularly because the companies must forfeit a significant portion of the proceeds from their premiums, they draw money from FEMA through letters of credit to disburse claims” | stating "when WYO companies deplete their net premium income, a phenomenon that occurs regularly because the companies must forfeit a significant portion of the proceeds from their premiums, they draw money from FEMA through letters of credit to disburse claims" | “Although WYO companies have the responsibility of defending against claims, FEMA reimburses the WYO companies for their defense costs.” | “The statute provides that an insured may sue FEMA. if it adjusts a claim and improperly refuses to pay benefits.” | “For several reasons, a suit against a WYO company is the functional equivalent of a suit against FEMA.” | “42 U.S.C, § 4072 [and thus 28 U.S.C. § 1331] vests district courts with original exclusive jurisdiction over suits by claimants against [insurance] companies based on partial or total disallowance of claims for insurance arising out of [SFIPs].” | “[A]n insured’s flood insurance claims are ultimately paid by FEMA.” | on assistance from the federal Government. rehearing

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