FILED
United States Court of Appeals
PUBLISH Tenth Circuit
UNITED STATES COURT OF APPEALS March 14, 2016
Elisabeth A. Shumaker
FOR THE TENTH CIRCUIT Clerk of Court
_________________________________
BOARDWALK APARTMENTS,
L.C.,
Plaintiff Counter Defendant-
Appellee,
v. No. 15-3070
STATE AUTO PROPERTY AND
CASUALTY INSURANCE CO.,
Defendant Counterclaimant-
Appellant.
_________________________________
Appeal from the United States District Court
for the District of Kansas
(D.C. No. 2:11-CV-02714-JAR)
_________________________________
Matthew Jon Smith, Smith Rolfes & Skavdahl, Cincinnati, Ohio, for
Defendant Counterclaimant-Appellant.
Mark G. Arnold, Husch Blackwell LLP, St. Louis, Missouri (William A.
Lynch, Kirsten A. Byrd, and Stacey M. Bowman, Husch Blackwell, LLP,
Kansas City, Kansas, with him on the brief), for Plaintiff Counter
Defendant-Appellee.
_________________________________
Before GORSUCH, EBEL, and BACHARACH, Circuit Judges.
_________________________________
BACHARACH, Circuit Judge.
_________________________________
Boardwalk Apartments, L.C. sued State Auto Property and Casualty
Insurance Co. for breach of an insurance policy, contending that State Auto
had underpaid on the policy after one of Boardwalk’s eight apartment
buildings (Building 1) was destroyed in a fire. 1 In district court, State Auto
contended that Boardwalk was underinsured under the policy’s coinsurance
provision. Under this provision, Boardwalk’s insurance benefits were
reduced if the value of the Boardwalk apartment complex exceeded the
policy limit.
Before trial, the district court issued two rulings that underlie this
appeal. First, the court held that for purposes of the policy’s coinsurance
provision, the value of the apartment complex did not include the cost of
complying with laws and ordinances regulating the construction and repair
of buildings. (We refer to these costs as “law-and-ordinance costs.”)
Second, the district court excluded reference at trial to either the
coinsurance provision or the possibility that Boardwalk was underinsured.
At trial, the jury valued the Boardwalk complex below the policy
limit. Based on this valuation, the district court concluded that Boardwalk
was not underinsured under the coinsurance provision. In addition to
valuing the apartment complex, the jury found that State Auto had
1
Boardwalk also sued for misrepresentation and negligence. These
claims are not involved in the appeal.
2
underpaid for the loss of Building 1. As a result, the court awarded
damages to Boardwalk.
State Auto appeals, and we conclude that the district court
abused its discretion by excluding reference to the coinsurance
provision and
incorrectly construed the coinsurance provision.
In light of these errors, we reverse and remand for a new trial.
I. This appeal turns on the meaning and effect of the coinsurance
provision in the Boardwalk policy.
Central to the appeal is the meaning and application of the
coinsurance provision.
A. After Boardwalk submitted its claim for the loss of Building
1, State Auto asserted that Boardwalk was underinsured,
triggering the coinsurance provision.
The coinsurance provision requires Boardwalk to purchase enough
insurance to fully cover the value of the apartment complex. If the value of
the apartment complex exceeded the policy limit ($7.4 million), Boardwalk
would be considered underinsured and the coinsurance provision would
require a reduction in the amount owed for a covered loss.
State Auto invoked this provision, claiming that Boardwalk was
underinsured, which would reduce the amount owed to Boardwalk for the
loss of Building 1. With this reduction, State Auto paid roughly $2.1
3
million to Boardwalk. 2 Boardwalk alleged that it was owed more and
denied that it was underinsured.
The dispute resulted in two suits between Boardwalk and State Auto.
The first was a declaratory judgment action brought by State Auto in the
Western District of Missouri. That suit ended in 2009 after an appeal to the
Eighth Circuit Court of Appeals. See State Auto Prop. & Cas. Ins. Co. v.
Boardwalk Apartments, L.C. (Boardwalk I), 572 F.3d 511 (8th Cir. 2009).
The second suit, which resulted in this appeal, was brought by Boardwalk
in the District of Kansas.
B. The district court disallowed reference to coinsurance or the
effect of underinsurance.
In the second suit, Boardwalk claimed that State Auto had breached
the insurance contract by failing to fully pay for the loss of Building 1. In
response, State Auto maintained its earlier position that Boardwalk was
underinsured, triggering the coinsurance provision and reducing the
amount owed to Boardwalk under the policy. But the district court
excluded reference to coinsurance and the effect of underinsurance.
Without knowing why underinsurance would matter, the jury found
that
2
Boardwalk asserts that State Auto relied on a Kansas insurance
statute rather than the coinsurance provision to calculate the amount of the
policy benefits; State Auto maintains that the coinsurance provision and
the Kansas statute provided alternative grounds for the payment amount.
This dispute is immaterial to our decision.
4
the replacement cost of Building 1 was $3.9 million, $1.8
million more than State Auto’s original payment and
the value of the Boardwalk complex was $6.7 million, which
was below the policy limit of $7.4 million. 3
Based on these jury findings, the district court declined to apply the
coinsurance provision and awarded damages to Boardwalk.
C. The district court erred in excluding reference to the
coinsurance provision and in adopting Boardwalk’s
interpretation of the provision.
State Auto appealed on numerous grounds. We agree with State Auto
on two of these grounds, concluding that the district court
abused its discretion by excluding reference at trial to the
coinsurance provision and the possibility that Boardwalk was
underinsured and
erred by ruling that for purposes of the coinsurance provision,
the value of the apartment complex should not include the cost
of complying with laws and ordinances.
According to State Auto, the district court also erred by dismissing
State Auto’s affirmative defenses and counterclaims for fraud and
misrepresentation. We reject this contention.
3
The jury also
found that Boardwalk had sustained consequential damages
totaling $2.6 million and
made findings enabling the district court to calculate the
insurance benefits for lost-business income.
5
State Auto’s remaining arguments involve alleged errors made during
or after the trial. Because we remand for a new trial, we need not address
these arguments.
II. The district court abused its discretion by excluding reference to
the coinsurance provision and the effect of underinsurance.
Before trial, the district court granted Boardwalk’s motion in limine,
relying on Federal Rule of Evidence 403 to exclude reference to the
coinsurance provision and the effect of underinsurance. State Auto argues
that this ruling constituted an abuse of discretion.
Because the coinsurance provision was highly probative and
presented only a minimal risk of unfair prejudice or confusion, we agree
with State Auto.
A. We review the district court’s ruling under Rule 403 for
abuse of discretion, giving the excluded evidence its
maximum reasonable probative value and minimum
reasonable risk of unfair prejudice or jury confusion.
The district court excluded any reference to the coinsurance
provision or the effect of underinsurance, relying on Federal Rule of
Evidence 403. This rule permits the district court to exclude relevant
evidence if the probative value of the evidence is substantially outweighed
by the danger of unfair prejudice or jury confusion. Fed. R. Evid. 403. We
review the district court’s exclusion of evidence under Rule 403 for an
abuse of discretion. Eller v. Trans Union, LLC, 739 F.3d 467, 474 (10th
Cir. 2013).
6
Under the abuse-of-discretion standard, we will not reverse an
evidentiary ruling “absent a distinct showing it was based on a clearly
erroneous finding of fact or an erroneous conclusion of law or manifests a
clear error of judgment.” Cartier v. Jackson, 59 F.3d 1046, 1048 (10th Cir.
1995). Nevertheless, we regard the power to exclude relevant evidence as
extraordinary, to be exercised sparingly. K-B Trucking Co. v. Riss Int’l
Corp., 763 F.2d 1148, 1155 (10th Cir. 1985). In deciding whether to
exercise this extraordinary power, the district court must give the evidence
its maximum reasonable probative force and the minimum reasonable risk
of unfair prejudice or confusion. Deters v. Equifax Credit Info. Servs.,
Inc., 202 F.3d 1262, 1274 (10th Cir. 2000); SEC v. Peters, 978 F.2d 1162,
1171 (10th Cir. 1992).
B. The district court excluded reference to the coinsurance
provision and the effect of underinsurance.
Invoking Rule 403, the district court excluded reference to the
coinsurance provision and the effect of underinsurance. In excluding these
references, the court reasoned that the jury did not need to know about
coinsurance or underinsurance to decide the two ultimate issues at trial:
1. the cost of replacing Building 1, which was the amount of
Boardwalk’s loss under the policy, and
2. the value of the entire apartment complex, which would
determine whether Boardwalk was underinsured for purposes of
the coinsurance provision.
7
If the jury valued the apartment complex above the policy limit of $7.4
million, the district court would apply the coinsurance provision to
determine the amount owed by State Auto. The court explained that it was
adopting this approach to avoid confusing the jury with the complexities of
the coinsurance provision.
C. The district court abused its discretion by excluding
reference to the coinsurance provision or the effect of
underinsurance.
In our view, the district court’s explanation for its ruling does not
justify the exclusion of reference to the coinsurance provision or the effect
of underinsurance. The jury was asked to value the apartment complex
without knowing why this valuation mattered. The valuation was critical
because it directly affected the application of the coinsurance provision,
which would have significantly reduced the amount owed if Boardwalk
were underinsured. Thus, the parties had far different incentives in valuing
the apartment complex, incentives counter to what the jury would naturally
expect. In these circumstances, the exclusion of any evidence involving
coinsurance or underinsurance constituted an abuse of discretion. 4
4
According to State Auto, exclusion of the coinsurance provision also
precluded any explanation of a good-faith basis for State Auto’s
calculation of the amount owed to Boardwalk. Because we reverse and
remand on the basis of State Auto’s alternative arguments about the
context of the coinsurance provision and Boardwalk’s incentive to urge a
low value for the complex, we need not address State Auto’s explanation
for its decision to pay roughly $2.1 million.
8
1. The coinsurance provision was highly probative of State
Auto’s defense.
Applying Rule 403, the district court assigned minimal probative
weight to the coinsurance provision and concluded that the jury did not
need to know about the provision. But after giving the coinsurance
provision its maximum reasonable probative value, we respectfully
disagree with the district court’s assessment. See SEC v. Peters, 978 F.2d
1162, 1171 (10th Cir. 1992) (explaining that when reviewing the exclusion
of evidence under Rule 403, the court must give the excluded evidence its
maximum reasonable probative value).
The coinsurance provision was highly probative regarding State
Auto’s contention that Boardwalk was underinsured. The district court may
well have been right that it could apply the coinsurance provision based on
the jury’s valuation of the apartment complex. But even so, the jury needed
to know about the coinsurance provision to understand why valuation of
the apartment complex would matter and why Boardwalk, the insured
party, had an incentive to value the complex below the $7.4 million policy
limit.
When the jurors went about valuing the apartment complex, some
would inevitably be puzzled. Because insurers ordinarily pay based on the
value of the covered property, insurers usually have an incentive to assess
low values and insureds ordinarily have an incentive to claim high values.
9
But because of the coinsurance provision, the incentives here were the
opposite of what the jury would have expected. As the insured, Boardwalk
had an incentive to urge a low value for the entire complex to avoid the
coinsurance penalty; and State Auto, as the insurer, had an incentive to
urge a high value to trigger the coinsurance provision. Surely the jury
wondered why the insured was insisting on a value for the complex that
was below the insurer’s valuation.
But because of the district court’s ruling, State Auto could not
explain or address Boardwalk’s incentive in the presence of the jury.
Unaware of Boardwalk’s incentive to urge a low valuation, the jury could
not properly weigh Boardwalk’s assertion that the complex was worth only
$6.7 million.
For example, State Auto contends that Boardwalk previously asserted
a value of $13.3 million for the apartment complex during the Missouri
litigation. But, State Auto maintains, Boardwalk then reduced its valuation
to $6.7 million during this litigation, after the Missouri litigation had
established the enforceability of the coinsurance provision. By excluding
reference to the coinsurance provision, the district court prevented State
Auto from using this discrepancy to show why a low valuation would
benefit Boardwalk.
Because the jury did not learn about Boardwalk’s incentive for a low
valuation, Boardwalk was able to portray its valuation as generous and
10
impartial. For example, in its closing argument, Boardwalk exploited the
jury’s lack of awareness about the coinsurance provision, arguing: “And
remember, it doesn’t do us any good for that number [the valuation of the
entire complex] to be higher than it is really. This is the number.
$6,697,509.” Appellant’s App’x at 5129. This argument was correct in a
literal sense: Boardwalk had no incentive to urge a high valuation for the
apartment complex. But Boardwalk had an enormous incentive, unknown to
the jury, to urge a low valuation.
Boardwalk also alluded in its closing to State Auto’s incentive to
urge a valuation of the apartment complex that was artificially high.
Although Boardwalk boasted during its closing that it had no reason to
manipulate the apartment complex’s valuation, Boardwalk accused State
Auto of distorting the valuation because it “want[ed]” the valuation to be
“high.” Id. at 5130 (Boardwalk arguing in closing that State Auto
presented a figure of approximately $15 million for the value of the entire
complex, which “was like crazy” “[b]ecause they [State Auto] want it
high”). Thus, Boardwalk hinted at State Auto’s incentive to assert a high
valuation without acknowledging that Boardwalk had an equally strong
incentive to assert a low valuation.
With the presence of a coinsurance provision excluded, the jury
never knew about the strong incentives that Boardwalk and State Auto had
to assert their respective valuations of the apartment complex. As a result,
11
the jury was asked to value the apartment complex without any guidance on
why this valuation mattered, why State Auto might desire a high valuation,
or why Boardwalk might want a low valuation. The coinsurance provision
and the resulting incentives were essential for the jury to know in
assessing the parties’ valuations of the apartment complex.
2. The coinsurance provision presented only a minimal risk of
unfair prejudice or confusion.
The district court excluded reference to the coinsurance provision on
the ground that the probative value of this evidence was substantially
outweighed by the danger of unfair prejudice or jury confusion. In
reviewing this determination, we must assume that the excluded evidence
posed the least reasonable danger of unfair prejudice or confusion. See
SEC v. Peters, 978 F.2d 1162, 1171 (10th Cir. 1992) (explaining that when
reviewing exclusion of evidence under Rule 403, we must give excluded
evidence its minimum reasonable prejudicial value).
The district court did not identify the danger of unfair prejudice or
confusion. But at various points, the court suggested two possible grounds
for confusion or prejudice: (1) the confusing nature of the coinsurance
provision and (2) the fact that the Missouri litigation had already resolved
some interpretative questions about the Boardwalk policy. In our view,
these grounds reflect only a minimal risk of unfair prejudice or jury
confusion.
12
First, in its ruling in limine, the district court suggested that it was
excluding the coinsurance provision in part because of the provision’s
“confusing nature.” Appellant’s App’x at 2110. Yet later, in denying State
Auto’s motion for a new trial, the district court explained that the
complexity of the “coinsurance concept” was not the reason for exclusion
of the coinsurance provision. Id. at 3480. We are unsure how to reconcile
these two statements.
But whatever the district court meant, State Auto’s proposed use of
the coinsurance provision did not risk any meaningful jury confusion.
Calculating the amount owed under the coinsurance provision may have
been complex, but State Auto did not ask for the jury to make this
calculation. Instead, State Auto sought only to elicit evidence that there
was a coinsurance provision that would reduce the amount owed if
Boardwalk had been underinsured. There is nothing particularly complex
about this concept.
Second, the district court pointed to “the degree to which [the
coinsurance provision] had been interpreted by this Court on summary
judgment and in accordance with the prior Missouri litigation.” Id. But
State Auto did not want to relitigate these interpretations or to address the
mechanics of the coinsurance provision. Instead, State Auto merely wanted
to use the coinsurance provision to establish context for the valuation of
the apartment complex and to show why Boardwalk wanted the jury to
13
press for a low figure. These uses of the excluded evidence would not have
required discussion of any interpretations made in either the Missouri
litigation or the summary judgment ruling.
The district court identified no other source of unfair prejudice or
jury confusion posed by the existence of a coinsurance provision, and we
can discern none in the record. In our view, the existence of the
coinsurance provision presented only minimal risk of unfair prejudice or
confusion.
3. Because the danger of unfair prejudice or jury confusion
did not substantially outweigh the probative value, the
district court abused its discretion by excluding reference to
the coinsurance provision or the effect of underinsurance.
Rule 403 permits the exclusion of relevant evidence only when the
risk of unfair prejudice or confusion “substantially outweigh[s]” the
evidence’s probative value. Fed. R. Evid. 403. In our view, the coinsurance
provision was highly probative and presented only minimal danger of
unfair prejudice or confusion. The district court thought differently, but
did not explain why it feared jury confusion from the mere mention of
coinsurance and the effect of underinsurance. In the absence of such an
explanation, we conclude that the district court abused its discretion.
14
D. State Auto was prejudiced by the district court’s abuse of
discretion, requiring us to reverse and remand for a new
trial.
Even if a district court abuses its discretion by improperly excluding
evidence under Rule 403, we will not reverse on this ground unless the
error affected a party’s substantial right. Eller v. Trans Union, LLC, 739
F.3d 467, 474 (10th Cir. 2013). In our view, the district court’s error
substantially prejudiced State Auto, requiring reversal and remand for a
new trial.
Boardwalk argues that any error would have been harmless because
State Auto did not prove that Boardwalk was underinsured. But even if
Boardwalk is right about State Auto’s evidentiary proffer at trial, the
district court’s ruling could have affected State Auto’s strategy, causing
State Auto to withhold evidence showing Boardwalk’s failure to fully
insure the apartment complex. We will not fault State Auto for failing to
develop a defense that was improperly constrained by the district court’s
ruling.
The ruling was prejudicial, not harmless, because it
impeded State Auto in its cross-examinations of Boardwalk
witnesses about their possible motivation to minimize the value
of the apartment complex,
limited State Auto’s ability to explain Boardwalk’s reduction in
its valuation of the apartment complex from $13.3 million to
$6.7 million, and
15
allowed Boardwalk to tout its own credibility regarding the
value of the apartment complex while preventing State Auto
from calling Boardwalk’s credibility into question.
As a result of these constraints, Boardwalk was able to appear generous,
modestly valuing the apartment complex to a jury unaware that a low
valuation would help Boardwalk obtain a larger payout.
In these circumstances, we conclude that the district court’s
erroneous ruling prejudiced State Auto. Accordingly, we reverse the
district court’s decision to exclude reference to the existence of a
coinsurance provision and the effect of underinsurance. Based on this
reversal, we remand for a new trial.
III. The district court erred by construing the coinsurance provision
to exclude law-and-ordinance costs from the apartment complex’s
replacement cost.
In awarding partial summary judgment to Boardwalk, the district
court interpreted the coinsurance provision to exclude law-and-ordinance
costs from the value of the apartment complex. State Auto correctly argues
that the value of the apartment complex should include law-and-ordinance
costs. Because the district court’s erroneous interpretation prejudiced State
Auto, we reverse the district court’s award of partial summary judgment to
Boardwalk on the interpretation of the coinsurance provision.
16
A. We apply Kansas law and engage in de novo review of the
district court’s interpretation of the policy.
The district court’s interpretation of the coinsurance provision
involves a conclusion of law that we review de novo. See In re Universal
Serv. Fund Tel. Billing Practice Litig., 619 F.3d 1188, 1211 (10th Cir.
2010) (“Contract interpretation is a question of law, which we . . . review
de novo.”). The parties agree that Kansas law governs our interpretation of
the policy. See Carolina Cas. Ins. Co. v. Nanodetex Corp., 733 F.3d 1018,
1022 (10th Cir. 2013) (applying the state law that both parties agreed was
applicable). Under Kansas law, we must ascertain what the parties
intended. Liggatt v. Emp’r’s Mut. Cas. Co., 46 P.3d 1120, 1125 (Kan.
2002). When we can determine this intent from the written insurance
contract, we go no further. Id.
B. Under Boardwalk I, the coinsurance provision’s definition of
“value” incorporates the terms of the optional coverage for
replacement cost, which in turn includes law-and-ordinance
costs.
The coinsurance provision states that the amount owed to Boardwalk
is reduced if the value of the apartment complex exceeds the policy limit
of $7.4 million. Appellant’s App’x at 84. But the policy does not define
the term “value” or otherwise indicate whether the “value” of the complex
includes law-and-ordinance costs. Thus, we must decide whether the term
“value” in the coinsurance provision includes law and ordinance costs. We
conclude that it does.
17
The parties agree that the term “value” refers to the replacement cost,
rather than the actual cash value, of the apartment complex. 5 But the
parties disagree about whether the replacement cost of the apartment
complex includes law-and-ordinance costs. Boardwalk contends that the
replacement cost of the apartment complex should not include law-and-
ordinance costs, and State Auto disagrees. Boardwalk’s interpretation
would make it less likely that Boardwalk was underinsured, thereby
avoiding the coinsurance provision and a reduction in the amount owed
under the policy.
The district court agreed with Boardwalk, concluding that the
“value” of the complex under the coinsurance provision means the
replacement cost of the apartment complex without law-and-ordinance
costs. We respectfully disagree, for Boardwalk’s interpretation is
foreclosed by the policy’s text as construed in light of the Eighth Circuit’s
opinion in Boardwalk I. 572 F.3d 511 (8th Cir. 2009). 6
There the Eighth Circuit made two critical holdings:
5
The parties agree that “value” means replacement cost because
Boardwalk purchased additional replacement cost coverage. See
Appellant’s App’x at 64 (declaration page of the policy showing that
Boardwalk had replacement cost coverage).
6
The parties agree that Boardwalk I controls. We too agree,
concluding that Boardwalk I binds us under the doctrine of issue
preclusion. See Taylor v. Sturgell, 553 U.S. 880, 892 (2008).
18
1. The term “value” in the coinsurance provision incorporates the
policy’s replacement-cost coverage, which is furnished by
Section G.3 of the policy.
2. Exclusion of law-and-ordinance costs from the policy’s
replacement-cost coverage is void because the exclusion
violates Kansas public policy.
Boardwalk I, 572 F.3d at 517-18. In our view, these two holdings jointly
require us to define “value” under the coinsurance provision as the
replacement cost with law-and-ordinance costs.
1. Boardwalk I held that the term “value” in the coinsurance
provision incorporates the policy’s replacement-cost
coverage; thus, “replacement cost” means the same thing for
both loss calculation and the coinsurance provision.
Replacement cost matters under the Boardwalk policy in two separate
contexts: (1) for calculating covered losses sustained by Boardwalk, and
(2) for calculating the value of the apartment complex for purposes of the
coinsurance provision. The district court thought that the term
“replacement cost” could mean different things in each context. On this
basis, the district court construed “replacement cost” to include law-and-
ordinance costs for loss calculation, but excluded these costs under the
coinsurance provision. Boardwalk I, however, held that the coinsurance
provision incorporates the same replacement-cost provision that the policy
uses for loss calculation. Boardwalk I, 572 F.3d at 517. Thus, the district
court’s construction cannot be reconciled with Boardwalk I.
19
The policy’s text states that Section G.3, the policy’s replacement-
cost provision, applies to the calculation of Boardwalk’s covered losses.
The policy states that loss is calculated based on “actual cash value” when
the insured does not purchase optional replacement-cost coverage. 7 But
Boardwalk did purchase replacement-cost coverage. In light of this
purchase, the covered loss must be determined by replacement cost rather
than actual cash value. 8
By contrast, the policy’s text does not expressly apply the
replacement-cost provision to the valuation of the apartment complex
under the coinsurance provision; the replacement-cost provision states only
that replacement cost “replaces Actual Cash Value” in the policy’s loss-
calculation provision. In addition, the coinsurance provision is located in a
different part of the policy and uses the term “value” rather than “actual
cash value.” Therefore, the policy’s text does not clarify whether the term
“value” in the coinsurance provision means “replacement cost” (as
provided by Section G.3) or some other measure of “value.”
7
Section E.7 of the policy, titled “Valuation,” provides that State Auto
“will determine the value of Covered Property in the event of loss or
damage . . . [a]t actual cash value as of the time of loss or damage.”
Appellant’s App’x at 84.
8
Section G.3 of the policy, the replacement-cost provision, provides
that “Replacement Cost . . . replaces Actual Cash Value in [Section E.7,
the loss-calculation provision]” when the insured purchases optional
replacement-cost coverage. Appellant’s App’x at 86.
20
In Boardwalk I, the Eighth Circuit Court of Appeals resolved this
ambiguity by holding that under Kansas law, the coinsurance provision
incorporates the policy’s replacement-cost coverage. Thus, “value” under
the coinsurance provision means “replacement cost” for purposes of loss
calculation.
In reaching this conclusion, the Eighth Circuit followed a Kansas
Court of Appeals case, Wenrich v. Employers Mutual Insurance Cos., that
addressed a virtually identical coinsurance provision. Boardwalk I, 572
F.3d 511, 517 (8th Cir. 2009) (citing Wenrich, 132 P.3d 970, 975 (Kan. Ct.
App. 2006)). Like Boardwalk, the insured in Wenrich had purchased
replacement-cost coverage. Wenrich, 132 P.3d at 973-74. And, like the
Boardwalk coinsurance provision, the coinsurance provision in Wenrich
used the term “value” rather than “actual cash value,” leaving it unclear
whether the coinsurance provision turned on replacement cost or actual
cash value. Id.
In those circumstances, the Wenrich court held that “the replacement
cost optional coverage must be construed as altering the methodology for
determining ‘the value of Covered Property in the event of loss’ and is
therefore incorporated into the coinsurance provisions.” Id. at 975.
In Boardwalk I, the Eighth Circuit adhered to Wenrich and
incorporated the Boardwalk policy’s replacement-cost coverage into the
coinsurance provision. “The Wenrich court [had] held that there [was] no
21
ambiguity in the contract,” the Eighth Circuit explained, “because the
replacement cost coverage is ‘inherently incorporated’ into the coinsurance
provision.” Boardwalk I, 572 F.3d at 517 (quoting Wenrich, 132 P.3d at
975). As a result, the Eighth Circuit concluded that “the term ‘value’ in the
coinsurance provision means replacement cost.” Id. at 516-17.
Like Wenrich, Boardwalk I incorporated the Boardwalk policy’s
replacement-cost coverage into the coinsurance provision in place of the
term “value.” Section G.3 of the policy defines the term “replacement
cost” and sets out the policy’s replacement-cost coverage. In light of
Boardwalk I, the term “value” in the coinsurance provision means
“replacement cost” as delineated by Section G.3.
Consequently, we must apply the same meaning of “replacement
cost” in calculating Boardwalk’s covered losses and in determining
whether Boardwalk was underinsured for purposes of the coinsurance
provision.
2. Under Boardwalk I, replacement cost must include law-and-
ordinance costs.
Given our holding that the term “value” in the coinsurance provision
means the policy’s replacement-cost coverage as provided by Section G.3
of the policy, we must decide whether that coverage includes law-and-
ordinance costs. But Boardwalk I resolves this question, rejecting any
22
construction of the policy that excludes law-and-ordinance costs from
replacement cost as void against Kansas public policy.
As written, Section G.3 purports to exclude law-and-ordinance costs
from replacement cost. 9 But in Boardwalk I, the Eighth Circuit Court of
Appeals held that withholding coverage for law-and-ordinance costs would
violate Kansas public policy. Boardwalk I, 572 F.3d at 517-18. Because the
parties could not lawfully exclude law-and-ordinance costs from coverage,
the Eighth Circuit concluded that replacement cost for purposes of loss
calculation had to include those costs. Id.
Under Boardwalk I, the term “value” in the coinsurance provision
bears the same meaning as “actual cash value” in the loss-calculation
provision: “replacement cost” as provided by Section G.3 of the policy.
Because Boardwalk I requires replacement cost for purposes of loss
calculation to include law-and-ordinance costs, replacement cost under the
coinsurance provision must also include those costs. The district court’s
conclusion to the contrary was incorrect.
9
Section G.3 of the policy provides that “replacement cost” “does not
include the increased cost attributable to enforcement of any ordinance or
law regulating the construction, use or repair of any property.” Appellant’s
App’x at 87.
23
3. We reject the district court’s reasons for excluding law-and-
ordinance costs from the replacement cost of the apartment
complex.
The district court gave three reasons for its interpretation of the
coinsurance provision, and Boardwalk defends these reasons on appeal:
1. The term “replacement cost” can mean different things in
different parts of the policy.
2. Because the written policy provides additional coverage for
law-and-ordinance costs, inclusion of these costs in the
coinsurance provision would render the policy ambiguous,
requiring construction in favor of Boardwalk as the insured.
3. The parties’ intent would be frustrated by including law-and-
ordinance costs within replacement cost under the coinsurance
provision.
We respectfully disagree with each of these three reasons.
a. In light of Boardwalk I and the structure of the policy, the
term “replacement cost” cannot mean different things in
different parts of the policy.
First, the district court assumed that the term “replacement cost” can
mean different things in different parts of the policy. Based on this
assumption, the district court interpreted “replacement cost” differently in
two separate contexts: (1) for the apartment complex under the coinsurance
provision and (2) for Building 1 alone to determine the amount of the loss.
The district court concluded that
for application of the coinsurance provision, the apartment
complex’s “replacement cost” excludes law-and-ordinance
costs and
24
for calculation of covered losses, “replacement cost” includes
law-and-ordinance costs.
We disagree, for the policy does not support different interpretations
of the term “replacement cost” in different contexts. As we have explained,
Boardwalk I held that the term “value” in the coinsurance provision means
“replacement cost” as defined by Section G.3, the policy’s replacement-
cost provision. And Boardwalk I held that “replacement cost” (as defined
by Section G.3) must include law-and-ordinance costs. As a result, the
term “value” in the coinsurance provision must also include law-and-
ordinance costs.
b. Use of the term “replacement cost” to include law-and-
ordinance costs does not render the optional coverage
superfluous.
Second, the district court observed that Section A.4 of the policy
allows the insured to buy additional coverage for law-and-ordinance costs,
which the written policy otherwise purports to withhold. “If replacement
cost now includes law and ordinance costs” in light of Boardwalk I, the
district court determined, “then the additional coverage provision is
superfluous.” Appellant’s App’x at 1716. As a result, the district court
concluded that the policy was ambiguous, requiring construction in favor
of the insured under Kansas law.
But the policy is not ambiguous, for Boardwalk I bars any
interpretation of the replacement-cost provision that excludes law-and-
25
ordinance costs. Under Kansas law, “[a]mbiguity in a written contract does
not appear until the application of pertinent rules of interpretation to the
face of the instrument leaves it generally uncertain which one of two or
more meanings is the proper meaning.” Simon v. Nat’l Farmers Org., 829
P2d 884, 888 (Kan. 1992). Boardwalk I leaves no uncertainty; it requires
the court to interpret the apartment complex’s “replacement cost” to
include law-and-ordinance costs. Even if this interpretation renders Section
A.4’s optional law-and-ordinance coverage redundant, this redundancy
would not justify adopting a different interpretation that is foreclosed by
Boardwalk I.
c. Because the terms of the policy (as reformed by Boardwalk
I) are unambiguous, the parties’ intent does not dictate
exclusion of law-and-ordinance costs.
Finally, the district court reasoned that the parties had not intended
to include law-and-ordinance costs when valuing the apartment complex.
For two reasons, however, we disagree.
First, the written policy, when construed in light of Boardwalk I,
does not create an ambiguity. When the parties’ intent is clear from the
policy, we need not go further. Osterhaus v. Toth, 249 P.3d 888, 896 (Kan.
2011). As we have explained, Boardwalk I construed
“replacement cost,” for purposes of loss calculation, to include
law-and-ordinance costs and
the coinsurance provision to incorporate the same replacement-
cost coverage used for loss calculation.
26
Boardwalk I, 572 F.3d at 517-18. Under these holdings, replacement cost
under the coinsurance provision must include law-and-ordinance costs.
Even if the parties originally intended to exclude law-and-ordinance costs
from replacement cost in one or both of these contexts, Boardwalk I
already reformed the policy in a way that deviated from the parties’
impermissible intent. See Nat’l Bank of Andover v. Kan. Bankers Sur. Co.,
225 P.3d 707, 715 (Kan. 2010) (“[C]ompetent parties may make contracts
on their own terms, provided such contracts are neither illegal nor contrary
to public policy.”).
Second, even if the policy itself were not conclusive, we conclude
that the district court misinterpreted the intent reflected in the policy
language. Based on the policy’s structure and the purpose of coinsurance,
the most likely intent underlying the policy’s valuation scheme was to use
the same measure of value in the contexts of both loss calculation and
coinsurance, for the only meaningful way to determine whether Boardwalk
was underinsured is to compare the policy limit to the amount that
Boardwalk would recover in the event of a covered loss.
But the district court’s interpretation introduces two separate
measures of value for loss calculation and coinsurance. An example
illustrates the problem with this apples-and-oranges approach. Suppose
that each of the eight buildings had a replacement cost of $750,000 and
27
law-and-ordinance costs of $200,000. If all of the buildings were
destroyed, the covered losses would total $7,600,000, exceeding the policy
limit. Boardwalk would be underinsured. But under the district court’s
reading of the policy, the coinsurance provision would not be triggered
because the value of the apartment complex would exclude the $1,600,000
in law-and-ordinance costs—even though these costs would be fully
reimbursable for a loss that was only partial. In this hypothetical situation,
Boardwalk would be underinsured, but it would not be subject to the
coinsurance provision. We doubt that the parties would have intended this
outcome, but it is the unavoidable result of using different measures of
value for a damaged building and the entire apartment complex. 10
C. The district court’s error in interpreting the coinsurance
provision constitutes a second ground for reversal.
The district court erred in its summary judgment order by holding
that the “value” of the apartment complex under the coinsurance provision
means replacement cost without law-and-ordinance costs. Based on this
error, the district court instructed the jury to determine the replacement
10
We recognize that parties may sometimes expressly choose different
measures to value the covered loss and to determine whether the covered
property is underinsured under the coinsurance provision. See Carley
Capital Grp. v. Fireman’s Fund Ins. Co., 877 F.2d 78, 82 (D.C. Cir. 1989)
(“Like other components of the policy contract, liability and coinsurance
stipulations are whatever the parties choose to make them.”). But here the
parties did not expressly use different measures to calculate covered losses
and to determine whether Boardwalk was underinsured. Before Boardwalk
I’s reformation of the policy to conform to Kansas public policy, the same
measure was used in both contexts: “value.”
28
cost of the complex without law-and-ordinance costs. Instead, the court
should have instructed the jury to include law-and-ordinance costs in the
apartment complex’s replacement cost. Had the jury included these costs, it
might have found that the complex’s replacement cost exceeded the policy
limit of $7.4 million, triggering the coinsurance provision and reducing the
amount owed by State Auto.
As a result, the district court’s error prejudiced State Auto at trial.
Because the error was prejudicial, we reverse the summary judgment ruling
on interpretation of the coinsurance provision. With this reversal, we
remand for a new trial with instructions to include law-and-ordinance costs
when determining the apartment complex’s replacement cost.
IV. We vacate the district court’s imposition of attorneys’ fees and
expenses against State Auto.
Because the jury found for Boardwalk, the district court granted
Boardwalk’s motion for attorneys’ fees and expenses. In light of our
reversal, we vacate the district court’s imposition of attorneys’ fees and
expenses against State Auto.
V. We reject State Auto’s allegations of error in the district court’s
disposition of counterclaims and affirmative defenses, and we
need not address State Auto’s remaining arguments.
State Auto also challenges the rulings on its affirmative defenses and
counterclaims. We reject this challenge. Because State Auto’s other
29
arguments on appeal may not arise in the retrial, we decline to consider
these arguments.
A. We uphold the district court’s dismissal of State Auto’s
defenses and counterclaims because State Auto has made no
persuasive argument for reversal.
State Auto raised multiple affirmative defenses and counterclaims for
fraud and misrepresentation, alleging that Boardwalk had provided
misleading information about the claim. The district court dismissed the
counterclaims under Federal Rule of Civil Procedure 12(b)(6) and struck
the defenses under Rule 12(f). State Auto argues that in doing so, the
district court erroneously applied a common law fraud standard to these
claims and defenses. According to State Auto, the correct standard required
only that it plead falsehood and materiality.
In our view, State Auto has failed to develop a sufficient argument
for reversal. For the sake of argument, we can assume without deciding
that Kansas law does require State Auto to plead only falsehood and
materiality for the misrepresentation defenses and counterclaims. Even so,
the district court concluded that State Auto had failed to adequately allege
materiality. In its opening brief, State Auto does not give any reason to
disturb the district court’s ruling on materiality. 11
11
The district court’s analysis of materiality turned in part on the
Boardwalk tax returns referenced in State Auto’s pleading. State Auto
vaguely asserts that the district court’s reliance on those returns was
“improper” without any further explanation. Appellant’s Opening Br. at 52.
30
We “will not consider issues that are raised on appeal but not
adequately addressed.” Wilburn v. Mid-South Health Dev., Inc., 343 F.3d
1274, 1281 (10th Cir. 2003). Because State Auto has failed to sufficiently
contest the district court’s dismissal of its affirmative defenses and
counterclaims, we decline to disturb this part of the district court’s ruling.
B. We need not address State Auto’s remaining arguments on
appeal because they may not arise in the retrial.
State Auto also challenges seven other rulings:
1. the exclusion of the Statement of Values document signed by a
Boardwalk principal,
2. the exclusion of testimony by Mr. Brent Vincent, State Auto’s
underwriter,
3. the exclusion of a valuation report prepared by Boardwalk’s
expert in the Missouri litigation,
4. the introduction of evidence regarding violation of the Kansas
Unfair Claims Settlement Practices Act,
5. the introduction of evidence about Boardwalk’s consequential
damages and the denial of State Auto’s motion to separate the
consequential damages issue from the other issues,
6. the denial of a new trial based on the cumulative impact of
evidentiary errors, and
7. the denial of State Auto’s motion for judgment as a matter of
law on its affirmative defense involving Boardwalk’s failure to
cooperate.
As a result, this appeal point is not adequately developed for meaningful
review. See United States v. Mike, 632 F.3d 686, 696 n.4 (10th Cir. 2011)
(declining to address an argument because the proponent did “not develop
[the] argument” or “cite any authority in support of it”).
31
Because a new trial is necessary, these potential issues may not arise on
remand or may arise in different ways. As a result, we decline to address
State Auto’s challenges to these seven rulings.
VI. Disposition
We reverse and vacate the judgment because the district court
abused its discretion by excluding reference to the coinsurance
provision and the effect of underinsurance and
incorrectly construed the coinsurance provision to exclude law-
and-ordinance costs from the value of the apartment complex. 12
We affirm the dismissal of State Auto’s affirmative defenses and
counterclaims alleging fraud and misrepresentation.
The action is remanded to the district court for a new trial consistent
with this opinion. 13 With this reversal and remand, we vacate the award of
attorneys’ fees and expenses against State Auto.
12
Though we reverse, we recognize that the district court had to
confront a number of difficult issues and did so exceptionally well.
13
The district court’s errors call the jury’s valuation of the apartment
complex into question, requiring vacatur of the judgment for Boardwalk on
the award of unpaid insurance benefits. The jury also made findings on
Boardwalk’s lost business income and consequential damages, but it is less
clear whether the district court’s errors affect these findings.
We can remand for a new trial limited to specific issues, but only
when “a new trial on less than all the issues could . . . be had without
confusion and uncertainty.” Malandris v. Merrill Lynch, Pierce, Fenner &
Smith Inc., 703 F.2d 1152, 1178 (10th Cir. 1981). Otherwise, a new trial on
fewer than all the issues “would amount to a denial of a fair trial.” Id.
32
We decline to restrict the scope of the retrial, for neither party has
addressed the possibility of a retrial limited to specific issues. Given the
significance of the coinsurance provision, we cannot be certain about the
potential effect of the district court’s errors on the jury’s other findings.
Thus, we vacate the entire judgment and remand for a new trial without
parceling out the claims for lost business income and consequential
damages.
33