Bally v. State Farm Life Insurance Company

CourtDistrict Court, N.D. California
DecidedApril 2, 2020
Docket3:18-cv-04954
StatusUnknown

This text of Bally v. State Farm Life Insurance Company (Bally v. State Farm Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bally v. State Farm Life Insurance Company, (N.D. Cal. 2020).

Opinion

1 2 3 4 5 IN THE UNITED STATES DISTRICT COURT 6 FOR THE NORTHERN DISTRICT OF CALIFORNIA 7 8 ELIZABETH A. BALLY, Case No. 18-cv-04954-CRB

9 Plaintiff, ORDER DENYING MOTION TO 10 v. STRIKE AND GRANTING CLASS CERTIFICATION 11 STATE FARM LIFE INSURANCE COMPANY, 12 Defendant. 13 State Farm Life Insurance Company’s cost of insurance (“COI”) rates are “based on the 14 Insured’s age on the Policy anniversary, sex, and applicable rate class.” Elizabeth Bally has 15 brought a putative class action against State Farm, on the theory that it violates this provision by 16 calculating COI rates using factors other than age, sex, and rate class. State Farm’s motion for 17 summary judgment argued that the phrase “based on” allows it to consider other factors when 18 calculating COI rates, as long as it also considers the enumerated factors. This Court rejected that 19 argument and denied summary judgment, concluding that the phrase “based on” was ambiguous, 20 and therefore should be construed against State Farm. State Farm requested leave to file an 21 interlocutory appeal on this issue, which the Court granted, but without granting a stay. See Order 22 Granting Leave to Appeal (dkt. 99). 23 Bally now moves for class certification. See Mot. for Class Certification (dkt. 93) (“Class 24 Motion”). State Farm moves to strike a report, provided by Bally’s expert Scott J. Witt, that is 25 integral to Bally’s motion. See generally Mot. to Strike (dkt. 110). 26 State Farm’s motion to strike is denied. Recent Ninth Circuit case law indicates that 27 striking expert testimony at the class certification stage is improper, and moreover, State Farm’s 1 attacks on Witt’s reliability are unconvincing. Bally meets the requirements of Rule 23, and so 2 her motion for class certification is granted.1 3 I. BACKGROUND 4 A. Form 94030 Life Insurance Policies 5 Bally purchased a flexible premium adjustable insurance policy, Form 94030, from State 6 Farm on April 8, 1994, on behalf of her daughter. Compl. ¶¶ 11, 47 (dkt. 1); see also Class Mot. 7 Ex. B (dkt. 93-4) (“Policy”). This Policy “provide[s] policy owners a savings, or interest-bearing 8 component that is identified in the Policies . . . as the ‘Account Value.’ Under the terms of the 9 Policies, the Account Value consists of an interest-bearing account that accumulates over time.” 10 Compl. ¶ 19. “The money that makes up the Account Value is the property of the policy owner 11 and is held in trust by [State Farm].” Id. ¶ 21. 12 The Policy authorizes State Farm to take a “Monthly Deduction” from the Account Value. 13 Policy at 9. The monthly deduction “is made each month, whether or not premiums are paid, as 14 long as the cash surrender value is enough to cover that monthly deduction. Each deduction 15 includes: (1) the cost of insurance, (2) the monthly charges for any riders, and (3) the monthly 16 expense charge.” Policy at 9. The “expense charge” is $5.00. Policy at 3. 17 The dispute in this case centers on the first factor—the COI. The Policy states: 18 Cost of Insurance. This cost is calculated each month. The cost is 19 determined separately for the Initial Basic Amount and each increase in Basic Amount. The cost of insurance is the monthly cost of 20 insurance rate times the difference between (1) and (2), where: (1) is the amount of insurance on the deduction date at the start 21 of the month divided by 1.0032737, and (2) is the account value on the deduction date at the start of 22 the month before the cost of insurance and the monthly charge for any waiver of monthly deduction benefit rider are 23 deducted. Until the account value exceeds the Initial Basic Amount, the account 24

25 1 Both parties have filed various motions to file exhibits under seal. See Mot. to File under Seal (dkt. 107); Mot. to File under Seal (dkt. 109); Mot. to File under Seal (dkt. 111); Mot. to File 26 under Seal (dkt. 118). Those motions are denied insofar as they seek to file under seal material referenced in this order. As to that material, the Court concludes that neither “compelling 27 reasons” nor “good cause” exist to overcome the “public interest in understanding the judicial value is part of the Initial Basic Amount. Once the account value 1 exceeds that amount, if there have been any increases in Basic Amount, the excess will be part of the increases in order in which the 2 increases occurred. 3 Policy at 10. 4 The Policy goes on to describe the monthly cost of insurance rates:

5 These rates for each Policy year are based on the Insured’s age on the Policy anniversary, sex, and applicable rate class. A rate class will be 6 determined for the Initial Basic Amount and for each increase. The rates shown on page 4 are the maximum monthly cost of insurance 7 rates for the Initial Basic Amount. Maximum monthly cost of insurance rates will be provided for each increase in the Basic 8 Amount. We can charge rates lower than those shown. Such rates can be adjusted for projected changes in mortality but cannot exceed 9 the maximum monthly cost of insurance rates. Such adjustments cannot be made more than once a calendar year. 10 Id. at 10. Expenses and profits are not mentioned. See id. Proper interpretation of this section— 11 and particularly the phrase “based on”—is the key to this dispute. See Compl. ¶¶ 29–33. 12 Bally alleges that “[a]lthough the Policies authorize Defendant to use only certain, 13 specified factors in determining Monthly Cost of Insurance Rates”—namely, “Insured’s age on the 14 Policy anniversary, sex, and applicable rate class,” Policy at 10—“Defendant uses other factors, 15 not authorized by the Policies, when determining those rates.” Compl. ¶ 37. In consequence, 16 Bally urges that State Farm violated the Policy when it calculated the COI, and took more money 17 out of the Account Value than it was authorized to. Id. ¶¶ 38–44. 18 B. The Witt Report 19 In support of class certification, Bally offers an expert report from actuary Scott J. Witt. 20 See generally Class Mot., Ex. 1 (dkt. 93-2) (“Witt Report”). Witt provides a model that purports 21 to reliably calculate the allegedly improper charges for each Policy using State Farm’s own 22 documents and data. See id. at 6. According to Witt, State Farm developed “mortality rates” that 23 were based only on the Policy-enumerated factors of “age, sex, rate class, and policy year,” but 24 added expense and profit charges, or “loads,” above and beyond the mortality rates to reach the 25 COI it actually charged. Id. Witt’s model uses the mortality rates to isolate the excess COI loads 26 and calculate the damages for each policyholder. See id. 27 1 C. Procedural History 2 Bally filed a class action complaint for breach of contract, conversion, and declaratory and 3 injunctive relief under California law in August 2018.2 See generally Compl. Following 4 discovery, State Farm moved for summary judgment. Mot. for Summary Judgment (dkt. 63). It 5 argued, inter alia, that Bally’s legal theory was deficient because the language in the Policy did not 6 require that the listed factors be exhaustive. Id. at 1–2. 7 This Court denied the motion, holding that the phrase “based on” is ambiguous and 8 therefore must be construed against the insurer. Order Denying Summary Judgment at 14 (citing 9 Crane v. State Farm Fire & Casualty Co., 5 Cal. 3d 112, 115 (Cal. 1971)) (dkt. 77). Looking to 10 persuasive precedent, dictionary definitions, and common usage, this Court concluded that “based 11 on” could be read to require exclusive reliance on the listed factors. Id. at 8–10. It further held 12 that the “context of the Policy” did not resolve the ambiguity. Id. at 10. 13 State Farm then asked the Court to certify for interlocutory appeal under 28 U.S.C. 14 § 1292(b) the order denying summary judgment. Mot. for Leave to Appeal at 1 (dkt. 81).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Eisen v. Carlisle & Jacquelin
417 U.S. 156 (Supreme Court, 1974)
Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
Amchem Products, Inc. v. Windsor
521 U.S. 591 (Supreme Court, 1997)
Kumho Tire Co. v. Carmichael
526 U.S. 137 (Supreme Court, 1999)
Wal-Mart Stores, Inc. v. Dukes
131 S. Ct. 2541 (Supreme Court, 2011)
Ellis v. Costco Wholesale Corp.
657 F.3d 970 (Ninth Circuit, 2011)
United States v. Larry D. Hall
93 F.3d 1337 (Seventh Circuit, 1996)
Hawkins v. Comparet-Cassani
251 F.3d 1230 (Ninth Circuit, 2001)
Comcast Corp. v. Behrend
133 S. Ct. 1426 (Supreme Court, 2013)
Lynne Wang v. Chinese Daily News, Inc.
737 F.3d 538 (Ninth Circuit, 2013)
Mutual Oil Co. v. Zehrung
11 F.2d 887 (D. Nebraska, 1925)
Botosan v. Fitzhugh
13 F. Supp. 2d 1047 (S.D. California, 1998)
Crane v. State Farm Fire & Casualty Co.
485 P.2d 1129 (California Supreme Court, 1971)
Haynes v. Farmers Insurance Exchange
89 P.3d 381 (California Supreme Court, 2004)
Tyson Foods, Inc. v. Bouaphakeo
577 U.S. 442 (Supreme Court, 2016)

Cite This Page — Counsel Stack

Bluebook (online)
Bally v. State Farm Life Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bally-v-state-farm-life-insurance-company-cand-2020.