Bally v. State Farm Life Insurance Company

CourtDistrict Court, N.D. California
DecidedApril 28, 2021
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. 2021).

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 ON CROSS-MOTIONS FOR 10 v. SUMMARY JUDGMENT

11 STATE FARM LIFE INSURANCE Re: Dkts. 142 and 191 COMPANY, 12 Defendant. 13 Elizabeth Bally has brought suit against State Farm Life Insurance Company on behalf of a 14 class of policyholders. See Complaint (Dkt. 1). Bally claims that State Farm improperly 15 considered profit, expenses, and other non-mortality factors in calculating the cost of insurance 16 rates in class members’ policies. See id. ¶¶ 37–40. Bally also claims that State Farm’s inclusion 17 of expense charges within its cost of insurance rates breached a contractual provision that set the 18 “monthly expense charge” for class members’ policies at $5.00. See id. ¶ 41. Bally thus argues 19 that State Farm “impermissibly inflates” cost of insurance rates, resulting in a windfall to it and a 20 loss to policyholders. See id. ¶¶ 39–40. Bally also brings a related claim for conversion, and 21 seeks punitive damages. See id. ¶¶ 69–77. 22 Now pending is Bally’s motion for partial summary judgment on behalf of the class, see 23 Class Mot. for Summary Judgment (Dkt. 142), and State Farm’s second motion for summary 24 judgment, see State Farm Second Mot. for Summary Judgment (Dkt. 191). The Court held a 25 hearing on the parties’ cross-motions on April 1, 2021, see Motion Hearing (Dkt. 213); Transcript 26 (Dkt. 217), and now resolves both motions.1 27 I. BACKGROUND 1 This lawsuit turns in large part on the interpretation of a single provision in State Farm’s 2 Form 94030 life insurance policy, entitled “Monthly Cost of Insurance Rates” (the “Monthly COI 3 Rates provision”). See Complaint ¶¶ 11–29; Policy (Dkt. 63-2) at 10. The operative language of 4 the provision is: “These rates for each policy year are based on the Insured’s age on the policy 5 anniversary, sex, and applicable rate class.” Id. The Court has already determined that the phrase 6 “based on” connotes exclusivity. See Order Denying Mot. for Summary Judgment at 14. The 7 main issue now is what the remainder of the provision means, and particularly what policyholders 8 would understand goes into an “applicable rate class.” 9 A. The Policy 10 Bally purchased a flexible premium adjustable insurance policy on Form 94030 from State 11 Farm on April 8, 1994, on behalf of her daughter. See Complaint ¶¶ 11, 47. State Farm offered 12 the Policy to customers in California from January 1, 1994 to June 30, 2004. See Mot. for Class 13 Cert. at 3. During that time, an estimated 86,000 Californians purchased the Policy. See Order 14 Granting Class Cert. at 14. 15 The Policy provides life insurance benefits through “a savings, or interest-bearing 16 component that is identified . . . as the ‘Account Value.’” Complaint ¶ 19. “The money that 17 makes up the Account Value is the property of the policy owner and is held in trust by [State 18 Farm].” Id. ¶ 21. The Account Value is equal to “95% of the initial premium less the monthly 19 deduction for the first policy month,” and thereafter: 20 The Account Value on any deduction date after the policy date is the 21 Account Value on the prior deduction date: 22 Motions for Summary Judgment Pending Resolution of State Farm’s Forthcoming Motion to 23 Decertify the Class (“Admin. Mot.”) (dkt. 220). Bally opposed that Motion. See Bally Opp. to Admin. Mot. (dkt. 221). The Court DENIES the Administrative Motion. Because the Court has 24 already certified a class in this case, State Farm is not at risk of one-way intervention. See Admin. Mot. at 4; Diva Limousine v. Uber Techs., 392 F. Supp. 3d 1074, 1095 (N.D. Cal. 2019) 25 (explaining that the rule protects defendants from “‘members of a class not yet certified [who would] wait for the court’s ruling on summary judgment and either opt in to a favorable ruling or 26 avoid being bound by an unfavorable one.’” (quoting Villa v. San Francisco Forty-Niners, 104 F. Supp. 3d 1017, 1021 (N.D. Cal. 2015)). State Farm and the class will both be bound by the 27 Court’s rulings herein. If, sometime later, the Court determines that class treatment is not 1 (1) plus 95% of any premium received since the prior deduction date, (2) less the deduction for the cost of insurance for any increase in the 2 Basic Amount and the monthly charges for any riders that became effective since the prior deduction date, 3 (3) less any withdrawals since the prior deduction date, (4) less the current monthly deduction, 4 (5) plus any dividend paid and added to the account value on the current deduction date, and 5 (6) plus any interest accrued since the prior deduction date.

6 See Policy at 9 (emphasis added); Complaint ¶ 22. 7 The “monthly deduction,” operation four above, contains the two monthly charges that the 8 parties ask the Court to consider here. See Policy at 9. “Each [monthly] deduction includes: (1) 9 the cost of insurance, (2) the monthly charges for any riders, and (3) the monthly expense charge.” 10 Policy at 9; Complaint ¶ 26. The Policy does not define the term “monthly expense charge,” but 11 sets the amount for that charge at a flat $5.00. See Policy at 3 (“The monthly expense charge is 12 $5.00.”); Complaint ¶ 27. 13 The Policy sets forth the process by which State Farm sets the cost of insurance rates, 14 explaining: 15 Monthly Cost of Insurance Rates. 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 16 determined for the Initial Basic Amount and for each increase. The rates shown on page 4 17 are the maximum monthly cost of insurance rates for the Initial Basic Amount. Maximum monthly cost of insurance rates will be provided for each increase in the Basic Amount. 18 We can charge rates lower than those shown. Such rates can be adjusted for projected changes in mortality but cannot exceed the maximum monthly cost of insurance rates. 19 Such adjustments cannot be made more than once a calendar year. 20 Policy at 10.2 Further, the Policy defines “rate class” as “[t]he underwriting class of the person 21 insured.” Id. at 5. 22 In sum, the Policy authorizes State Farm to take a monthly deduction from the 23 policyholders’ Account Value. The three components of the monthly deduction are (1) the cost of 24 insurance, (2) applicable rider charges, and (3) the monthly expense charge. State Farm calculates 25 the cost of insurance using the Monthly COI Rates provision. And the monthly cost of insurance 26

27 2 The Policy executed by Bally indicates that the maximum Monthly Cost of Insurance Rate for a 1 rate is based on each individual insured’s age, sex, and applicable rate class. 2 B. Procedural History 3 1. Complaint 4 Bally brought this suit on behalf of a class composed of “[a]ll persons who own or owned a 5 universal life insurance policy issued by State Farm on Form 94030 in the State of California 6 whose policy was in-force on or after January 1, 2002 and who was subject to at least one monthly 7 deduction.” See Order Granting Class Cert. at 4–5. Bally, on behalf of the class, asserts breach of 8 the Monthly COI Rates provision (Count I), breach of the “monthly expense charge” provision 9 (Count II), and conversion under California law (Count III). See Complaint ¶¶ 57–82 . The class 10 also seeks compensatory damages, punitive damages, declaratory and injunctive relief. See id. 11 2. State Farm’s previous motion for summary judgment 12 Nearly two years ago, State Farm unsuccessfully moved for summary judgment as to all of 13 Bally’s claims. See Order Denying Mot. for Summary Judgment (Dkt. 77) at 1–2. State Farm 14 argued that the Policy, by its use of the phrase “based on” in the Monthly COI Rates provision, 15 permits State Farm to consider factors beyond the three listed factors when calculating monthly 16 cost of insurance rates. See id.

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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-2021.