Cozart v. USAA Casualty Insurance Company

District Court, W.D. Washington·Decided November 20, 2023·No. 3:22-cv-05510·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT TACOMA MIKE COZART AND BLYTHE CASE NO. 3:22-cv-05510-RJB COZART, Husband and Wife, ORDER ON CROSS MOTIONS Plaintiffs, FOR SUMMARY JUDGMENT v. USAA CASUALTY INSURANCE COMPANY, an insurance company, Defendant. This matter comes before the Court on Defendant USAA Casualty Insurance Company’s (“USAA”) Motion for Summary Judgment (Dkt. 24) and Plaintiffs Mike and Blythe Cozart’s Motion for Summary Judgment (Dkt. 25). The Court has considered the pleadings filed in support of and in opposition to the motions and the file herein. In this case, the Cozarts contend that USAA breached their insurance contract, acted in bad faith, and violated Washington law in connection with its handling of property damage claims for their home on Bainbridge Island, Washington. Dkt. 1. The parties now cross move for summary judgment. For the reasons provided below, USAA’s motion (Dkt. 24) should be granted and the Cozarts’ motion (Dkt. 25) should be denied.

In February of 2018, the Cozarts contracted with Agate Pass Enterprises, Inc. (“Agate”) for construction of their home. Dkt. 24-2 at 24, 49 and 73. The Cozarts entered an insurance contract with USAA to cover the home with a policy period of April 21, 2018 to April 21, 2019. Dkt. 24-2 at 90-140. While the policy covers “sudden and accidental” tangible property damage at the home, it contains several exclusions, including for “faulty, negligent, inadequate or defective . . . design, specifications, workmanship, repair, construction . . . [or] materials used in construction.” Id. at 112. Additionally, it requires that lawsuits be brought “within two years after the date of loss.” Id. at 117. Home construction included installation of a hydronic radiant heating system below the hardwood floors by subcontractors. Dkt. 24-2 at 25. While the home was still under

construction, in mid-February 2019, Agate informed the Cozarts that the radiant heating system damaged the hardwood floors. Id. at 17 and 25. The system overheated by as much as 106 degrees Fahrenheit resulting in permanent damage - the hardwood floors were warped, cracked, and had separated from other boards. Id. at 26. Initially, according to the Cozarts, Agate assured them that the house was under warranty; it would (or ensure the subcontractors would) fix the floors. Dkt. 24-2 at 26-27. The Cozarts moved into the house in April of 2019, even though the floors had not been fixed. Id. at 18 and 28. According to Mrs. Cozart, sometime in the late spring of 2019, Agate informed them that it had turned the matter of the damage floors overt to its insurance company who was trying to

work with the subcontractors’ insurance companies. Id. at 18. This effort was to no avail, so Agate’s president told the Cozarts they would have to sue Agate over the floors. Id. On July 1, 2019, Mr. Cozart called USAA, “to ask about coverage and inform them of what had occurred at the house.” Dkt. 24-2 at 31. A transcript of the call is attached to this order as

“Exhibit A.” Mr. Cozart testified that he remembered the “general response [from USAA] was that it wouldn’t be covered. However there was an outside chance . . . that it might be covered . . .” Id. Mr. Cozart testified that at the time of the call, they did not know what caused the damage. Dkt. 25-1 at 66. While USAA Adjuster Garza mentioned getting a technician, Mr. Cozart testified that he didn’t know what kind of technician she was referring to and felt that he was being “given a polite no and, you know, an outside chance, but probably no.” Id. at 67. In a July 14, 2019 inspection of the floors, it was noted that to stay within the manufacturer’s warranty, the flooring had to be kept at between 60-80 degrees. Dkt. 24-1 at 32. Further, the inspector, Mike Osborn, a “NWFA Certified Wood Floor Inspector,” noted that the heating system required an “outside temperature sensor and in-floor direct contact temperature sensors.”

Id. at 31. The house was inspected again on March 9, 2020 and the floors’ distortion was observed as “slightly more severe.” Id. at 33. On July 10, 2020, the Cozarts sued Agate over the floor damage in state court. Dkt. 24-2 at 64-71. In their state court complaint, the Cozarts alleged that Agate, contrary to their contract, “failed to install in-floor direct contact temperature sensors in the radiant heat system as required by the manufacturer.” Id. at 67. They also contended that Agate failed “to nail and glue down the flooring as required by the manufacturer.” Id. The Cozarts asserted claims for breach of contract and unjust enrichment against Agate. Id. at 69-70.

The Cozarts moved out of the house in late June 2021/early July 2021 so that the floors could be repaired. Dkt. 24-2 at 18-19. The floor repairs were complete in November of 2021. Id. The case against Agate settled for $300,000 on April 19, 2022. Dkt. 24-2 at 41 and 145. The Cozarts paid $112,000 to lawyers to represent them in the Agate lawsuit; these fees were not

deducted from the settlement amount. Id. at 32-33; 38 and 83. As part of the settlement with Agate, the Cozarts assigned any and all claims the Cozarts had against USAA to Agate. Dkt. 24- 2 at 146. According to Mr. Cozart he and his wife “get nothing” out of this case. Id. at 39. USAA’s Manager of Claims Operations, Steve Rock, states that a June 13, 2022 pre- litigation demand letter from Agate’s insurance company’s lawyers was the next time USAA was contacted about the February 2019 floor damage. Dkt. 24-2 at 12. After Agate’s insurance company’s lawyers sent supplemental information and some further discussion occurred, USAA denied the claim on July 8, 2022 and July 21, 2022 based on the contract’s two year suit limitation clause. Dkt. 24-1 at 3-4.

On July 14, 2022, this case was filed. Dkt. 1. The Plaintiffs (Mr. and Mrs. Cozarts’ assignee, Agate, suing in the Cozarts’ name) assert causes of action for breach of contract, bad faith, violations of Washington’s Insurance Fair Conduct Act, RCW 48.30.015 (“IFCA”) and its regulations, and Washington’s Consumer Protection Act (“CPA”). Id. Both parties filed cross motions for summary judgment. Dkts. 24 and 25. Key to both parties’ motions is whether the July 1, 2019 call between Mr. Cozart and USAA Adjuster Garza constituted a “claim” under the policy.

Arguing that the call was not a “claim,” USAA asserts that it did not breach the contract, it did not commit bad faith, or violate IFCA, regulations, or the CPA. Dkts. 24, 27 and 29. USAA also maintains that its handling of the June 13, 2022 pre-litigation demand letter, to the extent it was a claim, was proper. Id.

Arguing that Mr. Cozart made a claim against his insurance in the July 1, 2019 call, the Plaintiffs (Mr. and Mrs. Cozarts’ assignee, Agate, suing in the Cozarts’ name) argue that USAA breached the contract when it denied the Cozarts benefits. Dkts. 25, 26 and 30. They contend that USAA failed to perform a reasonable investigation before denying their claim and denial of their claim without reasonable justification was bad faith. Id. The Plaintiffs assert that summary judgment on their IFCA cause of action should be granted, pointing to six separate claims handling regulations. Id. They argue that summary judgment on their CPA cause of action is warranted due to USAA’s bad faith and violation of various regulations. Id. This opinion will first provide the applicable law, standard on summary judgment, and then address whether the July 1, 2019 call between Mr. Cozart and USAA Adjuster Garza

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