Crawford's Auto Center, Inc. v. State Farm Mutual Automobile Insurance Company

945 F.3d 1150
CourtCourt of Appeals for the Eleventh Circuit
DecidedDecember 20, 2019
Docket17-12583
StatusPublished
Cited by36 cases

This text of 945 F.3d 1150 (Crawford's Auto Center, Inc. v. State Farm Mutual Automobile Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Crawford's Auto Center, Inc. v. State Farm Mutual Automobile Insurance Company, 945 F.3d 1150 (11th Cir. 2019).

Opinion

Case: 17-12583 Date Filed: 12/20/2019 Page: 1 of 22

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 17-12583 ________________________

D.C. Docket Nos. 6:14-md-02557-GAP-TBS; 6:14-cv-06016-GAP-TBS

CRAWFORD’S AUTO CENTER, INC., et al.,

Plaintiffs - Appellants,

versus

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, et al.,

Defendants - Appellees.

________________________

Appeal from the United States District Court for the Middle District of Florida ________________________

(December 20, 2019) Case: 17-12583 Date Filed: 12/20/2019 Page: 2 of 22

Before WILLIAM PRYOR, MARTIN, and KATSAS, * Circuit Judges.

MARTIN, Circuit Judge:

Plaintiffs Crawford’s Auto Center, Inc. and K & M Collision, LLC are two

auto body collision repair shops located in Pennsylvania and North Carolina. They

brought this class action suit against dozens of insurer defendants, alleging claims

under the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18

U.S.C. § 1961 et seq., and state law fraud and unjust enrichment theories. The

defendants consist of seven families of insurance companies—State Farm, Allstate,

GEICO, Progressive, Farmers Insurance, Liberty Mutual, and Nationwide—but

Progressive and Farmers Insurance were dismissed voluntarily from this appeal.

We will refer to the remaining defendants collectively (“Defendants”).

The District Court granted Defendants’ motion to dismiss each of Plaintiffs’

claims. Plaintiffs appeal this dismissal, as well as the District Court’s decision to

strike certain exhibits and its decision not to allow Plaintiffs to amend their

complaint on the ground that it would be futile. After careful review, and with the

benefit of oral argument, we affirm.

* Honorable Gregory G. Katsas, United States Circuit Judge for the D.C. Circuit, sitting by designation. 2 Case: 17-12583 Date Filed: 12/20/2019 Page: 3 of 22

I. BACKGROUND A. FACTUAL BACKGROUND

Defendants are obligated to indemnify collision losses under their insurance

claimants’ policies. In the event the claimants’ vehicles can be repaired, the

vehicles must be restored to pre-loss or pre-damaged condition. Plaintiffs allege

Defendants have the option to repair the vehicles or pay for the repairs, but they

choose to pay for the repairs—performed by collision repair shops—because this

protects them from liability for such repairs. Each defendant insurer group has a

direct repair program (“DRP”). These programs are composed of collision repair

shops around the country that agree to “certain uniform standards and procedures

in the repairs covered by” Defendants. In return for entering into these

agreements, Defendants refer a consistent volume of repair work to the collision

repair shops that participate in each Defendant’s respective DRP. Plaintiffs have

not entered into such agreements with Defendants and are not part of any of

Defendants’ DRPs.

Plaintiffs’ complaint describes a scheme that enables Defendants to pay as

little for repairs as possible. They allege that this scheme harmed non-DRP

collision repair shops, like Plaintiffs, because non-DRP shops “expect to be

compensated at a rate that is commensurate with the standard of repairs that they

are performing.” Plaintiffs say Defendants “have created a unilateral solution to

3 Case: 17-12583 Date Filed: 12/20/2019 Page: 4 of 22

achieve their goal of cost savings” by instituting policy language “qualifying their

obligation” to pay only the prevailing rate. Plaintiffs allege these “prevailing

rates” are artificial, and Defendants use the rates to misrepresent to both insurance

claimants and collision repair shops what is necessary to properly repair and

restore the damaged vehicles to pre-loss condition. Under Plaintiffs’ theory,

Defendants’ scheme allows them to pay less for the repairs than what Plaintiffs

believe they are owed.

Plaintiffs recount that in order to establish the prevailing rate, Defendants

work with three auto data companies referred to as the “Information Providers”. 1

The Information Providers gather data about things like labor rates and material

costs, and put that data into estimating software programs that are then sold to

Defendants, DRP collision repair shops, and non-DRP collision repair shops.

Defendants and “the vast majority” of collision repair shops then use this software

to estimate the cost of automobile repairs. Plaintiffs claim the Information

Providers’ software is supposed to be neutral, but in practice is not. This is

because, as Plaintiffs describe, most of the data uploaded into the software

programs comes from Defendants’ DRP collision repair shops, and those DRP

shops are contractually bound to accept lower rates in exchange for a steady stream

of work. This results in estimates that are based on a “feedback loop” that does not

1 The Information Providers have not been named as defendants. 4 Case: 17-12583 Date Filed: 12/20/2019 Page: 5 of 22

accurately reflect rates across the industry. Defendants and the Information

Providers are thus able to “cement[] the prevailing rate” and apply it to collision

repair shops who are not involved in Defendants’ DRP programs.

Plaintiffs also allege that Defendants and the Information Providers skew the

raw data that gets loaded into the estimating software by “scrub[bing] the estimates

presented by Plaintiffs.” For example, when Plaintiffs present a repair order—

which reflects the repairs required according to manufacturer guidelines and

specifications—and outline the compensation for their work, they are uniformly

told by Defendants that certain procedures or labor times exceed the prevailing

rate. Plaintiffs say it is by this method that Defendants are able to systematically

misrepresent the prevailing rates in each repair estimate, including rates for labor,

parts and materials.

Plaintiffs claim that as a result of these processes, Defendants consistently

refuse to pay anything over the prevailing rate and thus have “artificially

suppressed” the compensation Plaintiffs are owed. Plaintiffs are suing Defendants

for their “attempts to enforce these artificial prevailing rates” upon them because

they have not agreed to Defendants’ “limited, pre-defined compensation.”

Plaintiffs claim Defendants’ practices amount to RICO extortion and fraud,

as well as common law fraud and unjust enrichment. Plaintiffs allege that

Defendants misrepresented and omitted material facts to arrive at their prevailing

5 Case: 17-12583 Date Filed: 12/20/2019 Page: 6 of 22

rate for automobile repairs “for the purpose of deceiving Plaintiffs . . . to accept

artificially suppressed compensation for insured repairs.” Plaintiffs say they were

“coerced or forced to accept suppressed compensation for insured repairs

predicated on fear of economic harm, i.e., if the repair facilities wanted to do

business with [Defendants].”

B. PROCEDURAL HISTORY Plaintiffs first filed their complaint in April 2014 in the U.S. District Court

for the Northern District of Illinois. After Defendants moved to dismiss, the parties

stipulated that Plaintiffs would amend their complaint. Plaintiffs filed their first

amended complaint in August 2014. In December 2014, the Judicial Panel on

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Bluebook (online)
945 F.3d 1150, Counsel Stack Legal Research, https://law.counselstack.com/opinion/crawfords-auto-center-inc-v-state-farm-mutual-automobile-insurance-ca11-2019.