1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8
10 Farmers Insurance Company of Arizona, et al., No. CV-21-01390-PHX-DGC
11 Plaintiffs, ORDER
12 v.
13 DNS Auto Glass Shop LLC, et al.,
14 Defendants. 15 Plaintiffs assert a variety of claims against Defendants for submission of allegedly 16 misleading insurance claims. Doc. 1. Defendants counterclaim for breach of contract and 17 similar claims. Doc. 28. Defendants move for summary judgment on several of Plaintiffs’ 18 claims. Doc. 160. Plaintiffs move to preclude Defendants’ expert witness Gary Hart and 19 for partial summary judgment on the counterclaims. Doc. 158. The Court heard oral 20 argument on both motions on February 27, 2024. For reasons stated below, the Court will 21 grant in part and deny in part each motion. 22 I. Background. 23 Plaintiffs sue Defendants DNS Auto Glass Shop LLC, d/b/a Express Glass Works 24 and Glass Replacements, Excellent Auto Glass, LLC, Right at Home Glass, LLC, Auto 25 Glass Shop, LLC, and Glass Replacements, LLC (“Defendants”).1 Doc. 1. These entities 26 27 1 Plaintiffs also bring claims against Defendant Auto Glass Holdings and individuals 28 Jeff Searles, Mark Feuer, and Scott Taylor. Claims against these individuals are not at issue in either motion. 1 are engaged in the auto glass repair and replacement business, and Plaintiffs provide 2 insurance coverage for such services. Id. ¶¶ 28-34. 3 When an insured party approaches a Defendant about a glass repair or replacement, 4 Defendants call Plaintiffs to verify insurance coverage and begin the claims process. This 5 phone call is referred to as the First-Notice-of-Loss call (“FNOL call”). Plaintiffs gather 6 information from the insured during the call, including name, address, phone number, 7 vehicle information, and the insured’s damages. Plaintiffs enter this information into their 8 own internal system, and Safelite, a third-party vendor, creates a claim file for the customer 9 within Plaintiffs internal claim system. On occasion, Plaintiffs perform inspections of 10 vehicles before authorizing Defendants to start work. Docs. 161 ¶¶ 11-16, 170 ¶ 4. 11 Defendants use e-Direct Glass (“eDG”) software, developed by Defendants’ expert 12 Gary Hart, to process insurance claims internally. Defendants input information for each 13 claim including the name and address of the insured, vehicle information, date of loss, 14 policy information, and the glass service location. The eDG system connects to Safelite’s 15 system to provide Plaintiffs with the information necessary to process the insurance claim. 16 Safelite is responsible for providing Plaintiffs with the claim information, for collecting 17 payment, and for sending payment to Defendants. Docs. 161 ¶¶ 17-22, 170 ¶ 4. 18 In each of the almost 3,000 claims at issue in this case, Defendants provided a 19 Florida phone number during the FNOL call and provided a Florida phone number and 20 address on their invoices and work orders. Doc. 1 ¶ 38. Defendants did not tell Plaintiffs 21 during the calls that the repairs were occurring in Florida, and did provide some Arizona- 22 based information in their claims submitted to Plaintiffs. Docs. 161 ¶ 25, 170 ¶ 6, 21. 23 During the relevant time, Defendants performed glass repair services in Arizona. 24 They maintained physical offices in both Florida and Arizona. Defendant Glass 25 Replacements completed approximately 97% of the glass repairs at issue and Defendant 26 Right at Home Glass performed the rest. Both Glass Replacements and Right at Home 27 Glass are registered to do business in Florida and Arizona. Both maintain Florida addresses 28 and phone numbers. Docs. 161 ¶ 2-10, 170 ¶ 2. 1 Plaintiffs allege that they were misled into overpaying Defendants on at least 2,910 2 claims between 2018 and 2020. Doc. 1 ¶¶ 41-42. Plaintiffs allege that Defendants are 3 knowledgeable about the auto glass replacement industry, know that insurers typically pay 4 claims based on the glass shop address and phone number, knew that Florida claims are 5 paid at a higher rate than Arizona claims, and chose to provide Florida-based addresses and 6 phone numbers in order to cause Plaintiffs to pay higher prices. Doc. 170 ¶ 6. 7 On April 25, 2018, Plaintiffs’ counsel Steven Kluz sent cease-and-desist letters to 8 Defendants alerting them to this issue. The letters requested that Defendants begin using 9 an Arizona phone number and billing information to prevent overpayment. Defendants 10 declined to change their practice, and Plaintiffs now manually change Defendants 11 geographic location in their own system. Doc. 170 ¶¶ 34, 36. Defendants admit the 12 relevant work was performed in Arizona for each of the claims at issue in this case, but 13 deny that they represented to Plaintiffs that it was performed in Florida or that they were 14 overpaid by Plaintiffs. Doc. 28 at 6, 9. 15 Plaintiffs assert claims under the federal Racketeer Influenced and Corrupt 16 Organizations Act (“RICO”) pursuant to 18 U.S.C. §§ 1964(c) and 1962(c) (Count I), 17 § 1962(a) (Count II), and § 1962(d) (Count III). Doc. 1 ¶¶ 47-81. Plaintiffs also bring 18 claims for fraud (Count IV), unjust enrichment (Count V), civil conspiracy (Count VI), and 19 piercing the corporate veil (Count VII). Id. ¶¶ 82-117. 20 Defendants assert counterclaims for breach of contract, breach of duty of good faith 21 and fair dealing, and unjust enrichment alleging that Plaintiffs have underpaid them a total 22 of $408,637.01. They allege that when Plaintiffs began manually changing their location 23 to Arizona, they began being paid below a fair and reasonable market rate for their work. 24 Doc. 28 at 13-22. 25 II. Summary Judgment Standard. 26 Summary judgment is appropriate if the moving party shows that there is no genuine 27 dispute as to any material fact and that it is entitled to judgment as a matter of law. Fed. 28 R. Civ. P. 56(a). The moving party “bears the initial responsibility of informing the court 1 of the basis for its motion, and identifying those portions of [the record] which it believes 2 demonstrate the absence of a genuine issue of material fact.” Celotex Corp. v. Catrett, 477 3 U.S. 317, 323 (1986). Only disputes over facts that might affect the outcome of the suit 4 will preclude the entry of summary judgment, and the disputed evidence must be “such 5 that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty 6 Lobby, Inc., 477 U.S. 242, 248 (1986). The Court must view the evidence in the light most 7 favorable to the nonmoving party, Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 8 U.S. 574, 587 (1986), and draw justifiable inferences in that party’s favor, Anderson, 477 9 U.S. at 255. 10 III. Defendants’ Summary Judgment Motion. 11 A. Fraud, Civil Conspiracy, and RICO Claims (Counts I-IV, VI). 12 In support of their fraud, civil conspiracy, and RICO claims, Plaintiffs allege that 13 Defendants made fraudulent misrepresentations by using a Florida phone number during 14 FNOL calls and by listing Florida numbers and addresses on work orders and invoices 15 when glass repair services were actually performed in Arizona. Doc. 1 at 8-16.
Free access — add to your briefcase to read the full text and ask questions with AI
1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8
10 Farmers Insurance Company of Arizona, et al., No. CV-21-01390-PHX-DGC
11 Plaintiffs, ORDER
12 v.
13 DNS Auto Glass Shop LLC, et al.,
14 Defendants. 15 Plaintiffs assert a variety of claims against Defendants for submission of allegedly 16 misleading insurance claims. Doc. 1. Defendants counterclaim for breach of contract and 17 similar claims. Doc. 28. Defendants move for summary judgment on several of Plaintiffs’ 18 claims. Doc. 160. Plaintiffs move to preclude Defendants’ expert witness Gary Hart and 19 for partial summary judgment on the counterclaims. Doc. 158. The Court heard oral 20 argument on both motions on February 27, 2024. For reasons stated below, the Court will 21 grant in part and deny in part each motion. 22 I. Background. 23 Plaintiffs sue Defendants DNS Auto Glass Shop LLC, d/b/a Express Glass Works 24 and Glass Replacements, Excellent Auto Glass, LLC, Right at Home Glass, LLC, Auto 25 Glass Shop, LLC, and Glass Replacements, LLC (“Defendants”).1 Doc. 1. These entities 26 27 1 Plaintiffs also bring claims against Defendant Auto Glass Holdings and individuals 28 Jeff Searles, Mark Feuer, and Scott Taylor. Claims against these individuals are not at issue in either motion. 1 are engaged in the auto glass repair and replacement business, and Plaintiffs provide 2 insurance coverage for such services. Id. ¶¶ 28-34. 3 When an insured party approaches a Defendant about a glass repair or replacement, 4 Defendants call Plaintiffs to verify insurance coverage and begin the claims process. This 5 phone call is referred to as the First-Notice-of-Loss call (“FNOL call”). Plaintiffs gather 6 information from the insured during the call, including name, address, phone number, 7 vehicle information, and the insured’s damages. Plaintiffs enter this information into their 8 own internal system, and Safelite, a third-party vendor, creates a claim file for the customer 9 within Plaintiffs internal claim system. On occasion, Plaintiffs perform inspections of 10 vehicles before authorizing Defendants to start work. Docs. 161 ¶¶ 11-16, 170 ¶ 4. 11 Defendants use e-Direct Glass (“eDG”) software, developed by Defendants’ expert 12 Gary Hart, to process insurance claims internally. Defendants input information for each 13 claim including the name and address of the insured, vehicle information, date of loss, 14 policy information, and the glass service location. The eDG system connects to Safelite’s 15 system to provide Plaintiffs with the information necessary to process the insurance claim. 16 Safelite is responsible for providing Plaintiffs with the claim information, for collecting 17 payment, and for sending payment to Defendants. Docs. 161 ¶¶ 17-22, 170 ¶ 4. 18 In each of the almost 3,000 claims at issue in this case, Defendants provided a 19 Florida phone number during the FNOL call and provided a Florida phone number and 20 address on their invoices and work orders. Doc. 1 ¶ 38. Defendants did not tell Plaintiffs 21 during the calls that the repairs were occurring in Florida, and did provide some Arizona- 22 based information in their claims submitted to Plaintiffs. Docs. 161 ¶ 25, 170 ¶ 6, 21. 23 During the relevant time, Defendants performed glass repair services in Arizona. 24 They maintained physical offices in both Florida and Arizona. Defendant Glass 25 Replacements completed approximately 97% of the glass repairs at issue and Defendant 26 Right at Home Glass performed the rest. Both Glass Replacements and Right at Home 27 Glass are registered to do business in Florida and Arizona. Both maintain Florida addresses 28 and phone numbers. Docs. 161 ¶ 2-10, 170 ¶ 2. 1 Plaintiffs allege that they were misled into overpaying Defendants on at least 2,910 2 claims between 2018 and 2020. Doc. 1 ¶¶ 41-42. Plaintiffs allege that Defendants are 3 knowledgeable about the auto glass replacement industry, know that insurers typically pay 4 claims based on the glass shop address and phone number, knew that Florida claims are 5 paid at a higher rate than Arizona claims, and chose to provide Florida-based addresses and 6 phone numbers in order to cause Plaintiffs to pay higher prices. Doc. 170 ¶ 6. 7 On April 25, 2018, Plaintiffs’ counsel Steven Kluz sent cease-and-desist letters to 8 Defendants alerting them to this issue. The letters requested that Defendants begin using 9 an Arizona phone number and billing information to prevent overpayment. Defendants 10 declined to change their practice, and Plaintiffs now manually change Defendants 11 geographic location in their own system. Doc. 170 ¶¶ 34, 36. Defendants admit the 12 relevant work was performed in Arizona for each of the claims at issue in this case, but 13 deny that they represented to Plaintiffs that it was performed in Florida or that they were 14 overpaid by Plaintiffs. Doc. 28 at 6, 9. 15 Plaintiffs assert claims under the federal Racketeer Influenced and Corrupt 16 Organizations Act (“RICO”) pursuant to 18 U.S.C. §§ 1964(c) and 1962(c) (Count I), 17 § 1962(a) (Count II), and § 1962(d) (Count III). Doc. 1 ¶¶ 47-81. Plaintiffs also bring 18 claims for fraud (Count IV), unjust enrichment (Count V), civil conspiracy (Count VI), and 19 piercing the corporate veil (Count VII). Id. ¶¶ 82-117. 20 Defendants assert counterclaims for breach of contract, breach of duty of good faith 21 and fair dealing, and unjust enrichment alleging that Plaintiffs have underpaid them a total 22 of $408,637.01. They allege that when Plaintiffs began manually changing their location 23 to Arizona, they began being paid below a fair and reasonable market rate for their work. 24 Doc. 28 at 13-22. 25 II. Summary Judgment Standard. 26 Summary judgment is appropriate if the moving party shows that there is no genuine 27 dispute as to any material fact and that it is entitled to judgment as a matter of law. Fed. 28 R. Civ. P. 56(a). The moving party “bears the initial responsibility of informing the court 1 of the basis for its motion, and identifying those portions of [the record] which it believes 2 demonstrate the absence of a genuine issue of material fact.” Celotex Corp. v. Catrett, 477 3 U.S. 317, 323 (1986). Only disputes over facts that might affect the outcome of the suit 4 will preclude the entry of summary judgment, and the disputed evidence must be “such 5 that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty 6 Lobby, Inc., 477 U.S. 242, 248 (1986). The Court must view the evidence in the light most 7 favorable to the nonmoving party, Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 8 U.S. 574, 587 (1986), and draw justifiable inferences in that party’s favor, Anderson, 477 9 U.S. at 255. 10 III. Defendants’ Summary Judgment Motion. 11 A. Fraud, Civil Conspiracy, and RICO Claims (Counts I-IV, VI). 12 In support of their fraud, civil conspiracy, and RICO claims, Plaintiffs allege that 13 Defendants made fraudulent misrepresentations by using a Florida phone number during 14 FNOL calls and by listing Florida numbers and addresses on work orders and invoices 15 when glass repair services were actually performed in Arizona. Doc. 1 at 8-16. Plaintiffs 16 believe that Defendants knew they would receive a higher rate for repair services done in 17 Florida and purposefully misrepresented their location to receive higher reimbursements.2 18 Defendants argue that they are entitled to summary judgment on these claims 19 because Plaintiffs cannot establish that (1) Defendants made any false or misleading 20 representations regarding where the glass repairs took place, (2) Defendants intended for 21 Plaintiffs to process the claims as if the repairs were occurring in Florida, and (3) Plaintiffs 22 reasonably relied on any such misrepresentations. Doc. 160. Plaintiffs respond that 23 whether Defendants made fraudulent statements and whether Plaintiffs reasonably relied 24 on those statements are questions properly reserved for the jury. Doc. 169. 25 2 Plaintiffs’ expert Keith Beveridge suggests that insurance companies are willing 26 to reimburse for work completed in Florida at a higher rate than other geographic areas because of Florida’s one-way attorneys fee statute. The statute awards legal fees to 27 prevailing insureds who bring claims against their insurers. Mr. Beveridge suggests that insurance companies often choose to reimburse at rates higher than fair market value in 28 order to avoid disputes where they may be required to pay the legal costs of the opposing party. Doc. 170-1 at 11-12. 1 The Court will deny Defendants’ motion to the extent it relies on insurance claims 2 made prior to Plaintiffs April 25, 2018 cease-and-desist letter. The Court will grant 3 Defendants’ motion in all other respects. 4 1. Prior to Cease-and-Desist Letter. 5 To prevail on a fraud claim in Arizona, a plaintiff must show: (1) the defendant has 6 made a representation; (2) its falsity; (3) its materiality; (4) the defendant’s knowledge of 7 its falsity or ignorance of its truth; (5) the defendant’s intent that it should be acted upon in 8 the manner reasonably contemplated; (6) the plaintiff’s ignorance of its falsity; (7) the 9 plaintiff’s reliance on the statement; (8) the plaintiff’s right to rely on the statement; and 10 (9) the plaintiff’s consequent and proximate injury. Peery v. Hansen, 585 P.2d 574, 577 11 (Ariz. Ct. App. 1978). “Direct proof of fraud . . . is not required. A party can meet its 12 burden of proof by showing circumstantial evidence through which fraud may reasonably 13 be inferred.” Premier Fin. Servs. v. Citibank (Arizona), 912 P.2d 1309, 1314 (Ariz. Ct. 14 App. 1995). Because Plaintiffs’ civil conspiracy and RICO claims arise from the same 15 allegedly fraudulent misstatements, if summary judgment is granted on fraud, it will also 16 be granted on these claims.3 17 Defendants argue that Plaintiffs are unable to prove Defendants made a false 18 representation because both Glass Replacements and Right at Home Glass, the entities who 19 handled the claims in question, are businesses who do glass repair in Florida and Arizona. 20 Doc. 160 at 12. Because both use a Florida location as their corporate headquarters, 21 Defendants say the billing information was accurate. 22 Defendants also argue that Plaintiffs cannot prove Defendants intended for Plaintiffs 23 to believe the glass repair work was being done in Florida. Doc. 160 at 13. They offer 24 substantial evidence showing their attempts to notify Plaintiffs where repair work was 25 3 Defendants also argue that Plaintiffs’ civil RICO claims are inappropriate because 26 RICO was never intended to apply to ordinary business disputes. Doc. 160 at 15-16. The Court is not persuaded. None of the cases Defendants cite rested on this ground. Courts 27 in each of Defendants’ cases found that plaintiffs had not sufficiently pled an element of their claim. See Doc. 161 at 11. The language Defendants rely on appears to be explaining 28 why RICO requires elements like continuity and the existence of an enterprise. It does not exist as a separate basis for dismissing RICO claims. 1 done. To start, they note that Defendants informed Plaintiffs during the FNOL calls that 2 service was being done at an Arizona service location, that the insured person was an 3 Arizona resident, that the glass damage occurred in Arizona, and in some instances that the 4 Florida information was solely for billing purposes and was not indicative of service 5 location. At oral argument, counsel for Defendants highlighted FNOL call transcripts for 6 two individuals to demonstrate Defendants’ purported attempts at transparency. 7 During the FNOL call for Nancy Davis, the insured gives her home address in Mesa, 8 Arizona, and provides a personal phone number with an Arizona area code. She confirms 9 that she is located in Arizona. When Plaintiffs’ representative notes that the provider looks 10 to be based in Florida, Ms. Davis says that the Defendants’ corporate office is in Florida, 11 but that service will be done in Arizona. Doc. 161-13 at 12-18. In the FNOL call for 12 Matthew Sewick, the insured indicates that he is an Arizona resident. When Plaintiffs’ 13 representative notes that the shop number is indicating a Maitland, Florida address, the 14 representative asks the repair shop employee if there is an individual number for the 15 Arizona shop. The employee indicates that the address and phone number for billing are 16 separate from the shop address, which is in Mesa, Arizona. The employee then provides 17 an Arizona phone number and address for the shop. Doc. 161-13 at 3-8. Defendants 18 provided the Court with FNOL calls for five other individuals which follow a similar 19 pattern. See Doc. 161-13 at 19-63. 20 Defendants also provide Plaintiffs’ internal claim files to show Plaintiffs knew the 21 repairs were occurring in Arizona. The claim files include a loss location and loss state of 22 Arizona, an Arizona service location for the vehicle inspection, and that the insured is 23 covered by “Farmers Insurance Company of Arizona[.]” Doc. 161-6. Similarly, 24 Defendants note that Plaintiffs’ vehicle inspection reports show Plaintiffs completed over 25 200 on-site inspections for Defendants’ customers at Arizona service addresses, and that 26 Defendants were providing Plaintiffs with glass purchase documents indicating they were 27 working with Arizona dealers. Docs. 160 at 7-8, 161-14, 161-16. 28 1 Relying on the above facts, Defendants also argue that Plaintiffs cannot show it was 2 reasonable for Plaintiffs to rely on the Florida information when determining the service 3 location. Given the various ways they attempted to show where the service was occurring, 4 Defendants argue it was unreasonable for Plaintiffs to look solely at the phone number and 5 address to make this determination. Doc. 160 at 13-14. Defendants believe the fault lies 6 with Plaintiff’s internal system, which looks only to these items to determine service 7 location. See Doc. 160 at 14, 174 at 6. 8 Although the facts recited by Defendants might have persuasive force with a jury, 9 the Court does not find them sufficient for summary judgment. Defendants focus on the 10 objective truth of their statements, arguing that because their headquarters has a Florida 11 address and uses a Florida phone number, they are not making misrepresentations when 12 they provide this information on FNOL calls. But “[w]hen one is asked a question that 13 fairly calls for disclosure of a material fact, he or she commits fraud by concealing the truth 14 or otherwise answering in a manner deliberately calculated to mislead.” Lerner v. DMB 15 Realty, LLC, 322 P.3d 909, 916 (Ariz. Ct. App. 2014). See also Restatement (Second) of 16 Torts § 529 (1977) (“A statement containing a half-truth may be as misleading as a 17 statement wholly false.”). And Plaintiffs offer substantial evidence by which a reasonable 18 jury could conclude that Defendants intentionally misled Plaintiffs as to where the glass 19 replacements were occurring. 20 Plaintiffs offer evidence that it is common knowledge in the auto glass industry that 21 insurance companies determine pricing based on the physical location of the auto glass 22 shop and the shop’s phone number. Plaintiffs’ expert, Keith Beveridge, asserts in his report 23 that “[i]t is well known in the auto glass industry that for years insurance companies paid 24 regional pricing based upon the physical location of the auto glass shop and that shop’s 25 phone number.” Doc. 170-1 at 13. Though Defendants’ principal Jeff Searles maintains 26 that he was unaware of this custom, a material dispute of fact exists as to whether this was 27 a widely-accepted practice of which Defendants were aware. See Doc. 161-1 ¶ 28. 28 1 Plaintiffs maintain that they do not deal with any other auto glass companies that 2 provide a phone number with an area code different from the service location, regardless 3 of the location of their corporate headquarters. In fact, Plaintiffs allege that this practice is 4 new for Defendants — that prior to 2018, Defendants used Arizona addresses and phone 5 numbers for billing purposes and were reimbursed at Arizona rates. They contend that 6 Defendants only began providing Florida information in 2018, after which they began 7 receiving higher reimbursements from Plaintiffs. Doc. 170-2 at 70 (“And by changing that 8 phone number, which has been something that we have done for years, and saying that this 9 glass shop doesn’t understand that is ridiculous, because this has been the way it’s been for 10 as long as I’ve been there, which has been over a decade. So they knew when they changed 11 that phone number and when they changed that address that this was going to create that 12 kind of problem.”) (deposition testimony of Teresa Ann McCaslin-Bedell). Plaintiffs also 13 provide facts suggesting that Defendants billed them for glass replacement services at a 14 rate standard for Florida — higher than those charged in Arizona — thus perpetuating the 15 misrepresentation. Docs. 169 at 7, 171-1 at 5-6. 16 Defendants point to many instances in which they told Plaintiffs that repair services 17 were being done in Arizona, but these statements are less relevant if they knew, as Plaintiff 18 suggests, that the rate-determining facts were the billing address and phone number. There 19 exists a material dispute of fact as to whether Defendants knew how Plaintiffs would 20 determine service location, and if they intentionally exploited Plaintiffs system to their own 21 benefit. Weighing this competing evidence is a task properly left to the jury. 22 Further, if it is true that shop address and phone number are the industry standard 23 for setting service location, a jury could find that Plaintiffs reasonably relied on 24 Defendants’ answers to these questions in determining service location. Prior to the cease- 25 and-desist letter, a jury could find that Plaintiffs reasonably relied on long-standing 26 industry practice. See Cramton v. Grabbagreen Franchising LLC, No. CV-17-04663, 2019 27 WL 7048773 at *32 (D. Ariz. Dec. 23, 2019), aff’d, No. 21-17122, 2023 WL 5036489 (9th 28 Cir. Aug. 8, 2023) (whether plaintiff was reasonable in relying on seller’s statement that 1 planned sale had fallen through despite knowledge that the company wanted a quick deal 2 and his ability to fact-check the statement with others was “a quintessential jury question”); 3 Lerner, 322 P.3d at 915 (whether homebuyer would reasonably rely on seller’s 4 representation about their reason for moving was question properly left for the jury). 5 Accordingly, the Court will deny Defendants motion for summary judgment on Plaintiffs 6 fraud, civil conspiracy, and RICO claims to the extent they are based on insurance claims 7 paid prior to April 25, 2018. 8 2. After the Cease-and-Desist Letter. 9 Defendants argue that even if Plaintiffs can show the necessary elements of falsity 10 and intent, Plaintiffs cannot prove they reasonably relied on Defendants’ statements after 11 they sent Defendants a letter complaining that the information Defendants were providing 12 was misleading. Doc. 160 at 15-16. The Court agrees. 13 The April 25, 2018 letter from Plaintiffs’ counsel demanded that Defendants stop 14 providing a shop telephone number on FNOL calls that was located in a different state than 15 where the glass replacement service was being completed. Plaintiffs stated that they have 16 “call recordings establishing that [] representatives are providing the telephone number of 17 an associated shop that is not the shop performing the work.” Id. at 2. The letter also 18 makes clear Plaintiffs believed this to be a “misrepresentation” that was resulting in higher 19 payments than would otherwise be issued. Id. at 2-3. 20 The cease-and-desist letter establishes — as an undisputed fact in this case — that 21 Plaintiffs knew by at least April 25, 2018 that Defendants were providing phone numbers 22 in states different from where the service was being performed, and that Plaintiffs 23 understood the financial consequences of relying on those numbers. Plaintiffs also knew 24 that Defendants did not stop this practice after receiving Plaintiff’s letter, as evidenced by 25 follow-up letters Plaintiffs sent Defendants in 2019 renewing the demand, and the fact that 26 Plaintiffs eventually changed their claims-payment system to accommodate Defendants’ 27 practice of using Florida numbers. Thus, even if providing such numbers was a 28 misrepresentation given practices in the industry, Plaintiffs knew this was happening as of 1 April 25, 2018 and could not thereafter reasonably rely on the numbers as showing where 2 service was performed. 3 Plaintiffs argue that their continued reliance was reasonable because changing their 4 internal system to accommodate Defendants’ use of the Florida numbers would have been 5 time-consuming and expensive, and would have risked overlooking legitimate Florida- 6 based claims. Docs. 170 ¶ 37, 170-2. But the Court cannot conclude that a party which 7 knows that a phone number does not accurately represent the location of service can 8 nonetheless rely on it for the location simply because making internal business adjustments 9 would be difficult. Nor can the Court conclude that such a party can later claim to have 10 been defrauded into relying on the number. Put simply, Plaintiffs could not reasonably 11 rely on Florida numbers they knew did not represent the location of service. 12 What is more, Plaintiffs provide no evidence to show that internal change would 13 have been difficult. At oral argument, Plaintiffs highlighted deposition testimony from 14 Micaela Rush that Plaintiffs were forced to manually update the service location until a 15 more permanent fix could be made. Doc. 170-2 at 124-26. But this merely proves that a 16 manual fix was possible, and says nothing about whether it was time-consuming, 17 expensive, or risky. Id. Plaintiffs also pointed to testimony of Teresa Ann McCaslin- 18 Bedell that Plaintiffs chose to send cease-and-desist letters because they were unsure how 19 to make the change within their own IT system. Id. at 76. But continuing to pay claims 20 while sending demand letters, rather than stopping payments or finding an internal business 21 fix, was itself a business choice of Plaintiffs. Having knowingly chosen to pay claims on 22 the basis of numbers they knew were not reliable indications of location, Plaintiffs cannot 23 reasonably claim that they were defrauded into relying on the numbers. Id. at 86. The 24 Court will grant Defendants’ motion for summary judgment on Plaintiffs’ fraud, civil 25 conspiracy, and RICO claims to the extent they are based on insurance claims paid after 26 April 25, 2018. 27 / / / 28 / / / 1 B. Unjust Enrichment (Count V). 2 Plaintiffs argued at the hearing that their unjust enrichment claim should survive in 3 full, even if their fraud-based claims fail after April 25, 2018. The unjust enrichment claim 4 is based on the allegation that Defendants “falsely represent[ed] the geographical location 5 of auto glass repairs and/or replacements,” which required “Farmers to pay substantially 6 more than they otherwise would have in the absence of Defendants’ false representations.” 7 Doc. 1 ¶¶ 96, 98. At oral argument, Plaintiffs’ counsel explained that the claim is premised 8 on Defendants’ acceptance of payment at a higher rate than would have been acceptable 9 for services rendered in Arizona. They say Defendants were notified during the FNOL 10 calls as to what an estimated Arizona service rate would be, and yet billed for services at a 11 higher rate than would be appropriate for an Arizona glass replacement. By accepting 12 payment at a rate above the quoted Arizona rate, Plaintiffs allege that Defendants were 13 unjustifiably enriched. 14 To establish an unjust enrichment claim in Arizona, “a plaintiff must demonstrate 15 that the defendant received a benefit, that by receipt of that benefit the defendant was 16 unjustly enriched at the plaintiff’s expense, and that the circumstances were such that in 17 good conscience the defendant should provide compensation.” Freeman v. Sorchych, 245 18 P.3d 927, 936 (Ariz. Ct. App. 2011) (citing Murdock-Bryan Constr., Inc. v. Pearson, 703 19 P.2d 1197, 1202 (1985). More specifically, a plaintiff must show: (1) an enrichment, (2) 20 an impoverishment, (3) a connection between the enrichment and impoverishment, (4) the 21 absence of justification for the enrichment and impoverishment, and (5) the absence of a 22 remedy provided by law. Freeman, 245 P.3d at 936. Defendants appear to dispute whether 23 Plaintiffs can establish the first four elements. 24 Unjust enrichment focuses on the equity of the amount paid for a service, returning 25 an excess that was not justified by the transaction. The claim does not include a reasonable 26 reliance element like fraud. In this case, a dispute of material fact exists as to whether 27 Plaintiffs were impoverished and Defendants enriched by payment of higher-than-average 28 insurance reimbursements. Plaintiffs’ expert Keith Beveridge will testify that insurance 1 companies often pay higher prices for auto glass in Florida, and that Defendants were 2 charging Plaintiffs rates that exceeded the competitive rates charged by auto glass shops in 3 Arizona. Doc. 170-1 at 5-12. At oral argument, Plaintiffs’ counsel also suggested that the 4 disparity between estimated reimbursement figures provided during the FNOL calls, which 5 were premised on the service being completed in Arizona, and the actual reimbursement 6 Defendants received, shows that Defendants received higher than average amounts for their 7 glass replacement services. 8 Because Defendants have not shown as a matter of law that no jury reasonably could 9 find that unjust enrichment occurred, the Court will deny Defendants motion as to 10 Plaintiffs’ unjust enrichment claim. 11 At oral argument, Defendants’ counsel suggested that the voluntary payment 12 doctrine would prevent Plaintiffs from succeeding on their claims for the time period after 13 Plaintiffs knew Defendants’ conduct was causing them to pay higher reimbursement rates. 14 Defendant did not base its motion on this doctrine or provide any relevant legal authority. 15 Because Defendants bear the initial burden of proof on their summary judgment motion, 16 the Court will not grant summary judgment on this basis. 17 IV. Plaintiffs’ Rule 702 and Summary Judgment Motion. 18 A. Rule 702 and Daubert Standards. 19 Under Rule 702, an expert may offer “scientific, technical, or other specialized 20 knowledge” if it “will assist the trier of fact to understand the evidence or to determine a 21 fact in issue,” provided the testimony rests on “sufficient facts or data” and “reliable 22 principles and methods,” and “the witness has reliably applied the principles and methods 23 to the facts of the case.” Fed. R. Evid. 702(a)-(d). As made clear in recent amendments to 24 Rule 702, the proponent of expert testimony must show by a preponderance of the evidence 25 that the proposed testimony satisfies each of the rule’s requirements. See Fed. R. Evid. 26 104(a); Fed R. Evid. 702 Advisory Committee’s Note to 2023 Amendment (“[T]he rule 27 has been amended to clarify and emphasize that expert testimony may not be admitted 28 unless the proponent demonstrates to the court that it is more likely than not that the 1 proffered testimony meets the admissibility requirements set forth in the rule.”). The trial 2 court – not the jury – applies this standard, acting as a gatekeeper to ensure expert testimony 3 satisfies Rule 702 and therefore “both rests on a reliable foundation and is relevant to the 4 task at hand.” Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579, 597 (1993); see also 5 Davis v. McKesson Corp., No. CV-18-1157-PHX-DGC, 2019 WL 3532179, at *3 n. 2 (D. 6 Ariz. Aug. 2, 2019) (“[T]he Court may admit expert opinions only if it can determine, 7 under Rule 104(a), that Plaintiffs have shown each of the Rule 702 requirements to be 8 satisfied by a preponderance of the evidence”). The Court’s task is not to decide whether 9 the expert is right or wrong, only whether her proposed opinions satisfy Rule 702. Alaska 10 Rent-A-Car, Inc. v. Avis Budget Grp., 738 F.3d 960, 969-70 (9th Cir. 2013). 11 B. Motion to Preclude Defendants’ Expert. 12 Defendants disclosed Gary Hart as an expert to testify about prevailing competitive 13 pricing for automotive glass repair and replacement services. Mr. Hart prepared an expert 14 report setting forth his assessment of Defendants’ pricing and discussed the same in a June 15 2023 deposition. Docs. 179-1 at 15, 159-4. Plaintiffs move to exclude his opinions under 16 Rule 702, arguing that he lacks sufficient knowledge to qualify as an expert in automotive 17 glass repair pricing, does not have a sufficient factual basis to offer opinions, and did not 18 apply reliable principles or methods in his analysis. Doc. 158. 19 Rule 702 requires that a testifying expert be “qualified as an expert by knowledge, 20 skill, experience, training, or education.” Fed. R. Evid. 702. Rule 702 “contemplates a 21 broad conception of expert qualifications.” Thomas v. Newton Int’l Enters., 42 F.3d 1266, 22 1268 (9th Cir. 1994); see also Fed. R. Evid. 702 Advisory Committee’s Note to 2000 23 Amendment (“In certain fields, experience is the predominant, if not sole, basis for a great 24 deal of reliable expert testimony.”). But “[i]f the witness is relying solely or primarily on 25 experience, then the witness must explain how that experience leads to the conclusion 26 reached, why that experience is a sufficient basis for the opinion, and how that experience 27 is reliably applied to the facts.” Fed. R. Evid. 702 Advisory Committee’s Note to 2000 28 Amendment. 1 Defendants base Mr. Hart’s qualification on his “over 20 years of experience in the 2 Automotive Glass Repair and Replacement [] Industry.” Doc. 179-1 at 2. This experience 3 includes his time developing the billing software eDG, a seven-year period in which he 4 was co-located with a glass repair shop, his role as Executive Director of the Independent 5 Glass Association, and his attendance at industry trade shows and educational events 6 during which he discussed glass repair and replacement pricing with repair shop owners. 7 Docs. 171 at 4-7, 179-1 at 2-3. Though Plaintiffs contend this experience is insufficient to 8 make Mr. Hart an expert in automotive glass pricing, Mr. Hart’s time developing eDG and 9 his industry experience give him the requisite background to serve as an expert on repair 10 glass pricing. See Doc. 179-1 at 2. 11 But while his background generally qualifies him to offer expert testimony on 12 Arizona automotive glass repair pricing, Mr. Hart must still outline what specific 13 experience he is relying on in forming his opinions and why this experience is a sufficient 14 basis for his conclusions regarding prevailing competitive pricing. Fed. R. Evid. 702 15 Advisory Committee’s Note to 2000 Amendment. Courts are not required to guess whether 16 an expert has relied on sufficient facts or data. “[E]xperts must explain the basis for their 17 conclusions in a manner that allows the Court to determine whether they are using reliable 18 principles and methods and are applying them to the facts of the case in a reliable manner.” 19 Davis, 2019 WL 3532179, at *4. Although “experts commonly extrapolate from existing 20 data . . . nothing in either Daubert or the Federal Rules of Evidence requires a district court 21 to admit opinion evidence that is connected to existing data only by the ipse dixit of the 22 expert.” Gen. Elec. Co. v. Joiner, 522 U.S. 136, 146 (1997). 23 Mr. Hart testified to the following prevailing competitive price ranges for 24 windshield replacement service components: 25 • Windshield Glass – NAGS plus 10% to 50% or OEM MSRP • Labor – $80 to $150 per NAGS Labor hour. 26 • Repair Labor – $75 to $115 per repair. 27 • Kit – $30 to $90 depending on vehicle make (domestic vs. foreign and need for calibration. 28 1 Doc. 1791-1 at 15. After comparing these ranges to those charged by Defendants, he finds 2 Defendants were invoicing Plaintiffs for prices “within the established range of prevailing 3 competitive prices.” Id.; Doc. 159-4 at 149-50. 4 In support, Mr. Hart explains that “[i]n my own analysis of the usual and customary 5 charges for glass repair/replacement services provided by perceived known Non- 6 Affiliate/Non-Network service providers in the Greater Phoenix/Maricopa area, I have 7 confirmed what I already knew to be true based on my years of experience in this industry.” 8 Doc. 179-1 at 15. Mr. Hart’s report makes several references to this “analysis.” See e.g., 9 id. (“I am aware of the components that go into pricing for glass services, and I was able 10 to conduct my analysis which confirmed my opinions[.]”); id. at 16 (“Based on my years 11 of experience in the industry, and my familiarity with glass pricing and the various 12 components that go into pricing, I was aware that the prevailing competitive prices for 13 glass services fell within a range, which was confirmed by my analysis.”). But Mr. Hart’s 14 report never describes this analysis, what it entailed, or what it found. He states that he 15 analyzed “the local physical market” in the region and relied on his “background and many 16 years of experience in the industry,” but he never describes the local market or what it 17 disclosed, or what he learned about prices from his years on the industry. Id. at 15-16. One 18 reads his report in vain for any indication of the facts and data on which he relied or the 19 methodology used in his analysis. 20 Mr. Hart’s deposition provides no clarity. When asked if he completed an analysis 21 of whether the invoices issued by Defendants were at the prevailing competitive price, he 22 admitted that he did no analysis — that he “just believe[s]” they are. Doc. 156-4 at 150. 23 He confirms this repeatedly, concluding that he finds “[the prices] to be reasonable, only 24 based off of my beliefs.” Id. at 152. 25 Mr. Hart does indicate that he relied on past conversations with glass shops 26 regarding their pricing, but could not provide any more detail when questioned: 27 A: But, again, what I mean by my analysis is what has been brought to my attention by talking with other glass shops, who have told me they are a non- 28 network or non-affiliated – 1 Q: What glass shops? 2 A: It’s been over – since 2001, of all these years. I don’t specifically remember the names of the individuals or the shops. 3 Q: Can you remember any of the shops? 4 A: Off the top of my head, no. 5 Q: What other analysis did you do, other than talking to some shops? 6 A: Other than talking to shops, that’s it, no other analysis. 7 Id. at 155-56. 8 Mr. Hart offers no more explanation for his opinions than his general experience in 9 the industry, coupled with vague references to conversations he’s had over years.4 He does 10 not sufficiently explain how his experiences led to the prevailing competitive price ranges 11 he identified, why this was a sufficient basis for his opinions, or how these experiences 12 were reliably applied to the facts. See Davis, 2019 WL 3532179 at *4, 27; Fed. R. Evid. 13 702 Advisory Committee’s Note to 2000 Amendment. His opinions that Defendants were 14 charging a prevailing competitive price are based only on “the ipse dixit of the expert.” 15 Joiner, 522 U.S. at 146. Because Defendants have not shown by a preponderance of the 16 evidence that Mr. Hart’s opinion meets the requirements of Rule 702, his opinion is not 17 admissible. 18 C. Motion for Summary Judgment. 19 In tandem with their motion to preclude Mr. Hart’s expert report, Plaintiffs move 20 for partial summary judgment on the counterclaims. Doc. 158. Defendants assert 21 counterclaims for (1) breach of contract, (2) breach of duty of good faith and fair dealing, 22 and (3) unjust enrichment premised on Plaintiffs’ underpayment of 689 invoices issued by 23 Defendants. Doc. 28 at 18-20. Plaintiffs assert that the full amounts billed by Defendants 24
25 4 Defendants argue that Mr. Hart relied on glass pricing standards used in Minnesota, which are National Auto Glass Standards (NAGS) pricing with a 20% markup 26 (“NAGS + 20%”). Doc. 171 at 7-9. But Mr. Hart does not explain what experiences lead him to believe the Minnesota model is a nation-wide standard or why this model is a 27 sufficient basis for his opinion about Arizona rates. Moreover, the Minnesota model only addresses the price of glass, not the other three pricing elements Mr. Hart opines on, and 28 does not explain why Mr. Hart provided a range of prevailing glass prices (NAGS plus 10% to 50% or OEM MSRP). 1 exceeded fair and reasonable market rates. Plaintiffs argue that without the testimony of 2 Mr. Hart, Defendants have no evidence with which they can support their claim that they 3 were invoicing Plaintiffs at the proper amount, an essential element for all three of their 4 counterclaims. See Doc. 158 at 11-12. 5 Despite the exclusion of Mr. Hart’s testimony, the Court will deny Plaintiffs’ 6 summary judgment motion. Defendants have other evidence to support their claim that 7 they were invoicing reasonable rates, including (1) evidence that Bristol-West, a Farmer’s 8 subsidiary, was paying Defendants the NAGS + 20% rate, (2) deposition testimony from 9 Jeff Searles regarding payments they receive from other insurance companies, and (3) 10 deposition testimony from Plaintiffs’ employees Michaela Rush and Teresa McCaslin- 11 Bedell that when charged prices are disputed through an appraisal process, automotive 12 shops routinely receive more money than Plaintiff has initially paid. Doc. 171 at 11-12; 13 see Docs. 172-2 at 3 (testimony of Jeff Searles); 172-6 at 3 (testimony of Bristol-West 14 employee Timothy Cerar); 172-7 at 6 (testimony of Michaela Rush); 172-8 at 4 (testimony 15 of Teresa McCaslin-Bedell). 16 The Court is not persuaded by Plaintiffs’ argument that Defendants are limited to 17 the use of Mr. Hart’s testimony because of statements made during the December 15, 2022, 18 discovery dispute hearing. As Defendants note, this dispute concerned whether Plaintiffs 19 were entitled to discovery of Defendants’ internal costs of doing business. Docs. 171 at 20 12-13; 159-1. Defendants argued that discovery into such business expenses was not 21 relevant because their arguments regarding reasonable market rates would be based on 22 market-wide factors, not on business expenses such as labor or material costs. Doc. 159-1 23 at 47. Defendants do not now propose to use the business expenses that were foreclosed 24 in the discovery dispute, and nothing in the dispute process limited them from using other 25 kinds of evidence. Because Defendants have evidence to support their claims in addition 26 to Mr. Hart, the Court will deny the Plaintiffs’ motion for summary judgment. 27 / / / 28 / / / 1 IT IS ORDERED: 2 1. Defendants’ motion for summary judgment (Doc. 160) is granted in part || and denied in part as set forth in this order. 4 2. Plaintiffs’ Rule 702 and summary judgment motion (Doc. 158) is granted in 5 || part and denied in part. Defendants are precluded from offering the expert testimony of || Mr. Gary Hart, but Plaintiffs’ request for summary judgment on Defendants’ counterclaims is denied. 8 3. The Court will schedule a hearing to set dates for trial and a final pretrial conference. 10 Dated this 25th day of March, 2024. 11
1S David G. Campbell 14 Senior United States District Judge 15 16 17 18 19 20 21 22 23 24 25 26 27 28