Farmers Insurance Company of Arizona v. DNS Auto Glass Shop LLC

District Court, D. Arizona·Decided March 25, 2024·No. 2:21-cv-01390·Unknown

Opinion

WO

Farmers Insurance Company of Arizona, et al., No. CV-21-01390-PHX-DGC

Plaintiffs, ORDER

v.

DNS Auto Glass Shop LLC, et al.,

Defendants. Plaintiffs assert a variety of claims against Defendants for submission of allegedly misleading insurance claims. Doc. 1. Defendants counterclaim for breach of contract and similar claims. Doc. 28. Defendants move for summary judgment on several of Plaintiffs’ claims. Doc. 160. Plaintiffs move to preclude Defendants’ expert witness Gary Hart and for partial summary judgment on the counterclaims. Doc. 158. The Court heard oral argument on both motions on February 27, 2024. For reasons stated below, the Court will grant in part and deny in part each motion. I. Background. Plaintiffs sue Defendants DNS Auto Glass Shop LLC, d/b/a Express Glass Works and Glass Replacements, Excellent Auto Glass, LLC, Right at Home Glass, LLC, Auto Glass Shop, LLC, and Glass Replacements, LLC (“Defendants”).1 Doc. 1. These entities 1 Plaintiffs also bring claims against Defendant Auto Glass Holdings and individuals Jeff Searles, Mark Feuer, and Scott Taylor. Claims against these individuals are not at issue in either motion. are engaged in the auto glass repair and replacement business, and Plaintiffs provide insurance coverage for such services. Id. ¶¶ 28-34. When an insured party approaches a Defendant about a glass repair or replacement, Defendants call Plaintiffs to verify insurance coverage and begin the claims process. This phone call is referred to as the First-Notice-of-Loss call (“FNOL call”). Plaintiffs gather information from the insured during the call, including name, address, phone number, vehicle information, and the insured’s damages. Plaintiffs enter this information into their own internal system, and Safelite, a third-party vendor, creates a claim file for the customer within Plaintiffs internal claim system. On occasion, Plaintiffs perform inspections of vehicles before authorizing Defendants to start work. Docs. 161 ¶¶ 11-16, 170 ¶ 4. Defendants use e-Direct Glass (“eDG”) software, developed by Defendants’ expert Gary Hart, to process insurance claims internally. Defendants input information for each claim including the name and address of the insured, vehicle information, date of loss, policy information, and the glass service location. The eDG system connects to Safelite’s system to provide Plaintiffs with the information necessary to process the insurance claim. Safelite is responsible for providing Plaintiffs with the claim information, for collecting payment, and for sending payment to Defendants. Docs. 161 ¶¶ 17-22, 170 ¶ 4. In each of the almost 3,000 claims at issue in this case, Defendants provided a Florida phone number during the FNOL call and provided a Florida phone number and address on their invoices and work orders. Doc. 1 ¶ 38. Defendants did not tell Plaintiffs during the calls that the repairs were occurring in Florida, and did provide some Arizona- based information in their claims submitted to Plaintiffs. Docs. 161 ¶ 25, 170 ¶ 6, 21. During the relevant time, Defendants performed glass repair services in Arizona. They maintained physical offices in both Florida and Arizona. Defendant Glass Replacements completed approximately 97% of the glass repairs at issue and Defendant Right at Home Glass performed the rest. Both Glass Replacements and Right at Home Glass are registered to do business in Florida and Arizona. Both maintain Florida addresses and phone numbers. Docs. 161 ¶ 2-10, 170 ¶ 2. Plaintiffs allege that they were misled into overpaying Defendants on at least 2,910 claims between 2018 and 2020. Doc. 1 ¶¶ 41-42. Plaintiffs allege that Defendants are knowledgeable about the auto glass replacement industry, know that insurers typically pay claims based on the glass shop address and phone number, knew that Florida claims are paid at a higher rate than Arizona claims, and chose to provide Florida-based addresses and phone numbers in order to cause Plaintiffs to pay higher prices. Doc. 170 ¶ 6. On April 25, 2018, Plaintiffs’ counsel Steven Kluz sent cease-and-desist letters to Defendants alerting them to this issue. The letters requested that Defendants begin using an Arizona phone number and billing information to prevent overpayment. Defendants declined to change their practice, and Plaintiffs now manually change Defendants geographic location in their own system. Doc. 170 ¶¶ 34, 36. Defendants admit the relevant work was performed in Arizona for each of the claims at issue in this case, but deny that they represented to Plaintiffs that it was performed in Florida or that they were overpaid by Plaintiffs. Doc. 28 at 6, 9. Plaintiffs assert claims under the federal Racketeer Influenced and Corrupt Organizations Act (“RICO”) pursuant to 18 U.S.C. §§ 1964(c) and 1962(c) (Count I), § 1962(a) (Count II), and § 1962(d) (Count III). Doc. 1 ¶¶ 47-81. Plaintiffs also bring claims for fraud (Count IV), unjust enrichment (Count V), civil conspiracy (Count VI), and piercing the corporate veil (Count VII). Id. ¶¶ 82-117. Defendants assert counterclaims for breach of contract, breach of duty of good faith and fair dealing, and unjust enrichment alleging that Plaintiffs have underpaid them a total of $408,637.01. They allege that when Plaintiffs began manually changing their location to Arizona, they began being paid below a fair and reasonable market rate for their work. Doc. 28 at 13-22. II. Summary Judgment Standard. Summary judgment is appropriate if the moving party shows that there is no genuine dispute as to any material fact and that it is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a). The moving party “bears the initial responsibility of informing the court of the basis for its motion, and identifying those portions of [the record] which it believes demonstrate the absence of a genuine issue of material fact.” Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). Only disputes over facts that might affect the outcome of the suit will preclude the entry of summary judgment, and the disputed evidence must be “such that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). The Court must view the evidence in the light most favorable to the nonmoving party, Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986), and draw justifiable inferences in that party’s favor, Anderson, 477 U.S. at 255. III. Defendants’ Summary Judgment Motion. A. Fraud, Civil Conspiracy, and RICO Claims (Counts I-IV, VI). In support of their fraud, civil conspiracy, and RICO claims, Plaintiffs allege that Defendants made fraudulent misrepresentations by using a Florida phone number during FNOL calls and by listing Florida numbers and addresses on work orders and invoices when glass repair services were actually performed in Arizona. Doc. 1 at 8-16. Plaintiffs believe that Defendants knew they would receive a higher rate for repair services done in Florida and purposefully misrepresented their location to receive higher reimbursements.2 Defendants argue that they are entitled to summary judgment on these claims because Plaintiffs cannot establish that (1) Defendants made any false or misleading representations regarding where the glass repairs took place, (2) Defendants intended for Plaintiffs to process the claims as if the repairs were occurring in Florida, and (3) Plaintiffs reasonably relied on any such misrepresentations. Doc. 160. Plaintiffs respond that whether Defendants made fraudulent statements and w

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

Farmers Insurance Company of Arizona v. DNS Auto Glass Shop LLC, (D. Ariz. 2024).

Farmers Insurance Company of Arizona v. DNS Auto Glass Shop LLC (Farmers Insurance Company of Arizona v. DNS Auto Glass Shop LLC) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
General Electric Co. v. Joiner
522 U.S. 136 (Supreme Court, 1997)
Premier Financial Services. v. Citibank
912 P.2d 1309 (Court of Appeals of Arizona, 1995)
Peery v. Hansen
585 P.2d 574 (Court of Appeals of Arizona, 1978)
Lerner v. DMB Realty, LLC
322 P.3d 909 (Court of Appeals of Arizona, 2014)
Alaska Rent-A-Car, Inc. v. Avis Budget Group, Inc.
738 F.3d 960 (Ninth Circuit, 2013)