FOX v. STATE FARM FIRE AND CASUALTY COMPANY

CourtDistrict Court, D. New Jersey
DecidedSeptember 24, 2021
Docket2:20-cv-18131
StatusUnknown

This text of FOX v. STATE FARM FIRE AND CASUALTY COMPANY (FOX v. STATE FARM FIRE AND CASUALTY COMPANY) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
FOX v. STATE FARM FIRE AND CASUALTY COMPANY, (D.N.J. 2021).

Opinion

NOT FOR PUBLICATION

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY

KEVIN FOX, individually and on behalf of a class of similarly situated persons,

Plaintiff, Case No. 2:20-cv-18131 (BRM) (ESK)

v. OPINION

STATE FARM FIRE AND CASUALTY COMPANY,

Defendant.

MARTINOTTI, DISTRICT JUDGE Before this Court is Defendant State Farm Fire and Casualty’s (“State Farm”) Motion to Dismiss Plaintiff Kevin Fox’s (“Plaintiff”) Amended Complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). (ECF No. 33.) Plaintiff opposed the Motion (ECF No. 34), and State Farm replied (ECF No. 35). Having reviewed the submissions filed in connection with the Motion and having declined to hold oral argument pursuant to Federal Rule of Civil Procedure 78(b), for the reasons set forth below and for good cause shown, State Farm’s Motion to Dismiss is GRANTED. I. BACKGROUND A. Factual Background For the purposes of this Motion to Dismiss, the Court accepts the factual allegations in the Amended Complaint as true and draws all inferences in the light most favorable to Plaintiff. See Phillips v. Cty. of Allegheny, 515 F.3d 224, 228 (3d Cir. 2008). The Court also considers any “document integral to or explicitly relied upon in the complaint.” In re Burlington Coat Factory Secs. Litig., 114 F.3d 1410, 1426 (3d Cir. 1997) (quoting Shaw v. Dig. Equip. Corp., 82 F.3d 1194, 1220 (1st Cir. 1996)). This action concerns a dispute over insurance coverage. At all times relevant to the Amended Complaint, Plaintiff was the owner of real property located at 16 Falcon Run, Kinnelon,

New Jersey 07405 (the “Property”). (ECF No. 31 ¶ 19.) The Property was insured under a policy issued by State Farm (the “Policy”). (Id. ¶ 20.) On or about April 13, 2020, the Property suffered damage from a covered event under the Policy. (Id. ¶ 21.) Plaintiff reported the occurrence to State Farm, which opened a claim file, but Plaintiff was not satisfied with State Farm’s handling of the claim and hired North Jersey Public Adjusters Inc. (“North Jersey”) to adjust the claim on Plaintiff’s behalf. (Id. ¶¶ 22–23.) On May 6, 2020, North Jersey emailed a construction cost estimate to State Farm with a replacement cost of $145,816.88. (Id. ¶ 24.) On July 8, 2020, State Farm responded to the estimate and stated Plaintiff’s estimate from North Jersey included items that exceeded the scope of repairs pertaining to the loss, but did not specify which items were considered beyond the scope of repairs. (Id. ¶¶ 25–26.) In its response, State Farm included its

own estimate, which indicated a replacement cost for the Property of $28,536.76. (Id. ¶ 28.) Plaintiff claims State Farm’s estimate used “a format and methodology that significantly differed from the North Jersey estimate, such that it was, as a practical matter, virtually impossible for Plaintiff or his adjuster to determine how and to what extent State Farm was claiming a difference in the ‘scope’ of the necessary repairs.” (Id. ¶ 29.) On July 17, 2020, North Jersey sent State Farm an email with an Agreement for Submission to Appraisers attached. (Id. ¶ 30.) On July 20, 2020, State Farm sent North Jersey a letter refusing to submit to an appraisal of the claim. (Id. ¶ 31.) On July 21, 2020, North Jersey sent State Farm estimates from Plaintiff’s contractor, American Eagle Ext. LLC, totaling about $88,000. (Id. ¶ 38.) The American Eagle invoices represented the Property’s repair using construction methods inferior to what Plaintiff was entitled “in an effort to compromise [Plaintiff’s] demand” and resolve the dispute over the amount of loss. (Id. ¶ 39.) On July 29, 2020, North Jersey sent State Farm an email attempting to comply with State Farm’s demand for a detailed itemization, even though, according to Plaintiff, State Farm had no

basis for making such a demand which placed unauthorized preconditions on Plaintiff’s right to appraisal. (Id. ¶ 40.) On August 7, 2020, State Farm again refused to submit to appraisal because appraisal “does not apply to disputes as to the extent of damage, the scope of work required, the cause of damage, or other coverage questions.” (Id. ¶ 41 (citing Ex. H).) That is, State Farm refused to comply with Plaintiff’s demand for appraisal because Plaintiff’s contractor proposed to fix the Property’s damaged roof by replacing all of it, whereas State Farm’s contractor would fix the roof by only replacing the damaged portions. (Id. ¶ 42.) Plaintiff and State Farm agreed the Property’s roof had been damaged, was in need of repair, the occurrence resulting in the damaged roof was a covered event, and the repair of the roof was a covered item under the Policy. (Id. ¶¶ 43–46.) Plaintiff and State Farm disagreed over what method to use to repair the roof, which resulted in a

failure to agree on the cost of the job. (Id. ¶ 47.) Plaintiff further asserts State Farm mischaracterized the dispute as relating to the extent of coverage and scope of work required to repair the damage to the Property and contends the actual dispute stems from a failure to agree on the value of the loss. (Id. ¶ 49.) As a result, Plaintiff alleges State Farm “has deviated from the statutory appraisal requirement.” (Id. ¶ 58.) Upon information and belief, Plaintiff alleges State Farm has engaged in the above conduct “with such frequency as to indicate a general business practice,” which violates N.J. Stat. Ann. § 17:29-4. (Id. ¶¶ 59–60.) B. Procedural History On November 3, 2020, Plaintiff filed a Complaint in the Superior Court of New Jersey, Law Division, Morris County. (ECF No. 1 ¶ 1.) State Farm received notice of Plaintiff’s Complaint on November 4, 2020 and removed the action to this Court on December 4, 2020. (See id.) On

December 28, 2020, State Farm filed a motion to dismiss Plaintiff’s Complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). (ECF No. 6.) On February 11, 2021, the Court administratively terminated State Farm’s initial Motion to Dismiss and directed Plaintiff to address the deficiencies noted in State Farm’s Motion and Reply in an amended complaint. (ECF No. 26.) On March 5, 2021, Plaintiff filed the Amended Complaint currently before the Court alleging Declaratory Judgment/Reformation (Count One), Breach of Contract (Count Two), Breach of Covenants (Count Three), and Consumer Fraud (Count Four) against State Farm. (ECF No. 31.) Plaintiff’s Amended Complaint also asserts class action allegations for Declaratory Judgment/Reformation on behalf of Class A1 (Count Five), Breach of Contract on behalf of Subclass A-12 (Count Six), Breach of Contract on behalf of Subclass A-2 (Count Seven), Breach of Covenants on behalf of

Subclass A-2 (Count Eight), and Consumer Fraud on behalf of Subclass A-2 (Count Nine). (Id.) On April 2, 2021, State Farm filed a Motion to Dismiss Plaintiff’s Amended Complaint pursuant to Federal Rule of Civil Procedure 12(b)(6). (ECF No. 33.) On April 5, 2021, Plaintiff opposed the Motion (ECF No. 34), and on April 26, 2021, State Farm replied (ECF No. 35).

1 Plaintiff defines Class A as “all State Farm fire insurance policyholders insured for property located in New Jersey, whose policy includes endorsement HW-2130.” (Id. ¶ 99.)

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FOX v. STATE FARM FIRE AND CASUALTY COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fox-v-state-farm-fire-and-casualty-company-njd-2021.