Gilbert v. Progressive Northwestern Insurance Co.

CourtIdaho Supreme Court
DecidedOctober 3, 2025
Docket51467
StatusPublished

This text of Gilbert v. Progressive Northwestern Insurance Co. (Gilbert v. Progressive Northwestern Insurance Co.) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gilbert v. Progressive Northwestern Insurance Co., (Idaho 2025).

Opinion

IN THE SUPREME COURT OF THE STATE OF IDAHO Docket No. 51467

NOAH GILBERT, on behalf of himself and all ) others similarly situated, ) ) Plaintiff-Appellant, ) Boise, May 2025 Term ) v. ) Opinion Filed: October 3, 2025 ) PROGRESSIVE NORTHWESTERN ) Melanie Gagnepain, Clerk INSURANCE COMPANY, ) ) Defendant-Respondent. )

Appeal from the District Court of the Fourth Judicial District, State of Idaho, Ada County. James Cawthon, District Judge.

The district court’s judgment is affirmed.

Stranch Jennings & Garvey, PLLC, Pro Hac Vice, Nashville, Tennessee; Amick Law Offices, Boise; Cohen & Malad, LLP, Pro Hac Vice, Indianapolis, Indiana, for Appellant, Noah Gilbert. Michael C. Iadevaia argued.

Hawley Troxell Ennis & Hawley LLP, Boise; Tucker Ellis LLP, Pro Hac Vice, Cleveland, Ohio, for Respondent, Progressive Northwestern Insurance Company. Benjamin Sassé argued. _____________________

MEYER, Justice. This appeal addresses whether an insured person may assert claims for breach of contract, unjust enrichment, and constructive fraud based on allegedly illusory underinsured motorist coverage, despite never having filed or been denied an underinsured motorist claim. Although we conclude that Noah Gilbert has standing to bring these claims, we affirm the district court’s decision granting summary judgment because Progressive Northwestern Insurance Company never denied or delayed payment and Gilbert never incurred damages; therefore, no genuine dispute as to any material fact exists, and Progressive was entitled to judgment as a matter of law on all claims. I. FACTUAL AND PROCEDURAL BACKGROUND Noah Gilbert has held a motor vehicle insurance policy with Progressive Northwestern Insurance Company (“Progressive”) since September 2021. His policy provides liability coverage

1 for one vehicle, with a limit of $25,000 per person and $50,000 per accident. Initially, Gilbert declined to add an underinsured motorist (“UIM”) endorsement to his insurance policy. Since Idaho Code section 41-2502(2) requires that a rejection of UIM coverage be in writing, Gilbert signed a UIM disclosure and rejection form, which, in accordance with form language approved by the Idaho Department of Insurance, defined UIM coverage and included examples of how different types of coverage (“difference in limits” or “offset” vs. “excess”) may impact an insured person’s level of protection. Progressive’s disclosure form explained that “UIM coverage is offered in different types by different insurers, and insurers are not required to offer more than one type of UIM coverage. The most common available type of UIM coverage is ‘Difference in Limits’ (or ‘Offset’) Coverage. Some insurers may offer ‘Excess’ Coverage.” The form defined “Difference in Limits” or “Offset” UIM coverage as follows: “Your UIM coverage limits are reduced or eliminated by any amounts recovered from another party’s insurance.” “Excess” UIM coverage is defined as “Your UIM coverage limits are above and beyond what is paid by another party’s insurance.” A month after first acquiring his policy, Gilbert added a UIM endorsement through the Progressive app. The UIM endorsement provided coverage of $25,000 per person and $50,000 per accident, but included an offset provision, which provided that any amount paid under the UIM endorsement would be reduced by the amount paid on behalf of the underinsured motorist. The parties dispute the dollar amount that Gilbert paid for the UIM endorsement. Gilbert states that he paid $22 per month for UIM coverage, while Progressive asserts that he paid a total of $22 for a six-month policy period. Gilbert regularly renewed his policy and still maintains motor vehicle insurance with Progressive. Two months after this Court’s decision in Pena v. Viking Insurance Co. of Wisconsin, 169 Idaho 730, 503 P.3d 201 (2022), Gilbert filed a putative class action against Progressive. In Pena, we held that when minimum-limits UIM coverage is offered, paid for, and then subsequently excluded, as the insurance company did in that case, the coverage is illusory. 169 Idaho at 736, 503 P.3d at 207. Gilbert’s complaint alleged that Progressive’s UIM coverage is illusory under Pena. Claiming that Progressive was aware the company would never pay out the UIM coverage while continuing to sell that coverage, Gilbert asserted claims for breach of contract, breach of the implied covenant of good faith and fair dealing, unjust enrichment, fraud, and constructive fraud. However, Gilbert did not allege that he had ever been involved in an accident, had ever filed an

2 insurance claim seeking UIM benefits, or had ever been denied a claim for coverage. Gilbert’s class action suit sought compensatory and punitive damages for himself and the putative class, as well as pre- and post-judgment interest, and reasonable attorney fees and costs. The putative class consisted of “[a]ll insured citizens of Idaho who, during the applicable statute of limitations, purchased an Idaho UIM policy from Progressive with UIM coverage limited to $25,000 for each person and $50,000 for each accident.” Following the completion of discovery, the district court heard argument on cross-motions for summary judgment. Gilbert claimed that the $25,000 UIM coverage he purchased was effectively worthless due to the offset provision. He argued that Progressive breached the insurance contract and the implied covenant of good faith and fair dealing by collecting premiums for UIM coverage that was illusory at the time of contracting. He claimed that the policy could never provide any meaningful benefit because it offered only the statutory minimum UIM limits of $25,000 per person and $50,000 per accident and an offset provision. On this basis, he further asserted that Progressive had been unjustly enriched by collecting premiums for coverage that failed to provide the protection it purported to offer, and that its sale of such a policy constituted constructive fraud. He also sought class certification. Progressive opposed Gilbert’s motion for class certification. In Progressive’s cross-motion for summary judgment, it contended that Gilbert’s claims failed because he had never filed a claim under the policy, never suffered an accident triggering UIM coverage, and had never been denied benefits. Furthermore, it emphasized that, following this Court’s ruling in Pena, it honored the policy as excess coverage to comply with Idaho public policy and introduced evidence that, since Pena, it has treated the $25,000 offset UIM coverage as excess coverage. Progressive maintained that Pena mandated a remedy of enforcement of coverage rather than policy rescission or restitution. It argued that any assertion that the policy was void or that premiums should be refunded was contrary to the remedy prescribed in Pena. After hearing oral arguments on the parties’ motions, the district court sua sponte raised the issue of standing and ordered the parties to provide briefs, particularly regarding the injury-in- fact element. After considering the parties’ standing arguments, the district court held that Gilbert lacked standing because he had not filed an insurance claim, been denied UIM benefits for any such claim, or otherwise established the injury-in-fact standing requirement. The court’s analysis relied on Pena, emphasizing that unlike the insured person in Pena, Gilbert had not experienced a

3 denial of coverage. The court explained that, under Pena, Gilbert effectively already had the protection he sought because the insurance policy would be interpreted to provide excess coverage, despite the offset language in his policy. The court emphasized that the appropriate remedy for an illusory UIM policy, rather than contract rescission or a refund of premium payments, is enforcement of the insurance contract in the claimant’s favor, which is compatible with public policy.

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Gilbert v. Progressive Northwestern Insurance Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/gilbert-v-progressive-northwestern-insurance-co-idaho-2025.