Jeremy Marchek v. USAA

118 F.4th 830
CourtCourt of Appeals for the Sixth Circuit
DecidedOctober 11, 2024
Docket23-1908
StatusPublished
Cited by12 cases

This text of 118 F.4th 830 (Jeremy Marchek v. USAA) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jeremy Marchek v. USAA, 118 F.4th 830 (6th Cir. 2024).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 24a0232p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ JEREMY MARCHEK, individually and on behalf of all │ others similarly situated, │ Plaintiff-Appellant, │ > No. 23-1908 │ v. │ │ UNITED SERVICES AUTOMOBILE ASSOCIATION, a Texas │ Corporation, │ Defendant-Appellee. │ ┘

Appeal from the United States District Court for the Western District of Michigan at Grand Rapids. No. 1:21-cv-00087—Paul Lewis Maloney, District Judge.

Argued: May 2, 2024

Decided and Filed: October 11, 2024

Before: LARSEN, READLER, and DAVIS, Circuit Judges. _________________

COUNSEL

ARGUED: Jacob L. Phillips, NORMAND PLLC, Orlando, Florida, for Appellant. Paula M. Ketcham, ARENTFOX SCHIFF LLP, Chicago, Illinois, for Appellee. ON BRIEF: Jacob L. Phillips, NORMAND PLLC, Orlando, Florida, Scott Edelsberg, EDELSBERG LAW, P.A., Aventura, Florida, for Appellant. Paula M. Ketcham, Jay Williams, ARENTFOX SCHIFF LLP, Chicago, Illinois, Elise Hyejin Yu, ARENTFOX SCHIFF LLP, Ann Arbor, Michigan, for Appellee. No. 23-1908 Marchek v. USAA Page 2

_________________

OPINION _________________

CHAD A. READLER, Circuit Judge. Following an accident, Jeremy Marchek sued his auto insurer, United Services Automobile Association, claiming that the company breached the terms of the policy it issued to Marchek. According to Marchek, USAA wrongfully failed to compensate him for sales taxes and mandatory fees necessary to purchase a replacement vehicle after USAA declared his vehicle to be beyond repair. The district court dismissed the complaint on the basis that USAA was not contractually obligated to compensate Marchek for taxes and fees. Because the plain language of the contract plausibly requires USAA to compensate Marchek for those costs, we reverse and remand for further proceedings.

I.

Marchek sustained significant damage to his vehicle during an accident. As one often does in that unfortunate circumstance, he filed a claim with his auto insurer, USAA. As part of USAA’s claims resolution process, a third-party estimator prepared a “Market Valuation Report” and concluded that Marchek’s vehicle had a “base value” of $24,981 immediately prior to the accident. After considering that pre-accident value as well as the costs necessary to repair or replace the vehicle, USAA declared a “total loss,” a term of art in Marchek’s policy. Accordingly, USAA paid Marchek $24,881—his vehicle’s pre-accident value less, as called for in his policy, a $100 deductible.

Marchek believes he is entitled to more. He reads his policy to require USAA to compensate him for the market value of his car plus the sales taxes and government fees necessary to purchase a replacement vehicle. To see why, turn to the policy provisions at issue.

In most respects, the parties read the policy language in a similar light. To begin, all agree that Marchek’s policy required USAA to pay for the costs necessary to repair or replace a damaged vehicle. In deciding how much is owed to Marchek, both parties agree that USAA was authorized to declare the vehicle to be a total loss if “the cost to repair it would be greater than its actual cash value minus its salvage value after the loss.” In the event of a total loss, the policy No. 23-1908 Marchek v. USAA Page 3

explains, USAA’s liability is capped at the “actual cash value of the vehicle,” also known as ACV. ACV, in turn, is defined as “the amount that it would cost, at the time of loss, to buy a comparable vehicle.”

And herein lies the rub. Marchek insists that the proper calculation of ACV, as the term is used in the policy, includes taxes and mandatory government fees. Because USAA declared his vehicle to be a total loss, Marchek claims that USAA must pay him an amount that is equivalent to the ACV calculation, including taxes and fees. USAA disagrees, and thus refused to include those amounts in resolving Marchek’s claim.

Marchek filed a putative class action lawsuit on behalf of himself and other Michigan USAA policyholders who similarly were not paid associated taxes and fees after USAA declared their vehicles to be total losses. His complaint alleged that USAA’s underpayment amounted to a breach of contract under Michigan law. USAA moved to dismiss the complaint, asserting that Marchek’s policy did not require the company to cover taxes and fees when reimbursement is calculated under the policy’s ACV provision. The district court granted the motion and subsequently denied Marchek’s motion for reconsideration. Marchek appealed.

II.

As is customary, we examine the dismissal of a complaint for failure to state a claim for breach of contract through a de novo lens. Estes v. Cincinnati Ins. Co., 23 F.4th 695, 699 (6th Cir. 2022). In so doing, we accept Marchek’s plausible factual allegations as true and draw all reasonable inferences in his favor. See Lutz v. Chesapeake Appalachia, L.L.C., 717 F.3d 459, 464 (6th Cir. 2013). To survive a motion to dismiss, a complaint may not rely on conclusory legal allegations. Id. Instead, it must include “factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)) (cleaned up). With this case arising through our diversity jurisdiction, we apply the substantive law of the forum state, Michigan. State Auto Prop. & Cas. Ins. Co. v. Hargis, 785 F.3d 189, 195 (6th Cir. 2015). Michigan law, in turn, treats insurance policies “in the same manner as other contracts.” Stryker Corp. v. XL Ins. Am., 735 F.3d 349, 354 (6th Cir. 2012). Accordingly, “actions for breach of contract require (1) a contract No. 23-1908 Marchek v. USAA Page 4

(2) that was breached and (3) damages.” Stackpole Int’l Engineered Prods., Ltd. v. Angstrom Auto. Grp., LLC, 52 F.4th 274, 283 (6th Cir. 2022) (citing Miller-Davis Co. v. Ahrens Constr., Inc., 848 N.W.2d 95, 104 (Mich. 2014)).

This appeal focuses on the second element: whether Marchek plausibly alleged that USAA breached its insurance contract with Marchek. The answer turns on the policy’s language. And the parties dispute the language’s meaning in two ways, both tied to its ACV provision. First, Marchek believes that the contract’s definition of ACV includes sales taxes and mandatory fees associated with purchasing a new vehicle. USAA, on the other hand, insists that ACV equates to the market value of the damaged vehicle only. Second, Marchek claims that USAA is obligated to pay him that ACV amount because the insurer declared his vehicle to be a total loss. USAA, for its part, argues that the ACV provision does not dictate its payment obligations under the policy.

Before taking up these competing interpretations, the narrow task before us bears emphasizing. This appeal arises out of a grant of USAA’s Rule 12(b)(6) motion. So our task is to assess whether USAA’s interpretation of the policy language—that ACV does not include taxes and fees—is unambiguously correct, thus entitling it to dismissal. See Wilkerson v. Am. Fam. Ins. Co., 997 F.3d 666, 668 (6th Cir.

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