Jimenez v. Allstate Indemnity Co.

765 F. Supp. 2d 986, 2011 U.S. Dist. LEXIS 53201, 2011 WL 1791098
CourtDistrict Court, E.D. Michigan
DecidedApril 19, 2011
DocketCase 07-cv-14494
StatusPublished
Cited by5 cases

This text of 765 F. Supp. 2d 986 (Jimenez v. Allstate Indemnity Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jimenez v. Allstate Indemnity Co., 765 F. Supp. 2d 986, 2011 U.S. Dist. LEXIS 53201, 2011 WL 1791098 (E.D. Mich. 2011).

Opinion

OPINION AND ORDER DENYING DEFENDANT’S MOTION FOR JUDGMENT ON THE PLEADINGS (docket no. 75) AND GRANTING PLAINTIFF’S MOTION FOR RECONSIDERATION (docket no. 76)

STEPHEN J. MURPHY, III, District Judge.

In this proposed class action, plaintiff Jose Jimenez alleges that defendant Allstate Indemnity Company (“Allstate”) underpaid his insurance claim. Before the Court is Jimenez’s motion to reconsider the Court’s order limiting the scope of any future class, as well as Allstate’s motion for judgment on the pleadings. The Court ordered supplemental briefing on whether underpayment of an insurance claim could constitute a denial of liability for purposes of tolling the one-year limitations period for bringing actions, and, if so, whether and when Allstate formally denied liability in this case. The parties obliged, and provided supplemental briefing. A hearing on the matter is not necessary. E.D. Mich. 7.1(f)(2). For the reasons stated below, the Court will deny Allstate’s motion for judgment on the pleadings, will grant Jimenez’s motion for reconsideration, and will reverse its order limiting the scope of any future class to exclude Michigan policyholders with losses before October 22, 2006.

I. Allstate’s Motion for Judgment on the Pleadings

Allstate seeks a judgment on the pleadings, on the ground that Jimenez’s claims are barred because he did not file *989 his action within one year of the date of loss as required by both Allstate’s policy and Mich. Comp. Laws § 500.2833(1)(q). 1

Rule 12(e) of the Federal Rules of Civil Procedure provides that “after the pleadings are closed — but early enough not to delay trial — a party may move for judgment on the pleadings.” Fed.R.Civ.P. 12(c). When matters outside the pleadings are considered, however, the motion must be treated as one for summary judgment under Rule 56, and the parties must be given time to present all materials relevant to the motion. Fed.R.Civ.P. 12(d). Because materials outside the pleadings are considered here, Allstate’s motion is one for summary judgment. The parties have been given an opportunity to submit all relevant materials. “Summary judgment is proper if the evidence, taken in the light most favorable to the nonmoving party, shows that there are no genuine issues of material fact and that the moving party is entitled to a judgment as a matter of law.” Schreiber v. Moe, 596 F.3d 323, 329 (6th Cir.2010) (citation and internal quotation marks omitted). Whether an action is barred by the passage of time is a question of law to be answered by the court. Friends of Tims Ford v. Tenn. Valley Auth., 585 F.3d 955, 964 (6th Cir.2009); accord McKiney v. Clayman, 237 Mich.App 198, 201, 602 N.W.2d 612 (1999).

The timeline of events is undisputed. On June 11, 2006, Jimenez suffered a loss under his policy with Allstate. He notified Allstate of the loss on or around June 15, 2006. On November 6, 2006, Allstate’s claim adjuster spoke with Jimenez’s counsel on the telephone and offered $48,000 to cover the loss. Counsel rejected the offer and sought the policy’s liability limit of $150,000. On November 20, 2006, Allstate sent Jimenez’s counsel a letter and a cheek in the amount of $48,000, which Jimenez cashed on December 6, 2006. The letter stated:

At this time Allstate Insurance Company will issue a check for the Market Value on the home at 9660 Graham Str. in Detroit, Michigan 48209. I have included the summary amount page for $48,000 as provided to us by Concord Title & Appraisal Company. You will note that I had previously faxed you the appraisal in whole.
Allstate Insurance Company is still awaiting verification on the issue of lost rent, as well as receipts of the repairs to the home that you are claiming. We also have notified the City of Detroit regarding Public Act 495. If they request, we also will issue the necessary funds direct to them.

Letter of November 20, 2006 (docket no. 87, ex. 3). Jimenez sought additional payment for his claim. Finally, on February 2, 2007, Allstate issued a letter including the following statement: “Since you have not provided Allstate Insurance Company with a market value that disputes the one *990 we provided to you [in the amount of $48,-000], we stand by this professional evaluation of this property.” Letter of February 2, 2007 (misdated 2006) (docket no. 84, ex. Q). Jimenez filed this action on October 22, 2007.

For the reasons stated below, the Court concludes that Jimenez’s action is timely regardless of whether Allstate ever formally denied liability.

A. If Allstate Has Formally Denied Liability, Jimenez’s Action is Timely

Under the terms of Allstate’s policy, Jimenez had to file suit within one year of his loss. Specifically:

Action Against Us
No suit or action may be brought against us unless there has been full compliance with all policy terms. Any suit or action must be brought within one year after the date of loss. In the event we formally deny liability, the time for commencing a suit or action is tolled from the time you notify us of the loss until we formally deny liability.

Policy Endorsement (docket no. 1, document continuation, at 14 of 21).

Allstate contends that since Jimenez filed suit on October 22, 2007, more than one year after his loss (on June 11, 2006), his action is barred. Further, Allstate argues, the tolling provision does not apply here because the provision is conditioned upon Allstate denying liability, which it never did. Both in the briefing and at the hearing on Allstate’s motion, Jimenez and Allstate agreed that Allstate had never denied liability. Counsel agreed that Allstate had conceded liability and only disputed its extent. The parties equated a denial of liability with a denial of coverage entirely. The Court improvidently adopted this agreement in ruling on Allstate’s motion to limit the scope of any class. If that were the end of the matter, Jimenez’s action would be barred and Allstate would be entitled to judgment as a matter of law. The Court’s recent independent research on the issue, however, has revealed that that a denial of liability encompasses more than just a denial of coverage; denying liability includes underpaying a claim.

The Michigan Court of Appeals’ decision in Bourke v. N. River Ins. Co., 117 Mich. App. 461, 324 N.W.2d 52 (1982) (per curiam), illustrates the principle.

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Bluebook (online)
765 F. Supp. 2d 986, 2011 U.S. Dist. LEXIS 53201, 2011 WL 1791098, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jimenez-v-allstate-indemnity-co-mied-2011.