Labrier v. State Farm Fire & Casualty Co.

315 F.R.D. 503, 2016 U.S. Dist. LEXIS 96476, 2016 WL 4005998
District Court, W.D. Missouri·Decided July 25, 2016·No. No. 2:15-cv-04093-NKL·Published·Cited by 3 cases

Opinion

ORDER

NANETTE K. LAUGHREY, United States District Judge

Plaintiff Amanda LaBrier moves for class certification. Doc. 123. The motion is granted.

I. Background

LaBrier’s house was damaged in a hail storm, a covered loss under her insurance policy issued by Defendant State Farm Fire and Casualty Company. LaBrier made a claim under the section of the policy that provided for an “actual cash value” (ACV) payment to be made to an insured before, and regardless of whether, the insured repaired or replaced the damaged property. The dispute in this ease involves State Farm’s practice of deducting labor depreciation when it calculates an ACV payment.

A. The form insurance policy and State Farm’s calculation of ACV

State Farm adjusts structural damage insurance claims in accordance with the loss settlement provisions of the form policy issued to LaBrier and the putative class members. The policy generally provides for a “two-step loss settlement!;] a payment first of actual cash value (“ACV”), followed by the potential for an additional payment of replacement cost benefits of amounts actually and necessarily spent.” Doc. 162-4, p. 3 (Exh. D, Affidavit of Juan Guevara, State Farm Claim Consultant). LaBrier holds such a policy, which provides, in part:

SECTION I — LOSS SETTLEMENT
Only the Loss Settlement provisions shown in the Declarations apply. We will settle covered property losses according to the following!;]
COVERAGE A — DWELLING
1. Al — Replacement Cost Loss Settlement — Similar Construction
a. We will pay the cost to repair or replace with similar construction and for the same use on the premises shown in the Declarations, the damaged part of the property covered under SECTION I - COVERAGES, COVERAGE A - DWELLING, except for wood fences, subject to the following:
(1) until actual repair or replacement is completed, we will pay only the actual cash value at the time of the loss of the damaged part of the property, up to the applicable limit of liability shown in the Declarations, not to exceed the cost to repair or replace the damaged part of the property;
(2) when the repair or replacement is actually completed, we will pay the covered additional amount you actually and necessarily spend to repair or replace the damaged part of the property, or an amount up to the applicable limit of liability shown in the Declarations, whichever is less;
(3) to receive any additional payments on a replacement cost basis, you must complete the actual repair or replacement of the damaged part of the property within two years [509]*509after the date of loss, and notify us within 80 days after the work has been completed;

Doe. 21-1, p. 29.

The policy contains no explanation of how State Farm calculates ACV, nor any definitions of ACV or depreciation. State Farm’s practice is to calculate “an ACV payment ... by subtracting depreciation and the insured’s deducible from the estimated replacement cost.” Doc. 160-4, p. 4. State Farm uses software called “Xaetimate” from Xactware Solutions, Inc., and used it throughout the class period to develop structural damage repair or replacement cost estimates, calculate ACV payments for its insureds, and determine whether a contractor’s estimate of replacement cost is too high. Doe. 162-2, Deposition of Daniel Gray1 p. 22-23, and 49 (depo. pp. 78:14-79:17; 82:7-9; and 188:11-18). Gray could not recall a single instance, in ten years of adjusting claims, when an estimate was prepared without using Xaetimate, or when Xaetimate was not accurate. Id., p. 49 and 58 (p. 188:11-15, and p. 223:11-15).

More specifically, Xactware maintains State Farm’s claims and estimating data, including the data underlying the component parts of each line item in an estimate State Farm prepares. Doe. 162-4, Affidavit of Juan Guevara 2, p. 8. Xaetimate applies Xactware’s published unit prices, “which are typically comprised of embedded material and labor components!)]” Id., p. 7. For example, the square foot unit pricing for “R & R drywall,” removal and replacement of drywall, includes a material component — the drywall, and a labor component — removing the existing drywall and putting up the new drywall. Id. State Farm set the software default to apply depreciation “to all elements of the published unit cost” in general, but not to “stand-alone labor charges.” Id., and n.3. [redacted text] The amount of labor depreciation can be calculated to the penny.

[redacted text] State Farm maintains records of claim3 payments it makes, in its internal Enterprise Claim System or ECS. While ECS contains data input from Xaeti-mate, Xaetimate does not, as a general rule, contain payment data. Part of the Xaetimate application is a payment tracker that can track payments made on a particular claim. Some claims might have payment tracker information logged in Xaetimate, but State Farm does not provide training to employees on that aspect of the software, nor routinely use it to track payments. Doc. 162-5, pp. 8 and 34-35 (depo. p. 25, lines 11-22, and pp. 129-130).

State Farm sent LaBrier an ACV payment, with an accompanying packet of material, including a description of “State Farm’s Structural Damage Claim Policy”; a “Building Estimate Summary Guide” based on a sample estimate; an “Explanation of Building Replacement Cost Benefits” for LaBrier’s “Homeowner Policy”; and a breakdown of the computation for work on LaBrier’s house. Doc. 29-1; Doc. 162-4, pp. 3-4. The Building Estimate Summary Guide defined several terms, including:

Replacement Cost Value (RCV) — Estimated cost to repair or replace damaged property.
Net Actual Cash Value Payment (ACV)— The repair or replacement cost of the damaged part of the property less depreciation and deductible.
Depreciation — The decrease in the value of property over a period of time due to wear, tear, condition, and obsolescence. A portion or all of this amount may be eligible for replacement cost benefits.
Non Recoverable Depreciation — Depreciation applied to items that are not eligible for replacement cost benefits.
Total Maximum Additional Amount if Incurred — Total amount of recoverable depreciation after actual repair or replacement of the property.
[510]*510Total Amount of Claim if Incurred — Total amount of the claim, including net actual cash value payment and total maximum additional amount if incurred.

Doc. 29-1, p. 3 (emphasis in original).

The Explanation of Building Replacement Cost Benefits LaBrier received more specifically explained her actual cash value payment, and how she could obtain replacement cost coverage:

Your insurance policy provides l'eplacement cost coverage for some or all of the loss or damage to your dwelling or structures. Replacement cost coverage pays the actual and necessary cost of repair or replacement, without a deduction for depreciation, subject to your policy’s limit of liability.

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Labrier v. State Farm Fire & Casualty Co., 315 F.R.D. 503, 2016 U.S. Dist. LEXIS 96476, 2016 WL 4005998 (W.D. Mo. 2016).

315 F.R.D. 503 (Labrier v. State Farm Fire & Casualty Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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