Monteleone v. Auto Club Group

113 F. Supp. 3d 950, 2015 U.S. Dist. LEXIS 86272, 2015 WL 4076192
CourtDistrict Court, E.D. Michigan
DecidedJuly 2, 2015
DocketCase No. 13-CV-12716
StatusPublished
Cited by3 cases

This text of 113 F. Supp. 3d 950 (Monteleone v. Auto Club Group) 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
Monteleone v. Auto Club Group, 113 F. Supp. 3d 950, 2015 U.S. Dist. LEXIS 86272, 2015 WL 4076192 (E.D. Mich. 2015).

Opinion

OPINION AND ORDER

GEORGE CARAM STEEH, District Judge.

This putative class action arises out of plaintiffs’ claims for homeowners’ insurance coverage for water damage in their basements. The named plaintiffs, Frank and Sheri Monteleone, seek over $100,000 in damages. (Amended Complaint, ■ ¶-25, 27). Defendants are insurance companies The AutoClub Group, MemberSelect Insurance Company, AutoClub Insurance Assoc., Auto Club Group Insurance Co., Auto Club Property-Casualty Insurance Co., and Auto Club Services (collectively “defendants”). Plaintiffs originally sought to proceed as a class action under three theories as set forth in their three-count amended complaint: (1) certification under Federal Rule of Civil Procedure 23(b)(2) seeking a declaration as to the meaning of certain allegedly ambiguous coverage and exclusion provisions within the insurance policy, (2) certification under Rule 23(b)(3) for breach of contract on the theory that defendants categorically denied valid elaims based on an erroneous application of the policy terms, and that all individuals who merely purchased insurance, even those who never filed claims, are entitled to a partial refund of premiums because certain coverage is allegedly illusory, and (3) certification under Rule 23(b)(3) for breach of contract arising out of rejected claims for certain water damage in plaintiffs’ basements. By prior written orders of the court, class certification'under both the second and third theories for breach of contract has been denied. In addition, Count II, which sought relief of partial premiums paid under the “phantom coverage” theory, has been dismissed. The court is left now to decide whether class certification is appropriate under Rule 23(b)(2) for the declaratory judgment claim.

Now before the court are: (1) plaintiffs’ motion for partial summary judgment and declaratory relief which seeks judicial interpretation of certain contested policy terms and exclusions, and (2) plaintiffs’ motion for certification of the declaratory judgment class in the Monteleone’s case, 13-12716. The Bushway plaintiffs in the companion case, 14-11417, have joined in the motion for declaratory relief, but not in the motion for class certification. Oral argument was delayed at the parties’ request as they were engaged in settlement negotiations. A hearing was eventually held on June 16, 2015. For the reasons set forth below, plaintiffs’ motion for partial summary judgment shall be granted in part and denied in part, and plaintiffs’ motion for class certification shall be denied.

I. Background

On January, 17, 2013, plaintiffs suffered water damage in their finished basement of their Clinton Township home which caused significant harm, including loss of personal property, and structural damage to their home. (Amended Complaint, ¶25). -.Plaintiffs claim the water damage has been traced to a faulty back flow pre-venter in the plumbing waste line that extends under the slab in their basement. Id. at ¶ 26. They claim coverage for the loss existed under the policy’s provision providing that insured perils include:

13. Accidental discharge or overflow of water or steam from within a plumbing, heating, air conditioning or automatic fire protection sprinkler system or domestic appliance.

[954]*954Id. at ¶ 44 (quoting Homeowner’s Policy at 8, ¶ 13). Plaintiffs claim they paid for coverage of water damage claims where water originating from within the home is prevented from leaving the premises. Id. at ¶¶6-7. Specifically, plaintiffs claim they paid for coverage for water damage losses where water “(1) from the home is unable to reach the municipal sewer (2) due to a blockage or other plumbing failure (3) which forces the exiting water to re-enter the home through a basement or floor drain.” Id. at ¶-5. Plaintiffs describe such water damage events as “overflows” which .they claim were. covered losses un-. der their homeowner’s insurance policies. Id. at ¶ 44. (citing Homeowner’s Policy at 8, ¶ 13). Defendants denied coverage under the policies’ exclusion ¶ 3.b which provides no coverage exists for:

water or water-borne material which backs up through sewers or drains or water which enters into and overflows from within a sump pump, sump pump well or other type system designed to remove subsurface water which is drained from the foundation area.

Id. at ¶ 45 (quoting Homeowner’s Policy at 9, ¶ 3.b). Optional endorsements are available to override this exclusion which provide limits usually between $5,000 to $25,000. Named plaintiffs had purchased such an endorsement in this case, and under this option, defendants disclaimed liability and coverage' above the $5,000 provided on the endorsement. Id. at 1128. Plaintiffs claim that defendants wrongfully denied coverage under the policy ‘ and failed to investigate the cause of their loss. Id. at If 26.

There is no dispute that under the policies, claims for “backups” were not covered. “Backups” occur when water originates from an external source, like a municipal sewer system. Id. at 117. Specifically, the policies describe “backups” which are excluded from coverage under ¶ 3.b, supra, and ¶ 13.c which provides that no coverage exists for loss:

.caused by or resulting from water which backs up through sewers or drains or water which enters into and overflows , from within a- sump pump, sump pump well or other type system designed to remove subsurface water -which is drained from the foundation area.

Id. at ¶ 44 (citing Homeowner’s Policy at p. 8, ¶ 13.c). Plaintiffs claim that beginning in 2009, defendants began conflating all “overflow” losses as “backup's” and wrongfully denied claims for “overflow” losses. Id. at ¶¶ 48-49. In support of this claim, plaintiffs rely on an e-mail written by defendants’ director of claims, Nicole Whit-low, which states that “[a]ny claim reported with water back up or overflow coming from a basement drain is not a covered loss unless the insured has purchased the H-500 endorsement.” Id. at Iff 49-50.

' In their motion for summary judgment, plaintiffs seek a declaration that (1) the policy in question afforded property and contents coverage for water overflow -losses, (2) the ¶ 3.b exclusion does not apply to basement/floor drain water claims caused by water originating from within the resident premises, and (3) defendants bear the burden of establishing that an exclusion applies.1 Defendants oppose the relief sought.

[955]*955II. Summary Judgment Standard

Federal Rule of Civil Procedure 56(c) empowers the court to render summary judgment “forthwith if the pleadings, depositions, answers to interrogatories and admissions-on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.” See Redding v. St. Eward, 241 F.3d 530, 532 (6th Cir.2001). The Supreme Court has affirmed the court’s use of summary judgment as an' integral part of the fair and efficient administration of justice.

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Bluebook (online)
113 F. Supp. 3d 950, 2015 U.S. Dist. LEXIS 86272, 2015 WL 4076192, Counsel Stack Legal Research, https://law.counselstack.com/opinion/monteleone-v-auto-club-group-mied-2015.