Moore v. Auto Club Group

CourtDistrict Court, E.D. Michigan
DecidedJuly 20, 2022
Docket2:19-cv-10403
StatusUnknown

This text of Moore v. Auto Club Group (Moore 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
Moore v. Auto Club Group, (E.D. Mich. 2022).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

NANCY MOORE, et al.,

Plaintiffs, Case No: 19-10403 Honorable Denise Page Hood

v.

AUTO CLUB SERVICES, et al.,

Defendants. _________________________________/

ORDER GRANTING IN PART AND DENYING IN PART DEFENDANTS’ SECOND MOTION TO DISMISS [ECF No. 33]

I. INTRODUCTION Plaintiffs filed a 28 U.S.C. § 1332(d)(2) Class Action Complaint ("Complaint”) on February 8, 2019, alleging that Defendants underpaid the proper amount of attendant care benefits owed to the members of the class under Subsection 3107(1)(a) of the Michigan Automobile No-Fault Insurance Act (the “Act”). On April 18, 2019, Defendants collectively filed a Rule 12(b)(6) Motion to Dismiss (“Initial Motion”) [ECF No. 11], and the Initial Motion was fully briefed.

1 The Court held a July 24, 2019 hearing regarding the Initial Motion, at which Plaintiffs conceded that the best course of action would be to file an amended

complaint, except that the Court should address two issues: 1. Whether the One Year Back Rule barred claims for damages incurred prior to February 8, 2018 and was not subject to tolling, and

2. Whether Count IV should be dismissed because Michigan does not recognize a claim for bad faith breach of contract.

The parties argued those two issues at the July 24, 2019 hearing, and the Court took them under advisement. The Court also allowed Plaintiffs to file an amended complaint. On August 19, 2019, Plaintiffs timely filed a First Amended Class Action Complaint (“Amended Complaint”). ECF No. 28. The Amended Complaint contained the four counts asserted in the Original Complaint, plus two new counts: (a) Count I – Violations of the Act; (b) Count II – Breach of Contract and Breach of Implied Covenant of Good Faith and Fair Dealings; (c) Count III – Unjust Enrichment; (d) Count IV- Bad Faith Breach of Contract. (e) Count V - Intentional or Tortious Interference with Contractual Relationship (by Defendants Auto Club

Group and Auto Club Services, the Defendant Non-insurers); and (f) Count VI - Civil Conspiracy (against all Defendants).

2 On September 16, 2019, Defendants filed a Motion to Dismiss Plaintiffs’ First Amended Class Action Complaint (“Second Motion”). ECF No. 33. The Second

Motion has been fully briefed, and a hearing was held on November 13, 2019. On May 31, 2020, the Court granted the Initial Motion with respect to Count IV but denied the One Year Back Rule argument described above.

For the reasons that follow, the Court GRANTS IN PART and DENIES IN PART Defendants’ Second Motion to Dismiss. As the Court’s resolution of the Second Motion dismisses Count I, the raised in the Defendants’ Motion for Reconsideration, ECF No. 43, need not be addressed, and the Court denies as moot

the Motion for Reconsideration. II. BACKGROUND A. Plaintiffs

The three named Plaintiffs have sued on behalf of themselves and request that they be representatives of a class. These three individuals will be collectively referred to as “Plaintiffs” and, when appropriate, the class will be referred to as “Plaintiff Class.”

Plaintiffs currently have no-fault personal injury protection (“PIP”) claims filed with Defendants and are receiving attendant care benefits. All Plaintiffs have been receiving these benefits at least since 2005. Each of the Plaintiffs’ attendant

3 care benefits are being used to pay for family provided attendant care. All allegations in the Amended Complaint are based on Defendants’ alleged “systematic

underpayment of family provided/non-agency provided attendant care benefits (“Benefits”) through the use of a series of reports they [Defendants] falsely claimed were valid surveys of commercial agency payment rates for attendant care

providers.” (the reports are referred to as the “P&M Surveys”). Plaintiffs’ PIP claims have been adjusted by Defendants. Plaintiffs allege Defendants relied on the P&M Surveys to determine class benefits for their family provided attendant care services and adjusted Plaintiffs’ claims. Plaintiffs allege

that Defendants’ use of the P&M Surveys was improper and injured Plaintiffs by paying less money than appropriate for their family provided attendant care benefits. Litigation and discovery by Defendants in an (unidentified) prior case

allegedly revealed that the P&M Surveys were created under the direction of a lawyer and Vice President at AAA. The creator of the P&M Surveys testified in that prior case, allegedly revealing the P&M Survey “lacked valid statistical authority.” Other testimony (by the director of casualty claims for AAA) allegedly

acknowledged that the rates in the P&M Surveys were not adjusted after 2011 and that AAA used previous P&M Surveys to determine class benefits. B. Plaintiff Class

4 Plaintiffs seek to establish a representative class under FRCP 23(a) for all individuals who received attendant care benefits from Defendants for the Class

Period either at: (1) a “home health aide rate;” or (2) a “higher than a home health aide rate.” Plaintiffs also bring suit on behalf of the sub-class of individuals who received benefits from Defendants during the Class Period while those individuals

resided in states that provided for bad faith claims. Plaintiffs have pleaded facts sufficient to meet the requirements of a class action suit as outlined by FRCP 23(a) and FRCP 23(b). The “Class Period” covered by the claim is in dispute. Plaintiffs allege that

Defendants committed fraud by concealing their use of P&M Surveys. Plaintiffs assert that, because of the alleged fraudulent action by the Defendants, Michigan’s no-fault one-year back rule should be tolled for two years with respect to Plaintiffs’

claims. III. APPLICABLE LAW

A Rule 12(b)(6) motion to dismiss tests the legal sufficiency of the plaintiff’s complaint. The Court must accept all well-pleaded factual allegations as true and review the complaint in the light most favorable to the plaintiff. Eidson v. Tennessee Dep’t of Children’s Servs., 510 F.3d 631, 634 (6th Cir. 2007); Kottmyer v. Maas, 436 F.3d 684, 688 (6th Cir. 2006).

5 As a general rule, to survive a motion to dismiss, the complaint must state sufficient “facts to state a claim to relief that is plausible on its face.” Bell Atlantic

Corp. v. Twombly, 550 U.S. 544, 570 (2007). The complaint must demonstrate more than a sheer possibility that the defendant’s conduct was unlawful. Id. at 556. Claims comprised of “labels and conclusions, and a formulaic recitation of the

elements of a cause of action will not do.” Id. at 555. Rather, “[a] claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009).

IV. ANALYSIS

A. Rule 8 Defendants argue that all claims should be dismissed pursuant to Federal Rule of Civil Procedure 8 because Plaintiffs’ Amended Complaint fails to provide fair notice of the factual basis of relief sought by Plaintiffs.

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Moore v. Auto Club Group, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moore-v-auto-club-group-mied-2022.