Parker's Classic Auto Works, Ltd. v. Nationwide Mutual Insurance Company

2019 VT 46
Supreme Court of Vermont·Decided June 28, 2019·No. 2017-433·Published·Cited by 2 cases

Opinion

NOTICE: This opinion is subject to motions for reargument under V.R.A.P. 40 as well as formal revision before publication in the Vermont Reports. Readers are requested to notify the Reporter of Decisions by email at: JUD.Reporter@vermont.gov or by mail at: Vermont Supreme Court, 109 State Street, Montpelier, Vermont 05609-0801, of any errors in order that corrections may be made before this opinion goes to press.

2019 VT 46

No. 2017-433

Parker’s Classic Auto Works, Ltd. Supreme Court

On Appeal from

v. Superior Court, Rutland Unit, Civil Division

Nationwide Mutual Insurance Company October Term, 2018

Helen M. Toor, J. (amended entry regarding motion); Samuel Hoar, Jr., J. (final judgment) Robert P. McClallen, Rutland, for Plaintiff-Appellant.

Eric T. Boron and Roy A. Mura of Mura & Storm, PLLC, Buffalo, New York, for Defendant-Appellee.

PRESENT: Reiber, C.J., Skoglund, Robinson, Eaton and Carroll, JJ.

¶ 1. CARROLL, J. Plaintiff appeals a judgment entered in favor of defendant following a trial in which a jury determined that defendant breached an insurance contract with plaintiff’s assignors. The jury awarded plaintiff $41,737.89 in damages. After the trial the superior court concluded that, as a matter of law, plaintiff could not show that his assignors were damaged by a breach of contract by defendant. We reverse this determination, vacate the judgment that was entered in favor of defendant, and remand with direction to the superior court to reinstate the jury’s verdict and its award of damages.

I. Factual and Procedural History

¶ 2. The following are the facts from the trial record taken in the light most favorable to plaintiff. Brueckner v. Norwich Univ., 169 Vt. 118, 122, 730 A.2d 1086, 1090 (1999) (explaining that we must view evidence in the “light most favorable to the non-moving party” on appeal of a motion for judgment as a matter of law) (quotation omitted). Plaintiff is a car repair business in Rutland. Defendant insures the vehicles of dozens of plaintiff’s customers (“the insureds”) who hired plaintiff to repair damage to their vehicles between 2009 and 2014. Over seventy insurance claims, which all arise under identical insurance policies, have been combined in this breach-of- contract case. For each insurance claim plaintiff repaired a car belonging to an insured, restoring it to preaccident condition, and, after receiving a post-loss assignment from an insured,1 submitted itemized bills to defendant to recover for its services. Plaintiff then released each vehicle to its owner. In each instance, defendant paid less than what plaintiff had billed to complete the repair. The difference between the cost of repair billed by the repair shop and the amount paid by the insurance company—to whatever extent it is covered by the insurance policy—is called a short pay in the collision-repair industry. Plaintiff submitted to defendant a final invoice and a “supplemental report” itemizing each of the repairs performed.

¶ 3. For each claim involved in this case, although defendant did not pay a portion of what the repair shop believed was owed under the policy, defendant did pay significant sums. Defendant initially paid what its claims adjuster believed to be covered by the insurance policy

1 The insurance policy prohibits assignment of “any interest” in the policy without insurer’s consent. Defendant has not invoked this clause, so we do not address it. But we note that a clause prohibiting the assignment of “interests” in an insurance policy is generally interpreted to prohibit the pre-loss assignment of coverage under the policy, not the post-loss assignment of a claim. In re Ambassador Ins., 2008 VT 105, ¶¶ 12-13, 184 Vt. 408, 965 A.2d 486. An anti-assignment clause is meant to protect the insurer from unaccounted risk posed by an assignee, designated unbeknownst to the insurer, before a covered loss occurs. 3 S. Plitt et al., Couch on Insurance § 35:8 (3d ed. 2019). This purpose is not served by prohibiting post-loss assignment of claims.

after having conducted a visual inspection of the damage. Defendant generally would make at least one additional payment based on information provided by plaintiff after plaintiff disassembled the damaged vehicle in preparation to repair it. Payment to repair additional damage that is not apparent from a visual inspection of the vehicle is called a supplemental payment. After the adjuster’s initial estimate was paid to plaintiff and any supplemental payments were made, there was still an outstanding balance for the repair bill on each claim involved in this case. Plaintiff believed these were covered by the insurance policy yet had been unpaid by the insurer. However, defendant maintained that these unpaid portions of the repair bill between plaintiff and each insured were not covered under the policy.

¶ 4. Plaintiff filed suit as the insureds’ assignee to recover these purported short pays.

The case proceeded to jury trial. Plaintiff offered a series of documents relating to each claim brought by each insured, which were admitted into evidence primarily by stipulation: the final invoice, a supplemental report itemizing all the work done by plaintiff and identifying charges made by plaintiff that defendant’s claims adjuster did not believe were covered by the insurance policy, a separate itemized bill for painting costs incurred, plaintiff’s accounting ledger for each claim, the contract between plaintiff and the insured authorizing plaintiff to repair the insured’s vehicle, and the assignment of insurance claims by the insureds to plaintiff. Mr. Parker, the owner of the repair shop, testified on direct examination to his experience repairing vehicles and to the billing and repair processes employed in his shop. He compared, in some respects, the practices employed in his shop to those used by defendant’s claims adjuster.

¶ 5. After plaintiff rested its case, defendant moved for judgment as a matter of law.

See V.R.C.P. 50(a)(1). The trial court denied this motion, after which defendant presented testimony by one witness: claims adjuster Alan Douse. Mr. Douse explained the procedures that he follows to inspect damaged vehicles belonging to defendant’s insureds, appraise the amount of damage to a vehicle, and issue payments to insureds based upon his estimate. After receiving

instructions, the jury returned a verdict finding defendant liable for breach of the insurance policy and awarding plaintiff $41,737.89.

¶ 6. Defendant filed a renewed motion for judgment as a matter of law under Vermont Rule of Civil Procedure 50(b), which the court granted. The court construed the insurance policy as requiring defendant to pay “an amount [defendant] determined was sufficient to do the repairs.” It reasoned that the insureds could not have sued defendant for sums that were entirely within defendant’s discretion to award. Therefore, the court explained, plaintiff could not sue defendant as the insureds’ assignee. In reaching this conclusion, the court relied heavily on an out-of-state case involving an auto-glass repair shop, which sued an insurer as the insureds’ assignee. Cascade Auto Glass, Inc. v. Idaho Farm Bureau Ins., 115 P.3d 751, 755 (Idaho 2005). Plaintiff appeals the trial court’s order granting defendant judgment as a matter of law.

II. Defendant May Not Unilaterally Determine the Value of an Insured’s Claim

¶ 7. We review the interpretation of an insurance policy without deference. Co-

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Parker's Classic Auto Works, Ltd. v. Nationwide Mutual Insurance Company, 2019 VT 46 (Vt. 2019).

2019 VT 46 (Parker's Classic Auto Works, Ltd. v. Nationwide Mutual Insurance Company) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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