Professional Adjusting Systems of America, Inc. v. General Adjustment Bureau, Inc.

64 F.R.D. 35, 19 Fed. R. Serv. 2d 105
District Court, S.D. New York·Decided August 6, 1974·No. Nos. 72 Civ. 5122, 73 Civ. 848·Published·Cited by 29 cases

Opinion

GURFEIN, District Judge:

A motion is now made to certify this antitrust action as a class action.

This action was instituted by the plaintiff on behalf of itself and as representative of other independent insurance adjusters throughout the United States. The defendant General Adjustment Bureau (“GAB”) is a corporation in the business of adjusting and settling insurance claims. Its stock was owned by approximately 175 insurance companies 1 which issue insurance policies for property damage.2

The complaint in the Chambers and Barber action, filed on April 24, 1972, in the United States District Court for the Northern District of California (now 73 Civ. 848) and transferred to this Court by the Multidistrict Panel,3 alleges that the defendant and the shareholder coeonspirators have combined and conspired to restrain trade unreasonably in the business of adjustment and settlement of insurance claims in violation of Section 1 of the Sherman Act. The illegal conspiracy allegedly consisted, inter alia, of an agreement between GAB and its shareholders to divert adjustment business to GAB and away from independent adjusters. At least some of the GAB shareholders sell insurance against property damage in every state of the Union.

Contracts insuring against property damage are an important segment of the insurance industry. When property damage occurs, provisions must be made to handle the claim. It is here that the services of insurance adjusters are utilized. An adjuster makes a thorough investigation of the claim, determines whether the policy covers the type of loss involved, and endeavors to obtain all the essential facts with which he makes a report of his investigation. Perhaps the most important function of the adjuster is to determine the extent of the loss and the amount to be paid the insured. Based on this evaluation, the adjuster will then attempt to settle the claim. Often negotiations between the adjuster and the claimant will continue for some time until a final agreement is reached.

Many insurance companies use their own employees to adjust and settle small claims. However, for claims of a more complicated nature, most insurance companies utilize the services of outside adjusters. An independent adjuster may be an individual, firm, or corporation, which is not affiliated in any way with an insurance company. Independent adjusters engage in their occupation in all parts of the United States.

The plaintiffs contend that the conspiracy is nationwide and deprives independent adjusters of the opportunity to compete against GAB for adjusting business. The class affected is said to consist of all insurance adjusters of a certain type throughout the United States. The defendant implicitly starts with the premise that there' was no conspiracy, but that if there was conspiracy afoot, it could only involve a series of discrete multiple conspiracies of a local nature which cannot support the certification of a single nationwide class.

The first inquiry must be what tools are at hand for the District Judge to make up his mind on so elusive a question. It would be difficult enough, in all likelihood, to make findings on this issue after all the proof is in and the merits' have been fully explored. It is much more difficult to come to a decision at an early stage of the litigation as Fed. R.Civ.P. 23(c) instructs us to do. It is almost as if we were to ask the judge in [38]*38a criminal prosecution whether the conspiracy is single or multiple, chain or spoke, before the case is in.4

The surest tool in the judicial armory is normally the evidentiary hearing. We have now been instructed by the Supreme Court that we may not use a preliminary hearing to assess the merits before determining the class action question. Eisen v. Carlisle & Jacquelin, 417 U.S. 156, 94 S.Ct. 2140, 2152, 40 L.Ed.2d 732 (1974). The Court in Eisen, however, singled out for favorable mention Judge Wisdom’s conclusion in Miller v. Mackey International, Inc., 452 F.2d 424 (5 Cir. 1971), where the Court of Appeals rejected a preliminary inquiry into the merits of a proposed class action. 417 U.S. at 178, 94 S.Ct. at 2153. Judge Wisdom in fact had remanded to the District Court for a hearing on the propriety of the case being brought as a class action and for findings of fact on that issue. 452 F.2d at 430-431.

A strong reason for denying a hearing on the merits is the delay it engenders. One may doubt whether a full evidentiary hearing with findings on the subsidiary issue would be less delaying in the particular antitrust case at bar.

On the other hand, it is hard to conceive that the Court is limited to a simple reading of the complaint. See Huff v. N. D. Cass Co., 485 F.2d 710, 713 (5 Cir. 1973); Matarazzo v. Friendly Ice Cream Corp., 62 F.R.D. 65, 67 (E.D. N.Y.1974) (Bartels, J.). We say in other judicial contexts that mere allegation is not proof. Yet, side by side, we have the doctrine that the allegations of a complaint are to be taken as true against motions to dismiss. To adopt the latter doctrine in Rule 23 motions, however, would be to give the plaintiff an enormous advantage. It should take more than ipse dixit to make a class.

If speed is of the essence and if hearings drag, the full hearing on the class action is not a particularly viable solution. The choice must be somewhere between the pleading and the fruits of discovery which are made available to the judge. Enough must be laid bare to let the judge survey the factual scene on a kind of sketchy relief map, leaving for later view the myriad of details that cover the terrain. But to find its way, the Court must know something of the commonality of action or frustration that binds the class.

Here the answer is discovery directed at an early stage of the litigation to the very purpose of defining the class or determining that it is too amorphous for judicial handling or that a class action is not superior to other available methods. Manual for Complex Litigation, 1.40.

Discovery has thus far elicited certain evidence which, if believed, tends to support some allegations of the complaint. For example, Ralph B. Hale, a former employee of the Hartford Fire Insurance Group, a shareholder of GAB, states that while a Claims Manager for the Hartford Fire Insurance Group in San Jose, California, he was visited in his office by Stanley Clark, a Claims Manager employed by GAB, and was instructed by Clark “ . . . that there existed a policy and understanding between the General Adjustment Bureau and the Hartford Fire Insurance Group and other shareholders of the General Adjustment Bureau that all fire claims would be assigned to the General Adjustment Bureau without exception. . . . ”5 Shortly thereafter, the Property Supervisor of the Hartford Fire Insurance Group telephoned Hale and reiterated Mr. Clark’s instructions to send claims to GAB. In 1970, Mr.

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Professional Adjusting Systems of America, Inc. v. General Adjustment Bureau, Inc., 64 F.R.D. 35, 19 Fed. R. Serv. 2d 105 (S.D.N.Y. 1974).

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