PROFESSIONAL, INC. v. FIRST CHOICE AUTO INSURANCE COMPANY

CourtDistrict Court, W.D. Pennsylvania
DecidedSeptember 20, 2021
Docket3:17-cv-00185
StatusUnknown

This text of PROFESSIONAL, INC. v. FIRST CHOICE AUTO INSURANCE COMPANY (PROFESSIONAL, INC. v. FIRST CHOICE AUTO INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
PROFESSIONAL, INC. v. FIRST CHOICE AUTO INSURANCE COMPANY, (W.D. Pa. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA

PROFESSIONAL, INC., ) Plaintiff, VS. Civil Action No. 3:17-cev-185 ) Judge Stephanie L. Haines PROGRESSIVE CASUALTY INSURANCE _ ) COMPANY, ) Defendant.

OPINION AND ORDER Pending before the Court is a motion for summary judgment (ECF No. 65) filed by Defendant Progressive Casualty Insurance Company (“Defendant”) which seeks judgment in its favor on all remaining claims in the amended complaint (ECF No. 18) filed by Plaintiff Professionals Inc., d/b/a Professionals Auto Body (“Plaintiff”). The operative claims in Plaintiff's amended complaint (ECF No. 18) are unjust enrichment (Count One), breach of contract (Count Two), and bad faith (Count Three). Plaintiff seeks damages in the amount of $712,972.90 under each of the three counts, consisting of $130,575.16 for unpaid balances Plaintiff defines as “short pays”; $550,236.13 for delay costs; and $32,161.61 for administrative costs, as well as costs and punitive damages on the bad faith claim. Defendant has filed a motion for summary judgment on these claims (ECF No. 65), along with a brief in support (ECF No. 66), concise statement of material facts (ECF No. 67), and appendix thereto (ECF No. 68). Plaintiff filed a response (ECF No. 74) along with a brief in

opposition (ECF No. 79) and a concise statement of material facts (ECF No. 83).' Defendant also has filed a reply brief (ECF No. 85) and a response to Plaintiff's statement of material facts (ECF No. 86). The Court held oral argument on this matter on July 9, 2020 (ECF No. 91). The matter has been fully briefed and is ripe for disposition. For the reasons detailed below, the Court will GRANT Defendant’s motion for summary judgment (ECF No. 65) and enter judgment in favor of Defendant and against Plaintiff in this matter. 1. Factual and Procedural Background Plaintiff initially filed this case in the Cambria County Court of Common Pleas against 32 insurers alleging $8.6 million in damages (ECF No. 1-2). Pursuant to a consent decree, Defendant was severed from that action and removed its case with Plaintiff to this Court (ECF No. 1 at 2). Plaintiff is an automobile repair shop with locations in Duncansville and Altoona, Pennsylvania (ECF No. 18 at §§ 1,3). Defendant is an insurance company. Plaintiff alleges it repaired automobiles that were covered by insurance policies issued by Defendant, which included repairing automobiles of customers who held a policy with Defendant (“Insureds”) and customers who did not hold a policy with Defendant but were the owners of automobiles damaged by a liable person who did hold a policy with Defendant (“Third-Party Claimants”). Jd. at (6. The Insureds and Third-Party Claimants signed written authorizations directing Plaintiff to make the repairs “reasonable and necessary” to return the vehicles to their pre-loss conditions. Jd. at §7. Plaintiff then executed Assignment of Proceeds agreements (“Assignments”) with the Insureds and Third-

' The Court permitted the parties to file ECF Nos. 69, 70, 75, 81, and 82 under seal, with redacted copies filed of public record, but the Court is able to address the issues raised in the summary judgment motion without reference to the information deemed confidential by the parties.

Party Claimants that authorized Plaintiff to recover any unpaid balances for Plaintiff's services and repairs. /d. at 98. Plaintiff alleges that Defendant refused to reimburse it for the cost for making reasonable and necessary repairs and instead directed Plaintiff to use inferior parts and/or perform inferior service. Jd. at §77. Plaintiff alleges it refused to do so and performed all reasonable and necessary repairs to place the vehicles in pre-loss conditions. Jd. at ¢79. Plaintiff claims Defendant then paid Plaintiff merely a fraction of the cost of these repairs. Jd. at {43. Plaintiffs claims against Defendant are based on Defendant’s alleged contractual duty to the Insureds and Third-Party Claimants to compensate Plaintiff for the reasonable and necessary costs to return the covered vehicles to their pre-loss conditions. Jd. at 462. Plaintiff alleged that Defendant’s failure to compensate Plaintiff for the reasonable and necessary repairs caused Plaintiff to suffer at least $712,972.90 in damages, which represents unpaid balances, “delay time costs”, and administrative costs. Jd. at §10. Following the Court’s ruling (ECF No. 37) on Defendant’s motion to dismiss Plaintiff's amended complaint (ECF No. 29), the remaining claims against Defendant are for breach of contract, bad faith,’ and unjust enrichment claims. Plaintiff asserts the Assignments allow Plaintiff to effectively “step into the customer[s’] shoes” and seek damages from Defendant under Defendant’s contractual obligations to the Insureds and Third-Party Claimants (ECF No. 18 at (46). The Assignments are from 54 Insureds and 43 Third-Party Claimants (collectively, the “Assignors”).? As the Assignments grant to

Specifically, as to the bad faith claims, the Court granted Defendant’s motion to dismiss Plaintiff's bad faith claim with respect to the Third-Party claimants and causes of action that accrued prior to August 23, 2015, leaving only the bad faith claim with respect to the Insured claimants. 3 The Assignment of Proceeds agreements to the Amended Complaint are filed at ECF No. 18-1, 18-2, 18-3, 18-4, 18-5, 18-6, 18-7, 18-8, 18-9, 18-10, 18-11, 18- 12, and 18-13.

Plaintiff the contractual obligations Defendant has to its Insureds, and the insureds involved in the accidents with the Third-Party Claimants, Plaintiff's contract claim is necessarily based on the policies of insurance between Defendant and its insureds. Defendant has produced the declarations pages for the policies at issue, which show that 101 Assignors out of a total of 103 Assignors do not have policies of insurance with the Defendant (ECF No. 67 at §10; ECF No. 68-2 through 68-14). These 101 Assignors either had insurance policies with, or had accidents caused by insureds insured by, Progressive Advanced Insurance Company, Progressive Specialty Case Insurance Company, United Financial Casualty Company, Progressive Northern Insurance Company or Progressive Preferred Insurance Company. Jd. Of the 54 First Party Assignors, only one, Bruce Raab, has an insurance policy with named Defendant Progressive Casualty. Jd. JJ 5-11. Of the 43 Third Party Assignors, only one was involved in an accident with a Progressive Casualty insured. Jd. at § 12.4 Defendant attached as an exhibit to its concise statement of material facts a sample Pennsylvania policy (“auto policy”) (ECF No. 68-15) that contains the following language as to its liability to its insureds for repairs: In determining the amount necessary to repair damaged property to its pre-loss physical condition, the amount to be paid by [the insurer]: (i) will not exceed the prevailing competitive labor rates charged in the area where the property is to be repaired, and the cost of repair or replacement parts and equipment, as reasonably determined by [the insurer]; and (ii) will be based on the cost of repair or replacement parts and equipment which

* On June 7, 2012, Plaintiff received an assignment from Third-Party Assignor Abby Moyer relating to a claim that was adjusted prior to the assignment. /d. at § 13. Plaintiff concedes the claim regarding Abby Moyer from June 2012 is beyond the statute of limitations and has withdrawn the claim (ECF No. 74).

may be new, reconditioned, remanufactured, or used, including, but not limited to: (a) original manufacturer parts or equipment; and (b) non-original manufacturer parts or equipment. (ECF No. 68-15 at p. 28).

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Bluebook (online)
PROFESSIONAL, INC. v. FIRST CHOICE AUTO INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/professional-inc-v-first-choice-auto-insurance-company-pawd-2021.