Rios v. State Farm Fire & Casualty Co.

469 F. Supp. 2d 727, 2007 U.S. Dist. LEXIS 3209
CourtDistrict Court, S.D. Iowa
DecidedJanuary 9, 2007
Docket4:05-cv-00146
StatusPublished
Cited by27 cases

This text of 469 F. Supp. 2d 727 (Rios v. State Farm Fire & Casualty Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rios v. State Farm Fire & Casualty Co., 469 F. Supp. 2d 727, 2007 U.S. Dist. LEXIS 3209 (S.D. Iowa 2007).

Opinion

ORDER ON DEFENDANT’S COMBINED MOTION FOR JUDGMENT ON THE PLEADINGS ON PLAINTIFFS’ CLAIMS FOR PREMIUM DAMAGES AND MOTION TO STRIKE AND DISMISS PLAINTIFFS’ NATIONWIDE CLASS ALLEGATIONS

PRATT, Chief Judge.

Before the Court is Defendant, State Farm Fire and Casualty Company’s (“State Farm”) Combined Motion for Judgment on the Pleadings on Plaintiffs’ Claims for Premium Damages and Motion to Strike and Dismiss Plaintiffs’ Nationwide Class Allegations (“Combined Motion”), filed on March 10, 2006 (Clerk’s No. 43). Instead of filing a Resistance, Plaintiffs, Luis R. Rios 1 et al. (“Plaintiffs”) responded to State Farm’s Combined Motion by filing a Motion to Stay (or Deny Without Prejudice) State Farm’s Partial Motions to Dismiss and for Certain Alternative Relief (“Motion to Stay”) on May 12, 2006. 2 Clerk’s No. 58. State Farm filed a Reply in support of its Combined *730 Motion (Clerk’s No. 80) due to the contents of Plaintiffs’ Motion to Stay concerning State Farm’s Combined Motion. See Clerk’s No. 165 (State Farm’s Surreply Ex. A). Plaintiffs subsequently filed their Resistance on October 4, 2006 (Clerk’s No. 141), and State Farm filed its Surreply on November 16, 2006 (Clerk’s No. 165). The matter is fully submitted. For the reasons discussed below, the motion is GRANTED in part and DENIED in part.

I. PROCEDURAL AND FACTUAL BACKGROUND

Plaintiffs’ case is before the Court for the third time. Plaintiffs initially filed a Class Action Petition in the Iowa District Court in and for Scott County on August 27, 2004. State Farm removed the case to federal court on the basis of diversity of citizenship jurisdiction pursuant to 28 U.S.C. § 1332(a). The Court remanded the case back to state court for lack of jurisdiction because State Farm failed to demonstrate that the amount in controversy met the $75,000.00 statutory minimum. See Varboncoeur v. State Farm Fire & Cas. Co., 356 F.Supp.2d 935 (S.D.Iowa 2005). Subsequently, Plaintiffs filed a Motion to Amend their petition in state court. In their original petition, Plaintiffs limited class membership to citizens of Iowa, while the amended petition proposed to open class membership to affected individuals nationwide. Before the state court ruled on Plaintiffs’ Motion to Amend, State Farm removed the case to federal court pursuant to the Class Action Fairness Act of 2005 (“CAFA”), codified in pertinent part at 28 U.S.C. § 1332(d). The Court then remanded the case, for a second time, back to state court. The Court explained that, because the state court did not rule on Plaintiffs’ Motion to Amend, the Court lacked jurisdiction to entertain the amended petition. See Varboncoeur v. State Farm Fire & Cas. Co., No. 3:05-cv-00095, slip op. at 5-8 (S.D.Iowa Oct. 13, 2005). After the state court granted Plaintiffs’ Motion to Amend, State Farm removed this case for the third and final time pursuant to § 1332(d) on December 8, 2005. Clerk’s No. 1.

In their Third Amended Complaint, 3 Plaintiffs, “for their individual claims as well as in the form of a representative action,” allege fraudulent inducement/rescission, unjust enrichment, and breach of contract. Third Am. Compl. ¶¶ 38-55. Plaintiffs allege that, on or about 1996 through 2000 or early 2001, State Farm offered a “standard” homeowner’s insurance policy for roof repairs. Id. ¶ 12. Under the standard policy, State Farm would pay policyholders the cost of roof repairs in two parts. State Farm would first pay the policyholder the cost of a roof “overlay” 4 (less depreciation) upfront, and then *731 pay the cost of a roof “tear-off’ 5 (plus depreciation) as a reimbursement once the policyholder completed the roof repair/replacement, and sought reimbursement for such repairs. Id. For example, if a policyholder incurred roof damage that was covered under the policy, and the total replacement cost of the roof damage was $3,000.00, 6 then under the standard policy, State Farm would only pay the policyholder the cost to overlay the roof (hypothetically $1,800.00) upfront, and withhold the rest of the replacement cost (hypothetically $1,200.00), i.e., tear-off costs plus depreciation, 7 until actual repairs were made on the roof. Thus, State Farm would pay the policyholder $1,800.00 as the overlay payment upfront (payment to lay new roof shingles on top of the existing roof shingles), and pay the remaining $1,200.00 as tear-off costs (the cost to tear off the damaged roof shingles to install a new single layer of roof shingles) only after the policyholder completed the roof repairs/replacements and sought reimbursement from State Farm. If the policyholder did not make the tear-off repairs within the two-year time period provided under the policy, then State Farm would not have to pay the $1,200.00 tear-off costs to the policyholder. See id. Thus, under State Farm’s two part payment (“holdback”) system, a policyholder would recover the full value of the total roof replacement costs ($3,000.00) only if the policyholder initially incurred the tear-off costs ($1,200.00) to complete the repairs within two-years, and then sought reimbursement for the repairs. See id. Otherwise, the policyholder would only be paid for the overlay costs ($1,800.00). See id. Apparently, this type of holdback claim practice for roof repairs is typical in the insurance industry. See id. Some states, however, apparently do not allow such holdback claim practice and require insurers to pay the total replacement costs ($3,000.00) upfront. See id ¶¶ 2 n. 1,12-13.

On or about 2000, State Farm evaluated their “experience” in states where it offered total replacement coverage upfront as required by state laws, and determined that offering upfront total replacement cost coverage for roof repairs for all policyholders would yield a significant marketing opportunity. Id. ¶ 13. In essence, State Farm would no longer pay the overlay cost ($1,800.00) upfront and monitor the policyholder’s repair process to reimburse the tear-off costs ($1,200.00) if the repairs were completed within two-years, but rather, State Farm would pay the total replacement costs of the roof repair ($3,000.00) upfront. State Farm, in effect, would have been the first major insurance company to offer upfront total replacement cost coverage nationwide. Id. State Farm concluded that agents could easily market the “upfront” policies, gain customer satisfaction, and save money by not having to monitor the often lengthy repair/replacement process for each insured with a roof damage claim. Id. State Farm believed that the benefits of marketing and imple-¡nenting the “upfront” coverage outweighed the risks presented by any increased loss payments paid upfront. Id.

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Bluebook (online)
469 F. Supp. 2d 727, 2007 U.S. Dist. LEXIS 3209, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rios-v-state-farm-fire-casualty-co-iasd-2007.