Shina v. State Farm Fire and Casualty Company

CourtDistrict Court, E.D. Michigan
DecidedFebruary 4, 2021
Docket2:20-cv-10080
StatusUnknown

This text of Shina v. State Farm Fire and Casualty Company (Shina v. State Farm Fire and Casualty Company) 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
Shina v. State Farm Fire and Casualty Company, (E.D. Mich. 2021).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

BASIM SHINA, et al.,

Plaintiffs, Case No. 20-10080 vs. HON. MARK A. GOLDSMITH

STATE FARM FIRE AND CASUALTY COMPANY.

Defendant. ___________________________________/ OPINION & ORDER (1) GRANTING IN PART PLAINTIFFS’ MOTION FOR SUMMARY JUDGMENT (Dkt. 12)1 AND (2) DENYING DEFENDANT’S MOTION TO SEVER (Dkt. 9)

Three sets of Plaintiffs—Basim Shina, Wade and Jill Holton, and Margaret Currie—filed a joint complaint (Dkt. 1) against Defendant State Farm Fire and Casualty Company (“State Farm”), asserting that State Farm unlawfully refused to submit disputed claims to statutorily mandated appraisal. In the complaint, Plaintiffs seek declaratory relief on two grounds. First, they claim that State Farm’s Policy Form HW-2122, which is part of each Plaintiff’s policy with State Farm, contains provisions contrary to the requirements for fire insurance policies set forth in Mich. Comp. Laws § 580.2833(1)(m). See Compl. ¶¶ 33-39; see also Policy Form HW-2122, Ex. 1 to Pls. Mot. for Summary Judgment (Dkt. 12-2). Second, they seek a declaration that they are entitled to have their disputes with State Farm resolved through the appraisal process mandated by that statute. Compl. ¶¶ 40-41. In addition to seeking declaratory relief, they assert a breach of contract claim. Id. ¶¶ 42-47.

1 Plaintiff’s first motion for summary judgment (Dkt. 10) was superseded by the amended motion (Dkt. 12) and is denied as moot. Plaintiffs have filed a motion for summary judgment seeking entry of an order (i) declaring that certain provisions of the appraisal clause in Policy From HW-2122 are void as a matter of law, (ii) declaring that State Farm remains liable to Plaintiffs as if the voided provisions were not contained in the policies, and (iii) ordering Plaintiffs’ claims for damages be submitted to appraisal. See Pls. Motion for Summary Judgment at 20-21 (Dkt. 12) (“MSJ”).

The motion for summary judgment is granted in part. Recent Sixth Circuit law has settled a crucial dispute between the parties concerning the role courts and appraisers play in insurance disputes such as the ones in the instant case. The position that Plaintiffs asserted has largely prevailed, entitling them to partial summary judgment. However, State Farm may have meritorious arguments under the prevailing framework that it has not yet presented. Therefore, it will have an opportunity to raise those arguments, as described below. Furthermore, while Plaintiffs have shown that they are entitled to statutorily mandated appraisal, the other issue they raise, whether provisions of Policy Form HW-2122 violate Michigan law, is not ripe for review. Therefore, their motion for summary judgment is denied without prejudice in part.

State Farm has filed a motion to sever the claims filed by the three sets of Plaintiffs (Dkt. 9). That motion is denied. I. BACKGROUND This matter arises out of three separate insurance claims. Brief overviews of each dispute follow, drawn primarily from affidavits filed by State Farm’s insurance adjusters. Although Plaintiffs have submitted evidence tending to rebut some of the adjusters’ conclusions, the Plaintiffs do not, for the most, contest State Farm’s presentation of the history of these cases. And because the Court concludes that factual disputes will be decided by appraisal panels and not by the Court, the factual disputes do not warrant much discussion in this opinion. A. Basim Shina On or about May 17, 2019, Shina notified State Farm that a refrigerator at his residence had leaked. Briggs Aff., Ex. A to Mot. to Sever, ¶ 3 (Dkt. 9-2). Shina’s public insurance adjuster, Frank Shkreli, submitted a repair estimate of $398,163.07, claiming that the lower level of the property had sustained significant damage. Repair Estimate, Ex. D to Mot. to Sever (Dkt. 9-5).

State Farm claims specialist Callie Molitor inspected the property on August 19, 2019, and she “reported that she did not observe evidence that any mitigation had been performed on the lower level of the property.” Briggs Aff. ¶ 6. She also denied observing damages to the cabinets around the refrigerator that had reportedly leaked, and she determined that cracks near the bar area of the residence were not related to the May 17, 2019 water damage incident. Id. ¶¶ 7-9. During a second inspection on September 13, 2019, Molitor noted small water stains on the basement floor and advised that State Farm would pay to refinish the basement floor, but not replace it, as Shina’s son and Shkreli advocated. Id. ¶¶ 10-12. State Farm disagreed with other aspects of the repairs Shkreli and the Shinas requested, with State Farm either stating the repairs were unnecessary or not caused

by accidental direct physical loss associated with the refrigerator leak. Id. ¶¶ 13-15. On October 1, 2019, Shina said he wished to go to appraisal, but Briggs explained that State Farm would not agree to appraise the loss “due to the coverage questions that remained unresolved.” Id. ¶¶ 15-16. The disputes also included Shina’s alleged request for payments for items that were not damaged, like parts of the basements floor, and items that State Farm claimed were not damaged by the May 17, 2019 water leak, namely the cracks near the bar. Id. ¶¶ 16-18. State Farm also asserts that Shina denied an inspection once this lawsuit was filed. Id. ¶¶ 22-24. Quality Restoration, a mitigation firm Shina hired, “advised State Farm that it had placed equipment in the basement and drilled some holes for drying out, but did not perform any additional demolition, removal or mitigation.” Id. ¶ 25. B. Wade and Jill Holton State Farm hired Mark Honas, an independent insurance adjuster, to respond to Wade and Jill Holton’s claim. Honas Aff., Ex. J to MSJ, ¶¶ 2-3 (Dkt. 9-11). He inspected the Holtons’

property on August 10, 2018, following damage to their property occurring on July 19, 2019, when a neighbor’s tree fell on the roof of their residence. Id. ¶¶ 3, 5. He advised that State Farm would pay to repair the damaged slopes on the roof and to replace the damaged gutters and gutter helmets. Id. ¶ 8. On August 13, 2019, Wade Holton inquired about changing his gutter guards to a more effective style that would match the repairs, id. ¶ 13, but he was told that upgrades would be at his expense, id. ¶ 14. The Holtons wrote to State Farm explaining that the full roof should be replaced based on an estimate from Bulgarian Roofing. Id. ¶ 17. Honas explained that State Farm would not pay to replace the full roof because much of the roof was unharmed, and State Farm would not pay to ensure that the replacement parts matched. Id. ¶ 19. According to Honas, the Holtons were

concerned that the value of the house would depreciate if only part of the roof were replaced, but Honas told them that the repairs requested were outside the scope of the policy, and that fixing the damaged slopes would involve a common and proper repair technique. Id. ¶¶ 23-24. In a letter dated November 7, 2019, the Holtons demanded appraisal. Holton Appraisal Demand, Ex. N to Mot. to Sever (Dkt. 9-15). State Farm denied appraisal. The Holtons contest State Farm’s claim that the dispute is about aesthetics or diminution of their homes’ value. Green Oak Gutters, a contractor from whom the Holtons submitted a bid, would not warranty its work if it attached the old gutter to the new one. See Holton Email re: Gutters, Ex. 3 to Mot. to Sever Resp. (Dkt. 13-4). Green Gutters provided an estimate to replace just the damaged area for $2,656 with no warranty, or to replace the damaged area and the front facia for $4,612. Likewise, Bulgarian Roofer said that it would not guarantee or warranty repair work on the roof if it only replaced the two damaged section, because that repair would comprise the integrity of all adjacent roofs and ridge shingles. See Holton Email re: Roof, Ex.

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Shina v. State Farm Fire and Casualty Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shina-v-state-farm-fire-and-casualty-company-mied-2021.