Sims v. Allstate Fire and Casualty Insurance Company

CourtDistrict Court, W.D. Texas
DecidedAugust 21, 2024
Docket5:22-cv-00580
StatusUnknown

This text of Sims v. Allstate Fire and Casualty Insurance Company (Sims v. Allstate Fire and Casualty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, W.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sims v. Allstate Fire and Casualty Insurance Company, (W.D. Tex. 2024).

Opinion

UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION

JAMES SIMS, TERRIE SIMS, NEAL COMEAU, LILIANA COMEAU, JE- NIFER SIDDAL, JON HOWELL, TERRY DUHON, INDIVIDUALLY AND ON BEHALF OF OTHER’S SIM- ILARLY SITUATED;

Plaintiffs Case No. SA-22-CV-00580-JKP v.

ALLSTATE FIRE AND CASUALTY INSURANCE COMPANY, ALLSTATE VEHICLE AND PROPERTY INSUR- ANCE COMPANY, ALLSTATE IN- DEMNITY COMPANY,

Defendants

MEMORANDUM OPINION AND ORDER Before the Court is Defendants’ (“the Allstate Defendants”) Motion to Dismiss Plaintiffs’ Second Amended Complaint. ECF Nos. 90, 97. Plaintiffs responded. ECF No. 92. Upon consid- eration, the Court concludes the Allstate Defendants’ Motion to Dismiss shall be DENIED. FACTUAL BACKGROUND This Court recited the factual background and parties’ dispute in a previous Memoran- dum Opinion and Order. ECF No. 28. However, for ease of reference, the Court will recite the same factual background and central dispute here. This suit arises from the parties’ dispute following a covered loss under Plaintiffs’ home- owner’s insurance policies.1 Each of the Plaintiff parties incurred damage to their home and submitted claims for coverage to one of the Allstate Defendants. The parties do not dispute the damage to each property is covered under each policy. The dispute arises in how the Allstate De- fendants calculate the initial payment to the insureds for the covered loss.

The parties do not dispute Plaintiffs’ policies are replacement cost insurance policies, un- der which there is a two-step process for recovery of loss payments. At the first step (Step One), the Allstate Defendants pay an insured the actual cash value (hereinafter, “actual cash value” or “ACV”) of the insured loss when the home is damaged or destroyed. At the second step (Step Two), if the insured chooses to complete repairs or replacement of the home, they may then seek reimbursement for the actual cost of repairs under the replacement cost value provisions of the policy. The parties do not dispute that Plaintiffs’ policies provide the initial ACV payment in Step One may include a deduction for depreciation; however, the policies do not provide a spe- cific definition of ACV or depreciation. In each of Plaintiffs’ losses, the Allstate Defendants cal-

culated their initial ACV payments by estimating the cost to repair or replace the damage with new building materials and then subtracted depreciation for both the cost of materials and the anticipated cost of labor. Plaintiffs do not dispute this initial ACV payment may include depreci- ation for materials, but dispute whether depreciation for anticipated cost of labor may be deduct- ed. In the Second Amended Complaint, Plaintiffs allege the Allstate Defendants incorrectly calculated the initial ACV payment at Step One by deducting depreciation of the anticipated la-

1 Plaintiffs James and Terrie Sims purchased a homeowner’s policy from Allstate Fire and Casualty Company; Plaintiffs Neal and Liliana Comeau, Plaintiff Jon Howell, and Plaintiff Terry Duhon each purchased their individual homeowner’s policies from Allstate Vehicle and Property Company; Plaintiff Jenifer Siddall purchased a homeown- er’s policy from Allstate Indemnity Company. bor cost. Plaintiffs contend the policy language is ambiguous, by omission, by failing to define ACV specifically to disclose the Allstate Defendants’ practice of calculating the initial ACV payment by deducting depreciation of anticipated labor costs. In the Second Amended Com- plaint, Plaintiffs assert two causes of action for breach of contract. Plaintiffs assert the first breach of contract claim as a class action, asserting the Allstate Defendants breached the subject

insurance policies by failing to pay them and members of the proposed class the ACV of their claims by unlawfully depreciating and withholding anticipated labor costs. The class action breach-of-contract cause of action relates solely to the Allstate Defendants alleged deficient ACV payments to Plaintiffs and members of the proposed class at Step One; Step Two replace- ment cost reimbursements are not at issue. Plaintiffs assert the second breach of contract cause of action as individual claims based upon the Allstate Defendants alleged failure to fully and promptly pay the amounts owed under the subject policies. This second, individual breach-of- contract cause of action is not a subject of this Second Motion to Dismiss. Finally, Plaintiffs seek declaratory relief stating the applicable insurance contracts prohibit the withholding of anticipat-

ed labor costs as depreciation when calculating “actual cash value” of the loss. Essentially, Plain- tiffs seek declaration that the Allstate Defendants wrongfully reduced the initial ACV payments by depreciating anticipated labor costs. The Allstate Defendants previously filed an Amended Motion to Dismiss all causes of ac- tion for reasons almost identical to those presented in this Second Motion to Dismiss, which is limited to only the class-action breach of contract and the declaratory judgment causes of action. All parties agreed the previous Amended Motion to Dismiss presented an issue of law and dis- puted whether the applicable policy provisions of “actual cash value” and “depreciation” are am- biguous. This Court denied the previous Motion to Dismiss, concluding both parties presented reasonable interpretations of these policy terms, and consequently, Plaintiffs asserted viable causes of action to survive the Motion to Dismiss. See ECF Nos. 17, 20, 26, 28. Subsequently, Plaintiffs filed the Second Amended Complaint adding two additional Plaintiff representatives. The Allstate Defendants then filed this Motion to Dismiss the Second Amended Complaint. LEGAL STANDARD

To provide opposing parties fair notice of what the asserted claim is and the grounds up- on which it rests, every pleading must contain a short and plain statement of the claim showing the pleader is entitled to relief. Fed. R. Civ. P. 8(a)(2); Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). To survive a Motion to Dismiss filed pursuant to Federal Rule 12(b)(6), the Com- plaint must plead “enough facts to state a claim to relief that is plausible on its face.” Twombly, 550 U.S. at 570. “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). The focus is not on whether the plaintiff will ultimately prevail, but whether that party should be permitted to present evidence to support

adequately asserted claims. See id.; see also Twombly, 550 U.S. at 563 n.8. Thus, to qualify for dismissal under Federal Rule 12(b)(6), a Complaint must, on its face, show a bar to relief. Fed. R. Civ. P. 12(b)(6); Clark v. Amoco Prod. Co., 794 F.2d 967, 970 (5th Cir. 1986). Dismissal “can be based either on a lack of a cognizable legal theory or the absence of sufficient facts alleged under a cognizable legal theory.” Frith v. Guardian Life Ins. Co., 9 F. Supp.2d 734, 737–38 (S.D.Tex. 1998). In assessing a Motion to Dismiss under Federal Rule 12(b)(6), the Court’s review is lim- ited to the Complaint and any documents attached to the Motion to Dismiss referred to in the Complaint and central to the plaintiff’s claims. Brand Coupon Network, L.L.C. v. Catalina Mktg.

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Sims v. Allstate Fire and Casualty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sims-v-allstate-fire-and-casualty-insurance-company-txwd-2024.