Stack v. Progressive Select Insurance Company

CourtDistrict Court, N.D. California
DecidedSeptember 14, 2020
Docket3:20-cv-00338
StatusUnknown

This text of Stack v. Progressive Select Insurance Company (Stack v. Progressive Select Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stack v. Progressive Select Insurance Company, (N.D. Cal. 2020).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 NORTHERN DISTRICT OF CALIFORNIA 10 San Francisco Division 11 TASHA STACK, on behalf of herself and Case No. 20-cv-00338-LB on behalf of others similarly situated, 12 Plaintiff(s), ORDER GRANTING THE 13 DEFENDANTS’ MOTIONS TO v. DISMISS 14 PROGRESSIVE SELECT INSURANCE Re: ECF Nos. 46 & 47 15 COMPANY, et al., 16 Defendants.

17 18 INTRODUCTION 19 This putative class action is predicated on an insurance dispute between an insured, plaintiff 20 Tasha Stack, and her insurance company, defendant United Financial Casualty Insurance 21 Company, about whether United unlawfully undervalued the plaintiff’s claim for damages under 22 her insurance policy for the damage to her 2009 Honda Civic in a 2018 traffic accident.1 The 23 plaintiff submitted a claim to United, which responded with its valuation of the damages.2 Under 24 the policy, if the parties disagree about the value of a claim, they must obtain appraisals of the 25

26 1 Second Am. Compl. (“SAC”) – ECF No. 35 at 13–14 (¶ 20), 16–17 (¶¶ 23–24); Coverage Decl. – 27 ECF No. 35-1. Citations refer to material in the Electronic Case File (“ECF”); pinpoint citations are to the ECF-generated page numbers at the top of documents. 1 damage, and the policy also precludes a lawsuit against United if the plaintiff does not comply 2 with the policy.3 The plaintiff sued United and seven of its affiliates, alleging that they used 3 software that deliberately undervalued the actual cash value of her car and claiming fraud, breach 4 of contract, breach of the implied covenant of good faith and fair dealing, negligent 5 misrepresentation, and violations of California’s Unfair Competition Law (“UCL”), Cal. Bus. & 6 Prof. Code §§ 17200–17209, and Consumer Legal Remedies Act (“CLRA”), Cal. Civ. Code §§ 7 1750–1784.4 8 United moved to dismiss the claims under Federal Rule of Civil Procedure 12(b)(6) on the 9 grounds that the policy-appraisal provision precludes the suit, the plaintiff did not plead fraud with 10 particularity, she did not plead an actual misrepresentation, there is no CLRA remedy because 11 there is no good or service, and there is no actionable UCL claim.5 The affiliates, which refer to 12 themselves as the non-insuring defendants, moved to dismiss the complaint under Rules 12(b)(1) 13 and 12(b)(2) on the grounds that (1) the plaintiff lacks standing to sue all affiliates because they 14 did not issue the policy or participate in the claim adjudication and (2) there is no personal 15 jurisdiction.6 The court grants the motions to dismiss. 16 17 STATEMENT 18 1. The Insurance Policy 19 In July 2009, the plaintiff bought a 2009 Honda Civic EX and obtained car insurance from 20 United that remained in place through February 19, 2018.7 In the event of a total loss, the policy 21 provided the following coverage: 22 Our Limit of Liability under this Part III(B) for property damage to a covered auto arising out of one accident is the lowest of: 23 24 3 Policy – ECF No. 35-2 at 29, 36. 25 4 Compl. – ECF No. 1. 26 5 United Mot. – ECF No. 47. 27 6 Non-Insuring Defendants’ Mot. – ECF No. 46. 7 SAC – ECF No. 35 at 13–14 (¶ 20); Coverage Decl. – ECF No. 35-1 at 1 (expired February 20, 2019 1. the actual cash value of the covered auto at the time of the accident [determined by the 1 market value, age, and condition of the car at the time of the loss]; 2 2. the amount necessary to replace the covered auto; 3 3. the amount necessary to repair the covered auto to its pre-loss condition; 4. any Limit of Liability shown on the declarations page for “property damage” under this 4 Part 111(B); or 5 5. the amount of the deductible for Collision Coverage shown on the declarations page. This subpart only applies if you have paid the premium for Collision Coverage under 6 Part IV — Damage To A Vehicle.8 7 8 In adjusting claims, United could “use estimating, appraising, or injury evaluation systems,” 9 including “computer software, databases, and specialized technology” developed by United or a 10 third party.9 (The procedures for determining total loss are in California’s Total Loss Regulation, 11 10 C.C.R. § 2695.8(b), which implements the Unfair Insurance Practices Act (“UIPA”), California 12 Insurance Code § 790 et seq.) The policy had an appraisal provision that applied if the parties 13 disagreed on the amount of a loss: 14 If we cannot agree with you on the amount of a loss, then we or you may demand an appraisal of the loss. Within 30 days of any demand for an appraisal, each party shall 15 appoint a competent appraiser and shall notify the other party of that appraiser’s identity. The appraisers will determine the amount of loss. If they fail to agree, the disagreement 16 will be submitted to a qualified umpire chosen by the appraisers. If the two appraisers are 17 unable to agree upon an umpire within 15 days, we or you may request that a judge of a court of record, in the county where you reside, select an umpire. The appraisers and 18 umpire will determine the amount of loss. The amount of loss agreed to by both appraisers, or by one appraiser and the umpire, will be binding. You will pay your appraiser’s fees and 19 expenses. We will pay our appraiser’s fees and expenses. All other expenses of the appraisal, including payment of the umpire if one is selected, will be shared equally 20 between us and you. Neither we nor you waive any rights under this policy by agreeing to 21 an appraisal.10 22 The policy stated that United “may not be sued unless there is full compliance with all terms of 23 this policy.”11 24 25 26 8 Policy – ECF No. 35-2 at 21, 28. 9 Id. at 33. 27 10 Id. at 29. 1 2. The Accident and Insurance Claim 2 On February 9, 2018, the plaintiff’s husband — an insured under the policy — was in a multi- 3 vehicle accident that damaged the plaintiff’s car.12 The plaintiff filed a claim under the policy, and 4 United computed the car’s actual cash value using a valuation tool called WorkCenter Total Loss, 5 which was developed by third-party vendor Mitchell International.13 The plaintiff alleges that by 6 using this tool, United deflated the market value of comparable vehicles and discounted the value 7 of her car “based on a standardized practice to never award any insured’s vehicle a condition 8 rating that is consistent with the average condition of vehicles of similar makes, years, and 9 models, further driving down market value.”14 As a result, it paid her “an amount less than the 10 ACV [actual cash value].”15 11 On February 28, 2020, United invoked the appraisal condition, and it designated its appraiser 12 on March 5, 2020.16 The plaintiff did not designate an appraiser on the ground that she had no 13 obligation to do so.17 14 15 3. The Affiliated Entities 16 The plaintiff names eight defendants (United and seven affiliated entities), alleging that they 17 all exercise “dominion and control over all relevant aspects of underwriting, policy language, 18 and/or claim handling.”18 The plaintiff also alleges that one defendant (The Progressive 19 Corporation) “wholly exercises dominion and control over all relevant aspects of underwriting, 20 policy language, and/or claim handling” for the other affiliates, which she characterizes as 21

22 12 SAC – ECF No. 35 at 16 (¶ 23). 23 13 Id. at 16–17 (¶¶ 23–25); Appraisal Letter, Ex. 2 to Cashdan Decl. – ECF No. 47-3 at 2. The court considers United’s appraisal letter under the incorporation-by-reference doctrine. Knievel v. ESPN, 393 24 F.3d 1068, 1076–77 (9th Cir. 2005). 14 SAC – ECF No. 35 at 17 (¶ 25). 25 15 Id. at 12–13 (¶ 19). 26 16 Appraisal Letter, Ex. 2 to Cashdan Decl. – ECF No. 47-3 at 2; Designation Letter, Ex. 3 to Cashdan Decl. – ECF No. 47-4 at 2. 27 17 Stack Letter, Ex. 4 to Cashdan Decl. – ECF No. 47-5 at 2.

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Stack v. Progressive Select Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stack-v-progressive-select-insurance-company-cand-2020.