Susan Hicks v. State Farm Fire & Cas. Co.

CourtCourt of Appeals for the Sixth Circuit
DecidedOctober 15, 2018
Docket18-5104
StatusUnpublished

This text of Susan Hicks v. State Farm Fire & Cas. Co. (Susan Hicks v. State Farm Fire & Cas. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Susan Hicks v. State Farm Fire & Cas. Co., (6th Cir. 2018).

Opinion

NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 18a0510n.06

No. 18-5104

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT FILED Oct 15, 2018 SUSAN HICKS, et al. ) DEBORAH S. HUNT, Clerk ) Plaintiffs-Appellees, ) ) ON APPEAL FROM THE v. ) UNITED STATES DISTRICT ) COURT FOR THE EASTERN STATE FARM FIRE & CASUALTY CO. ) DISTRICT OF KENTUCKY ) Defendant-Appellant. )

Before: SILER, MOORE, and GRIFFIN, Circuit Judges.

SILER, Circuit Judge. In this interlocutory appeal of a putative insurance class action,

State Farm Fire & Casualty Co. challenges the method of calculation for structural damage

coverage under its homeowner’s insurance policies and Kentucky law. For the following reasons,

we affirm the judgment below and hold that State Farm miscalculated “actual cash value” (“ACV”)

when it depreciated the cost of labor and materials rather than simply materials.

Factual and Procedural History

In the underlying complaint, proposed class representatives—Susan Hicks and Don

Williams1 (collectively, “Plaintiffs”)—alleged that State Farm miscalculated the ACV of their

properties. Plaintiffs both held homeowner’s insurance policies with State Farm that provided a

two-step loss settlement provision for structural damage claims. Under the policies, State Farm

would initially pay the ACV of the insured’s damaged property. Then, if the insured chose to

1 Initially Jeffrey Bailey was a named plaintiff, but he voluntarily dismissed his claims. (Doc. 117, Page ID 4495). No. 18-5104, Hicks v. State Farm

repair or replace the damaged property, State Farm would pay any additional cost required to

complete such repair or replacement.

COVERAGE A – DWELLING 1. A1 – Replacement Cost Loss Settlement – Similar Construction. a. We will pay the cost to repair or replace with similar construction and for the same use on the premises shown in the Declarations, the damaged part of the property covered under SECTION 1 – COVERAGES, COVERAGE A – DWELLING, except for wood fences, subject to the following: (1) until actual repair or replacement is completed, we will pay only the actual cash value at the time of the loss of the damaged part of the property, up to the applicable limit of liability shown in the Declarations, not to exceed the cost to repair or replace the damaged part of the property; (2) when the repair or replacement is actually completed, we will pay the covered additional amount you actually and necessarily spend to repair or replace the damaged part of the property, or an amount up to the applicable limit of liability shown in the Declarations, whichever is less[.]

Plaintiffs’ residences were both destroyed by fire in 2014. State Farm dispatched insurance

adjusters to inspect the damage to the respective properties. In each case, an adjuster prepared a

written estimate of the covered losses to the home, including the cost of materials and labor

required to complete the repairs. In calculating its ACV payment obligations to Plaintiffs, State

Farm took the adjuster’s total reconstruction cost estimate for each home—the “replacement”

cost—and depreciated both material costs and labor costs.

Plaintiffs initially filed a complaint in state court, which State Farm removed. Plaintiffs

claimed that State Farm breached its contract with the insured when it estimated the full repair or

replacement cost of the damaged property, including labor and materials, and then depreciated

labor costs when calculating ACV payments. State Farm argued that the two-step loss settlement

provision is permitted both under State Farm policies and Kentucky law.

-2- No. 18-5104, Hicks v. State Farm

In relevant part, the district court (Judge Henry Wilhoit) denied State Farm’s motion to

dismiss, thereby allowing the case to proceed on the breach of contract claim. Bailey v. State Farm

Fire & Cas. Co., No. CIV.A. 14-53-HRW, 2015 WL 1401640, at *6 (E.D. Ky. Mar. 25, 2015). It

held that “the purpose of insurance is to indemnify the insured,” and under Kentucky law, an

insured is entitled to receive “the cash equivalent of the damaged property as it existed immediately

prior to the loss.” Id. Although State Farm could depreciate the materials component of the

replacement cost value when calculating ACV, the district court held that “depreciation of labor

in calculating ACV is improper” and that “depreciated labor costs would result in

underindemnification.” Id. The district court further determined that “to the extent that [State

Farm’s] contract is unclear with regard to whether labor is subject to depreciation, Kentucky law

dictates that the ambiguity be resolved in favor of the insured.” Id.

Shortly thereafter, in April 2016, this same question arose in another Eastern District of

Kentucky case, Brown v. Travelers Casualty Insurance Co. of America, No. 15-50, 2016 WL

1644342, at *4-5 (E.D. Ky. Apr. 25, 2016). In Brown, Judge Amul Thapar, now a member of this

court, grappled with the identical question of how to calculate depreciation when determining

ACV. Judge Thapar certified to the Kentucky Supreme Court the question of whether “an insurer,

in determining the ‘actual cash value’ of damaged property under an indemnity insurance policy,

[may] depreciate the cost of labor[.]” However, the Kentucky Supreme Court declined the certified

question, thereby leaving the question for the district court to decide.

Judge Thapar held that when calculating ACV in Kentucky, an insurer may not “depreciate

the value of pure labor that has not merged with a finished good.” Id. He further held that

“replacing a wall—or a ceiling or a floor as the case may be—always requires new labor, even if

it does not require new materials.” Id. Because labor such as the installation of a wall “never truly

-3- No. 18-5104, Hicks v. State Farm

merges into the finished product of the wall,” Judge Thapar concluded it was “more akin to pure

labor.” Id. Accordingly, the district court denied the insurer’s motion for judgment on the

pleadings and held that the plaintiffs “stated a plausible claim for breach of contract.” Id. at *6.

The Brown case later ended when the plaintiffs agreed to a voluntary dismissal.

Meanwhile, the parties in this case engaged in discovery and completed class certification

briefing. State Farm moved, pursuant to 28 U.S.C. § 1292(b), to certify the matter for an

interlocutory appeal. The district court certified its earlier ruling—denying the motion to dismiss

with respect to the breach of contract claim—for appellate review. We accepted State Farm’s

§ 1292(b) petition and certified the following question: “Whether, under an insurance policy that

provides for replacement cost coverage, an insurer may depreciate the cost of labor when it

calculates the actual cash value [ACV] of structural loss?”

Discussion

On an interlocutory appeal under § 1292(b), we review de novo a district court’s denial of

a motion to dismiss. Caruana v. Gen. Motors Corp., 204 F. App’x 511, 512 (6th Cir. 2006). In

this case, State Farm acknowledges that whether Kentucky permits “labor depreciation” in the

calculation of insurance payments is a novel question of law. However, it argues that including

full payment for labor would overstate the ACV and “results in an improper windfall to the

insured.” Plaintiffs respond that the district court did not err and that Kentucky law does not allow

an insurer to depreciate labor costs.

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