TRAVIS v. v. STATE AUTOMOBILE MUTUAL INSURANCE COMPANY, INC.

CourtDistrict Court, E.D. Pennsylvania
DecidedFebruary 22, 2023
Docket5:21-cv-05395
StatusUnknown

This text of TRAVIS v. v. STATE AUTOMOBILE MUTUAL INSURANCE COMPANY, INC. (TRAVIS v. v. STATE AUTOMOBILE MUTUAL INSURANCE COMPANY, INC.) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
TRAVIS v. v. STATE AUTOMOBILE MUTUAL INSURANCE COMPANY, INC., (E.D. Pa. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

KRISTINA TRAVIS, individually and : on behalf of all others similarly situated, : : CIVIL ACTION v. : NO. 21-5395 : STATE AUTO MUTUAL INSURANCE : COMPANY, INC., d/b/a State Auto Insurance : Companies, et al. :

MEMORANDUM OPINION Schmehl, J. /s/ JLS February 22, 2023

I. INTRODUCTION Before the Court is the motion of Defendants, State Automobile Mutual Insurance Company (“State Auto”) and Milbank Insurance Company (“Milbank”) (collectively referred to as “Defendants”) to dismiss the Amended Class Action Complaint filed by Plaintiff, Kristina Travis (“Plaintiff” or “Travis”). Travis filed an Amended Complaint seeking relief for alleged violations of RICO, breach of contract, violations of the Pennsylvania Unfair Trade Practices and Consumer Protection Law, and fraud, as well as several other state law causes of action. Based upon the parties’ submissions, Defendants’ motion will be granted in part and denied in part. II. BACKGROUND In July 2019, Travis, through her broker, purchased thirteen Dwelling Fire insurance policies from Milbank to cover properties that she owned (hereinafter the “Policy” or “Policies”). (Am. Compl., ¶¶55, 89, 95, 101.) The coverage provisions of the Policy are set forth in the section of the Policy entitled “Dwelling Property 2 – Broad Form” and apply to the location described in the Policy. Coverages A, B, D, and E of the Policy provide coverage for Dwelling, Other Structures, Fair Rental Value, and Additional Living Expense, respectively. (Am Compl., Ex. C, p. 18). Section F (“Other Coverages”) describes additional coverages. Sections F.1 (Other Structures) provides that: “You may use up to 10% of the Coverage A limit of liability for loss by a Peril Insured Against to other structures described in Coverage B,” and F.5 (Rental Value and Additional Living Expense) provides that: “You may use up to 20% of the Coverage A limit

of liability for loss of both fair rental value as described in Coverage D and additional living expense as described in Coverage E.” (Id., Ex. C, pp 19-20.) Travis claims that Defendants maintained a policy to “cap” the coverage for Sections B, D, and E in the amounts included in Section A (10% for B and 20% for D and E) (Am. Compl., ¶53). Travis asserts that Defendants developed a “scheme” designed “to trick unsuspecting consumers and their brokers into purchasing lines of phantom insurance within Dwelling Fire policies, which caused the Plaintiff policyholders to pay for coverage that was already included with the policy.” (Am. Compl., ¶1.) Travis alleges that the scheme began in 2015 and involved misrepresentations communicated through Defendants’ website portal and on the Declaration Page of each Dwelling Fire Policy. (Id., ¶2.) She claims the scheme ended in July 2021, when

State Auto updated the Connect Platform and issued revised Declaration Pages. (Id., ¶9.) Travis alleges that she and her broker were “duped” into purchasing worthless Section B, D, and E coverage through the Connect Platform. (Am. Compl., ¶¶55, 87-88, 93-94, 99-100.) She claims that the quote screen was misleading because it did not remind the broker that 10% of the Section A Dwelling coverage was available for Section B Other Structures coverage, or that 20% of the Section A Dwelling coverage was available for Sections D & E Fair Rental Value and Additional Living Expense coverage. (Am. Compl., ¶41.) Travis also alleges that the quote screen conveyed the message that if one wants his or her Dwelling Fire policy to contain Sections B, D, and E coverage, “then he or she must check the box next to these lines in order to make sure they are included.” (Am. Compl., ¶42.) Travis claims that “[t]he consequence of selecting the above check boxes for Sections B, D, & E coverage was that the total cost of the premium on the policy would increase, although in reality, there would be no corresponding increase in coverage,” and that “[p]olicyholders were paying extra for coverage they were

already entitled to.” (Id., ¶¶43-44.) Travis alleges that beginning July 2, 2021, State Auto began disclosing on the Connect Platform that 10% of Coverage A is included for Coverage B Other Structures and 20% of Coverage A is included for Coverage D Fair Rental Value, and that sometime after July 2, 2021, the Declarations Pages on each policy were modified to provide additional disclosures about the Sections B, D & E coverages that were included with the purchase of Section A. (Am. Compl., ¶¶81, 83.) Travis claims that Defendants’ acts of changing their policies and adding disclosures in July 2021 amounts to an admission that the B, D, and E check boxes never belonged on the Connect Platform in the first place and that each Declarations Page should have always included disclosures that the B, D, and E coverage comes with the purchase of A coverage. (Id., ¶75.)

Plaintiff also alleges that beginning on July 2, 2021, State Auto began disclosing that additional limits can be purchased for both B and D and thereby “functionally eliminated the Cap Policy in order to cover up its scheme.” (Id., ¶82.) III. LEGAL STANDARD Federal Rule of Civil Procedure 12(b)(6) governs the Court’s motion to dismiss analysis. “To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim of relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). A claim satisfies the plausibility standard when the facts alleged “allow[] the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Burtch v. Millberg Factors, Inc., 662 F.3d 212, 220-21 (3d Cir. 2011) (citing Iqbal, 556 U.S. at 678). While the plausibility standard is not “akin to a ‘probability requirement,’” there nevertheless must be more than a “sheer possibility that a defendant has acted unlawfully.” Iqbal, 556 U.S. at 678 (citing Twombly, 550

U.S. at 556). “Where a complaint pleads facts that are ‘merely consistent with’ a defendant’s liability, it ‘stops short of the line between possibility and plausibility of entitlement to relief.’” Id. (quoting Twombly, 550 U.S. at 557). The Court of Appeals requires us to apply a three-step analysis to a 12(b)(6) motion: (1) “[i]t must ‘tak[e] note of the elements [the] plaintiff must plead to state a claim;’” (2) “it should identify allegations that, ‘because they are no more than conclusions, are not entitled to the assumption of truth;’” and, (3) “[w]hen there are well-pleaded factual allegations, [the] court should assume their veracity and then determine whether they plausibly give rise to an entitlement for relief.” Connelly v. Lane Construction Corp., 809 F.3d 780, 787 (3d Cir. 2016) (quoting Iqbal, 556 U.S. at 675, 679). See Burtch, 662 F.3d at 221; Malleus v. George, 641 F.3d

560, 563 (3d Cir. 2011); Santiago v. Warminster Township, 629 F.3d 121, 130 (3d Cir. 2010). In our analysis of a motion to dismiss, the Court of Appeals allows us to also consider documents “attached to or submitted with the complaint, and any ‘matters incorporated by reference or integral to the claim, items subject to judicial notice, matters of public record, orders, [and] items appearing in the record of the case.’” Buck v. Hampton Tp.

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TRAVIS v. v. STATE AUTOMOBILE MUTUAL INSURANCE COMPANY, INC., Counsel Stack Legal Research, https://law.counselstack.com/opinion/travis-v-v-state-automobile-mutual-insurance-company-inc-paed-2023.