Valley Container Company, Inc. v. Liberty Mutual Group, Inc.

CourtDistrict Court, D. Massachusetts
DecidedJune 17, 2020
Docket1:19-cv-12133
StatusUnknown

This text of Valley Container Company, Inc. v. Liberty Mutual Group, Inc. (Valley Container Company, Inc. v. Liberty Mutual Group, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Valley Container Company, Inc. v. Liberty Mutual Group, Inc., (D. Mass. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS __________________________________________ ) ) VALLEY CONTAINER COMPANY, INC., ) individually and on behalf of all others ) similarly situated, ) ) Plaintiff, ) ) v. ) ) Case No. 19-cv-12133-DJC ) LIBERTY MUTUAL GROUP, INC., et al., ) ) ) Defendants. ) ) ) __________________________________________)

MEMORANDUM AND ORDER

CASPER, J. June 17, 2020

I. Introduction

Plaintiff Valley Container Company, Inc. (“Valley”) has filed this lawsuit, on behalf of itself and others similarly situated, against Liberty Mutual Group, Inc. (“Liberty Mutual”), Liberty Mutual Insurance Company, Liberty Mutual Fire Insurance Co., Liberty Insurance Corporation, LM Insurance Corporation, The First Liberty Insurance Corporation, Liberty County Mutual Insurance Corporation, Wausau General Insurance Corporation, Wausau Underwriters Insurance Company, Employers Insurance Company of Wausau and Peerless Insurance Company (collectively, “Defendants”) alleging breach of contract (Count I), unjust enrichment (Count II), violations of the Massachusetts consumer protection laws under Mass. Gen. L. c. 93A (“Chapter 93A”) (Count III) and violations of the Federal Racketeering Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. § 1962(c) (Count IV). D. 23. Defendants move to dismiss all claims. D. 30. For the reasons stated below, the Court ALLOWS the motion. D. 30. II. Standard of Review On a motion to dismiss for failure to state a claim upon which relief can be granted pursuant to Fed. R. Civ. P. 12(b)(6), the Court must determine if the facts alleged “plausibly narrate a claim

for relief.” Schatz v. Republican State Leadership Comm., 669 F.3d 50, 55 (1st Cir. 2012) (citation omitted). Reading the complaint “as a whole,” the Court must conduct a two-step, context-specific inquiry. García-Catalán v. United States, 734 F.3d 100, 103 (1st Cir. 2013). First, the Court must perform a close reading of the claim to distinguish the factual allegations from the conclusory legal allegations contained therein. Id. Factual allegations must be accepted as true, while conclusory legal conclusions are not entitled credit. Id. Second, the Court must determine whether the factual allegations present a “reasonable inference that the defendant is liable for the conduct alleged.” Haley v. City of Boston, 657 F.3d 39, 46 (1st Cir. 2011) (citation omitted). In sum, the complaint must provide sufficient factual allegations for the Court to find the claim “plausible on its face.” García-Catalán, 734 F.3d at 103 (citation omitted).

III. Factual Background

Unless otherwise indicated, this summary is based on the allegations in the first amended class action complaint (“Amended Complaint”) and documents attached and incorporated thereto, D. 23, which are presumed to be true for the purposes of resolving the motion to dismiss. Valley is a Connecticut corporation that purchased worker’s compensation insurance from Liberty Mutual. D. 23 ¶¶ 6, 64. Liberty Mutual insured Valley for the policy period October 20, 2012 through October 19, 2013. D. 23 ¶ 64. On September 4, 2013, an employee of Valley experienced a work-related injury and filed a worker’s compensation claim (the “Claim”). D. 23 ¶ 65. Liberty Mutual accepted the Claim and paid the employee benefits under the insurance plan. D. 23 ¶ 66. After paying benefits to the employee, Liberty Mutual received a recovery from a third party. D. 23 ¶ 68. The National Council on Compensation Insurance (“NCCI”) is a provider of worker’s compensation data, statistics and research. D. 23 ¶ 24. Pursuant to NCCI, insurers are required to report loss history regarding insureds to NCCI in the form of unit statistical reports (“USRs”). D.

23 ¶ 60. These reports state the insurer’s net incurred losses, including reimbursements and recoveries, on worker’s compensation claims filed by insured’s employees. D. 23 ¶ 60. When an insurer receives a reimbursement for recovery of losses from a third party, they are required to revise the USR to reflect the net incurred loss after these recoveries. See D. 23 ¶ 63. This data is used to calculate an insured’s “experience rating,” which is based on an insured’s worker’s compensation loss history, and is then used to calculate the premiums that an insured will be charged. See D. 23 ¶¶ 40-45. A higher experience rating will lead to the calculation of higher premium costs for an insured. See D. 23 ¶ 59. The “incurred losses” for a particular claim, which are the actual losses realized, are an

important element of an insured’s loss history. D. 23 ¶ 47. When an insurer reports losses on a USR, they may include reserves, which represent estimates of future payments that the insurer expects to expend. See D. 23 ¶¶ 47-49. An insurer will report a claim as “closed” when it does not expect to make any further payments on the claim. D. 23 ¶ 50. At such time, the reserves are to be set to zero. D. 23 ¶ 51. At its highest, the incurred loss reported by Liberty Mutual on the Claim by Valley’s employee was $50,416. D. 23 ¶ 69. This total included medical, indemnity and reserve values for the Claim. D. 23 ¶ 69. On May 18, 2015, Liberty Mutual processed a subrogation recovery in the amount of $21,427.82 (the “Subrogation”). D. 23 ¶ 71. Shortly thereafter, on June 24, 2015, Liberty Mutual closed the Claim. D. 23 ¶ 72. On the date the Claim was closed, the actual net incurred loss was $120. D. 23 ¶ 73. On or around June 26, 2015, Liberty Mutual filed a correction report to correct two previously filed USRs that reported the net incurred loss of the claim as $28,988. D.23 ¶ 74. Valley alleges that the correction report should have reflected a net incurred loss of $120. D. 23 ¶ 74. As alleged, based on this inaccurate reporting, Valley’s experience rating

was negatively affected, leading to Valley incurring higher premium costs. D. 23 ¶ 75. Valley alleges that Liberty Mutual’s failure to correct the prior USRs accurately deprived Valley of a premium reimbursement totaling approximately $13,030.00. D. 23 ¶ 82. Valley alleges that Liberty Mutual consistently has failed to file correction reports that reflect the actual net incurred loss amounts for claims after reimbursements and recoveries. D. 23 ¶ 86. Valley further alleges that this practice has led to numerous insureds paying excess premiums. D. 23 ¶ 86. As such, Valley seeks to represent a class consisting of insureds in the thirty-five states that have adopted the NCCI and have purchased worker’s compensation plans through Liberty Mutual. D. 23 ¶ 100.

IV. Procedural History

Plaintiff initiated this action on October 15, 2019, D. 1, and filed the Amended Complaint on January 31, 2020, D. 23. Defendants have now moved to dismiss all claims. D. 30. The Court heard the parties on the pending motion and took the matter under advisement. D. 43. V. Discussion

A. Breach of Contract

The parties agree that their worker’s compensation insurance policy contract (the “Policy Contract”) is governed by Connecticut law. D. 31 at 14 n.8, D. 35 at 2. Under Connecticut law, “[t]he elements of a breach of contract action are the formation of an agreement, performance by one party, breach of the agreement by the other party and damages.” Chiulli v. Zola, 97 Conn. App. 699, 707 (2006) (citing Bross v. Hillside Acres, Inc., 92 Conn. App. 773, 780-81 (2005)).

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Valley Container Company, Inc. v. Liberty Mutual Group, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/valley-container-company-inc-v-liberty-mutual-group-inc-mad-2020.