Volino v. Progressive Casualty Insurance Company

District Court, S.D. New York·Decided October 6, 2022·No. 1:21-cv-06243·Unknown

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK --- --------------------------------------------------------- X : DOMINICK VOLINO, et al., : Plaintiffs, : : 21 Civ. 6243 (LGS) -against- : : PROGRESSIVE CASUALTY INSURANCE : COMPANY, et al., : Defendants. : ------------------------------------------------------------ X : MICHAEL VERARDO, et al., : Plaintiffs, : : 22 Civ. 1714 (LGS) -against- : : OPINION AND ORDER PROGRESSIVE CASUALTY INSURANCE : COMPANY, et al., : Defendants. : ------------------------------------------------------------ X

LORNA G. SCHOFIELD, District Judge: Plaintiffs John Plotts, Kevin Lukasik, Lorenzo Costa, Zachary Goodier, James England, Michael Verardo and Lori Lippa (“Plaintiffs”) bring this action on behalf of themselves and a putative class of others against Defendants Progressive Casualty Insurance Company (“PCIC”), Progressive Advanced Insurance Company, Progressive Specialty Insurance Company and Progressive Max Insurance Company (collectively, “Defendants”). All Plaintiffs assert claims of deceptive practices in violation of New York General Business Law (“GBL”) § 349 and seek declaratory judgment, and Plaintiffs other than England (the “First-Party Plaintiffs”) assert claims for breach of contract. Defendants move to dismiss the Consolidated Amended Complaint (the “Complaint”). For the reasons stated below, Defendants’ motion is denied. BACKGROUND The following facts are taken from the Complaint and are assumed to be true for purposes of this motion, see R.M. Bacon, LLC v. Saint-Gobain Performance Plastics Corp., 959 F.3d 509, 512 (2d Cir. 2020), except as otherwise explained.

Plaintiffs bring this action on behalf of themselves and others similarly situated in New York who received payment for the loss of a totaled vehicle from the insurer Defendants, where Defendants used valuation reports that applied an improper and deceptive adjustment -- the so- called “Projected Sold Adjustments” (“PSA”) -- to reduce the resulting actual cash value payable to Plaintiffs under Defendants’ automobile insurance policies. All Plaintiffs were involved in a car wreck resulting in the total loss of their vehicle. The First-Party Plaintiffs each had auto insurance through a policy issued by one of the Defendants. In the case of Plaintiff England, the driver of the other vehicle had a policy issued by one of the Defendants. All of the policies were issued by PCIC or in coordination with PCIC. Defendants declared each of Plaintiffs’ vehicles to be a total loss. The policies at issue

include promises that, in the event of total loss, Defendants would pay Plaintiffs the actual cash value of their vehicles. Defendants used “Vehicle Valuation Reports” (“Reports”) created by non-party Mitchell International, Inc. (“Mitchell”) in their “total loss settlement process” to calculate the amount due to Plaintiffs. Each Report purports to list values for comparable vehicles either sold or listed for sale in the relevant geographic area, which are then adjusted to account for any differences between the comparable vehicles and Plaintiffs’ vehicles in terms of equipment, mileage and vehicle configuration. Each Report applied a PSA to the prices of comparable vehicles listed for sale, i.e., most of the comparable vehicles. For Plaintiffs, PSAs reduced the value attributed to comparable vehicles by 4.6% to 11.7%. The Reports provided to Plaintiffs state that the PSA is “an adjustment to reflect consumer purchasing behavior (negotiating a different price than the listed price).” Some time before July 28, 2015 (the beginning of the alleged Class Period), used car

dealers would price vehicles above their market value, and savvy customers were expected to negotiate those prices down before purchasing. Today, customers increasingly are able to shop and compare prices for used cars on the internet. Because of this transparency, it is less common for car dealers to inflate the initial ask price for used cars above market and for car buyers to negotiate a discount off the listed price. Defendants, via Mitchell, calculated a PSA that reduced Defendants’ total loss payments in part by excluding transactions in which the sale price exceeded the list price and, with some recent exceptions, transactions in which the sale price equaled the list price. Cars may sell for more than the apparent list price, for example, if the listing includes discounts that are not available to all customers, such as dealer financing discounts, loyalty discounts, trade-ins, etc. Cars also may sell for less than the list price for

reasons other than negotiation by the customer, such as where a dealer transfers part of the sale profit into an ancillary product or a trade-in, or where a customer has access to a non-public discount like an employee discount. New York’s “Regulation 64,” 11 N.Y.C.R.R. § 216.7, permits insurers like Defendants to use a “computerized database” like Mitchell’s, if it “produces statistically valid fair market values for a substantially similar vehicle, within the local market area,” meaning “vehicles sold within the 90 days prior to the loss and vehicles which are available” within “a 100 mile radius” of the insured. In addition to the statistical issues with the calculation of the PSA described above, Defendants do not comply with the geographic limitation of Regulation 64. STANDARD On a motion to dismiss, a court accepts as true all well-pleaded factual allegations and draws all reasonable inferences in favor of the non-moving party but does not consider “conclusory allegations or legal conclusions couched as factual allegations.” Dixon v. von

Blanckensee, 994 F.3d 95, 101 (2d Cir. 2021) (internal quotation marks omitted). To withstand a motion to dismiss, “a complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face.” Kaplan v. Lebanese Canadian Bank, SAL, 999 F.3d 842, 854 (2d Cir. 2021) (internal quotation marks omitted) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). “Threadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.” Iqbal, 556 U.S. at 678; accord Dane v. UnitedHealthcare Ins. Co., 974 F.3d 183, 189 (2d Cir. 2020). It is not enough for the Complaint to allege facts that are consistent with liability; it must “nudge[]” claims “across the line from conceivable to plausible.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007); accord Bensch v. Estate of Umar, 2 F.4th 70, 80 (2d Cir. 2021). To survive dismissal, “plaintiffs must provide

the grounds upon which [their] claim rests through factual allegations sufficient to raise a right to relief above the speculative level.” Rich v. Fox News Network, LLC, 939 F.3d 112, 121 (2d Cir. 2019) (alteration in original) (internal quotation marks omitted). DISCUSSION A. Breach of Contract Defendants’ motion to dismiss the First-Party Plaintiffs’ claims for breach of contract is denied because the Complaint sufficiently alleges underpayment by Defendants and does not impermissibly collaterally attack any administrative decision. 1.

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Volino v. Progressive Casualty Insurance Company, (S.D.N.Y. 2022).

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