Volino v. Progressive Casualty Insurance Company

CourtDistrict Court, S.D. New York
DecidedMarch 22, 2024
Docket1:21-cv-06243
StatusUnknown

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

Bluebook
Volino v. Progressive Casualty Insurance Company, (S.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK --- --------------------------------------------------------- X : DOMINICK VOLINO, on behalf of themselves : and all others similarly situated, : Plaintiff, : 21 Civ. 6243 (LGS) : -against- : OPINION AND ORDER : PROGRESSIVE CASUALTY INSURANCE : COMPANY, et al., : Defendants. : ------------------------------------------------------------ X

LORNA G. SCHOFIELD, District Judge:

Seven Plaintiffs bring this action on behalf of themselves and a class of others against Defendants, who all provide auto insurance to New York residents. Defendants are Progressive Casualty Insurance Company, Progressive Advanced Insurance Company, Progressive Specialty Insurance Company and Progressive Max Insurance Company. Plaintiffs challenge an adjustment Defendants apply that reduces the value of totaled vehicles and, consequently, the amount paid on insurance claims for those vehicles. The Consolidated Amended Complaint (“Complaint”) asserts three causes of action -- breach of contract, deceptive practices in violation of New York General Business Law (“GBL”) § 349 and a declaratory judgment that Defendants’ methodology violates Regulation 64, 11 N.Y.C.R.R. § 216.7 (“Regulation 64”). The Complaint seeks damages and an injunction restraining Defendants from applying the challenged adjustment. Class certification was granted on March 16, 2023, certifying a Breach of Contract Class and a GBL § 349 Class, each with four sub-classes corresponding to each of the four Defendants. Plaintiffs move for partial summary judgment on their declaratory judgment claim, and Defendants move for summary judgment on all claims. For the reasons below, Plaintiffs’ motion is denied, and Defendants’ motion is granted in part and denied in part. I. BACKGROUND

The following undisputed facts are drawn from the parties’ statements pursuant to Federal Rule of Civil Procedure 56.1 and other submissions on these motions. The facts are undisputed except as noted. 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. Plaintiffs allege that Defendants used valuation reports that applied an improper and deceptive adjustment -- the so-called “Projected Sold Adjustments” (the “PSAs”) -- to reduce the resulting actual cash value (the “ACV”) payable to Plaintiffs under Defendants’ automobile insurance policies. Each Plaintiff was involved in a car wreck resulting in the total loss of their vehicle.

Plaintiffs Lukasik, Plotts, Costa, Goodier, Verardo and Lippa each had automobile insurance through a policy issued by one of the Defendants. Plaintiff England’s vehicle was totaled in an accident with a driver insured by one of the Defendants, which covered the claim after determining that the insured was at fault. Defendants declared each of Plaintiffs’ vehicles to be a total loss. Pursuant to the relevant insurance policies (the “Policies”), Defendants agreed to pay for the loss to Plaintiffs’ covered vehicles. Defendants’ liability was limited to the lesser of: the ACV of the damaged vehicle at the time of the loss, the replacement cost or the cost of repair. According to the Policies, ACV is “determined by the market value, age, and condition of the vehicle at the time

2 the loss occurs.” The Policies state that Defendants “may use estimating, appraisal, or injury evaluation systems to assist [them] in adjusting claims under this policy and to assist [them] in determining the amount of damages, expenses, or loss payable under this policy,” and that “[s]uch systems may be developed by [Defendants] or a third party and may include computer

software, databases, and specialized technology.” To estimate the value of Plaintiffs’ total losses, Defendants performed in-person inspections of Plaintiffs’ vehicles and obtained vehicle valuation reports (“Reports”) prepared by non-party Mitchell International, Inc. (“Mitchell”). The Mitchell valuation software used by Defendants is called WorkCenter Total Loss (“WCTL”) and was approved for use in New York by the State’s Superintendent of Insurance. WCTL is used by multiple insurance companies to value vehicles following total loss. To determine the market value of a totaled vehicle, WCTL first generates an initial value by identifying comparable vehicles that are listed for sale or were recently sold in the insured’s local market area. The list prices for comparable vehicles are pulled from online automobile

advertising sources. The sold prices for comparable vehicles are supplied by J.D. Power and Associates (“JDPA”), based on its regularly updated database. The values of these comparable listed and sold vehicles are adjusted to account for differences in equipment, mileage and vehicle configuration. If the JDPA data supplies a “sold” price for a comparable vehicle, no further valuation adjustments are made to that comparable vehicle. If the JDPA data does not supply a “sold” price for a comparable vehicle, a PSA is applied to the comparable vehicle’s list price to estimate the price for which it will ultimately sell. Defendants contend that the PSAs are designed to reflect consumer purchasing behaviors, i.e. negotiating a sales price lower than the list price. Because PSAs are purportedly intended to model consumer negotiation for vehicles, if

3 a comparable vehicle is listed at a dealership that is identified as a “no haggle” or “one price” dealership, no PSA is applied to that comparable vehicle. To calculate PSAs, JDPA first looks to list-to-sold transactions that occurred in the relevant regional area. If a sufficient number of transactions cannot be identified locally, JDPA

looks to statewide and, if necessary, nationwide transactions. Defendants claim that JDPA then determines a ratio that best describes the relationship between the sold and list prices. That ratio is applied to the listed comparable vehicle to yield a dollar adjustment, the PSA. The ratios used to calculate PSAs are updated at intervals throughout the year, based on data collected in the time since the previous update. After the PSAs are applied to the comparable vehicles, the comparable vehicles’ values are averaged to yield the totaled vehicle’s base value. WCTL then adjusts that base value to reflect the totaled vehicle’s condition before the loss occurred. Defendants’ adjusters typically inspect each totaled vehicle, examining and rating thirteen components of each vehicle on a scale of 1-5. Using those condition ratings and other factors like model and mileage, the WCTL

estimates the totaled vehicle’s market value in a Report. What Defendants pay to settle a total- loss claim is not always equal to the Report value, and adjusters and claims managers are permitted to negotiate to resolve the claim. This sometimes results in claims that are settled for more than the Report value. Plaintiffs Lukasik, Costa and England are not currently insured by any Defendant. Plaintiffs Goodier, Costa, England, Lippa, Plotts and Lukasik all testified that they received a Report from Defendants while settling their total-loss claims.

4 II. STANDARD Summary judgment is appropriate where the record establishes that “there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). “An issue of fact is genuine if the evidence is such that a reasonable jury could

return a verdict for the nonmoving party.” Frost v. N.Y.C. Police Dep’t, 980 F.3d 231, 242 (2d Cir.

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Volino v. Progressive Casualty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/volino-v-progressive-casualty-insurance-company-nysd-2024.