LORINE MITCHELL, Plaintiff - Appellee v. STATE FARM FIRE; CASUALTY COMPANY, Defendant - Appellant
No. 18-60776 Consolidated with 19-60201
United States Court of Appeals for the Fifth Circuit
March 30, 2020
E. GRADY JOLLY, Circuit Judge
Appeals from the United States District Court for the Northern District of Mississippi
Before JOLLY, GRAVES, and HIGGINSON, Circuit Judges.
The underlying dispute in this proposed class action arises between a homeowner and her insurer and presents primarily a question of contract interpretation. State Farm‘s homeowners insurance policy promised to pay the “Actual Cash Value” of the damaged portion of the home of the insured, Lorine Mitchell. The term “Actual Cash Value,” however, is not defined in the policy. The question on appeal asks how that value should be calculated. We must further determine whether the district court properly declined to dismiss Mitchell‘s claims in tort arising from the same calculation. Finally, we decide whether the district court abused its discretion in certifying a class of homeowners with similar claims to Mitchell‘s.
Both Mitchell and her insurer, State Farm, agree on one preliminary matter: Actual Cash Value is calculated by taking the cost of replacing a damaged portion of a home and subtracting depreciation from that total cost. But where the two parties differ is on the question that necessarily follows: what costs of the loss should be depreciated? State Farm argues that in calculating the Actual Cash Value payment, both the cost of materials and the cost of the labor should be depreciated. Mitchell, by contrast, argues that only the cost of physical materials should be depreciated, not the cost of labor.
For reasons explained below, we find that in the context of a Mississippi homeowners policy that refers to “Actual Cash Value” without further definition, both interpretations are reasonable. The contract is
We further find, however, that the district court erred in denying State Farm‘s motion to dismiss with respect to Mitchell‘s tort claims. Because the law on this question of interpreting “Actual Cash Value” in Mississippi was unsettled, State Farm had an arguable basis to depreciate labor costs. We therefore REVERSE the district court‘s denial of State Farm‘s motion to dismiss with respect to Mitchell‘s tort claims and dismiss those claims.
Finally, we find that the district court did not abuse its discretion in certifying a class of Mississippi State Farm policyholders similarly situated to Mitchell, who received “Actual Cash Value” payments in which labor was depreciated and whose contracts similarly did not define “Actual Cash Value.”
In sum, we AFFIRM in part, REVERSE in part, and REMAND for further proceedings.
I
In the Spring of 2017, a storm struck Waterford, Mississippi, and damaged Lorine Mitchell‘s home.1 At the time, the home was insured by a State Farm homeowners policy.
Mitchell notified State Farm of the damage and made a claim under the policy. State Farm sent a claims adjuster to inspect the damage, who confirmed that it
Under the policy to which State Farm and Mitchell agreed, State Farm pays an insured “the actual cash value at the time of the loss of the damaged part of the property” immediately after a claims adjuster confirms coverage and makes an estimate of the cost of replacement. The term “Actual Cash Value” (ACV), however, is not defined in the policy itself. Looking outside the policy, Mississippi law defines “Actual Cash Value” as “the cost of replacing damaged or destroyed property with comparable new property, minus depreciation and obsolescence.”
Mitchell objected to the method of State Farm‘s calculation of her Actual Cash Value. State Farm applied depreciation to the total amount necessary to replace Mitchell‘s roof, including both parts and labor. Mitchell argued that, instead, State Farm should have applied depreciation to the cost of materials only, not to the cost of labor. This method of calculation results, unsurprisingly, in a higher Actual Cash value payout to Mitchell.
Mitchell‘s unhappiness with State Farm‘s method of calculation led to this class-action lawsuit on behalf of herself and other Mississippi homeowners who received “Actual Cash Value” payments from State Farm in which the cost of labor (as well as materials) was depreciated when calculating their overall payout. Mitchell brought claims for breach of contract, tortious withholding of insurance payments (both negligence and bad faith), and fraudulent concealment. Mitchell‘s suit was originally filed in the Central District of Illinois, and federal subject matter jurisdiction is proper under the Class Action Fairness Act,
II
We first address the district court‘s denial of State Farm‘s motion to
As we have noted, Mitchell‘s contract with State Farm entitled her to the “Actual Cash Value” of her damaged roof. Mitchell argues that State Farm breached the terms of her policy by undercalculating this value and thereby paying her less than she was owed.
The insurance policy at issue is a Mississippi contract insuring a home located in Mississippi, and both parties agree that Mississippi law governs the interpretation of its terms.3 We must decide questions of state law as we
believe the Mississippi Supreme Court would hold. Morin v. Moore, 309 F.3d 316, 324 (5th Cir. 2002). Mississippi‘s Creditor-Placed Insurance Act defines “actual cash value” to mean “the cost of replacing damaged or destroyed property with comparable new property, minus depreciation and obsolescence.”
Under Mississippi law, “ambiguity and doubt in an insurance policy must be resolved in favor of the insured.” Bellefonte Ins. Co. v. Griffin, 358 So. 2d 387, 390 (Miss. 1978) (citations omitted). Thus, if the meaning of “Actual Cash Value” in Mitchell‘s policy can reasonably be interpreted in two different ways, we will resolve that ambiguity in favor of the reasonable interpretation more favorable to Mitchell.4
By contrast, State Farm‘s interpretation of “Actual Cash Value” includes depreciation of both the materials and the labor in constructing the roof. Using the same example, State Farm‘s interpretation would yield an Actual Cash Value of $5,000, because $5,000 would be deducted in depreciation (half of the total cost of replacing the roof).
Since Mitchell‘s interpretation of “Actual Cash Value” must prevail if the term is ambiguous, we need only determine whether Mitchell‘s interpretation is a reasonable one—not necessarily the most reasonable. See State Farm Mut. Auto. Ins. Co. v. Scitzs, 394 So. 2d 1371, 1372 (Miss. 1981). We find that her definition is reasonable, because it restores an insured to her status at the moment before the damage occurred. In our example, it would give an insured $2,500 to spend on shingles and $5,000 to spend on labor to install them. Cf. Hicks v. State Farm Fire & Cas. Co., 751 F. App‘x 703, 709 (6th Cir. 2018) (“[D]epreciating labor does not make the policyholder whole but rather frustrates the indemnity purpose of [Actual Cash Value] coverage . . . [because] ‘the cost of labor to install a new garage would be [the] same as installing a garage with 10 year old materials.‘“) (citation omitted).5
Placing a homeowner in a position identical to the one she was in before the damage to her property accords with Mississippi‘s definition of Actual Cash Value as “the cost of replacing damaged or destroyed property with comparable new property, minus depreciation and obsolescence.”
the costs necessary to place a homeowner in the status quo ante,
State Farm‘s definition of ACV instead views “depreciation” as the reduction in the appraised or market value of the roof prior to the damage. This definition may be reasonable as well. But it is not so singularly compelling as to make Mitchell‘s definition of ACV unreasonable. We resolve the dispute in favor of Mitchell under the canon that “ambiguity and doubt in an insurance policy must be resolved in favor of the insured.” Bellefonte, 358 So. 2d at 390. We therefore affirm the district court‘s denial of State Farm‘s motion to dismiss Mitchell‘s breach of contract claim.
III
We now turn to the motion to dismiss Mitchell‘s tort claims for negligence/gross negligence, bad faith, and fraudulent concealment. Once again, we remind that a denial of a
Mitchell seeks punitive and extracontractual damages for her negligence and bad faith claims.8 We first address punitive damages. In Mississippi, “[t]he plaintiff has a ‘heavy burden’ when seeking punitive damages based on a bad faith insurance claim.” Jenkins v. Ohio Cas. Ins. Co., 794 So. 2d 228, 232 (Miss. 2001) (quoting Life & Cas. Ins. Co. of Tenn. v. Bristow, 529 So. 2d 620, 622 (Miss. 1988)). To win a claim for punitive damages, the plaintiff must establish that: “1. The insurer lacked an arguable or legitimate basis for denying the claim, and 2. The insurer committed a wilful or malicious wrong, or acted with gross and reckless disregard for the insured‘s rights.” State Farm Mut. Auto. Ins. Co. v. Grimes, 722 So. 2d 637, 641 (Miss. 1998) (emphasis in original). Punitive damages may not be awarded unless both of these prongs are satisfied. See Bristow, 529 So. 2d at 622.9
Mitchell‘s claim founders on the first of these two prongs, so we need not analyze the second. Prior to this lawsuit, the calculation of depreciation when ascertaining Actual Cash Value in homeowners insurance policies like Mitchell‘s was an unsettled question of Mississippi law.10 In Mississippi, when the relevant law is unsettled at the time a claim is withheld, that uncertainty provides an “arguable basis” for withholding the claim. See Gulf Guar. Life Ins. Co. v. Kelley, 389 So. 2d 920, 923 (Miss. 1980); see also Gorman v. Se. Fid. Ins. Co., 775 F.2d 655, 659 (5th Cir. 1985); Michael v. Nat‘l Sec. Fire & Cas. Co., 458 F. Supp. 128, 131–32 (N.D. Miss. 1978). Punitive damages are therefore inappropriate in this case.11
An arguable basis for withholding a claim payment also precludes any other
For these reasons, we REVERSE the district court with respect to its denial of State Farm‘s motion to dismiss Mitchell‘s tort claims, and we dismiss these claims.
IV
A.
Finally, we address State Farm‘s appeal from the district court‘s order certifying a class. A district court‘s class certification decision is reviewed for abuse of discretion. Regents of Univ. of Cal. v. Credit Suisse First Bos. (USA), Inc., 482 F.3d 372, 380 (5th Cir. 2007). “Whether the district court applied the correct legal standard in reaching its decision on class certification, however, is a legal question that we review de novo.” Id. (quoting Allison v. Citgo Petroleum Corp., 151 F.3d 402, 408 (5th Cir. 1998)). Although the district court has substantial discretion, the “district court must conduct a rigorous analysis of the rule 23 prerequisites before certifying a class.” Castano v. Am. Tobacco Co., 84 F.3d 734, 740 (5th Cir. 1996). Additionally, a “party seeking certification bears the burden of proof.” Id.
Since we have found that Mitchell‘s tort claims must be dismissed, the issue of class certification of those tort claims is necessarily moot. We must still decide, however, whether the district court abused its discretion in certifying a class with respect to Mitchell‘s breach of contract claim. We find no abuse of discretion.
All State Farm [homeowners]13 policyholders who made a structural damage claim for property located in the State of Mississippi which resulted in an actual cash value payment during the class period from which “non-material depreciation” is still being withheld from the policyholder (i.e., has not been paid back as replacement cost benefits). The class includes policyholders that did not receive an actual cash value payment solely because the withholding caused the loss to drop below the applicable deductible. The class period only includes policyholders that received their first claim payment (or would have received their first claim payment) on or after June 23, 2014 (three years before the filing of the complaint). The class excludes all claims arising under policies with State Farm endorsement Form FE3650 or any other policy form expressly permitting the “depreciation” of “labor” within the text of the policy form. The class also excludes any claims for which the applicable limits of insurance have been exhausted.
B.
State Farm challenges certification on multiple prongs. State Farm‘s first challenge to predominance is grounded in an argument based on the merits. State Farm argues that Actual Cash Value is an unambiguous term that includes depreciation for labor costs, and thus that its meaning cannot be a predominant issue. We have already discussed and rejected these arguments in analyzing the motion to dismiss Mitchell‘s breach of contract claim, and they need not be repeated here.
1.
More worthy, State Farm challenges the district court‘s finding of predominance on the ground that, although there is the common question of withholding labor depreciation, that common question will be overshadowed by issues relating to individualized damages suffered by each class member. We all can agree that in determining predominance, the district court must “give careful scrutiny to the relation between common and individual questions in a case.” Tyson Foods, Inc. v. Bouaphakeo, 136 S. Ct. 1036, 1045 (2016). “An individual question is one where ‘members of a proposed class will need to present evidence that varies from member to member,’ while a common question is one where ‘the same evidence will suffice for each member to make a prima facie showing [or] the issue is susceptible to generalized, class-wide proof.‘” Id. (quoting 2 William B. Rubenstein, Newberg on Class Actions § 4:50, pp. 196–97 (5th ed. 2012)). The trial court must “weigh common issues against individual ones and determine which category is likely to be the focus of a trial.” Crutchfield v. Sewerage & Water Bd. of New Orleans, 829 F.3d 370, 376 (5th Cir. 2016).
Here, the district court indeed recognized that damage amounts would need to be calculated for each member of the proposed class individually, by determining how much money was withheld from their ACV payment as labor depreciation. On the other hand, however, “the necessity of calculating damages on an individual basis will not necessarily preclude
Thus, State Farm argues that damages will not be “susceptible to a mathematical or formulaic calculation.” In this connection, State Farm contends that the district court will have to review not only (1) how much labor depreciation was withheld from each class member; but also (2) the entirety of the factual circumstances related to the class member‘s claim. State Farm further argues that this review must include any evidence that State Farm overestimated the cost of replacement. State Farm says that in calculating damages, any overestimation of the cost of replacement by State Farm will have to be subtracted from an insured‘s damage award, a fact-specific undertaking. In sum, State Farm urges that these considerations preclude a finding of predominance.
State Farm‘s arguments do not persuade us that the district court erred in finding predominance. There are only two situations in which State Farm may dispute or adjust its initial estimate of the cost of replacement. These two situations occur when an insured makes a claim for the second “RCV” payment14 and secondly if an insured disputes State Farm‘s estimate of the cost of replacement.15 The defined class as certified by the district court
excludes insureds who are in either of those situations. The class members neither challenge their cost of replacement estimate nor request RCV payments. Thus, any overestimation by State Farm should not be a factor in determining damage awards. Cf. Stuart v. State Farm Fire & Cas. Co., 910 F.3d 371, 376–77 (8th Cir. 2018) (“[I]nsureds were under no obligation to use the ACV payment to actually repair or replace the damaged property, so any overestimation by State Farm simply operates as an error in the insured‘s favor.“).
Thus, in any event, whether State Farm made an error in estimating the cost of replacement for any particular claim is a question separate from this class litigation.16 Here, we are addressing the claim that State Farm breached its contracts by depreciating labor costs. The calculation of
In sum, we agree with the district court‘s finding that Mitchell‘s proposed formula for calculating the labor depreciation withheld for each class member would be adequate. We also agree with the district court that calculating damages for each class member by using toggle features in State Farm‘s claim estimation software would be feasible. It is true, of course, that the parties differed in their estimates of how long this process would take, but the district court found that predominance would still be satisfied even if the higher estimate of 15–20 minutes per claim made by State Farm‘s expert turned out to be true. We find no reversible error in this conclusion, and we leave such details of administering class relief to the judgement of the district court.
2.
Finally, State Farm challenges the district court‘s finding that this class action is the superior method of resolving this controversy. The two cases that State Farm cites for support both have a crucial difference from this case: the courts there found that “negative-value” suits were not implicated and the lawsuits could feasibly be brought individually. See Pipefitters Local 636 Ins. Fund v. Blue Cross Blue Shield of Mich., 654 F.3d 618, 632 (6th Cir. 2011); Robertson v. Monsanto Co., 287 F. App‘x 354, 363 (5th Cir. 2008). Here, the district court found that there are over 10,000 relevant claims in the proposed class that are likely to be too small to engage in separate litigation.18 The district court did not abuse its discretion in finding that the negative-value nature of the claims in this case establishes superiority of the class action.
We thus find that the district court did not abuse its discretion in certifying a class with respect to Mitchell‘s breach of contract claim.
V
In this opinion, we have found that the term “Actual Cash Value” is ambiguous with respect to the withholding of labor depreciation in Mississippi homeowners insurance policies that provide no further definition of ACV. ACV should therefore be interpreted to have the reasonable meaning most favorable to the insured. That meaning is one in which labor costs are not depreciated.
In addition, we have found that Mitchell‘s tort claims must be dismissed because State Farm had an arguable basis for withholding labor depreciation. The certification of a class bringing those claims is
Finally, we have found that the district court did not abuse its discretion in certifying a class of plaintiffs on the breach of contract claim. We therefore AFFIRM in part, REVERSE in part, and REMAND for further proceedings.
E. GRADY JOLLY
UNITED STATES CIRCUIT JUDGE
