Parker’s Classic Auto Works, Ltd. v. Nationwide Mutual Insurance Company
No. 2017-433
Supreme Court
2019 VT 46
October Term, 2018
NOTICE: This opinion is subject to motions for reargument under V.R.A.P. 40 as well as formal revision before publication in the Vermont Reports. Readers are requested to notify the Reporter of Decisions by email at: JUD.Reporter@vermont.gov or by mail at: Vermont Supreme Court, 109 State Street, Montpelier, Vermont 05609-0801, of any errors in order that corrections may be made before this opinion goes to press.
2019 VT 46
No. 2017-433
Parker’s Classic Auto Works, Ltd. Supreme Court
v. On Appeal from
Superior Court, Rutland Unit,
Civil Division
Nationwide Mutual Insurance Company October Term, 2018
Helen M. Toor, J. (amended entry regarding motion); Samuel Hoar, Jr., J. (final judgment)
Robert P. McClallen, Rutland, for Plaintiff-Appellant.
Eric T. Boron and Roy A. Mura of Mura & Storm, PLLC, Buffalo, New York, for Defendant-Appellee.
PRESENT: Reiber, C.J., Skoglund, Robinson, Eaton and Carroll, JJ.
I. Factual and Procedural History
¶ 2. The following are the facts from the trial record taken in the light most favorable to plaintiff. Brueckner v. Norwich Univ., 169 Vt. 118, 122, 730 A.2d 1086, 1090 (1999) (explaining that we must view evidence in the “light most favorable to the non-moving party” on appeal of a motion for judgment as a matter of law) (quotation omitted). Plaintiff is a car repair business in Rutland. Defendant insures
¶ 3. For each claim involved in this case, although defendant did not pay a portion of what the repair shop believed was owed under the policy, defendant did pay significant sums. Defendant initially paid what its claims adjuster believed to be covered by the insurance policy
after having conducted a visual inspection of the damage. Defendant generally would make at least one additional payment based on information provided by plaintiff after plaintiff disassembled the damaged vehicle in preparation to repair it. Payment to repair additional damage that is not apparent from a visual inspection of the vehicle is called a supplemental payment. After the adjuster’s initial estimate was paid to plaintiff and any supplemental payments were made, there was still an outstanding balance for the repair bill on each claim involved in this case. Plaintiff believed these were covered by the insurance policy yet had been unpaid by the insurer. However, defendant maintained that these unpaid portions of the repair bill between plaintiff and each insured were not covered under the policy.
¶ 4. Plaintiff filed suit as the insureds’ assignee to recover these purported short pays. The case proceeded to jury trial. Plaintiff offered a series of documents relating to each claim brought by each insured, which were admitted into evidence primarily by stipulation: the final invoice, a supplemental report itemizing all the work done by plaintiff and identifying charges made by plaintiff that defendant’s claims adjuster did not believe were covered by the insurance policy, a separate itemized bill for painting costs incurred, plaintiff’s accounting ledger for each claim, the contract between plaintiff and the insured authorizing plaintiff to repair the insured’s vehicle, and the assignment of insurance claims by the insureds to plaintiff. Mr. Parker, the owner of the repair shop, testified on direct examination to his experience repairing vehicles and to the billing and repair processes employed in his shop. He compared, in some respects, the practices employed in his shop to those used by defendant’s claims adjuster.
instructions, the jury returned a verdict finding defendant liable for breach of the insurance policy and awarding plaintiff $41,737.89.
¶ 6. Defendant filed a renewed motion for judgment as a matter of law under
II. Defendant May Not Unilaterally Determine the Value of an Insured’s Claim
¶ 7. We review the interpretation of an insurance policy without deference. Co-operative Ins. v. Woodward, 2012 VT 22, ¶ 8, 191 Vt. 348, 45 A.3d 89. We therefore review anew the trial court’s determination that under the policy the amount owed to an insured is fully within defendant’s discretion to determine. An insurance policy must be “construed according to its terms and the evident intent of the parties as expressed in the policy language.” Smith v. Nationwide Mut. Ins., 2003 VT 61, ¶ 11, 175 Vt. 355, 830 A.2d 108 (quotation omitted). When interpreting an insurance policy, the language is to be viewed “from the perspective of what a reasonably prudent person applying for insurance would have understood it to mean.” Shriner v. Amica Mut. Ins., 2017 VT 23, ¶ 6, 204 Vt. 321, 167 A.3d 326 (quotation omitted). We resolve ambiguity in an insurance policy in favor of an insured, but we do not rewrite a policy if it happens to benefit an insurer. Id.
¶ 8. The claims in this case arise under defendant’s Century II Collision Insurance Policy (‘the policy’). Under the policy, defendant promises to pay for “direct and accidental loss
of, or damage to” an insured vehicle.2 However, this is subject to a limitation-of-liability provision mandating that “direct and accidental loss” cannot exceed “the cash value of the auto or its damaged parts at the time of loss.” The calculation of “cash value” where the limitation-of-liability clause is invoked includes “consideration of fair market value, age, and condition of the property in question at the time of loss.” The policy specifies that the insurer has three methods from which to choose to satisfy its obligation to an insured to pay for the “loss” or “damage”: pay the insured directly, repair the vehicle, or replace the vehicle. Here it is undisputed that defendant elected to pay the insureds directly. The parties dispute how much each insureds’ “loss” or “damage” was. And the policy does not
¶ 9. The trial court interpreted the insurance policy, which was silent on the matter, to only require defendant to pay “an amount [defendant] determined was sufficient to do the repairs.” We disagree with this construction. Just as we will not rewrite an insurance policy in favor of an insured, we also cannot rewrite a policy in favor of an insurer. See Shriner, 2017 VT 23, ¶ 6; Medlar v. Aetna Ins., 127 Vt. 337, 347, 248 A.2d 340, 347 (1968) (“Courts can only enforce agreements as written and are without authority to rewrite contracts, even insurance contracts. It is the duty of the court to construe contracts, not make them for the parties.”). Defendant
effectively conceded at oral argument that an insured may contest the insurer’s valuation of a claim consistent with this policy. We therefore conclude that here the insureds or their mechanic as an assignee may challenge defendant’s valuation of claims through this litigation.4 Ambassador Ins., 2008 VT 105, ¶ 19 (explaining that assignee may take interest of assignor).
¶ 10. In reaching its decision, the trial court quoted Cascade Auto for its holding that the repair shop here had three options: “it could simply do the work and accept the amount [insurer] had stated it would pay; it could accept the insurance payment and collect the difference from the insured; or it could refuse to perform services for [the] insureds unless the customer paid . . . for the work, leaving the customer to seek reimbursement from [the insurer].” 115 P.3d at 755. Reliance on Cascade Auto was misplaced. In Cascade Auto, the insurer had sent a letter notifying the repair shop of the maximum amount it was willing to pay for certain repairs. When the same repair shop then undertook the same repairs on behalf of the defendant’s insureds, the court held that a unilateral contract between repair shop and insurer formed, fixing the insurer’s obligation at the amount specified in the letters. Id. Unlike Cascade Auto, here it is undisputed that there is no contract between the repair shop and the insurer. Also, the insuring clause in Cascade Auto suggested that the insurer had a unilateral right to determine the amount of an insured’s damage.5 Here, no policy language
for insurance” suggests that defendant may unilaterally determine the value of a claim. Shriner, 2017 VT 23, ¶ 6.6
¶ 11. The trial court also relied in part on two undisputed facts to conclude that plaintiff could not, as a matter of law, maintain a case challenging defendant’s valuation of the insureds’ claims: defendant made payments on the insureds’ claims, and the insureds had their vehicles repaired. To whatever extent the trial court concluded that defendant had fully satisfied its contractual obligation under the policy because defendant made payments on the collision claims in some amount, this was error. Whether the amounts paid by defendant satisfied defendant’s obligation to its insured was the central disputed issue here. And it is undisputed that defendant did not obtain a release of claim or otherwise satisfy the elements of a complete defense foreclosing the insureds, and thus plaintiff’s, ability to contest the sufficiency of the payments. See Gregoire v. Ins. of N. Am., 128 Vt. 255, 259, 261 A.2d 25, 27-28 (1969) (noting elements of legal release of claim and holding that they were unproven); Auto Glass Express, Inc. v. Hanover Ins., 912 A.2d 513, 518 (Conn. App. Ct. 2006) (concluding that defense of accord and satisfaction did not apply because insurer’s payment checks, which stated “fair and reasonable payment,” were not “conspicuous statement to the effect that the instrument was tendered as full satisfaction of the
claim”). As to the second issue, the fact that the insureds’ vehicles were fully repaired and returned does not answer the question of whether the costs incurred by the repair shop to do so were covered under the policy. See Nick’s Garage, Inc. v. Progressive Cas. Ins., 875 F.3d 107, 114 (2d Cir. 2017) (explaining that insurer’s argument—that insureds suffered no damages because vehicles were repaired and returned to insureds—has “no merit” because it ignores alleged short pay; moreover first-party insureds were financially responsible to repair shop under repair contract).7
Therefore we conclude that the
III. Defendant Is Not Entitled to Judgment
¶ 12. Next defendant argues that the policy does not promise to pay a repair shop’s bill. This misunderstands the central dispute over a short pay: an insurer may only refrain from paying an insured amounts that are not covered by the policy. Here the policy promises to pay “direct and accidental loss or damage to” a covered vehicle. It does not specify how this is to be calculated when the insurer elects to pay an insured directly for its loss, except that this figure cannot exceed “cash value.” “Cash value” is also undefined in the policy but must account for “fair market value, age, and condition of the property” at the time of loss.
¶ 13. With no definition of “damage” in the policy, we construe this term consistently with general principles of the law of remedies, interpretations of the standard collision-insurance
policy, and the policy as a whole, particularly the limitation-of-liability clause. We conclude that “damage” here means the amount of money needed to repair an insured vehicle to preaccident condition not to exceed the value of the vehicle before the accident.
¶ 14. The measure of damages when an item is harmed but not taken or destroyed is usually diminution in market value; but this often is to be measured by the sum necessary to repair the item. Birchwood Land Co. v. Ormond Bushey & Sons, Inc., 2013 VT 60, ¶ 16 n.4, 194 Vt. 478, 82 A.3d 539 (citing 1 D. Dobbs, Dobbs Law of Remedies § 5.13(1), at 836-38 (2d ed. 1983)). The same is true of third-party liability claims for damage to a vehicle, which is measured by the difference in fair market value before and after the vehicle was damaged, and cost of repair can be introduced as evidence of the diminution in value. Purington v. Newton, 114 Vt. 490, 494, 49 A.2d 98, 100 (1946). However, according to the common interpretation of the standard collision-insurance policy, the term “damage,” when repairs are economically feasible, is the cost of repair to preaccident condition. See Couch on Insurance, supra, § 177:2 (“[T]he standard [collision policy] has been construed to limit liability for a partial loss of the vehicle to either actual cash value or the cost of repairing or replacing damaged parts (rather than the whole car), whichever is the smaller in amount.”).
¶ 15. We conclude that the common interpretation of the standard policy applies here because this construction is necessary to give meaning to the limitation-of-liability clause. Under the limitation clause, “damage” cannot exceed “cash value” accounting for “fair market value, age, and condition of the property.” “Cash value” thus means preaccident fair market value. This is consistent with how we have previously interpreted “cash value” under other insurance policies. See Eagle Square Mfg. Co. v. Vt. Mut. Fire Ins., 125 Vt. 221, 223, 212 A.2d 636, 638 (1965) (affirming trial court determination that “actual cash value,” as used in fire-insurance policy, means
damages at preaccident market value would have no meaning. See Dep’t of Corr. v. Matrix Health Sys., P.C., 2008 VT 32, ¶ 12, 183 Vt. 348, 950 A.2d 1201 (explaining that when interpreting contract, “we must consider the contract as a whole and give effect to every part contained therein to arrive at a consistent, harmonious meaning, if possible” (quotation omitted)).
¶ 16. Thus “damage” under the policy means cost of repair to preaccident condition, which must be paid unless repairs are uneconomical. If the cost of repairing a damaged vehicle exceeds the preaccident fair market value, then the vehicle is considered a “total loss,” or in shorthand it is said to be “totaled.”8 See Citizens’ Sav. Bank & Trust Co. v. Fitchburg Mut. Fire Ins., 86 Vt. 267, 267, 84 A. 970, 972 (1912) (establishing measure of damages for total loss under fire-insurance policy). In that case, repairs need not be paid for because the insurer may satisfy its obligation to the insured by paying the insured the fair market value of the vehicle before it was damaged. Id.
¶ 17. Here, because no vehicle was a total loss, under the policy “damage” is the cost to repair each vehicle to preaccident condition. The policy does not define how cost of repair is to be determined.9 Courts in other jurisdictions have construed the proper method for calculating cost-of-repair damages under a collision-insurance policy in two ways: payment of a reasonably competitive market rate to restore a damaged vehicle to its preaccident condition, and payment of
the lowest available rate to return the vehicle to preaccident condition. Compare Auto Glass Exp., Inc. v. Hanover Ins., 975 A.2d 1266, 233 (Conn. 2009) (holding that insurer must pay amount reasonable in marketplace, rather than lowest available rate, thus resolving insurance policy ambiguity in favor of insured), with Home Mut. Ins. of Iowa v. Stewart, 100 P.2d 159, 162 (Colo. 1940) (requiring payment of lowest good-faith bid obtained by insurer where insurer elected to repair rather than pay directly for loss and insured refused to relinquish possession), and Gambale v. Allstate Ins., 228 A.2d 58, 59-60 (Pa. Super. Ct. 1967) (holding that lower of two estimates must be paid where parties stipulated both shops were “reputable” and would do “proper” job), and Couch on Insurance, supra, § 177:14 (“[I]nsurer is typically liable only in the amount of the lowest of all acceptable estimates for repair.”). Cf. Chick’s Auto Body v. State Farm Mut. Auto. Ins., 401 A.2d 722, 731-32 (N.J. Super. Ct. 1979) (rejecting antitrust claims asserted by repair shops against collision insurers and noting “practice of [a collision insurer] to calculate the reimbursement for its insured based upon the lowest prevailing price in the marketplace (and to insure the integrity of that estimate by having an open list of competing shops which will generally accept it) is the very essence of competition”). Here, whatever method for calculating cost of repair might be appropriate under the policy—the interpretation of the policy in this regard has not been appealed in this case10—defendant’s argument that the policy does not explicitly require payment of a repair
shop’s bill ignores the actual issue: whether plaintiff’s bills here were covered. The jury determined that they were.
¶ 18. Defendant next argues that there was no “legally sufficient evidence” presented at trial showing that the insureds suffered a “financial loss,” as required under the trial court’s jury instructions. The court instructed the jury as follows:
Cause of damages. To prove that a customer was damaged by a breach of contract, Parker’s must prove that the breach of contract caused the customer some financial loss and must prove the amount to you. If you find that Nationwide did not breach any contracts, you are done. However, if you find that it did breach any contracts, then you must determine the amount of damages that customers have suffered, if any. I am giving you instructions about damages so that you will know how to proceed if you reach this point in your deliberations. It does not mean that I have any opinion whether you should or should not award damages in this case.
Defendant asserts that “an incurred but unpaid debt” is not a “financial loss,” so no reasonable juror could have found liability against defendant under these instructions. However, this case is about an insurer’s
vehicle to preaccident condition). We refrain from adopting one method of determining cost of repair under this policy because, by not raising this issue, the parties effectively delegated interpretation of the policy on this matter to the jury. Moreover, under the facts in this case, it would not matter whether we construed the policy as covering the lowest available good-faith rate or any reasonable repair rate because the only evidence presented on the actual cost to repair the insureds’ vehicles came in the form of the itemized bills admitted into evidence by plaintiff. Defendant provided no indication that its claims adjuster’s estimates—none of which were admitted as evidence—would have been accepted by a repair shop. Thus, the jury could have reasonably inferred that plaintiff satisfied either standard: plaintiff’s bills were the lowest available rate to restore the damaged vehicles to preaccident condition and plaintiff’s bills represented a reasonable rate for doing so.
relating to attachments, to receiverships, to stockholders’ liability for corporate debts, to probate, to set-offs, to fraudulent conveyances. and to limitation of actions,” thus statutory term “debt” included more than just “causes of action cognizable in debt under technical procedural rules”).
¶ 19. Next defendant argues that because plaintiff never sought to collect on its bills from the insureds the bills were not a “financial loss.”11 We reject this argument for two reasons. Again, this ignores the real issue in this case: whether defendant satisfied its obligation to its insureds under the policy. Second, an assignee may seek to collect an unpaid debt on behalf of its assignor. Sprint Commc’ns Co., v. APCC Servs., Inc., 554 U.S. 269, 272 (2008). Here the assignments, which were admitted as exhibits by stipulation, granted plaintiff the right to “collect money due or owed” under the insureds’ insurance claims. It is no defense that the assignors delegated collection to an assignee.
¶ 20. Last, defendant argues that it was not required to pay “repair and labor costs” because the policy provides for the payment of labor costs under the towing clause but not the collision-coverage insuring clause. We are not convinced. As explained above, the policy covers the cost of repair to preaccident condition or the payment of preaccident fair market value, whichever is less. Here because none of the vehicles were totaled, the cost of repair to preaccident condition was the proper measure of damage. Labor is an indispensable component of the cost to make a repair. Moreover, defendant’s opening statement and the only witness that defendant
offered at trial effectively admitted that the policy covers, to some degree, labor costs for making a repair. Furthermore, the canon of interpretation relied upon here by defendant, expressio unius, has been criticized when it is used as a singular basis for judicial decision making. See Black’s Law Dictionary 620-21 (8th ed. 2004) (describing negative inference canon as “best example” of a “ ‘maxim masquerading as [a] rule of interpretation while doing nothing more than describing results reached by other means’ ” (quoting R. Dickerson, The Interpretation and Application of Statutes 234-35 (1975))). We therefore conclude, from
Reversed and remanded. The court shall vacate judgment for defendant and enter judgment in favor of plaintiff in the amount of $41,737.89.
FOR THE COURT:
Associate Justice
