Court Opinion

ID: 5127523
Source: CourtListenerOpinion
Date Created: 2021-11-19 16:01:11.926+00
Date Added: 2024-06-11T08:23:00.717650
License: Public Domain

United States Court of Appeals
                             For the Eighth Circuit
                         ___________________________

                                 No. 20-2486
                         ___________________________

        Shawn Smith, on behalf of himself and all others similarly situated

                                 Plaintiff - Appellant

                                          v.

                Southern Farm Bureau Casualty Insurance Company

                                Defendant - Appellee
                                   ____________

                      Appeal from United States District Court
                    for the Eastern District of Arkansas - Central
                                    ____________

                              Submitted: May 13, 2021
                              Filed: November 19, 2021
                                   ____________

Before COLLOTON, WOLLMAN, and KOBES, Circuit Judges.
                        ____________

KOBES, Circuit Judge.

       Shawn Smith claims that Southern Farm Bureau Casualty Insurance Company
undervalued his totaled pickup truck. After he sued and sought class certification, the
district court dismissed for failure to state a claim. We agree that the Arkansas
regulation that Farm Bureau allegedly violated is not incorporated into his policy, so
Smith can’t use it as the basis for a breach of contract claim. But because he also
states a breach of contract claim based on the policy language, we reverse in part. We
deny his motion to certify questions of law to the Arkansas Supreme Court.

                                           I.

      Shawn Smith owned a 2006 Ford F-150 insured by Farm Bureau. The truck
was totaled in an accident.

       The policy said that “[f]or each accident [Farm Bureau] will pay actual cash
value of loss or damage less your deductible amount.” The policy also said that
“[a]ctual cash value will include consideration of fair market value, age, and condition
of the item in question at the time of loss or damage.”

       To calculate the truck’s actual cash value, Farm Bureau used a valuation report
prepared by a third party, Mitchell International. The report included prices (pulled
from dealers’ websites) for three “comparable vehicles”—2006 F-150s for sale within
150 miles of Smith’s home. For each comparable vehicle, Mitchell adjusted the
dealer’s listed price to account for features—trim, mileage, and the like—different
from Smith’s F-150. Mitchell also applied a “Projected Sold Adjustment,” lowering
each comparable vehicle’s value by 9% of the listed price.1 The report explained that
the Projected Sold Adjustment “reflect[ed] consumer purchasing behavior (negotiating
a different price than the listed price).” In other words, Mitchell assumed that most
car buyers pay less than the sticker price. Mitchell assigned a “market value” to
Smith’s F-150 based on the adjusted values for the three comparable vehicles, and
Farm Bureau relied on this when it calculated how much it would pay.

      1
      Mitchell lowered the three comparable vehicles’ listed prices by $747, $429,
and $795. App’x at A078–79.

                                          -2-
      Smith says that Farm Bureau breached its duty to pay him the truck’s actual
cash value. He argues that the Projected Sold Adjustment was made-up and
unrealistic, so Farm Bureau undervalued his truck.

       Smith filed a class action complaint for breach of contract and declaratory
judgment. His breach of contract claim was based, in part, on an alleged violation of
Arkansas Insurance Rule and Regulation 43,2 which he claimed was incorporated into
the policy. The district court granted Farm Bureau’s motion to dismiss for failure to
state a claim, holding that Regulation 43 was not part of the policy. Smith filed a
motion to clarify whether the Order also disposed of the common law breach of
contract theory. The district court dismissed the motion in a one-sentence minute
order.

      On appeal, Smith argues that the district court improperly dismissed his case
by incorrectly applying Arkansas law and by failing to address his common law
breach of contract claim. He says that although his complaint included only one
breach of contract count, he alleged two different theories: (1) that Farm Bureau
breached a duty established by Arkansas Insurance Rule and Regulation 43, which is
incorporated into the contract under Arkansas law and the policy’s “Conformity
Clause”; and (2) that Farm Bureau breached its contractual obligation to pay actual
cash value by applying the Projected Sold Adjustment to the listed price of
comparable vehicles, resulting in a lower fair market value.

                                          II.

       We review the district court’s grant of a motion to dismiss for failure to state
a claim de novo. Trone Health Servs., Inc. v. Express Scripts Holding Co., 974 F.3d
845, 850 (8th Cir. 2020). We also review de novo the district court’s interpretation

      2
          Setting minimum standards for insurance settlement practices.

                                          -3-
of the policy and Arkansas law, looking to “related decisions by the state’s highest
court and by the intermediate court of appeals” when a legal question is undecided.
Palmer v. Ill. Farmers Ins. Co., 666 F.3d 1081, 1085 (8th Cir. 2012); see Miller v.
Honkamp Krueger Fin. Servs., Inc., 9 F.4th 1011, 1014 (8th Cir. 2021) (de novo
review of contract interpretation); Nettles v. Am. Tel. & Tel. Co., 55 F.3d 1358, 1362
(8th Cir. 1995) (de novo review for state law).

      “To survive 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.’”
Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550
U.S. 544, 570 (2007)). But while we accept Smith’s facts alleged as true and draw all
inferences in his favor, we are not required to accept his legal conclusions. East v.
Minnehaha Cty., 986 F.3d 816, 820 (8th Cir. 2021).

                                           A.

      The first question is whether Arkansas Insurance Rule and Regulation 43 is
incorporated into the policy. If it is, a violation of the regulation is also a breach of
contract.

       Smith’s first theory is that Regulation 43 is automatically incorporated into the
policy, based on the “general rule” that a statute governing insurance coverage
becomes part of policies affected by it. We have already held that Regulation 43 does
not create a private right of action and is not automatically incorporated into Arkansas
insurance policies. Design Pros. v. Chi. Ins. Co., 454 F.3d 906, 912 (8th Cir. 2006).

      Smith’s second theory is that the policy’s “Conformity Clause” incorporates
Regulation 43 into the policy. It says, “[Farm Bureau] will change any terms or
conditions of your policy conflicting with the laws of the State of Arkansas, to bring
them into conformity with such laws.” But the Conformity Clause is not triggered

                                          -4-
here. In the few Arkansas cases addressing conformity clauses, courts stick to the
plain meaning of the contract language, and have required a true conflict between the
contract terms and the statute at issue. See, e.g., Ferguson v. Order of United
Commercial Travelers of Am., 821 S.W.2d 30, 32 (Ark. 1991).

       The Conformity Clause limits its application to (1) policy terms or conditions
that (2) conflict with state law. So we must focus on the policy terms, not the
challenged practice. The contract says

      Actual cash value will include consideration of fair market value, age,
      and condition of the item in question at the time of loss or damage.

The relevant portion of Regulation 43, according to Smith, says

      [a]ny deductions from such [actual] cost [to purchase a comparable
      automobile] . . . must be measurable, discernible, itemized and specified
      as to dollar amount and shall be appropriate in amount.

Ark. Ins. Rule 43 § 10(a)(3).

       The regulation is more specific about what insurers should disclose about their
actual cash value calculations, but it does not say that insurers can’t consider the
factors mentioned in the policy. And other parts of the same section suggest that
insurers should use a car’s condition and market value to determine actual cash value.
See, e.g., §§ 10(a), (a)(2)(A), (a)(3). There is no conflict between the policy term and
Regulation 43. Because the Conformity Clause isn’t triggered, it cannot operate to
incorporate Regulation 43 into the policy.

                                          -5-
                                          B.

       Smith argues that his complaint also alleges a common law breach of contract
claim. The district court thought Smith’s breach of contract claim was based only on
Regulation 43. The complaint is not a model of clarity, but a fair read shows that
Smith made two distinct breach of contract theories. Although it lists only one breach
of contract count, it discusses both Farm Bureau’s alleged failure to base its payment
on “fair market value” (policy language that is not in Regulation 43) and its failure to
use “measurable, discernible, itemized and specified” deductions (Regulation 43
language). So we will analyze his common law breach of contract theory to see if it
should have survived the motion to dismiss, taking factual allegations as true.

      The elements of a common law breach of contract claim in Arkansas are: (1)
an enforceable contract exists, (2) the defendant has a duty under the contract, (3) the
defendant violated that duty, and (4) the plaintiff was damaged. See Smith v. Eisen,
245 S.W.3d 160, 168–69 (Ark. Ct. App. 2006). Farm Bureau does not challenge the
contract’s existence or enforceability.

        Under the policy, Farm Bureau had a duty to pay the “actual cash value” of
Smith’s F-150, based on “consideration of [the truck’s] fair market value, age, and
condition . . . at the time of loss . . .” The Complaint says that Farm Bureau breached
its duty to consider the truck’s fair market value because it based its valuation on
“values of comparable vehicles that have been artificially reduced by an unjustified
‘Projected Sold Adjustment’ that is (a) arbitrary, [and] (b) contrary to industry
practices and consumer experiences (and therefore not reflective of the vehicle’s fair
market value) . . . ” Compl. ¶ 37 (emphasis added). To support this, Smith alleges
that “a 9% reduction on a used vehicle is not typical and does not reflect market
realities,” Compl. ¶ 18 (emphasis omitted), and that dealers’ actual practice is not to
inflate prices above market value because of the “intense competition in the context
of internet pricing and comparison shopping.” Compl. ¶ 19. If this is true, then Farm

                                          -6-
Bureau did not consider the truck’s fair market value; it considered an artificially
lower value, in breach of its contractual duty,3 so Smith stated a claim for breach of
contract based on the policy language.

      Based on our review of the record, and accepting Plaintiff’s allegations as true,
we believe that Smith has stated a plausible claim. We do not opine on the ultimate
merits of his claim.

                                           C.

      Finally, Smith asked us to certify two questions to the Arkansas Supreme Court:

      (i) Whether under Arkansas law, Arkansas Insurance Rule and
      Regulation 43, which sets forth the minimum standards for determining
      a total loss vehicle’s actual cash value, can serve as a basis for construing
      the insurance policy term “actual cash value,” where that term was
      undefined in the policy itself; and

      (ii) Whether, under Arkansas law, an insurance contract’s “conformity
      clause,” i.e. a clause stating that the insurance policy’s provisions shall
      be amended to conform with applicable laws of the State of Arkansas,
      can serve as a basis for reforming the insurance policy term “actual cash
      value,” so that it conforms with the minimum standards for adjusting
      total loss claims as expressed under Arkansas Insurance Rule and
      Regulation 43.

Appellant’s Motion to Certify Questions of Law.

      3
       The fact that Mitchell International performed the calculations does not change
the analysis. Farm Bureau’s duty was to consider the fair market value, and using
anything other than fair market value would be a breach, regardless of whether Farm
Bureau realized the value was inaccurate.

                                          -7-
       “[Q]uestions of Arkansas law which may be determinative of the cause then
pending in the certifying court and as to which it appears to the certifying court there
is no controlling precedent” may be certified from federal courts to the Arkansas
Supreme Court. Ark. R. Sup. Ct. 6-8(a)(1). But “[c]ertification is by no means
‘obligatory’ merely because state law is unsettled; the choice instead rests ‘in the
sound discretion of the federal court.’” McKesson v. Doe, 141 S. Ct. 48, 51 (2020)
(per curiam) (citation omitted).

      Because the issues before us are resolved by existing law and the policy, we
decline to certify to the Arkansas Supreme Court.

                                          III.

       We affirm the judgment of the district court on the breach of contract claim for
violation of Regulation 43, and reverse and remand on the common law breach of
contract claim. We deny Smith’s motion to certify questions to the Arkansas Supreme
Court.

COLLOTON, Circuit Judge, dissenting.

      I would affirm the judgment. Appellant Smith pleaded a single count of breach
of contract. The district court properly rejected Smith’s claim that his insurance
contract with Farm Bureau incorporated Arkansas Insurance Rule and Regulation 43
and certain requirements contained therein. Smith’s complaint did not adequately
plead a distinct second claim within the same count, so there is no sound basis to
reverse and remand.

      The majority summarily concludes that Smith pleaded a separate “common law
breach of contract theory.” For this proposition, the majority cites a portion of one
sentence in paragraph 37 of the complaint. Because the sentence includes the phrase

                                          -8-
“fair market value,” the majority declares that Smith adequately pleaded a common-
law theory that the district court failed to address.

       This reading of the complaint is unduly generous to Smith. Smith’s only
discernable theory of breach of contract is that Farm Bureau failed to comply with
requirements of Rule 43 (supposedly incorporated into the contract) that apply when
an insurer deviates from settling a claim based on “actual cash value.” The majority’s
quotation regarding fair market value comes from a sentence that discusses how Farm
Bureau allegedly departed from using “actual cash value.” R. Doc. 2, at 11 (¶ 37).
The complaint follows the cited sentence by alleging that Farm Bureau’s policy must
be construed consistent with Arkansas law and Rule 43, such that certain requirements
apply when the insurer deviates from actual cash value. Id. at 11-12 (¶ 38). Hence,
the complaint’s discernable theory: Farm Bureau deviated from providing actual cash
value because it failed to consider fair market value, and then failed to conform to
requirements of Rule 43 that allegedly applied when the insurer deviated from actual
cash value. It is little wonder that neither the defendant nor the district court thought
to identify in those paragraphs a separate and distinct common-law theory of liability.

      Smith’s complaint failed to give fair and adequate notice that he intended to
embed two separate theories of liability within a single count alleging breach of
contract. He and his lawyer had opportunity to amend the complaint to add a second
theory of liability, but declined to do so. In my view, declaring error by the district
court under these circumstances puts the blame for any misunderstanding on the
wrong actor.
                         ______________________________

                                          -9-