State Farm Mut. Auto. Ins. Co. v. Merrill
State Farm Mut. Auto. Ins. Co. v. Merrill
Opinion of the Court
This insurance dispute arises out of a tragic car accident that occurred on Interstate 494 in December of 2016. Three family members died as a result of the accident. One of those family members was a minor, who the Court will call P.B. The Trustee for P.B.'s Estate, Defendant Phillip Merrill ("Merrill"), contends that Plaintiff State Farm Insurance Company ("State Farm") owes the Estate $100,000 in Underinsured Motorist Insurance ("UIM"). State Farm disagrees. Accordingly, State Farm filed a declaratory judgment action seeking a declaration from this Court that Merrill's UIM claim is barred by Minnesota's No-Fault Act. Merrill answered and filed counterclaims of breach of contract and unjust enrichment. State Farm now moves for judgment on the pleadings. It also moves to dismiss Merrill's breach of contract and unjust enrichment counterclaims under Fed. R. Civ. P. 12(b)(6).
After carefully reviewing the record and applicable case law, the Court grants State Farm's motions in full.
I. BACKGROUND
In describing the background of this case, the Court assumes as true the factual allegations in the complaint (and counterclaim) and construes all reasonable inferences from those facts in the light most favorable to the non-moving party. See Great Lakes Gas Transmission Ltd. P'ship v. Essar Steel Minnesota, LLC ,
A. The Parties and Their Insurance Coverage
Although this insurance dispute technically revolves around only two parties - the deceased minor P.B. (through his trustee Merrill) and State Farm - the Court also discusses P.B.'s mother (Dylan Bailey), P.B.'s grandmother (Dawn Chiodo), and the driver of the other vehicle involved in the accident (Patrick Hayes). These three persons, and their respective automobile insurance policies, are central to this litigation.
Dylan Bailey was the mother and sole legal guardian of P.B. (Answer & Countercl. [Doc. No. 29] ¶ 30-31.) Ms. Bailey was the "only named insured" under a State Farm auto policy covering her 2010 Toyota Prius, which was not involved in the accident. (Id. ¶ 48.) Although P.B. was insured as a "resident relative" under this policy, P.B. was not named anywhere on the policy. (Id. ¶¶ 48-50.) This policy carried UIM limits of $100,000 per person and $300,000 per accident. (Compl. [Doc. No. 1], Ex. 1 [Doc. No. 1-1] ("Bailey Policy") at 56.)
Dawn Chiodo was Dylan Bailey's mother and P.B.'s grandmother. (See Answer & Countercl. ¶ 32.) Ms. Chiodo and Ms. Bailey co-leased a residence in Bloomington, Minnesota, where P.B. also resided. (Id. ¶¶ 8, 33-34; Compl. ¶ 20; see also Answer & Countercl. Ex. A (Bailey & Chiodo Lease) at 1).)
Patrick Hayes was the owner and operator of the other vehicle involved in the collision. At the time of the accident, Mr. Hayes was insured under an automobile liability policy through State Farm with bodily injury limits of $100,000 per person and $300,000 per accident ("Hayes Policy"). (Compl. ¶ 18.)
B. Factual History
The salient facts of this case are generally undisputed. On December 2, 2016, Patrick Hayes drove his Chevrolet Malibu eastbound in the westbound lanes of Interstate 494 near Bloomington, Minnesota - "the wrong way and against traffic." (Compl. ¶¶ 15-16.) Dawn Chiodo, carrying a car full of friends and family, approached and then merged her Jeep Cherokee onto westbound I-494. As she did so, Mr. Hayes struck her vehicle "head-on." (Id. ¶ 16.) Tragically, Ms. Chiodo, Ms. Bailey, and P.B. died as a result of the collision. Jennifer and Olivia Nord, the two other passengers in Ms. Chiodo's Jeep, suffered serious injuries (collectively, "Claimants"). (Id. ¶ 17.)
Following the accident, State Farm notified Claimants that it would tender the *839Hayes Policy liability limit of $300,000 in exchange for the release of Mr. Hayes from all wrongful death and personal injury claims. (Id. ¶ 28.) By a Schmidt notice dated August 8, 2017, attorneys representing the trustees for the estates of Ms. Bailey and P.B. notified State Farm of an internal agreement amongst the Claimants regarding the allocation of the $300,000 Hayes Policy limit, as well as the $100,000 Chiodo Policy UIM limit. (Compl., Ex. 2 [Doc. No. 1-2] at 2, 4.)
Under the agreed-upon internal settlement, which the parties attached to the Schmidt notice, available funds would be distributed among the Claimants as follows:
Claimants State Farm Geico Chiodo Excess UIM Claimants' (decedents Hayes Policy Policy (Primary Coverage Expected italicized) UIM) Coverage Dawn Chiodo $87,500.00 $50,000.00 $0.00 $137,500.00 P.B. $37,500.00 $0.00 $100,000.00 $137,500.00 (Bailey State Farm Policy) Dylan Bailey $37,500.00 $0.00 $100,000.00 $137,500.00 (Bailey State Farm Policy) Jennifer Nord $37,500.00 $0.00 $100,000.00 $137,500.00 (personal policy) Olivia Nord $100,000.00 $50,000.00 $50,000.00 $200,000.00 (personal policy)
(Answer & Countercl., Ex. C [Doc. No. 29-1] ("Claim Settlement") at 31.)
By letter dated August 21, 2017, "State Farm, on behalf of Mr. Hayes, agreed to [the] Claimants' [ ] agreed-upon allocation of the [Hayes] Policy in exchange for a release of Mr. Hayes." (Compl. ¶ 30; Answer & Countercl. ¶ 16 (admitting this allegation).) On August 25, 2017, Merrill's counsel advised State Farm that he would only accept the $37,500 allocation under the Hayes Policy if State Farm tendered $100,000 under the Bailey Policy for Merrill's UIM claim. (Compl. ¶ 31.) State Farm declined this demand, contending that Merrill was not entitled to such UIM coverage. (Id. ¶ 32.)
*840As evident from this account, State Farm's denial of UIM coverage to Merrill under the Bailey Policy was not anticipated by the Claimants' internal settlement agreement. By letter dated December 13, 2017, counsel for Ms. Bailey's Estate joined Merrill's demand that State Farm provide UIM coverage to Merrill under the Bailey Policy, stating that "State Farm's position is holding up the proposed global settlement." (Compl., Ex. 3 at 3.) In response, State Farm maintained that its denial of UIM coverage was legally proper. (Compl. ¶ 34.)
Nonetheless, following these events, State Farm and Geico distributed the Hayes Policy and Chiodo Policy funds pursuant to the Claim Settlement. (See Answer & Countercl. ¶¶ 56-58.) Further, State Farm distributed excess UIM benefits to Ms. Bailey's Estate under the Bailey Policy. (See Hr'g Tr. at 23.) However, because State Farm did not believe Merrill was entitled to excess UIM coverage under the Bailey Policy, Merrill was left with only the $37,500 allocation from the Hayes Policy.
C. Procedural History
State Farm filed the instant declaratory action on February 14, 2018 to determine its rights, obligations, and liability under the Bailey Policy. (Compl. ¶¶ 34-35.) In its complaint, State Farm asserted diversity jurisdiction, and maintained that, according to the plain language of the Minnesota No-Fault Insurance Act, Minn. Stat. § 65B.49, subd. 3a(5), Merrill was not entitled to excess UIM coverage under the Bailey Policy. (Id. ¶¶ 9-10, 27.)
On April 17, 2018, Merrill answered and filed counterclaims of breach of contract and unjust enrichment. (Answer & Countercl. ¶¶ 24-26.) On May 21, State Farm moved for judgment on the pleadings on the UIM coverage issue. (Pl.'s Mem. in Supp. of its Mot. to Dismiss Countercl. & for J. on the Pleadings ("State Farm's Br.") [Doc. No. 45].) In the same motion, State Farm moved to dismiss Merrill's *841breach of contract and unjust enrichment counterclaims under Fed. R. Civ. P. 12(b)(6). (Id. ) On June 25, Merrill filed an opposition to State Farm's motion to dismiss, as well as its own request for judgment on the pleadings with respect to the UIM coverage issue. (See Def.'s Mem. in Opp'n & for J. on the Pleadings ("Merrill's Br.") [Doc. No. 53].) State Farm followed up with a reply brief on July 10 (see State Farm's Reply Br. [Doc. No. 54] ), and the Court entertained oral argument on July 23.
II. DISCUSSION
"Judgment on the pleadings is appropriate only where the moving party has clearly established that no material issue of fact remains and the moving party is entitled to judgment as a matter of law." Potthoff v. Morin ,
With respect to a motion to dismiss, a court may only dismiss a claim when the complaint (or counterclaim) does not "contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face." Gorog ,
The Court first addresses whether Merrill is entitled to excess UIM benefits under the Bailey Policy. The Court then considers State Farm's motion to dismiss Merrill's breach of contract and unjust enrichment counterclaims.
A. Whether Merrill is Entitled to Excess UIM Benefits
1. Legal Standard
This motion turns on Minnesota's No-Fault Act, and on Minnesota case law interpreting that statute. See State Farm Fire & Cas. Co. v. Ewing ,
2. The Minnesota No-Fault Act
Minnesota's No-Fault Act mandates that automobile policies provide minimum UIM coverage limits. See *842Minn. Stat. § 65B.49, subd. 3a(1). UIM covers those "who are legally entitled to recover damages for bodily injury from owners or operators of underinsured motor vehicles."
The Minnesota No-Fault Act also "provides a framework for determining the source of coverage for UIM claims." West Bend Mut. Ins. Co. v. Allstate Ins. Co. ,
[i]f at the time of the accident the injured person is occupying a motor vehicle, the limit of liability for uninsured and underinsured motorist coverages available to the injured person is the limit specified for that motor vehicle.
However, if the injured person is occupying a motor vehicle of which the injured person is not an insured , the injured person may be entitled to excess insurance protection afforded by a policy in which the injured party is otherwise insured.
Minn. Stat. § 65B.49, subd. 3a(5) (emphasis added).
For "primary" UIM coverage, the statute "require[s] the injured occupant to look first and exclusively to the policy limits on the occupied vehicle." Id. at 699 (citing Vue v. State Farm Ins. Co. ,
However, "if the injured person is not an insured of the occupied motor vehicle, the injured person may then be entitled to seek excess insurance protection through another automobile insurance policy in which the injured person is insured." Becker v. State Farm. Mut. Auto Ins. Co. ,
Under the No-Fault Act, "insured" means "the named insured" and a "(1) spouse, (2) other relative of a named insured, or (3) a minor in the custody of a *843named insured or of a relative residing in the same household with a named insured," who is "(a) residing in the same household with the named insured and (b) not identified by name in any other" auto insurance policy. Minn. Stat. § 65B.43, subd. 5.
It is not disputed that, "at the time of the accident," P.B. was "occupying" Ms. Chiodo's Jeep Cherokee, for which Ms. Chiodo carried an automobile insurance policy with UIM limits of $50,000 per person and $100,000 per accident. Further, it is not disputed that, because P.B. resided with Ms. Chiodo (his grandmother) and Ms. Bailey (his custodial parent), and because P.B. was not "identified by name in any other" auto insurance policy, P.B. was statutorily "insured" under the Chiodo Policy.
3. Analysis
Here, State Farm argues that Merrill's claim begins and ends with the plain language of the No-Fault Act. State Farm maintains that, where an injured occupant falls within the Act's definition of "insured," their UIM coverage is "statutorily tied to the amount of coverage specified for the occupied motor vehicle." (State Farm's Br. at 10.) Thus, because P.B. is an "insured" of the Chiodo Policy under the Act, and because that was the vehicle involved in the accident, State Farm contends that Merrill may not look beyond the Chiodo Policy for excess UIM benefits. (Id. )
In the face of State Farm's straightforward statutory argument, Merrill argues that (1) P.B. is entitled to excess UIM coverage under the Bailey Policy because he was in the "legal custody" of Ms. Bailey, and (2) the policy goals articulated in the Minnesota Supreme Court decision Carlson v. Allstate Ins. Co. ,
Although the Court is sympathetic to Merrill's predicament, neither of his arguments trump the No-Fault Act's clear language, which this Court is dutybound to follow. See Sleiter ,
Merrill's first argument appears to be based on a misunderstanding. That is, that P.B.'s "insured" status under the Bailey Policy has any bearing on whether P.B. is entitled to UIM benefits beyond those offered in the Chiodo Policy. It does not. State Farm does not dispute that P.B. is insured under the Bailey Policy as Ms. Bailey's "minor in custody." (See State Farm's Reply Br. at 4-5.) Rather, State Farm notes, because "[i]t is undisputed P.B. was [also] an insured under Chiodo's policy," as a resident relative not identified by name on any other insurance policy, P.B.'s UIM coverage is limited to that policy, regardless of his "insured" status under the Bailey Policy. (Id. at 5.)
The one case Merrill relies on in support of this first argument, Jirik ex rel. Jirik v. Auto-Owners Ins. Co. ,
As such, although the Appeals Court discussed custodial status, it did so only to establish that the minor satisfied the statutory definition of "insured" for her mother's vehicle, i.e. , the source of primary coverage. If anything, Jirik reinforces State Farm's argument that an injured person (including a minor) may not seek excess UIM coverage when they meet the statutory definition of "insured" for the occupied vehicle, even if that result curtails the injured person's access to needed coverage. To do otherwise, the Jirik panel noted, would "invite" courts "to ignore or to torture the language of" the No-Fault Act. Jirik ,
Merrill's second argument centers around the Minnesota Supreme Court's Carlson decision. See
Although this argument is quite sensible at first blush, it, unfortunately, clashes with the No-Fault Act's plain text and the relevant precedent. Cf. Jirik ,
Under the unique circumstances of this case, Merrill's only source for UIM coverage was the Chiodo Policy. That the policy's proceeds have already been distributed is, regrettably, of no moment. State Farm's Motion for Judgment on the Pleadings is accordingly granted.
B. Merrill's Counterclaims
In its Answer, Merrill also asserted counterclaims for breach of contract and unjust enrichment. (See Answer & Countercl. ¶¶ 4-25.) Because Merrill fails to state a plausible claim under either cause of action, the Court will also grant State Farm's motion to dismiss both counterclaims.
1. Breach of Contract
To prevail on a claim for breach of contract, a party must prove the following elements: (1) formation of a contract; (2) performance by plaintiff of conditions precedent; and (3) breach of the contract by defendant. See Lyon Fin. Serv., Inc. v. Ill. Paper and Copier Co. ,
Most importantly, Merrill fails to allege facts showing that he and State Farm ever entered into a contract for $100,000 in UIM benefits. Merrill simply alleges that State Farm "considered the terms of the [Claim] Settlement," attached to the aforementioned August 8, 2017 letter, "as binding." (Answer & Countercl. ¶ 57.) State Farm, however, was plainly not a party to the Claim Settlement. The Claim Settlement is only signed by the Claimants' attorneys, and the letter accompanying the signed settlement is merely a Schmidt notice. (See Answer & Countercl., Ex. C at 35-36.)
Moreover, even if this letter did somehow constitute an offer on the issue of excess UIM benefits under the Bailey Policy, Merrill never alleges facts suggesting that State Farm accepted that offer. Rather, the facts alleged demonstrate that State Farm repeatedly declined to make any promises about excess UIM benefits under the Bailey Policy, even as it agreed to the Claimants' allocation with respect to the Hayes Policy. (See, e.g. , Answer & Countercl. ¶¶ 64-67 (only alleging that, on August 8, "State Farm employees informed Merrill's attorney they were unable to discuss the [UIM] until the liability claims against Mr. Hayes were settled") (emphasis added); supra at n.5.) Thus, absent a plausible allegation of a contract, Merrill's breach claim must be dismissed. See, e.g., Minneapolis Cablesystems v. City of Minneapolis ,
Merrill also attempts to characterize State Farm's response to the Claim Settlement as creating a contract implied-in-fact. (See Merrill's Br. at 12.) A contract may be implied in fact where the "circumstances ... clearly and unequivocally indicate the intention of the parties to enter into a contract." Webb Bus. Promotions, Inc. v. Am. Elec. & Entm't Corp. ,
Again, even viewing the Counterclaim in the manner most favorable to Merrill, he does not allege that State Farm's conduct evinced a "clear and unequivocal" intent to provide Merrill excess UIM benefits from the Bailey Policy. Webb Bus. Promotions ,
2. Unjust Enrichment
"In Minnesota, to state a claim for unjust enrichment, 'the claimant must show that the defendant has knowingly received or obtained something of value for which the defendant in equity and good conscience should pay.' " Luckey v. Alside, Inc. ,
Here, Merrill claims that State Farm "led [him] to believe there was [UIM] coverage available, thereby, inducing [him] to accept the pro rata bodily injury settlement from State Farm on behalf of their negligent driver, [Mr.] Hayes." (Merrill's Br. at 10.) This is so, Merrill argues, because State Farm allegedly "failed to raise any issue regarding lack of [UIM] coverage for more than three months after State Farm received notice of the potential settlement." (Id. at 11.) As such, Merrill concludes, State Farm has been unjustly enriched by its retention of the $100,000 in UIM coverage that, in his view, should have gone to P.B.'s Estate. (Id. )
The Court agrees that, after it received notice of the Claim Settlement on August 8, State Farm should have more quickly reached a decision about Merrill's excess UIM claim, and then advised Merrill's counsel of that decision. This would have better informed the Claimants' internal settlement discussions. However, failure to exhibit best business practices does not amount to unjust enrichment. Simply put, Merrill cannot state a claim for unjust enrichment because he does not allege that State Farm retained the $100,000 in UIM benefits "in a manner that is illegal or unlawful." Caldas ,
For these reasons, State Farm's motion to dismiss is granted in full.
III. CONCLUSION
Based on the submissions and the entire file and proceedings herein, IT IS HEREBY ORDERED that State Farm's Motion for Judgment on the Pleadings and to Dismiss Merrill's Counterclaims [Doc. No. 43] is GRANTED .
LET JUDGMENT BE ENTERED ACCORDINGLY.
And, as explained in footnote five below, even if the Court did consider Merrill's affidavit, it would not change the outcome of this case.
To the extent there was any confusion on this issue, at the July 23 motion hearing Merrill's counsel clarified that, prior to the crash, "P.B. lived in the home with [his] mother [Ms. Bailey] and P.B.'s grandmother [Ms. Chiodo]." (July 23, 2018 Hr'g Tr. at 14.)
As explained later in this decision, a Schmidt notice provides notice of a tentative settlement to an underinsurer, which then enables the underinsurer to protect its subrogation rights against a tortfeasor. See Schmidt v. Clothier ,
A table similar to the one displayed here was included in a letter sent to State Farm by attorneys for the Estate of Dylan Bailey on December 13, 2017. (Compl., Ex. 3 [Doc. No. 1-3] at 7.) The bold lettering indicates the disputed UIM coverage at issue in this motion.
The exact time and manner of State Farm's denial of UIM coverage to Merrill under the Bailey Policy is a point of contention between the parties. (Compare Compl. ¶ 32 (not stating when this denial occurred) with Answer & Countercl. ¶¶ 67-69 (stating that this denial first occurred on November 14, 2017, following numerous "unreturned voice mails").) The affidavit submitted by Merrill's counsel in opposition to State Farm's motion for judgment on the pleadings, which the Court may not consider in ruling on this motion, provides further detail on this point. (See Affidavit of Jonathan J. Fischer ("Fischer Affidavit") [Doc. No. 53-1].)
However, this factual dispute does not bear on the threshold legal question of whether Merrill is even entitled to UIM benefits under the Bailey policy. To the extent this factual dispute bears on the equities of State Farm's conduct, the Court notes that Merrill never alleges that, in agreeing to the Claimants' proposed allocation of the Hayes Policy in return for a liability release, State Farm ever affirmatively promised or suggested that it would pay P.B.'s UIM claim from the Bailey Policy as part of that release. To the contrary, Merrill's affidavit shows that State Farm, while perhaps dilatory in its responses, repeatedly declined to make any promises about excess UIM benefits. (See Fischer Affidavit ¶¶ 4-15.)
State Farm also paid Merrill $20,000 in "no-fault" benefits under the Bailey Policy, for hospital treatment P.B. received after the crash. (See Answer & Countercl. ¶ 52, Ex. B.) Although Merrill implies that this payment has some bearing on the excess UIM question before the Court, it does not. UIM coverage and no-fault coverage are separate and distinct coverages with different statutory schemes. Compare Minn. Stat. § 65B.47 (no-fault) with Minn. Stat. § 65B.49 (UIM).
Although State Farm initially named all five Claimants as defendants, as well as Mr. Hayes, by May 30, 2018 State Farm had voluntarily dismissed every defendant except Merrill. (See Apr. 9, 2018 Order [Doc. No. 27] (Jennifer and Olivia Nord); Apr. 20, 2018 Order [Doc. No. 32] (Trustee for Dylan Bailey's Estate); May 8, 2018 Order [Doc. No. 38] (Trustee for Dawn Chiodo's Estate); May 30, 2018 Order [Doc. No. 52] (Patrick Hayes).)
In addition, assuming excess coverage is available, that coverage is limited "to the extent of covered damages sustained." Minn. Stat. § 65B.49, subd. 3a(5). Further, excess coverage "is available only to the extent" that the injured person's personal UIM policy limit "exceeds the limit of liability of the coverage available to the person from the occupied motor vehicle."
By contrast, as a named insured of the Bailey Policy, P.B.'s mother, Ms. Bailey, was not statutorily "insured" under the Chiodo Policy. State Farm accordingly provided her "excess" UIM coverage from her own policy, beyond that available from the Chiodo Policy. (See Hr'g Tr. at 23 (clarifying this distinction).)
Specifically, the pedestrian cited a phrase from Section 65B.49, subd. 3a(5) not at issue here - that "[i]f at the time of the accident the injured person is not occupying a motor vehicle or motorcycle, the injured person is entitled to select any one limit of liability for any one vehicle afforded by a policy under which the injured person is insured " - and suggested that this implied definition of "insured" precluded the policy's "narrow definition of insured."
As noted above, a Schmidt notice provides notice of a tentative settlement to an underinsurer, which then enables the underinsurer to protect its subrogation rights against a tortfeasor. See Schmidt v. Clothier ,
Reference
- Full Case Name
- STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. Phillip J. MERRILL, TRUSTEE FOR the Heirs and Next-of-Kin of P.B., a Minor, and Phillip J. Merrill, Trustee for the Heirs and Next-of-Kin of P.B., a Minor, Counterclaim v. State Farm Mutual Automobile Insurance Company, Counterclaim
- Cited By
- 8 cases
- Status
- Published