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Enger v. Allstate Insurance Co.

United States Court of Appeals, Ninth Circuit
Dec 28, 2010
407 F. App'x 191 (9th Cir. 2010)

Summary

affirming district court's dismissal for failure to complete appraisal process despite insured's allegation of improper valuation method

Summary of this case from Cuadros v. State Farm Fire & Cas. Co.

Opinion

No. 09-17785.

Argued and Submitted December 9, 2010.

Filed December 28, 2010.

Robert Buccola, Steven Campora, Dreyer Babich Buccola Callaham, LLP, Curtis Brooks Cutter, Kershaw, Cutter Ratinoff, LLP, Charity Kenyon, Kenyon Yeates LLP, Sacramento, CA, for Plaintiff-Appellant.

Mark Hanover, Kendra Kekelis Hartman, Sonnenschein Nath Rosenthal, LLP, Chicago, IL, Bonnie Lau, Esquire, Sonia Martin, SNR Denton U.S. LLP, San 1 Francisco, CA, for Defendants-Appellees.

Appeal from the United States District Court for the Eastern District of California, Garland E. Burrell, District Judge, Presiding. D.C. No. 2:09-cv-02618-GEBEFB.

Before: COWEN, TASHIMA, and SILVERMAN, Circuit Judges.

The Honorable Robert E. Cowen, Senior United States Circuit Judge for the Third Circuit, sitting by designation.


MEMORANDUM

This disposition is not appropriate for publication and is not precedent except as provided by 9th Cir. R. 36-3.

Plaintiff-Appellant Linda Enger appeals from the district court's dismissal of her action for failure to state a claim upon which relief can be granted. Fed.R.Civ.P. 12(b)(6). The primary issue on appeal is whether Enger must complete the appraisal process set forth in her homeowners' insurance policy before bringing suit. We have jurisdiction pursuant to 28 U.S.C. § 1291. We review de novo the district court's dismissal of a complaint for failure to state a claim and denial of leave to amend, accepting all factual allegations in the complaint as true and drawing all reasonable inferences in favor of the plaintiff. Oki Semiconductor Co. Wells Fargo Bank, 298 F.3d 768, 772 (9th Cir. 2002). We affirm.

Enger's claims are based on allegations that defendants-appellees Allstate Insurance Company and Allstate Property and Casualty Company (together "Allstate") improperly undervalued her damaged personal property. Despite Enger's attempts to characterize her suit as raising issues of statutory interpretation warranting declaratory relief, the resolution of this appeal depends on whether the insurance policy's appraisal provision applies to the parties' dispute. This is a straightforward question of contract interpretation. E.g., Laventhal v. Fidelity Cos. Co. of N.Y., 9 CaLApp. 275, 98 P. 1075, 1076 (1908) (stating that an insurance "policy is but a contract, and, like all other contracts, it must be construed from the language used"). "The rules governing policy interpretation require us to look first to the language of the contract in order to ascertain its plain meaning or the meaning a layperson would ordinarily attach to it." Waller v. Truck Ins. Exch., Inc., 11 Cal.4th 1, 44 Cal. Rptr.2d 370, 900 P.2d 619, 627 (1995). Where, as here, the language of the policy is "clear and explicit" and "does not involve an absurdity," it governs interpretation of the policy. Cal. Civ. Code § 1638.

Enger alleges that Allstate significantly undervalued her claim because it failed properly to calculate the "actual cash value" of the lost property, as that term is defined by Cal. Ins. Code § 2051. Among other things, she seeks additional payment to compensate her for her property loss. In the words of the insurance policy's appraisal provision (which is taken from the statutory standard form, Cal. Ins. Code § 2071(a)), she and Allstate have "fail[ed] to agree as to the actual cash value or the amount of loss." Allstate has requested an appraisal. This is sufficient to trigger the appraisal process to resolve the dispute as to the actual cash value of the lost property. Cal. Ins. Code § 2071(a); Gebers v. State Farm Gen. Ins. Co., 38 Cal.App.4th 1648, 45 Cal.Rptr.2d 725, 727 (1995) ("Since its substance was first enacted in 19Q9, Insurance Code section 2071 has directed that the standard form for fire insurance policies include an appraisal provision to settle disagreements concerning the amount of loss.").

By the plain language of the insurance policy, it is immaterial that Enger believes the cause of the disagreement concerning the actual cash value is Allstate's alleged use of an improper valuation method. The contract makes no exception where the source of the dispute is the valuation method used: so long as the parties "fail to agree as to the actual cash value or amount of loss," the appraisal remedy is triggered at the request of either party. Figi v. N.H. Ins. Co., 108 Cal.App.3d 772, 166 Cal.Rptr. 774, 777 (1980) (explaining that the state's standard fire insurance form includes an "appraisal clause which provides if the insured and the company disagree as to the actual cash value of a loss, then each shall select a `competent and disinterested' appraiser and the two selected appraisers then choose a third such appraiser"). Until an appraisal is completed, it is impossible to know whether Enger's claim in fact was undervalued, such that her claims for breach of contract, breach of the covenant of good faith and fair dealing, and Cal. Bus. Prof. Code § 17200 et seq., are viable. Furthermore, because "full compliance with the policy terms" is a contractual prerequisite to bringing suit, Enger first must submit to the appraisal. Her arguments that compliance with the appraisal provision is excused or that the provision should be disregarded because she seeks declaratory relief are unpersuasive. Accordingly, the judgment of the district court is

AFFIRMED.


Summaries of

Enger v. Allstate Insurance Co.

United States Court of Appeals, Ninth Circuit
Dec 28, 2010
407 F. App'x 191 (9th Cir. 2010)

affirming district court's dismissal for failure to complete appraisal process despite insured's allegation of improper valuation method

Summary of this case from Cuadros v. State Farm Fire & Cas. Co.

In Enger v. Allstate Insurance Co., 407 Fed.Appx. 191 (9th Cir. 2010), an unpublished decision from the Ninth Circuit, dismissal of the plaintiff's suit against her insurer was appropriate because the plaintiff failed to submit the claim to appraisal after her insurer invoked the provision.

Summary of this case from Dahl v. Am. Bankers Ins. Co. of Fla.

dismissing breach of contract claims "[u] ntil an appraisal is completed, it is impossible to know whether [Plaintiff's] claim in fact was undervalued, such that her claims for breach of contract . . . are viable. Furthermore, because 'full compliance with the policy terms' is a contractual prerequisite to bringing suit, [Plaintiff] first must submit to the appraisal."

Summary of this case from Walker v. Allstate Prop. & Cas. Ins. Co.

taking judicial notice of an insurance policy referenced in plaintiff's complaint

Summary of this case from Wishnev v. Nw. Mut. Life Ins. Co.

In Enger v. Allstate Ins. Co., No. 09-17785, 2010 WL 5423566, at *1 (9th Cir. Dec. 28, 2010), the Ninth Circuit interpreted an insurance policy containing an appraisal clause substantially similar to the policy in the present case.

Summary of this case from Redzepagic v. Csaa Gen. Ins. Co.

discussing the plaintiff's claims and finding the claims were "based on [factual] allegations that [Allstate] improperly undervalued her damaged personal property," "[d]espite [the plaintiff's] attempts to characterize her suit as raising issues of statutory interpretation warranting declaratory relief"

Summary of this case from Pivonka v. Allstate

discussing the plaintiff's claims and finding the claims were "based on [factual] allegations that [Allstate] improperly undervalued her damaged personal property," "[d]espite [the plaintiff's] attempts to characterize her suit as raising issues of statutory interpretation warranting declaratory relief"

Summary of this case from Pivonka v. Allstate Ins. Co.

In Enger v. Allstate Ins. Co. (9th Cir.2010) 407 Fed.Appx. 191, 193, the Ninth Circuit viewed the issue raised by the individual plaintiff as “a straightforward question of contract interpretation,” despite the plaintiff's “attempts to characterize her suit as raising issues of statutory interpretation warranting declaratory relief....” (Id. at pp. 192–193.)

Summary of this case from Alexander v. Farmers Insurance Co. Inc.

In Enger, the plaintiff alleged that Allstate improperly undervalued her damaged property because it failed properly to calculate actual cash value under section 2051.

Summary of this case from Alexander v. Farmers Insurance Co. Inc.
Case details for

Enger v. Allstate Insurance Co.

Case Details

Full title:Linda ENGER, Plaintiff-Appellant, v. ALLSTATE INSURANCE COMPANY, an…

Court:United States Court of Appeals, Ninth Circuit

Date published: Dec 28, 2010

Citations

407 F. App'x 191 (9th Cir. 2010)

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