AI Case Brief
Generate an AI-powered case brief with:
đKey Facts
âď¸Legal Issues
đCourt Holding
đĄReasoning
đŻSignificance
Estimated cost: $0.10â$0.50 per brief, depending on opinion length and retries
Full Opinion
IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TENNESSEE WESTERN DIVISION JESSICA CLIPPINGER, on behalf of herself ) and all others similarly situated, ) ) Plaintiff, ) ) No. 2:20-cv-02482-TLP-cgc v. ) ) JURY DEMAND STATE FARM MUTUAL AUTOMOBILE ) INSURANCE CO. and AUDATEX NORTH ) AMERICA, INC., d/b/a AUDAEXPLORE, a ) Delaware Corporation, ) ) Defendants. ) ORDER DENYING DEFENDANT STATE FARM MUTUAL AUTOMOBILE INSURANCE CO.âS MOTION FOR SUMMARY JUDGMENT AND GRANTING MOTION TO COMPEL APPRAISAL AND STAY Defendant State Farm Mutual Automobile Insurance Co. moves for summary judgment on all Plaintiff Jessica Clippingerâs claims. (ECF No. 68.) In the alternative, Defendant asks that the Court compel appraisal and stay this action. (Id.) Plaintiff responded in opposition (ECF No. 93), and Defendant replied. (ECF No. 95.) For the reasons below, the Court DENIES Defendantâs motion for summary judgment and GRANTS the motion to compel appraisal and stay. BACKGROUND I. Undisputed Facts The parties exchanged statements of undisputed facts and responses. (ECF Nos. 68-1 & 91, 96.) And so, these facts, taken from those filings are undisputed unless otherwise stated. A. Factual Background and Plaintiffâs Allegations Plaintiff has a contract with Defendant for automobile insurance. (ECF Nos. 68-1 at PageID 665; 91 at PageID 1063.) Plaintiff had a car accident in May 2019 and submitted an insurance claim to Defendant. (ECF Nos. 68-1 at PageID 665; 91 at PageID 1063â64.) Defendant then found Plaintiffâs insured vehicle, a 2017 Dodge Grand Caravan, a âtotal loss.â (Id.) Defendant sent Plaintiff a total loss valuation of her vehicle. (ECF Nos. 68-1 at PageID 666; 91 at PageID 1064.) And Defendant based that valuation on âa valuation report obtained from Audatex using the AMDV [Autosource Market-Driven Valuation] software program.â (Id.) In that valuation report, Audatex listed the values of four vehicles comparable to the loss vehicle. (ECF Nos. 68-1 at PageID 667; 91 at PageID 1065â66.) But Audatex deducted from the value of each vehicle a percentage representing the cost of âtypical negotiation.â (Id.) And so Defendant reduced the value of each of the base values of the comparable vehicles by 5%1. (ECF No. 91 at PageID 1066.) What is more, Defendant failed to itemize or explain the reasoning for this deduction. (ECF Nos. 68-1 at PageID 667; 91 at PageID 1065â66.) Plaintiffâs class action complaint alleges that Defendant improperly calculated the actual cash value of its insuredsâ total loss vehicles. (ECF No. 1-1 at PageID 13.) She claims that the contract requires Defendant to cover the total loss of her vehicle, and that Defendant can do so 1 Although Plaintiff alleged in her complaint that Defendant applied an 8.5% downward adjustment to the comparable vehicles, Plaintiffâs discovery responses reflect that Defendant applied at 5% downward adjustment instead. (ECF No. 91 at PageID 1066; see also ECF No. 68-4 at PageID 716.) either by replacing it or giving Plaintiff the âactual cash valueâ2 of the loss vehicle. (ECF Nos. 68-1 at PageID 666â67; 91 at PageID 1065.) By applying this negotiation reduction, Plaintiff alleges that Defendant violates its insurance contracts and Tennessee law by paying its insureds less than the actual cash value of their loss vehicles. Plaintiff thus sues Defendant for breach of contract, breach of the covenant of good faith and fair dealing, and for a declaratory judgment that Defendantâs actions breached its insurance contracts and violated Tennessee law. (ECF Nos. 68-1 at PageID 667; 91 at PageID 1066.) B. The Appraisal Provision In response, Defendant argues that Plaintiffâs insurance policy (Policy Form 9842A (the âPolicyâ)) contains a mandatory appraisal provision. Under that provision, (1) The owner of the covered vehicle and we3 must agree upon the actual cash value of the covered vehicle. If there is disagreement as to the actual cash value of the covered vehicle, then the disagreement will be resolved by appraisal upon written request of the owner or us, using the following procedures: (a) The owner and we will each select a competent appraiser. (b) The two appraisers will select a third competent appraiser. If they are unable to agree on a third appraiser within 30 days, then either the owner or we may petition a court that has jurisdiction to select the third appraiser. (c) Each party will pay the cost of its own appraiser, attorneys, and expert witnesses, as well as any other expenses incurred by that party. Both parties will share equally the cost of the third appraiser. (d) The appraisers shall only determine the actual cash value of the covered vehicle. Appraisers shall have no authority to decide any other questions of fact, decide any questions of law, or conduct appraisal on a class-wide or class representative basis. (e) A written appraisal that is both agreed upon by and signed by any two appraisers, and that also contains an explanation of how they arrived at their appraisal, will be binding on the owner of the covered vehicle and us. 2 The Policy does not define âactual cash value.â (See ECF No. 68-5.) It does say, however, that the â[a]ctual cash value is determined by the market value, age and condition at the time the loss occurred. Any deductible amount that applies is then subtracted.â (Id. at PageID 736.) 3 âWeâ refers to Defendant. (f) We do not waive any of our rights by submitting to an appraisal. (ECF No. 68-5 at PageID 757â58.) The Policy also states that â[l]egal action may not be brought against [Defendant] until there has been full compliance with all the provisions of this policy.â (Id. at PageID 767.) After Plaintiff sued Defendant, Defendant requested appraisal in writing. (ECF Nos. 68- 1 at PageID 669; 91 at PageID 1069.) But Plaintiff refused to participate. (Id.) Because of this refusal, Defendant now moves for summary judgment. II. Defendantâs Motion for Summary Judgment or, in the Alternative, to Compel Appraisal Defendant now argues that there is no genuine issue of material fact about whether Plaintiff received the Policy and then refused to participate in appraisal after Defendant invoked that provision. (ECF No. 68-2 at PageID 673.) Defendant also contends that the appraisal provision is mandatory under the Policy. (Id. at PageID 684.) So because Plaintiff refused appraisal, Defendant claims that Plaintiff (1) lacks standing, (2) cannot establish an injury or damages, and (3) failed to satisfy a condition precedent to suit. (Id.) Plaintiff counters that she has standing because she has proof that Defendant undervalued her car by applying the negotiation adjustment. (ECF No. 93 at PageID 1160â64.) She argues that she need not complete appraisal to have standing and that appraisal is not a condition precedent to suit. (Id. at PageID 1164â68.) And finally, Plaintiff claims that the appraisal provision is unenforceable because it is unconscionable, lacks mutuality of obligation, and because Defendant waived its right to enforce it. (Id. at PageID 1168â73.) Next the Court will discuss the legal standards for summary judgment. LEGAL STANDARDS A party is entitled to summary judgment âif the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.â Fed. R. Civ. P. 56(a). âA fact is âmaterialâ for purposes of summary judgment if proof of that fact would establish or refute an essential element of the cause of action or defense.â Bruederle v. Louisville Metro Govât, 687 F.3d 771, 776 (6th Cir. 2012) (citing Kendall v. Hoover Co., 751 F.2d 171, 174 (6th Cir. 1984)). âIn considering a motion for summary judgment, [the] court construes all reasonable inferences in favor of the nonmoving party.â Robertson v. Lucas, 753 F.3d 606, 614 (6th Cir. 2014) (citing Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986)). And â[t]he moving party bears the initial burden of demonstrating the absence of any genuine issue of material fact.â Mosholder v. Barnhardt, 679 F.3d 443, 448 (6th Cir. 2012) (citing Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986)). âOnce the moving party satisfies its initial burden, the burden shifts to the nonmoving party to set forth specific facts showing a triable issue of material fact.â Id. at 448â49; Matsushita, 475 U.S. at 587. This means that, if âthe non-moving party fails to make a sufficient showing of an essential element of his case on which he bears the burden of proof, the moving parties are entitled to judgment as a matter of law and summary judgment is proper.â Martinez v. Cracker Barrel Old Country Store, Inc., 703 F.3d 911, 914 (6th Cir. 2013) (quoting Chapman v. United Auto Workers Loc. 1005, 670 F.3d 677, 680 (6th Cir. 2012) (en banc)); see also Kalich v. AT&T Mobility, LLC, 679 F.3d 464, 469 (6th Cir. 2012). What is more, âto show that a fact is, or is not, genuinely disputed, both parties are required to either cite to particular parts of materials in the record or show that the materials cited do not establish the absence or presence of a genuine dispute, or that an adverse party cannot produce admissible evidence to support the fact.â Bruederle, 687 F.3d at 776 (internal quotations and citations omitted); see also Mosholder, 679 F.3d at 448 (âTo support its motion, the moving party may show âthat there is an absence of evidence to support the nonmoving partyâs case.ââ (quoting Celotex, 477 U.S. at 325)). But â[c]redibility determinations, the weighing of the evidence, and the drawing of legitimate inferences from the facts are jury functions, not those of a judge[.]â Martinez, 703 F.3d at 914 (alteration in original) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255 (1986)). And so, â[t]he court need consider only the cited materials, but it may consider other materials in the record.â Fed. R. Civ. P. 56(c)(3). In the end, the âquestion is whether âthe evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law.ââ Johnson v. Memphis Light Gas & Water Div., 777 F.3d 838, 843 (6th Cir. 2015) (quoting Liberty Lobby, 477 U.S. at 251â52). â[A] mere âscintillaâ of evidence in support of the non-moving partyâs position is insufficient to defeat summary judgment; rather, the non-moving party must present evidence upon which a reasonable jury could find in her favor.â Tingle v. Arbors at Hilliard, 692 F.3d 523, 529 (6th Cir. 2012) (quoting Liberty Lobby, 477 U.S. at 251). And statements in affidavits that are ânothing more than rumors, conclusory allegations and subjective beliefsâ are insufficient evidence. Mitchell v. Toledo Hosp., 964 F.2d 577, 584â85 (6th Cir. 1992). Now the Court turns to analyze the claims under this standard. ANALYSIS Because the dispute here relates to a contract for insurance, the Court applies Tennessee law. Federal courts with jurisdiction under 28 U.S.C. § 1332 âmust apply the law of the forum state, Tennessee, in interpreting the partiesâ contract and its provisions.â Glob. Aerospace, Inc. v. Phillips & Jordan, Inc., No. 3:15-CV-105-PLR-CCS, 2015 WL 5514627, at *2 (E.D. Tenn. Sept. 17, 2015); see also Hall v. State Farm Mut. Auto. Ins. Co., 215 F. Appâx 423, 428 (6th Cir. 2007) (applying law of the state where the court with CAFA jurisdiction is sitting). What is more, the Policy has a choice of law provision explaining that Tennessee law controls âthe interpretation and application of any provision of this policy.â (ECF No. 68-5 at PageID 767.) So the Court applies Tennessee law to the questions about the partiesâ insurance contract. I. Plaintiff Received the Policy Defendant argues that there is no genuine issue of material fact about whether Plaintiff received the Policy. (ECF No. 68-2 at PageID 682.) Indeed, Plaintiff no longer disputes that she had Policy Form 9842A. (See generally ECF No. 93.) In any event, the Court finds that there is no issue of fact about whether Plaintiff received the Policy. A. Legal Standard âTennesseeâs courts recognize the rebuttable presumption that a letter that has been properly mailed has been delivered to and received by the addressee.â Bd. of Pro. Resp. v. Curry, 266 S.W.3d 379, 389 (Tenn. 2008); Auto Credit of Nashville v. Wimmer, 231 S.W.3d 896, 901 (Tenn. 2007) (âUnder Tennessee law, there is a rebuttable presumption that mail was received upon proof that the letter was properly addressed, properly stamped, and duly deposited with the post office.â (internal quotations omitted)). â[T]he addressee must present credible evidence of non-receiptâ to overcome the presumption. Curry, 266 S.W.3d at 389. Only then does receipt become an issue of fact for the court to decide. Id. B. There Is a Presumption that Plaintiff Received the Policy The Court finds that the presumption the Plaintiff received the Policy applies here. Defendant has proof that Plaintiff received the Policy and Plaintiff presents no evidence to the contrary. For the presumption to apply, Defendant must show that the letter was (1) properly addressed, (2) properly stamped, and (3) given to the post office. Wimmer, 231 S.W.3d at 901. Defendant makes such a showing. State Farmâs Certified Policy Record reveals that Plaintiff had policy number 226 4910-B27-42F. (ECF Nos. 68-1 at PageID 667â68; 91 at PageID 1067.) And that she received a Declarations page from Defendant, which explained that her policy consisted of the Declarations page, Policy Form 9842A, and any applicable endorsements. (Id.) The parties do not dispute that Defendantâs Systems Processing unit produced an Auto Policy Declarations Page Notice (the âNoticeâ) for Plaintiff in March 2012, and that the Notice included Policy Form 9842A. (ECF Nos. 68-1 at PageID 670; 91 at PageID 1070â71.) Nor do they dispute that Defendant gave the Notice to Pitney Bowes Presort Services (âPBPSâ) for presorting and that PBPS then gave the Notice to the United States Postal Services (âUSPSâ) for mail acceptance. (ECF Nos. 68-1 at PageID 670; 91 at PageID 1071â72.) Defendant supports these undisputed facts with declarations showing that its employees placed Plaintiffâs Notice into an envelope addressed to one of her former legal addresses. (See ECF Nos. 68-7 & 69.) First Defendant submits a declaration from the General Manager of PBPS, Kymarra Nwabuoku. (ECF No. 68-7.) Nwabuoku explains that PBPS is a presort service that collects Defendantâs mail, transports it to PBPSâs facility, and presorts the mail based on zip code. (Id. at PageID 780.) After sorting the mail, âthe mail is staged for verification by a USPS clerk, who is on site,â and then USPS collects the mail directly from PBPSâs facility. (Id. at PageID 781.) Next Defendant presents a declaration from Lynn Vanderford, a Printing Inserting and Mailing (âPIMâ) Supervisor at Defendantâs Insurance Support Center. (ECF No. 69.) The PIM Center prints, inserts, and prepares customer notices for mailing, including policy issuances. (Id. at PageID 790.) Vanderford explains that the PIM Center produced an Auto Policy Declaration Page Notice for Plaintiff on March 7, 2021. (Id. at PageID 791.) Defendant addressed the Notice to Plaintiff at 10222 Green Moss Dr. N, Cordova, Tennessee, 38018.4 (Id. at PageID 794.) The PIM Center released this notice to PBPS for mail presorting, and a mailroom summary report âdocuments that all 2,276 notices prepared by Systems Processing for assembly and mailing were completed.â (ECF Nos. 68-2 at PageID 680; 69 at PageID 797â99.) In sum, Defendant presents evidence that it properly addressed and mailed Plaintiffâs insurance policy. Plaintiff does not rebut this evidence with any proof. (See generally ECF Nos. 91, 92, & 93.) Even though Plaintiff swore in a declaration that she did ânot recall being provided a copy of the full policy bookletâ (ECF No. 33-1 at PageID 298), that declaration is not enough to create a genuine dispute here. See Boykin v. Fam. Dollar Stores of Mich., LLC, No. 20-1153, 2021 WL 2708859, at *5â6 (6th Cir. 2021); Classy Lady, Inc. v. Nationwide Mut. Ins. Co., No. 3:1-CV-739-PLR-CCS, 2014 WL 6605821, at *3 (E.D. Tenn. Nov. 19, 2014) (finding that testimony that person had no recollection of receiving a letter is not enough to create a genuine dispute of material fact). So Plaintiff fails to present credible evidence of non-receipt. 4 Plaintiff does not dispute that this address is one of her prior addresses. (ECF No. 91 at PageID 1071.) In the end, the Court finds that there is no genuine issue of material fact about the form of Plaintiffâs insurance policy and that she received a copy of that policy. See Curry, 266 S.W.3d at 389; Wimmer, 231 S.W.3d at 901. With this in mind, the Court considers now whether the Policyâs appraisal provision is valid and enforceable. The Court finds that it is. II. The Appraisal Provision Is Valid Under the appraisal provision, if the parties disagree about the actual cash value of the covered vehicle, the disagreement âwill be resolved by appraisal upon written requestâ of either party. (ECF No. 68-5 at PageID 757.) Defendant argues that this appraisal provision is mandatory, that once Defendant invoked appraisal, âPlaintiff is required under the Policy to participate in that process.â (ECF No. 68-2 at PageID 684.) On the other hand, Plaintiff argues that the Policyâs appraisal provision is unenforceable because it is unconscionable, lacks mutuality of obligation, and because Defendant waived its right to enforce appraisal. (ECF No. 93 at PageID 1168â73.) For the reasons below, the Court finds that the appraisal provision is enforceable. That said, appraisal is not a condition precedent to suit. A. The Appraisal Provision Is Not Unconscionable i. Legal Standards For starters, â[u]nder Tennessee law, an appraisal provision in an insurance policy is valid.â5 Bardâs Apparel Mfg., Inc. v. Bituminous Fire & Marine Ins. Co., 849 F.2d 245, 249 (6th 5 âAppraisal is the act of estimating or evaluating something; it usually means the placing of value on property by some authorized person.â Merrimack Mut. Fire Ins. Co. v. Batts, 59 S.W.3d 142, 149 (Tenn. Ct. App. 2001). âSpecifically, the object of appraisal in cases of casualty insurance is to quantify the monetary value of a property loss . . . not to decide questions of liability.â Id. Cir. 1988). âInsurance contracts are subject to the same rules of construction and enforcement as apply to contracts generally,â and courts should construe insurance policies as âa whole in a reasonable and logical manner.â McKimm v. Bell, 790 S.W.2d 526, 527 (Tenn. 1990); Travelers Indem. Co. of Am. v. Moore & Assoc., Inc., 216 S.W.3d 302, 305â06 (Tenn. 2007). âThere are two types of unconscionability: procedural and substantive.â Mitchell v. Kindred Healthcare Operating, Inc., 349 S.W.3d 492, 499 (Tenn. Ct. App. 2008); Wofford v. M.J. Edwards & Sons Funeral Home Inc., 490 S.W.3d 800, 818 (Tenn. Ct. App. 2015). A contract is procedurally unconscionable when there is âa lack of meaningful choice on the part of one party.â Mitchell, 349 S.W.3d at 499 (quoting Trinity Indus., Inc. v. McKinnon Bridge Co., Inc., 77 S.W.3d 159, 170 (Tenn. Ct. App. 2001) abrogated on other grounds by Bowen ex rel. Doe v. Arnold, 502 S.W.3d 102, 115â16 (Tenn. 2016)). Substantive unconscionability occurs when the contractâs terms are âunreasonably harshâ or âunreasonably favorable to the other party.â Id.; Wofford, 490 S.W.3d at 818. In short, a contract is unconscionable under Tennessee law if the âinequality of the bargain is so manifest as to shock the judgment of a person of common sense, and where the terms are so oppressive that no reasonable person would make them on the one hand, and no honest and fair person would accept them on the other.â Seawright v. Am. Gen. Fin. Servs., Inc., 507 F.3d 967, 977 (6th Cir. 2007) (quoting Haun v. King, 690 S.W.2d 869, 872 (Tenn. Ct. App. 1984)). Courts should examine the contractâs ââsetting, purpose, and effect,â and analyze[] other factors such as âweaknesses in the contracting process like those involved in more specific rules as to contractual capacity, fraud, and other invalidating causes.ââ Mitchell, 349 S.W.3d at 499 (quoting Taylor v. Butler, 142 S.W.3d 277, 285 (Tenn. 2004)). In the context of arbitration or appraisal, another relevant factor is whether the contract provision is too expensive. See Stokes v. Allenbrooke Nursing & Rehab. Ctr., LLC, No. W2019-01983-COA-R3-CV, 2020 WL 5536704, at *3 (Tenn. Ct. App. Sept. 15, 2020); Hill v. NHC Healthcare/Nashville, LLC, No. M2005-01818-COA-R3-CV, 2008 WL 1901198, at *16 (Tenn. Ct. App. Apr. 30, 2008). What is more, â[c]ourts are more likely to find that contracts of adhesion are unconscionable.â Mitchell, 349 S.W.3d at 499. A contract of adhesion is âa standardized contract form offered to consumers of goods and services on essentially a âtake it or leave itâ basis, without affording the consumer a realistic opportunity to bargain and under such conditions that the consumer cannot obtain the desired product or service except by acquiescing to the form of the contract.â Buraczynski v. Eyring, 919 S.W.2d 314, 320 (Tenn. 1996) (quoting Blackâs Law Dictionary 40 (6th ed. 1990)). So if a movant tries to enforce a contract of adhesion, the movant must prove that the parties bargained over the disputed provision or that it was a reasonable term. Mitchell, 349 S.W.3d at 499. ii. Appraisal Is Not Too Expensive Plaintiff argues that the appraisal provision is procedurally unconscionable because the Policy is a contract of adhesion. (ECF No. 93 at PageID 1168.) She contends that Defendant unilaterally wrote the Policy and that Plaintiff had no opportunity to negotiate any of the Policyâs terms.6 (Id.) She argues also that the contract is substantively unconscionable because it is âcost-prohibitive.â (Id.) Plaintiff emphasizes that the appraisal provision requires the insured to hire an appraiser and bear half of the costs of a third appraiser. (Id.; see also ECF No. 68-5 at PageID 757â58.) 6 Defendant does not dispute that Plaintiff did not draft or negotiate any of the terms in the Policy. (ECF No. 96 at PageID 1198.) In contrast, Defendant contends that the appraisal provision is not substantively unconscionable. Defendant argues that the Court measures substantive unconscionability at the time of contract formation, not at the time of the dispute. See Vintage Health Res., Inc. v. Guiangan, 309 S.W.3d 448, 461 (Tenn. Ct. App. 2009); Taylor, 142 S.W.3d at 285 (âIf a contract or term thereof is unconscionable at the time the contract is made, a court may refuse to enforce the contract, or may enforce the remainder of the contract without the unconscionable term.â (emphasis added)). And Plaintiff âpresents no evidence that the provision was unconscionable at the time the parties executed the contract in 2012.â (ECF No. 95 at PageID 1190 (internal quotation omitted).) The Court agrees reluctantly with Defendant. Even assuming the Policy is procedurally unconscionable, Plaintiff has not shown that it is substantively unconscionable. Indeed, she fails to address how the provision was unreasonable when the parties first entered the insurance contract. True enough, Plaintiff argues that â[e]ven with a favorable appraisal, the cost of the process will almost always equal or exceed the amount in dispute.â (ECF No. 93 at PageID 1168â69.) She supports this argument with a preliminary expert report from Roy Theophilus Bent, Jr., a professional personal-property appraiser. (ECF No. 92.) There, Bent explains that the average cost of an appraiser in Tennessee is over $500, as is the cost of umpire services. (Id. at PageID 1139.) Bent claims that Audatex on average applies a typical negotiation adjustment of around $628.55. (Id. at PageID 1140.) And only .002% of insuredsâ valuation reports had a typical negotiation adjustment of more than $1,500. (Id.) So Plaintiff concludes that many insureds choose not to pursue appraisal because appraisal fees often cost more than the amount in dispute. This argument has some merit. In fact, it suggests that Defendant purposefully applies a small negotiation adjustment, knowing that many insureds will not challenge the adjustment because the appraisal fee will cost more than their damages. Perhaps this supports Plaintiffâs claim for breach of the covenant of good faith and fair dealing. But it does not show that the appraisal provision was unconscionable when Plaintiff first agreed to it in 2012. Under the appraisal provision, the parties agreed to resolve by appraisal any disagreement about the covered vehicleâs actual cash value. (ECF No. 68-5 at PageID 757.) This might be unconscionable if Defendant knew going in that it would apply a small enough reduction to total loss claims to reduce the chances that its insureds would agree to the hassle and cost of appraisal. But there is no evidence of that. Indeed, the appraisal provision is only too expensive if the value of an insuredâs dispute is low in comparison. There is no proof however that, when the parties entered the insurance policy, either knew how small or large Plaintiffâs claims would be. Plus, though Plaintiff claims that the cost of appraisal âwas neither practical nor possibleâ after the total loss of her vehicle (ECF No. 93 at PageID 1171), she does not argue that this was the case when she entered the contract. What is more, other courts considering similar appraisal provisions have found that the provisions are not unconscionable. This is true even though the cost of appraisal âin some cases, may exceed the difference between the settlement offer and the actual cash value of the lost vehicle.â Garner v. State Farm Mut. Auto. Ins. Co., No. C 08-1365 CW, 2008 WL 2620900, at *9 (N.D. Cal. June 30, 2008); see also Bryant v. State Farm Mut. Auto. Ins. Co., No. 20-cv- 04669-SK, 2021 WL 711495, at *6 (N.D. Cal. Jan. 13, 2021); Bettor v. Esurance Prop. & Cas. Ins. Co., No. 18-61-860, 2019 WL 2245564, at *5 (S.D. Fla. Mar. 28, 2019) (âThat an alternative dispute resolution provision may cost a litigant money does not render the provision unconscionable.â). The bottom line is Plaintiff agreed to resolve any disagreement about her vehicleâs actual cash value through appraisal. That appraisal costs money does not make the Policyâs appraisal provision âso oppressive that no reasonable personâ would propose it. Seawright, 507 F.3d at 977. Nor is the appraisal provision so oppressive that âno honest and fair person would acceptâ it. Id. The Court considers now whether the provision is unconscionable for a different reasonâlack of mutuality. ii. There Is No Lack of Mutuality Plaintiff argues that the appraisal provision is unconscionable because it lacks mutuality of obligation. (ECF No. 93 at PageID 1171â72.) She points to the end of the appraisal provision, which states that Defendant does not âwaive any of [its] rights by submitting to an appraisal.â (ECF No. 68-5 at PageID 758.) Plaintiff argues that this term allows Defendant âto circumvent the appraisal provision that purports to bind only the insured.â (ECF No. 93 at PageID 1171.) This Court disagrees. âMutuality of contract means that an obligation rests upon each party to do or permit to be done something in consideration of the act or promise of the other.â Amberjack, Ltd. v. Thompson, No. 02A01-9512-CV-00281, 1997 WL 613676, at *5 (Tenn. Ct. App. Oct. 7, 1997) (quoting Dark Tobacco Growers Co-op. Assân v. Mason, 263 S.W. 60, 67 (Tenn. 1924)). âWhile consideration is necessary for every contract, mutuality of obligation is not required unless lack of mutuality will leave one party without consideration for his or her promise.â Ussery v. City of Columbia, 316 S.W.3d 570, 579 (Tenn. Ct. App. 2009.) And thus â[a] contract does not lack mutuality merely because every obligation of the one party is not met by an equivalent counter obligation of the other.â Amberjack, Ltd., 1997 WL 613676, at *5 (quoting Mason, 263 S.W. at. 67). In other words, even if one contracting party gives up more of its rights than the other party, there can still be mutuality of obligation as long as the agreement has consideration. See Anesthesia Med. Grp., P.C. v. Chandler, No. M2005-00034-COA-R3-CV, 2007 WL 412323, at *8 (Tenn. Ct. App. Feb. 6, 2007). The appraisal provision here does not lack mutuality of agreement. For one thing, either party can invoke appraisal. And once a party invokes appraisal, both parties have to participate. Even more to the point, both parties agree that the results of appraisal are binding. In other words, the appraisal provision is equitable because either party can invoke the provision and because it binds both parties to appraisal. See Seawright, 507 F.3d at 977 (âThe underlying arbitration agreement is equitable in that it binds both employer and employee to arbitration and does not limit the obligations and liability of the stronger partyâ (internal quotations omitted)). The court in Bryant considered this argument about the same appraisal provision. Bryant, 2021 WL 711495, at *5. That court found that the appraisal provision âapplies equally to any disputes Plaintiff or Defendant may have.â Id. The court explained, Plaintiff argues that the phrase at the end of the appraisal provision which states âWe do not waive any of our rights by submitting to an appraisalâ renders the appraisal obligations optional to State Farm, but not to [Plaintiff]. Although this particular statement is not mutual, it is not at issue in the dispute between the parties. By the plain language of this phrase, it only provides that State Farm retains its rights under the contract; it does not waive any of State Farmâs obligations. Because the parties dispute the value of Plaintiffâs vehicle, and because State Farm elected to proceed with the appraisal, both parties were obligated under the policy to participate in the appraisal procedure. Id. This Court agrees with the Bryant courtâs analysis on this point. The term stating that Defendant does not âwaive any of [its] rights by submitting to an appraisalâ is not reciprocal. Even so, â[a] contract does not lack mutuality merely because every obligation of the one party is not met by an equivalent counter obligation of the other.â Amberjack, Ltd., 1997 WL 613676, at *5. Put differently, although one term in the appraisal provision reserves more rights for Defendant, this does not mean that the provision lacks mutuality. And above all, that term does not limit Defendantâs obligations or liability under the appraisal provision. See Seawright, 507 F.3d at 977. In sum, both parties promised to go to appraisal if the either party invoked it. Both parties must select an appraiser of their choice and split the costs of a third appraiser. And both parties promised to abide by the appraiserâs judgment. That is why the appraisal provision is mutual and does not lack consideration. The Court thus finds that the appraisal provision is not unconscionable. B. Defendant Did Not Waive Appraisal and Equitable Estoppel does not Stop It from Invoking It Now Finally Plaintiff argues that Defendant either waived its right to invoke appraisal or that equitable estoppel should stop it from doing so. (ECF No. 93 at PageID 1172.) The Court denies both arguments in turn. i. Waiver Waiver is âa voluntary relinquishment by a party of a known right,â and âit may be proved by express declaration; or by acts and declarations manifesting an intent and purpose not to claim the supposed advantage; or by a course of acts and conduct.â Gaston v. Tenn. Farmers Mut. Ins. Co., 120 S.W.3d 815, 819 (Tenn. 2003) (quotations omitted). Put differently, âwaiver is proven by clear, unequivocal and decisive act of the party, showing a purpose to forgo the right or benefit which is waived.â E & A Ne. Ltd. Pâship v. Music City Record Dists., Inc., No. M2005-01207-COA-R3-CV, 2007 WL 858779, at *7 (Tenn. Ct. App. Mar. 21, 2007). â[T]he party claiming the waiver has the burden of proving it by a preponderance of the evidence.â GuestHouse Intâl, LLC v. Shoneyâs N.A. Corp., 330 S.W.3d 166, 202 (Tenn. Ct. App. 2010) (quoting Jenkins Subway, Inc. v. Jones, 990 S.W.2d 713, 722 (Tenn. Ct. App. 1998)). Plaintiff argues that Defendant waived the appraisal provision during a conversation that Plaintiff had with Defendantâs agent. To support this argument, Plaintiff submitted a declaration stating that During the claims process for my totaled vehicle, State Farm provided me a total loss valuation of my vehicle. After I received the valuation report from State Farm, I went over it and was unhappy because I found the valuation to be low . . . The next time I spoke with a representative from State Farm, I expressed to that person that the valuation seemed low. I asked the State Farm representative if that was the maximum amount they could offer me. The State Farm representative stated that amount was it, the maximum amount State Farm could offer me. At no time did any State Farm representative inform me of the option of appraisal, or any other available option other than taking the amount offered. (ECF No. 91-2 at PageID 1105â06.) And so, Plaintiff argues that, because Defendant âdid not invoke or even mention the appraisal provision when Plaintiff informed State Farm that she was dissatisfied with the amount State Farm was offering,â Defendant waived its right to invoke appraisal. (ECF No. 93 at PageID 1172.) Defendant, however, argues that Plaintiffâs remarks to Defendantâs agent did not alert it to a dispute.7 (ECF No. 95 at PageID 1193.) In fact, when Defendant sent her a check for the 7 To support this argument, Defendant attaches a declaration from Attorney Peter W. Herzog III. (ECF No. 68-6.) Attorney Herzogâs declaration states that, âI am informed and understand, including through documents I have reviewed, that prior to the filing of her lawsuit, Plaintiff had not informed State Farm Mutual Automobile Insurance Company (âState Farmâ), that she total loss of her vehicle, Plaintiff cashed it. (ECF No. 91 at PageID 1064.) As a result, Defendant argues that it did not know Plaintiff disputed her valuation until she sued here. (ECF No. 95 at PageID 1193.) All in all, Plaintiff has failed to carry her burden of showing that Defendant waived its right to appraisal. To prove waiver, Plaintiff must point to a âclear, unequivocal and decisive actâ by Defendant that showed its âpurpose to forgo the right or benefit which is waived.â E & A Ne. Ltd. Pâship, 2007 WL 858779, at *7. Simply failing to invoke appraisal after Plaintiff asked one of Defendantâs agents whether their offer was the âmaximum amount they could offerâ does not satisfy this standard. Plaintiffâs declaration did not say that she disputed the valuation or that she wanted to challenge it. That Defendant did not remind Plaintiff that her Policy included an appraisal provision does not show that Defendant waived its right to invoke appraisal. The bottom line is that Defendant took no âdecisive actâ conveying that it intended to waive its appraisal rights. ii. Estoppel Plaintiff next argues that equitable estoppel prevents Defendant from demanding appraisal at this point in the litigation. (ECF No. 93 at PageID 1172.) âEstoppel is similar to waiver in that both defenses acknowledge the existence of a legal right in the opposing party, but assert that some conduct by that party precludes it from exercising that right.â E & A Ne. Ltd. disagreed with the amount paid for her total loss vehicle under the insurance policy she had with State Farm.â (Id. at PageID 777â78.) Plaintiff asks the Court to strike or disregard this declaration. (ECF No. 93 at PageID 1173â74.) She does so because Attorney Herzog âhas no personal knowledge of what Plaintiff said to any State Farm employee,â and he âlacks personal knowledge on how State Farm maintains the claims file records he reviewed as counsel.â (Id.; see also ECF No. 96 at PageID 1222.) The Court finds that Attorney Herzog lacks personal knowledge about whether Plaintiff told Defendant that she disputed the actual cash value of her vehicle. The Court therefore disregards Attorney Herzogâs declaration. Pâship, 2007 WL 858779, at *7. In essence, estoppel occurs when one partyâs conduct âinduces the other party to change position to its detriment or injury in reliance on the estopped partyâs action or statement.â Id. (citing Tenn. Asphalt Co. v. Purcell Enters., Inc., 631 S.W.2d 439, 444 (Tenn. Ct. App. 1982)). A party asserting equitable estoppel must prove many elements. First, the party must show â(1) [c]onduct which amounts to a false representation or concealment of material facts, or, at least, which is calculated to convey the impression that the facts are otherwise than, and inconsistent with, those which the party subsequently attempts to assert; (2) [i]ntention, or at least expectation that such conduct shall be acted upon by the other party; [and] (3) [k]nowledge, actual or constructive of the real facts.â Osborne v. Mountain Life Ins. Co., 130 S.W.3d 769, 774 (Tenn. 2004). That is not all. The party raising equitable estoppel must also prove their own â(1) [l]ack of knowledge and of the means of knowledge of the truth as to the facts in question; (2) [r]eliance upon the conduct of the party estopped; and (3) [a]ction based thereon of such a character as to change his position prejudicially.â Id. One Tennessee court has considered estoppel in the appraisal context. After pointing out that appraisal provisions in insurance contracts are valid in Tennessee, the Sixth Circuit quoted this warning from the Tennessee Supreme Court: â[a]ny attempt on the part of either party to misuse or pervert the provisions of the policy as to an appraisal, so as to unreasonably delay an adjustment . . . is a breach of good faith, and should be treated as a waiver of the condition.â Bard's Apparel Mfg., Inc., 849 F.2d at 249 (quoting Hickerson v. German-Am. Ins. Co., 33 S.W. 1041, 1044 (Tenn. 1896)). But still a party raising equitable estoppel must still show prejudice resulting from the other partyâs misconduct. See Bard's Apparel Mfg., Inc., 849 F.2d at 249. Here Plaintiff argues that Defendant âpresented the total loss settlement on a take-it-or- leave-it basis,â and thus acted âwith an intent to have Plaintiff rely upon State Farmâs statement and with an intent to forego the appraisal process.â (ECF No. 93 at PageID 1173.) She contends also that Defendant âdeliberately delayed invoking appraisal until after Plaintiff filed suit,â and that she will suffer âsubstantial prejudice if State Farmâs post-suit demand is enforced.â (Id.) But Plaintiff has not shown that she suffered any prejudice because of Defendantâs failure to invoke appraisal sooner. Even if Defendant meant to trick Plaintiff into âforego[ing] the appraisal process,â Plaintiff never lost her right to invoke appraisal. Either party can demand appraisal under the Policy, and Plaintiff could have requested an appraisal before Defendant did. In effect, Plaintiff has shown little prejudice resulting from Defendantâs actions. Osborne, 130 S.W.3d at 774 (explaining that party raising equitable estoppel must show reliance and prejudice). And as explained above, Plaintiffâs claim that Defendant tried to âmisuse or pervert the provisions of the policy as to an appraisal, so as to unreasonably delay an adjustment,â is unsupported. Bard's Apparel Mfg., Inc., 849 F.2d at 249. In sum, Plaintiffâs waiver and estoppel arguments fail because Defendant never waived its right to appraisal. Nor did Plaintiff prejudicially change her position because of Defendantâs conduct. The Court thus finds that Defendant can validly invoke the appraisal provision here. Next the Court considers whether Plaintiff should have gone to appraisal before suing. III. Appraisal Is Not a Condition Precedent to Suit Defendant claims that the Policy makes appraisal a condition precedent to suit. (See ECF Nos. 68-2 at PageID 688; 95 at PageID 1195.) So Defendant argues that the Court should either dismiss the case because Plaintiff breached this condition precedent, or stay the case and compel arbitration. (Id.) A condition precedent is âan act or event, other than a lapse of time, that must exist or occur before a duty to perform something promised arises. If the condition does not occur and is not excused, the promised performance need not be rendered.â Condition Precedent, Blackâs Law Dictionary (11th ed. 2019). To create a condition precedent, the contract provision need not include any specific language. Harlan v. Hardaway, 796 S.W.2d 953, 958 (Tenn. Ct. App. 1990). But âthe presence of a condition is usually signaled by a conditional word or phrase such as âif,â âprovided that,â âwhen,â âafter,â âas soon as,â and âsubject to.ââ Id. And so, â[w]hether a contractual provision is or is not a condition precedent depends upon the partiesâ intention which should be gathered from the language they employ and in light of all the circumstances surrounding the contractâs execution.â Id. at 957â58. What is more, courts in Tennessee do not favor conditions precedent. Id.; Koch v. Constr. Tech., Inc., 924 S.W.2d 68, 71 (Tenn. 1996). With all this in mind, the Court finds that appraisal is not a condition precedent here. Defendant argues that â[b]ecause State Farm timely requested an appraisal . . . Plaintiff is obligated to participate in that process before filing suit.â (ECF No. 68-2 at PageID 689.) Defendant emphasizes that under the Policy, â[l]egal action may not be brought against [State Farm] until there has been full compliance with all the provisions of this policy.â (ECF No. 68-5 at PageID 767.) Defendant thus argues that, because Plaintiff refuses to participate in an appraisal, there has not âbeen full complianceâ with all of the Policyâs provisions. (ECF No. 68- 2 at PageID 689.) But nothing in the appraisal provisionâs language makes appraisal a condition precedent to suit. To be sure, if the parties disagree about the actual cash value of the loss vehicle, they must participate in appraisalâbut only if a party requests appraisal in writing. (See ECF No. 68-5 at PageID 757.) Put another way, appraisal only becomes mandatory when (1) the parties disagree about the loss vehicleâs actual cash value and (2) a party requests appraisal in writing. When Plaintiff sued Defendant, neither party had properly invoked the appraisal provision. Only after Plaintiff sued did Defendant invoke the appraisal provision, not before. As a result, there is no evidence that Plaintiffâs failure to seek an appraisal before suing violated this provision of the Policy. In the end, considering both the circumstances surrounding the Policyâs creation and the appraisal provisionâs plain language, the Court finds no intent to make appraisal a condition precedent to suit. See Harlan v. Hardaway, 796 S.W.2d at 957â58. Plus courts in Tennessee do not favor conditions precedent. Harlan, 796 S.W.2d at 958; Koch, 924 S.W.2d at 71. The Court therefore finds that Plaintiff did not need to participate in appraisal before suing Defendant. But does Plaintiff need to participate in appraisal anyway? The answer is yes. The Policyâs appraisal provision is valid, the parties disagree about the loss vehicleâs actual cash value, and Defendant requested appraisal in writing. As a result, the contract requires the parties to participate in appraisal. See Bryant, 2021 WL 711495, at *7 (interpreting same appraisal provision and finding ânow that State Farm has invoked the appraisal process, Plaintiff is required under the policy to participate in that processâ); see also Bobel v. Safeco Ins. Co. of Ind., No. 18CV245, 2018 WL 11198837, at *1â2 (N.D. Ohio May 10, 2018). Indeed, âproceeding with the appraisal process is not only consistent with the terms of the Policy, but it will potentially save both party resources and judicial resources.â Glob. Aerospace, Inc., 2015 WL 5514627, at *2. To sum up, the Policy does not make appraisal a condition precedent to suit. That said, the Policy does require the parties to participate in appraisal once a party invokes it in writing. As a result, the Court GRANTS Defendantâs motion to compel appraisal. The next question for the Court is whether it should dismiss Plaintiffâs claims, stay the case pending appraisal, or allow both this suit and appraisal to proceed at the same time. That all depends on whether Plaintiff has standing to sue, even though she has not completed appraisal. The Court begins there. IV. Plaintiffâs Standing A. Legal Requirements for Standing To show standing, a plaintiff must have â(1) suffered an injury in fact, (2) that is fairly traceable to the challenged conduct of the defendant, and (3) that is likely to be redressed by a favorable judicial decision.â Spokeo, Inc. v. Robins, 136 S. Ct. 1540, 1547 (2016) (citing Lujan v. Defs. of Wildlife, 504 U.S. 555, 560â61 (1992)). The plaintiff bears the burden of proving these elements. Id. For an injury in fact, the plaintiff âmust show that he or she suffered an invasion of a legally protected interest that is concrete and particularized and actual or imminent, not conjectural or hypothetical.â Id. at 1548 (internal quotations omitted). A particularized injury affects the plaintiff in a personal, individual way. Id. And an injury is concrete if it is a real injury, not just an abstract one. Id. at 1548â49; see also Brintley v. Aeroquip Credit Union, 936 F.3d 489, 493 (6th Cir. 2019). And to establish causation, âa plaintiff must show a âcausal connection between the injury and the conduct complained of,â or, in other words, that the injury alleged is âfairly . . . trace[able] to the challenged action of the defendant.ââ Durham v. Martin, 905 F.3d 432, 434 (6th Cir. 2018) (quoting Lujan, 504 U.S. at 560). In fact, the plaintiff must show âpersonal injury fairly traceable to the defendantâs allegedly unlawful conduct.â California v. Texas, 141 S. Ct. 2104, 2113 (2021) (quoting DaimlerChrysler Corp. v. Cuno, 547 U.S. 332, 342 (2006)). What is more, at the summary judgment stage, to show standing, a plaintiff âcan no longer rest on such mere allegations, but must set forth by affidavit or other evidence specific facts . . . which for purposes of the summary judgment motion will be taken as true.â Lujan, 504 U.S. at 561 (internal quotations omitted). âPlaintiffs must be able to show at least the existence of a genuine issue of material fact as to the elements of standing if their claims are to survive.â Exec. Transp. Sys. LLC v. Louisville Regâl Airport Auth., 678 F. Supp. 2d 498, 505 (W.D. Ky. 2010). B. Analysis of Plaintiffâs Standing Plaintiffâs standing turns on the first two elementsâinjury in fact and causation. Defendant argues that, because Plaintiff âhas not complied with the appraisal remedy, Plaintiff cannot show that she has suffered a concrete or actual injury-in-fact; she only alleges one that is conjectural or hypothetical.â (ECF No. 68-2 at PageID 685.) This is partly because â[a]ppraisal may reveal that State Farm paid more than the actual cash value of Ms. Clippingerâs total loss vehicle.â (Id.) So Defendant argues that Plaintiff has suffered no injury unless the appraisal process shows that Defendant paid less than the vehicleâs actual cash value. i. Plaintiffâs Injury from Defendantâs Breach of Contract and Breach of Good Faith and Fair Dealing The Court looks first at whether Plaintiff has standing to bring her contract claims. See Parsons v. U.S. Depât of Just., 801 F.3d 701, 710 (6th Cir. 2015) (âA plaintiff must have standing for each claim pursued in federal court.â). As proof of injury, Plaintiff attaches two expert reports explaining how Defendantâs valuation methods improperly calculate the actual cash value of loss vehicles.8 (ECF Nos. 93 at PageID 1162; 91-1; 92.) For instance, the Chuck Eldridge Report says that it is against industry practice to apply a negotiation adjustment to used vehicles during the valuation process. (ECF No. 91-1.) Eldridge states that â[n]egotiating prices for used automobiles is no longer a common or accepted industry practice. Any discounts are applied and incorporated into the market value price, which is the price provided in online advertisements.â (Id. at PageID 1082.) Eldridge also reviewed the valuation report for Plaintiffâs vehicle. He found that â[e]ach of the comparable vehicles listed in the report was advertised online by a dealership that prices its inventory to market and would not typically negotiate a discount from the advertised price.â (Id. at PageID 1084.) And the Bent Report supports these assertions. (See ECF No. 92.) As Bent explains, the appraisal industry does not use typical negotiation adjustments when valuing total loss vehicles, because âthe [Uniform Standards of Professional Appraisal Practice] standards do not permit arbitrarily deducting the advertised price of the vehicle based on projections of what that vehicle might ultimately sell for.â (Id. at PageID 1137.) Because of the lack of hard data in the used car industry and the many variables that go into valuing a car, Bent asserts that it is âimproper for appraisers to deviate from the observable and verifiable data and assume [the comparable vehicles] would sell for a price lower than the advertised price.â (Id. at PageID 1137â38.) He adds that, in Plaintiffâs case, Defendant âdeviate[d] from the [comparable] methodology by applying an assumption that the advertised price of each comparable vehicle should be discounted for âtypical negotiation.ââ (Id. at PageID 1138.) 8 Defendant argues that the expert reports are not relevant to its motion for summary judgment. (See, e.g., ECF No. 96 at PageID 1200.) But because the Court finds the reports relevant evidence about Plaintiffâs standing, the Court considers them here. Next, as an experienced auto-appraiser, Bent calculates the injury that Defendant caused by applying a typical negotiation adjustment in its valuation of Plaintiffâs vehicle. (See id.) He found that, by applying the negotiation adjustment, Defendant âreduced the market value of Plaintiffâs loss vehicle by $849.50.â (Id.) And so, including taxes, Bent claims that Defendant would have paid Plaintiff $913.64 more for her total loss if it had followed industry valuation standards. (Id.) Plaintiff therefore argues that she âhas standing because she has undisputed proof that State Farm has undervalued her vehicle by improperly applying a âTypical Negotiationâ adjustment contrary to appraisal standards and contrary to market conditions.â (ECF No. 93 at PageID 1160â61.) To be sure, at a minimum, this evidence creates a genuine factual dispute about whether Defendantâs use of the typical negotiation adjustment injured Plaintiff. But does this evidence alone show that Plaintiff has standing to bring her contract claims? It does not. To determine standing, this Court must ask whether Plaintiff has shown an injury âfairly traceable to the defendantâs allegedly unlawful conduct.â California, 141 S. Ct. at 2113. Here Defendantâs allegedly unlawful conduct is its breach of contract and of the covenant of good faith and fair dealing. (ECF No. 1-1 at PageID 23â25.) This means that Plaintiffâs injury must be fairly traceable to Defendantâs breach of contract.9 And, without an appraisal, Plaintiff can only speculate about whether Defendantâs breach injured her. To explain, in order to establish an injury resulting from Defendantâs breach, Plaintiff must show that Defendant failed to pay her the loss vehicleâs actual cash value. Now that 9 â[A] claim based on the implied covenant of good faith and fair dealing is not a stand alone claim; rather, it is part of an overall breach of contract claim.â Cadence Bank, N.A. v. The Alpha Tr., 473 S.W.3d 756, 773 (Tenn. Ct. App. 2015) (quoting Jones v. LeMoyne-Owen Coll., 308 S.W.3d 894, 907 (Tenn. Ct. App. 2009)). Defendant has invoked the appraisal provision, the contract requires the parties to employ appraisal to determine the actual cash value of her vehicle. (See ECF No. 68-5 at PageID 757). As a result, despite the negotiation deduction from the Audatex report, until appraisal is complete, the parties still can only speculate about whether (1) Defendant failed to pay Plaintiff the actual cash value of her vehicle, (2) Defendant breached the contract, or (3) Defendantâs breach injured Plaintiff. That does not end this Courtâs inquiry, though. Plaintiff also brings a declaratory judgment claim. And as explained below, the Court finds that she has standing to bring that claim. ii. Plaintiffâs Declaratory Judgment Claim Plaintiff alleges that the negotiation adjustment violates Tenn. Comp. R. & Regs. 0780- 01-05-.09(c) because it is â(a) arbitrary, (b) contrary to industry practices and consumer experiences (and therefore not reflective of the vehicleâs fair market value), and (c) not specific or appropriate as to dollar amount...â. (See ECF No. 1-1 at PageID 23â24.) Under that regulation, â[a]ny deductions from the cost [of settlement], including deduction for salvage, must be as specific as reasonably possible, and specific and appropriate as to dollar amount, and shall be documented in the claim file[.]â Tenn. Comp. R. & Regs. 0780-01-05-.09(c). So she seeks a declaratory judgment that Defendantâs actions breached its insurance contracts and violated Tennessee law, as well as an order enjoining Defendant âfrom basing the valuation and payment of claims on values of comparable vehicles that have been reduced by Typical Negotiation Adjustments.â (ECF No. 1-1 at PageID 27.) âTo issue a declaratory judgment, the Court must be faced with âa real and substantial controversy admitting of specific relief through a decree of a conclusive character, as distinguished from an opinion advising what the law would be upon a hypothetical set of facts.ââ Am. Zurich Ins. Co. v. Cooper Tire & Rubber Co., 465 F. Supp. 2d 827, 831 (N.D. Ohio Dec. 13, 2006) (quoting Md. Cas. Co. v. Pac. Coal & Oil Co., 312 U.S. 270, 273 (1941)). This means that the controversy âmust be such that it can presently be litigated and decided and not hypothetical, conjectural, conditional or based upon the possibility of a factual situation that may never develop.â Hillard v. First Fin. Ins. Co., No. 91-6238, 1992 WL 164998, at *2 (6th Cir. 1992). For starters, the Court, not an appraiser, determines whether, by using the negotiation adjustment, Defendant violated state law. See Thomas v. Standard Fire Ins. Co., No. E2015- 01224-COA-R3-CV, 2016 WL 638559, at *3 (Tenn. Ct. App. Feb. 17, 2016) (appraisersâ âscope of authority is strictly defined by the contract or other agreement of the partiesâ); Merrimack Mut. Fire Ins. Co. v. Batts, 59 S.W.3d 142, 152â53 (Tenn. Ct. App. 2001) (finding that appraisers have authority to determine issues agreed to under the insurance policy). Plus the Policy here says âappraisers shall only determine the actual cash value of the covered vehicle. Appraisers shall have no authority to decide any other questions of fact, decide any questions of law, or conduct appraisal on a class-wide or class-representative basis.â (ECF No. 68-5 at PageID 758.) With that in mind, the Court finds that Plaintiff has shown âat least the existence a genuine issue of material fact as to the elements of standingâ for her declaratory judgment claim. Exec. Transp. Sys. LLC, 678 F. Supp. 2d at 505. There is substantial evidence that (1) Defendant applies a typical negotiation adjustment to the comparable vehicles it uses to determine a total loss vehicleâs actual cash value (see ECF No. 68-3), (2) Defendant applies the adjustment without documentation or explanation (see id.), and (3) this typical negotiation adjustment injures Tennessee insureds (ECF Nos. 91-1 & 92). So the Court finds that Plaintiff has shown a concrete, actual injury traceable to Defendantâs valuation methods. See Spokeo, Inc., 136 S. Ct. at 1547. What is more, a declaratory judgment in Plaintiffâs favor will partially redress the injury, because it will prevent Defendant from violating this regulation and harming class members. See Parsons, 801 F.3d at 716 (finding that partial redress can satisfy standing requirement and that a declaration on the constitutionality of a certain act âwould likely combat at least some future riskâ that the plaintiffs would suffer future harm); Friends of Tims Ford v. Tenn. Valley Auth., 585 F.3d 955, 971 (6th Cir. 2009) (âThe real value of the judicial pronouncementâwhat makes it a proper judicial resolution of a âcase or controversyâ rather than an advisory opinionâis in the settling of some dispute which affects the behavior of the defendant towards the plaintiff.â (quoting Hewitt v. Helms, 482 U.S. 755, 761 (1987)); c.f. Friends of the Earth, Inc., v. Laidlaw Envât Servs. (TOC), Inc., 528 U.S. 167, 185â86 (2000) (âIt can scarcely be doubted that, for a plaintiff who is injured or faces the threat of injury due to illegal conduct ongoing at the time of suit, a sanction that effectively abates that conduct and prevents its recurrence provides a form of redress.â) Finally, â[i]n the context of a declaratory judgment action, allegations of past injury alone are not sufficient to confer standing. The plaintiff must allege and/or demonstrate actual present harm or a significant possibility of future harm.â Fieger v. Ferry, 471 F.3d 637, 643 (6th Cir. 2006). Plaintiff has shown that Defendant applied a typical negotiation adjustment during the valuation of her total loss vehicle. (See ECF No. 68-3.) Defendant itself estimates that it used a typical negotiation adjustment in the total loss valuations of over 60,000 Tennessee insureds. (ECF No. 1 at PageID 6; see also ECF No. 1-3.) What is more, Plaintiff has alleged that this harm is ongoing.10 (ECF No. 1-1 at PageID 26.) And there is no evidence that Defendant has stopped applying the typical negotiation adjustment in its valuations. As a result, the Court finds that Plaintiff has shown a concrete and present harm resulting from Defendantâs use of a negotiation adjustment. So Plaintiff raises a genuine issue of material fact about her standing here. Decisions from other courts considering similar issues also offer guidance. The facts here are like those in Ngethpharat v. State Farm Automobile Insurance Co. 499 F. Supp. 3d 908 (W.D. Wash. 2020). Like Plaintiff here, the plaintiffs in Ngethpharat alleged that State Farm applied a typical negotiation adjustment when determining the cash settlement value for their total loss vehicles. Id. at 912. Though the court did not address standing, it denied Defendantâs motion to compel appraisal. Id. at 919. The court found that the plaintiffs need not go to appraisal, because they did not challenge the amount of the deductionâinstead, they challenged âits legality.â Id. As a result, â[o]rdering an appraisal to determine the correct ânegotiation discountâ would not resolve the underlying dispute as to whether any such discount is permissibleâ under state law. Id. This Court finds the reasoning in Ngethpharat sound. Appraisal here will not show whether Defendant violated the Policy or Tennessee law by applying an unexplained, arbitrary negotiation adjustment. Instead, that is a question for the Court to decide. Id.; see also Klein v. Secure Ins. Co., No. 14-cv-12616, 2014 WL 12659923, at *4â5 (E.D. Mich. Nov. 4, 2014) (finding that whether calculating âactual cash valueâ includes sales tax under the contract is a 10 The Court notes also thatâat Defendantâs request and over Plaintiffâs objectionâit stayed class discovery pending the Courtâs decision on this motion for summary judgment. (See ECF Nos. 70, 85 & 90.) Because the Court stayed discovery, Plaintiff has not yet sought evidence about the full extent of the classâs injury. question for the court, not appraisers); Davis v. GEICO Cas. Co., No. 2:19-cv-2477, 2020 WL 68573, at *4 (S.D. Ohio Jan. 7, 2020) (âAppraisers are limited to making factual determinations regarding the amount of damages [a] vehicle has incurred. It is not their responsibility to interpret policy language.â).11 In any event, Plaintiff has requested a declaratory judgment that Defendantâs valuation methods violated the Policy and Tennessee law. And she has shown that an actual controversy exists about whether Defendantâs unexplained application of a typical negotiation adjustment violated this state regulation. So no matter what happens with the appraisal, Plaintiffâs declaratory judgment action is ready to proceed. In sum, the contract requires Plaintiff to participate in appraisal under the Policy. And it is not yet clear whether Plaintiff has standing to bring her contract claims. She does, however, have standing to bring her declaratory judgment claim now. The Court therefore DENIES Defendantâs motion for summary judgment but GRANTS the motion to compel appraisal. 11 To support its claim that Plaintiff cannot prove damages until after appraisal, Defendant cites Bryant v. State Farm Mutual Automobile Insurance Co., a California district court case. (ECF Nos. 68-2 at PageID 687; 95 at PageID 1194â95). In Bryant, the district court considered the same appraisal provision that is currently before this Court. It found that the plaintiff could not establish an injury or damages without participating in appraisal first. 2021 WL 711495, at *7. To make this finding, the court relied on two other federal cases, Garner v. State Farm Mutual Automobile Insurance Co., No. 08-1365, 2008 WL 2620900, at *7 (N.D. Cal. June 30, 2008), and Enger v. Allstate Insurance Co., 407 F. Appâx 191, 193 (9th Cir. 2010). But the California Court of Appeals has found that the reasoning used by the courts in Garner and Enger does not apply when the plaintiff seeks a declaratory judgment. See Kirkwood v. Cal. State Auto. Assân Inter-Ins. Bureau, 122 Cal. Rptr. 3d 480, 489 (Cal. Ct. App. 2011). The court in Kirkwood found that, â[n]otwithstanding that the parties do dispute the actual cash value of the subject property, an actual controversy exists between [the parties] about the proper interpretation of [state law] within the context of adjusting a property loss claim, thus entitling [the respondent] to declaratory relief.â Id. And â[o]nly the court, not an appraiser, can deliver declaratory relief as to the proper meaning of [state law] within the context of [the appellantâs] insurance adjusting practices.â Id. And so, this Court does not rely on the Bryant opinion on this point. V. Compelling Appraisal and Staying the Case If the Court does not grant summary judgment in its favor, Defendant asks that the Court compel appraisal and stay the case instead. (ECF No. 68-2 at PageID 691.) This approach makes sense. This is because the parties will have a better idea of the relevant issues after appraisal. For one thing, appraisal will clarify whether Plaintiff has standing for her contract claims. And although this Court finds that Plaintiff has standing to bring her declaratory judgment action, the declaration that Plaintiff overlaps with the question to whether Defendant breached the Policy.12 Because Plaintiffâs declaratory judgment action and her breach of contract claim concern related issues, the Court finds it appropriate to stay this action while the parties participate in appraisal. Both parties and the Court will better understand the issues here at that time. CONCLUSION The Court finds that the parties agreed to a valid appraisal provision. Although appraisal is not a condition precedent to suit, the parties must participate in appraisal now that Defendant has invoked the provision. What is more, Plaintiff has standing to bring her declaratory judgment action. But until the parties participate in appraisal, it is not clear that she suffered any injury from Defendantâs alleged breach of contract. With all this mind, the Court DENIES Defendantâs motion for summary judgment but GRANTS its motion to compel appraisal and stay the case. 12 Indeed, Plaintiff asks for a declaration âthat in paying total loss claims with first-party insureds, it is a breach of the insurance contract with State Farm, as well as a violation of Tennessee law, for State Farm to base the valuation and payment of claims on values of comparable vehicles that have been reduced by Typical Negotiation Adjustments.â (ECF No. 1- 1 at PageID 27.) SO ORDERED, this 19th day of October, 2021. s/Thomas L. Parker THOMAS L. PARKER UNITED STATES DISTRICT JUDGE
Case Information
- Court
- W.D. Tenn.
- Decision Date
- October 19, 2021
- Status
- Precedential