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Although the value of a third-party liability insurance claim often can be determined in a straightforward way by simply adding the amount of a judgment or settlement to the costs of defending the claim, the amount of a first-party insurance claim ' for example, a property claim ' may be subject to varying valuation approaches. These varying approaches often will depend upon whether the policyholder repairs or replaces the damaged property, and the range of valuation options will be established by the policy language, as that language has been or should be construed under the law of the applicable jurisdiction.
Parties may agree upon the history of a claim and the provisions of the policy that will control, but a valuation dispute nonetheless may arise. Sometimes a dispute will occur because the policy language at issue may be susceptible to differing interpretations. A dispute may also arise because the insurer argues for an underwriting intent that does not appear evident in the language of its policy or because, in the insurer's view, the policyholder will enjoy a windfall if the policy language is enforced as written. Regardless of the reason, such disputes are fairly common. An examination of cases in a few jurisdictions will provide some insight into the issues these disputes present, and may provide some basis for predicting their outcomes. In addition, such an examination may offer insight into the benefits of avoiding such disputes.
If a policyholder does not repair or replace damaged property, or if a policyholder has not purchased a policy that would cover the full costs to repair or replace, insurers often will be required to pay only a reduced amount determined through application of some depreciation approach. While depreciation arguments may be valid and have proven successful for insurers in many cases, it is important to remember that depreciation is not a wild card. Depreciation is not always applicable to property losses and, even when applicable, it may not apply in the manner the insurer advocates.
Typically, the limits on depreciation are clearly defined in policies. For instance, depreciation often is not considered if a policyholder purchases replacement cost coverage and proceeds to replace the damaged property in compliance with that coverage. Similarly, depreciation is not to be applied when the measure of the loss is the cost of repair, as repair costs usually are expenses to be incurred after the loss. These costs are qualitatively different from property values, which often derive from past valuations that have depreciated over time. If such limitations are not evident in the language of the policy, depreciation nonetheless may be inapplicable if a court finds that an ambiguity exists, which it will resolve in favor of the policyholder.
Insurers, therefore, must take care not to overreach, as overreaching has the potential to backfire. Counsel for policyholders, correspondingly, should watch for insurers that attempt to over-play depreciation arguments to the detriment of policyholders' interests. The following cases provide examples of insurers' unsuccessful attempts to overreach, and serve as a reminder to both sides to be thoughtful in regard to depreciation arguments.
Ohio Law
In jurisdictions like Ohio, it is especially important for insurers not to overreach in their depreciation arguments because of Ohio's insurance contract interpretation rules. Ohio law does not require that policyholders establish that their interpretation is the only reasonable interpretation, or even that their interpretation is more reasonable than that of the insurers. Rather, policyholders will prevail merely if theirs is a reasonable interpretation, even if only one among many. See generally, Andersen v. Highland House Co., 93 Ohio St.3d 547, 549-50 (Ohio 2001) (“It will not suffice for [the insurer] to demonstrate that its interpretation is more reasonable than the policyholder's.”). Accordingly, any overreaching on the part of an insurer may result in a finding in favor of the policyholder.
For example, in Peterson v. Progressive Corp., the Court of Appeals for the Eighth District of Ohio rejected an insurer's attempt to depreciate repair costs, finding that the insurer's limitations on depreciation were clearly defined in the insurance contract. See 8th Dist. Cuyahoga No. 87676, 2006 Ohio App. LEXIS 6144, 2006-Ohio-6175 (Nov. 22, 2006).
In Peterson , the loss at issue was damage to a boat, including the motor, by an underwater object. Id. at ' 2. The policy gave Progressive the options of paying “actual cash value,” “the amount necessary to replace,” or “the amount necessary to repair the damaged property to its pre-loss condition ' .” Id. at ' 7. The insurer elected to repair the boat to its pre-loss condition by replacing the motor and other related parts, but it also attempted to deduct depreciation from these repair costs, referring to the deprecation as the amount of the “betterment.” Id. at ' 8.
The court, however, would not permit such a deduction. Id. at ' 10. Notably, the Peterson court began its analysis by considering Ohio's rules of insurance policy construction. Thereafter, the court stated, “We agree with [the policyholder] that the [depreciation] condition does not apply when Progressive elects ' 'to repair the damaged property to its pre-loss condition.'” Id. at ' 3.
In another Ohio case, a depreciation provision was construed to benefit the policyholder. In Jones v. Auto-Owners Mut. Ins. Co., an insured's rental house was destroyed by fire, and the cost to repair or replace the house was over $56,000. 6th Dist. Lucas No. L-98-1297, 1999 Ohio App. LEXIS 2013, 1999 WL 435103, *4-5 (Ohio Ct. App. June 30, 1999). In that case, the policyholder sought to recover $21,500, the full policy limit, but the insurer paid only $7,000 based on its calculation of actual cash value. Id. At issue was whether the proper measure of loss was the market value of the house just prior to the loss, or the cost of replacement less depreciation. Id. at *6. The court applied the rule of construction that “'[w]here provisions of a contract of insurance are reasonably susceptible of more than one interpretation, they will be construed strictly against the insurer and liberally in favor of the insured.'” Id. at *10 (citing King v. Nationwide Ins. Co., 35 Ohio St.3d 208, 519 N.E.2d 1380 (1988)). Accordingly, the court found that the insured was entitled to its full policy limits of $21,500. Id. at *12. Somewhat counter-intuitively, the policyholder benefited from having the loss valued in accordance with the actual cash value provision, which included depreciation. See Id.
Pennsylvania Law
Like the courts in Ohio, Pennsylvania courts have found in favor of policyholders when depreciation provisions are not explicit and clear in insurance contracts. In Peltz v. Nationwide Mut. Ins. Co., a Pennsylvania court was faced with the issue of whether Nationwide was entitled to deduct depreciation under an actual cash value policy when compensating an insured property owner for repairing a partial fire loss to a building. 2001 Pa. Dist. & Cnty. Dec. LEXIS 158, 63 Pa. D. & C.4th 85, 86 (Aug. 13, 2001). Nationwide estimated the replacement cost of the building to be $42,055, but deducted $5,207.90 for depreciation. Id. at 87. The court ultimately found in favor of the policyholder, determining that Nationwide was not entitled to deduct depreciation costs when calculating actual cash value. Id. at 112.
The Peltz court cited several Pennsylvania cases, holding that Pennsylvania case law generally prohibits an insurer from deducting depreciation costs when compensating a policyholder for partial loss repairs. Id. at 92 (citing Fedas v. Insurance Co. of the State of Pennsylvania, 300 Pa. 555, 563-64, 151 A. 285 (1930) (holding that actual cash value means “the real value to replace” the damaged item “with the same or similar property”)); Metz v. Traveler's Fire Ins. Co., 355 Pa. 342, 346, 49 A.2d 711, 713 (1946) (finding that the policyholder was entitled to replacement of the property, even if the cost of replacement exceeded the actual cash value after depreciation); Patriotic Order Sons of America Hall Ass'n v. Hartford Fire Ins. Co., 305 Pa. 107, 112, 157 A. 259, 260 (1931); Farber v. Perkiomen Mut. Ins. Co., 370 Pa. 480, 88 A.2d 776 (1952) (holding that the policyholder was entitled to the full amount necessary to repair a building partially destroyed by a fire to its pre-loss condition, despite the insured's argument that this exceeded actual cash value after depreciation); Snader v. London & Lancashire Indem. Co., 360 Pa. 548, 551, 62 A.2d 835, 836 (1949) (noting that insurance contracts are contracts of adhesion, and therefore the insurer was required to compensate the policyholder for the amount required to restore a building to its condition prior to a fire) (additional citations omitted).
Another Pennsylvania case has taken a similar view. See Kane v. State Farm Fire & Cas. Co., 203 Pa. Super. 502, 841 A.2d 1038, 2003 Pa. Super LEXIS 4588 (Dec. 22, 2003). In Kane , the Pennsylvania Supreme Court found that policyholders were entitled to full repair or replacement costs for their losses, as opposed to actual cash value for the losses after depreciation, with respect to an insurer whose insurance contract did not contain clear language. Id. The court found that the policyholder's complaint was not premature as to one insurer, and it stated as to that insurer that “in the absence of clear language to the contrary ' an insurer may not deduct depreciation from the replacement cost of a policy and ' 'actual cash value' may not be interpreted as including a depreciation deduction, where such deduction would thwart the insured's expectation to be made whole.” Id . at 24. Therefore, the court reversed summary judgment granted in favor of Erie Insurance Company, finding that Erie was not entitled to deduct depreciation from the policyholder's recovery. Id. at 30-32.
Florida Law
Florida law also protects policyholders and prevents insurers from making depreciation deductions in certain circumstances. Mandated by statute, insurers must make repairs of structures without taking any deduction for depreciation when policyholders have purchased replacement cost insurance policies. See Fla. Stat. ' 627.7011. In 2013, the Supreme Court of Florida interpreted this statute in the context of fire damage to a home. See Trinidad v. Fla. Peninsula Ins. Co., 121 So.3d 422, 38 Fla. L. Weekly S 397 (2013). The Trinidad court held that an insurer was required to pay all replacement costs for a home under a replacement cost policy, including the cost of profit and overhead for a general contractor. Id. at 435-36. Further, the court took an expansive view of the costs recoverable by policyholders and found that Florida law and the policy at issue did not require the insured actually to repair property as a condition precedent to payment recovery, and it required the insurer to pay replacement cost regardless of whether the policyholder actually repaired his property. Id. at 435-37.
Conclusion
As demonstrated by these cases from Ohio, Pennsylvania and Florida, courts can be quite wary of insurers' depreciation deduction arguments. The law in these jurisdictions is by no means atypical. Because courts tend to take the view that the purpose of insurance policies is to make policyholders whole, they generally will apply depreciation deductions to the full extent insurers might wish to limit the insurers' payment obligations only when the language of the policies clearly and explicitly permits such outcomes. If a clear-eyed and objective assessment by an insurer suggests that it is bending its policy language to maximize its depreciation deduction, the insurer often will be well served to avoid such an interpretation. Insurer forbearance from asserting creative depreciation arguments very well may save the insurer and policyholder significant litigation expenses, the court a considerable burden, and will likely preserve a significant amount of good will in the business relationship between the insurer and the policyholder.
Although the value of a third-party liability insurance claim often can be determined in a straightforward way by simply adding the amount of a judgment or settlement to the costs of defending the claim, the amount of a first-party insurance claim ' for example, a property claim ' may be subject to varying valuation approaches. These varying approaches often will depend upon whether the policyholder repairs or replaces the damaged property, and the range of valuation options will be established by the policy language, as that language has been or should be construed under the law of the applicable jurisdiction.
Parties may agree upon the history of a claim and the provisions of the policy that will control, but a valuation dispute nonetheless may arise. Sometimes a dispute will occur because the policy language at issue may be susceptible to differing interpretations. A dispute may also arise because the insurer argues for an underwriting intent that does not appear evident in the language of its policy or because, in the insurer's view, the policyholder will enjoy a windfall if the policy language is enforced as written. Regardless of the reason, such disputes are fairly common. An examination of cases in a few jurisdictions will provide some insight into the issues these disputes present, and may provide some basis for predicting their outcomes. In addition, such an examination may offer insight into the benefits of avoiding such disputes.
If a policyholder does not repair or replace damaged property, or if a policyholder has not purchased a policy that would cover the full costs to repair or replace, insurers often will be required to pay only a reduced amount determined through application of some depreciation approach. While depreciation arguments may be valid and have proven successful for insurers in many cases, it is important to remember that depreciation is not a wild card. Depreciation is not always applicable to property losses and, even when applicable, it may not apply in the manner the insurer advocates.
Typically, the limits on depreciation are clearly defined in policies. For instance, depreciation often is not considered if a policyholder purchases replacement cost coverage and proceeds to replace the damaged property in compliance with that coverage. Similarly, depreciation is not to be applied when the measure of the loss is the cost of repair, as repair costs usually are expenses to be incurred after the loss. These costs are qualitatively different from property values, which often derive from past valuations that have depreciated over time. If such limitations are not evident in the language of the policy, depreciation nonetheless may be inapplicable if a court finds that an ambiguity exists, which it will resolve in favor of the policyholder.
Insurers, therefore, must take care not to overreach, as overreaching has the potential to backfire. Counsel for policyholders, correspondingly, should watch for insurers that attempt to over-play depreciation arguments to the detriment of policyholders' interests. The following cases provide examples of insurers' unsuccessful attempts to overreach, and serve as a reminder to both sides to be thoughtful in regard to depreciation arguments.
Ohio Law
In jurisdictions like Ohio, it is especially important for insurers not to overreach in their depreciation arguments because of Ohio's insurance contract interpretation rules. Ohio law does not require that policyholders establish that their interpretation is the only reasonable interpretation, or even that their interpretation is more reasonable than that of the insurers. Rather, policyholders will prevail merely if theirs is a reasonable interpretation, even if only one among many. See generally,
For example, in Peterson v. Progressive Corp., the Court of Appeals for the Eighth District of Ohio rejected an insurer's attempt to depreciate repair costs, finding that the insurer's limitations on depreciation were clearly defined in the insurance contract. See 8th Dist. Cuyahoga No. 87676, 2006 Ohio App. LEXIS 6144, 2006-Ohio-6175 (Nov. 22, 2006).
In Peterson , the loss at issue was damage to a boat, including the motor, by an underwater object. Id. at ' 2. The policy gave Progressive the options of paying “actual cash value,” “the amount necessary to replace,” or “the amount necessary to repair the damaged property to its pre-loss condition ' .” Id. at ' 7. The insurer elected to repair the boat to its pre-loss condition by replacing the motor and other related parts, but it also attempted to deduct depreciation from these repair costs, referring to the deprecation as the amount of the “betterment.” Id. at ' 8.
The court, however, would not permit such a deduction. Id. at ' 10. Notably, the Peterson court began its analysis by considering Ohio's rules of insurance policy construction. Thereafter, the court stated, “We agree with [the policyholder] that the [depreciation] condition does not apply when Progressive elects ' 'to repair the damaged property to its pre-loss condition.'” Id. at ' 3.
In another Ohio case, a depreciation provision was construed to benefit the policyholder. In Jones v. Auto-Owners Mut. Ins. Co., an insured's rental house was destroyed by fire, and the cost to repair or replace the house was over $56,000. 6th Dist. Lucas No. L-98-1297, 1999 Ohio App. LEXIS 2013, 1999 WL 435103, *4-5 (Ohio Ct. App. June 30, 1999). In that case, the policyholder sought to recover $21,500, the full policy limit, but the insurer paid only $7,000 based on its calculation of actual cash value. Id. At issue was whether the proper measure of loss was the market value of the house just prior to the loss, or the cost of replacement less depreciation. Id. at *6. The court applied the rule of construction that “'[w]here provisions of a contract of insurance are reasonably susceptible of more than one interpretation, they will be construed strictly against the insurer and liberally in favor of the insured.'” Id . at *10 (citing
Pennsylvania Law
Like the courts in Ohio, Pennsylvania courts have found in favor of policyholders when depreciation provisions are not explicit and clear in insurance contracts. In Peltz v.
The Peltz court cited several Pennsylvania cases, holding that Pennsylvania case law generally prohibits an insurer from deducting depreciation costs when compensating a policyholder for partial loss repairs. Id . at 92 (citing
Another Pennsylvania case has taken a similar view. See
Florida Law
Florida law also protects policyholders and prevents insurers from making depreciation deductions in certain circumstances. Mandated by statute, insurers must make repairs of structures without taking any deduction for depreciation when policyholders have purchased replacement cost insurance policies. See Fla. Stat. ' 627.7011. In 2013, the Supreme Court of Florida interpreted this statute in the context of fire damage to a home. See
Conclusion
As demonstrated by these cases from Ohio, Pennsylvania and Florida, courts can be quite wary of insurers' depreciation deduction arguments. The law in these jurisdictions is by no means atypical. Because courts tend to take the view that the purpose of insurance policies is to make policyholders whole, they generally will apply depreciation deductions to the full extent insurers might wish to limit the insurers' payment obligations only when the language of the policies clearly and explicitly permits such outcomes. If a clear-eyed and objective assessment by an insurer suggests that it is bending its policy language to maximize its depreciation deduction, the insurer often will be well served to avoid such an interpretation. Insurer forbearance from asserting creative depreciation arguments very well may save the insurer and policyholder significant litigation expenses, the court a considerable burden, and will likely preserve a significant amount of good will in the business relationship between the insurer and the policyholder.
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