“Unless for some reason an ambiguity must be construed against the plaintiff, a claim predicated on a materially ambiguous contract term is not dismissible on the pleadings.”
How later courts described this case
- “Unless for some reason an ambiguity must be construed against the plaintiff, a claim predicated on a materially ambiguous contract term is not dismissible on the pleadings.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
___________________________________
JOHN MARCELLETTI, on behalf of
himself and all others similarly situated,
Plaintiff, DECISION AND ORDER
v.
6:23-CV-06211 EAW
GEICO GENERAL INSURANCE
COMPANY,
Defendant.
____________________________________
INTRODUCTION
Plaintiff John Marcelletti (“Plaintiff”) brings this putative class action against
defendant GEICO General Insurance Company (“GEICO” or “Defendant”), asserting a
claim for breach of contract based on Defendant’s failure to pay sales tax for total loss
vehicles that are leased. (Dkt. 1). Presently before the Court is Defendant’s motion to
dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6). (Dkt. 12). For the reasons
that follow, the Court denies Defendant’s motion.
FACTUAL BACKGROUND
The following facts are taken from Plaintiff’s complaint. As required at this stage
of the proceedings, Plaintiff’s factual allegations are treated as true.
Plaintiff resides in New York and was a named insured under an automobile policy
issued by GEICO. (Dkt. 1 at ¶¶ 1, 12). GEICO uses its standard form policy in New York,
which contains language regarding comprehensive and collision coverage for vehicles that
are deemed to be a total loss. (Id. at ¶ 14). Under the policy, GEICO may choose to pay
the actual cash value (“ACV”) to the insured when the cost to repair or replace the vehicle
is more than the vehicle’s value. (Id. at ¶ 15). ACV is defined in the policy as “the
replacement cost of the auto or property less depreciation or betterment.” (Id. at ¶ 4; Dkt.
1-1 at 10; see also Dkt. 1-1 at 12) (emphases omitted).
Plaintiff insured a leased vehicle under a policy through GEICO. (Dkt. 1 at ¶¶ 19,
20). On or about September 27, 2019, Plaintiff was involved in an automobile accident,
after which his insured vehicle was determined to be a total loss. (Id. at ¶ 21). Plaintiff
filed a claim for property damage pursuant to the policy with GEICO. (Id.). GEICO
provided Plaintiff with a “Total Loss Settlement Explanation” document that stated that his
insured vehicle had a base value of $18,043.00 and that he was entitled to $17,115.00 as
the total settlement for his claim. (Id. at ¶ 24; Dkt. 1-1 at 53). The document further stated
that Plaintiff was not entitled to any payment for sales tax. (Id.). GEICO paid $17,115.00
to Plaintiff’s leasing company as the ACV payment for the claim. (Dkt. 1 at ¶ 24). Plaintiff
replaced his vehicle and incurred sales tax in doing so. (Id. at ¶ 26).
In New York, sales tax must be paid when purchasing any vehicle. (Id. at ¶ 5). Sales
tax is also required to lease a vehicle, and it must be paid at the outset of the lease
agreement, based on the amount of the lease payments over the term of the agreement,
pursuant to New York Tax Law § 1111(i). (Id. at ¶ 28). GEICO refused to pay sales tax to
Plaintiff and other similarly situated insureds as part of the ACV for the loss of their leased
vehicles. (See id. at ¶¶ 6-8).
PROCEDURAL BACKGROUND
Plaintiff commenced this action on April 17, 2023. (Dkt. 1). Defendant thereafter
filed the instant motion to dismiss, which Plaintiff has opposed. (Dkt. 12; Dkt. 19).
Defendant completed the briefing by filing a reply in further support of its motion to
dismiss. (Dkt. 20). Plaintiff subsequently filed a notice of supplemental authority (Dkt.
21) alerting the Court to Sos v. State Farm Mut. Auto. Ins. Co., No. 21-11769, 2023 WL
5608014 (11th Cir. Aug. 30, 2023), to which Defendant filed a response (Dkt. 22).
DISCUSSION
I. Legal Standard—Rule 12(b)(6)
“In considering a motion to dismiss for failure to state a claim pursuant to Rule
12(b)(6), a district court may consider the facts alleged in the complaint, documents
attached to the complaint as exhibits, and documents incorporated by reference in the
complaint.” DiFolco v. MSNBC Cable L.L.C., 622 F.3d 104, 111 (2d Cir. 2010). A court
should consider the motion by “accepting all factual allegations as true and drawing all
reasonable inferences in favor of the plaintiff.” Trs. of Upstate N.Y. Eng’rs Pension Fund
v. Ivy Asset Mgmt., 843 F.3d 561, 566 (2d Cir. 2016). To withstand dismissal, a claimant
must set forth “enough facts to state a claim to relief that is plausible on its face.” Bell Atl.
Corp. v. Twombly, 550 U.S. 544, 570 (2007). “A claim has facial plausibility when the
plaintiff pleads factual content that allows the court to draw the reasonable inference that
the defendant is liable for the misconduct alleged.” Turkmen v. Ashcroft, 589 F.3d 542, 546
(2d Cir. 2009) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)).
“While a complaint attacked by a Rule 12(b)(6) motion to dismiss does not need
detailed factual allegations, a plaintiff’s obligation to provide the grounds of his
entitle[ment] to relief requires more than labels and conclusions, and a formulaic recitation
of the elements of a cause of action will not do.” Twombly, 550 U.S. at 555 (internal
quotations and citations omitted). “To state a plausible claim, the complaint’s ‘[f]actual
allegations must be enough to raise a right to relief above the speculative level.’” Nielsen
v. AECOM Tech. Corp., 762 F.3d 214, 218 (2d Cir. 2014) (quoting Twombly, 550 U.S. at
555). “Although for the purposes of a motion to dismiss we must take all of the factual
allegations in the complaint as true, we ‘are not bound to accept as true a legal conclusion
couched as a factual allegation.’” Pension Benefit Guar. Corp. v. Morgan Stanley Inv.
Mgmt. Inc., 712 F.3d 705, 717 (2d Cir. 2013) (quoting Iqbal, 556 U.S. at 678) (internal
quotation omitted).
II. Plaintiff States a Breach of Contract Claim
Plaintiff’s complaint contains a single cause of action—a breach of contract claim
asserted under New York law. (Dkt. 1 at ¶¶ 49-61). Unless the Court concludes that the
automobile insurance policy issued by GEICO to Plaintiff—the contract—unambiguously
does not require the payment of sales tax on a leased total loss vehicle, it would be improper
to dismiss the claim at this stage of the proceedings. In other words, “[a]ny contractual
ambiguities must be resolved in the plaintiff’s favor” on a Rule 12(b)(6) motion. Perks v.
TD Bank, N.A., 444 F. Supp. 3d 635, 639-40 (S.D.N.Y. 2020); see Subaru Distributors
Corp. v. Subaru of Am., Inc., 425 F.3d 119, 122 (2d Cir. 2005) (“[A]t this procedural stage
[on a Rule 12(b)(6) motion], we should resolve any contractual ambiguities in favor of the
plaintiff.”); Eternity Glob. Master Fund Ltd. v. Morgan Guar. Tr. Co. of N.Y., 375 F.3d 168,
178 (2d Cir. 2004) (“Unless for some reason an ambiguity must be construed against the
plaintiff, a claim predicated on a materially ambiguous contract term is not dismissible on
the pleadings.”).
“Under New York law, a breach of contract claim has four elements: ‘(1) a contract;
(2) performance of the contract by one party; (3) breach by the other party; and
(4) damages.’” Acquest Holdings, Inc. v. Travelers Cas. & Sur. Co. of Am., 217 F. Supp.
3d 678, 686 (W.D.N.Y. 2016) (quoting First Inv’rs Corp. v. Liberty Mut. Ins. Co., 152 F.3d
162, 168 (2d Cir. 1998)). Here, there is no dispute that a valid contract exists through
Plaintiff’s automobile insurance policy with Defendant. Plaintiff attached as an exhibit a
copy of the policy form that he believes Defendant was using at the time his vehicle became
a total loss. (Dkt. 1 at ¶ 4 n.1; Dkt. 1-1 at 2-24).1 “For purposes of [Rule 12(b)(6)], the
complaint is deemed to include any written instrument attached to it as an exhibit or any
statements or documents incorporated in it by reference.” Chambers v. Time Warner, Inc.,
282 F.3d 147, 152 (2d Cir. 2002) (quotation omitted). Accordingly, the Court may consider
the policy in connection with Defendant’s motion.
The gravamen of Plaintiff’s complaint is that Defendant breached the policy by
failing to include sales tax in its calculation of ACV when paying him for the loss of his
1 Plaintiff attached as a separate exhibit a copy of Defendant’s standard form policy
that the New York Department of Insurance approved in April 2020 (Dkt. 1-1 at 26-50) and
noted that the two exhibits contain materially identical provisions on the pages at issue in
this action (Dkt. 1 at ¶ 4 n.1).
insured vehicle. Defendant argues that the Court should dismiss Plaintiff’s breach of
contract claim because: (1) “[t]he unambiguous policy language of his insurance contract
with GEICO . . . does not require payment of sales tax on a lease agreement”; (2) “Section
216.6 of New York’s Compilation of Codes, Rules and Regulations (‘Regulation 64’) does
not require payment of sales tax on leased totaled vehicles”; and (3) “New York Tax Law
§1111(i) does not require payment of sales tax on a leased vehicle.” (Dkt. 13 at 4 (emphasis
in original)). For the reasons discussed below, the Court disagrees that the policy
unambiguously does not require payment of sales tax under the circumstances alleged in
the complaint. As such, it would be improper to dismiss Plaintiff’s cause of action for
breach of contract. Moreover, because the Court concludes that, construing any
ambiguities in favor of Plaintiff on this Rule 12(b)(6) motion, the insurance policy can
reasonably be interpreted as including sales tax within the scope of ACV for leased
vehicles, the Court need not and does not reach Defendant’s arguments regarding the
requirements of Regulation 64 and New York Tax Law § 1111(i).2
Under New York law, “an insurance contract is interpreted to give effect to the intent
of the parties as expressed in the clear language of the contract.” Parks Real Estate
Purchasing Grp. v. St. Paul Fire & Marine Ins. Co., 472 F.3d 33, 42 (2d Cir. 2006) (citation
and quotation omitted). If the terms of the insurance contract are unambiguous, the Court
will enforce the contract as it is written. See id. Whether an ambiguity exists is a “threshold
2 Defendant does not contend that Regulation 64 prohibits it from contractually
agreeing to pay sales tax on leased total loss vehicles, only that it does not require it to do
so. (See Dkt. 13 at 4).
question of law to be determined by the court.” Duane Reade Inc. v. St. Paul Fire & Marine
Ins. Co., 411 F.3d 384, 390 (2d Cir. 2005). “The test for ambiguity is whether the language
in the insurance contract is ‘susceptible of two reasonable interpretations.’” MDW Enters.
v. CNA Ins. Co., 4 A.D.3d 338, 340-41 (2d Dep’t 2004) (quoting New York v. Home Indem.
Co., 66 N.Y.2d 669, 671 (1985)); see also Orchard Hill Master Fund Ltd. v. SBA Commc’ns
Corp., 830 F.3d 152, 156-57 (2d Cir. 2016) (“A contract is ambiguous under New York law
if its terms could suggest more than one meaning when viewed objectively by a reasonably
intelligent person who has examined the context of the entire integrated agreement and
who is cognizant of the customs, practices, usages and terminology as generally understood
in the particular trade or business.” (quotation omitted)). “[T]he ambiguities in the policy
ordinarily are construed in favor of coverage and against the insurer, because as the drafter
of the policy the insurer is responsible for the ambiguity.” Andy Warhol Found. for Visual
Arts, Inc. v. Fed. Ins. Co., 189 F.3d 208, 215 (2d Cir. 1999); see also Goldberger v. Paul
Revere Life Ins. Co., 165 F.3d 180, 182 (2d Cir. 1999) (collecting cases).
Here, both parties assert that the language in the policy is unambiguous and supports
their respective positions on the question of whether Defendant is required to pay sales tax
as part of the ACV for the total loss of Plaintiff’s leased vehicle. (See Dkt. 13 at 4-5; Dkt.
19 at 13-14). Defendant points to language in the policy that limits its liability to only the
loss of or damage to the auto itself. (See Dkt. 13 at 4). Specifically, under “LOSSES WE
WILL PAY FOR YOU, Collision,” the policy states, “We will pay for collision loss to the
owned or non-owned3 auto for the amount of each loss less the applicable deductible.”
(Dkt. 1-1 at 11) (emphases omitted). Loss is defined as “direct and accidental loss of or
damage to: (a) the auto, including its equipment; or (b) other insured property.” (Id. at 10).
Defendant also cites language in the policy under “LIMIT OF LIABILITY,” which states
in relevant part that its liability is limited to “the actual cash value of the property at the
time of the loss.” (Id. at 12). Later in that section, the policy states that “[the ACV] of
property will be determined at the time of the loss and will include an adjustment for
depreciation/betterment and for the physical condition of the property.” (Id.) (emphases
omitted). Defendant notes that the policy is silent on the issue of sales tax, and argues the
policy does not require it to treat “leased and owned4 vehicles . . . identically for sales tax
purposes.” (Dkt. 13 at 4-5). As such, tax on a lease agreement is not a “loss” under the
policy, according to Defendant. (Id. at 5).
Plaintiff argues that the policy “defines [ACV] as requiring GEICO to pay the
‘replacement cost’ of insured vehicles after a total loss.” (Dkt. 19 at 7). In other words, in
Plaintiff’s view, the insurance policy is unambiguous in defining the ACV as future-looking
3 Whether a vehicle is “owned” or “non-owned” is separate from the question of
whether the vehicle was purchased or leased. The policy has specific definitions of an
“owned auto” (including autos that are leased for a period of six months or more) and a
“non-owned auto.” (Dkt. 1-1 at 10-11).
4 At times, the parties use “owned” when referencing vehicles that were purchased,
rather than leased. (See Dkt. 13 at 4-5; Dkt. 19 at 14, 20). Since the insurance policy has
specific definitions of “owned” and “non-owned” autos that do not differentiate between
purchased and leased vehicles—the distinction at the heart of this action—the Court will
use “owned” only when quoting the parties’ arguments or the definition of an “owned auto”
in the insurance policy. (See Dkt. 1-1 at 10).
in that it is based on what it would cost to replace the vehicle that was a total loss. Plaintiff
cites cases in other jurisdictions, applying their respective state laws, for the proposition
that “ACV defined as ‘replacement cost’ is reasonably interpreted to include sales tax.”
(Id. at 13). Plaintiff argues that the policy’s definition of an “owned auto” supports his
position because both purchased and leased vehicles are “owned auto[s]” and are afforded
the same insurance coverage. (See id. at 14).5 If Defendant had sought to provide different
coverage for leased vehicles, it was required to explicitly say so in the policy, according to
Plaintiff. (Id.).6
The Court finds that Plaintiff’s proffered interpretation of the policy is reasonable,
which is all that is required to deny the instant motion to dismiss.7 As noted above,
5 In making this argument in particular, Plaintiff cites Roth v. GEICO Gen. Ins. Co.,
No. 16-62942-Civ-DIMITROULEAS, 2018 WL 3412852, at *8-13 (S.D. Fla. June 13,
2018). Plaintiff acknowledges (Dkt. 19 at 7) that this decision has been vacated upon the
parties’ joint motion in that case. See Roth v. GEICO Gen. Ins. Co., No. 16-62942-Civ-
WPD, No. 18-61361-Civ-WPD, 2020 WL 5507208, at *1 (S.D. Fla. Aug. 27, 2020).
Defendant makes much of the vacatur of this decision, calling Plaintiff’s citations to it
“egregious” and suggesting that they should be “ignored and struck” because the decision
has “zero precedential value.” (Dkt. 20 at 5 n.1). Defendant’s outrage is misplaced. A
decision that was vacated other than on the merits may still be considered for its persuasive
(as opposed to precedential) value, see Brown v. Kelly, 609 F.3d 467, 477 (2d Cir. 2010),
and Plaintiff made the status of Roth clear in his papers.
6 Defendant appears to take the position that coverage is the same under the policy
language for both purchased and leased vehicles—in neither case does the policy include
sales tax within the definition of ACV. However, because New York law includes sales tax
within the definition of ACV, according to Defendant, the scope of ACV for purchased
vehicles is broadened by virtue of New York law. (See Dkt. 20 at 6 n.2).
7 Plaintiff makes a cursory suggestion that the Court could enter summary judgment
in his favor based on the “unambiguous” terms of Regulation 64. (See Dkt. 19 at 20).
However, Plaintiff has not cross-moved for summary judgment nor satisfied any of the
Defendant argues that the policy is “silent on sales tax” and thus does not obligate it to
include sales tax in its calculation of ACV. However, this argument fails to grapple with
the fact that the policy defines ACV to mean “replacement cost of the auto or property less
depreciation or betterment.” (Dkt. 1-1 at 10). As other federal courts have held, where
ACV is defined as “replacement cost minus normal depreciation,” it is a plausible
interpretation that it includes sales tax. Wilkerson v. Am. Fam. Ins. Co., 997 F.3d 666, 670
(6th Cir. 2021); see also Ostendorf v. Grange Indem. Ins. Co., No. 2:19-CV-1147, 2020
WL 134169, at *3 (S.D. Ohio Jan. 13, 2020) (“It is true that there is no express provision
of Grange’s insurance policy that requires the payment of sales tax and vehicle fees. But
that is not Plaintiff’s argument. . . . Plaintiff argues that the promise to pay ‘actual cash
value’ includes sales tax and registration fees because the point of ACV is to cover the full
cost of replacing the vehicle. This Court concludes that the term ‘actual cash value’ is at
least ambiguous under the Policy[.]” (internal citation omitted)); Sos v. State Farm Mut.
Auto. Ins. Co., 396 F. Supp. 3d 1074, 1081 (M.D. Fla. 2019) (“The Court finds that sales
tax and fees are costs an insured is reasonably likely to incur in replacing his leased vehicle,
and therefore are components of actual cash value under the Policy.”); Lukes v. Am. Fam.
Mut. Ins. Co., 455 F. Supp. 2d 1010, 1015 (D. Ariz. 2006) (“The Policy in this case defines
‘actual cash value’ as ‘the amount which it would cost to repair or replace covered property
with material of like kind and quality, less allowance for physical deterioration and
depreciation, including obsolescence’ . . . . The Defendant has not cited any authority that
procedural prerequisites for seeking such relief. It would be improper for the Court to grant
summary judgment to Plaintiff under these circumstances.
suggests that Arizona state courts would construe ‘actual cash value,’ in the present context,
to exclude sales tax.”).
Defendant suggests that these cases are not persuasive and should be disregarded by
the Court because they were not applying New York law. (See Dkt. 20 at 5-6). But
Defendant has offered no persuasive argument that the laws of the jurisdictions at issue
differ meaningfully from New York law on the key issue—namely, whether the
“replacement cost” of a vehicle may reasonably be interpreted to require payment of sales
tax.8 The Court finds the cases cited above persuasive as to this specific argument, and
further does not find that this point turns on any vagaries of the state laws at issue.
Moreover, the Court is not persuaded by Defendant’s reliance on the policy’s
definition of loss as somehow restricting the scope of ACV to not include sales tax.
Liability under the policy is limited to the ACV of the property “at the time of the loss,”
(Dkt. 1-1 at 12), but a reasonable interpretation of this language is that it simply addresses
the timing of when the replacement cost value should be measured—in other words, not at
the time the policy is issued or when the vehicle is procured, but rather at the time of the
loss. And the definition of loss under the policy does little to clarify the issue. Loss is
defined as “direct and accidental loss of or damage to: (a) the auto, including its
8 Defendant does suggest that these cases are distinguishable because “New York law
does not require payment of sales tax on leased vehicles” as opposed to on the lease
agreement itself. (Dkt. 20 at 5) (emphasis omitted). But that is not the question at this
stage of the proceedings—the question is whether “replacement cost” can reasonably be
interpreted to include all the costs one would have to expend to obtain a comparable
vehicle.
equipment. . .,” (id. at 10), but this is a circular definition whereby “loss” itself is defined,
in part, by “loss.” In any event, given that ACV is defined under the policy as replacement
cost, the Court cannot conclude that the policy’s definition of loss somehow
unambiguously eliminates sales tax from the policy’s definition of ACV. 9
Thus, the Court concludes that Plaintiff’s interpretation of the policy as including
sales tax within the scope of ACV is not unreasonable. At best, the policy is ambiguous as
to whether it includes sales tax within the ACV for a total loss leased vehicle, necessitating
denial of Defendant’s motion to dismiss Plaintiff’s breach of contract claim.
III. Defendant’s Argument that Appraisal will be Ripe
In its motion to dismiss, Defendant raises the use of an appraisal to resolve a
potential dispute regarding the amount of Plaintiff’s loss. (Dkt. 13 at 8). According to
Defendant, “[o]n resolution of the legal issue raised by this Motion and if Plaintiff then
9 In Sigler v. GEICO Casualty Co., 967 F.3d 658 (7th Cir. 2020), the Seventh Circuit
affirmed the district court’s dismissal of plaintiff’s claim that he was entitled to recover
“sales tax and title and tag transfer fees for a replacement vehicle, though he did not incur
these costs.” Id. at 659. The Seventh Circuit concluded that “[t]he Limit of Liability
section of the policy doesn’t promise to pay these costs regardless of whether the insured
incurs them; it simply describes the most that GEICO will pay in the event of a covered
loss.” Id. at 660. However, the Seventh Circuit’s ruling in Sigler relied upon an Illinois
insurance regulation that “specifically addresses when an auto insurer must pay sales tax
and title and tag transfer fees in a total-loss claim[.]” Id. at 661. That regulation “requires
payment of applicable sales tax and title and transfer fees only when the insured purchases
or leases a new vehicle within a specified time and substantiates that he has incurred these
costs[.]” Id. (emphasis in original). Due to the existence of this regulation, the Seventh
Circuit concluded that the policy at issue in Sigler was “not really silent on this subject.”
Id. By contrast, Defendant’s express position in this case is that the policy “is silent on
sales tax.” (Dkt. 13 at 4). Sigler is accordingly not on point. See also Ostendorf, 2020
WL 134169, at *3 (explaining that the district court’s decision in Sigler is “an outlier” and
that “a number of jurisdictions have reached the opposite result”).
challenges the amount of his Joss, the extrajudicial remedy of appraisal becomes ripe, and
GEICO will seek this remedy.” (/d.). Plaintiff responds that he is only asking the Court to
resolve a legal question of whether he is entitled to sales tax, calculated based on a fixed
percentage, on his claim for his leased vehicle that was totaled. (Dkt. 19 at 27). In its
reply, Defendant again asserts that “once the Court resolves the threshold legal issue,
appraisal will be ripe.” (Dkt. 20 at 9).
To the extent that Defendant is seeking relief beyond dismissal under Rule 12(b)(6),
it has not properly moved for the same. The Court will not resolve matters beyond those
appropriately presented for its review.
CONCLUSION
For the foregoing reasons, Defendant’s motion to dismiss (Dkt. 12) is denied.
Defendant shall file an answer in accordance with the Federal Rules of Civil Procedure.
SO ORDERED.
A IAl_pec
ELIZABETH WOKEORD
ie£Hidge
United States District Court
Dated: March 13, 2024
Rochester, New York
-13-