Opinion

Boze v. Great American Insurance Company

Court
District Court, M.D. Tennessee
Filed
Sep 26, 2024
Cited by
0 cases
Authority
More cited than 31.8%

“As the Tennessee Court of Appeals explained in Plants, by virtue of these policy provisions and regulations, contract claims against private insurers are preempted but tort claims are not.”

How later courts described this case

  • “As the Tennessee Court of Appeals explained in Plants, by virtue of these policy provisions and regulations, contract claims against private insurers are preempted but tort claims are not.”
  • “Congress has not expressed a clear intent to preempt all state law causes of action against private reinsurers.”
  • no complete preemption of state law claims pertaining to Act-issued crop insurance
  • courts may consider letter decisions of governmental agencies when ruling on a Rule 12(b)(6) motion

Written by the judges who cited it.

The opinion

UNITED STATES DISTRICT COURT

MIDDLE DISTRICT OF TENNESSEE

NORTHEASTERN DIVISION

DANIEL GENE BOZE, et al., )

)

Plaintiffs, )

)

v. ) No. 2:21-cv-00002

)

GREAT AMERICAN INSURANCE )

COMPANY, )

)

Defendant. )

MEMORANDUM OPINION

Daniel Gene Boze, Jimmy Joe Boze, and the Estate of Mary Ruth Boze (“Plaintiffs”), bring

suit against Great American Insurance Company (“GAIC”). (Doc. No. 1). This case arises out of

an insurance dispute. Plaintiffs contend GAIC failed to comply with the terms of the applicable

insurance policies. Plaintiffs bring suit seeking judicial review and remedies for various Tennessee

state law claims. Before the Court is GAIC’s Motion to Dismiss (Doc. No. 58), which has been

fully briefed and is ripe for review (Doc. Nos. 58, 59, 63, 65). GAIC also filed a Motion for Oral

Argument on its Motion to Dismiss (Doc. No. 60). Plaintiffs filed a Response to GAIC’s Motion

for Oral Argument requesting the same (Doc. No. 64). For the following reasons, the Court will

grant GAIC’s Motion to Dismiss (Doc. No. 58) and will deny its Motion for Oral Argument as

moot (Doc. No. 60).

I. BACKGROUND AND FACTUAL ALLEGATIONS1

Plaintiffs and the late Joe Boze were three Burley tobacco farmers in Carthage, Tennessee.

They were the insureds under three separate multi-peril crop insurance (“MPCI”) policies by GAIC

1 The Court draws the facts in this section from the Complaint (Doc. No. 1) and the attached

exhibits and assumes the truth of those facts for purposes of ruling on the instant motion. See

in 2017 (collectively, the “Policies”).2 (Doc. No. 1 ¶¶ 7, 12). The Policies were issued subject to

the Federal Crop Insurance Act (“the Act”), 7 U.S.C. § 1501 et seq., and corresponding regulations

under Title VII, Chapter IV of the Code of Federal Regulations. The Policies are reinsured by the

Federal Crop Insurance Corporation (“FCIC”), an agency managed by the Risk Management

Agency (“RMA”) of the U.S. Department of Agriculture. (See Doc. No. 1-2 at 2).

After Plaintiffs’ tobacco crops were damaged in 2017, they submitted claims to GAIC

under their respective policies to be indemnified for their crop loss. (Doc. No. 1 ¶¶ 10, 12). When

GAIC received those claims, it was obligated under the Policies and applicable regulations to

determine whether, and how much of, Plaintiffs’ crop losses were a result of a failure to follow

good farming practices (“GFP”) as defined in the Policies. (Id. ¶ 13). GAIC’s initial GFP

determination was that all of Plaintiffs’ crop losses came from their various failures to follow good

farming practices, thus denying all their claims. (Id. ¶¶ 10, 12). Each of the Policies contained

two clauses to contest GAIC’s GFP determination. First, if the insured disagreed with GAIC’s

decision on whether the insured followed GFP, the insured could request a GFP determination

from FCIC. (Id. ¶ 14). Second, if an insured disagreed with GAIC’s determination of the amount

Erickson v. Pardus, 551 U.S. 89, 94 (2007). The Court also draws facts from the RMA’s Response

to Request for Section 20(i) Determination (Doc. No. 39-1), the National Appeals Division’s

Appeal Determination (Doc. No. 54-1), and the National Appeals Division’s Director Review

Determination (Doc. No. 54-2), which it may properly consider for the purposes of GAIC’s Rule

12(b)(6) motion. Armengau v. Cline, 7 F. App’x 336, 344 (6th Cir. 2001) (courts may consider

letter decisions of governmental agencies when ruling on a Rule 12(b)(6) motion).

2 Mary Ruth Boze assumed all rights and interest in the MPCI policy belonging to her husband,

Joe Boze, upon his death. (Doc. No. 1 ¶ 8). Mary Ruth Boze has passed away since the Complaint

was filed; Jimmy Joe Boze and Nita Lee Reid, as Co-Personal Representatives of the Estate of

Mary Ruth Boze and the successors-in-interest in and to the causes of action asserted here, have

been substituted as Plaintiffs for the late Mary Ruth Boze in this action. (Doc. Nos. 37, 38).

of crop loss assigned as indemnified based on the GFP determination, the insured needed to

challenge that determination in arbitration. (Id.).

Plaintiffs challenged GAIC’s GFP decision first by filing formal requests with the RMA.

(Id. ¶ 15). The RMA concluded that GAIC’s GFP decision was a mixed bag: GAIC incorrectly

found Plaintiffs did not follow good farming practices in some respects, but correctly found

Plaintiffs violated the good farming practices provision in others. (Id. ¶¶ 16, 17). The RMA also

noted Plaintiffs’ failure to follow the recognized GFP may not be the only reason Plaintiffs suffered

tobacco crop losses, but it did not decide whether Plaintiffs were entitled to indemnity. (Id. ¶ 18).

Upon the RMA’s GFP decision, GAIC did not reassess their initial GFP determination to

determine whether any of Plaintiffs’ crop losses were subject to indemnity. (Id. ¶ 19). Plaintiffs

then challenged GAIC’s GFP determination in arbitration. (Id. ¶ 22). The arbitrator decided that

to the extent Plaintiffs failed to follow GFP, those failures were not the cause of Plaintiffs’ crop

losses. (Id. ¶ 23). Accordingly, the arbitrator concluded that Plaintiffs were entitled to indemnity

for their crop losses in the following amounts: Daniel Boze: $458,759.00; Jimmy Joe Boze:

$295,985.00; and Mary Ruth Boze: $402,393.00. (Id. ¶ 24). The arbitrator also awarded Plaintiffs

interest in the amounts of: Daniel Boze: $26,237.24; Jimmy Joe Boze: $16,927.88; and Mary Ruth

Boze: $23,013.59. (Id.). GAIC paid Plaintiffs in accordance with the arbitration award. (Id.).

Sections 20(h) and (i) of the Policies’ Basic Provisions provide for further appeals

procedures relating to the conduct of private insurers under the Policies, which state:

(h) Except as provided in section 20(i), no award or settlement in mediation,

arbitration, appeal, administrative review or reconsideration process or judicial

review can exceed the amount of liability established or which should have been

established under the policy, except for interest awarded in accordance with section

26.

(i) In a judicial review only, you may recover attorneys fees or other expenses, or

any punitive, compensatory or any other damages from us only if you obtain a

determination from FCIC that we, our agent or loss adjuster failed to comply with

the terms of this policy or procedures issued by FCIC and such failure resulted in

you receiving a payment in an amount that is less than the amount to which you

were entitled.

(Id. ¶¶ 26, 28). On January 26, 2021, Plaintiffs filed the instant suit, seeking judicial review

pursuant to Section 20(i) of the Policies, and alleging Tennessee breach of contract, common law

bad faith, statutory bad faith, and tort violations against GAIC. (Doc. No. 1 ¶¶ 36–81). That same

day, Plaintiffs requested a determination from FCIC pursuant to Section 20(i) that GAIC failed to

comply with the terms of the Policies or procedures issued by FCIC. Plaintiffs believe that this

resulted in them receiving a payment in an amount that is less than the amount they were entitled

to. (Id. ¶ 27; Doc. No. 1-4). The RMA denied Plaintiffs’ requested Section 20(i) determination,

finding “no proof that [GAIC] failed to comply with FCIC policies and procedures, and [Plaintiffs]

received the total amount [] entitled to under [the] polic[ies].” (Doc. No. 39-1 at 1).

Plaintiffs appealed the RMA’s decision to the National Appeals Division, where the

Administrative Law Judge (“ALJ”) found that the RMA erred on the issue of GAIC’s compliance

with FCIC policies and procedures. The ALJ specifically found that GAIC acted willfully and

egregiously in not re-evaluating its initial GFP determination after the RMA made its GFP

decision. (Doc. No. 54-1 at 50). However, the ALJ found the RMA did not err on its determination

that Plaintiffs received “the full indemnity due under their policies, with interest” and so the

RMA’s decision denying Plaintiffs’ request for a Section 20(i) finding was not erroneous. (Doc.

No. 54-1 at 51). Plaintiffs again appealed the ALJ’s decision to the National Appeals Division’s

Director for review. The Director found the ALJ’s determination that GAIC willfully and

egregiously violated the FCIC was not supported by substantial evidence. However, on the

ultimate determination that the “RMA properly denied [Plaintiffs’] request for a Section 20(i)

determination because [Plaintiffs’] received the total indemnity due to them” was supported by

substantial evidence. (Doc. No. 54-2 at 65). GAIC then filed the pending motion to dismiss (Doc.

No. 58).

II. LEGAL STANDARD

To survive a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6), “the

complaint must include a ‘short and plain statement of the claim showing that the pleader is entitled

to relief.’” Ryan v. Blackwell, 979 F.3d 519, 524 (6th Cir. 2020) (quoting Fed. R. Civ. P. 8(a)(2)).

When determining whether the complaint meets this standard, the Court must accept all the

complaint’s factual allegations as true, draw all reasonable inferences in the plaintiff’s favor, and

“take all of those facts and inferences and determine whether they plausibly give rise to an

entitlement to relief.” Doe v. Baum, 903 F.3d 575, 581 (6th Cir. 2018); see also Ashcroft v. Iqbal,

556 U.S. 662, 678–79 (2009). The Court must determine only whether “the claimant is entitled to

offer evidence to support the claims,” not whether the plaintiff can ultimately prove the facts

alleged. Swierkiewicz v. Sorema N.A., 534 U.S. 506, 511 (2002) (quoting Scheuer v. Rhodes,

416 U.S. 232, 236 (1974)). And “[w]hile the complaint does not need detailed factual allegations,

a plaintiff’s obligation to provide the grounds of his entitlement to relief requires more than labels

and conclusions” or “a formulaic recitation of a cause of action’s elements[.]” Blackwell, 979

F.3d at 524 (internal quotations omitted) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555

(2007)). Moreover, in evaluating a motion to dismiss, the Court may consider the complaint and

the exhibits attached. Bassett v. Nat’l Collegiate Athletic Ass’n, 528 F.3d 426, 430 (6th Cir. 2008).

Further, “[a]t this preliminary stage in litigation,” courts may also consider “letter decisions of

governmental agencies” as matters that fall within the pleadings for the purposes of Rule 12(b)(6).

Armengau, 7 F. App’x at 344 (citing Jackson v. City of Columbus, 194 F.3d 737, 745 (6th Cir.

1999)).

III. FEDERAL CROP INSURANCE

The crop insurance Policies at issue in this case were dispensed subject to the Act. The

federal government, through FCIC, “has been in the business of providing crop insurance directly

to farmers since the 1930s.” Bachman Sunny Hill Fruit Farms, Inc. v. Producers Agric. Ins. Co.,

57 F.4th 536, 538 (6th Cir. 2023). “And ever since Congress enacted the Federal Crop Insurance

Act of 1980, the FCIC and its administrator, the Risk Management Agency, have also reinsured

policies offered to farmers by private insurers.” Id. (citing Ackerman v. U.S. Dep’t of Agric., 995

F.3d 528, 529 (6th Cir. 2021). This federal reinsurance program allows FCIC to “provide

reimbursement, subsidies, and reinsurance for approved crop-insurance policies.” Id. (citing

Stephanie Rosch, Cong. Rsch. Serv., R46686, Federal Crop Insurance: A Primer, 25 (2021)).

These federally insured crop-insurance policies “are not typical private insurance

agreements.” Bachman Sunny Hill Fruit Farms, 5 F.4th at 538 (internal quotation omitted).

“[E]ach contract is ‘between a farmer and an insurance provider,’ but ‘the FCIC determines the

terms and conditions’ of the policy.” Id. at 538–39 (6th Cir. 2023) (quoting Balvin v. Rain & Hail,

LLC, 943 F.3d 1134, 1136 (8th Cir. 2019)). In fact, the terms of the Policies Plaintiffs bought

from GAIC are set out in full in the Code of Federal Regulations. See 7 C.F.R. §457.8. Only the

FCIC may interpret these insurance policies and procedures:

In any suit, if the dispute in any way involves a policy or procedure interpretation,

regarding whether a specific policy provision or procedure is applicable to the

situation, how it is applicable, or the meaning of any policy provision or procedure,

an interpretation must be obtained from FCIC in accordance with 7 CFR 400,

subpart X or such other procedures as established by FCIC. Such interpretation

will be binding.

7 C.F.R. § 457.8.

IV. ANALYSIS

GAIC asserts all of Plaintiffs’ claims against it must be dismissed because: (1) Plaintiffs’

claims are preempted by federal law; and (2) none of Plaintiffs’ claims state a cause of action for

which relief can be granted. (Doc. No. 59 at 1). The Court will address each of these issues in

turn.

The parties dispute whether Plaintiffs’ claims are preempted by federal law. GAIC

contends that Plaintiffs’ claims conflict with, and are therefore barred by, the Act, its implementing

regulations, and the Policies’ terms. (Doc. No. 59 at 7; see e.g., id. at 8 (citing to 7 U.S.C. §

1506(1), the Act’s preemption provision), 9 (citing to Sections 20 and 31 of the Policies that relate

to FCIC’s determination authorizing damages and state law preemption, respectively), 10–12

(citing to final agency determinations (“FAD”) FAD-240 and FAD-251 that provide a court may

not award extra-contractual damages without FCIC permission)). Plaintiffs counter that they have

“preserved and perfected their available remedies” for their claims such that federal preemption is

not an impediment to their recovery. (Doc. No. 63 at 14).

“Federal preemption draws its force from the Supremacy Clause of the United States

Constitution.” Wimbush v. Wyeth, 619 F.3d 632, 642 (6th Cir. 2010) (citing U.S. Const. art. 6,

cl. 2). Although a number of species of preemption have been recognized by the federal

courts, see United Auto., Aerospace & Agric. Implement Workers of Am. Local 3047 v. Hardin

Cty., Ky., 842 F.3d 407, 418 (6th Cir. 2016), GAIC relies solely on a theory of conflict preemption.

(Doc. No. 59 at 7 (“State law should be displaced by federal law to the extent there is a conflict. .

. [a]nd there are many such conflicts here.”)). “[C]onflict pre-emption exists where ‘compliance

with both state and federal law is impossible,’ or where ‘the state law stands as an obstacle to the

accomplishment and execution of the full purposes and objectives of Congress.’ In either situation,

federal law must prevail.” Oneok, Inc. v. Learjet, Inc., 575 U.S. 373, 377

(2015) (quoting California v. ARC Am. Corp., 490 U.S. 93, 100–01 (1989)). Federal regulations

have the same preemptive effect as federal statutes. McCauley v. Home Loan Inv. Bank, F.S.B.,

710 F.3d 551, 554 (4th Cir. 2013) (citing Fid. Fed. Sav. & Loan Ass’n v. de la Cuesta, 458 U.S.

141,153 (1982). “Here, as in every preemption case, ‘[t]he purpose of Congress is the ultimate

touchstone.’” Wimbush, 619 F.3d at 642 (internal citation omitted). “In line with the standards

governing motions for dismissal, a defendant bears the burden of proof establishing preemption as

grounds for dismissal.” In re Ford Motor Co. F-150 & Ranger Truck Fuel Econ. Mktg. & Sales

Pracs. Litig., 65 F.4th 851, 859 (6th Cir. 2023) (citing Brown v. Earthboard Sports USA, Inc., 481

F.3d 901, 912 (6th Cir. 2007)).

All policies of insurance by FCIC are governed by regulations which preempt state laws

and regulations not consistent with the Act. Among the preemptive regulations, 7 C.F.R. § 400

subpart P prohibits “[s]tate or local governmental entities or non-governmental entities” from

levying:

fines, judgments, punitive damages, compensatory damages, or judgments for

attorney fees or other costs against companies, employees of companies including

agents and loss adjustors, or Federal employees arising out of actions or inactions

on the part of such individuals and entities authorized or required under the Federal

Crop Insurance Act, the regulations, any contract or agreement authorized by the

Federal Crop Insurance Act or by regulations, or procedures issued by the

Corporation.

7 C.F.R. § 400.352. Subpart P is “applicable to all policies of insurance,” 7 C.F.R. § 400.351,

including the subject Policies. In addition, FCIC has also included preemption language in all

insurance contracts authorized under the Act. For the Policies, that preemption language is found

in Sections 20(f) and 31, which provide in relevant part:

20. Mediation, Arbitration, Appeal, Reconsideration, and Administrative and

Judicial Review.

(f) In any mediation, arbitration, appeal, administrative review, reconsideration or

judicial process, the terms of this policy, the Act, and the regulations published at

7 CFR chapter IV, including the provisions of 7 CFR part 400, subpart P, are

binding. Conflicts between this policy and any state or local laws will be resolved

in accordance with section 31. If there are conflicts between any rules of the AAA

and the provisions of your policy, the provisions of your policy will control.

30. Applicability of State and Local Statutes.

If the provisions of this policy conflict with statutes of the State or locality in which

this policy is issued, the policy provisions will prevail. State and local laws and

regulations in conflict with federal statutes, this policy, and the applicable

regulations do not apply to this policy.

(Doc. No. 1-2 at 35, 38).

However, the Act does not preempt all state law claims. See Holman v. Laulo–Rowe

Agency, 994 F.2d 666, 669 (9th Cir. 1993) (no complete preemption of state law claims pertaining

to Act-issued crop insurance); Meyer v. Conlon, 162 F.3d 1264, 1269 (10th Cir. 1998) (“Congress

has not expressed a clear intent to preempt all state law causes of action against private

reinsurers.”). Instead, the Court must determine if Plaintiffs’ asserted claims interfere with or are

contrary to the Act, its regulations, and policies. To determine this, FAD-240 provides pertinent

instruction:

Any claim, including a claim for extra-contractual damages solely arising from a

condition related to policies of insurance pursuant to the Federal Crop Insurance

Act (Act), may only be awarded if a determination was obtained from FCIC in

accordance with section 20(i) of the Basic Provisions and § 400.176(b).

FCIC also agrees that 7 C.F.R. § 400.176(b), and the equivalent language in section

20(i) of the Basic Provisions preempts any state law claims that are in conflict. That

means that to the extent that State law would allow a claim for extra-contractual

damages, such State law is pre-empted and extra-contractual damages can only be

awarded if FCIC makes a determination that the [Approved Insurance

Provider][“AIP”], agent or loss adjuster failed to comply with the terms of the

policy or procedures issued by the Corporation and such failure resulted in the

insured receiving a payment in an amount that is less than the amount to which the

insured was entitled.

FAD-240 (emphasis added); see also FAD-251 (citing to FAD-240 for the proposition that extra-

contractual damages can only be awarded if the FCIC makes a determination that the AIP, agent

or loss adjuster failed to comply with the policy terms).3 Further, section 400.352(b)(4) of subpart

P provides:

Nothing herein precludes such damages being imposed against the company if a

determination is obtained from FCIC that the company, its employee, agent or loss

adjuster failed to comply with the terms of the policy or procedures issued by FCIC

and such failure resulted in the insured receiving a payment in an amount that is

less than the amount to which the insured was entitled.

7 C.F.R. § 400.352(b)(4). Thus, according to subpart P, the only manner that an AIP, such as

GAIC, can be assessed extra-contractual damages in connection with the issuance or

administration of the Policies is if the insured obtains preauthorization, in the form of an express

determination of non-compliance, from FCIC. Section 20(i) of the Basic Provisions of the Policies

is consistent with this. See supra, Section I. By its express terms, Section 20(i) requires a

determination from FCIC prior to recovering extra-contractual damages for claims in connection

with Policies. See 7 C.F.R. § 457.8 ¶ 20(i).

The parties largely agree as to Section 20(i)’s applicability to the claims at issue. While

not addressed directly in their briefing, the parties do not appear to dispute that the claims at issue

concern the issuance or administration of the Policies. (See generally, Doc. Nos. 59, 63, 65). In

3 7 C.F.R. § 400.176(b) provides “[n]o policy of insurance reinsured by the Corporation and no

claim, settlement, or adjustment action with respect to any such policy shall provide a basis for a

claim of punitive or compensatory damages or an award of attorney fees or other costs against the

Company issuing such policy, unless a determination is obtained from the Corporation that the

Company, its employee, agent or loss adjuster failed to comply with the terms of the policy or

procedures issued by the Corporation and such failure resulted in the insured receiving a payment

in an amount that is less than the amount to which the insured was entitled.”

fact, the parties seem to take this as a given, as both focus their attention on the import of the

Policies’ and regulations’ Section 20(i) determination requirement. (Doc. No. 59 at 6–13; Doc.

No. 63 at 11–14). Nor do the parties dispute that FCIC has found, on three different occasions,

that Plaintiffs are not entitled to a Section 20(i) non-compliance determination because Plaintiffs

received the full payments they were entitled to under the Policies. (Doc. No. 59 at 9; Doc. No.

63 at 14; Doc. No. 39-1 at 1; Doc. No. 54-1 at 51; Doc. No. 54-2 at 65).

The parties’ disagreement lies in the relevance of FCIC’s refusal to issue a non-compliance

Section 20(i) determination. GAIC contends that because FCIC did not grant Plaintiffs a favorable

Section 20(i) determination, they have not satisfied the Policies- and regulations-mandated

prerequisite to pursue extra-contractual damages from GAIC. Therefore, any claims for such

damages are preempted. (Doc. No. 59 at 11–13). Plaintiffs make two main arguments countering

GAIC’s assertion that the unfavorable FCIC decision bars their claims: (1) Plaintiffs’ tort claims

are not subject to this Section 20(i) determination because they are not preempted by the Act, its

federal regulations, or policy terms; and (2) Plaintiffs needed only to seek a determination, not

necessarily a favorable one, from FCIC to pursue their claims.4 (Doc. No. 63 at 11–14). Neither

argument is convincing.

Plaintiffs’ first argument, that their tort claims are not preempted by the Act, is unavailing.

Plaintiffs rely on Plants, Inc. v. Fireman’s Fund Ins. Co., 2012 WL 3291805 (Tenn. Ct. App. Aug.

13, 2012), and its progeny Pelzer v. ARMtech Ins. Servs., Inc., 928 F. Supp. 2d 1071 (E.D. Ark.

2013), to support this assertion. The court in Plants held that the Act only preempted state law

4 The Court understands Plaintiffs also contend their “judicial review” claim is rooted in federal

law, presumably because it originates under the Act, and is therefore not preempted. (Doc. No. 36

at 13, 15). However, Plaintiffs provide no argument establishing the Act provides them with a

private right of action. (See generally id.). The Court finds this argument is without merit.

contract claims against an insurer, but not tort claims. 2012 WL 3291805, at *11. However, GAIC

correctly points that that since these cases were decided, the Plants position has been written out

of and is no longer in accord with standard policy terms and regulations. FAD-251 provides:

The requester notes that recent case law from the Tennessee Court of Appeals

(Plants, Inc. v. Fireman’s Fund Ins. Co., 2012 Tenn. App. LEXIS 561 (Tenn. Ct.

App. Aug. 13, 2012), as well as another civil action between the same two

parties, Plants, Inc. v. Fireman’s Fund Ins. Co., 2012 Tenn. App. LEXIS 562

(Tenn. Ct. App. Aug. 13, 2012)) found that 7 CFR § 400.352(b)(4) did not apply

when a policyholder seeks extra-contractual damages for alleged negligence or

misrepresentations regarding the policy or the applicability of a policy to a crop.

The requester believes that the court’s interpretation of 7 CFR § 400.352(b)(4) in

the Plants cases is wrong, and that the requester’s interpretation above is the correct

one. FCIC recently agreed in FAD-240 that the Plants decisions were incorrect

because they were counter to 7 CFR § 400.176 and the policy terms.

Those Plants decisions are also incorrect because they are counter to § 400.352.

FAD-251. Further, in 2018, FAD-280 clarifies:

The provisions contained in 7 C.F.R. § 400.176(b), and the equivalent language in

section 20(i) of the Basic Provisions, preempts any state law claims that are in

conflict. That means that to the extent that State law would allow a claim for

extracontractual damages, such State law is pre-empted and extra-contractual

damages can only be awarded if FCIC makes a determination that the AIP, agent

or loss adjuster failed to comply with the terms of the policy or procedures issued

by the Corporation and such failure resulted in the insured receiving a payment in

an amount that is less than the amount to which the insured was entitled. Therefore,

this means that state law claims may be possible but recovery of extra-contractual

damages is limited and the determination from FCIC must first be obtained.

FAD-280. To the extent that Pelzer relies on Plants in making a distinction between tort and

contract cases for the purposes of preemption, such reasoning no longer has a viable legal root.

See Pelzer, 928 F. Supp. 2d at 1078 (“As the Tennessee Court of Appeals explained in Plants, by

virtue of these policy provisions and regulations, contract claims against private insurers are

preempted but tort claims are not.”). Rather, the weight of cases decided since the issuance of

FAD-251 indicates that the nature of a state law claim does not determine whether it conflicts with

the Act. Instead, conflict preemption is determined by whether the claim invokes an interpretation

of the insurance policy and its procedures that conflict with the Act. See J.O.C. Farms, LLC v.

Fireman’s Fund Ins. Co., 737 F. App’x 652, 656 (4th Cir. 2018) (listing cases).

Here, Plaintiffs do not dispute that their claims arise under the terms of the Policies

pertaining to GFP and judicial review. (Doc. No. 1 ¶¶ 11, 26; Doc. No. 1-2 at 3, 35). Further,

Plaintiffs acknowledge the conduct Plaintiffs rely on to support all of their state law claims is based

on GAIC’s GFP determination, thereby seeking damages directly related to the Policies and

FCIC’s interpretations of coverage determinations. (Doc. No. 63 at 13 (Plaintiffs assert they are

seeking redress for GAIC’s “bad faith refusal to pay” and its “fail[ure] to comply with the terms

of the policy or procedures issued by FCIC”); see Doc. No. 1 ¶¶ 49–53, 56, 61–62, 66–68, 72–81).

While the Act and FCIC regulations were not intended to completely foreclose state law claims

against GAIC, the Court “agree[s] with the weight of recent authority recognizing that claims

arising from an insurer’s determination under the policy are preempted.” J.O.C. Farms, 737 F.

App’x at 656. This is because such claims, like Plaintiffs’ here, impinge on the purpose, intent,

and authority of the Act by providing for expanded forms of relief for claims arising from GAIC’s

GFP determination not authorized by the Act.5 Id. (affirming district court dismissal of tort claims

as conflict preempted by the FCIA); Dixon, 198 F. Supp. 3d at 841 (plaintiffs must show damages

“unrelated” to the insurance policy to not have state law claims preempted); Weadon v. Producers

Agric. Ins. Co., 2024 WL 1603678, at *3 (M.D.N.C. Apr. 12, 2024) (finding state law claims

related to coverage determinations preempted under the FCIA); Williamson Farm v. Diversified

Crop Ins. Servs., 2018 WL 1474068, at *5 (E.D.N.C. Mar. 26, 2018), aff'd, 917 F.3d 247 (4th Cir.

5 To the extent Plaintiffs argue that they seek “judicial review” as a separate claim under Count I

(Doc. No. 1 at ¶¶36–44), it is not clear this is a viable claim for relief. However, even if the Court

were to find it was a separate claim, it should still be dismissed because of Plaintiffs’ failure to

obtain a positive FCIC determination because Plaintiffs base their “claim” for judicial review on

GAIC’s GFP determination. (Id. ¶¶ 38–41).

2019) (finding North Carolina unfair and deceptive trade practice claim preempted given the

limited scope of remedies provided by the FCIA). The authority on which Plaintiffs rely is

inapposite because they rely on earlier versions of the regulations that included language more

readily admitting state law determinations of such claims. See e.g., Meyer v. Conlon, 162 F.3d

1264, 1268–69 (10th Cir. 1998) (per curiam); Williams Farms of Homestead, Inc. v. Rain & Hail

Ins. Servs., Inc., 121 F.3d 630, 633 (11th Cir. 1997); Nobles v. Rural Cmty. Ins. Servs., 303

F.Supp.2d 1292, 1296–98 (M.D. Ala. 2004). Accordingly, all of Plaintiffs’ claims conflict with

and are preempted by the Act. They did not obtain a non-compliance determination from FCIC

pursuant to Section 20(i) that would permit them to seek extra-contractual damages relating to

GAIC’s GFP determination. J.O.C. Farms, 737 F. App’x at 656.

Plaintiffs’ second argument, that the outcome of the Section 20(i) FCIC determination is

irrelevant so long as Plaintiffs seek one, fares no better. To support this argument, Plaintiffs cite

to federal regulations, FADs, and Manager’s Bulletin MGR-14-010 that provide that a party can

only pursue state claims if it obtains a determination from FCIC, and that filing for judicial review

should precede filing for that determination. (Doc. No. 63 at 13 (citing to FAD-280 and FAD-282

for the premise that a party can pursue extra-contractual damages after obtaining a determination

from FCIC), 14 (citing to Manager’s Bulletin MGR-14-010 for the premise that a party must seek

judicial review before seeking a Section 20(i) determination from FCIC)). Plaintiffs’ arguments

miss the point.

The Act and its implementing regulations do not merely require that an insured seek any

Section 20(i) determination from the FCIC as a matter of course before seeking to recover extra-

contractual damages for claims relating to the Policies in federal court. Rather, the Act, its

implementing regulations, and the terms of the Policies all require a Section 20(i) determination

of non-compliance from FCIC. Not just any determination, but one that “the AIP, agent or loss

adjuster failed to comply with the terms of the policy or procedures issued by the Corporation and

such failure resulted in the insured receiving a payment in an amount that is less than the amount

to which the insured was entitled.” FAD-240; see FAD-251; FAD-280; 7 C.F.R. § 457.8 ¶ 20(i);

see also Manager’s Bulletin MGR-14-010 (noting RMA will review record in a Section 20(i)

determination for the same). The FCIC’s repeated denials of Plaintiffs’ Section 20(i) requests for

a determination of GAIC’s non-compliance (Doc. Nos. 39-1, 54-1, 54-2) is dispositive of

Plaintiffs’ argument. This is because the Section 20(i) requirement that FCIC provide an insured

with a non-compliance determination prior to recovering extra-contractual damages for policy-

related claims conflicts with, and therefore preempts, state law where state claims would allow for

recovery not permitted by the Act. Wanamaker Nursery, Inc. v. John Deere Risk Prot., Inc., 364

F. Supp. 3d 839, 849 (E.D. Tenn. 2019) (“Applying that provision, the Wanamakers were required

to obtain authorization from the FCIC before making any bad faith claim for damages. It is

uncontroverted that they failed to do so and the policies’ relevant provision preempts state law.

For those reasons, the Court will dismiss the Wanamaker’s bad faith claim under Tennessee law.”);

see In re Dupree Farms, LLC, 2024 WL 3633272, at *4 (Bankr. E.D.N.C. Aug. 1, 2024) (the

FCIC’s determination that it had no authority to issue a determination under subpart P did not

satisfy Section 20(i) requirement that a policyholder must obtain a determination of non-

compliance from the FCIC prior to pursuing a claim for extra-contractual damages against an AIP

based on actions relating to a federal crop insurance policy).

Accordingly, GAIC has carried its burden in showing Plaintiffs’ claims conflict with, and

are preempted by, the Act. In re Ford Motor Co., 65 F.4th at 859. All of Plaintiffs’ claims will be

dismissed with prejudice. Because all of Plaintiffs’ claims are preempted, the Court need not

address GAIC’s other Rule 12(b)(6) arguments and Plaintiffs’ responses.

V. CONCLUSION

For the foregoing reasons, GAIC’s Motion to Dismiss (Doc. No. 58) will be granted, and

the claims against GAIC will be dismissed with prejudice. GAIC’s Motion for Oral Argument

(Doc. No. 60) will be denied as moot.

An appropriate order will enter.

Qushe

wall Cacaty —

UNITED STATES DISTRICT JUDGE

16

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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