FOR PUBLICATION
UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
FAYSAL A. JAMA, on behalf of
himself and all other similarly
situated; JAMES KELLEY; ANYSA
NGETHPHARAT,
Plaintiffs-Appellants,
v.
STATE FARM MUTUAL
AUTOMOBILE INSURANCE
COMPANY; STATE FARM FIRE
AND CASUALTY COMPANY,
Defendants-Appellees.
No. 22-35449
D.C. Nos.
2:20-cv-00454-
MJP
2:20-cv-00652-
MJP
OPINION
Appeal from the United States District Court
for the Western District of Washington
Marsha J. Pechman, District Judge, Presiding
Argued and Submitted June 13, 2023
Portland, Oregon
Filed August 19, 2024
2 JAMA V. STATE FARM MUT. AUTO. INS. CO.
Before: Johnnie B. Rawlinson and Jennifer Sung, Circuit
Judges, and Jed S. Rakoff,
*
District Judge.
Opinion by Judge Rakoff;
Dissent by Judge Rawlinson
SUMMARY
**
Washington Insurance Law
In a putative class action brought under Washington law
by drivers who alleged that their insurers failed to pay them
the actual cash value of their cars after their cars were totaled
in accidents, the panel (1) reversed the district court’s order
decertifying the negotiation class, (2) affirmed the order
decertifying the condition class, (3) vacated the district
court’s entry of summary judgment against each named
plaintiff, and (4) remanded for the district court to analyze
whether plaintiffs have introduced sufficient evidence of
injury.
Plaintiffs contended that their insurers applied two
putatively unlawful discounts in calculating their vehicles’
actual cash value: (1) a negotiation discount meant to
capture the typical amount buyers may negotiate down the
price of a replacement car, and (2) a condition discount
meant to capture the typical amount by which an insured’s
*
The Honorable Jed S. Rakoff, United States District Judge for the
Southern District of New York, sitting by designation.
**
This summary constitutes no part of the opinion of the court. It has
been prepared by court staff for the convenience of the reader.
JAMA V. STATE FARM MUT. AUTO. INS. CO. 3
car’s actual condition might be worse than the condition of
cars of comparable make and age on sale at dealers. The
district court initially certified two classes: a negotiation
class and a condition class. However, following this court’s
decision in Lara v. First National Insurance Company of
America, 25 F.4th 1134 (9th Cir. 2022), the district court
decertified each class and entered summary judgment
against plaintiffs based on their putative failure to
demonstrate injury.
The panel held that the district court abused its discretion
in decertifying the negotiation class because plaintiffs
established that injury could be calculated on a class-wide
basis by adding back the putatively unlawful negotiation
adjustment to determine the value each class member should
have received.
The panel held that the district court did not abuse its
discretion in decertifying the condition class because
measuring each class member’s injury required an
individualized comparison of the putatively unlawful
condition adjustment that their insurers actually applied and
the hypothetical condition adjustment that their insurers
could have lawfully applied.
The panel reversed the district court’s summary
judgment in favor of insurers as to the named plaintiffs’
individual claims, and remanded for the district court to
evaluate anew whether the named plaintiffs have adduced
sufficient evidence of injury consistent with this opinion.
Finally, the panel rejected the insurers’ alternative
argument that Article III was a barrier to plaintiffs’ suit.
4 JAMA V. STATE FARM MUT. AUTO. INS. CO.
Dissenting, Judge Rawlinson would hold that the
majority opinion directly conflicts with Lara, and creates an
unnecessary circuit split.
COUNSEL
Scott P. Nealey (argued), Law Office of Scott P. Nealey, San
Francisco, California; Mark A. Trivett, Badgley Mullins
Turner PLLC, Shoreline, Washington; Daniel R. Whitmore,
Law Office of Daniel Whitmore, Tukwila, Washington;
Stephen M. Hansen, Law Offices of Stephen M. Hansen PS,
Tacoma, Washington; for Plaintiffs-Appellants.
Bradley J. Hamburger (argued), Daniel R. Adler, and Matt
A. Getz, Gibson Dunn & Crutcher LLP, Los Angeles,
California and Kristin A. Linsley, Gibson Dunn & Crutcher
LLP, San Francisco, California; Peter W. Herzog III,
Wheeler Trigg O'Donnell LLP, St. Louis, Missouri; Eric L.
Robertson, Wheeler Trigg O'Donnell LLP, Denver,
Colorado; Daniel N. Nightingale, Yetter Coleman LLP,
Houston, Texas; for Defendants-Appellees.
JAMA V. STATE FARM MUT. AUTO. INS. CO. 5
OPINION
Rakoff, District Judge,
Plaintiffs represent a class of drivers whose cars were
“totaled” in accidents such that repair is impracticable and
replacement necessary. Under Washington law, their
insurers, State Farm Mutual Automobile Insurance
Company and State Farm Fire and Casualty Company
(collectively, State Farm”)
1
must pay them the “actual cash
value” of their cars. Plaintiffs contend that State Farm did
not do so, because in calculating their vehiclesactual cash
value, State Farm applied two putatively unlawful discounts:
(1) a “negotiation” discount meant to capture the typical
amount buyers may negotiate down the price of a
replacement car, and (2) a “condition” discount meant to
capture the typical amount by which an insured’s car’s actual
condition might be worse than the condition of cars of
comparable make and age on sale at dealers. Plaintiffs
contend that Washington law entirely forbids the negotiation
discount and does not allow State Farm to apply the
condition discount in the manner it did.
The district court initially agreed with Plaintiffs as to
their theories of liability and certified two classes of
similarly situated insureds: a “negotiation” class and a
“condition” class. Following our decision in Lara v. First
National Insurance Company of America, 25 F.4th 1134 (9th
Cir. 2022), however, the district court decertified each class
and entered summary judgment against the named Plaintiffs
1
Defendant State Farm Fire and Casualty Company is a wholly owned
subsidiary of Defendant State Farm Mutual Automobile Insurance
Company.
6 JAMA V. STATE FARM MUT. AUTO. INS. CO.
based on their putative failure to demonstrate injury.
Because we conclude that the class based on the negotiation
discount can prove injury on a class-wide basis, we reverse
the district court’s decision decertifying the negotiation
class. However, because the condition class here is in all
relevant aspects identical to the one in Lara, we affirm the
district court’s decision to decertify the condition class.
I.
BACKGROUND
This appeal concerns putative class actions against State
Farm based on how it compensates vehicle owners following
crashes where the vehicles are “totaledmeaning they are
not reparable as a practical matter and need to be entirely
replaced. Under the State of Washington’s insurance
regulations, an insurer owes an insured the “actual cash
value” of a totaled car. Wash. Admin. Code § 284-30-391.
“Actual cash valueis defined as “the fair market value of
the loss vehicle immediately prior to the loss.” Id. § 284-30-
320(1). Washington’s insurance regulations set forth various
ways in which an insurer may go about ascertaining actual
cash value, including by basing it on data for comparable
vehicles in the local area, obtaining quotes from licensed
dealers, analyzing data of advertised comparable vehicles,
and so on. Id. § 284-30-391(2). While these regulations do
not themselves create a direct cause of action, Plaintiffs
contend they are incorporated into their insurance contracts
and that a violation of the insurance regulations also
constitutes a violation of the Washington Consumer
Protection Act (“WCPA”), pursuant to which they are
authorized to sue. See Lara, 25 F.4th at 1136.
As relevant here, after an insured’s vehicle is totaled, the
claims process ordinarily begins with an inspection of the car
by a State Farm estimator. Following this inspection,
JAMA V. STATE FARM MUT. AUTO. INS. CO. 7
something called an “Autosource” report is prepared by a
third-party vendor called Autodex. Such reports are used in
over 99% of cases to prepare an initial valuation of the
totaled car. The Autosource reports survey databases of the
advertised price of comparable makes and models, and then
make various “adjustments. The relevant adjustments
include: (1) a “condition” adjustment, and (2) a
“negotiation” adjustment. The condition adjustment
assumes that the typical car in use is in worse condition and
would sell for less than comparable cars advertised by
dealers and reduces the advertised price by that difference.
The negotiation adjustment assumes that the typical
customer negotiates with the dealer and buys a car for less
than the advertised price and is designed to capture that price
difference.
Following preparation of the Autosource report, a State
Farm claims handler reviews it to verify, among other things,
the car’s mileage, equipment, and condition. The handler
then contacts the insured to discuss the preliminary
valuation; if the insured can provide new information
regarding the car’s value, that may feed back into the
valuation. If anything other than the Autosource report is
used for valuation, that is documented and management
approval is sought. If the parties cannot reach agreement as
to the valuation, they instead pursue a process involving
independent appraisers.
In both of the cases consolidated and under review here,
Plaintiffs challenge the negotiation adjustment. They argue
that Washington law specifies which price components
insurers may consider when determining “actual cash
value,” and that negotiation discounts are not among them.
State Farm moved to dismiss, but the district court agreed
with Plaintiffs that Washington law does not allow insurers
8 JAMA V. STATE FARM MUT. AUTO. INS. CO.
to make negotiation adjustments and that Plaintiffs had
therefore stated claims for both breach-of-contract and
unfair trade practices under the WCPA.
In one of the cases, plaintiff Faysal A. Jama also
challenges the condition adjustment. Unlike negotiation
adjustments, Washington law expressly allows insurers to
make “appropriate” condition adjustments. See Wash.
Admin. Code § 284-30-391(4)(b), but Jama claims that State
Farm’s condition adjustments are inappropriate because they
lack sufficient empirical foundation. The district court
denied State Farm’s motion to dismiss the condition
adjustment claim, concluding that Jama’s allegations that
State Farm had “provided no basis on which to verify
whether the perceived condition deduction was
‘appropriate’” were sufficient to show a violation of Section
391(4)(b) and state a breach of contract claim.
The district court then certified two classes. For both
cases, it certified a “negotiation class,” consisting of:
(1) Washington-based, State Farm insured car-owners
whose vehicles were totaled, (2) “where [their] claims for
total loss were evaluated by State Farm using the Autosource
valuation system which took a deduction/adjustment for
‘typical negotiation,’” (3) “where such claims were settled
and paid using the amount determined in the Autosource
valuation which took a deduction/adjustment for ‘typical
negotiation,’” and (4) where such claims were paid . . .
without the parties . . . using[] an alternative appraisal
process.” And, in Jama, the court certified a “condition”
class consisting of: (1) Washington-based, State Farm
insured car-owners whose vehicles were totaled, (2) where
loss claims were evaluated “using the Autosource valuation
system which took deductions for the condition of the loss
vehicle, (3) where such claims were later paid using an
JAMA V. STATE FARM MUT. AUTO. INS. CO. 9
amount determined by Autosource that “took deductions for
the condition of the loss vehicle,” and (4) “where such
claims were paid . . . without the parties . . . using[] an
alternative appraisal process.”
Although the Plaintiffs proposed broader classes that
would have included anyone who simply received an
Autosource report containing one or both of the disputed
adjustments, the district court reasoned that such classes
would include persons not actually injured by such
adjustments. (This might happen if, for instance, the parties
negotiated a different payment from that laid out in the
Autosource report, or if they pursued the appraisal route.) It
therefore narrowed the proposed classes to “include only
those paid the value determined in an Autosource Report
with the [relevant] discount applied.” This ensured that the
value of any unlawful adjustment could be determined on a
class-wide basis.
Subsequently, this Court decided Lara v. First National
Insurance Company of America, 25 F.4th 1134 (9th Cir.
2022) where we held that a district court faced with what was
in some respects a similar putative class actionbut which
focused only on disputed “condition” adjustments—did not
abuse its discretion in declining to certify a class. Id. at
1138–40. In Lara, the valuation process of insurer Liberty
Mutual (“Liberty”) involved, as here, obtain[ing] a “report
about the value of ‘comparable vehicles,’” following an
inspection. Id. at 1136. Liberty worked with CCC Intelligent
Solutions (“CCC”) to develop these valuation reports. Id.
And as in this case, that report “us[ed] a database of cars at
dealerships all around the country,” “start[ing] with the
value of comparable carsother cars that are a similar make
and model, are in similar condition, and have similar
features,” before applying various adjustments. Id. Again, as
10 JAMA V. STATE FARM MUT. AUTO. INS. CO.
in this case, one such adjustmentapplied uniformly across
totaled cars—was a “condition adjustment” that reduced the
estimated value of a totaled car relative to comparable cars
sold at dealerships on the theory that comparable cars sold at
dealerships are usually in pretty good condition,” and
therefore likely worth more than an insured’s totaled vehicle
even if in most respects comparable. Id. at 1136–37. In Lara,
“[p]laintiffs’ theory of the case [wa]s that Liberty violate[d]
Washington’s insurance regulations by not itemizing or
explaining this downward ‘condition adjustment,’ which
makes it impossible to verify.” Id. at 1137.
The Lara plaintiffs defined their proposed class to
include any Washington-based driver whose car was totaled
and who received at some point during Liberty’s claims
evaluation process a valuation report including the
putatively unlawful (because it was un-itemized) condition
adjustment. Id. at 1137, 1139. The proposed class included
plaintiffs whose cars were valued using the CCC report with
no further adjustments, plaintiffs for whom the CCC report
provided a starting point for a higher negotiated offer, and
plaintiffs who availed themselves of an alternative appraisal
process. Id. Given this lack of uniformity, the district court
declined to certify a proposed damages class because it held
both that individual questions predominated over common
questions and that individualized trials were superior to a
class action. Id. at 1136. On appeal, we concluded that
“[n]either holding was an abuse of discretion” and affirmed.
Id.
In Lara we recognized that “[w]hether Liberty and
CCCs condition adjustment violates the Washington state
regulationswas a question common to the class. Id. at 1138.
But, answering that common question “require[d] an
individualized determination for each plaintiff” because
JAMA V. STATE FARM MUT. AUTO. INS. CO. 11
Washington’s insurance regulations did “not provide a
private cause of action,” such as would allow plaintiffs to
prevail on any element of their claim merely by showing the
illegality of Liberty’s non-itemized conditions adjustment.
Id. at 1138–40. Plaintiffs’ actual causes of action for breach
of contract and unfair business practices under the WCPA
each included an element of injury. Id. at 1139. This meant
each plaintiff had to show that they received less money than
they were owed; in other words, that they received less than
the vehicle’s pre-crash “actual cash value,” which in turn
was defined as its “fair market value.Id. at 1136 (quoting
Wash. Admin. Code § 284-30-320(1)).
First, we held that the class proposed in that case might
easily include class members who were not actually injured
by the un-itemized adjustments to vehicle value in CCC
reports.
2
Id. at 1139. For example, we observed such a class
might include: (1) persons for whom the condition
adjustment was ultimately revised upward, (2) persons with
whom Liberty negotiated a different amount, and (3) persons
who challenged Liberty’s valuation and ultimately received
an appraisal to determine value. None of these persons
would have been obviously injured by the inclusion of the
disputed adjustment. Id. Second, we noted that even those
individuals whose claims were paid based on CCC reports
containing the disputed condition adjustments might not
have been injured if the adjustment accurately approximated
or overestimated the condition of their vehicles. Id. That
2
As explained supra at 9, the district court in this case avoided this
problem by narrowing the class to include only those who were paid the
value assessed in the Autosource report, less the negotiation discount.
Individuals who negotiated a higher payment than the Autosource
valuation and individuals who used an alternative appraisal process were
excluded from the modified class.
12 JAMA V. STATE FARM MUT. AUTO. INS. CO.
might happen, for instance, if an individual’s car was in
worse condition than comparable cars considered by CCC,
such that Liberty, consistent with Washington law, could
have applied an even greater adjustment if it had been
appropriately itemized. Because such questions would need
to be resolved individually, this Court held that the district
court did not err in declining to certify a class. Id.
Following Lara, the district court in this case decertified
both the negotiation and condition classes and granted
summary judgment to State Farm on the individual
Plaintiffs’ claims. It reasoned that, under Lara, the mere fact
of an illegal adjustment under Washington’s insurance
regulations did not suffice to establish injury. Because an
insured might ultimately be paid their vehicle’s actual cash
value or more notwithstanding an unlawful adjustment, the
district court found that the Plaintiffs could not prove injury
on a class-wide basis by relying on class members’ car value
as calculated in the Autosource reports less the amount of
the challenged negotiation or condition adjustments. And the
Court went further, reasoning that “[t]he Ninth Circuit’s
decision in Lara makes clear that Plaintiffs have not
provided sufficient evidence of injury to sustain their claims
and that they lack standing,” and that accordingly “Lara
compels summary judgment in State Farm’s favor.”
This appeal followed.
II.
ANALYSIS
We have jurisdiction under 28 U.S.C. §§ 1291 and 1294.
The district court’s decision to decertify a class is reviewed
for abuse of discretion. Lara, 25 F.4th at 1138. However,
because courts lack “discretion to get the law wrong,” any
order granting or denying certification based on a legal error
necessarily involves an abuse of discretion. Id. (citing
JAMA V. STATE FARM MUT. AUTO. INS. CO. 13
Hawkins v. Comparet-Cassani, 251 F.3d 1230, 1237 (9th
Cir. 2001)). We review the district court’s entry of summary
judgment de novo. Campidoglio LLC v. Wells Fargo & Co.,
870 F.3d 963, 973 (9th Cir. 2017).
Regarding the class decertifications, we conclude that
the district court abused its discretion in decertifying the
negotiation class. For this class, Plaintiffs established that
injury could be calculated on a class-wide basis by adding
back the putatively unlawful negotiation adjustment to
determine the value each class member should have
received. However, we affirm the district court’s
decertification of the condition class, since no one disputes
that State Farm could have applied a lawful condition
adjustment to each member of that class. Accordingly, it was
not an abuse of discretion to conclude that measuring each
class member’s injury requires an individualized
comparison of the putatively unlawful condition adjustment
that State Farm actually applied and the hypothetical
condition adjustment that State Farm could have lawfully
applied.
We also reverse the district court’s grant of summary
judgment in State Farm’s favor as to all of the named
Plaintiffs’ individual claims. We hold that nothing in Lara
prevents Plaintiffs from relying on the Autosource reports as
evidence of injury. We do not decide whether Plaintiffs have
presented sufficient evidence of injury to survive summary
judgment. Instead, we remand that question to the district
court.
We discuss each conclusion below.
14 JAMA V. STATE FARM MUT. AUTO. INS. CO.
A. The district court’s decertification orders
1. The Negotiation Class
The district court made an error of law by assuming Lara
required decertification of the negotiation class despite
(1) material differences between the negotiation class
definition presented here and the condition class definition
presented in Lara, and (2) material differences between the
negotiation claim presented here and the condition claim
presented in Lara.
In Lara, we held that common proof that an insurer
unlawfully applied a standardized adjustment for the
condition of a totaled vehicle in violation of Washington
regulations would not suffice to establish class-wide injury.
This was so for two reasons. First, the proposed class in Lara
included any insured for whom such an adjustment was used
in the insurer’s initial valuation report, even if that
adjustment was not ultimately reflected in the insurer’s final
payout. For instance, while the disputed condition
adjustment in Lara involved a uniform downward
adjustment to Liberty’s estimate of value, that adjustment
merely provided a starting place. Liberty and its contractee
responsible for preparing the reports, CCC, “also look[ed] at
the actual pre-accident condition of the totaled car,” such
that, “[i]f [the car] was in great condition, then CCC
reverse[d] the negative adjustment and sometimes even
applie[d] a positive adjustment.” Id. at 1137. Because of this
process, the proposed class of all drivers whose valuation
process began with a report including the disputed condition
adjustment would “include [] plaintiff[s] for whom Liberty
used the CCC report with the disputed condition adjustment
but ultimately gave a higher offer, either because of an
upward adjustment or just as part of negotiations.” Id. at
JAMA V. STATE FARM MUT. AUTO. INS. CO. 15
1139. Further, since insureds who challenged Liberty’s
valuation could opt instead into a process for having their car
appraised, the proposed class would “also include []
plaintiff[s] who at first received the CCC report [with the
challenged adjustment] but whose car was valued with an
appraisal.” Id. In other words, the class proposed in Lara
would have included an unknown number of class members
whose actual payout was untethered from the putatively
unlawful adjustment, precluding common proof that all class
members were injured by that adjustment.
Here, however, the district court, well before Lara,
anticipated and solved this problem through its definition of
the negotiation class. The district court rejected Plaintiffs’
proposed class
3
precisely because such class would
“include[] insureds who were not necessarily paid the
amount determined in an Autosource Report with the typical
negotiation discount applied” and who would therefore “not
have injuries directly traceable to the negotiation discount
and resolution of the legality of the deduction would not
necessarily resolve their claims.” But “[r]ather than deny
class certification” on this basis, the district court “revise[d]
the class definition to include only those [who were] paid the
value determined in an Autosource report with the
negotiation discount applied.” On this basis, the district court
declined to appoint one of the named plaintiffs, Ngethpharat,
as a class representative because her payout was in fact not
based on her initial Autosource report including the disputed
adjustment. This narrowing of the proposed class sufficed by
itself to prevent many of the situations we discussed at length
3
Like the class proposed in Lara, Plaintiffs’ proposed class would have
included any insured whose initial valuation report included one of the
disputed adjustments.
16 JAMA V. STATE FARM MUT. AUTO. INS. CO.
in Lara where class members might not have been injured
by the putatively unlawful adjustment.
Second, Lara anticipated that even as to “a plaintiff
whose car was valued using the CCC report with the
disputed condition adjustment, and for whom Liberty used
CCCs estimate without making any further adjustments . . .
the district court would have to look into the actual value of
the car, to see if there was an injury.” Id. In Lara, class
members for whom the disputed condition adjustment was
too big (because their car’s condition was better than CCC
reported) were injured, but class members for whom the
disputed condition adjustment was correct or too small
(because their car’s condition was as bad or worse than CCC
reported) were not injured, and there was no way to
determine whether a class member was injured on a class-
wide basis.
Here, the district court took the Lara court’s language
regarding the condition adjustment and, assuming it applied
equally to the negotiation adjustment, concluded that its
narrowing of Plaintiffs’ class definitions was insufficient to
ensure that injury could be proved on a class-wide basis for
the negotiation class. The district court reasoned that Lara
required some additional individualized assessment of injury
beyond the showing that an insured’s payout was based on
an unlawful adjustment. In so holding, the district court
ignored the nature of the putatively unlawful condition
adjustment at issue in Lara and how it differs critically from
the negotiation adjustment at issue here: in essence, the
parties agree that Washington law allows a condition
adjustment; the parties dispute only whether State Farm
calculates the condition adjustment lawfully. But Plaintiffs
contend that Washington law flatly prohibits any negotiation
adjustment; and if Plaintiffs are correct about that legal issue,
JAMA V. STATE FARM MUT. AUTO. INS. CO. 17
then each Plaintiff suffered damages equal to the amount of
the negotiation adjustment that State Farm made. As
explained further below, that difference between the
condition and negotiation claims dictates a different
outcome for the negotiation class.
As described above, Washington law requires insurers to
pay the owners of totaled vehicles their vehicles’ “actual
cash value,” defined as “the fair market value of the loss
vehicle immediately prior to the loss.” Wash. Admin. Code
§ 284-30-320(1). But Washington law does not leave it at
that. It also tells insurers in some detail how to estimate
vehicles’ “actual cash” or “fair market value.” For example,
insurers may do so by: (1) obtaining quotes for a similar
vehicle from multiple local licensed dealers, (2) averaging
locally advertised prices of comparable vehicles, or
(3) relying on “a computerized source to establish a
statistically valid actual cash value” based on data sources
meeting certain criteria. Id. § 284-30-391(2). Washington
law further requires insurers to “[b]ase all offers on itemized
and verifiable dollar amounts for vehicles that are currently
available, or were available within ninety days of the date of
loss, using appropriate deductions or additions for options,
mileage or condition when determining comparability.” Id.
§ 284-30-391(4)(b).
There is, therefore, no dispute that insurers may adjust
an estimate based on comparable vehicles’ value to take into
account the totaled vehicle’s pre-crash value. In fact, as just
described, Washington’s regulations affirmatively
contemplate that insurers will do precisely this. Id. (allowing
“appropriate deductions or additions,” where “itemized and
verifiable,” based on, among other things, the loss vehicle’s
condition” (emphasis added)). Plaintiffs’ theory in Lara
was that Liberty’s standardized downward condition
18 JAMA V. STATE FARM MUT. AUTO. INS. CO.
adjustment “violate[d] Washingtons insurance regulations
[because it was] not itemiz[ed] or explain[ed] . . . which
ma[de] it impossible to verify.” 25 F.4th at 1137. No one in
Lara disputed that Liberty could lawfully have applied a
properly itemized and verifiable condition adjustment to
calculate putative class members’ actual cash value. Thus,
there was no way to know whether any individual putative
class member was injured by the standardized and un-
itemized adjustment without individually inquiring into
whether the adjustment exceeded whatever condition
adjustment Liberty could lawfully have applied. Even for
those class members “whose car[s] w[ere] valued using the
CCC report with the disputed condition adjustment, and for
whom Liberty used CCC’s estimate without making any
further adjustments . . . the district court would have [had] to
look into the actual value of the car, to see if there was an
injury.” Id. at 1139.
Here, however, Plaintiffs have advanced an entirely
different theory with respect to the negotiation class. As to
that class, their theory is not that State Farm failed to follow
the correct procedure for making permissible adjustments,
but rather that Washington law does not permit State Farm
to apply a discount for typical negotiation at all. See Wash.
Admin. Code § 284-30-391(4)(b). The district court
accepted this argument, holding that Washington law
permits insurers to apply only those deductions explicitly
laid out in Section 391(4)(b) and no others. State Farm has
not challenged that holding here. Accordingly, Plaintiffs’
challenge to the negotiation class here is materially
distinguishable from the challenge in Lara: A class member
in Lara might have been subject to the challenged condition
deduction but been uninjured by it because a greater or equal
condition addition could also have been lawfully applied.
JAMA V. STATE FARM MUT. AUTO. INS. CO. 19
This would lead a class member to receive the actual cash
value of their vehicle or more. All members of the
negotiation class
4
in this case, however, received less than
they were owed in the exact amount of the impermissible
negotiation deduction. As to the proposed negotiation class
in this case, we therefore conclude that class members could
measure their injuries on a class-wide basis by adding back
to the value of their vehicles as calculated in the Autosource
reports the amount of the unlawful negotiation discount.
5
4
As explained ante at 9, the district court narrowed the class here to
include only those who were paid the value in the Autosource report with
the unlawful negotiation deduction.
5
The dissent incorrectly claims our decision today creates a circuit split.
See Dissenting Opinion, at pp. 33-35. The Fifth Circuit decision that the
dissent cites, Sampson v. United Services Automobile Association., 83
F.4th 414 (5th Cir. 2023), is easily distinguishable. That case involved a
Louisiana statute that permitted actual cash value of a totaled vehicle to
be calculated using “a generally recognized motor vehicle industry
source.” Id. at 417 (quotation omitted). Plaintiffs there argued that the
method used by the defendant-insurer was unlawful because it was not a
“generally recognized motor vehicle industry source” and proposed
calculating damages by “arbitrarily choosing” another method that
plaintiffs claimed was “generally recognized,” called NADA. Id. at 417,
420. The problem with the class in that case was that there existed
innumerable other “legally permissible method[s] of determining” actual
cash value and those other methods could “produce lower damages than
NADA (or no damages at all),” depending on the individual case. Id. at
420. This created an “an explosion of predominance issues” because
there was just as strong of an argument that any of those other
permissible methods should be used, and so, as to each class member,
there would be a dispute over which alternative method to select and over
whether that method showed each class member was injured at all. Id.
Here, by contrast, the unlawful conduct challenged by the negotiation
class is applying one specific deduction, not using a categorically
unlawful method, and so there is no need to pick among alternative
20 JAMA V. STATE FARM MUT. AUTO. INS. CO.
In holding otherwise, the district court reasoned that
Plaintiffs “ask[] the Court and fact finder to assume that one
portion of an Autosource report got the [adjusted cash value]
right, without any evidence as to why this is true.” But what
Plaintiffs in the negotiation class actually asked the
factfinder to credit was the whole Autosource report
6
, minus
one specific uniformly applied downward adjustment that
Plaintiffs contended and the district court agreed State Farm
could not lawfully make.
7
In resisting this conclusion, State Farm protests that
measuring injury this way would allow Plaintiffs to rely
solely on the fact of illegality to establish injury, a “shortcut”
Lara supposedly rejected. And it is true that Lara held that
merely “[c]alling Defendants’ adjustments ‘illegal’” does
not suffice to prove injury. 25 F.4th at 1140. But State Farm
ignores why that was. Class members in Lara might have
received a report containing an unlawful adjustment while
nonetheless receiving actual cash value. This would have
been the case, for instance, where class memberspayout
calculation methods. In the absence of defendants’ allegedly unlawful
conduct, each class member indisputably would have been paid the
amount they actually received, plus the amount of the putatively
unlawful negotiation deduction.
6
State Farm itself used these reports to calculate adjusted cash value,
and submitted extensive record evidence demonstrating why they
constituted appropriate measures of cash value.
7
While a declaration submitted by State Farm suggests that condition
adjustments in the initial Autosource report are often subsequently
refined for individual insureds based both on the State Farm claim
handler’s investigation of the condition of the totaled vehicle and
negotiation with the insured, there is no comparable suggestion that any
negotiation adjustment that is applied is subject to further individualized
adjustment.
JAMA V. STATE FARM MUT. AUTO. INS. CO. 21
was based on an alternative appraisal. Id. at 1139. This also
would have been the case where payout was based on a
valuation report, but the condition adjustment accurately
reflected the actual condition of the car—notwithstanding
the fact that it was un-itemized. Id. None of these factors is
relevant to the negotiated adjustment as applied to the class
here, where members of the narrowed class were simply paid
what the Autosource report determined, including the
putatively unlawful negotiation discount. While an un-
itemized condition adjustment could nevertheless have
accurately reflected the condition of the car for some class
members in Lara, there is no negotiation adjustment that
could accurately price the negotiation discount here if
Plaintiffs are correct that the adjustment is always unlawful,
regardless of the amount.
State Farm also avers that, in Lara, plaintiffs argued
“that the only possible definition of ‘actual cash value’ in the
regulations is the value given by the prescribed process, and
thus that the injury for each plaintiff is the amount of the
condition adjustment.” Id. at 1140. And since Lara rejected
this argument, State Farm contends that determining “actual
cash value” in litigation requires some assessment
independent from Washington’s regulatorily prescribed
process.
But, once again, State Farm ignores why Lara found
plaintiffs’ argument unconvincing. As we explained in Lara,
[i]f the condition adjustment was applied for
a plaintiff but then that plaintiff still got an
amount equal to what he or she would have
gotten if the adjustment was not applied (or
more than that), then there was no breach of
contract [or WCPA claim] because there was
22 JAMA V. STATE FARM MUT. AUTO. INS. CO.
no injury . . . [which] could easily have
happened [if] CCC or Liberty . . . adjusted the
value back up, Liberty . . . made a higher
offer, or the parties [did] appraisals.
Id. In other words, Lara rejected measuring injury based on
a failure to “follow the prescribed process” because a
procedural violation does not necessarily lead to an incorrect
result; if the improper process happened to produce a correct
result (or a result that favored plaintiffs), then plaintiffs were
not actually paid less than they were owed. The Lara class,
unlike the narrowed negotiation class in this case, included
members who may not have been injured by the allegedly
unlawful process. Here, by contrast, the narrowing of the
class leaves only those class members who (1) were paid
based on the Autosource report, excluding those who
negotiated or pursued an appraisal, and (2) were paid a
negotiation adjustment that, according to the Plaintiffs, can
never measure a lawful deduction. By narrowing the class,
the district court thus avoided the injury irregularity problem
we identified in Lara.
Lara did not hold, as State Farm claims, that Washington
law either does not or cannot define the substantive inputs
that constitute actual cash value. And here, Plaintiffs’
argument is that State Farm accurately estimated the actual
cash value of their vehicles based on several permissible
inputs and then applied one further subtraction that
Washington law entirely forbids. Nothing in Lara precludes
common proof of injury as the amount of State Farm’s
estimates less the impermissible deduction as to the class of
JAMA V. STATE FARM MUT. AUTO. INS. CO. 23
owners who were paid the Autosource valuation.
8
Accordingly, we conclude the district court abused its
discretion in decertifying the negotiation class.
2. The Condition Class
Our analysis above does not hold true for the condition
class. As discussed above, the district court’s narrowed class
definition avoided many of the problems of common proof
discussed in Lara. Specifically, the condition class certified
here excluded those Plaintiffs whose ultimate payout was not
directly based on a valuation report containing the
challenged deduction. See Lara, 25 F.4th at 1139–40. But
the narrowed class definition alone does not exclude the
“plaintiff whose car was valued using the [Autosource]
report with the disputed condition adjustment, and for whom
[State Farm] used [Autodex’s] estimate without making any
further adjustments,” whose payout nonetheless equaled or
exceeded their pre-crash car’s actual cash value because the
adjustment accurately reflected the condition of the car. Id.
at 1139.
Plaintiffs in Jama raise various distinctions between the
condition class presented here and that in Lara. They argue,
for instance, that the plaintiffs in Lara merely challenged
Liberty’s refusal to itemize, whereas here the Jama Plaintiffs
challenge the substance of State Farm’s condition
adjustment because they were not made “when determining
comparability.” Wash. Admin. Code § 284-30-391(4)(b).
We note that the district court characterized the condition
class here as materially identical to that in Lara: as based on
State Farm’s failure “to verify whether the perceived
8
We address (and reject) State Farm’s argument that measuring injury
this way violates Article III below. See II.B.2, infra.
24 JAMA V. STATE FARM MUT. AUTO. INS. CO.
condition deduction was ‘appropriate.’” In any event, as
Plaintiffs’ counsel confirmed at oral argument, the condition
class in Jama does not differ from that in Lara in the way
most relevant. As to the condition class, Plaintiffs do not
dispute that some condition adjustment could lawfully have
been taken. Accordingly, just as in Lara, there is no way to
know as to any individual class member in the condition
class whether their actual payout was more, less, or equal to
what State Farm could lawfully have paid if it had calculated
a condition adjustment appropriately. Lara, 25 F.4th at 1139.
There is therefore no way to know without individualized
inquiry whether such a class member received less than their
car’s actual cash value and therefore suffered any injury. For
this reason, the district court did not abuse its discretion in
decertifying the condition class.
B. The district court’s entry of summary judgment
1. Proof of injury under Washington law
Because we conclude that the district court misread Lara
as to the negotiation discount, it follows that the district
court’s entry of summary judgment against the named
Plaintiffs based on their claims for the negotiation discount
was in error. We further hold thateven as to the challenged
condition adjustmentthe district court also erred in
holding that Plaintiffs could not rely on the Autosource
reports, and the amount of a challenged adjustment, as
relevant evidence of value and injury.
The district court based its entry of summary judgment
largely on its reading of Lara. But Lara did not purport to
address the actual evidence any individual Plaintiff must
adduce to give rise to a genuine dispute of material fact. The
question at issue in Lara was whether the district court
abused its discretion in declining to certify a class where
JAMA V. STATE FARM MUT. AUTO. INS. CO. 25
common issues did not predominate over individual ones,
therefore requiring an individualized injury inquiry. Lara, 25
F.4th at 1138–40.
9
To be sure, in analyzing whether individualized issues
relating to injury predominated over common ones, Lara
necessarily discussed how plaintiffs alleging breach of
contract or violations of the WCPA could go about
demonstrating injury. As to that question, Lara held that
merely adding back to the insurer’s valuation report the full
amount of a putatively unlawful applied condition
adjustment might, in many cases, not embody the proper
measure of a class member’s injury. 25 F.4th at 1139. This
would be the case, for example, where payouts were not
actually based on the challenged adjustment, or where, even
if payouts were based on the challenged adjustment, they
still exceeded actual cash value. Id.
But the fact that an insurer’s own valuation of an
insured’s pre-crash vehicle minus one putatively unlawful
adjustment may not correctly measure injury for all plaintiffs
does not mean that it cannot provide a starting place. In fact,
in language entirely ignored by the district court, Lara
explicitly agreed that “the amount of the [putatively
unlawful] deduction would still be . . . [s]ome relevant
evidence” of injury. 25 F.4th at 1140. Nothing in Lara
required (as the district court appeared to believe)
9
Indeed, the same district court whose order denying class certification
we affirmed in Lara issued just three weeks before that order an order
denying the motion of one of the defendants for summary judgment.
There, that district court rejected that defendant’s argument that
plaintiffs who received payment after their cars were initially valued by
reports with a challenged condition adjustment could not demonstrate
injury based on that adjustment. Order at 1013, Lundquist v. First Nat’l
Ins. Co., No. 18-cv-5301 (W.D. Wash. Oct. 1, 2020), ECF No. 14.
26 JAMA V. STATE FARM MUT. AUTO. INS. CO.
[p]laintiffs [to] undertake[] a[] separate valuation process
or retain[] an expert to opine on the value of the loss
vehicles. Indeed, State Farm itself used the Autosource
reports as one proper measure of actual cash value. And
ample evidence provided by State Farm itself demonstrated
how the Autosource reports were prepared and why they
provided an accurate measure of the pre-crash actual cash
value of drivers’ cars. We see no reason why a plaintiff
seeking to prove injury cannot rely on the Autosource
reports themselves to establish value, minus the unlawful
negotiation adjustment. And here, as noted, the class is
limited to those who were paid the Autosource valuation.
Accordingly, the district court’s conclusion that Lara
requires individual plaintiffs to introduce evidence of value
independent of the valuation reports was error. We therefore
vacate its entry of summary judgment in favor of State Farm.
On remand, the district court should evaluate anew whether
the named Plaintiffs have adduced sufficient evidence of
injury consistent with this opinion.
10
10
As to specific named plaintiffs, it may be clear from the records that
the Autosource reports less a challenged adjustment do not provide
sufficient evidence of injury to get past summary judgment. For instance,
named plaintiff Ngethpharat’s payout was not directly based on an
Autosource report containing a challenged deduction since she
challenged State Farm’s initial valuation and subsequently obtained a
second valuation excluding the challenged deduction, which is why the
district court excluded her from the class it certified. We do not today
decide whether Ngethpharat or any other named plaintiff in fact adduced
sufficient evidence of injury to survive summary judgment. Rather, we
merely hold that nothing about Lara precludes plaintiffs from relying on
the difference between an insurer’s calculation of value and the amount
of a challenged adjustment as relevant evidence of injury. The district
court should apply this standard to the claims before it in the first
instance.
JAMA V. STATE FARM MUT. AUTO. INS. CO. 27
2. Standing
With a drumbeat of citations to TransUnion LLC v.
Ramirez, 594 U.S. 413 (2021), State Farm argues in the
alternative that Article III precludes relying on an unlawfully
applied adjustment as evidence of injury, because allowing
Plaintiffs to recover the amount of an unlawful adjustment
would somehow result in their recovering for an “injury in
law” without any actual reference to the lost value of the car.
But assessing the actual value of the car is unnecessary to
determine there is standing here. Plaintiffs’ claim is that they
were paid less than they were owed under their insurance
policies with State Farm. Had the challenged negotiation
adjustment not been applied, the valuation in the Autosource
reports of Plaintiffs’ vehicles would have been higher and
they would have been paid more by State Farm. That is “a
classic pocketbook injury sufficient to give [a plaintiff]
standing.” Tyler v. Hennepin Cty., 598 U.S. 631, 636 (2023)
(holding that plaintiff had Article III standing where
defendant “illegally appropriated” a “surplus” of a debt
plaintiff owed to defendant).
TransUnion is inapposite. There, the purported “injury”
that the Supreme Court held did not confer standing was “the
mere existence of inaccurate information in a database.”
TransUnion, 594 U.S. at 434. By contrast, the injury here—
a lighter wallethas long been “traditionally recognized as
providing a basis for a lawsuit in American courts.”
TransUnion, 594 U.S. at 432. Article III is thus no barrier to
Plaintiffs’ suit.
III. CONCLUSION
For the foregoing reasons, we reverse the district court’s
order decertifying the narrowed negotiation class, but affirm
28 JAMA V. STATE FARM MUT. AUTO. INS. CO.
its order decertifying the condition class.
11
We also vacate
the district court’s entry of summary judgment against each
named Plaintiff and remand for the district court to analyze
whether Plaintiffs have introduced sufficient evidence of
injury consistent with this opinion.
Each party shall bear their own costs.
REVERSED IN PART AND REMANDED.
Rawlinson, Circuit Judge, dissenting:
I respectfully dissent from the majority opinion because,
in my view, it directly conflicts with our recent precedent as
set forth in Lara v. First National Insurance Co., 25 F.4th
1134 (9th Cir. 2022), and creates an unnecessary circuit split.
In Lara, a case with facts similar to those presented in
this appeal, we concluded that the district court did not abuse
its discretion when it denied class certification. See id. at
1136. The plaintiffs sought certification of a damages class
comprised of individuals whose automobiles were totaled in
a motor vehicle accident. See id. In assessing the “actual
cash value” of the totaled vehicle, the insurance company
relied upon a report that set forth the “value of comparable
11
We deny plaintiffs’ motion to certify to the Washington Supreme
Court the question of whether the district court’s application of Lara to
require individualized proof of injury outside the Autosource reports is
contrary to Washington law. We read Lara as relating to how plaintiffs
may demonstrate the predominance of common inquiries under Rule 23,
and not, as the district court held, as imposing substantive new barriers
on plaintiffs seeking to prove injury under Washington law. Therefore,
we do not believe this case involves any substantial unresolved question
of state law. See Murray v. BEJ Mins., LLC, 924 F.3d 1070, 1072 (9th
Cir. 2019).
JAMA V. STATE FARM MUT. AUTO. INS. CO. 29
vehicles.” Id. (internal quotation marks omitted). From that
report, the insurance company adjusted the valuation based
on “a condition adjustment,” derived from the difference
between the condition of the vehicle being valued and the
condition of “[u]sed cars for sale at dealerships.” Id. at 1136-
37.
After the insurance company valued the plaintiffs’
vehicles using the “downward condition adjustment,” they
sued their insurer and the company that prepared the
valuation report. Id. at 1137 (internal quotation marks
omitted). Plaintiffs asserted that the insurer violated the
state’s “insurance regulations by not itemizing or explaining
[the] downward condition adjustment.” Id. (citation and
internal quotation marks omitted).
1
Following the district court’s denial of class
certification, the plaintiffs filed an appeal with this court.
We concluded that a common question existed as to whether
the conditions adjustment violated the state regulations. See
id. at 1138. However, we added that “to show liability for
breach of contract or unfair trade practices, Plaintiffs must
also show an injury. And to show an injury will require an
individualized determination for each plaintiff.” Id.
1
The applicable regulation required insurers “to itemize the deductions
or additions that they make, and that these adjustments be appropriate.”
Id. (citing Wash. Admin. Code § 284-30-320(3)). “Because these
regulations are enforced by the Washington insurance commissioner,
and do not create a private cause of action, Plaintiffs couldn’t sue [the
insurer and the company that prepared the report] directly for violating
[the regulations], so they sued [the insurer] for breach of contract and
both companies for unfair trade practices and civil conspiracy.” Id.
(citations omitted).
30 JAMA V. STATE FARM MUT. AUTO. INS. CO.
We explained that the insurer “only owed each punitive
class member the actual cash value of his or her car.” Id. at
1139. If a class member received the actual cash value or
more, that class member has not been injured. See id.
Consequently,
figuring out whether each individual putative
class member was harmed would involve an
inquiry specific to that person. More
particularly, it would involve looking into the
actual pre-accident value of the car and then
comparing that with what each person was
offered, to see if the offer was less than the
actual value. Because this would be an
involved inquiry for each person, common
questions do not predominate.
Id.
We clarified that even for a plaintiff whose car was
valued using the disputed report, the court would still “have
to look into the actual value of the car, to see if there was an
injury.” Id.
We further clarified that “[a] violation of the regulation
isn’t a breach. Breach of contract requires not just a
violation of the terms of the contract but also an injury.” Id.
(citation and footnote reference omitted). The same was true
for Plaintiffs’ unfair trade practices claim. See id.
We rejected the plaintiffs’ argument that their injuries
could be established simply by referring to “the amount of
JAMA V. STATE FARM MUT. AUTO. INS. CO. 31
the condition adjustment” for each plaintiff. Id. at 1140. We
responded:
But that’s still not right. If the condition
adjustment was applied for a plaintiff but
then that plaintiff still got an amount equal to
what he or she would have gotten if the
adjustment was not applied (or more than
that), then there was no breach of contract
because there was no injury.
Id.
We observed that the situation of a plaintiff receiving
equal to or in excess of “what he or she would have gotten if
the adjustment was not applied” “could easily have
happened.” Id. By way of example, we noted that the
company preparing the report or the insurer “could have
adjusted the value back up, [the insurer] could have made a
higher offer, or the parties could have done appraisals.” Id.
We agreed that the insurer was “correct to say that on this
point, Plaintiffs essentially ask for a strict liability remedy
which is not provided by their causes of action.” Id. We
concluded that “because figuring out whether each plaintiff
was injured would be an individualized process, the district
court did not abuse its discretion in finding that individual
questions predominated.” Id. Stated differently, the
existence of the condition adjustment is not the end of the
story or the analysis.
The facts in the case before us are virtually identical to
those in Lara. The only difference is that in addition to a
condition adjustment, the insurer in this case also applied a
negotiation discount reflecting the average amount a buyer
could negotiate from the price of a replacement vehicle.
32 JAMA V. STATE FARM MUT. AUTO. INS. CO.
My colleagues in the majority followed the Lara
decision and do not challenge the denial of certification for
the condition adjustment claims. See Majority Opinion, pp.
23-24. However, their attempt to distinguish Lara as applied
to the negotiation adjustment claims, in my view, is
singularly unpersuasive.
The majority offers the following reasoning for
excepting the negotiation condition from the Lara analysis.
First, the majority reasons that “Plaintiffs contend that
Washington law flatly prohibits any negotiation adjustment;
and if Plaintiffs are correct about that legal issue, then each
Plaintiff suffered damages equal to the amount of the
negotiation adjustment that [the insurer] made.” Majority
Opinion, pp. 16-17 (emphasis in the original). However,
Lara squarely forecloses this reasoning. See 25 F.4th at
1139 (“A violation of the regulation isn’t a breach of the
contract between the insurer and the insured.”) (footnote
reference omitted). In any event, “even if a violation of the
regulations [were] a breach of the contract, Plaintiffs still
have to show harm.” Id. at 1139 n.4. And Plaintiffs may not
use the report to establish harm. See id. at 1140 (describing
this argument as “essentially ask[ing] for a strict liability
remedy which is not provided by their causes of action.”);
see also id. (“Plaintiffs finally resort to calling Defendants’
adjustments ‘illegal.’ But that’s an argument for the
Washington insurance commissioner, the official who could
prosecute this kind of alleged violation. . . .”).
Next, the majority reasons that proposed negotiation
class members “could measure their injuries on a class-wide
basis by adding back to the value of their vehicles as
calculated in the . . . reports the amount of the unlawful
negotiation discount.” Majority Opinion, p. 19. However,
this approach is also specifically foreclosed by the analysis
JAMA V. STATE FARM MUT. AUTO. INS. CO. 33
in Lara. See 25 F.4th at 1139 (“[F]iguring out whether each
individual putative class member was harmed would involve
an inquiry specific to that person. More particularly, it
would likely involve looking into the actual pre-accident
value of the car and then comparing that with what each
person was offered . . .”) (emphasis added). The quoted
language nullifies the majority’s implied argument that the
actual value is the value of the vehicles “as calculated in the
. . . reports” plus “the amount of the unlawful negotiation
discount.” Majority Opinion, p. 19. But, as we observed in
Lara, “that’s still not right.” 25 F.4th at 1140. “While the
condition adjustment here is applied across the board, other
compensating adjustments and the ultimate valuation are
made individually. And it’s those other things that would
require more individualized inquires here.” Id.; see also id.
at 1136 (discussing the baseline evaluation for each car
based on “comparable vehicles”).
The majority’s approach is not only contrary to our
precedent, but it would also create a circuit split, a
circumstance we strive to avoid. See Global Linguist
Solutions, LLC v. Abdelmeged, 913 F.3d 921, 923 (9th Cir.
2019). In Sampson v. United Servs. Auto. Ass’n., 83 F.4th
414, 422 (5th Cir. 2023), the Fifth Circuit found our decision
in Lara “particularly instructive” to its analysis in a case that,
as in Lara, involved a valuation report utilized by the insurer
to calculate the actual cash value (ACV) of a totaled car. See
id. at 417.
Under Louisiana statutes, the actual cash value of the
vehicle “shall be derived by using a method that falls into
one of three broadly defined categories, one of which is use
of a generally recognized motor vehicle industry source.”
Id. (citation and internal quotation marks omitted). As in
Lara, the plaintiffs in Sampson argued that the valuation
34 JAMA V. STATE FARM MUT. AUTO. INS. CO.
method used by the insurer was “not a legal method” under
the statute, including because the method “negatively
adjust[ed] vehicles’ ACV based on such things as damage to
the vehicle.” Id.
In rejecting this argument, the Fifth Circuit drew a
distinction between the selection of a damages model and the
determination of liability for injuries incurred. See id. at
421-22. The Fifth Circuit reasoned that in the class
certification context, “although ample authority suggests”
that district courts
have great discretion in choosing among
damages models, especially estimative
damages models at the certification stage,
those authorities do not say that courts have
similar discretion in choosing among models
of injury and liability. See e.g., Terrebonne
Fuel & Lube, Inc. v. Placid Refin. Co., 681
So.2d 1292, 1300 (La. App. 4 Cir. 1996)
(There must be “proof that there has been
some damages” i.e., “that damage has
actually occurred, before there is discretion to
assess the amount of damages”).
Id. at 422 (emphasis in the original).
The Fifth Circuit emphasized the accepted premise “that
common questions may predominate under Rule 23(b)(3)
even though other important matters will have to be tried
separately, such as damages. But while damages are
specifically described among these other important matters,
liability and injury are not.” Id. (citations and internal
quotation marks omitted).
JAMA V. STATE FARM MUT. AUTO. INS. CO. 35
The Fifth Circuit concluded that “a district court’s wide
discretion to choose an imperfect estimative-damages model
at the certification stage does not carry over from the context
of damages to the context of liability.” Id. at 422-23, see
also Bourque v. State Farm Mutual Auto Ins. Co., 89 F.4th
525, 528-29 (5th Cir. 2023) (following the analysis
articulated in Sampson).
The Fifth Circuit’s rulings are consistent with our
analysis in Lara. The majority opinion is not. Like the
plaintiffs in Sampson, the majority opinion conflates a
damages model with the required demonstration of injury.
See Lara, 25 F.4th at 1140 (noting the existence of
adjustments other than the condition adjustment that were
“made individually”).
The same is true for the negotiation adjustment. Under
the facts of this case, we know that in addition to the
negotiation adjustment, a condition adjustment was also
applied on an individualized basis. See Majority Opinion,
pp. 23-24. The Majority Opinion acknowledges that “the
district court did not abuse its discretion in decertifying the
condition class.” Majority Opinion, p. 24. However, the
Majority Opinion nevertheless seeks to rationalize reliance
on the condition adjustment and the negotiation adjustment
to establish injury. See Majority Opinion, p. 25 (“Lara
explicitly agreed that the amount of the putatively unlawful
deduction would still be some relevant evidence of
injury. . . .”) (citation, alterations, and internal quotation
marks omitted). But the Majority Opinion deletes the rest of
the discussion. Immediately following the language quoted
by the majority, the Lara decision explained that even if the
amount of the deduction would be “relevant evidence,” that
fact is “beside the point” because “[s]ome relevant evidence
could be in common, but much of it wouldn’t be, and that’s
36 JAMA V. STATE FARM MUT. AUTO. INS. CO.
why the district court didn’t abuse its discretion in finding
that individual questions predominate.” 25 F.4th at 1140.
See also Sampson, 83 F.4th at 422 (interpreting Lara as
“finding that predominance was not satisfied where plaintiff
class members could show that an insurer’s use of [a
valuation report] was unlawful but could not prove an actual
underpayment by class-wide proof”). Indeed, Lara
characterized this very argument as “essentially ask[ing] for
a strict liability remedy.” 25 F.4th at 1140.
The same analysis forecloses the majority’s contention
that “a plaintiff seeking to prove injury [can] rely on the
[valuation] reports themselves to establish value, minus the
unlawful negotiation adjustment.” Majority Opinion, p. 26.
But there are two problems with this argument. The first
problem is that equating value with a demonstration of injury
impermissibly conflates the injury issue with the damages
issue. See Sampson, 83 F.4th at 422-23; see also Lara, 25
F.4th at 1140 (describing this argument as “essentially
ask[ing] for a strict liability remedy”). The second problem
is that the “unlawful” nature of the adjustment cannot
establish an injury. See Lara, 25 F.4th at 1140.
The majority concedes that “Lara held that merely
calling Defendants’ adjustments illegal does not suffice to
prove injury.” Majority Opinion, p. 20 (citation and internal
quotation marks omitted). The majority seeks to avoid this
ruling by giving its explanation of “why” the Lara court
reached the conclusion that alleged illegality is insufficient
to establish an injury. Id. (emphasis in the original). But no
“explanation” can change the unqualified language used by
the Lara court. Regardless of why the ruling was made, it is
clear: the alleged illegality of the condition does not
establish injury. See Lara, 25 F.4th at 1140. At bottom, the
majority cannot articulate a principled basis upon which to
JAMA V. STATE FARM MUT. AUTO. INS. CO. 37
distinguish this case from our holding in Lara. In addition,
the majority opinion creates an unwarranted circuit split. For
these reasons, I respectfully dissent.