Ainger v. Great American Assurance Company

CourtDistrict Court, Virgin Islands
DecidedAugust 4, 2022
Docket1:20-cv-00005
StatusUnknown

This text of Ainger v. Great American Assurance Company (Ainger v. Great American Assurance Company) is published on Counsel Stack Legal Research, covering District Court, Virgin Islands primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ainger v. Great American Assurance Company, (vid 2022).

Opinion

DISTRICT COURT OF THE VIRGIN ISLANDS

DIVISION OF ST. CROIX ║

THOMAS AINGER and ║ ELIZABETH A. KLIESCH, ║ ║ Plaintiffs, ║ 1:20-cv-00005-WAL-EAH ║ v. ║ ║ GREAT AMERICAN ASSURANCE ║ COMPANY, SIWELL, INC., AMERICAN ║ FINANCIAL GROUP, and DOES 1-9, ║ ║ Defendants. ║ ________________________________________________ ║ TO: Lee J. Rohn, Esq. On behalf of Plaintiffs Carol Ann Rich, Esq. On behalf of Great American Assurance Co. J. Daryl Dodson, Esq. On behalf of Siwell, Inc. Richard H. Dollison, Esq. On behalf of American Financial Group, Inc.

ORDER GRANTING MOTIONS FOR A STAY OF DISCOVERY THIS MATTER comes before the Court on the motions by (1) Defendant Great American Assurance Company (“Great American”) for Stay of Discovery Pending a Ruling on Motions by All Defendants to Dismiss the First Amended Complaint (Dkt. No. 57); (2) Defendant American Financial Group, Inc. (“AFG”) to Stay Discovery (Dkt. No. 60); and (3) Defendant Siwell. Inc. for a Stay of Discovery Pending a Ruling on Motions by All Defendants to Dismiss the First Amended Complaint (Dkt. No. 67). Plaintiffs opposed the three motions (Dkt. Nos. 72, 73, and 74), and AFG and Siwell filed replies (Dkt. Nos. 76 and 77). The Court ordered simultaneous supplemental briefing on the issue of the authority of the magistrate Ainger v. Great American Assurance Co. 1:20-cv-00005-WAL-EAH Order Staying Case Page 2

judge to assess the merits of a dispositive motion within his assessment of a motion to stay discovery. Dkt. No. 84. The parties filed supplemental briefs. Dkt. Nos. 85 (Great American); 86 (AFG); 87 (Siwell); 88 (Plaintiffs). For the reasons that follow, the Court will grant the motions to stay discovery. BACKGROUND

In September 2019, Plaintiffs Thomas A. Ainger and Elizabeth A. Kliesch filed a complaint in Virgin Islands Superior Court against Great American and John Does 1-10, alleging that Great American had issued an insurance policy covering risk of hurricane damage to their properties on St. Croix; the policy was in effect during Hurricane Maria in 2017; but Great American failed to timely respond to their claims resulting in their inability to make needed repairs, causing them damages. Dkt. No. 1-1. In January 2020, Great American removed the complaint to federal court. Dkt. No. 1. In February 2020, it filed a motion to dismiss for failure to state a claim, arguing that the contract underlying the insurance policy was a forced-place mortgage insurance policy issued by Great American to Siwell d/b/a Capital Mortgage, the mortgagee of the properties; Plaintiffs were not parties to the insurance policy nor were they intended third-party beneficiaries; and, as strangers to the policy, they could not state claims under it. Dkt. No. 5. Plaintiffs filed a First Amended Complaint (“FAC”) in July 2020 against Great 1 American, and named AFG and Siwell as Defendants, asserting ten causes of action. Dkt. No. Ainger v. Great American Assurance Co. 1:20-cv-00005-WAL-EAH Order Staying Case Page 3

12-1. Plaintiffs alleged that Great American issued and provided insurance coverage— Master Policy Numidber 4091391—in connection with their properties “through the Defendant Siwell,” . ¶ 6; Plaintiffs paid premiumsi dfor such coverage “and at the very least were third-party beniedf.iciaries of such insurance,” . ¶ 7; and all losses to their properties were covered losses, Great American and Siwell “failed to timely respond to the Plaintiffs and failed to send a qualified adjuster to investigate and inspect the damage and ildosses” thereby failing to adequately and timely determinied the full scope of their losses, . ¶ 8. Plaintiffs were forced to engage a piudblic adjuster, . ¶ 10; and they were unable to make needed repairs and lost income, . ¶ 11. Siwell failed to ensure that Plaintiffs were adequately paid; rather, “upon information,” Siwell took whatI wd.as offered by the insurance company and did not advise Plaintiffs of the offer or amounts. ¶¶ 14, 15. Great American, in conspiracy with Siwell, charged rates to IPdlaintiffs and others in excess of rates that could have been obtained on the open market. . ¶ 18. As to AFG, Plaintiffs alleged that, upon information and belief: Great American was wholly owned by AFG; the employees, officers, and directors of AFG had reason to know that Plaintiffs were being damaged by the misconductI dalleged and interfered with Plaintiffs’ rights and reasonable expectations under the policy. . ¶¶ 5, 20, 51.

fraud; Count V: breach of fiduciary duties; Count VI: breach of implied covenant of good faith and fair Ainger v. Great American Assurance Co. 1:20-cv-00005-WAL-EAH Order Staying Case Page 4

In response, Great American, AFG, and Siwell filed motions to dismiss for failure to state a claim. Dkt. Nos. 28, 29 (Great American); Dkt. Nos. 30, 31 (AFG); Dkt. Nos. 32, 35 (Siwell). Great American attached copies of, inter alia, the Master Insurance Policy at issue between it and Siwell (including the cover letter and declaration page) and the mortgage between Plaintiffs and Siwell; it asserted that these documents were central to Plaintiffs’ claims and were public documents, and thus could be considered on a motion to dismiss. Dkt. Nos. 29-1, 29-2. Great American argued that the claims against it were premised on the existence of a contractual relationship between Plaintiffs and Great American, reliance on representations allegedly made by Great American to Plaintiffs regarding the insurance contract, or monies Plaintiffs allegedly paid to Great American in premiums. The policy identified the named insured as Siwell, Inc. d/b/a Capital Mortgage Services of Texas, and explicitly provided that Siwell (not Plaintiffs), had rights under the policy, whose interests were covered against loss or damage to the mortgaged property. Since Plaintiffs were not parties to the contract or third-party beneficiaries, they did not have standing to bring claims under the policy, requiring dismissal of the claims asserted against it. Dkt. No. 29. AFG argued that the only claim asserted against it was tortious interference with a business relationship. Not only did the FAC contain a conclusory allegation that AFG interfered with Great American’s business relationship with Plaintiffs, but there was no such business relationship with which it could interfere as the insurance policy was between

Great American and Siwell. In addition, AFG was named as a defendant because it owned Ainger v. Great American Assurance Co. 1:20-cv-00005-WAL-EAH Order Staying Case Page 5

American General; case law provided that mere ownership was insufficient to find it liable; the only way was to pierce the corporate veil and Plaintiffs provided no allegations whatsoever in that regard. Dkt. No. 31. Siwell contended that Plaintiffs alleged that the insurance policy, issued by Great American, was provided “through Siwell,” but did not offer any facts to explain what that meant. Dkt. No. 32-1. Nor did Plaintiffs otherwise explain their relationship with Siwell in the FAC, i.e., that they were parties to a mortgage with Siwell, that the insurance policy at issue was a forced-place policy, or how that policy came to be bound. While Plaintiffs alleged that Siwell failed to send qualified adjusters to inspect the damage and took what was offered by the insurance company, they did not allege the source of any legal obligations Siwell had to protect Plaintiffs or the parameters of those obligations. As suBcehll, tAhtel. FCAorCp c. ovu. Tldw noomt bsluyrvive a motion to dismiss uAnsdhecrr othfte v p. Ilaqubsailbility standard set forthId i.n , 550 U.S. 544 (2007) and , 556 U.S. 662 (2009). Plaintiffs opposed. Dkt. No. 38 (Opp. to Great American); Dkt. No. 40 (Opp. to AFG); Dkt. No. 48 (Opp. to Siwell).

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