Ainger v. Great American Assurance Company

District Court, Virgin Islands·Decided September 22, 2022·No. 1:20-cv-00005·Unknown

Opinion

DISTRICT COURT OF THE VIRGIN ISLANDS DIVISION OF ST. CROIX

THOMAS AINGER and ) ELIZABETH A. KLIESCH, ) ) Plaintiffs, ) ) v. ) Civil Action No. 2020-0005 ) GREAT AMERICAN ASSURANCE ) COMPANY, SIWELL, INC., AMERICAN ) FINANCIAL GROUP, and DOES 1-9, ) ) Defendants. ) __________________________________________)

Attorneys: Lee J. Rohn, Esq., St. Croix, U.S.V.I. For Plaintiffs

Carol Ann Rich, Esq., St. Thomas, U.S.V.I. For Defendant Great American Assurance Company

J. Daryl Dodson, Esq., St. Thomas, U.S.V.I. For Defendant Siwell, Inc.

Richard H. Dollison, Esq., St. Thomas, U.S.V.I. For Defendant American Financial Group

MEMORANDUM OPINION

Lewis, District Judge

THIS MATTER comes before the Court on Defendant Great American Assurance Company’s (“Defendant Great American”) “Motion to Dismiss First Amended Complaint” (Dkt. No. 28), Plaintiff Thomas Ainger and Plaintiff Elizabeth A. Kliesch’s (“Plaintiffs”) Opposition thereto (Dkt. No. 38), and Defendant Great American’s Reply (Dkt. No. 51); Defendant American Financial Group, Inc.’s (“Defendant AFG”) “Motion to Dismiss Plaintiffs’ Complaint” (Dkt. No. 30), Plaintiffs’ Opposition thereto (Dkt. No. 40), and Defendant AFG’s Reply (Dkt. No. 52); and Defendant Siwell, Inc.’s (“Defendant Siwell”) “Motion to Dismiss Pursuant to F. R. Civ. P. 12(b)(6)” (Dkt. No. 32), Plaintiffs’ Opposition thereto (Dkt. No. 48), and Defendant Siwell’s Reply (Dkt. No. 53).

For the reasons discussed below, the Court will grant in part and deny in part Defendant Siwell’s Motion to Dismiss; deny Defendant Great American’s Motion to Dismiss; and grant Defendant AFG’s Motion to Dismiss, except to the extent that it seeks dismissal of Plaintiffs’ claims with prejudice. The Court will grant Plaintiffs leave to amend their Complaint. I. BACKGROUND On September 19, 2019, Plaintiffs filed a Complaint in the Superior Court of the Virgin Islands (Dkt. No. 1-1), which was later amended (Dkt. No. 12-1). Defendant Great American removed the action to this Court on January 27, 2020. (Dkt. No. 1). The Amended Complaint asserts claims of breach of express and implied contract, estoppel, negligence, fraud, breach of

fiduciary duties, breach of the implied covenant of good faith and fair dealing, unjust enrichment, tortious interference with a business relationship, conversion of chattels or personal property, and intentional or negligent infliction of emotional distress. (Dkt. No. 12-1). Plaintiffs allege that they own properties at Remainder Plot 47A and 47AB Estate La Grande Princesse, Christiansted, St. Croix and that Defendant Great American provided insurance coverage for those properties. Id. at ¶ 6. According to the Amended Complaint, Defendant Great American is wholly owned by Defendant AFG and the insurance on the properties was provided “through” Defendant Siwell doing business as Capital Mortgage Services of Lubbock, Texas (“Capital Mortgage”). Id. at ¶¶ 5- 6. Plaintiffs allege that, when the properties were damaged in 2017 by Hurricane Maria, Defendant Great American and Defendant Siwell failed to timely inspect and assess the damage to the properties. Id. at ¶¶ 7-8. Due to the alleged delay in action by Defendant Great American and Defendant Siwell, Plaintiffs engaged a public adjuster to quantify their losses and were delayed in making the needed repairs to the properties. Id. at ¶¶ 10-11. Plaintiffs allege that they have not received the full payment of the insurance proceeds and Defendant Siwell failed to ensure that

Plaintiffs were adequately paid. Id. at ¶¶ 14-16. Plaintiffs also allege that the rates charged for their insurance were “exorbitant” and “were not arrived at on a competitive basis.” Id. at ¶ 18. All Defendants have moved to dismiss the Amended Complaint under Federal Rule of Civil Procedure 12(b)(6) for failure to state a claim. (Dkt. Nos. 28, 30, 32). Plaintiffs have opposed Defendants’ Motions to Dismiss. (Dkt. Nos. 38, 40, 48). II. APPLICABLE LEGAL PRINCIPLES Federal Rule of Civil Procedure 12(b)(6) calls for dismissal of a complaint if it “fail[s] to state a claim upon which relief can be granted.” Fed. R. Civ. P. 12(b)(6). “To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to

relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). “The plausibility standard is not akin to a ‘probability requirement,’ but it asks for more than a sheer possibility that a defendant has acted unlawfully.” Id. (citing Twombly, 550 U.S. at 556). The Third Circuit, as articulated in Connelly v. Lane Constr. Corp., employs a three-step process in applying the analysis established by the Supreme Court in Bell Atlantic v. Twombly and Ashcroft v. Iqbal: Under the pleading regime established by Twombly and Iqbal, a court reviewing the sufficiency of a complaint must take three steps. First, it must “tak[e] note of the elements [the] plaintiff must plead to state a claim.” Second, it should identify allegations that, “because they are no more than conclusions, are not entitled to the assumption of truth.” Finally, “[w]hen there are well-pleaded factual allegations, [the] court should assume their veracity and then determine whether they plausibly give rise to an entitlement to relief.”

Connelly, 809 F.3d 780, 787 (3d Cir. 2016) (quoting Ashcroft, 556 U.S. at 675, 679) (internal citations omitted); see also Warren Gen. Hosp. v. Amgen Inc., 643 F.3d 77, 84 (3d Cir. 2011) (stating that when ruling on a motion to dismiss for failure to state a claim, courts accept a plaintiff’s “factual allegations as true, [and] construe the complaint in the light most favorable to the plaintiff.” (quoting Pinker v. Roche Holdings Ltd., 292 F.3d 361, 374 n.7 (3d Cir. 2002)) (internal quotation marks omitted)). III. DISCUSSION A. Consideration of Exhibits Attached to Motion to Dismiss The Court must first address whether it may consider the documents Defendant Great American has attached to its Motion to Dismiss. Defendant Great American has presented three exhibits with which Plaintiffs take issue: (1) Exhibit 1 contains a “Notice of Lender Placed Homeowners (Hazard) Coverage” dated January 19, 2017, “Evidence of Insurance” reflecting

Certificate Number GRH0071429 and an effective date of December 17, 2016, and Mortgage Protection Insurance with Policy Number 4091391 (“Master Policy”); (2) Exhibit 2 contains a Mortgage between Plaintiffs and Capital Mortgage Services; and (3) Exhibit 3 contains a “Notice of Lender Placed Homeowners (Hazard) Coverage” dated April 28, 2016 and “Evidence of Insurance” reflecting Certificate Number GRH0064163 and an effective date of December 17, 2015.1

1 Defendant Great American also attached a copy of a judicial opinion in Scobie v. Flagstar Bank, Plaintiffs dispute the authenticity of these documents and argue that the Court may not consider them on a Motion to Dismiss. (Dkt. No. 38 at 2-9). At the Rule 12(b)(6) stage, “courts generally consider only the allegations contained in the complaint, exhibits attached to the complaint and matters of public record.” Pension Ben. Guar. Corp. v.

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