Allison Karen, et al. v. United Services Automobile Association, et al.

District Court, D. Nevada·Decided February 19, 2026·No. 2:24-cv-02089·Unknown

Opinion

1 2 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA 3 4 Allison Karen, et al., Case No. 2:24-cv-02089-CDS-DJA

5 Plaintiffs Order Granting in Part and Denying in Part the Defendants’ Motion to Partially Dismiss 6 v. the First Amended Complaint

7 United Services Automobile Association, et al., [ECF No. 56] 8 Defendants 9 10 This is an auto insurance dispute. On July 22, 2025, I granted defendants United States 11 Automobile Association (USAA), USAA Casualty Insurance Company (USAA Casualty), and 12 Garrison Property and Casualty Insurance Company’s (Garrison) (collectively, “the 13 defendants”) partial motion to dismiss the original complaint.1 See Order, ECF No. 52. I also 14 granted defendant Auto Injury Solutions, Inc.’s motion to dismiss for lack of personal 15 jurisdiction. Id. Both dismissal motions were granted without prejudice and with leave to amend. 16 Id. On August 5, 2025, plaintiffs Allison Karen and Gudrun Karen (collectively, “the plaintiffs” or 17 “the Karens”) filed a first amended complaint (FAC).2 ECF No. 53. Therein, the plaintiffs 18 reallege the same claims: (1) declaratory relief, (2) breach of contract, (3) bad faith, (4) two 19 claims for exploitation of the elderly, and (5) violations of Nevada’s prohibition on unfair claims 20 practices. See id. 21 On August 29, 2025, the defendants filed a motion to dismiss parts of the FAC. ECF No. 22 56. The motion is now fully briefed. Opp’n, ECF No. 57; Reply, ECF No. 58. For the reasons 23 herein, the defendants’ motion is granted in part and denied in part. 24 1 See Mots. to dismiss, ECF Nos. 17, 24. 25 2 The plaintiffs’ counsel is reminded that all filings must comply with this District’s Local Rules, including Rule IA 10-1(b) that requires, with limited exception, all “[d]ocuments filed electronically [to] 26 be filed in a searchable Portable Document Format (PDF).” LR IA 10-1(b). The FAC fails to comply with this requirement. Counsel is cautioned that future filings that fail to comply with this rule will be stricken. 1 I. Background3 2 On or about April 29, 2023, the plaintiffs allege that they were involved in a motor 3 vehicle accident “as a result of the negligence of an under-insured motorist.” ECF No. 53 at 5, 4 ¶ 22. At the time of the accident, plaintiff Allison Karen4 was driving her vehicle with plaintiff 5 Gudrun Karen as a passenger. Id. The plaintiffs were insured with USAA, USAA-CIC, and/or 6 Garrison, under policy number 02002 35 08R 7101 3 (“the Policy”), and as relevant here, with 7 uninsured / underinsured motorist (UIM) bodily injury coverage with policy limits of 8 “$1,000,000.00 per person, $1,000,000.00 per accident.” Id. at ¶¶ 20–21. The plaintiffs were also 9 insured with USAA for a “stackable medical payment policy limit of $100,000.00 per person, per 10 vehicle.” Id. at ¶ 21. 11 The plaintiffs informed USAA of the accident on May 2, 2023. Id. at 5–6, ¶¶ 25–27. Upon 12 information and belief, Jacob Franklin, a self-identified “medical adjuster with USAA,” 13 acknowledged receipt of the claim and invited direct, digital written communication with a 14 relative of the Karens, Lars Elmqvist, “to expedite the medical claims process” the following day. 15 Id. at 6, ¶ 27. The complaint alleges that Franklin and others from USAA, communicated with 16 Elmqvist about the policy and coverage several times between May 3, 2023, and May 11, 2023. See 17 id. at 6–7, ¶¶ 28–35. As part of those communication, USAA advised the plaintiffs that they 18 needed to submit documentation like itemized bills, records for any medical payment coverage, 19 and personal identifying information. See id. As alleged, Elmqvist twice attempted to provide 20 personal identifying information for Gudrun to Franklin but was unsuccessful, so Elmqvist 21 invited Franklin to call him so he could provide that information. Id. at ¶ 33. 22 On July 5, 2023, the plaintiffs received a written correspondence from USAA regarding 23 Gudrun’s social security number (SSN). Id. at 7, ¶ 36. When Elmqvist called USAA to provide 24 that information over the phone, he was advised USAA could not accept that information 25 3 Citation to the FAC complaint is to provide background and appropriate analysis under Fed. R. Civ. P. 26 12(b)(6) standard. It does not serve as a finding of fact. 4 While not alleged, Allison Karen is also known as Allison Swenson. 1 telephonically. Id. In response to the letter, Elmqvist called to provide the requested information 2 and provided Gudrun’s SSN via the USAA app. Id. at ¶¶ 36–37. Between July 5 and July 6, 2023, 3 an unidentified USAA agent responded asking who was asking for the SSN, as they already had 4 that information, and further represented that they would “advise the Medical Payment adjuster 5 . . . that the social security number [was] updated.” Id. at ¶¶ 38–39. Between July 6, 2023, and 6 September 25, 2023, the plaintiffs (through Elmqvist) communicated, and sometimes engaged 7 disputes, with USAA about the claim and the request for medical payment coverage several 8 times. See id. at ¶¶ 40–49. 9 On November 14, 2023, the plaintiffs’ counsel advised USAA of his representation of the 10 plaintiffs and requested verification of all applicable insurances and corresponding coverage 11 limits. Id. at 9, ¶ 50. Thereafter, counsel and USAA communicated several times about the claim. 12 Id. at 9–10, ¶¶ 51–54. On December 12, 2023, USAA issued payment in the amount of $2,003.54 13 for Gudrun and her counsel under the medical payments provision of her coverage, even though 14 she had provided medical bills in excess of $28,000.00. Id. at 10, ¶ 55. 15 On January 2, 2024, while covered by the same policy detailed above, the plaintiffs were 16 involved in a second accident. Id. at ¶¶ 57, 59. As alleged, this accident was also the “result 17 of . . . negligence [by] an under-insured motorist.” Id. The plaintiffs suffered significant injury and 18 incurred substantial expenses for medical care and treatment. Id. at 10–11, ¶ 58. On January 26, 19 2024, counsel for the plaintiffs sent USAA a written communication detailing Allison’s medical 20 treatment and expenses, both past and future. Id. at 11, ¶ 61. 21 On March 27, 2024, counsel sent another written communication to USAA because of 22 the defendant’s alleged failure to respond to the January communication. Id. at ¶ 64. Therein, 23 counsel demanded tender of the plaintiffs’ benefits within 15 days. Id. The demand explicitly 24 stated that no extensions would be provided. Id. No response was received withing 15 days. Id. at 25 ¶ 65. 26 1 On April 17, 2024, USAA issued payment to Allison and her counsel in the amount of 2 $25,801.80, despite having submitted the required documentation. Id. at ¶ 66. On May 3, 2024, 3 USAA issued another payment to Allison and her counsel, under the same coverage provision, in 4 the amount of $88.99. Id. at ¶ 70. 5 On May 8, 2024, the plaintiffs’ counsel sent written correspondence to USAA demanding 6 reservation and tender of all application UIM benefits, “including and up to $2,000,000.00” for 7 the plaintiffs’ two accidents. Id. at 12, ¶ 72. Therein, counsel detailed the plaintiffs’ injuries and 8 medical treatments—both past and future—as well as other information. Id. That letter included 9 a demand of payment under all applicable UIM policy limits within 30 days. Id. at ¶ 73. USAA 10 responded to the plaintiffs’ May 8th letter, requesting an extension to July 1, 2024. Id. at ¶ 74. In 11 June 2024, the plaintiffs’ counsel sent additional information detailing his clients’ injuries and 12 medical treatments. See id. at 13, ¶¶ 75–76. The July 1, 2024 deadline expired without USSA 13 tendering the requested policy limits. Id. at ¶ 77.

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Allison Karen, et al. v. United Services Automobile Association, et al., (D. Nev. 2026).

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