American General Life & Accident Insurance v. Ward

530 F. Supp. 2d 1306, 69 Fed. R. Serv. 3d 1158, 75 Fed. R. Serv. 441, 2008 U.S. Dist. LEXIS 271
CourtDistrict Court, N.D. Georgia
DecidedJanuary 2, 2008
DocketCivil Action 1:05-CV-3320-JEC
StatusPublished
Cited by2 cases

This text of 530 F. Supp. 2d 1306 (American General Life & Accident Insurance v. Ward) is published on Counsel Stack Legal Research, covering District Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American General Life & Accident Insurance v. Ward, 530 F. Supp. 2d 1306, 69 Fed. R. Serv. 3d 1158, 75 Fed. R. Serv. 441, 2008 U.S. Dist. LEXIS 271 (N.D. Ga. 2008).

Opinion

ORDER & OPINION

JULIE E. CARNES, District Judge.

This case is presently before the Court on plaintiffs Motion to Dismiss Defendants’ Amended Fraud and RICO Claims [54], defendants’ Motions to Exceed Page Limits [58] and [71], defendants’ Motions to Supplement their Counterclaim and Response [60] and [61], plaintiffs Motion to *1309 Strike Marcus Pittman’s Expert Report [70], and defendant’s Motion for Leave to Revise Pittman’s Expert Report [75] and [76]. The Court has reviewed the record and the arguments of the parties and, for the reasons set out below, concludes that plaintiffs Motion to Dismiss [54] should be GRANTED, defendants’ Motions to Exceed Page Limits [58] and [71] should be GRANTED, defendants’ Motions to Supplement [60] and [61] should be DENIED, plaintiffs Motion to Strike [70] should be GRANTED, and defendant’s Motion for Leave to Revise Pittman’s Expert Report [75] and [76] should be GRANTED.

BACKGROUND

The facts underlying this action are discussed in detail in the Court’s prior order. (Order [48].) Briefly, defendants are the beneficiaries of two insurance policies owned by and insuring the life of Grongie K Ward. (Compl. [1] at ¶¶ 18, 26.) It is believed that Grongie Ward died on February 15, 2004; however, his body has never been found. (Id. at ¶ 26.) Following Grongie’s presumed death, defendant Preston Ward submitted a Claimant’s Statement requesting approximately $550,000 in benefits related to the insurance policies. (Id. at ¶ 37.) Plaintiff American General, the issuer of both policies, subsequently filed this action seeking a declaratory judgment that the policies are void because of material misrepresentations in Grongie’s applications for life insurance. 1 (Id. at ¶¶ 4(M6.)

In their answer, defendants asserted numerous counterclaims based on state and federal law. (Defs.’ Answer and Counterclaims [5].) Plaintiff filed motions to dismiss the majority of those claims, which file Court granted in part. (Order [48].) In particular, the Court granted plaintiffs motion to dismiss defendants’ fraud claims for failure to comply with the particularity requirement of Rule 9(b). (Id. at 24.) However, the Court gave defendants “one final opportunity to amend their [fraud] claims” to comply with Rule 9(b). (Id.)

Defendants timely filed their amended fraud claims on April 13, 2007. (Defs.’ Amended Fraud Claims [50].) Plaintiff has filed a motion to dismiss these claims. (Pl.’s Mot. to Dismiss [54].) Plaintiff has also filed a motion to strike the report of Marcus Pittman, who has been retained by plaintiff as a handwriting expert. (Pl.’s Mot. to Strike [70].) Both of plaintiffs motions, and several related motions filed by defendants, are presently before the Court.

DISCUSSION

I. Defendants have not pled fraud with sufficient particularity to comply with the federal rules.

Rule 9 (b) of the Federal Rules of Civil Procedure requires that “[i]n alleging fraud or mistake, a party must state with particularity the circumstances constituting fraud or mistake.” Fed.R.CivP. 9(b). To comply with Rule 9(b), defendants must set forth:

1) precisely what statements were made in what documents or oral representations or what omissions were made, and
2) the time and place of each such statement and the person ‘responsible for making (or, in the case of omissions, not making) same’, and
*1310 3) the content of such statements and the manner in which they misled [defendants], and
4) what [plaintiff] obtained as a consequence of the fraud.

U.S. ex rel. Clausen v. Lab. Corp. of Am., 290 F.3d 1301, 1310 (11th Cir.2002)(citing Ziemba v. Cascade Int’l Inc., 256 F.3d 1194, 1202 (11th Cir.2001)). See also Cooper v. Blue Cross & Blue Shield, 19 F.3d 562, 568 (11th Cir.1994) (“The ... complaint must allege the details of the ... allegedly fraudulent acts, when they occurred, and who engaged in them.”)

In its prior order, the Court provided specific instructions to defendants concerning the requirements of Rule 9(b). (Order. [48] at 22-24.) Nevertheless, defendants’ amended fraud claims do not come close to complying with the rule. 0See Defs.’ Amended Counterclaims [50].) Like the original version, defendants’ amended claims primarily rely on the vague assertion that plaintiff has committed “racketeering, nefarious, fraudulent and criminal activities in furtherance of its illicit and illegal schemes.” (Id. at 2.) Without any more specific details, the Court is at a loss as to what that statement means and whether it supports a fraud claim. It certainly does not meet Rule 9(b)’s requirement that the circumstances surrounding any alleged fraud be pled with particularity.

The only facts that are described by defendants in any detail relate to plaintiffs alleged bad faith during the claims handling process. 2 (Id. at 5-16.) According to defendants, plaintiff “maliciously” denied defendants’ legitimate claims to insurance proceeds after conducting a “sham of a claims investigation.” (Id. at 3-4.) Plaintiffs conduct during the claims handling process, even assuming that it involved bad faith, does not necessarily constitute actionable fraud. Compare Johnson v. Rodier, 242 Ga.App. 496, 498, 529 S.E.2d 442, 444 (2000) (“The tort of fraud has five elements: a false representation by defendant, scienter, intention to induce the plaintiff to act or refrain from acting, justifiable reliance by plaintiff, and damage to plaintiff.”) and Bayrock Mortgage Corp. v. Chicago Title Ins. Co., 286 Ga.App. 18, 19, 648 S.E.2d 433, 435 (2007) (“To prevail on a claim for an insurer’s bad faith [failure to pay a claim] the insured must prove: (1) that the claim is covered under the policy, (2) that a demand for payment was made against the insurer within 60 days prior to filing suit, and (3) that the insurer’s failure to pay was motivated by bad faith.”). As the Court has repeatedly stated, an essential element of a fraud claim is a “false representation.” Johnson, 242 Ga.App. at 498, 529 S.E.2d at 444. That plaintiff denied a claim that it should have paid does not demonstrate a “false representation.”

In addition, Rule 9(b) requires that a fraud claimant supply basic information about the allegedly false representation. Fed.R.Civ.P.

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530 F. Supp. 2d 1306, 69 Fed. R. Serv. 3d 1158, 75 Fed. R. Serv. 441, 2008 U.S. Dist. LEXIS 271, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-general-life-accident-insurance-v-ward-gand-2008.