Amiga Mutual Insurance v. Levine

7 F. Supp. 3d 182, 2014 WL 1154485
CourtDistrict Court, D. Connecticut
DecidedMarch 21, 2014
DocketCivil Action No. 3:13-CV-00716 (VLB)
StatusPublished
Cited by14 cases

This text of 7 F. Supp. 3d 182 (Amiga Mutual Insurance v. Levine) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amiga Mutual Insurance v. Levine, 7 F. Supp. 3d 182, 2014 WL 1154485 (D. Conn. 2014).

Opinion

MEMORANDUM OF DECISION GRANTING DEFENDANT’S MOTION TO DISMISS [DM. IS]

VANESSA L. BRYANT, District Judge.

I. Introduction

The Plaintiff, Arnica Mutual Insurance Company (“Arnica”), a Rhode Island corporation with its principal place of business in Lincoln, Rhode Island, brings this action for a declaratory judgment pursuant to 28 U.S.C. § 2201 against the Defendant, Susan B. Levine, a Connecticut resident, related to an insurance claim dispute. The Defendant filed this motion to dismiss for [185]*185failure to state a claim upon which relief may be granted pursuant to Fed. R. Civ. P. 12(b)(6) and for lack of subject matter jurisdiction pursuant to Fed.R.Civ.P. 12(b)(1) and Local Rule 7. For the reasons that follow, Defendant’s Motion to Dismiss is GRANTED.

II. Background

The following facts and allegations are taken from the Plaintiffs complaint (the “Complaint”) and supporting materials. [Dkt. 1, Complaint]. Arnica issued an automobile insurance policy with the number 911206-22PV (the “Policy”)' to the Defendant for the period between December 1, 2010 and December 1, 2011. [Dkt. 1, ¶ 6]. The Policy provides, among other things, “Medical Payments Coverage.” [Id. at ¶ 7]. On or about September 6, 2011, the Defendant was involved in a motor vehicle accident in which she claims to have sustained personal injuries. [Id. at ¶ 8]. As a result, she made a claim for medical payments coverage under the Policy. [Id. at ¶ 9]. The Policy provides, in relevant part:

Part E — DUTIES AFTER AN ACCIDENT OR LOSS
We have no duty to provide coverage under this policy if the failure to comply with the following duties is prejudicial to us:
B. A Person seeking any coverage must:
1. Cooperate with us in the investigation, settlement or defense of any claim or suit.
2. Promptly send us copies of any notices or legal papers received in connection with the accident or loss.
3. Submit, as often as we reasonably require:
a. To physical exams by physicians we select. We will pay for these exams.
b. To examination under oath and subscribe the same.
4. Authorize us to obtain:
a. Medical reports; and
b. Other pertinent records.
5. Submit proof of claim when required by us.

[Id. at ¶ 10]. In accordance with the Policy conditions, Arnica requested that the Defendant undergo a medical examination, but the Defendant refused. [Id. at ¶¶ 11, 12]. As a result, Arnica claims to have been prejudiced in its ability to properly evaluate the Defendant’s claim for medical payments benefits (“med pay”). [Id. at ¶ 13]. Arnica further alleges that since the Defendant breached the Policy by refusing to undergo the requested medical examination, Arnica has no duty to provide coverage for her claim. [Id. at ¶ 14].

III. Legal Standard

“ ‘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.’ ” Sarmiento v. United States, 678 F.3d 147 (2d Cir.2012) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009)). While Rule 8 does not require detailed factual allegations, “[a] pleading that offers ‘labels and conclusions’ or ‘formulaic recitation of the elements of a cause of action will not do.’ Nor does a complaint suffice if it tenders ‘naked assertion[s]’ devoid of ‘further factual enhancement.’ ” Iqbal, 556 U.S. at 678, 129 S.Ct. 1937 (citations omitted). “Where a complaint pleads facts that are ‘merely consistent with’ a defendant’s liability, it ‘stops short of the line between possibility and plausibility of ‘entitlement to relief.’ ’ ” Id. (quoting Bell Atl. Corp. v. Twombly, 550 [186]*186U.S. 544, 557, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)). “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Id. (citations and internal quotation marks omitted).

In considering a motion to dismiss for failure to state a claim, the Court should follow a “two-pronged approach” to evaluate the sufficiency of the complaint. Hayden v. Paterson, 594 F.3d 150, 161 (2d Cir.2010). “A court ‘can choose to begin by identifying pleadings that, because they are no more than conclusions, are not entitled to the assumption of truth.’” Id. (quoting Iqbal, 556 U.S. at 679, 129 S.Ct. 1937). “At the second step, a court should determine whether the ‘well-pleaded factual allegations,’ assumed to be true, ‘plausibly give rise to an entitlement to relief.’ ” Id. (quoting Iqbal, 556 U.S. at 679, 129 S.Ct. 1937). “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.” Iqbal, 556 U.S. at 678, 129 S.Ct. 1937 (internal quotations omitted).

A. Subject Matter Jurisdiction

“A case is properly dismissed for lack of subject matter jurisdiction under Rule 12(b)(1) when the district court lacks the statutory or constitutional power to adjudicate it.” Makarova v. United States, 201 F.3d 110, 113 (2d Cir.2000). “A plaintiff asserting subject matter jurisdiction has the burden of proving by a preponderance of the evidence that it exists.” Id. (citing Malik v. Meissner, 82 F.3d 560, 562 (2d Cir.1996)). On a Rule 12(b)(1) motion, “ ‘the court must take all facts alleged in the complaint as true and draw all reasonable inferences in favor of plaintiff.’ ” Natural Res. Def. Council v. Johnson, 461 F.3d 164, 171 (2d Cir.2006) (quoting Sweet v. Sheahan, 235 F.3d 80, 83 (2d Cir.2000)). “However, where jurisdictional facts are placed in dispute, the court has the power and obligation to decide issues of fact by reference to evidence outside the pleadings, such as affidavits.” LeBlanc v. Cleveland, 198 F.3d 353, 356 (2d Cir.1999).

This action was filed in this Court pursuant to its diversity jurisdiction. Diversity jurisdiction is conferred on a district court in all civil actions between citizens of different states “where the matter in controversy exceeds the sum or value of $75,000, exclusive of interest and costs.” 28 U.S.C.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
7 F. Supp. 3d 182, 2014 WL 1154485, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amiga-mutual-insurance-v-levine-ctd-2014.