1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10 11 CAROL A. ROLLIN, No. 1:25-cv-00194-KES-HBK 12 Plaintiff, ORDER GRANTING DEFENDANT’S PARTIAL MOTION TO DISMISS AND 13 v. MOTION TO STRIKE THIRD AMENDED COMPLAINT 14 TRANSAMERICA LIFE INSURANCE COMPANY, Doc. 53 15 Defendant. 16 17 Plaintiff Carol A. Rollin filed a third amended complaint (“TAC”) against defendant 18 Transamerica Life Insurance Company (“Transamerica”) alleging claims for breach of contract; 19 breach of implied covenant of good faith and fair dealing; and financial elder abuse in violation of 20 the Elder Abuse and Dependent Adult Civil Protection Act, California Welfare Institutions Code. 21 Doc. 48. 22 Pursuant to Federal Rules of Civil Procedure 9(b), 12(b)(6), and 12(f), Transamerica 23 requests the Court: (1) dismiss the claims for breach of the implied covenant and financial elder 24 abuse for failure to state a claim and failure to plead fraud with particularity; (2) strike the 25 demand for punitive damages and an exhibit attached to the TAC. Doc. 53. For the reasons set 26 forth below, the motion is granted. Plaintiff’s claims for breach of the implied covenant and 27 financial elder abuse are dismissed without leave to amend. 28 /// 1 I. BACKGROUND 2 This action concerns a dispute over Plaintiff’s attempts to collect benefits under a long- 3 term care policy provided by Transamerica (“the Policy”). See generally Doc. 48. On July 3, 4 2025, the Court granted Transamerica’s motion to dismiss the first amended complaint (“FAC”), 5 with leave to amend.1 Doc. 34. On July 15, 2025, Plaintiff filed the second amended complaint 6 (“SAC”). Doc. 35. Transamerica also moved to dismiss the SAC, and the Court granted the 7 motion in part, with leave to amend.2 Doc. 41. As Transamerica did not challenge the breach of 8 contract claim3, the Court denied the motion with respect to Plaintiff’s request for policy benefit 9 damages on her breach of contract claim. The Court granted Transamerica’s motion on all other 10 grounds. See id. at 13. 11 Analyzing the breach of the implied covenant of good faith and fair dealing claim, the 12 Court identified several persisting deficiencies. Doc. 41 at 7–9. First, the Court noted that 13 Plaintiff’s specific allegations pertaining to good faith and fair dealing were unchanged from the 14 FAC that were found to be conclusory. Id. at 7. Second, the new breach of contract allegations, 15 which were incorporated by reference in Plaintiff’s bad faith claims, remained deficient because 16 they did not specify what care was needed, as required under the policy. Id. at 7–8. Although 17 Plaintiff alleged in the SAC that she sought benefits under the Alternative Payment Benefit 18 provision and submitted documents that she contended constituted a Plan of Care, Plaintiff still 19 1 The Court identified several deficiencies with the breach of contract claim. See Doc. 34 at 7– 20 10; see also Doc. 41 at 2.
21 2 Because many of the allegations in the TAC remain unaltered from the SAC and FAC, those allegations will not be re-summarized in full here. Compare Doc. 21, with Doc. 35. and Doc. 48. 22 The Court incorporates by reference the factual background sections contained in its July 3, 2025, 23 and October 16, 2025 Orders. Doc. 34 at 2–5; Doc. 41 at 3–4. As was the case previously, the long-term care policy is appropriately “considered in connection with Transamerica’s motion to 24 dismiss because it is incorporated by reference into the [third] amended complaint.” Id. at 2 n.2 (citing Knievel v. ESPN, 393 F.3d 1068, 1076 (9th Cir. 2005); Engers v. Allstate Ins. Co., 682 F. 25 Supp. 2d 1094, 1097 (E.D. Cal. 2009)); see also Doc. 41 at 2 n.2.
26 3 Unlike in the motion to dismiss the FAC, Transamerica did not move to dismiss plaintiff’s 27 breach of contract claim and intends to “separately address Plaintiff’s breach of contract claim in a motion for summary judgment based on undisputed evidence surrounding the claim decision.” 28 Doc. 37 at 14 n.5. 1 failed to allege what treatment, services, or care were included in those documents or what 2 benefits were requested. Id. at 8. As a result, the Court found it “impossible to determine 3 whether the denial of Rollin’s claim and appeal was a denial of benefits due under the policy” and 4 thus held the new allegations in the SAC did not “move her claim over the line from ‘possibility’ 5 to ‘plausibility.’” Id. at 8–9 (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). Considering 6 these deficiencies, the Court determined that Rollin also failed to plausibly allege her financial 7 elder abuse claim. The Court noted the unaltered “financial elder abuse claim asserted in the 8 FAC was dismissed independently of Rollin’s failure to allege a breach of contract because she 9 did not provide factual support for it and made only conclusory allegations.” Id. at 9. 10 Consequently, Plaintiff failed to state a claim supporting general damages for mental and 11 emotional distress. 12 Last, the Court dismissed with prejudice Rollin’s request for punitive damages for 13 “fail[ure] to sufficiently allege that Transamerica acted with ‘oppression, fraud, or malice’ as 14 required under California law.” Id. at 11 (quoting Cal. Civ. Code § 3294). 15 The SAC was dismissed with leave to amend, providing Plaintiff an opportunity to cure 16 the deficiencies identified. Doc. 41 at 12. Plaintiff filed the TAC on October 29, 2025. Doc. 48. 17 II. ALLEGATIONS.4 18 In 2003, Transamerica’s predecessor issued a long-term care policy to Plaintiff. Doc. 48 19 at ¶ 6. She thereafter paid all premiums due under the policy. Id. at ¶ 7. On June 10, 2024, 20 Christopher M. Bauer, Ph.D. (“Dr. Bauer”) “performed an in-person neuropsychological 21 evaluation of Plaintiff and administered a series of tests to assess Mrs. Rollin’s cognitive 22 impairment”. Id. at ¶ 8. Dr. Bauer produced a report of neuropsychological evaluation based on 23 his findings (“the report”), which plaintiff attached to the TAC as exhibit “A”. Id. “The tests 24 administered by Dr. Bauer are generally accepted medical diagnostic methods that reliably 25 measure impairment in the areas required by the Policy. Based on the results, Dr. Bauer certified 26 Mrs. Rollin as requiring continual supervision due to cognitive impairment.” Id. at ¶ 9. 27 4 The Court presumes the factual allegations in the TAC to be true in evaluating the motion to 28 dismiss. See Murguia v. Langdon, 61 F.4th 1096, 1106 (9th Cir. 2023). 1 Specifically, Dr. Bauer opined that, “[f]amily should continue to closely supervise medications 2 to make sure Mrs. Rollin is taking them reliably and correctly. Family should continue to keep 3 track of her appointments and accompany her to her healthcare appointments.” Id. at ¶ 20; see 4 also Doc. 48-1 at 4. He further opined that, “Mrs. Rollin can likely continue to live alone for the 5 time being given her level of family support.” Doc. 48 at ¶ 20; see also Doc. 48-1 at 4. The 6 family referred to are Plaintiff’s son and daughter-in-law, who live next door to Plaintiff and 7 have assisted Rolling with her finances, monitored her medications, and tracked her 8 appointments for more than one year. Id. at 2. They also “do her shopping and bring her dinner 9 each evening.” Id. Plaintiff claims that because this certification occurred within 12 months of 10 her claim and appeal to Transamerica, “[she] was eligible to receive benefits under the terms of 11 the Policy.” Doc. 48 at ¶ 9. 12 Upon certification, Plaintiff “initiated and submitted all documentation required by the 13 terms of the Policy,” but Transamerica denied her claim via a letter dated July 22, 2024, for 14 failing to submit a Plan of Care. Id. at ¶¶ 10, 11. The policy’s Benefit Eligibility provision states 15 that “[t]o be eligible for benefits provided under this Policy, [Transamerica] must receive a Plan 16 of Care that specifies what care is needed, unless a benefit specifically states that a Plan of Care is 17 not required.” Doc. 25-1 at 23. The policy defines a Plan of Care as “[a] written, face-to-face, 18 systematic, standardized, and comprehensive assessment of one’s functional and cognitive 19 capacity, limitation and needs, strengths, and abilities, specifying the duration, frequency, type 20 and scope of services necessary for care.” Id. at 21. The policy excludes compensation for care 21 “rendered by a member of an Insured Person’s Immediate Family,” but states that exclusion does 22 not apply to the Alternative Payment Benefit provision. Id. at 15. The policy defines Immediate 23 Family as “anyone who is related to an Insured Person or his or her Spouse . . . as a parent, 24 grandparent, child, grandchild, . . . .” Id. at 16. 25 In September 2024, Plaintiff submitted an appeal to Transamerica with more supporting 26 documentation, including “[t]wo neuropsychological reports prepared by Dr. Bauer, as well as a 27 Medical Cognitive Questionnaire Form,” which Rollin asserts constitute a plan of care as defined 28 by the policy. Doc. 48. at ¶ 13. Her appeal letter “expressly requested the Alternative Payment 1 Benefit, . . . , and explained that the [ ] Provision allows family members to serve as reimbursable 2 caregivers for one-third of the daily maximum benefit.” Id. at ¶ 15. Plaintiff alternatively 3 “requested payment of Home Health Care, Personal Care, and Homemaker Services Benefits.” 4 Id. Plaintiff attached her appeal submission to the TAC as exhibit “B”.5 Id. 5 On February 5, 2025, Transamerica denied the appeal. Id. at ¶ 22. Transamerica 6 “acknowledged that Dr. Bauer was a Licensed Health Care Practitioner, but interpreted his 7 reports . . . [so as to] claim[] that he was unable to certify Plaintiff as a Chronically Ill 8 Individual.” Id. According to Plaintiff, Transamerica “incorrectly and inappropriately interpreted 9 ‘continual’ supervision as needing supervision 24 hours a day, 7 days of week, rather than the 10 industry standard interpretation, i.e. frequently recurring.” Id. Plaintiff claims that Transamerica 11 “predicat[ed] its denial on the fact that [] Rollin has family members who are able to provide the 12 care which would otherwise be covered and paid for under the terms of her Policy.” Id. at ¶ 24. 13 Plaintiff contends that if Transamerica “reached the proper determination that [she] was certified 14 to meet the requirements found in the Benefit Eligibility provision for Cognitive Impairment,” 15 she “would be entitled to benefits under the Alternative Payment Benefit provision for which the 16 exclusion regarding a member of an Insured Person’s Immediate Family does not apply.” Id. 17 Eligibility for the alternative payment benefit is conditional upon Transamerica receiving a plan 18 of care. Doc. 25-1 at 35. The policy further states that to qualify for Home Health Care, Personal 19 Care, and Homemaker Services Benefits, the insured must satisfy the policy’s Benefit Eligibility 20 provision, including providing Transamerica with a plan of care. Id. at 23, 27–28. 21 Plaintiff also attached to the TAC, as exhibit “C”, a declaration from her daughter-in-law, 22 Christina Rollin, who asserts that Plaintiff’s “cognitive impairment has continued to decline since 23 Transamerica denied benefits.” Doc. 48 at ¶ 25; see also Doc. 48-3 at ¶ 37. 24 Plaintiff asserts that she has been improperly denied benefits under the policy, requiring 25
5 Defendant disputes plaintiff’s assertion that exhibit B is a “true and correct copy” of the appeal 26 letter, arguing that it is “unsigned, unauthenticated, and slightly different from the actual appeal 27 letter Transamerica received.” Doc. 53 at 13–14 n.3. Transamerica also contends that exhibit B does not contain the referenced attachments cited in the letter. Id. The Court takes judicial notice 28 of exhibit B for purposes of evaluating the present motion. See supra n.4. 1 her to incur “significant, continuing out-of-pocket expenses for home care that should have been 2 covered under the policy, which continue to date.” Doc. 48 at ¶ 26. 3 Plaintiff does not add any new allegations to the TAC for her claims for breach of the 4 implied covenant of good faith and fair dealing, or for statutory elder abuse. The only differences 5 between the SAC and TAC with respect to these claims are the deletion of certain allegations 6 pertaining to her demand for punitive damages. Plaintiff also removed her request for punitive 7 and exemplary damages.6 Compare Doc. 35 at 4–7, with Doc. 48 at 7–9. 8 On November 19, 2025, Transamerica filed a partial motion to dismiss and motion to 9 strike the TAC.7 Doc. 53. Specifically, Transamerica moves to dismiss “claims for breach of the 10 duty of good faith and fair dealing and for financial elder abuse” and moves to strike plaintiff’s 11 “demand for punitive damages which was previously dismissed with prejudice, and the 12 Declaration of Christina Rollin [. . .], which is a witness affidavit inappropriately appended to the 13 pleading.” Id. at 2.8 Plaintiff filed an opposition to the motion on December 10, 2025; and 14 Transamerica filed a reply on December 22, 2025. Docs. 56, 57. The motion was taken under 15 submission pursuant to Local Rule 230(g) on December 22, 2025. Doc. 58. 16 III. LEGAL STANDARD 17 The purpose of a motion to dismiss pursuant to Rule 12(b)(6) is to test the legal 18 sufficiency of the complaint. N. Star Int’l v. Ariz. Corp. Comm’n, 720 F.2d 578, 581 (9th Cir. 19 1983). “Dismissal can be based on the lack of a cognizable legal theory or the absence of 20 sufficient facts alleged under a cognizable legal theory.” Balistreri v. Pacifica Police Dep’t, 901 21 F.2d 696, 699 (9th Cir. 1990). A plaintiff is required to allege “enough facts to state a claim to 22 6 The TAC requests “a trebling of any punitive damages award pursuant to California Civil Code 23 §3345, but plaintiff concedes in her opposition to defendant’s motion to strike that “the punitive- damages references may be stricken as surplusage . . . .” Doc. 48 at 9; Doc. 56 at 24–25. 24 7 Transamerica’s motion to dismiss is brought under Rule 12(b)(6), with an added basis for 25 dismissal of the financial elder abuse claim under Rule 9(b). Doc. 53 at 28. As this Order resolves the motion under Rule 12(b)(6), the Court need not address Transamerica’s contention 26 that Rule 9(b) applies and that plaintiff failed to meet its requirements. See also Doc. 34 at 2 n.1.
27 8 Consistent with their motion to dismiss the SAC, Transamerica did not move to dismiss the breach of contract claim in the TAC; it notes its intent to address that claim on summary 28 judgment. Doc. 53 at 13 n.2; see also, supra n.3. 1 relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). “A 2 claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw 3 the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. 4 at 678. The complaint must contain facts that “nudge [the plaintiff’s] claims across the line from 5 conceivable to plausible.” Twombly, 550 U.S. at 570. 6 In determining whether a complaint states a claim on which relief may be granted, the 7 court accepts as true the allegations in the complaint and construes the allegations in the light 8 most favorable to the plaintiff. Hishon v. King & Spalding, 467 U.S. 69, 73 (1984). The court 9 need not assume the truth of legal conclusions cast in the form of factual allegations. U.S. ex rel. 10 Chunie v. Ringrose, 788 F.2d 638, 643 n.2 (9th Cir. 1986). While Rule 8(a) does not require 11 detailed factual allegations, “it demands more than an unadorned, the-defendant-unlawfully- 12 harmed-me accusation.” Iqbal, 556 U.S. at 678. A pleading is insufficient if it offers mere 13 “labels and conclusions” or “a formulaic recitation of the elements of a cause of action.” 14 Twombly, 550 U.S. at 555; see also Iqbal, 556 U.S. at 678 (“Threadbare recitals of the elements 15 of a cause of action, supported by mere conclusory statements, do not suffice.”). Moreover, it is 16 inappropriate to assume that a plaintiff “can prove facts that it has not alleged or that the 17 defendants have violated the . . . laws in ways that have not been alleged.” Associated Gen. 18 Contractors of Cal., Inc. v. Cal. State Council of Carpenters, 459 U.S. 519, 526 (1983). 19 IV. ANALYSIS 20 A. Good Faith and Fair Dealing 21 “The law implies in every contract, including insurance policies, a covenant of good faith 22 and fair dealing. ‘The implied promise requires each contracting party to refrain from doing 23 anything to injure the right of the other to receive the agreement’s benefits.’” Wilson v. 21st 24 Century Ins. Co., 42 Cal. 4th 713, 720 (2007) (quoting Frommoethelydo v. Fire Ins. Exch., 42 25 Cal. 3d 208, 214 (1986)). “The scope of the duty of good faith and fair dealing depends upon the 26 purposes of the particular contract . . . . In the context of an insurance policy, the terms and 27 conditions of the policy define the duties and performance to which the insured is entitled.” 28 Kransco v. Am. Empire Surplus Lines Ins. Co., 23 Cal. 4th 390, 400 (2000) (internal quotation 1 marks, brackets, and citation omitted). Generally, “there can be no breach of the implied 2 covenant of good faith and fair dealing if no benefits are due under the policy.” Brehm v. 21st 3 Century Ins. Co., 166 Cal. App. 4th 1225, 1235 (2008) (citing Waller v. Truck Ins. Exch., Inc., 11 4 Cal. 4th 1, 36 (1995)). To state a claim for breach of good faith and fair dealing in the insurance 5 context, a plaintiff must plausibly allege that “(1) benefits due under the policy were withheld; 6 and (2) the reason for withholding benefits was unreasonable or without proper cause.” Guebara 7 v. Allstate Ins. Co., 237 F.3d 987, 992 (9th Cir. 2001) (citing Love v. Fire Ins. Exch., 221 Cal. 8 App. 3d 1136, 1151 (1990)). 9 Plaintiff asserts that “[a]t the pleading stage, a plaintiff need only allege facts supporting a 10 plausible inference that the insurer acted unreasonably,” but the cases on which she relies do not 11 support finding the TAC’s conclusory allegations of unreasonableness sufficient to survive a 12 motion to dismiss.9 Doc. 56 at 12–13. In Maslo v. Ameriprise Auto & Home Ins., 227 Cal. App. 13 4th 626, 633 (2014), the court recites that “[a]n insurer that unreasonably delays, or fails to pay, 14 benefits due under the policy may be held liable in tort for breach of the implied covenant.” 15 (internal citations omitted) (emphasis added). The court in Wilson found at summary judgment 16 that there was a triable issue of fact as to whether the defendant unreasonably and in bad faith 17 denied the plaintiff’s claim, not that conclusory allegations of unreasonableness are sufficient to 18 survive a motion to dismiss. In Egan v. Mutual of Omaha Ins. Co., 24 Cal.3d 809, 818–19 (1979) 19 (en banc), the court upheld the lower court’s jury instruction that the defendant breached the 20 implied covenant of good faith and fair dealing when it failed to properly investigate the 21 plaintiff’s claim, but that finding does not negate that the insured needs to be eligible to recover 22 under their policy. See id. (“[f]or the insurer to fulfill its obligation not to impair the right of the 23 insured to receive the benefits of the agreement, it again must give at least as much consideration 24 to the latter’s interests as it does its own.”) 25 The TAC alleges that Transamerica breached the implied covenant of good faith and fair 26 dealing by: 27 9 Plaintiff cites to Alvarez v. State Farm Mut. Auto. Ins. Co., 601 F. App’x 625, 626 (9th Cir. 28 2015) for this general statement of law, but the Court was unable to locate any such case. 1 (a) Unreasonably withholding coverage from plaintiff in bad faith at a time when defendant knew plaintiff was entitled to said 2 coverage under the policy;
3 (b) Unreasonably and in bad faith failing to provide a prompt and reasonable explanation of the basis relied on under the terms of 4 the policy, in relation to the applicable facts and policy provisions, for the failure to pay valid claims under the terms of 5 plaintiff’s coverage.
6 (c) Intentionally and unreasonably applying pertinent policy provisions to limit defendant’s financial exposure and 7 contractual obligations and to maximize profits; [and]
8 (d) Unreasonably compelling plaintiff to institute litigation to recover her coverage due under the policy to further discourage 9 plaintiff from pursuing her full policy benefits. 10 Doc. 48 at ¶ 28. These are the same allegations from the FAC and SAC that were found to be 11 conclusory. As explained in the Court’s Order regarding the defendant’s partial motion to 12 dismiss the SAC, the allegations are insufficient to state a claim because they are predicated on 13 the assumption that Plaintiff showed she was entitled to receive benefits. Doc. 41 at 8. 14 Additionally, the TAC’s new breach of contract allegations, which are incorporated by reference 15 in Plaintiff’s bad faith claim, still fail to demonstrate that she was due benefits. 16 To be eligible to recover under the policy, including under the general terms regarding 17 benefit eligibility and under the terms governing the Alternative Payment Benefit, Plaintiff must 18 “ha[ve] been certified within the last 12 months by a Licensed Health Care Practitioner” as “(1) 19 requiring continual supervision . . . by another person to protect [her] from threats to [her] health 20 or safety, due to Cognitive Impairment; or (2) requiring the presence of another person within 21 arm’s reach due to the inability to perform at least 2 of the 6 Activities of Daily Living . . . .” 22 Doc. 25-1 at 23; see also id. at 35. Plaintiff must also have provided Transamerica with a Plan of 23 Care that specifies what care is needed. Id. at 23. The Plan of Care must be written; be based on 24 the insured’s comprehensive assessment; be required because the person is either Cognitively 25 Impaired or unable to perform two of the six Activities of Daily Living, as those terms are 26 defined by the policy; and have been “prescribed, approved, and signed by a Licensed Health 27 Care Practitioner . . . .” Id. at 21. The policy also provides that it “will not pay benefits when an 28 Insured Person is eligible for confinement, treatment, services or care . . . (6) that are not included 1 in an Insured Person’s Plan of Care, unless a benefit specifically states that a Plan of Care is not 2 required . . . .” Id. at 15. 3 The FAC was deficient, in part, because Plaintiff did not allege what treatment, services, 4 or care were included in any submitted Plan of Care nor what benefits she requested. Those 5 omissions made it impossible to determine whether she was denied benefits that were included in 6 her Plan of Care and rendered her allegations merely consistent with Transamerica’s liability. See 7 Doc. 34 at 8–9. The SAC remained deficient, in part, because although plaintiff had then alleged 8 that she sought benefits under the Alternative Payment Benefit provision and submitted 9 documents she contended constituted a Plan of Care, the SAC still failed to allege what treatment, 10 services, or care were included in those documents or what benefits were requested. See Doc. 41 11 at 8. While the TAC adds information to supplement the allegations that the report qualifies as a 12 Plan of Care that would properly certify her as cognitively impaired, it is still ultimately deficient. 13 Plaintiff has now provided the report, which she claims constitutes a Plan of Care, 14 however, it prescribes only close family supervision. Doc. 48 at ¶ 20. The policy explicitly “will 15 not pay benefits . . . (8) rendered by a member of an Insured Person’s Immediate Family, unless” 16 a listed exception applies. Doc. 25-1 at 15. Plaintiff does not claim that any exception other than 17 the Alternative Payment Benefit applies. Thus, she does not sufficiently allege her eligibility for 18 Home Health Care, Personal Care, or Homemaker Services Benefits under the policy. 19 Plaintiff has still not identified the other supporting documents she submitted with the 20 appeal and that she claims constitute a Plan of Care, or allege what treatment, services, or care 21 were included in those documents or what benefits were requested. Thus, it remains impossible 22 to determine whether the denial of plaintiff’s claim and appeal was a denial of benefits due under 23 the policy in relation to those documents. See Iqbal, 556 U.S. at 678 (“Where a complaint pleads 24 facts that are merely consistent with a defendant’s liability, it stops short of the line between 25 possibility and plausibility of entitlement to relief.”) (internal quotation marks, brackets, and 26 citation omitted). While Plaintiff’s claim for the Alternative Payment Benefit does not suffer 27 from the same deficiency because it is exempt from the Immediate Family exclusion, plaintiff’s 28 claim remains deficient for failing to specify “the duration, frequency, type and scope of services 1 necessary for care.” Doc. 25-1 at 21. Dr. Bauer’s recommendation that Plaintiff’s “[f]amily 2 should continue to closely supervise medications . . . [and] should continue to keep track of her 3 appointments and accompany her to her healthcare appointments” may satisfy the type and scope 4 of services requirement, but it does not address their duration or frequency. Doc. 48 at ¶ 20; see 5 also Doc. 48-1 at 4. Given these omissions, plaintiff’s contention that she submitted to 6 Transamerica a Plan of Care as defined by the policy is undermined and plaintiff is ineligible for 7 benefits provided under the policy. As a result, Plaintiff fails to move her claim over the line 8 from “possibility” to “plausibility.” Iqbal, 556 U.S. at 678. For this reason, the TAC fails to state 9 a claim for breach of the implied covenant of good faith and fair dealing. 10 The parties also raise arguments regarding whether Transamerica conducted an inadequate 11 investigation or otherwise lacked a reasonable basis to withhold plaintiff’s benefits, including 12 arguments as to the applicability of California’s genuine dispute rule, but addressing those 13 arguments is unnecessary. Even if they were resolved in Plaintiff’s favor, she would still fail to 14 state a claim for breach of the implied covenant of good faith and fair dealing for the reasons 15 identified above. 16 B. Financial Elder Abuse 17 Because Plaintiff has once again failed to plausibly allege that she was due benefits under 18 the policy that were wrongfully withheld by Transamerica, she also fails to plausibly allege her 19 financial elder abuse claim. Crawford v. Continental Cas. Ins. Co., Case No. SACV 14-00968- 20 CJC (JCGx), 2014 WL 10988334, at *2 (C.D. Cal. July 24, 2014) (noting elder abuse claim is 21 contingent on bad faith claim); Potovsky v. Lincoln Benefit Life, No. 23-CV-02235-WHO, 2023 22 WL 8461171, at *11 (N.D. Cal. Dec. 6, 2023) (“[t]he viability of financial elder abuse claims that 23 involve denial of benefits often turns on whether a plaintiff has sufficiently alleged that the 24 defendant acted in bad faith.”), aff’d sub nom. Potovsky v. Lincoln Benefit Life Co., No. 23-4130, 25 2024 WL 5289187 (9th Cir. Jan. 7, 2025). Notably, the financial elder abuse claim asserted in the 26 FAC was dismissed independently of Plaintiff’s failure to allege a breach of contract because she 27 did not provide factual support and made only conclusory allegations. Doc. 34 at 10. As 28 discussed above, the allegations supporting that claim in the TAC are unaltered, and the TAC’s 1 new breach of contract allegations incorporated by reference in the financial elder abuse claim are 2 insufficient to plausibly support entitlement to relief. 3 C. Damages 4 In the Order dismissing the FAC, the Court explained that Plaintiff failed to adequately 5 support her request for breach of contract damages, by failing to identify what damages she 6 actually incurred. Id. at 9–10. Plaintiff provided no indication of how she arrived at the amount 7 of $500,000.00 in damages. Id. In the SAC, Plaintiff alleged that she incurred “significant, 8 continuing out-of-pocket expenses for home care that should have been covered under the Policy, 9 which continue to date.” Doc. 48 at ¶ 26. In the Order addressing the SAC, the Court held 10 Plaintiff’s allegation for policy benefit damages was sufficiently plausible as Transamerica did 11 not challenge the breach of contract claim. Doc. 41 at 10. 12 To the extent relevant to Transamerica’s motion to dismiss and strike, the TAC requests 13 the following damages: 14 General damages for mental and emotional distress and other incidental damages in the sum of $1,500,000.00; 15 A trebling of any punitive damages award pursuant to California 16 Civil Code §3345. 17 Doc. 48 at 9. Each are considered below. 18 1. General Damages 19 Plaintiff seeks to recover $1.5 million in general damages for mental and emotional 20 distress. Generally, emotional distress damages are not recoverable in an action for breach of 21 contract. Erlich v. Menezes, 21 Cal. 4th 543, 558 (1999). Such damages may be available, 22 however, if the plaintiff adequately pleads a tortious breach of the implied covenant of good faith 23 and fair dealing or a financial elder abuse claim. See Foley v. Interactive Data Corp., 47 Cal. 3d 24 654, 684 (1988) (bad faith); Cameron v. Las Orchidias Props., LLC, 82 Cal. App. 5th 481, 519 25 (2022) (financial elder abuse). As Plaintiff fails to state plausible claims for bad faith and 26 financial elder abuse, her derivative claim for emotional distress damages likewise fails. 27 2. Punitive Damages 28 The Court dismissed plaintiff’s request for punitive damages, with prejudice, stating that 1 the “allegations fail to sufficiently allege that Transamerica acted with ‘oppression, fraud, or 2 malice’ as required under California law.” Doc. 41 at 11 (internal citation omitted). Plaintiff 3 does not oppose defendant’s motion to strike the punitive damages demand. The Court reaffirms 4 its prior holding that this claim is dismissed with prejudice. 5 D. Motion to Strike 6 Plaintiff attached a declaration from her daughter-in-law, Christina Rollin an exhibit to the 7 TAC (“the Rollin Declaration”). Doc. 48-3. The declaration includes new information detailing 8 Plaintiff’s condition and care, and declarant’s interactions with Dr. Bauer and Transamerica. 9 Plaintiff references the Rollin Declaration in the TAC to support that “Plaintiff’s cognitive 10 impairment has continued to decline since Transamerica denied benefits . . . [and] Plaintiff has 11 had to incur significant out-of-pocket expenses to hire caregivers for daytime and overnight care.” 12 Doc. 48 at ¶ 25. Defendant moves to strike the Rollin Declaration under Rule 12(f). 13 Rule 12(f) grants the court authority to “strike from a pleading an insufficient defense or 14 any redundant, immaterial, impertinent, or scandalous matter.” Fed. R. Civ. P. 12(f). Under Rule 15 10(c), “[a] copy of a written instrument that is an exhibit to a pleading is a part of the pleading for 16 all purposes.” When ruling on a Rule 12(b)(6) motion to dismiss, courts may consider 17 “documents attached to the complaint, documents incorporated by reference in the complaint, or 18 matters of judicial notice . . . .” U.S. v. Ritchie, 342 F.3d 903, 908 (9th Cir. 2003). Courts have 19 granted motions to strike exhibits attached to complaints when those exhibits do not qualify as 20 “written instruments” under Rule 10(c). See e.g., DeMarco v. DepoTech Corp., 149 F. Supp. 2d 21 1212, 1222 (S.D. Cal. January 26, 2001) (striking an exhibit attached to the complaint for not 22 resembling a Rule 10(c) written instrument); Galvan v. Yates, 2006 WL 1495261, at *4 (E.D. Cal. 23 May 24, 2006) (striking witness declarations that are not written instruments because they “are in 24 the nature of evidence submitted to bolster Plaintiffs’ allegation set for in the [complaint].”) 25 However, “if a document is not attached to a complaint, it may be incorporated by reference into 26 a complaint if the plaintiff refers extensively to the document or the document forms the basis of 27 the plaintiff’s claim.” Ritchie, 342 F.3d at 908 (striking a declaration that was not referenced 28 extensively or “integral to [the plaintiff’s] claim, . . .” Id. (internal citation omitted). 1 The parties each cite to DeMarco for the definition of a “written instrument” under Rule 2 10(c). DeMarco defined a “written instrument” as “a document evidencing legal rights or duties 3 or giving formal expression to a legal act or agreement, such as a deed, will, bond, lease, 4 insurance policy or security agreement.” 149 F.Supp.2d at 1220 (internal citation omitted). The 5 court explained that “[t]he documents that satisfy this definition ‘consist largely of documentary 6 evidence, specifically, contracts, notes, and other writings on which a party’s action or defense is 7 based[.]’” Id. (internal citation omitted). The court struck an expert’s affidavit that “does not 8 resemble any of the classes of documents that meet the definition of a ‘written instrument’ under 9 Rule 10(c).” Id. The Rollin Declaration does not resemble any of the documents mentioned in 10 DeMarco and provides no documentary evidence. 11 Additionally, “witness affidavits and other exhibits containing largely evidentiary material 12 typically do not qualify as ‘written instruments’ under Rule 10(c).” Thaut v. Hsieh, 2016 WL 13 3058235, at *10 (E.D. Cal. May 31, 2016), adopted at 2016 WL 10672012, at *1 (E.D. Cal. Aug. 14 11, 2016); see also Galvan, 2006 WL 1495261, at *4 (E.D. Cal. May 24, 2006) (finding a witness 15 declaration is not a “written instrument” when it is “in the nature of evidence submitted to bolster 16 Plaintiff’s allegations . . . .”) Plaintiff attempts to distinguish Thaut by claiming the declaration is 17 not offered solely as evidence, but rather “offered to clarify factual allegations” and provide 18 “narrative-support”. Doc. 56 at 23. However, Plaintiff only cites the declaration once to clarify 19 allegations concerning her expenses and as support that her cognitive impairment has continued 20 to decline. See Doc. 48 at 25. The majority of the Rollin Declaration, which includes fifty-two 21 paragraphs, contains other material intended as evidence. Plaintiff also attempts to distinguish 22 Galvan by drawing a distinction between “evidence meant to establish liability” and “factual 23 detail about . . . matters central to damages and causation,” but provides no reasoning for why that 24 distinction matters or how the factual details provided are not submitted to bolster her allegations. 25 Doc. 56 at 23. As a result, the Rollin Declaration is not a “written instrument” under Rule 10(c). 26 The Rollin Declaration is also not incorporated by reference to the complaint because it is 27 neither extensively referenced in the complaint nor does it form the basis of the claims. The 28 Rollin Declaration is only referenced once and provides no information to clarify why plaintiff is 1 entitled to recover under the policy. Doc. 48 at 25; see generally Doc. 48-3. 2 For the reasons stated above, the motion to strike the Rollin Declaration is granted. 3 E. Leave to Amend 4 Plaintiff requests leave to amend to incorporate the factual allegations included in the 5 Rollin Declaration if the Court grants Transamerica’s motion to strike. Doc. 56 at 24. 6 If a court dismisses a complaint for failure to state a claim, it should “freely give leave” to 7 amend “when justice so requires.” Fed. R. Civ. P. 15(a)(2). The “underlying purpose of Rule 15 8 [is] to facilitate decisions on the merits, rather than on the pleadings or technicalities.” Lopez v. 9 Smith, 203 F.3d 1122, 1127 (9th Cir. 2000) (en banc) (cleaned up). A court has discretion to deny 10 leave to amend due to “undue delay, bad faith or dilatory motive on the part of the movant, 11 repeated failure to cure deficiencies by amendment previously allowed, undue prejudice to the 12 opposing party by virtue of allowance of the amendment, [or] futility of amendment.” 13 Leadsinger, Inc. v. BMG Music Pub., 512 F.3d 522, 532 (9th Cir. 2008). The incorporation of 14 allegations in the Rollin Declaration would not cure the pleading deficiencies identified or 15 establish such that Plaintiff would be eligible to recover under the policy. Further leave to amend 16 would be futile and is therefore denied. 17 /// 18 /// 19 /// 20 /// 21 /// 22 /// 23 /// 24 /// 25 /// 26 /// 27 /// 28 /// 1] V. CONCLUSION 2 For the reasons explained above: 3 1. Transamerica’s partial motion to dismiss, Doc. 53, is granted. 4 2. The claims for breach of the implied covenant of good faith and fair dealing and 5 for financial elder abuse, as well as the request for damages for mental and 6 emotional distress, in the TAC, Doc. 48, are dismissed without leave to amend; 7 3. The request for punitive damages is stricken; 8 4. The Rollin Declaration attached to the TAC, Doc. 48-3, is stricken; and 9 5. This action will proceed on the remaining breach of contract claim in the TAC. 10 1] 12 | ITIS SO ORDERED. _ 13 Dated: _ June 28, 2026 4h | | 4 UNITED STATES DISTRICT JUDGE
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